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HomeMy WebLinkAbout020-1260-20-000 4 o m °o Qo 0 tn3 d 0. c o ! 0 N O y Q h Er I ~ I 0 c z LL O I ! Q V N M Z N rn o a m N F- Z C O ! O Z d' C v n p d O ~ Z d' t. fn F- O N Z c ~ •`s I O Cl) a> N 3 y _ .j_N Q N C O a 0 m i a z m z o d N £ N ~V y _ j6 N > G am+ w C O N N O O p O G a O N w a F- F' F- z Li N ~i ° 0 31 3: 3: 0 0 Z •►v a to a a a i N 04 o <n N fn J U p rn rn } ~ N W O M It LO O O O :3 ~ cu cn U) n J p co a) S~ C 'O N Q c0 d N 7 w O O J N C O ' M C CO O 3 ! N to O 0 = 0 O N N C 0 d O rO V O~ 7) (n C E o co O co O N O N N O cy) (D C CL) N r O I!, N N O E C3 O • 1F/~~j L' O N 2 > O M U) O ~ • a m `m a c ~rww `1 A t°) a 1, 0 in Co a' T NDUG'V'R T OF REPORT ON SOIL BORINGS AND 4 \FETY & B DI VISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHIP /TdFtfidtG'hP~rtYTY: LOT NO.:BLK. NO.: SUP)10 ]VISION NAME: W~1 S V /T N/R E (or on 'r'c rs UNTY_ /BUYER'S NAME: MAILING ADDRESS: G✓x. _V/4Z =L f f USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIO S: PER OLATION TESTS: Residence ER'New ❑Replace ' Z 0 RATING: S= Site suitable for system U= Site unsuitable for system SH 40-1 - A- ~ CONNV,E~NTIONAL: MOUND: JI MRS NG TANK: RECOMMENDED SYSTEM: (optional) E7J ❑U ❑U ❑U ❑S I Cmrytizh"nt,zZ If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 70 7 > s B- 2_ ~h 9 G B- 3 71 do, o /l~dytc > / B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 P RI PER INCH P- 3 > ' (a S- P- 2x _Z P O .2 P- P- 4/ Whie- 3 a . sr' P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what ar, zonta] and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction ana of land slope, b SYSTEM ELEVATION 97 5 'nom E a E E xF ~ _ E E E > r i , O s' ham- 3 \ i i E f y 'i F .?70 ° I th undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wis nsin 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): DAVE FOGERTY PLUMBING TESTS WERE COMPLETED ON: / z ADDRESS: CERTIFIC TION UMBER: PHONE NUMBER (optional): X3233 #)3289 . ]toad Y-1,7 3 S, WISCONSIN 54023 CST SIGNA URE: Rhine 749-3656 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - T T J f T T < c AS BUILT SANITARY SYSTEM REPORT OWNER C TOWNSHIP J S ECT I ON--2Z_T-2f_N-R_Z_? W ADDRESS Pr- iyay /`a t15" ST. CROIX COUNTY, WISCONSIN w .L S ~/d -Z Z SUBDIVISION. A^LYr•Ye LOT-Z~ LOT SIZE Z3 `ortsel PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~c ~Y ~ r r yO , Fla 0 X INDICATE NORTH ARROW BENCHMARK:Elevation and description: DD. Alternate benchmark AV 1 /W SEPTIC TANK:Manufacturer:_ 4~e~ Liquid Cap. _ Rings used:-D--Manhole cover elev: /DD d Final grade elev: &o. 1-9 10 Tank inlet elev.: . s6 Tank outlet elev.: e9.3G~ ~ No. of feet from nearest road:Front__Z, Side , Rear Ft. '>SO' From nearest prop. line:Front , Side Rear Ft. ? r ' No. of feet from: Well .75- Building: / S^ (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE t PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufact.: Pump Size Elevation of inlet: Bottom of tank elevation Pump on elev.: Pump off elev.: Gallons/cycle• Alarm: Man.; Switch Type: Location Distance from nearest prop. line: Front_, side-, Ft. Distance from: Well Building SOIL ABSORPTION SYSTEM Bed:_~ -Trench: -Seepage Pit: Width:~_Length__Z Z .Number of Lines: __..__Area Built Exist. Grade Elev. Proposed Final Grade Elev. Fill depth to top of pipe: ' No. feet from nearest prop. line:Front._ D , Side_,~ Rear Ft, L No. feet from well: > ,r ____No. feet from building HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front____, Side Rear Ft. No. feet from: Well building__., nearest road Alarm Manufacturer: INSPECTOR:_ DATE: ,9 t PLUMBER ON JOB: .J LICENSE NUMBER: ?1 3 6/90:cj LOCATION: HUDSON 21.29.19.1255,NW,SE,2I,LOT 316,MEADOW DRIVE Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: % Labor and Human Relations INSPECTION REPORT