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HomeMy WebLinkAbout038-1128-50-100 4 `ti ° o N °o, 0 3 Go 3 0 o~ h d a> I CD ny o I o e o I N ~ I 3 I m yr d" rn I c o i o I o y d I NLL m I °w ui A c c~ II ~tY°a ~ y i I m 0 c7 I E°2 ya N R- N 0 i m m O I a~ ~ ip O l0 O) C Z{ X C Z c 7 N O 7 m R- C U. c LL c Vw•~ o m o O ;o x 3 Q c m 1 ¢ ann. 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CROIX COUNTY, WISCONSIN SUBDIVISION LOT 2 _LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM rq' \o INDICATE NORTH ARROW BENCHMARK: Elevation and description: Alternate benchmark_'5~5'~ SEPTIC TANK:Manufacturer: ,~LZ~S Liquid Cap. Rings used: Manhole cover elev: 97`Final grade elev: ] L Tank inlet elev.: iD Tank outlet elev.:S~ No. of feet from nearest road:Front , Side, Rear Ft. l~ From nearest prop. line:Front , Side Rear Ft. No. of feet from: Well_ Building: /9 (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: f(~ ~,,~5 Liquid Capacity: Pump Model: -Pump/Siphon Manufact.: s Pump Size Elevation of inlet:* Bottom of tank elevation Pump on elev.: Pump off elev.: Gallons/cycle: /ls Alarm: Man.: , Switch Type : ' ~',,./-/"6;-!ff0'cation Distance from nearest prop. line: Front_, Side, Rear_Ft.,D,-~_ Distance from: Well y~9 Building_ 19 SOIL ABSORPTION SYSTEM Bed:_ Trench: Seepage Pit: Width: ength ,s Number of Lines:_,-2 Area Built Exist. Grade Elev. Proposed Final Grade Elev. Fill depth to top of pipe: No. feet from nearest prop. line:Front Side , Rear ~CFto? No. feet from well: Z~L No. feet from building HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front Side , Rear Ft. No. feet from: Well , building , nearest road Alarm Manufacturer: INSPECTOR: DATE: PLUMBER ON JOB: LICENSE NUMBER: 6/90:cj Wisco_nsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Hu~*QanRelations INSPECTION REPORT St. Croix Sa#ety and Buildings Division (ATTACH TO PERMIT) Lot 2 Sanitary Permit No.: GENERAL INFORMATIONSe'4,NW-4 , sec. 31-T31-R18,Co. Rd. C 149204 Permit Holder's Name: ❑ City ❑ Village :R] Town of: State Plan ID No.: Robert Thell Star Prairie CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: Gd,ck)~ ,6D 038-1128-50-100 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic t~, LA , f1 Benchmark G~ Dosing Aeration Bldg. Sewer Holding StgK Inlet 412, TANK SETBACK INFORMATION St/ t Outlet o? S.CoS r TANK TO P/ L WELL BLDG. VVe Air Intake ritto ROAD Dt Inlet l t s° 7 Septic, l l'- NA Dt Bottom Dosing ' yam` NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer G6(8 Demand Model Number 3 ! 4 , PM / te TDH 220Ft TDH Liftc~~~jQ Friction !3" Forcemain Length ia. Dist. To W ell >~~Q~ ID I SOIL ABSORPTION SYSTEM BED A4*ENC-K - Width / Length No. Of Trenches PIT No. Of Pits inside Dia. Liquid Depth DIMENSIONS /0 vG DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O CHAMBER , Model Number: System: :C7,6, , < 0 t, , "7 7g - OR UNIT DISTRIBUTION SYSTEM xeeder / Manifold Distribution Pipe(s) /1 1s x Hole Size x Hole Sp c ng Vent To Air I take Length _51L Dia. ` Length ~ Dia. _ Spacing_ / SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only pth Over P xx Depth Of xx Seeded/ Sodded xx Mulched Depth Over Q T Bed/ Tr nch Center ~ U _a I /Tr ench Edges n ! c Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) i Plan revision required? ❑ Yes 2 -<0 Q Use other side for additional information. /o g / SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: t ~~HR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than ~ pper~[[// 8% x 11 inches in size. ❑ Ch4k if revision t~ revious application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. E PROPVgY OWNER PROPERTY LOCATION $,4 % '/a, T 31 , N, R (or) (92 PROPERTY OWNER'S MAILING ADD ESS LOT # BLOCK 3 e -fl CITY, STATE ZIP C DE PHONE NUMBER SUBDIVISION AME OR CSM NUMBER .S- 11. TYPE OF BUILDING: Check one CITY NEAREST ROAD ( ) State Owned R VILLAGE C / OWN /"E I ❑ Public 1 or 2 Fam. Dwelling~# of bedrooms PAR EL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) -Q -/ac 1 ❑ Apt/Condo vJ 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. X New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 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 ❑ Mound_. 30 ❑ Specify Type 41 ❑ Holding Tank 120 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. tt.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION c/06 o oa , A ~19. Feet Feet VII. TANK CAPACITY Site in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New Existing Gallons Tanks Concrete structed glass App' Tanks Tanks Septic Tank or Holdin Tank 10;- iO Lift Pump Tank/Si hon Chamber &1 X S 0,~O~j VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation the onsite sewage sy tem shown on the attached plans. Plumber' Name (Print): r Plumber's ign re: tarn MP/MPRSW No.: Business Phone Number: .c) ~S Z 2 Plumb A dress ( eet, City, State, Zip Code : s IX. CO NTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing gent Signat Approved ❑ Owner Given Initial Surcharge Fee) / Adverse Determination /'745 v ~/-2-7 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 hh- INSTRUCTIONS 1. A sa itar ermit is valid for two (2) years. 