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HomeMy WebLinkAbout022-2004-60-000 ~ °o 3 0 4 0 ti 06 N O ly N O cz~ N C N - C E O7 N o F- ~ p ~ N U ry oU w-_ V Y N + N v y C OQ Q v CL p ~O U N C cOn ~ 'D N . 'L N CO Z ap E U ~p~O p. I 7 ~ O M ~ N N ~ O. N ~ O X N L O = Y ~ U C Ip Z c Q1 +-O (0 C 7 :q -Oj c ~ y N LL (n t7 ,N (6 O ? c 0 O)E C> C U p m O N 0 O to L E T 0 U Co V d L N ~ N 00 O Z m a~i CO N W 1 co m F- Z c C7 O Z U NI v FZ-e- N E v O N 0 0 pN D • ~l C L N C) C'4 04 .2 Z Z O V z O Cz 'I'1 L C N N LL ti N LO ~r h N > a a~ a y y D a ~,~1 p ~ fA ~ ~ ~ a ►+r 0 O O O i. • +ra v a a a C N O N N N N F U U rn rn } M p O N O U W W E d 0 0 C D N co m N O 'O N N ~ _ a < :v O L 7 w C w~j 0 3 .6 N c *el 0 0 0l o E a u> rn O M F- Q y C . 0Oj O C O U~ C O N E Y ° O O p C C O N 3 N N O N W O tty'' C N 6 U tt' N N C V ;z :3 O In O L) • O M Y U') O N Z (/1 O ~ E d k N T a CL • R d d °3 C C c0i a 0 in 0 AS BUILT SANITARY SYSTEM REPORT OWNER Of TOWNSHIP SECTION 36 T LO N-R /9 W ADDRESS A~/o ST. CROIX COUNTY, WISCONSIN M~ y o of 2-- SUBDIVISION LOT PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 1 ,S'4j44-~e472F- 7- 7 -T.rFC f ` INDICATE NORTH ARROW BENCHMARK: Elevation and description: p ' Alternate benchmark C0 ~OEI? - F/& vA7-104.) io0• Grii~S~2 Ho~SE % /ZOo 50 SEPTIC TANK: Manufacturer: CaAJC1-lf-t 4,,r Liquid Cap.af%4 ' -7 yo~sE ~a~ G s 2~~~ HOUSE : 101,5&, oroei 757 30, Rings used: Manhole cover elev: Final grade elev:ofbzg s9 So " #00SE : /00, i1?' - hws~ ; /00-60, Tank inlet elev.: °fF'`~ ?UO Tank outlet elev.: of~'ce - 97, 6 R No. of feet from nearest road Front , S' , xuar_Ft From nearest prop. line Fron Side , Rear Ft. No. of feet from: Well ©r , Building: (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: 1700 Pump/Stphvn Manuf act.: Pump Size Elevation of inlet: 0 Bottom of tank elevation 70.; YT / Pump on elev.:Pump off elev.: 71,73 Gallons/cycle: Flo? 7 Alarm: Man.: G~~ Switch Type: Location ~ZOp ~ Distance from nearest prop. line: Fron Si Distance from: Well /00 Building ~Z SOIL ABSORPTION SYSTEM s f/S Bed: Trench: X Seepage Pit: Width: y Length ,A1'30 Number of Lines: Area Built Exist. Grade Elev. /4 Proposed Final Grade Elev. Fill depth to top of pipe: ~ 300 ' No. feet from nearest prop. line: ron Si , No. feet from well?200 No. feet from building Zoo HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bott tank: Elevation of inlet: No. feet from nearest prop. ine:Front Side Rear Ft. No. feet from: Well building nearest road Alarm Manufactur 1Z INSPECTOR: DATE: 2 7J PLUMBER ON JOB LICENSE NUMBER: 6/90:cj HOMESITE SEPTIC PLUMBING CO, 855 O'NEIL RD., HUDSON, WIS. 54016 ROBERT ULBRIGHT A,%. MPSTE'R PLUMBER LIC. N0.3307 M.P.R.S. i tt,N. r4,fALLER 5 DESIGNER 1!C s• 001 'R Li t y o ~ , Loi 0 m ~ v N z "I IL N \ Z_ .a- o r m o ~~CDmo Sao M 0 mn ` ao C3 21 _ m -C m 'cc=! J 0r vC R r~ r025*0 Z n p 7 N 05 ~ i n ~ o GI 7 , ° o Z G ~ Z E o i c~ nkA u,,, v i. i IQR TiIgNart Kmen I~I o AfT II~KINNIC 36.28.18.573 E 1J 2 SE HWY. W County: Labor and.Human Relations PRIVATE SEWAGE ~YSfEM Safety and Buildings Division INSPECTION REPORT ST. C IX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 171519 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: SCHOFF DON A & CHERYL BURCH- KINNICKINNIC CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: lD'~ /10 a~o 4/ t 022-2004-60-000 TANK INFORMATION 16LEVATION ATA A9200283 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic GV a_00 Benchmark Pfd (00- v.