Safety and Buildings Division ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 149313 Permit Holder's Name: ❑ City ❑ Village f] Town of: State Plan ID No.: VIER, DOUGLAS C & DARIA A HUDSON CST BM Elev.: Insp. BM Elev.: 77ription: Parcel Tax No.: 020126020000 A9200158 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Benchmark 3 ` / 41J Septic lid 4"L/, Dosing e_,), OD/,G Aeration Bldg. Sewer Holding St/ Inlet 9 9 2i TANK SETBACK INFORMATION St/}fit Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic r NA Dt Bottom Dosing NA HeaderktOn Aeration NA Dist. Pipe Holding Bot. System /a3, q7 ..ZzI t q17 PUMP/ SIPHON INFORMATION Final Grade Ma Demand < 7 3.7-0 OId, Model Number GPM I Loss Friction System Ft TDH Lift Forcemain Length Dia. Dist. To Well Fi SOIL ABSORPTION SYSTEM BED/TRENCH Width Length i No_ Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS _ SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Maswfacturer: SETBACK INFORMATION Type Of CHAMBER Model Numer: System: E.O. OR UNIT DISTRIBUTION SYSTEM Header 4AanrfeId Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length r Dia. Length ( el Dia. Spacing -Lo 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 2 - Bed/ Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) ca) AK, -Plan revision required? ❑ Yes o Use other side for additional information. / Sf SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: • i I e i r f I-DILHR SANITARY PERMIT APPLICATION COU ""'I' In accord with ILHR 83.05, Wis. Adm. Code E~,Q,&~(, STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 114! 313 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPE OWNER PROPERTY LOCATION '/4 '/4, S T 2 , N, R E (or) PROPERTY O ER'S MAILING ADD ESS LOT # BLOCK # Z/ 112 CITY TATE ZIP CODE PHONE NUMBER SUB 7SION NAME OR CSM NUMBER Gt/ O T1 ' II. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ~J F-1 State Owned ❑ ILLAGE ; *y ❑ Public li 1 or 2 Fam. Dwelling-# of bedrooms PARCEL TAX N R( 111. BUILDING USE: (If building type is public, check all that apply) 1.2 :24) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. W New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non, Pressurized Distribution Pressurized Distribution Experimental Other 11 L~J Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 12. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 8 Z 7 7. ,S Feet /DO /Feet VII. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holdin Tank D Lift Pump Tank/Si hon Chamber °W eol VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): PIu igna - P/MPRSW No.: Business Phone Number: 1 71111'rl4a, F -a (-.7 lumbers Address (Street, Ci tate, de): 22 k, / 4Z~ Zi W IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued I rig Age Slgnatur, (No Stamp ) Approved El Owner Given initial (s ~~//urcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS i i 1. A san-itary 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. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systerns must be property maintained. The septic tank(s) must be pumper by a licensed pumper whenever necessary, usually every 2 to 3 years. 6, If you have questions concerning yodr onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. 11. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Cornp'ete for all septic, purnp/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil,test data on a 115 fprrn; and F) all sizing information. - - - - - - - - - - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards: SBD-6398 (R.11/88) APPLICATION FOR GAM RT PERHIT • RTC-100 This application form Is to bo conpintad In full and signed by the ovntr(s) of the property being developed. Any lnadoquacles will only result In delays of lilt ptrrAlt Issuanco► -Should thin development be Intended for resale by owner/contractott(spoc houoe), thon a second form should ba t a t a I n a d and completed vhan t1)a property Is sold and submitted to this afflca vlth the ■pproptlate deed rteordlnq. Ovn:r of property .1)(A1_Q Location of pro ■cty ~ 1/4 1, Sectlon _-r•R L~ V Tovnshlp •'~'1/! ~Sd Nall Ing address 71)6 ~zwk ¢ A,) s C-! Z l • Address of sit$ 7- lb / 6~ s u bd t v l s l o n n awe _ ~2 r~-OZ 1~ r/~ d S ~7F--- ' Lot nuxber 'r Pttvlous ovntr of property -Y + Cvw P a)~-$eubkj Total site of parcel _ 2e rbS Data parcel vas created Ats all cornets and lot 11.nts ldentlflsblel •,..