2. Your !~anitiiq 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 dvery 2 to 3 years. 6. If you have questions concerning your'orlsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed.: ll. Type of building being served. ChecKonly 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 systElm. 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'f2 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. - - - - - - 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.11188) A,. D DUIT,R ENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, LABOR~AN17` PERCOLATION TESTS (115) DIVISION HUMAN RELATIONS P.O. BOX 7969 (H63.09(1) & Chapter 145.045) & 'TT)N 143 o ; '9"C c~Fj ' e1' LL~~ ~l JJ "i. 1"OWNSItiP~LI y; or 0.: ILK. NU.: SUBDIVISION NAME: SE 4V31 /T31 N/RL8 9 (or) W Star Prarie 2 n/a n/a COUNTY: OW E St. Croix James F. Plourde 18088 Italy Dr.,-Lakeville, Mbuj. _55044 USE _ € COGTI~CGE~CiIiPTjp ; DATES OtlSE__RVA_TIONS MADE 14RmIderice 3 n/a QNew~~ESL`FiTl~Ylbll€s)S: oRepiace 8-28-87 xtk 9-14-87 RATING: S- Site suitable for system U- Site unsuitable for system MOUND: If3-tffiC) D-P ZS :S F LL OWING TANK: RECOMMENDED SYSTEM:(optional) c~scu ®so7 sou os®u os®I in-ground pressure If Percolation Tests ere NOT required DESIGN RATE: under s.H63.09(5)(lr), Indicate: If any portion of the tested area is in the C1a83 1 Floodpiain, Indicate Floodplain elevation: n/a .1 1 PROFILE DESCRIPTIONS decimal' ale 1 AoA BORING TOTA P T R UNCHARACTER' RACTER' O S i ILy11 TFITHjCKNESS. COLOR, TEXTURE, AND DEPTH NUMBER OEPT~, ELEVATION OBSERVED TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 5.15 102.55 none .83bl.s.1. 3.33bn.c.s.&gr. 1.00bn.mot. sil. B_ 2 6.08 101.75 none .1.00bl.1. 3.83bn.c.s.&gr. 1.25bn.mot. sil. B_ 3 6.25 101.89 none >6.25 ,75bl.l. 5..50 bn.c.s.&gr. B- 4 6.25 102.33 none 5.25 1.00bl.1. 4.25bn.c.s.&gr. 1.00btt.mot.sil. B. 5 5.92 102.55 none 5.42 .92bl.1. 4.50bn.c.s.&gr. .50bn.mot.sil. B_ 6 5.67 102.35 none 4.17 .1.00 b1.1. 3.17bn.c.s.&gr. 1.50bn.mot.sil. decil t PERCOLATION TESTS I EST NUMBER DEPTH !!ItFT:ER S H0 NG INTERVA MIN. DROP IN WATER L V INCHES RATE MINUTES Ll~ P.1 2.63 none 3 6 P PER INCH 6 6 <3 P.2 none P-"ONO 0zbg0=0hMX_ P- 3 97 none 3 6 <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 hurl ontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION - 99.92 taf I I 71, lei 14 I I, Da i a I I I ? ! 1 1 i ~ i l 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 Wisconsin dm(nist►aNve Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. AM print : TESTS WERE COMPLETED ON: Gary L. Steel 8-28-87 +ooR s 988 N. Shore Dr. New Richmond, Wi. 54017 CERTIFICATION NUMBER: PHONE NUMBER (optional► 71575Z46-6200 CST SIG T, E: ISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. ILHR-SOD-6395 (R. 02/82) ^ArFR - fJh l f' 8 W KSHEET.- PRESSURE DISTRIBUTION NETWORK DESIGN PROBLEM Jl7ie`i~~~7 hJ Z' tS"C~S~ Design a pressure distribution network for a bedroom home. The site characterisitics are: Depth of groundwater or bedrock, in. Landslope _ % Percolation rate 3 min./in. Distance from dose chamber to distribution systems ft. Elevation difference between pump and distribution system /Q ft. Step 1. ESTIMATE WASTEWATER LOAD Step 2. SIZE THE ABSORPTION AREA A) Area rej~ui red .9 B) Select length 55'0 (6 C) Width is /6 ~ D) I will' use a manifold. Step 3. SIZE DISTRIBUTION PIPES A) Hole size I will use is in. B) Hole spacing I will use is in. C) Lateral length is ft. D) Lateral size in. Step 4. DISTRIBUTION PIPE DISCHARGE RATE Step 5. SIZE MANIFOLD A) Manifold length ft. B) Number of distribution pipes = ~,~^s~~ S~~S ~C) Manifold diameter _ in. /,7/ Step 6. SIZE THE FORCE MAIN A) System discharge rate 'Y B) Force main diameter 3 C) Friction loss will be ft./100 ft. Step 7. TOTAL DYNAMIC HEAD y~ A) Vertical lift Jf~ ft. B) Friction loss ft. -`J- C) TDH = ~f ft. js Step B. SELECT A PUMP Step 9. DOSE CHAMBER SIZE 5--00 - 76 03,71 ~v ~k~ls 80a9 A/ ! Step 10. DOSE VOLUME 0 9,? Y.,? -1-j/ ) L? K'd:0 ~o girl 10 I/ 1 _ - . ~/~-S~.S~- - 5',_c~~~ ~,.~.~Ji~ _ i - - _ I I ~ S i= ,✓s~ II~~J;~i, .s,~>r 3 ~y,r,/s`'%~~ ) ! ~ tY ~n~ _~~it~s.J ~ L-/4~5~ ~ d ~ _ ~ ~ i I i ~I I I ~ / ~ • U" 1,2~~~i~ ~ I I ~ I i ; i I { ) I I ! j I I I ~ ~ ! ! I / i. I AGE ~ I I l I I I I I I I , I ~ I ! - - r A/v r - j - I { I , i 1- 1 I ~ ~ ~ { 1 I i j I ' _ I. r - - - - - - - ' I I I i~ ~ I I W.