` 0 Dosing 75-0 l0 IX,/ /D D Aeration Bldg. Sewer ry, 1~n. r 9 Holding 771 St/ Ht Inlet a_ 15-6-7 q_7. 0 TANK SETBACK INFORMATION St/Ht Outlet a.7/ q~.68 TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet 33 Air Intake Septic r NA Dt Bottom /So p Dosing Wao~ jQa /z~ >12 NA Header/Man. a 101 .-2 7 Aeration NA Dist. Pipe Holding Bot. System /0D,(w PUMP/ SIPHON INFORMATION Final Grade Manufacturer 20 Demand t JrEv , 3/ et 144- 0 - Laos Model Number R//-1 GPM c9 w`~e~ I la(G(o G/ 1 TDH Lift (D Friction System,, TDH Ka`l Ft F ea Forcemain Length /9J, Dia. Dist.ToWell >/oDl SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS `F' /30DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION TypeO Model Number: System: ~l' dk 3D o 2~ ° Z°' f ,(,///f OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia_ Length 6 7 w Dia. ~~Z u Spacing Y ~~l ?l SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of T xx Seeded/ 5 er xx Iched v Yes No Bed/Trench Center I Bed /Trench Edges 11 it Topsoil ~ Yes El No ❑ COMMENTS. (Include code discrepancies, persons present, etc.) s -I 3~l.owlNG o~-65-- Plan revision required? ❑ Yes ❑ No 401 (it (0 Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. I ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: t i SANITARY PERMIT APPLICATION 1 CLHR COUNTY In accord with ILHR 83.05, Wis. Adm. Code ST ~ ~ STATE SANITARY PERMIT # Attach complete plans (to the county copy only) for the system, on paper not less than 1:1 J 8% x 11 inches in size. Check if 4F, 2ious application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER Q I. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. 02- CD / PROPERTY OWNE PROPERTY LOCATION p eA-) f SA-r/4, S 3~D T L~ N, R 4 E (or W / 2_ Wd 7_ 6r PROP RTY OWNER'S MAILING ADDRESS LOT # BLOCK # W 2- Au. ,Al A CI STATE ZIP CODE PHONE NUMBER *rT SUBDIVISION NAME OR CSM NUMBER W4410 11N s S'D!P 1302 II. TYPE OF BUILDING: (Check one CITY NEAREST ROAD ) ❑ State Owned ❑ VILLAGE ❑ Public ~1 or 2 Fam. Dwelling~# of bedrooms PARCEL TAX NUMBER() LIZ Z / _ 0 III. BUILDING USE: (If building type is public, check all that apply) ox?,-2- 00 I l 0000 1 ❑ Apt/Condo PwS ~^jQM D f>~~Y~ 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 4 Office*ee" 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ❑ New 2. N Replacement 3. ❑ Replacement of 4.0 Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 X Mound 30 El Specify Type 41 ❑ Holding Tank 12 51 Seepage Trench 22 In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE 160. Q ELEVATION / REQUIRED (sq. ft.). PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) 1-4-2-0 A Feet /O Z ZFeet CAPACITY VII. TANK Site in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New lExisting Gallons Tanks Concrete structed glass App. Septic Tank or Holding Tank Tanks Tanks 00 Z WZEA" Lift Pump Tank/Si hon Chamber O ~C+ 40 :T F1 F1 -H4FI Ej -G Vill. