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HomeMy WebLinkAbout040-1322-04-000 c 0 °v3 d a oQ I a~ 0. 0 N c m o ~oo)- N 2 U ~ cN n ~O d O ~O O O i co 0 'U a= > O_ N Q 00 0 ~L M ° m o Z't f" O C O O O O O 0 ma 2 0 U') E_ N M0 0i a`)Oa~i p U CL C C Z ^O 0 0 7 N N 7 Y N LL C N _ o o C N m E N - O N m V) 0) tn 3 O> Q w L 'O O 3 ~ O LLI ! Z E m ~ 00 Z 00 H a co z ~ I 0 z m d z t N c N (D a) I w C c LO Fa N N a) O O O • C L m m N Cm O E o O O O Q Q 0 Z Z Q Z O N d o E O T R a) }w}y j - -0 CL O E V~ F- H H 1- EL U) I O O O a m 7 C N U N M fn J V af) rn rn } _ O O C O O 0 O M aD E M N ° ° O O D C d m a~ Q } u 0 3 O Nm N C C) 00 E (D 00 `rO V O L a) C 43 d 0Oj 0 V O- Z~ CS 0 N C N C N (O M M H. O W 2 '0O co D Cl) ~ O N ti >1 LO M O t/7 O m U O ay C O • O H CL O N Z (n r ` ik w E d m L a v t~ E y I EL CL • c~ a m `m E J o o m m 3 A vam ONCi 82 STC - 104 AS BUILT SANITARY SYSTEM REPORT 'OWNS SUBDIVISION / CSM# ~ldcvC s LOT SECTION T N-R W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 00-01 v )J U C. 3 h INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: y, ` Q s l ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer:-&,- Liquid Capacity: -lead Setback from: Well 'X- House j,~F ' Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location e5~,4, 5 C_ SOIL ABSORPTION SYSTEM r S A, G Width: Length Number of trenches Distance & Direction to nearest prop. line: Setback from: well: House Other ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: ;PIZ 93 PLUMBER ON JOB: ~r LICENSE NUMBER: INSPECTOR: 3/93:jt ltgiighW,Wg#i,t7 gyl,,I,try28 .19. 301 p#Wv & SEWi4b NY5TEM County: Labor and Human Relations 1{ INSPECTION REPORT Satiety and Buildings Division ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 175669 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: TNOBE TOM TROY CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: /0IDO 4-16°/ . % --u---, 040-1078-30-000 TANK INFORMATION ELEVATION DATA A9200329 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 0 /001 d Dosing 'I5 Aeration Bldg. Sewer 7,15~ Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet G.c/U 96,y8 Air Intake Septic >9S, l p i y jrj NA Dt Bottom a/(~ 9 y, 7 Dosing 7a~` NA Header/Man. aa$ Od.~o~ Aeration NA Dist. Pipe a`d Holding Bot. System /0/ PUMP/ SIPHON INFORMATION Final Grade Manufacturer Z ( e. Demand Model Number GPM TDH Lift I Friction,& Systern~; TDH 1",q Ft Loss Head Forcemain Length 1, 3 ~ Dia. - I Dist. To WeloSOIL ABSORPTION SYSTEM BED / TRENCH Width l0 Length No. Drenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ! DIMENSIONS LEACHING Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM INFORMATION Type O /2e,, CHAMBER Mode Number: System: /ne-14 rv y~S 100 f OR UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole 4ize x Hole Spacing Vent To Air Intake Length 95 Dia. Length Dia.V ~ Spacing 1 1`° SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over c,l Depth Over 1if xx Depth Of xx Seeded/ bedded- xx M Iched Bed /Trench Center I~ Bed /Trench Edges Topsoil y/Yes ❑ No zes ❑ No COMMENTS: (include code discrepancies, persons present, etc.) =4 tidy J ; a I ~ cl ~ Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH ' SANITARY PERMIT NUMBER: DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code Co STATE SANIT PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than & 8% x 11 inches in size. check f m sion vi s application 1:1 b~ -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY TION m c 4 S 1,7 T 2g?, N, R E (or) PROPERTY 3OWNER'S AM,-AILING ADDRESS LOT # BLOCK # f 7 J G'~ r t ~aC.ri~ 0 Gt CITY, ~STATE ZIP C E PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 11. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLLL.AGE NEAREST ROAD t a ? F =N OF: ICI ❑ Public 91 or 2 Fam. Dwelling4 of bedrooms jC A LTAX MBER( III. BUILDING USE: (If building type is public, check all that apply) a Q 0 ~e. iJO 1 ❑ Apt/Condo J 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 8 ❑ Mobile Home Park 1120 Service Station/Car Wash 50 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. 