~~! I ~ I I f I ~ j I ' i I I 1_ I T I ~I~ k ~I I L ~ ~ I ~ ~ I-I ) I I I I I ~ I l I I I I I I I 1 1 _1 ~ I I 1 L I I I I I : I i A" 4 SYSTEM PAga Y 0i. 933 S,CAC',O-2i4A)k ONSITE SEWAGE D ljt na nat~ ~S V -am D . AND HUMAN RELATIONS LA BOR A Perforoled Pipe DetBft~'TC"' NT ~F ION OF INDUSTRY, FE D DINGS NCE SEE CORRE nd View )Porforat*d End Gop PVC Pipe si`0 ice HOW Located On Bottom, s Are Equally Spaced Q PVC Face Mairr PVC Manifold Pipe Alt.rnot• Position of pisit`•rtion Force Main Pipe P Lott Hole Should Be N"I To End Cap End Cap Distribution Pips Layout P~ Ft. R T S N~r'4 X ; C Inches I Y 33!9 Inches Signed: J//j ✓ Hole Diameter Inch Lateral Inch(es) License Number: 2,22q Manifold Inches Date: ~s - 9/, Force Main " Inches # of holes/pipe Invert Elevation of Laterals , Ft. n ~ k PLAN U1'.'; S Observation Pipes Permanent i- arkcrs rT- ! I c}iambr_-' i i J ~zo O1Cl hi UC~ j" Ir Jj i yy~rj'y.:3 a I I.IiVf I f~ r 1 fp ~P, ATE UEPAR ! ,A~ora of • ` hvE Distributioli F'i L', P-C E i Ij E C) L olc.r ~;T)acuu C:: - / - ':Un c, (I -Jo 1,0 Ltuln cc-11 k, - i o C tl ~ r' $ ti03 33S 33N O CII w ~ ~tl 0 NO~SI~I SJNIO ONd (IQ Si~011.8 t~`dWft QNd l108d1 '/~liiSflONi 30 1N3Vdl~ibd34 i a dV 'I Af% d 4 \o . . o,,", 0 th z 4j W3.1SAS 30dIV13S 31 SNO A 4J I C o w 44 0 - - A W - - ► - V 1,,I N N --------R°---___ a ! >1 v ; v 1 1. , i rn ~,II Q, N Sjl t~ 44 O U O N O 41 N a \ O U U Q `Ii j (/1 d- ~ r a 41 n~ w In Iy ck . 4J a, LQ a Q C14 7'•`,3 OF CX- PAGE tiLf{ kl" 0. PWAP CHAMBER CROSS SECTION ARID SPECIFICATIONS 23, k'x VENT CAP Y+C.I. VENT PIPE APPROVED LUCKING WEATHER PROOF JUNCTION BOX MANHOLE COVER P-5- FRCM DOOR, WIUDOW OR FRESH 12"MIU. AIR INTAKE I _ GRADE I Y" MIIJ. I8" MIIJ. ONSITE SEWAGIftySTEEM-Z ofo anditiona INLET 11111-10 - FG SEAL I III ' i ~ I I I APPROVED JOINT Eppl}gTtigE + )DF INDUSTRY, LABOR AN UMAN RELA'IO'IS APPROVED .]01 1 / ~ W/C.1. PIPE W/ C.1. PIPE V SI N 0 SAF ND LDIN06 I j 11 EXTE►JDIAIG 3 EXTENDING 3' ALARM ONTO SOLID S OMTO SOLID SOIL B SEE COR ENCE I I I R ( I c ';J ~ I PUMP J . OFF r I1 D , CONCRETE 15LOCJA RISER EXIT PERMITTED CJLy IF TANK MAULIfACTURER HAS SUCH APPROVAL 8PEGIFICAT10MS_ iEPTIC AND 15OSr TANKS MA"UFACTUR 'R: LJUMBER OF DOSES: --PER Dk!J TANK CIZE:_ 12~a G/ALLONISL/ DOSE VOLUME: ~CS GALLOhJS~ ALARM MANUFACTURER: CAPACITIES: A ? I►JCHES Oe, 6ALLO MODEL HUMBER: Gam- B=; INCHES ORS ~ GALLO SWITCH TYPE: C=-INCHES OR_4 7 GALLO c _ ~_IL4ES OR 1-L GALLO f 1'IJMP MAMUFACTURER: D ? M011EL UUMBER. _jc - / ,60 //.C NOTE: PUMP AND ALARM ARE TO BE INSTALLED ON '~PARATE CIRCUITS PUMP DISCHARGE. KA'T I- J GP ~ (c, & nA ( P At NtA / n ^ VEKTICAL,QItFERENCE BETWEEN PUMP OFF AND UISTRIBUTIOU PIPE.. ~ F16-17, -F- MINIMUM NETWORK SUPPL`j PRESSURE . . . . . . . . FEET } FEET OF FORCE MAIN Y, Y.OFT.FKICTIOM FACTOR.. FEET = TOTAL DYNAMIC. HEAD = Z 7 FEET PiAl"441- j/ C INTERNAL. 2DIMFE, SIONS OF TAIJK: LEAIGTH ;WIDTH LIQUID DEPTH SIGUE n:- LICENSE kJUMBE R' _.~.L DATE: ~Wzz GQtILDS .SUWENSIBL E , SEWAGE °AND' EFFLUENT PUMPS uzmw 21 m N, 1 r ; of EP0311 LLST DISC. 115 V Efflumt Purp rool ids 256.80 iP . 1/~ 172.10y, o3WM0311 142 EP0311 M' " Z/ ///L ` { 1 x t 1~ ~Su hiersible L ' ~ MODEL EP0311 333 s'/C/J,rv.4~ilk, Effluent: PumP SIZE 3/e" SOLIDS /J j ryr! .t ~ ~ / 9 H r hF r~L p METERS FEET 25 .JO'1 1 K x ,ryee(1~}i: Yr~'r.t,r, ( x 20 , y~.4 All lsa r Yt 4 1.z 10 . 2 1.4 ~~lL r , a • " i • 02 36 40 0 . 00 4 S 12 10 20 24 20 Q014 1+ ..a . L.. S.0 7.5 mYh r 0 2.5 CAPACITY ~yi,l~~°ScJ 3~ i r7 ~ i • f r Performance `85 3 8 K ' Curve 4 4ar[,<s ►c90 _ MODEL WM5 ft{x?• n SIZE 1/4' Solids > r ; 70 20 j 1 I rPi ~ w[orll- f + 30 WED w[ox 20 10 0 j{{•,,:I •~''1LJ'?~ 0 0 bo a70' e0 00 100 110 110 Oru y tt,x v to Al l~r o CAPACITY DISC. zi s LISC Tt (1yVR,E0311I. 142 WE0311L 1/3 I1P 115 V La+ {I 3/4' solids 491 .55 329.75 {~a ' l r t V Wd it 3/4" solids 491 .55 729.35 (3pt7RdE0311M 142 'H£OJ11M 1/3 115 3/4" sbllds 704.25 471.85 r, !'{X~aa~5 ij1 CXX)fi%o51U1 142 WE0511H 1/2 HP 115 V High H kKXtxv r h lid• 3/4" solids R43.65 565.25 p~ ~t O~C1FhE071211 142 WT07S7A 3/4 HP 230 V 1{10 7G ; S+~t r y " sjb!*s~'.ralLwING PACE Fw PERFC7thV~t7CE Atm SPE)rIFICAIIOCLS. PAGE Vu ts=~,~~~'1.~1+.• ,.Il'~TC 10/88 DEPT 30 • Il SAFETY & BUILDINGS DIP AM's MENT OF AND i` IN`7USTRY REPORT ON SOIL BORIi~GS AND DIVISION LABOR AND PERCOLATION TESTS 1 P.O. Box 7969 3707 4IUMANJ'RELATIONS (115 I MADISON, Wt 53707 (H63.09(1) & Chapter '445.045) C U CT1ON 70WNSHIP> R1PJ1lLI Y: OT O.:BLK.NO. SUBDIVISION NAME: SC '*W'/4 31 /T31 H/V K (or) W Star Prarie n/a COUNTY: St. Croix James F. Plourde 18088 Italy Dr., Lakeville, Minn. 55044 -I i USE DATES +~BSEFVAl ONS MADE IM: CO E€i NAE L)ESCFIIPTION:l 1IT0TTLI!-I3FT;itT TrI?3N I~ETTObL7CTRi9T CIResidence 3 / n/a gNew Oneplace 8-28-87 II 9-14-87 RATING: S- Site suitable for system U- Site unsuitable for system _ El S OU . M® S QU I, - 01 5 ❑~I rEl S ® OLDI U S' "in-grOU_f,d pressuretlonall If Percolation Tests are NOT regt:7red DESIGN RATE: If any portion of the tested area Is in the - under s.1163.0915)I1)), indicate: class I Floodt)lain, Indicate F'loodpfal it elevation: n/a decimalr PROFILE DESCRIPTIONS BORING OT TQUNDjgff_ NCHE CHARACTER OF L 1 1 t SS. CO OR, TEXTURE. AND DEPTH NUMBER DEPTI ELEVATION OBS .RV TO BEDROCK IF OBSERVED (SE6 A'96RV. ON BACK.) t3- 1 5.15 102.75 none 4.16 .83bl.s.1. 3.33br c .•s.&gr. 1.C~Obn:rtir)f . sit. B_ 2 6.08 101.75 none 4.83 1.00bl.l. 3.83bn.c.s &gr. 1.25bn.mot. sil. B 3 6.25 101.89 none >6.25 - _m~.,75bl.1. 5..50 bn.c.s-&gr. B- 4 6.25 102.33 none 5.25 1.00bl.l. 4.25bn.u.s.&gr_.1 :?Otn.rnot.sil. g_ 5 5.92 102.55 none 5.42 .92bl.1. 