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) P/MPRSW No.: Business Phone Number: 20/3x7" Z~1iXi464-Azq r3.30? 7/S" 386 ~,8 Plum//tier's Address (Street, City, State, Zip Code): C~ ~ D N ~ • li //y7v) T IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date ss a Iss Agent Signa Stamps) Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination tf-O X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety a Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanifary 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 systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually-every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-2W3815. To be complete and -accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one 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. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% 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 performanc@ curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these. surcharges are,,used for monitoring groundwater; ground water contamination investigations and establishment of standards. SBD-6398 (R.11/88) D a a m -.a Uc\V ~ V 1 VI* Ak i 0 r m~W~~ Z i cx fw ma-° Q mm a i3 ti m 5 6 ~ x10~~ iS N co ~ y I N CIO I - q/ r o o ~ ~ .v o rn O ~ N o \I v ~ ,off ~ ~ ~ ~ ~ N C M 1 - w mr3 m 03 x C O' .n d Qp do ~ n x o w = 3 Oo O M ^ d~ d ~,°„N a ° ` a a 00 o. o r~ ~ a M N 1 a = $ 1 a in \ ~ ~ c [ ~ o oc N ly ~ , ~ ~ LU Q V 3 \ C 41 a c oC`J ^ a a O fS1 -cl \ ^1 ~0 N a w E a 0 IN a Q 0 a J N 71 T m v V1 A, N LU kA 4 a V~ o oo ~ a K V, 0 2- LS) nV 3 Q N . h . ~o o I o W M ~p c~~M v- cA u- o c~ 2 o O N a da N o 0 Y _ O cxE t c ~j. E c► ar W. u. i .14 r c i z cil c c_ C UVI o0 E o fl~ % v C I s ~M M V N o r. \ jL~'., `gyp 0 0. M % M V ` ~xC 0 'A 00 No C vA+ a G L~, A Q v A " r '__~\\J Ate? c W C ` iz c aEi O 0 a a► d V ` o ~ a ~ ~ ~ y kA s \ d o I lid a a c V~ L " i ~ a~ M ' j C y dN 0 8 N 4T w c~ N v 10 oQ G+ ^C o c Y ~ w N O_~ 40 fD N., ~ ~ . ~ C V cc O V ~ r Ems` a E J U I" \ 1` CL kA f0 N N LLS 0 G v+ ~ O M , (•A N m 40 w 0 V C vo► C O► r C o u T~ 2 N M c ~M c ; a o•° _ to E ' as N M 0 N x d D A A Q i v g Cl. c v " o M c 'Z; m a~ _ E a E` r~ c `~1 C~ E CD o O c .r O a, c N iD n ° \ ~ A a N1 ~ _ N mom' ~ ~ ~ 'boo 'A ^ U 2 n i~" d o E o °c N d a w o+ 4 c v 4; cr ca m > a ~o N CL %Ll F- i V\ rA vi a o r cc 0 c 13. C v c r o 1 `C E m 41 O N v r j u I Al E a O o~A oao 41` \ \ \ 16 c Ls, a o vo+ a_, ou ~ ~ha.~ 2N u Q ~ " \o 0o v+ w ~ LL f' ~J y. M i sc~- c M y- o o o 0 4 ^c u a cv .x CA op !4 c o ` D c cA «Z r~ w O oA Vo ° °fA c 3 v ST. CROIX COUNTY WISCONSIN ZONING OFFICE a } ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 June 18, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite investigation of the Don Schoff property, located in the NE 1/4 of the SW 1/4 of Sec. 36, T28N-R18W, Town of Kinnickinnic, St. Croix County has been conducted. This onsite revealed suitable soils at a depth of 11" which meets the requirement of the A+4 rule, making this site suitable for a replacement mound with 25" of sand fill. Should you have any questions, please feel free to contact this office. rely, es K. hompson Assistant Zoning Administrator cj _ e SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL Office of Division Codes and Application 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 BOB ULBRICHT Owner: DON SCHOFF 655 O'NEIL RD 212 W MAPLE tAN HUDSON WI 54016 STILLWATER -Wt 55082 RE: Plan Number: S92-02049 Date Approved: July 6, 1992 Gallons Per Day: 600 Date Received: July 2, 1992 Project Name: SCHOFF, DON - RESIDENCE Location: E,SE,36,28,18W Town of KINNICKINNIC County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one sei of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: - REPLACEMENT MOUND Inquiries concerning this approval may be made by calling (608) 266-2889. SeD 6423 i R. 0191 SAFETY & BUILDINGS DIVISION S State of Wisconsin Department of Industry, Labor and Human Relations BOB ULBRICHT Page 2 Si ncer ly, I v PETER E. PAGE Section of Private Sewage Division of Safety and Buildings PPP013/0009n/ 9 cc: DON SCHOFF -Private Sewage Consultant -County _UW-SSWMP Plumbing Consultant Owner Plumber Environmental Health S B D 6423 I R. W/O U . I.L.H.It . 8 3.0q- 2) P R O J E C T INDEX SHEET Owner: ~,-i jGG,pr Cc/ - y30 - 7- 7~ Address: 1.2 Site Location: 16' et) TO w.J o F Project Description: kiuNi'G~~tiv~`G Sr. Ra►'x tov) y' P A L t'A G(JlY'( , 4-. L 07- /r' T" ,c~" f ll`' '"i'~G TTj G- G~✓ S~ j?, 7'/ ''.I C '/7- Y I f A 00, Q !:D` Page 1. PLOT PLAN VIEWS Pa a 2. MOUND CROSS SECTION & SYST ~l S~'1NG' - - Page 3. PIPE LATERAL LAYOUT A i~io1'lily Page 4. DOSING CHAMBrR CROSS SEC0 ' Page 5. PUMP PERFROMANCF SPECS p HUM r eua of ~qv a ENCE PLUMBER: sg HOMESITE SEPTIC PLUMBING CO. HOMIESITE SEPTIC PLUMBING CO. M O'NEIILL RD., HUDSON, ~~IS. 54016 655 O'NEIL RD., HUDSON, WIS. 54018 ROBERT ULBRIGHT WIS. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. AVIS. MASTER PLUMBER LIC. N0.3307 M.P.R.S. FiM. INSTALLER A DESIGNER LIC.1`40.00663 1`,n►NtvI. ttas-rAl-I_rR A DESIGNER UC. 140.006A3 DATE: „-~-g SITE EVALUATER/ OESIGNER SIGNATURE o~ s' i -Y ~5e)l/s 41r- S/acvtl 19 r ~i . 4T s 0,4,7zy,--~ ~i it ~ y ..+.n'+' .4, . b~ ~ ~ ~ ~ y ~~a. 4.+~.. y .yam ...4 Ir -o C~ v~ a rn D 00 Ir 11 1~ y rn ~ VN) 1*0 D~ D N i v, -c p W O N fi a'(D m c aHt0 p Vii; 'y o t+w su crri :j 44 ' / CA O b N o w n O ED 9 0 2a h 'i~ y I ~ N w G W P+ r• o CT n N N y 11 (D (D 0 m b 'b rr . q 1 phi o(D PL 0 h f ` ov" D(DO~ (n 1 v:mcDn~dw H (:1 03 DD H rt rl (D O (D N• a (D G''~i 1 u, 0 N v, o o J w H,ts o w • a (D (D (D v fD F.. H. O 0) N p [n :u F-A a G 'A -b 0 1 cn y n r~~ mm C) gg M 77CCt~ O \ \ Id Q i~ r ~ ~ ~ ti 4r~ l F s N c m o Ir _ O sA ' Qt p o c,Z R 3 b w V 4~J• ,t m y b I € ~ ,^°c 0 O ¢~wy, ~ r n V I • IIri11R ~ IIt•It~^ ~ , ?NIR Illy 11 ~ t 1! USIRD AtL' ON9 WHERK OVER i team" -CONSUM"', bard baMeun. W1~1~.. Ot.t..:~!Aa!.~Y. Trust, P4el~ r ~olttee, 4nd . Mari.A Ott Footly Tcius t, i $f 'rup.te~, 04 4441Vided..one-half ("'Vendor', +ewgre)and igtecest each So 3 01W _S.dhstff-and..Cheryl .lurctr.Schoff, husband and wife, d 10:30 Ati e tlVarthip .marl tal . proper%yPurchamr•, whether one or more). /1 »Alis aad Sams to convey to Purchaser, upon the prompt and full per V l its"O of ihis contract by Purchuser, the following property, together with 'he fsntll, profits, fixtures ai.d other appurtenant interests (all cal!e•d the "Prope•rty••) is : St, Croix, County, State of Wlacunsin. RE WAN TO The test Half (Eh) of the Southeast Quarter (Sh%) of Section Thirty-Six (36), Township Twenty-Eight 219Neet3tliaX604' l28) North, Range Fighteen (13) West. !1 H ~e1t,~japr Tax Parcel No. Thi is not hume•el.