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HomeMy WebLinkAbout020-1157-20-000 REPOR 1 ON SOIL BORINGS AND SAFETY & BUILDING 'tPAI;"!'MENT OF INDU$Tfl7 , DIVISIO' P.O. BOX 76 LAF 011 AND PERCOLATION TESTS (115) MADISON W 539C HUMAN RELATIONS ~,I (ILHR 83.09(1) & Chapter 145) Gt/ I'. Y: r1K_.N0.T.S_g_BD_IVISION NAME: i E; 1/ ~ T0f 1/ /T21 /R I2&(, ...#v-40" WRESS: COUNTY: VS/BUYER'S 1I"Ci 12 NAME: / J O QSQ W1- O~Gj E DATES OBSERVATIONS MADE 71: IONS: MADE 0 i TESTS: N. BEDRMS. ~esidence 3' ~lew ❑Replace RATING: S- Site suitable for system U- Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED S STEM:(o tional) [-C 5 DU ~S DU S DU EIS 2U [--IS If Percolation Tests are NOT required DESIGN RAT ~ I If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: 7 Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING I TOTA DEPTH T GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPT1 NUMBER DEPTH ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) ? S'/s/s , . S'dam, s lfs, s y h9 5 i , `7 S-e /7'B.. cs s 5!y1 j B-'2 7 s,i~, sQ > 7 ' s - L -7 s~ . 7s:esi• O 3 ,tf~ s~s 7 ~h B- 3 x,67 id0,s 57~~ Z 2-5- 0 /ef'!!;' 4 7 1A4 S'1r`y- , St;f~y- B- y 7, s /aO. 33 7 3 . . 2. S_ B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER AFTERS LLING INTERVAL-MIN. PERIOD t PERI D 2 PERIOD PER INCH P. I ff' 7s aL 3 P- Z 57 7S 6 6 3 P- 3 2 6 G 6 3 P- P- 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 he zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and perce of land slope. See S 3 ts' ` b I, the 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 Wisconsi Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (prinX.14 TESTS WERE O PLETED ON: a ~e 7 f/ ADDRESS: CERTIFI ATI N NUMBER: PHONE NUMBER optional av 3 y `7 3 S- 6 r 3/ CST SI N U &4, li-- DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP .~h r n So,c~ SEC. TN-R~W ADDRESS ,?V9 ST. CROIX COUNTY, WISCONSIN fGt 0 s r".cj SUBDIVISION V/•Ew ,LS/-,ds LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of II-HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM IIfSr ~oP~l°TY (~~ST AA5 t, le, 0Po5. 0 L,JeC L o i SDI' EK ~v3~l 1001 V& 1wot y Z vO'--~ - ~ ~ ~/ENr i INDICATE NORTH ARROW 8fA BENCHMARK: Describe the vertical reference point used AT S S~ ; < or Ga~vc~° Elevation of vertical reference point: /OO. oc?" Proposed slope at site: ~o SEPTIC TANK: Manufacturer: G✓iESEo Liquid Capacity: loco e;~~ejz , -Number of rings used: _ I Tank manhole cover elevation: 9y 4//' Tank Inlet Elevation: I ga ' Tank Outlet Elevation: S3 Number of feet from nearest Road: Front,©3ide 0 Rear, O feet From nearest-property line Front 10 Side,O Rear, L 3 ' feet Number of feet from: well , building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property linef Front, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building:_ (Include distances on plot plan). SOIL ABSORPTIONrSYSTEM Bdd : Trench: Width: / Length: Number of Lines: Area Built:c Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, O Rear, CIt.30 ' Number of feet from well: /cry/ v N ber of feet from building: (Include di tances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: r Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (C eck one). HOLDING TANK Manufacturer: Capacity: Number of'.rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: a ~r Inspector:. 