4.50bn.c.s.Agr. .50bn.inot.sil• 6 5.67 102.35 none - 4.17 .1.00 bl.l. 3.17btt.c.s.&gr. 1.30br..mot.sil. 1• c • R~~tg1: 1.25~n.ilot.,.s- 8- 1_07 - 90 none 4.59 PERCOLATION TESTS IFW OEP H WATERINHOLE TEST TIME O A V IMS R:aTEMINUTES NUMBER AFTER SWELLING INTERVAL-MIN. PER INCH P.1 2.63 none 3 6 5 < none P. _ P. 1,97 none _ P. - PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate sccle or distances. uescribe what are the hori• zontal end vertical elevation reference points and show their location on the plot plan. Show the surface elevation at %il bur!ngs and the direction and percent of land slope. SYSTEM ELEVATI0sl 99.92 I c3 . I 01 I j ~C3r tc7j. -.4 1 76 i 13i ~t1 , it 41 1 t + t I A)/M) i, the undersigned, hereby certify that tha soli tests reported on this form were made by me In accord wici the r.rocedurer and :r.r:tiio,4- -^•::Ified In the Wisconsin . Administrative Code, and that the data recorded and ithe location of the tests are correct to the best of my k howlec'ge and bef;af, FIAME pr nt T(-ST~TSS-W€ITE COMPI FTEU ON: Gary L. Steel 8-28-87 CE,R11fIC U ON NUN•BER: PHON'_ NUIP0BFgloptional ' 988 N. Shore Or.. New Richmond, Wi. 54017 2298 ~ 7t5746-6200 CST Sl ITT C' E- r DISTRIBUTION: Orn~inal rind Ana copy to Local Authority, Property Owner and Soil Testgr. ~ 0I1-HPI-S813-6395 In. 02M?i ""Fn - i Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT St. Croix Sa4ety and Buildings Division (ATTACH TO PERMIT) Lot 2 Sanitary Permit No.: GENERAL INFORMATION Se',NW ,Sec.31,T31-R18,Co. Rd. C 149178 Permit Holder's Name: ❑ City ❑ Village [R Town of: State Plan ID No.. Robert Thell Somerset CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 038-1128-50-100 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet Vent irito ntake ROAD Dt Inlet TANKTO P/L WELL BLDG. A 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 Loss Forcemain Length I Dia. Head Dist. To Well J SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN I N DIMEN I N LEACHING Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION Type O CHAMBER Model Number: System: 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 Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 9 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: i SANITARY PERMIT APPLICATION ~DILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY s'-, 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 revis on to previous aipliic on -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. G (6114P PROP OWNER PROPERTY LOCATION 5,9 '/4 N,R E(or PROPERTY OWNER'S MAILING AD RESS LOT # BLOCK # CI STATE , ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 1 s - CSC OF BUILDING: (Check one) ❑ State CITY NEAREST ROA II. TYPE Owned ❑ VILLAGE ❑ Public f541 or 2 Fam. Dwelling-# of bedrooms P R LTAX NUM E (5) III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. [9 New 2. ❑ Replacement 3.0 Replacement of 4.0 Reconnection of 5.0 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 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 0 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 X 999,2 Feet 111-1/1 eet 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 structed Septic Tank or Holding Tank B OH I ] Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installs on of the onsite sewage sy em shown on the attached plans. Plu b 's Name (PriCq: Plum is S' nature: S s rP/MPRSW No.: Business Phone Number: Z lumber's ddress (Street, Ci tate, Zip Code): gel &Y I LINTY/DEPARTMENT USE ONLY ❑ Disapproved Sa itaryPermit Fee (Includes Groundwater Mate issued Issuing "pit Signat o Stam Surcharge Fee) KApproved ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-M8 (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 rerewal 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, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. 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 eh 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. - 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) I I I • APPLICATION, FOR GANI•TARY PERMIT RTC-100 This application form is to be conplntod In full and llgnad by thl ovnlr(ll of the property being developed, luny lnadoquacles will only result In delays of the ptrralt Issuance, -Should, thin development be lntended for resell by owner/contractoc,(spae house), then A second to rm should be retained and coPpletad vhan the property Is sold and submitted to this afLIce with the appropriate deed recordlnq. ---------------------------``----------------e-----------------------------------•--- Ovn 2 r o f p r o p e r t y ~ ID Y'~ ~4 Ltix`~y1_r Location of prope tty PS Z- 1/4 1/Is 8actlon J T )1•R _V T o vn s h l p_ IJVGro Hal l ing address 13'?) WQAnSt 3 crld&~r 1 e7 7 Address of site a, labdlvlsIon nawt Lot nunber Prevlous ovner of property ~CLM&k,5 VA ' Total sire of parcel x 1 Nom, ' CCItSZ.. e Date parcel vas created .1 n 1 1 Are all cotnats and lot 11nes Identlflablel Ye■ 0 Ie this pro patty being developed for resale (spec house)1,__Yes ?