•ad property. (is) (is nut) PurcLaser agrees to punha.ir the Property and t,, pay to V ndor as • tich 1) la, e as reasonably diroe te4 the sum of f 85 , 000.00 ' ut the t"I!owu.K mann,•r uu 3 13,000.00 r at the execution of this Contract. and , L) the balance of S 72,000.0o t,•Kether with interest from date ` hereof un the balanceoutstandanf, from time to tune at the rm,• ,-i n i ne until paid in tuil, as follows: per cent per annum Principal and interest payt;,ents rr, he pat ( rt the rate of >550.00 per month, commencing November 1, 19,, i, and pav,ible on thc• l:;t slay of each month thereafter. The entire balance of this contract hall be Aue and payable its full no later than November 1, 1. 994, wIth a )n, (IJ year c,,,tionaI renewal b: permi;- ion of Vendors or their-Trustee. I . Provided, however, the- entire out,lundrng I afar, r Jc.,e r„• I,.,id of full ~,n „r ho,af. the 1 s : d*y of r November 19 94 ,the m„tur,t~ .L,,, . f Following anv default in payment, rntere.,t it. a- r u, ,r , to r•,t, ,t l per annual on the entire amount in default (which shall include, without hinitatt„n, delu„lu, nl ,nte I mol, upon at ce•lerato,n „r maturity, the entire principal balance). „ tY~ s a ian long li!K'Yfle'!~'+11~ti•MN+MT,-fh,MWl,~b ,►MNMfiMli 1.►la ,~,~:,,y ~p FROM M i►elegy(~YWMIi/La-W1jIf.1~tYL.tir.~i.I,HJL,ariypt++~ ~t ,d A M.>~ru~a~lR ~t~ITlrtTt~.'~1•Sr11T,.rRttrrrrf}tR!QTR'Reif)}'F,Rftl1nMM'IM•fFflYl-l►►~.~1M W%tYri4(ryeyVtlfl.b~f^~,ti v#{{+ ooowi~~,~- 111110107 ~eir~e'tH~~tTMl~flMlxf~Nef117e•"wI►f•ff•elUI-WM~,AM MM1iA MWWYW~.LW ~~i1►LYfifLK~Y(rQ~, Y t~ll~fY~eeAnfattts-ndtnw><retterwt4Flfrdepe,ertt~}tnt++.M►-rser+.erlwN~«rNast«.rrcrwprnlw~~brllawtrbsasioisi~at„ utthrrtulRrv►iar rlgeired bytaw . Payments shall be applied first to interest on th,• unpaid b tiara, at the r,ete ,pecifaed and then to principal. A*y amount may be prepaid without premium or fee up„n principal at anN trues ,TRFrr-------------------t'J- rrprtrtnptrt'v►tefmtlt-rrrtrrtsemRr,rh•e~m1.R R + in the event of any prepavment, this contra, 1 sh.,ll n, ('.e tr,,.te U a, in default with o-pect to payment so kin* i as the unpaid balance of principal. and interest trend in u, h, ,u, r„ui,; rntrrent Ir•rn month to month shall tie treaty a , as unpaid principal) is less than th, .nnour;' that :tad ind.d,trdne„ ,andd brae h,•en hod the monthly payments been made as first specified altwe, pr„ti,h.1 th,.t monthly pa.menl, sh:u! Iw , mitmut-d in the e•veyat Ut credit of anv proceeds y ' of insurance or condemnation, s the cr.,,demno d pre•nu„ , he.,it K Ih,•reafter , ticludrd hen•trnm Purchaser states that Purchaser is naG+fleI wash the t,ti. ,a, ,t,, wr, rey 1he ht le ey,do,m submitted to Purchaser ~ for examination except. A td C t, ~.1 Purchaser agrees to pay the gnat ,f future tole evader„ • It tide eynlent't• e, an the form of an. abstract, it sbAA be rend by Vendor until the full pur, haft price is paid 1 Purchaserahall hvent:tlud to t,ak,r possession •,t Ow Nrojwrty at Ira tt of cl•. 