1,10 Plumber on job: Dated: 9 Z& 77 License Number: S 3 f 9S r: [^y L ' 3/84:mj t %Scorlsin gepartmentof Industry, PRIVATE SEWAGE SYSTEM County: LaborandHuman Relations St. Croix Safety and Buildings Division INSPECTION REPORT Rairk View s a t e s Sanitary Permit No.: GENERAL INFORMATION (ATTACH TO PERMIT) Lot 149099 NW,jSE4,Sec. 17 T29-R19 Green R5111 Lane Permit Holder's Name: ❑ City ❑ Village EkTown of: State Plan ID No.: Mark Wang Hudson CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark L/, 57ii-I Dosing Aeration Bldg. Sewer 5_117 Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet 95` 53 TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header/Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Forcemain Length Dia. Fi Dist. To Well SOIL ABSORPTION SYSTEM No. Of Pits Inside Dia. Liquid Depth BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS DIMENSIONS LEACHING Manufacturer: SYSTEM TO P/ L BLDG WELL LAKE /STREAM SETBACK INFORMATION Typeo CHAMBER Moe Number: System: a rl OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over q/v Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed/ Trench Center Q 3 Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 7 ' Z( 6~ c : C ~J J` c~~i _ . ✓ CD i plan revision required? E] Yes E] No *her side for additional information. qt) Date Inspector's Signature Cert. No. [1`~IYDILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code a~nwt wiw..~w.vn STATE SANITARY PERMIT# -Attach complete plans (to the county copy only) for the system, on paper not less than 1 8% x 11 inches in size. ❑ Check if revision t~ev ous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION AM< tJ4A/r., AJO'/a5LlS Tao , N, R /I E (o~ PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # Alf CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER goicJ W s~v~ ~/s G-o~f0`l zBE E:I V CITY ITM ILLAGE: jo A)AI ]NEAREST RO,A~jD/J 11. TYPE OF BUILDING: (Check one) ❑State Owned ❑ E6cJ //GL £ ❑ Public X 1 or 2 Fam. Dwelling--# of bedrooms 3 PARCEL T NUMBER( S) Ill. BUILDING USE: (If building type is public, check all that apply) ^ 1 ❑ Apt/Condo 20 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) 1.4New 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 .M 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 7Sd 1S-s-p.1e7t 3.S 'Feet 00--5O' Feet 4/11 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 OOC~ / Lift Pump Tank/Si hon Chamber F1 . El VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumbe ' Sign ture: (No Stam ) MPRSW No.: Business Phone Number: S MP/ C."R M 9-< 0/6- 3st _.?nSt) Plumber's Address (Street, City, State, Zip Code "S 7 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued issuing gent Signature (No S m ) Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination ~a 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 APPLICATION FOR SANITARY PERMIT 8TC-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 got resale by owner/contcactoc,(spee 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. Owner of property K 9- ~aRv ~K) c Location of property /1, Section Township HL)L) 58r,, Mailing address 9 fti Address of site Hues©,x LJT, ~4D1 Subdivision name PGV- V+ec.J 15-~Sto- 95- Lot number Previous owner of property _ DC5~-rre ( Wer I Total also of parcel Date parcel was created f r716 Ace all corners and lot lines Identifiable? an __)to Is this property being developed tot resale (spec house)? as 0 Volume dp'a1 and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which Includes a DOCUMENT NUMBER, VOLUMB AND PAGE NUMBER, and the 8EAL 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 descclption references to a Ceitilled Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION i(Wel certify that all statements on this form are true to the best of any (our) knowledge= that I (we) am (ace) 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. = and that I (we) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of sold system, and the same has been duly recorded in the office of he Co my Regis or of beads, as Document N 1• 219natute at owner _ C-~-~-~~ Date of Signature Date of Signature 8 I 1 PAGE M 11 - 1982 II r = DOCUMENT NO. STATE BAR, OF WISCONSI THIS SPACE RESERVED FOR RECORDING OATH a LAND CONTRACT Individual and Corporate (TO BE USED FOR ALL TRANSACTIONS WHERE OVE^ 458710 526,000 IS FINANCED AND IN OTHER NON-CONSUMER REGISTER'S OFFICE ST. CROIX CO.O.W1 ConVaCt, by and between Darrel E. Wert and_ Recd for Record ......Bever............ Wert, hu...band..and....fife MAY 1 3 1990 t („Vendor", I 4f 11:00 AM whether one or more) and..... Mark._ A. Wang_ and Mary J ~Vanq, _ ....--husband..and wife,_•s..arital'survivorshig..._.... ls " r0 er t ("Purchaser", whether one or more). Resister of Dee Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant interests (all called the "Property"), in S.tr..QZA.~.X..................... County, State of Wisconsin: RETURN TO Gwin & Gwin I I 430 Second St. Hudson, WI 54016 11 Tax Parcel No...9 2 0 -115 7- 2 0 !i Lot 85, Parkview Estates, Third Addition to the Town of Hudson I i This i...s n...o.... t homestead property. (is) (is not) Rt. 2, Box 9413, Amery, 54001 Purchaser agrees to purchase the Property and to pay to Vendor at -------------•.•............--..........Y................... the sum of $.TwelVe thousand no/100- in the following manner: (a) $-.l,_ 200 00 at the execution of this Contract; and (b) the balance of -7=7, together with interest from date hereof on the balance outstanding from time to time at the rate of....._..te11...U Q) per cent per annum until paid in full, as follows: li One thousand, two hundred dollars ($1,200.00) princioal together with interest one year from the date of this contract, and a like sum on the principal with interest annually thereafter. j Provided, however, the entire outstanding balance shall be aid in full on or before the....17 th day of i ,Ma.y the maturity date). I' Following any default in payment, interest shall accrue at the rate of _...1.17...% per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of 'j taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time after MaY 1990,., 9W.) tlaela-ma3~be-rw pr:.pl►3Lrwe~tt e€ pt+ir►eigal ithetrt-psi iseieite~VwWor.• 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 bein* thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: Purchasers state that they are satisfied with the title shown by the ~I title evidence submitted to purchasers for examination; Purchasers are aware of the possibility of pollution inth6 surface and/or sub-terrainean waters on or, under this lot; That purchasers have investigated the matter and are satisfied that if any pollution has occurred, it is minimal, and the possibility of pollution occuring in the future isj also minimal and accordingly waive any and all rights they may be entitled to, now or in the future, to seek damages from vendor or their assignees or vendees for such occurance. Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paint. Purchaser shall beentitiedto take possession of the Property on.....CIOSl -riq da.....te. , 19...... , * This covenant shall run with the land and,, binding on subsequent owners. I LAND CONTRACT-Individual and STATE BAR OF.WISCONSIN Wisconsin Legal Blank Co. Inc. Corporate FORM Nu. 11 - 1982 Milwaukee, Wis. ~vo 8 / 1 PAGE 11 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 none 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 Qinsurance 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 r economically feasible, Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and y 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 excepts Vendor'. is..Aaying pays. for for the drafting.