(o Yolvnt and Page tlumbar as recorded with the Reglstet of Deeds. - - - - - - - - . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INCLUDE V1711 THIS APPLICATION THE FOLLOU1HCt A YkARKXTr D¢tD which Includes a DOCUHAHT HU1t©YR, VOLUNR 1WD PACE 1LrXIIR, and the BIAL OT THE RROI©TRR OF DRRDR. In addition, a certltled survey, it available, would be hel (ul so as t P to av ald delays at the tevlevln recess. it the dead des 9 P ctlptlon talerences to a CettlLlad Surve He Hap shell also be required. Y P~ the Cettlfled Survey PROPERTY OWMR C -ERTIPICATIOH I(va) certify that ell atetemertts on this form are true to the bast of my (ou() knovledgel that I (we) am (ere) the owner(s) of the property described In I. hla Inlormatlon (arm, by virtue of a warranty aed to ordad In the 0f(Ica at the county Reglstec a[ Deeds as Document 110. presently ovn the proposed alto for tho newage disposal system (ordIt(we)I h(vil ave obtained an easement, to run vitlt the above described property, for t.ha consteuctlon of ssld nyatetn, and the same lima been duly recorded In the ot[Ice of the may niggleter of Qdsj as Document no. 4 algna vre of owner 8lgnatute of Co-0 r tll 1lppllcable) Date of signature Date of Signature 71 ROT- IF- ir 906 435 n ~1°rPpp~QnnI1g0ATA 0007 to STATE 80 CF "W001111111111111 MW LAS T II -1M COMMI 40 (TO I* UM " #J1 7111110"AW10M WHIM om AM TPAN&CM0 REGISTERS OFFICE ST. CROIX CO.r WI and s Mary P Laaan Rita N. _ plnurde Reed for Record „COf~rlr'atx, - - - JjA~ :llanisic - 1 at tmantc in rn.n n JUN 2 41991 ("Verxfor' tMtsrtsr one or nton) and Robert L Thel l and Sharon Jo Thrall _ 01 11:15 A .M F huSband and wife, as marital nrowrty_with ghtc of survi varchi p (..Purchaser.., whether one or more). of Ossdt R"MW Vendor soft and agrees to convey to Purchaser, upon the prompt and full per- lonsancd of this contract by Purchaser, the following property, together with the reirft pSo~, hxpuet and otter appurtenant Interests (all called the "Property"). ti rt Gro1 x ounty county, Sloe of Wisconsin: reiR~q 21 Somerset Somerset, WI 54025 =r Tax Parcel No. Part of the Southeast Quarter of the Northwest Quarter (SE} of NWU of Section Thirty-one (31), Township Thirty-one (31) North, of Range Eighteen (18) West, described as follows: Lots 1, 2 and 3 of Certified Survey Map filed September 15, 1987 in Volume 117" of Certified Survey Maps, page 1884, as Document No. 430202. x is not homestead property w le n o han agw ~p purchase the Property and to pay to Venda at 18088 Italy Ave Lakeville , MN sum a 19 , UU . 00 in the following manner: (a) $ 3 000.00 at the execution of this Contract and (b) the balance of $ 16 500.00 together with interest from date hereof on the balance outstanding from time to time at the rate of ten per cent per annum until paid in full, as follows: There shall be monthly payments of principal and interest in the amount of $100.00 per month, commencing on July 21, 1991. Balance to be paid in Full by June 1, 1993 or paid in full when a new home built on one of the 3 lots is sold. Provided, however, the entire outstanding balance shall be paid in full on or before the 1 day of June 19• 93 (the maturity date). Following any default in payment, interest shall accrue at the rate of 1 % 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- paled annual taxes, specipi 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 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 wilftout premium or fee upon principal at any time after c 1 OS i na 19 (OR) two may be no prepayment of principal without permission of Vendor.' 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 q 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 continui d in the event of credit of any pl.,ceeds of insurance or condemnation, the condemned premises being thereafter excluded herefr(,m. L.. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser r~ for examination except: s 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 paid. June 21 - t s~- ti _ Purchaser shall be entitled to take possession of the Property on vnia Out one. LAlOOOt1TR _ ,Myb STATE BAR OF WISCONSIN WISCONSIN REALTORS* ASSOCIATION FOAM M No. 11 - 1982 4901 Hayes Road, ►Aaduon, WI 53704 +Cbll!M1M r. R M21 is an ~ ~ a wMlaR tbl PwdWW a n k and b ds1111ar b Vendor on dt>atMtd ip1s ahc I C audi 0 ^p P9Mi0 sum dial kop fits an Ute Prwly inwaed qp* lost of ~n~pa DOOM tined by 6k, fendtl0 COyarapA Pwb and tuoA as VenftOr may raquK Wn" oo• ranoa.iMouph t- a,tv«dordtall~otragtie oo+wapa~lisl~ ftslM by Vendor in m of S r a lion so f.alan i owed under 00 Coosa Pufol►aah ahaM ppaayy~#0 Nmfranoe p writ m when dw. The policies ddo x otherwias agrees in tlhe arlpYlal cattsln frh.,I1 claim in law of the VordOrrs -uttered alto. unless Vendor ~of all poll ooverNtg the el1aN ba depodMd YAM Vendor. Pwchaaer shah promptly giw n Ao tied has a t ineuranoa oompaNes and Wrbor. (Jt+lees PurOhaeer and Vendor dhaiwhe agree in wft4 insurance paaseds sltaM , repair W ttte Property damaged, provided the