1nk;. *Croe$ 00 One 4IN?[{ )MIS eM Wlti4 , rN1 1. or AAfii16,1 i rye pliltit 1,f® t. IMM! v vfT rio u 5 7-011) off= , f t ,7 16 Q - S/STc"~~,f;~; /00. ~O Page Z Of Straw, Marsh Hay, Or. Synthetic Covering ) Medium Sand Distribution Pipe Topsoil 3 E y % Slope ~ O Trench Of '2 - 2 2 Force Main Plowed Aggregate Layer Undisturbed D ~Ft. L/'S Soil E Z•r,' Ft. Cross Section Of A Mound System Using F • 6 Ft. P,Po os~p /a Trench For The Absorption Area G A0 Ft. ~N~;~`on.`r ToE A 'K Ft. H ~•S Ft. B /3o Ft. Ft. i L Ft. J /o Ft. Alternate Position of Force Main I Ft. W 2 Ft. L J ~ -B K- W Observation YgTDM Permanent pR1VAftSAGE ~ natty Markers Condttt°R Ol~nch Of 2 2 2 « I boa Il0 S Aggregate lA OF ~ S~ SAf A get. O1V 0 _ a E Matri~e~ esing Trench For Absorption Area Page 3 Of • V O/ O U o /vm E /-:704) /fin b 22 ~vlwce //4sT Role Perforated Pipe Detail 1//f l v~ E Zi/t,el*6A frv, V/IC U47 f'19 A..) / End View Perforated it End Cop PVI, PipC ce A 00 Holes Located On Bottom, Are Equally Spaced j PVC Force Main ti Distribution Pipe Lost Hole Should Be Next To End Cop (;13 7 , End Cap Distribution Pipe Luyout P Ft. X A! Inches Y - Inches i Signed: Hole Diameter ~y Inch License Number: Lateral z- Inch(es) Date: Force Main " Z, Inches # of holes/pipe 13 Invert Elevation of Laterals l0(•~ Ft. U/5 TRi'13 vT/O,J !'~JG~~1~'~E /113 T~~~i~/ d T i S r T 1', rP/S713UT/o.j Vlsc-1, 4E A'r1/~., 141, E PRIVATE SEWAGE SYSTEM Conditionally AK, OV~ OW. NO LABOR & HU DIYI SAFETY AND NG 1492 ~ 02.04 (9 SEE CORRESP CE t . PUMP CHAMBER CROSS SECTION AtJD SPECIFICATIONS op'4 E OF S { VENT CAP 4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING .IUNCTlOti1 BOX MANHOLE COVER 25' FROM DOOR, W1 4//Vv4)61 A WINDOW OR FRESH 12"MIL. P.IR INTAKE GRADE I 4°MII.1. 41 C IB"MIIJ' COIJDUIT 11~ PROVIDE i INLET AIRTIGHT SEAL I I i I { I v / I III APPROVED JOINTS APPROVED JOINT A INy~AP ti I III W/C.I. PIPE W/C.T. PIPE ( fo i I II EXTENDING 3' ' EXTENDING 3' /)0~ ALARM ONTO $OLID SOIL O ( II ONTO SOLID SOIL q0' I J I I oN I q ZS c ELEV. FT.- I --j I I PUMP-~ OFF D IO AP k `~~➢Dl~ !r BLOCK lEvA RISER EXIT PERMITTED GJL`J IF TANK MANUFACTURER HAS SUCH APPROVAL. SEPTIC f SPEC.IFICATIDkIS DOSE LCJt& S CD uG ec ! f0~~ C7'"s TANKS MANUFACTURER: - WMBER OF DOSES: PER DAB /SS TAWK SIZE: 0000 t GALLONS DOSE VOLUME 11 4- 4/4:4 /'IG//f/("'/L-I ee) INCLUDIMG BACKFLO-- GALLONS ALARM MANUFACTURER: 111 MODEL NUMBER: ~'LU CAPACITIES: A= 22- INCHES OR y~0 GALLOWS I ~ ;P~V~Y J rD j 7- B = 2- INCHES OR 36 GALLONS SWITCH TYPE: INCHES OR /a PUMP MANUFACTURER: GALLOAIS j~ /9 / MODEL NUMBER: ~fo~ML~L,, J D= /0 INCHES OR GALLONS SWITCH TIJ PE:r" SYJIACk ~ ~ j4 r~ MOTE: PUMP AND ALARM ARE TO BE 35r.-.GPM INSTALLED ON SEPARATE CIRCUITS - M1IJIMUM DISCHARGE RATE S• VERTICAL DIFFERENCE BETWEEN PUMP OFF AND D15TkIBUTION PIPE.. /010 FEET -r: AA,)k f acs MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . 2.5 FEET EAC6, -D FJ ' + 16 to FEET OF FORCE MAIN X ? 1 b'S Fjo rr.FRIC7I0N FACYOR.. 