- of -.the land contract and purchaser will.. . ...the drafting of the de.ed and tra.nsf.er return. . 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 -•-3 0... 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 .-.3 Q... days following written notice thereof by Vendor (delivered personally or mailed by certified mall), 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 following 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 rights, 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 forefeited 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, jn which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue At law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this 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 (i), (ii) 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 pendency of such action, and such rents, issues, and profits when so collected shall be held and applied as the court shall 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 Contract or by option, long-term lease or in any other way) without the prior written 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 solely 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 deed to be made in fulfillment hereof.) Dated this ll..1../* day of ••M..Y................................... 19.9.Q... L, r Q~ -(SEAL) .._..~G.~ (SEAL) Darrel ...E.-.. ..Wert . Mar- A.. Wang .-C.... ....(SEAL) (SEAL) B e v e r 1 Wert Mar aan~A~ ' ' • X...... . AUTHENTICATION ACKNOWLEDGMENT Signature(s) ,Darrel E. Wert and STATE OF WISCONSIN as. Beverly A. Wert St Croix ---..........County. Y authenticated this ...ax........... 19.9Q. Personally came before me this da of - - Ma• 19.-90. the above named . iA ~J.h.. F Gwi n TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §.706.06, Wis. Stats.) to me known to be the person who executed the foregoing i trum t a wledge the same. THIS INSTRUMENT WAS DRAFTED BY 1. Hugh F : ..win, f;win & .win ............................uqh in 430 Second St. Hudson. WI 540 ......................................'--•---------•--••-..................otary ubllc;~ St._..Croix County, Wis. (Signatures may be authenticated or acknowledged. Bot Y. Qoissipermanent. (If not, state expiration _ f6% are not necessary.) ..._.Ar.. 19........-Names of persons signing in any capacity should be typed or prineir signaifi4e. LAND CONTRACT- Individual and Corporate --State Bar of Wisconsin, ;l 1982 _ v Fa Lq o N - vO! ` / per' omi 00 1 - - - - / /1 r N Js WERT _ , y N O N V T m O w r- ROAD Q m o Zn N 0006'30"E 295.31 ; z C: -1 z I i6, m Q sa I Z Z I CO) OD r---; I - 0 ID C Cl) b I D N O n m ~ 1 V i Al ~ a I- Ao `qo I I OOAl < oI O~ a. W 2c N 0°06'30"E 295.00' I • c< 00D a I rm M I I Cam, I' aa% NO ch why _ 00 1 N N I I O ~o - N W_ I I 0 00 to -4 CL _ ° I Z o n f+f •O I Q L I ,A m O ~i ~ Ll 1 d I ca e PROPOSED ~ I N 8905240"W 66.00 -STREET = Q O I A N 0°0630"E m I C ;c 719- ° m ~0 r z ~s0,, 0 OD 1 4- I l Q (o N m o I T- ° 0 N N N V M N OD 0 iIC) N O - ° ; O V! -n m O I ~ o I I I 1 ~ n ' OD I vl r~N 0° 06'30"E 212.OOoN r w lz IDr rz Im r~ I I -1 n I N rv w o 1D- Q 0 N 0 N o OO o I I C 0 c yD~ tm O o ° $ I ~Cal z - +1 m I ~ ~ I I I I ~ I ~ yo ~o I 1 V 00, , I 3 3' 3 3' I j -Q------212.00------ 66' s S 0006',3d W I j 1 0 o Im D v w 0 ti r m o Z ° ° 0 x a> m< o m can o f l z o Iw m -i :u N"mczi ~z 'D mI:cm SHERMAN_ 0 OD ° m ti ;cc i-i z Icy ROAD IM jut 0 :0 01. p O GO, N M m Z o M 0 0 M r" x o z a 4 n w v o ~ m a r rn cn t z < C, ° I c°ol 111 = rn m o m o ~Nm ~rn~ z ;a o~ NORTH Z z (D 7 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ADDRESS: FIRE NO: LOCATION: i/A/ 1/4, y _1/4, SEC. //9 T;29 N-R1' W, TOWN OF: ST. CROIX COUNTY SUBDIVISION:,IOA,q.