Vendor deems the reswraYon « repair a be ; V, ^ be applied to redoraYorh or bow& Purchaser cowrwft not to rceopfw* waeI n« allow wade to be cornrnined on the Property, a keep the Properly and "f o u~tOly ordinances and rep _ it .on~itleOrrq~ to 1M lien d this C«Mrsd and Vendor OWM •hd in case tin purchase pros wlth Inner" and other moneys shah be fi* paid and all condbons dW be ally perlonned at Ifte Imes and in the me rter above specr W Vendor will on demand execuN and deAwr to the Purchaser, a Warranty Deed in fee eirrtpa. Of fM Property, tree and clear of all lien and encumbrances. enoept any liens Or encumbrances «ealsd by the act of ddsult of Purchaser, and except i• *r PLO MW agrees that lime is of the essence and (a) in tM event of a default in the payment of any principal or interest which cwriimm for a period of ~ 30 days following the specified due date «(b) to the evert of a default in perbmw>re Of any other obligation of Purchaser which continues for a period of 30 days following wrimen notice tfhereof by Vendor (delivered ly « mailed by certified =slot, then the entire outstanding balance under ft contract shall become immediately rue and payable in full.. at Vendor's option and without notice (which Purchaser hereby waives), and Vendor shall also have the foilowh rghts and remedies (subject to any limitations provided by law) In addition to toss provided by law or in equity: 7(i Vendor may, at his option, terminate this Contract and Purchaser's rights, tide and interest in the Property and recover the Property back through strict foreclosure with any equi of redemption to be conditioned upon Purchaser's kA payment of the entire ouAStar►drh~ balance, with interest thereon from the dale of default at the rate in effect on such daft and other amounts due hereunder to which evert an amounts previously paid by Purchaser shalt be forefeited as 1 uWded damages for failure to fulfill this Contract and as rental for the Property if purchser fails to redeem); « (ii) Vendor may sue for specific performance of this Contract to compel irnrnediale and htl payment d the entire outstanding balance, with interest thereon at the rate in effect on the deft of desalt and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser f ahatl be liable for any deficiency; « (iii) Vend« may sue at law for the entire unpaid purchase price or any portion thereof or (iv) vendor may declare lass Contras at an end and remove this Contract as a cloud on We in a quid-title action if the equtable irhtsrest d Purchaser Is Unigndicart>; and (v) Vendor may have Purchaser ejscled from posseaon k d the and have a receiver appointed b cdlect any rents, Issues or profits du the pendency of my action under 111. ill or (N) above. any oral « wrMftn statements or actions Vend«, an elector of any of the foregoing remedies shall only be binding upon Vendor n and when pursued in litigation and all costs and expenses including reasonable atorneys fees of vendor incurred b eMorce any remedv hereundwhether abated or nog to tfhe exftnt not prohibiftd by law and expenses of title evidence shall be adder: principal and paid by Purchaser, as in- erred, and shall be included in any judgment. Upon the commencement « during die pendency of any action of foreclosure of this Contract Purchaser conserMS a tiro appor►Iment of a receiver of the Property, inc homestead interest, to collect the rents, issues, and proflts of the Property durfng Ute pendency of such action, and such rents, issues, and profits when so collected shah be hhselldd aril apaksd as the court shall direct. Purchaser shall not transfer. sell or convey any legal or equitable interest in the Property (by assignmhent of any Of Purchaser's rights under this Contract or by option, long-term lease or in any other way) without the prior wriden consent of Vendor ur*ws either the outstanding balance payable under this Contract is first paid in full or die uttered conveyed Is a pledge or assignment of Purchaser's interest under this Contract solely as security for an rhdebftdrhsss d Purchaser. M the event of any such transfer, sale or conveyance without Vendor's written consent the entire outstanding baler" payable under this Contrad shall become immediately due and payable in fun, at vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the property on the daft of this Contrail (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment Of the amour" then due under this Contract. Purchaser may make any such payments directly b the Mortgagee d Vendor fails to do so and an payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default withmd 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. (d 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 to fillment hered.) Dated this 21 day of 19 1 Q-H t (SEAL) (s) • Mar _P. McLa a Robert L. Thell ~A z4 (SEAL) _ IsEU I R Plourde ita M. Sharon Jo Thell (SEAL) *77MInes F. u ACKNOWLEDGMENT erhgnature(s) STATE OF WISCONSIN I s. 4 St. Croix county. s authenticated this day of 19 