9 New 2. ❑ 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 9 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ~t ELEVATION 0 5^4 G s~ d a 3 . S 4 gv Feet Si. fleet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- structed Steel glass Plastic App Tanks Tanks Septic Tank or Holdin Tank !sf 75w ER-1 El n I El I E] 1 1:1 l Lift Pump Tank/Si hon Chamber, VIII. 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 MP PRSW No.: Business Phone Number: 7- 1 Plumber's Address (Street, City, State, Zip Code): ~ r 0 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved [;~ry Permit Fee (includes Groundwater [Date Issued Iss Agent Signa o Stamps) roved Surcharge Fee) pp E3 Owner Given Initial Adverse Determination ~6 1 1 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 1 A sanitary-permit is valid for two (2) years. 2. :Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new , criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by 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 aintained. The septic tank(s) must be pumped by d-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, 608-266-3815. To be complete and accurate this sanitary permit applicaticor ~ 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 constrOcted 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 performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if .required by the county; E) soil test data on a-115 form; and F) all sizing information. - GROUNDWATER7SURCHARGE 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 ana'establishment of standards. - SBD-6398 (R.11/88) SAFETY & BUILDINGS DIVISION t State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE -SEWAGE_PLAN APPROVAL Office of Division Codes and Application - - Z101 Last Washington Avenue P.O. Box 7169 Madison, Wisconsin 53707 ROBERT ULBRICHT Owner: TOM & RENEE PAINODE HOMESITE SEPTIC , 655 O'NEI'L ROAD 1493 HIGHLAND PARKWAY HUDSON WI 54016 ST PAUL. MN 55116 RE: Plan Number: S92-02152 Date Approved: July 17, 19912 Gallons Per Day: 600 Date Received: July 17, 1992 Protect Name: PAINODE, TOM & RENEE RESID. LocationY-NW,SE.19,28,19W Town of TROY County: 51 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 flans. All ltems 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 set 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: - NEW MOUND Inquiries concerning this approval may be made by calling (608) 266-8230. seo 6423 .a. 01/91 - - - SAFETy & B"LDINGS DIVISION Department of Industr of W'seo J Y~ Labor an SIR ROBERT ULBRICH7 d Hum Page 2 an Relations SSinc rely, 1 K ~H TIEMKE Section of Private Division Sewage PPPOI of Safety an 6/0009n/lo d Bu ildi cc: TOM & ngs RENEE PATnODE r --Private Sewage Consultant --.County ,Owner ---UW-SSWMP Plumber ---Plumbing Consultant nvironmenta l Health 'I I ; R. tllyl ~ - - - - - - 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 ROBERT ULBRICHT Owner: TOM & RENEE PATNODE HOMESITE SEPTIC 655 O'NEIL ROAD 1493 HIGHLAND PARKWAY HUDSON WI 54016 ST PAUL MN 55116 RE: Plan Number: S92-02152 Date Approved: July 17, 1992 Gallons Per Day: 600 Date Received: July 17, 1992 Project Name: PATNODE, TOM & RENEE - RESID. Location: NW,SE,19,28,19W Town of TROY 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 set 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: - NEW MOUND Inquiries concerning this approval may be made by calling (608) 266-8230. SBD $4231R. 111/911 A SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations ROBERT ULBRICHT Page 2 Sinc rely, 1 K TH STIEMKE Section of Private Sewage Division of Safety and Buildings PPP016/0009n/10 cc: TOM & RENEE PATNODE -Private Sewage Consultant -County _UW-SSWMP -Plumbing Consultant -Owner -Plumber -Environmental Health S B D 6423,R. (111911 - ST. CROIX COUNTY tY WISCONSIN r y e J ' ZONING OFFICE 4fST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 I July 8, 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 Tom & Renee Patnode property, located in the NW 1/4 of the SE 1/4 of Sec. 19, T28N-R19W, Town of Troy, St. Croix County has been conducted with the assistance of Robert Ulbricht, CST #2489. This onsite revealed suitable soils to a depth of 30" over fractured limestone bedrock, making this site suitable for a mound with all" of sand fill. Should you have, any questions, please feel free to contact this office. Si erely, James K. Thompson Assistant Zoning Administrator cj L.L.H.R. 83.08(2) PROJECT INDEX SHEET _.92 X2152 Owner: -7-01'9 -J if ENE 14I TiVoAt ~o%2 - &)70 - 0/ 7~/ Address SS//!o Site Location: Project Description: -5"0 115 Zw Lk 41/ W 6e 30 fill Page 1. PLOT PLAN VIEWS Page 2. MOUND CROSS SECTION & SYSTEM PLAN VIEWS Page 3. PIPE LATERAL LAYOUT Page 4. _DOSING CHAMBER CROSS SECTION Page 5. PUMP PF.RFROMANCF SPECS PLUMBER: 39 DATE : -zZY-t~------- SITE EVALUATER/ DESIGNER SIGNATURE HOMESITE SEPTIC PLUMBING CO. 655 O'NEIL RD., HUDSON, WIS. 54016 - ROBERT ULBRIGHT Cf r ';v Z yez-- WIS. MASTER PLUMBER LIC. 140.3307 M.P.R.S. I' MINN. INSTALLER II, DESIGNER LIC. NO. 00663 l _ 0 ~ o a W ~ ~ o O t~ ~ y ti ~ 4^ Z tp ~ U O 77 o~ W e w ~ z Lo m~c~ vp r-m kA n C wJ C~ ¢ c ^J o n. CZ i n 1 a ~9 ~ o~ °I 0 r \ ° w ks) rl ~ N 1.0 o I a ~ ~ ~ _ M o NV~ o ill lz~l h s~POti ley 3 ® ! QR`v PEE •ti0ria h OLIO - Q 0 0 ~ r A y /D 21, ~0 Z Opage f Straw, Marsh Nay, Or 9 " S Synthetic Covering Distribution Pipe Medium Sand _ 5 y5TEM Topsoil ==H= - G_-- Ar/0-d , o o % Slope Force Main Plowed Bad Of -?"-2" Aggregate Layer TU& 41;u6` Cie- vi 7-.,e v D Ft. E Z Ft. Cross Section Of A Mound System Using -75 F F. A Bed For The Absorption Area Ft. G ~ Ft. A /d Ft. H Ft. Signed; B '0 Ft. License Number: K Ft.13 i Date: L X Ft. '7 (v J /Z Ft. Alternate Position T 12- Ft. of w 3 y Ft. Force Main L y Observation Pipe J K B A ~o Force Main L•-~---~ Distribution Bed Of 2'- Pipe Aggregate Observation Pipe Permanent Markers eelPPLJ"), f v~ -"4&e'L RoDS P i SYSTgW1 Plan View Of Mound Using A Bed For The Absor WjAa PR%V A ttonally Coridi D~ E V H OS oe a any 1AB UIL . Of QUS~ ~ 4 g10U of SpFEjy ES~NpE~ycE E COIR Page 3 Of ~~~~C FORCE y' V010 UO/vME" °r- 2-2 i_ t, i i Y/, 4, Ce /4S I Perforated Pipe Detail r Fob V14cv.4e, S g2 0 215 2 End View Perforoteo / End Cap ~\e; PVC Pipe j • Jo~~o once lY' p~4~ Holes Located On Bottom, \ Are Equally Spaced R i PVC Force Main / PVC Manifold Pipe y OistribuUon Alternate Position Of Pipe Force Main Lost Hole Should Be Nexl To End Cop d p End Cap pislribulion Pipe Loyout P Z Ft. R 610 X ~T Inches Y 2 Inches Signed: Hole Diameter ~y Inch Lateral inch (es) License Number: Manifold Inches Date: Force Main 2- Inches # of hol es/pi pe 7 yo Invert Elevation of Laterals ~Ft. 72) Ti l rd 4 7/? d U T/OAJ 3 2 . ; ~O ~4. ` c~ 1V ATE SEW AG _ . PR nally C a s iti nd o 0 "'D ~pT10N . ® N N~ a,Kula PR . P ~Oa GS Y+ D {ND1►STR > EII A • 1V1gi0N ~ E r~~R~SPpNpENGE _.:g2~02152 _ 1 PLjh1P CHAMBER CROSS SECTION AND SPECIFICATIOXIS ~Ofi} E ~f of S I J jf I VENT CAP `i' C.I. VENT PIPE APPROVED LOCKING WEATHER PROOF JUNCTION BOX MANHOLE COVER 25' FROM DOOR, WINDOW OR FRESH I2"MILT. AiP, INTAKE GRADE I yuMIAJ. ~ I ~ ~ ~ I ~ IB"MIIJ. CGIJDUIT - I PROVIDE ! INLET AIRTIGHT SEAL I I i I { O ' P ROVED / I III APPROVED JOINTS A P JOINT 5 IN / I W/C.I. PIPE 1V/ C. -I. PIPE I a'.fUM ( III ALARM EXTENDING 3' EXTENDING 3' ~0 ONTO SOLID SOIL I OIJTO SOLID SPIL 9 Q.10 j ! I iI. J I I I ow I ,3 90.7 c ELEV. FT. PUMP i OFF i o d 160,9w BLOCK 4 rEvflfioA) 5'0 RISER EXIT PERMITTED OQLy IF TAIJK MANUFACTURER HAS SUCH APPROVAL SEPTIC F SPECIFICATIDKJS /OwErx~/~v DOSE 41 I~•C'~1r1 S 7 ~vc.c. . TANKS f111ANUFACTURER: WMBER OF DOSES: PER DAJ /S O TANK 51ZE: 7~0 CGALLDQS DOSE VOLUME ALARM MANUFACTURER: INCLUDING BACKFLOW: / 7Z GALLONS 2 MODEL NUMBER: r~' ✓ CAPACITIES: A= Z/ INCHES OR y~ GALLONS SWITCH TYPE.: B= qZ INCHES OR 39 GALLONS PUMP MANUFACTURER: C= 9' 2 INCHES OR / 72 GALLON5 MODEL NUMBER: D= LI INCHES OR _-L=- GALLONS SWITCH TYPE: ~~G6yBg/L/~,~/Gy~~ f/Oil7 NOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE 3S GPM INSTALLER ON SEPARATE CIRCUITS I VERTICAL DIFFERENCE BETWEEN PUMP OFF ARID D15Tk10UTION PIPE.. FEET -rAak PEC5 . I + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . 2.5 FEET EAGln, 1 OT 1Jt p f -I- FEET OF FORCE MAIN X ;'0f FYo FtFKIC(IOIJ FACTOR.- FEET VA TOTAL DyIJAMIC HEAD - FEET INTERNAL. DIMEWSIONS OF TANK: LENGTH ;WIDTH ;LIQUID DEPTH ' PRIVATE SEWAGE SYSTEM Conditionally ED . P P a~noNS OIR 1N11USTRY. "Oft & H ISmH OF SAFETY ID BUILOURM- E ORR SPONDENC~E E C S F 5 t, HEADI 115 C PACl TY 34 110 _ i 32 105 VEr 30 100 - CUR 95 26 90- 26 85 ~ I EFFLUENT 24 so MODEL and Q 75 MODEL 189 22 70 165 DEWATER/NG = V 20 65-- Z 18 60 c 55 _ ~ 16 ~ ODEL 183 MODEL ~ 11 45 188 O 12 40- 5 35 10 30 M MO O IEL ; . ,ODEL• SEWAGE and r 8 25 DEh TEff ING 8 20 MODEL 15 MODEL 181 I 4 7 H b Q 2 MODEL a' 5 53, 55, 57,59 0 GALLONS 10 20 30 40, 50 80 70 80,1 90 10,11 110 i 77- LITERS 0 80 180 240 920 400 22 FLOW PER MINUTE Ir~ T - S ,20 Q 18 - MODEL 295 W 56 Z 18 C 6o 14 MODEL { Q 45 Z J; 294 la p. 11 40- - - 1 -1 MODEL 293 - 36 f- - 1 Q 10 MODI 1-N, EL 30 MODEL 6 20 282 15 111 MODEL - OELLEI' 2 657 288 ' 0 3200 Old Mlllea Lane GALL IS 10 30 401 50 60I 70 80.I 90 100 1110 120 130 140 1511 160 170 180 180 P.O. Box 18347 ~rT-~-- -~-;,M LoulavNe, Kenkfeky 4021¢ LITERS 0 #0 160 240 320 400 480 560 640 720 (502) 778-2731 FLOW PER MINUTE "137" Cay~stt Iron Series "139" B o z Series ~ HEAD, CAPACITY UNITS/MIN Feet Meters Gal. Ltts. ' 5 1.52 104 394 is Automatic or Non-Automatic. 10 3.04 79, 300 • H.P., 1 Ph., 115V, 200-208V or 230V. 15 4.57 64 242 • H.P., 3 Ph., 200-208V or 230V. 20 6.10 36 136 25 7.62 6 30 • Non-clogging vortex impeller design. Lack Valve: 26' • Passes ya inch solids (sphere). • 1112" NPT discharge. canadian Standards P Assoc. APProval • Float operated, submersible (Noma 6) mech- listed S © available anical switch. • Automatic reset thermal overload protection. I 137 Sodas SC-2225 • Stainless steel screws, bolts, guard, handle and 139 S•du S13-1115 arm and seal assembly. 'aronza motor and pump housing, switch NOTE: No UL listing for 200-2OBV/1 Ph. case, base and impeller. pumps. Mercury lloal swilcrles are available for nun-automatic models. 1 S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER Q d I ADDRESS FIRE NUMBER 1 CITY/STATE ZIP PROPERTY LOCATION: VLA14, 114, SECTION, T-4L-N-R i W TOWN OF , St. Croix County, SUBDIVISION Uy ` 1 ,53 o"e r I , 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 600 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix Co. Zoning Offic ithin 30 days of the three year expiratio SIG DATE:. St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 DOCUMENT NO. STATE BAR OF ACT WISCONSIN FORM 11-1982 THIS SPACE RESERVED FOR RECORDING DATA LAND CONTRACT 484223 Individual and Corporate (TO BE USED FOR R ALL ALL TRANSACTIONS WHERE OVER :25,000 I3 FINANCED ANDS OTHER NON-CONSUMER REGISTER TRANSACTIONS)1S OFFICE T. CRW Cc , w~ Contract, by and between A.r.thur.... F...... P.ar.tridg.e...and...... a ST. for Record Nancy.... R.~....Part.ridge.,....hu..bAnd..... Ad.... I~1fe JUN O 3 1992 ("Vendor", whether one ormore) and..Thoma,s..,Allard•„Pat•}1Qda,,,•and....••• of $:30 A. M .Renee .Heine Patnode, husban ....d.,, ..pd w fe.,....a$.....U~.- propertx'Purchaser", whether one or more). vivo...r.. ......ship .mar. ....i. .tal. . Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- OE Deeds formance of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant interests (all called the "Property"), in ...St....... cr.o..ix....................................... County. State of %y►isconsin: pETURN TO C.L Gaylord The Northwest Quarter (NWk) of the Southeast - Aftortiey.Ai Law Quarter (SEA) of Section Nineteen (19), T -EW-M. River Falls, WI 54022 Township Twenty Eight (28) North, Range Nineteen (19) West. Tax Parcel No C (DO This .s n. t.......... homestead property. (i (is) (is not.) Purchaser agrees to purchase the Property and to pay to Vendor at S.uch....p1aC,e.... as...r.easo.na.inly....dii ec t d i the sum of in the following manner: (a) $2,.Q.0.0-0.0 at the execution of this Contract; and (b) the balance of $ ......9.1311 Q00...Q.0ft . together with interest A-6e 4wsef on the balance outstanding from time to time at the rate of ...........eigh.t percent per annum until paid in full, as follows: *An additional amount of $8,000 shall t?e due on 7-1-92. Beginning January 1, 1993, principal and interest shall begin accruing with the first payment due February 1, 1993 in the amount of $660.42 per month, and payable on the 1st day of each month thereafter. All principal and interest shall be paid in full in five (5) years. No interest shall accrue between 7-1-92 and 1-1-93. Provided, however, the entire outstanding balance shall be paid in full on or before the .........1.9t day of J.anuar.fit......................... 19...9. (the maturity date). Following any default in payment, interest shall accrue at the rate of ............a.........% per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Pa. s excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to a yeas i- P F paled annual taxes, apecia arse s uranc a ex nt received by Vendor, Vendor agrees to appl a m w en due. uc Vendor for payment of en an insurance will be deposited into an escrow fund or trustee account, buts no unless otherwise required by law. t Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any i z; amount may be prepaid without premium or fee upon principal at any time after . 19.......... In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: Vendors will furnish one redating of abstract which Pur- chasers may have any any time; all subsequent redatings will be at Pur- chasers' expenses. Within 20 days after examination of abstract, Pur- chasers will give Vendors written notice of any objections to title and they will correct the same within a reasonable time. 1992 real estate taxes shall be pro-rated as of date of closing. Purchasers acknowledge that they are ur ha in roger of ids"-it Purchaser agrees to pay the cost of future title vidence. pp'if title evilenc is in the fo9of an abs act, shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on..... da.t E....af....c.losing i9 'Crow Out One. ~rtyrm, STATE BAR OF WISCONSIN FORM No. 11-1582 Stock NO. 13011 VOL 953PAGE 495 Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest in it and to deliver to Vendor on demand receipts showing such payment. -Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, ex- tended coverage perils and such other hazards as Vendor may require, without co-insurance, through insurers approved by Vendor, in the sum of $ 11.Q.T1e.....'....land ....on.lY........... , but Vendor shall not require coverage in an amount more than the balance owed under this contract. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of the Vendor's interest and unless Vendor otherwise agrees in writing, the original of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible. Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Propert in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except: eaaemenxs..,....... res.t.riz.i~~..ons..,..... and...rights-of-WAY ...of...recnrd.z....l~...a ?Y ~ QQ ~ '.~....lb.'rr...~~r{. ..s~..~4.~.y..~...~..t.1.~1..~...! ~ ref state taxes -..,..eand.QX.s...w1.psy....ther-..share of the 992 due in 1993... Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of........... 6.Q......... days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of......: 60........ days following written notice thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby waives), and Vendor shall also have the followin rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equity; (i~Vendor may, at his option, terminate this Contract and Purchaser's r hts, title and interest in the Property and recover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if purchaser fails to redeem); or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full payment of the entire outstanding balance with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Plroperty shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii L Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this CContract at an end and remove this Contract as a cloud on title in a quiet-title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under Si), 0ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in- curred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the ppeendency of such action, and such rents, issues, and profits when so collected shall beheld and applied as the court sha11 direct. Purchaser shall not transfer sell or convey any legal or equitable interest in the Property by assignment of any of Purchaser's rights under _this _dontract or by .option, ong-term lease orin any other-way)-without the-prieY writterr---- consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract soley as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby' provided Purchaser makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms of this Contract shall be binding upon and inure to the benefits of the heirs legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the deeds to be made in fulfillment hereof.) Da s ..............2 .~i day of 70-w 9 lam........... (SEAL) +•„~...hur...F.-...Party d.ge..••.•._................ omas .Allard Patnode 1.. •l•.--.!"- ....1..`v'~.! (SEAL) (SEAL) •...[an~y......... Par.trdg •...Rene.e...He.iris...Patnode............-•--•...... AUTHENTICATION ACKNOWLEDGMENT Signature(s). Arthur F. Partridges Nancy RSTATE OF WISCONSIN Partridge, Thomas Allard se. Patnode......and.. Renee_.._Heine.. Patnode.. ...........County. Q day of 7:7- Personally came before me this authenticated this ...2.6. y of........... MAY....... , 19...... 92 ....."19'----.:.....thb4bove named 1.3 • C L......Gay..i o r d.• Ti . TLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person who executed the (If not foregoing instrument and acknowledge the same.. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY C.....L Gaylord.,.....Attorney .....................~......~J . Notary Public............................................................ County, Wis. Rivei ' Fa l l S i....WI..... 54022 (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) •Names of persons signing in any capacity should be typed or printed date: , 19.............) below their signatures. ' 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), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. r--- I Owner of property _ ~A0 Pa. 1-rti6 e Location of property fu/i 1/4 ')E- 1/4, Section /1 , T,1 N-R I W Township Mailing address /~f 9 J~ la..~ r sr Address of site Ct FF Subdivision name Lot no. Other homes on property? yes ✓ No Previous owner of property Q akLkr ~Q~ IY'e~q e Total size of parcel ~7 ~C.re 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 1,53 and Page Number / 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. I $ y;~ :L I , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of County Register of deeds as Document No. Signature of a licant Co-applicant 0 J ZZ- - Z-7 Date of Signatu a Date of Signature c ~ ~ Q► n ~ Qi l7 ~ ~ V J a 0 0 C I y \O Z "a 2 'a ~ g i I 'Z ~ DD E- M C w 'D 0 av 1 a -c c a h ° N cc c W C41 a m c U d e > W S ` F-- a " S ; a $ `I" CC Q d °i ° r1 - I\ a. G a ^ v 0 i N a w °a do V% MV q a a 0 _%A c , O y' o Al) t/1 3 c a' l a O V ` Q Y i W T H -Q Iv. 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