3' 3C) FEET 40A s Z /S•Q ~~I TOTAL DJQAMIC. HEAD = FEET INTEKfJAL. DIMLWSIONS OF TAWK: LEr`IG7 ;WIDTH iLIQUID DEPTH PWATE SEWAGE SYSTEM Conditionally A P OV Wt, OF F. LIBOLA ONS SAF 10 19 2 2 SEE CORRES DENCE HEADI LL . . s 115 34 110 , ► 'AIDACITY 32 105 30 100 - CURVIEW 95 28 90 26 85 _ EFFLUENT 24 I MODEL and a 75 MODEL 189 DEWATER/NG = 22 70 165 U 20 ~ --65- z 18 55 H 16 50 ODEL p 163 MODEL H 14 45 188 12 40 35 10 MODEL 30 113'11139, MODEL 185 SEW4GEand 6 25 DEIATERING 8 --20- MODEL ' .MODEL 161 15 _ 4 7 r 10 _ ~y MODEL t' + 2 5 $3,5.5, M 57,59 0 GALLONS 10 20 30 40 50 60 70 80 90 100 110 24 7S LITERS 0 80 160 240 320 100 22 FLOW PER MINUTE z0 20 18 MODEL r W 55 I 16 - V so- 14 45 MODEL - i 294 12 40- t7 1- a 35 MODEL 10 293 c 30 MODEL -I 284 T i 18 25 ~1 MODEL - - 8 20• 282 15 10 MODEL - 4 ~f'I i Or 2 g7268 0 3280 Old Millers Lane GALLONS 10 ZD 30 40 50 60 70 80 90 100 110 120 130 140 151 160 170 180 19 1 0 P .O. Box 16347 Louisville, Kentucky 40216 \ LITERS 0 +0 160 240 320 400 480 560 640 720 (502).778-2731 ' FLOW PER MINUTE t 497 Cast Iron Seder CAPACITY MEAD UNITS/MIN I~JJ I~ • Automatic or Non-Automatic. Feet Meters Gal. Ltrs. 7 0 H.P., 1 Ph., 115V Or 230V. 5 10 1.52 57 21F- 10 51 193 • Non-clogging vortex impeller design. 15 4.57 43 163 i • Passes Ye" solids (sphere). 20 6.10 27, 104 i1 • 1 NPT discharge. Lock Valve: 24.5' • Float opercted submersible (Nema 6) Mech- anical switch. 97 Series • Automatic reset thermal overload protection. Z-L listed SC-2225 • Stainless steel screws, guard, handle and arm and seal assembly. • Watertight neopretw "I I" ring between motor and tlarOs pump housing. Assoc Appro,al . Approv 0Assoc N97, non-automatic, availablo packagea with a piggyback mercury avadaote flout switch. t S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County 12 OWNER/BUYER- 00,&I Sr- k o'C t ADDRESS '36 ertJ FIRE NUMBER 3 CITY/STATE 1'?.'ue2 S ZIP__5-/6 Z PROPERTY LOCATION: 1/*.,,! 1/4, SECTION Tp&8-N-R-Lk-W TOWN OF~-e~~~-P~ , St. Croix County, SUBDIVISION , LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by 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 for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the W' consin DNR. Certification stating that your septic has been main ained must be completed and returned to the St. Cro' - o. Zonin fficer within 30 days of the three year expiration datq. SIGNED. n% DATE: St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), thenla second form should be retained and completed when the property' is sold and submitted to this office with the appropriate deed recording. Owner of property vc7n/ _Sc hoT-t Location of propertyi/.4~1/4, Section, TN-RW Township Mailing address 144,) Address of site 3~ e7` }2 (1 cep Qc vet ~ir~ //q w~$ Sypz 2 Subdivision name Lot no. other homes on property? yes No Previous owner of property C~ AA ACS n7r TNT s l Total size of parcel C) tocs~S Date parcel was created Are all corners and lot lines identifiable? /-Yes No Is this property being developed for (spec house)? Yes No Volume 1/6 and Page Number 6,0 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. L/ Z 4407 3 , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of County Register of deeds as Document No. . z~ • Signature of licant Co-applicant /0, e f Signature Date of Signature