Personally came before me this 21 day d June __1991 the above named Mary P McLaaan Rita M. Plourde. TITLE: MEMBER STATE BAR OF WISCONSIN dam FF .Pl o r e Robert L . Thal l and Sharon Jo The F (If not. authorized by § 706.06, Wis. Scats.) to me known to be the person who exerutled T IS INST8u MENT WAS DRAFTED BY foregoing instrument and acknowledge the same. Gary 8atllargeon Box 416, Somerset. WI 54025 (Signatures may be authenticated or acknowledged. Both Notary is Gar H. B County. Wis. are not necessary.) My Commission is permanent. I. state expiration date: 9-18-94 t9 1 'Nanrs d OMwry fgrrq n ~rry up~t4p Ynutl a MO~d a p~nYd ONow Mir MY^~~. LAND CONTRACT - Nhdadual end CaRMN - sm ev d w mmio Form No. I t - t on /d M SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County To ~E? l OWNER/BUYER (gib"er-t k ADDRESS: L FIRE NO: a) LOCATION: l/4,1/4, SEC. _ T_W, TOWN OF: &r _1 t f ST. CROIX COUNTY SUBDIVISION: LOT NO._ C_J Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into the system can affect the function of.the septic tank as a treatment stage in the waste disposal system: St. Croix County residents may be eligible to receive a grant to help with the cost of the replacement of a failing system, which was in operation prior to July 1, 1978. St Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to the St. Croix County zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification from will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned have read the above requirements and agree to maintain the private sewage disposal system-in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification form must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: DATE: St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 AND SAFETY & BUILDINGS I RTMENT OF REPORT ON SOIL BORINGS DIVISION I!3DI.JSTRY1 P.O. BOX 7969 HUMAN RELATIONS PERCOLATION TESTS `115) MADISON, WI 53707 FIUMA (1-163.090) & Chapter 145.045) LOCH O S CT O - TOWNSHIP )~Q Q1L1!P~LI Y: ~ NO.: B n/la SUBDIVISION NAME: SE I*W 1/4 31 /T31 N/W8 9 (or) W Star Prarie n/a COUNTY: OW E : AILIN D ' St. Croix James F. Plourde 18088 Italy Dr., Lakeville, Minn. 55044 USE DATES OBSERVATIONS MADE jRU-8E5hM9----rOMMEl`1CIALDESCH T O PER~ZSLAT STS: Residence 3 n/a QNew ❑Repiace I 8-28-87 )Ak 9-14-87 RATING: S- Site suitable for system U- Site unsuitable for system ONV MOUND: IN-GROIITVD SS : S 1:11[71 O DING TANK: RECOMMENDED SYSTEM:loptional) S ~U ®S ❑U 9S ❑U ❑ S E ❑ S ®U in- round ressure If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the - under s.H63.0915)Ib), indicate: Class 1 Floodplain indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS a e 1 AoA 14 THICKNESS, COLOR, TEXTURE, AND DEPTH BORING TOTA-1~_ P H T R UNDWATER-INCHE CHARACTER O S IL IT NUMBER DEPT ELEVATION OBSERVED G TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 5.15 102.55 none 4.16 .83bl.s.1. 3.33bn.c.s.&gr. 1.00bn.mot. sil. B- 2 6.08 101.75 none 4.83 1.00bl.1. 3.83bn.c.s.&gr. 1.25bn.mot. sil. B 3 6.25 101.89 none >6.25 ,75bl.l. 5-50 bn.c.s.&gr. B 4 6.25 102.33 none 5.25 1.00bl.1. 4.25bn.c.s.&gr. 1.001in.mot.sil. B- 5 5.92 102.55 none 5.42 .92bl.1. 4.50bn.c.s.&gr. .50bn.mot.sil. 6 5.67 102.35 none 4.17 .1.00 bl.l. 3.17bn.c.s.&gr. 1.50bn.mot.sil. B- PERCOLATION TESTS T DEPTH. WATER IN HOLE TEST TIME ORO N WATER L V NCHES RATE MINUTES NUMBER WHOM AFTER SWELLING INTERVAL-MIN. PERIOD P PER INCH P.1 2. 3 none 3 6 6 6 <3 P- 2 none 3 6- 6 6 P- P- 3 none 3 6 <3 P- P- _ PLOT PLAN: Show locations of percolation tests, soil borings end the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 99.92 {~y s itQ7v U•~ r~ I ~ i ~ i ' I I i III jVIN 21 , I I. t 41 1, 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 Wisconsin Administrative Code, and that the date recorded and the location of the tests are correct to the best of my knowledge and belief. A print : TESTS WERE COMPLETED ON: .Gary L. Steel 8-28-87 A D CERTIFICATION NUMBER: PHONE NUMBER (optional): 988 N. Shore Dr., New Richmond, Wi. 54017 2298 17151%46-6200 CS SIG 7 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) N e~ 430202 CERTIFIED SURVEY MAP MARY P. NICLAGEN, RITA M. PLOURDE AND JAMES F. PLOURDE NORTH 114 COR. SEC. 31, T 3 / N, R/8 W, (COUNTY SURVEYOR'S MON.) Part of the Southeast 1/4 of the Northwest 1/4 of Section 319 Township 31 North, Range 18 West, Town 0 Indicates 112" iron pipe of Star Prairie, St. Croix County, Wisconsin. a W found. OIndicates 1" x 24" iron r M pipe weighing 1.13 lbs./lin. UNPL A T TED LANDS ° h ft, set. y~2' S 86.33'06"E 200,00' R 2 \sOON • W / 177, 99'' 4 8.0 ♦ MARSH N 86.3)'06"W 47. 08' R/36,1' ' ) ~ LAURE N L /Nf S C ; E 1/4 NW//4 / Y cc• tq' •o 17 • '40 o L / , N ER FALLS,/ OT s•I,,~ ..~~WISCi~~..• /.//9 ACRES I~ O ° LOT / C. S.M. VOL. 61 LAND S~.