~___.,Yes Ho Is this pro petty being developed for ressla (spec houee)1,__Yas _ _N0 Yolnr.v Z.3 and Page Number as recorded with the Register of Deeds. w INCLVD9 WITH THIS APPLICATION TIIY FOLLOWIHC1 N VAARKYTI DtiD vhlch Includes a DOCUHRHT HVHniR, VOLUHZ AND PAOR t+vxstR, and the STKL OT T119, R80I©TRR OF DHRDII. In addition, a certified survey, it available, would be helpful so as to avoid delays of tht'ttvleving process. It the deed dtsctlptlon taferences to a Cattlfled Survey Hap, the Ctttltled tucvey Hap shalt also be required, V PROPERTY MIER ChTiFICkTIOH live) certify that all statements on this form are true to the best of my (our) 1<novltdgrl that I (we) am (Ste) the owner(s) of the property descrlbtd In lhss Infotmatlon Corm, by virtu, of a warranty t ~ocded In the Ottlce of the county Rtgletec of Deeds as Document No. prtItntly ovn the proposed alta for rho sewage disposal a ates,) end that I fvel obt■Intd an easement, to run with Lilo above d a a c r I b a d property,(vIar tithe conettuctlon of sold system, and the rams has bas - ot t oVnty Req(ater of Deeds, as Document No. /APO recorded In the otltce aly ter I Owner 6lgnatute of Co-Ow-net (If Applicable) Dete o elgnstuta D to of Signature NAME- T , •M~IMIMe. N~ eM .t. 3 - a" ta w. AAA* he Ed. v@W r-ss0sMd mom 46,8010M wok t bosom so" do F t >tesAA. lad State .4 , Mwital ptq?ertl► q' - Tax Psral NO • ty . ' Of Hudson* Lars 16, Prairie Vista. Second Addition to the Town 29 t~orth~ i ` further described as being located _ in the St. Croix county, . St. k Croix and the Ski 4 of SE % of Section 21, Wisconsins, Town of Hudson, St. Croix County, * 1A" SE o % qe 19 Hest. construction of improvements or a home shall be buyer agrees that'no until such time as the contract is paid in woolenoed on this property nant shall constitute default. . Breach of this ' ro~e full t homestead property. is not _ This .-...f> W woi> Dri Hudson KI. 766 Mee a -.t 2'SO:~ nyU )sass the Property and to pay to vendor at , in the following ma)►ner. (a) i-- together with interest from date of 131000-OO - of this ~ia contract; , and (b) the balance o 10 . f $ . . . per cod par •mmes bWpf on Ot balance outstanding from time to time at the rate of . _ Pau is:tA an fellows: December 21, 1991 and the 21st of each sonthly payments, commencing r of $125.46, principal and interest, . >fwnth thereafter. 21st day of er, the entoutstanding baepee shall be paid in full on or before the i9...... ( the maturity date). 12$ per annum on the entire amount ? Following any default is Paym , interest shall accrue the rate of accele ation or maturity. the moire wbieb sw include, wi thout thout limitation, delinquent in n terest a nd, upon atana icient to Pay excused agrees to pay monthly to Vendor amounts suff receiveda ~'1T~. pr. nsiw by vendor. special assessments, fire and required insurance premiums when due. To the extent P&W annual taxes. payments these obligations when due. Such amounts received by the Vendor for pays' t of f UNION des aaameosotNs is apply into an escrow fund or trustee account.. but shall not bear ilk ( ;Ya mfA g d insurance will be deposited . o Wwrwise wed by law. specified and them to psi dpsA., Any sW be applied first to interest on the unpaid balance at the rate spec ~iltX~l.X?l.X7tala7SX~?fs~~~ Paymen upon principal at any time. amomt may be peeped witbeat premium or fee *on KRK*ont this contract shsi. not be created as in default. with respect to paw se i~ to the event of any prepayment, - - "evied Y the unpaid balance of principal, and inteere tt(and in ch tedn 3qr «ould luiav~tbefrom month to month en had nht f aIain7 P ount hat said SO unpaid principal) is less than the am ~,,~-6rst`speeifled above: Provided"that monthly payments shall be continued in t of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is sati3fied with the title as shown by the title evidence submitted to Purchaser as of this for examination except: easements, restrictions and covenants of record, date Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall . hls:: ct>nt?c lg be retaineu by Vendor until the full purchase price is paid. date of - Purchaser shall beentitledto take possession of the Property on- *Croft Out one. h ar, E, `w Yas~orY~re~herww ~ . previ led be tM 11aow, u"aato to be eoattMittod an tiffs 1'!s)lielr ~AM'RY fret froth- Haar euperiar p p~ -fmkb- MAN- y in 408 dW OW&M #R Flea faith IMterwt and other moMeye shall-be r_ t` at ae ttw ay IN for aaaMaar sieve a iad. voodw will M • 1tot1, fPt fins Mntiar ot for p operty free and etas of all beam am MW 60 or it tans Otmbd' b tlta rr datnd yt K panitasK lbl.... 11 ~ons. ofwenanfs o _ . ' ' r ~gerw tatia tio. o~ th~ - - esseMee and (a) in the event of a default L " 1ldriab 410iNaa for a of ..JO days following the the pays" at M.W specified due date or (b) in ao ^ { 9 - Mp Sam abliand" malty Pwvbaw whrekrdh eon tines for a Period of_ 30 t1asO t waMwp~ .j rbi ! ae b~ fled mall), then tLe entire outstanding 40 ohm also have V fuu. at VoMdor's ption and without notices (ww~•hiea Pure the all law or is following rights and remedies tg~ (subject to any limita and tions iM~tbe «WitY: (i) Vendor may, at his opton, terminate this street io 10 he gmdltisesd )and recover the Property back through strict foreclosure win Mss PM by ftftb"W a>~eM rehaser's full payTrient of the entire outstanding balance with iMtoresf ' ' of dofaslt at tM rate In offset on such dateaodothwSMwtnteduehereunder(inwhich wioewittap aaso0 A.. sWl b! fo redo d as tignidated damages for failure to fulfill this Contract. Oils to rsdasta ) and as ; af/ ; oe (ii) Vendor may Maggot of sue for specific performance of this Contract tit ao satire outstanding balance, with interest thereon at the rate in effect rd d"be -I= t sasaWts dun bersunder, is which event the Property shall on r be auctioned at judicial sale a tMsOt; 'M w klfeiy-t x (tii) Vendo may sue a~ ( ViMdr st law for the entire unpaid SCUM if die *ay dsctaro this Contract in at an end and remove this Contract asseloj,d on tattle it iay, 9p1041 j nt erest • receai l Purchase poin r is significant; and (v) Vendor may have Yureha .r ejected lros any ~ aMd ver apted to collect any rents, )awes or t~• i!)_ ~ ntwihstanding any oral or written statements proits ofr act ons of the nde ~ ~y of `~"0a're y re binding upon Vendor if and when ender an d 440mt ga-rusys f~lgg tMaMlahia pursued in litigation and all costs and of Vendor incurred to she any remedy hereunder (whe be a or at is ewrnd. sty I bo bmindsd In expenses of title evidence ce shall ther bated • As any judgment. added to principal and paid by purdaave~ G or the w u'" 60 COWAN"0°1°eOt during Pendency of any action of foreclosure of this Contract, Purchaser ooh e! s roeaisor of tbo Property, including homestead interest, tc collect the rents. ices, a" ""M dwing d* court S 1 r,2.8!" of ouch action, and such rents. issues, and profits when so oolkegd > of hall :nt ; Z" pMrpus er'aoor shalt Mot tramfsr, sell or convey any legal or equitable interest in the pro rights under this Contract or by option, long-term lease or in