< ls~~r.~ ,LLrZ~T C LOT NO. 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 An 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: DATE: i St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 BUILDING REPORT ON SOIL BORINGS AND SAFETY & DBUIIVISIO Q TfvIENT OF bUS !'NDUTRY, P.O. BOX 79E LABOR AND PERCOLATION TESTS (115) MADISON, WI 5370 HUMAN RELATIONS (ILHR 83.08(1) & Chapter 145) IPP" OT NO.:BLK. NO.: SUBDIVISION NAME: LOCATION: 5W.; I I /T27N/R/ bi, ,,ol/5o" 5 COUNTY: MWOUTUR'S NAME: MA L S. 10Mr of No d so WE Wallo DATES OBSERVATIONS MADE I T O ESCfi_UT NS: I TESTS: ~esidence Flew ❑Replace 6 , 7 RATING: S- Site suitable for system U= Site unsuitable for system S STEM:(oftional) O(NVVEENTI N,AtL: IMOUND: (~IN-GROUNDPRESSUR :S STEM-IN-FILL HOLDING TANK:RECOMMENDED L~ J tJ l6d J 7 y U 1:1 S C ~UI'~c < If Percolation Tests are NOT required DESIGN RAT If an portion of the tested area is in the under s. ILHR 83.09(5) (b), indicate: 3 ( Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING IOTA DEPTH T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPT[ NUMBER DEPTH ELEVATION OBSERVED HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) r~5- SS~ d~ f~ ~S13/sue s' dNs ~6>'Qs, S 4 S g.- B- >'.s.,s , . r8 ~6b s l BnCS~S , ~/-z .9L B-'2 ~ `j S i. 2 s.s/s; 7',s, -s/ . 75- 2, o a ,tt~ 3ys , 3 ' B- 7, 6 7 j D, S X 7` 7 L s'4%, ' 3. B- 75 10d.33 >75' , ~ 7'~Sf ..r s I • S8 ~i3~ Z, S8 /8~'s~ 9.--, 3. z s B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER AFTERS LLING INTERVAL-MIN. PERI 1 PERIOD2 PERIOD PER INCH P- / s 75 /V 3 P- Z 7S 6 6 6 3 P_ 3 2 6 G G 3 P- 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 h zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and perc of land slope. _ SypW-ELEMA ^ ~ J /T~ ~ rr'°c'~ , ti, ~IM ~ ; Slay _ !.d r-.u.- a-~ _ 01 _ b P3 „ p ) ys, N S' h~ _ f ~N~. d1- Ij g 71 y' , i i I, the 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 Wiscor 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 : STS WERE O PLETED ON: ti 1,1e TE 7 f/ ADDRESS: CERTIFI ATI N NUMBER: PHONE NUMBER(optior 1,014 04) 3`/ -7 3 6 J~3/ CST SI N MQ~/~ DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILIIR-SBD-6395 (R. 10/83) - OVER - f PLB 67 PLOT & CROSS SECTION PLANS ~o Prt/ ZAPPA BROS. EXCAVATING INC ~opEer( PLUMBING UNIT r PROJECT PRr Ar Aes,vrgT,wj Ae--A T ~.PnoLPTY ws}iVG BE 7,?Aoc,o io ~tJ 'oN L.tlT/pN~~ M DcP7-i1 ~zQu,Q~+~,~, P~~ V«L. ~s~fres ~R~GLP~Y ~i?nOoscD S7 ~PU/x ~ ~vTy tiJLLL 'Sc%F ~v S~s.EP .(//VE i000 C~~Ptid r/rvsOccriotl ,QP71/E4..~Y S~ 3S ,OVG EFY~(.lL6.VT .L/Nt AloE X43 35® 64 36. Sir[ ~~~r _ i NO • SCALE ~no~.P~y Q JET- ,g-~►es S FRESH AIR INLET AND OBSERVATION PIPE a lkr Sou-TN F/K'f/~7~aPN~~ /00,00' _ r APPROVED VENT CAP MAXIMUM 12' ABOVE FINAL GRADE y 4' CAST IRON VENT PIPE 1 I MWMIJM OF 42' ABOVE 1 PIPE TO FINAL GRADE I SIGNED: MARSH HAY OR SYNTHETIC COVERING LICENSE: M PIPS 33 9 .,5 MINIMUM 2' AGGREGATE J DATE: OVER PIPE DISTRIBUTION PIPE TEE SOIL TESTING BY: ELEVATION BED 81 AGGREGATE • BOTTOM PER SOIL,. BENEATH PIPE ( PERFORATED PIPE BELOW TEST IS COUPLING TERMINATING 9S 33' FT. AT BOTTOM OF SYSTEM