any other PQ><tY (by r at VoMd Fe solos either the outstanding balance payable under th wa t the s Contract is way)pw ti or Price, wrllbeM first gaer. jM Pboo M ~~nt ipme s of Purehaser'a interest render this Contract solely as security for as indebjp ` scent of any such transfer, sale or conveyance without Vendor's wthoawtire Va this Contract shall become immodiatel ritten consent, and payable in full, t Vendor's option stale all Payments when due under any mortJF&9e outstanding alrainst the Property on the this Contract (Meept for any olortgage granted by Purchaser) or under any note secured thereb the data of ~hw ~ Payment of the amounts then due under this Co ntract. Purchaser may make any such pprovided rt' this Van,," fails to do so and all payments an made b} Purchaser shall be considered pays n t . , x'. veltd0r U" w'ai" any default without waiving any other subsequent or prior default of Purchaser. All Urms; *f his Contract shall be binding upon and inure to the benefits of the hairs, legal of Votyoe and Purchaser (If not an owner of the property the dud 11a be wENWI& to a *doom homestead righta in the subject Property and ~ of V QQX w ent hornet.) agrees to join in the aaeatisw of the Daces this 21st day of No ember . 1991 v 010 (SEAL) • . Vtar yn E. Benoy _ (sICAL) . 41 as C. V'er (SEAL) • Catherine A. Benoy - (SEAL) - Dacia A. Vier A[TTHBNTIt%ATION ACKVOWLEDGKZNT Signature (slt drt..C;. .7 ~Y► STATE OF WISCONSIN 4P l~•- St • . Croix County. au heretics u ' ay or.... '~W__. .girl..: 19 f/- Personally came before me this ...char 18 the above Mtu~ei, " TITLE! MF.M13ER STATE BAR OF WISCONSIN . (If not. ..........~.j . authorized by ~ 706.06. Cis. Stats.) to me known to he the person . who executed THIS NSTRUMF ~AS DRAFTED BV fore--oing instrument and acknowledge the gar"_ Robert F. W_11 (Si;tnAtares mayauthenticated or Xotaz. C rblic . are not necessary.) or aclcnrnvhdged. Both MV Contmissinn is permanent. (If 11st, state ~ date: ti . Il~tl%r'.f~'*~~ds'l6Kt't~4iwfT;'-_il~l,.-a: ~ a. .<.i.Le 1•~~Yi' SEPTIC TANK.MAINTENANCE AGREEMENT St. Croix County I OWNER/BUYER "I elf- ADDRESS : 7?bdp y GyUy FIRE NO: tv U) S~ 1 V LOCATION: S &L) 1/4, ~ 1/4, SEC.'2,( T 2- N-R__d_W TOWN OF: 4-1 ST. CROIX COUNTY SUBDIVISION: n UA.,J ~e S fi LOT NO. L' 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 septic tank pumper. What you put into the system can affect the function of.the septic tank as a treatment stage in the waste disposal system: St. Croix County residents may be eligible to receive a grant to help with the cost of the replacement of a failing system, which was in operation prior to July 1, 1978. St Croix county accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to the St. Croix County zoning 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 (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification from will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned have read the above requirements and agree to maintain the private sewage disposal system•'in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification form must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED• ✓ uv_~_ DATE: St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINua INDUSTRY, DIVISION LABOR P.O. BOX HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 (ILHR 83.09(1) & Chapter 145) LOCA O E T10 TOWNSHIP/ttTY: LOT NO.: BLK. NO.: SUB VISION NAME: w'/ 1/ /T N/R E (or v b' r COUNTY/:' /BUYER'S NAME: MAILING ADDRESS: G✓~~1 1 ~ p we vii? ~ d7t+ USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: 'Residence 3 ~lew ❑Repiace , A 1 0 P RATING: S= Site suitable for system U= Site unsuitable for system Sa n~+y - A- 2S BS CONVENTIONA MOUND: IN-GROUND-PRESSURE: SYSTEM-INN--F,IILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) 0`L: ❑U EIS UU RS ❑U Gdwytic " a If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: 41 Z: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED ST. I HEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- / 70 3.t'~fjnmS- B Z,. ~O r 7 f7 ~S~ - S ~d ..S ' Ah /S - A~ Yrr I -1, ' h G S B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 P RIOD PERIOD3 PER INCH P- 3 P_ P- 2 r A j P- A2-m 3 P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direVon and percent of land slope. b SYSTEM ELEVATION ?7, s-' ~~<< i 6 ~ ( 1 , stir ~f ~ " _ X10 ~ I /op. O i l X X\3 i t t ! i~j r- ~7 70 i S _ _ I th undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wis nsin 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): SAVE FOGERTY PLUMBING TESTS WERE COMPLETED ON: / ADDRESS: Z X3233 #3289 CERTIFICATION 44UMBER: PHONE NUMBER (optional): Fogerty Heights Road 3.j-?3 -0989M,_ WISCONSIN 54023 CST SIGNA URE: Phone 749-3656 s Z r,~ A ~4 V n Wam MCA ~e O v ~ o ~ a ax x \ N I VIN h J, Y T I , I . n I ~~I ~ ~ 1 ~ i^ ~ ? ~ ~ ~ ~ ~ i f O ~ ' .f _ 1 j ► I ~ ~ I' W ~ ~ ~~~I: - ~ ~ - ~ ~ : ~ ~ ~ ~ ' : ~ ~ v . ~ 1 I . ~ . PAGE OF PUMP CHAMBER CROSS SECTION AUD SPECIFICATIOUS VENT CAP I"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING . JUNCTION BOX MANHOLE COVER 25' FRCM DOOR, WINCOW OR FRESH 12"MID. AIR INTAKE I GRADE I 4" MIN. i 18" MI IJ. CONDUIT MIN. - - - - - - - - - - 16" ~11 IAJI_.t: 1" PROVIDE AIRTI&HTSEAL I I i I T II V APPR.OVEC JOINT A I III APPROVED JOINTS rJ/C.I. PI PF. i " I III W/C.I. PIPE EXTENDIKIC• 3' ( II ALARM EXTCIJDIN6. 3' .)NTO SOLID SCt;• I ONTO SOLID SOIL TTTIL B I 1 ON C PUMP OFF r D CONCRETE BLOCK RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL SPECIFICATIONS TiC AND TANKS MANUFACTURER: NUMBER OF DOSES: Z PER DAy TANK SIZE: GALLOWS DOSE VOLUME _ ALARM MANUFACTURER: INCLUDING BACKFLOW: zzs t GALLONS Z) LV l/5CAPACITIES: A= 2Z INCHES OR 3Z-' GALLONS MODEL NUMBER: SWITCH TYPE' l'1PrC T g . Z INCHES OR 3 s GALLONS PUMP MANUFACTURER: G e~~lit /Z INCHES OR -2-7 GALLONS MODEL NUMBER: C-3 INCHES OR "39' GALLONS D/ = 779' SWITCH TYPE' 12144Cddd%d--- MOTE: PUMP AW ALARM ARE TO BE PUMP OISCHARC.E RATE 32 GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFEKEMC[ gir~1'WCEN PUMP OFF AMC) DISTRIBUTJON PIPE.. ' FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . FEET + 6 FEET OF FORCE MAIN X -LZ._F/oortFRICTIOM FACTOR..FEET TOTAL DYNAMIC HEAD = 907 FEET ? r INTERNAL DIMEIJSIONS OF TANK: EIJGTH ;WIDTH f ;LIQUID DEPTH ys. r~^ 51GQED: LICEIJSE DUMBER: Zl 9 _ DATE: -117- REPT131 HUDSON ST. CROIX COUNTY ZONING PAGE 2 05/1,8/92 13:06 REQUESTS FOR INSPECTION WORK SHEETS FOR: 5/18/92 AREA: JT Activity: A9200158 5/18/92 Type: CONVSEPT Status: PENDING Constr: Address: HUDSON 21.29.19.1255,NW,SE,2I,LOT 316,MEADOW DRIVE Parcel: 020-1260-20-000 Occ: Use: Description: 149313 Applicant: VIER, DOUGLAS C & DARIA A Phone: Owner: VIER, DOUGLAS C & DARIA A Phone: Contractor: FOGERTY, DAVID B. Phone: 749-3656 Inspection Request Information..... Requestor: DAVID FOGERTY Phone: Req Time: 16:05 Comments: Items requested to be Inspected... Action Comments Time Exp 00012 FINAL INSPECTION Inspection History..... Item: 00012 FINAL INSPECTION REPT131 HUDSON ST. CROIX COUNTY ZONING PAGE 1 05/7.8/92 13:06 REQUESTS FOR INSPECTION WORK SHEETS FOR: 5/18/92 AREA: JT Activity: A9200158 5/18/92 Type: CONVSEPT Status: PENDING Constr: Address: HUDSON 21.29.19.1255,NW,SE,2I,LOT 316,MEADOW DRIVE Parcel: 020-1260-20-000 Occ: Use: Description: 149313 Applicant: VIER, DOUGLAS C & DARIA A Phone: Owner: VIER, DOUGLAS C & DARIA A Phone: Contractor: FOGERTY, DAVID B. Phone: 749-3656 Inspection Request Information..... Requestor: DAVID FOGERTY Phone: Req Time: 16:05 Comments: Items requested to be Inspected... Action Comments Time zE_ 00012 FINAL INSPECTION Inspection History..... Item: 00012 FINAL INSPECTION