•'~ p R 48,726 A CRES ,Oise N 43,6 .7 SO. F T. PAGE 1535 ence W. Murphy ° 3 Registered Land Surveyo O a Surveyor's Note: I h Lot 3 of this certified survey ORA/NF/ELD m M AREA O n y map does not meet county or Dated: August 2, 1987 S BB• /s' /3 "E 200.001 ° I e township area requirements. /B2./a, so Acquisition,currently being Revised. Sept. 10, 198 0 /782 e sought for new R.O. W. for C.T.H. "C" has made it 1U) I N I I _ impossible to meet these area O LOT 2 M requirements and create 3 lots. N I A variance wil,1 be sought. I 7 I Z W W V h , FILED O O,j 1.093 ACRES 33 O N 47,690 SO. FT. Qjl 7 h NE 7 + DOOACRES N M I SEP -151987 QI 43,367 SO. FT. N ~ VAR. JAM 01001M" O W/DT I ; 14 Q* aloft FU T UR E NEW ° c 0 c r Q h h R. O. W. = w e 8 J ~ 3 s. I ZI ~I N S Be 15'/3 "E 200, 00' O 30' 2 h O JI 183.24 !u W ' 16.76' O ` '0 I vl ° :t N ° h Q 1. OWNERS ADDRESS : ° c h I I I W 18088 Italy Ave. c c hI o° ~I U, Lakeville, MN ° LOT 3 Q it 55o44 I I y M /..03/ ACRES I ~ 44, 917 S¢. FT. (D O, SO, 3 ? ` 4 NET+0.94•i-ACRES p ^ M N 4 /O! SO FT, 'I h I, W V N I a C4 H ~ N ' Qo APPROVO q ° SCALE 0- /00' h 179.9/' 20.0 '3O, 0 30' /00' 130' 200' 230' i I 5EP 141987 Nee*00'00"W 200.00' ST. CROIX COUNTY UNPLA TIED LANDS COMPREHENSIVE PARKS PIANNINff AND ZONING COMMITTEE S 114 COR. SEC. 31, 73 /N, R /S W, /COUNTY SURVEYOR'S MON.) CURVE DATA CURVE CHORD BEAR/NQ CHORD ARC CENTRAL ANGLE RADIUS /ST TAN. BEARING 2ND TAN,BEAR/NQ /-2 N04.00'45.5"E 109.33'1109.36'1 04'31'57" /382.39 N06•/6'44'E N0/•44'47"E 3-4 1106' 42'32 "E 1 73. B6' 1 74.08 09-55'30" / 004.93' NO/* 44' 47"E N • 40'/7 "E Vol. 7 Page 1884 11 Certified Survey Maps St. Croix County, Wisconsin SHEET / OF2 4 CERTIFIED SURVEY MAP MARY P. MCLAGEN, RITA M. PLOURDE AND JAMES F. PLOURDE Part of the Southeast 1/4 of the Northwest 1/4 of Section 319 Township 31 North, Range 18 West, Town of Star Prairie, St..Croix County, Wisconsin. Description: That certain parcel of land located in the Southeast 1/4 of the Northwest 1/4 of Section 31, Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin, more fully descried as follows; Commencing at the North 1/4 corner of said Section 319 thence S 01 41157"W (assumed bearing on Pe North/South 1/4 lire of said Section 31) a distance of 1311.25' (recorded as S 00 47'56"E); thence N 86 3;3'06"W 47.08' (recorded as 36.5') on the North line of the Southeast 1/4 of the Northwest 1/4 Of said Sec~ion 31, to the POINT OF BEGINNING, of the parcel tg be herein described; thence S 08 33125"W 105.64' (recorded as 108.601); thence S 0502911111W 100.201; thence S 02 00100"W 500.03'; thence N $8 00'00"W 200.001; thence N 02°00'00"E 507.91' (reegrded as 5081); thence N 07 09100"E 202.96' (recorded as 200.801); thence s 86 331o611E 200.00' on the North line of the Southeast 1/4 of the Northwest 1/4 of said Section 31, to the POINT OF BEGINNING, containing 3.245 acres, being subject to easement over Easterly portions of said parcel for C.T.H. "C" R.O.W. purposes as shown on this map and also being subject to easements of record. Dated: August 2, 1987 Revised: Sept. 10, 1987 State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owners, Mary P. McLagen, Rita M. Plourde and James F. Plourde, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of the Wisconsin Statutes and the Ordinances of St. Croix County (SEE SURVEYOR'S NOTE ON PAGE ONE) and that this map and description as shown hereon are a true and correct representation thereof. 0111/1181%, NS~NI-P IF*• LA • A N" M Rp 17 V FA • LAO Laurence W. Murphy Registered Land Surveyor Vol. 7 Page 1884 Certified su ey maps St. Croix County, Wisconsin SHEE T 2 OF2 SAFETY & BUILDINGS DIVISION I State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL Western Regional Office 2226 Rose Street LaCrosse, Wisconsin 54603 KIM A O'CONNELL Owner: ROBERT THELL RR 1 BOX 105 1933 SICARD LN STAR PRAIRIE WI 54026 SOMERSET WI 54025 RE: Plan Number: 391-40648 Date Approved: August 22, 1991 Gallons Per Day: 450 Date Received: August 22, 1991 Project Name: THELL, ROBERT Location: SE,NW,31,31,18W RESIDENCE Town of STAR PRAIRIE County: ST CROIX i 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. The- 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 IN-GROUND PRESSURE SYSTEM Inquiries concerning this approval may be made by calling (608) 785-9348. Sincerely, GERARD M. SWI Section of Private Sewage Division of Safety and Buildings PPP039/0009n/33 cc: ROBERT THELL X Private Sewage Consultant SUD 6123 IR. 01/811 WORKSHEET - PRESSURE DISTRIBUTION NETWORK DESIGN PROBLEM 406 48 Design a pressure distribution network for a bedroom home. The site characterisitics are: Depth of groundwater or bedrock._ in. Landslope_ % Percolation rate L 3 min./in. Distance from dose chamber to distribution system ,LLL ft. Elevation difference between pump and distribution system ,/(0 ft. Step 1. ESTIMATE WASTEWATER LOAD 3,~~~~~ Step 2. SIZE THE ABSORPTION AREA A) Area required ft 45Y 3,~ 9 R) Select length C) Width is 7s D) I will- use a manifold. Step 3. SIZE DISTRIBUTION PIPES A) Hole size I will use is I in. 5) Hole spacing I will use is Q in. C) Lateral length is ft. D) Lateral size _ in. Step 4. DISTRIBUTION PIPE DISCHARGE RATE Step 5. SIZE MANIFOLD A) Manifold length ft. 1 B) Number of distribution pipes = 6yr~,rsiJ.~o15"9 C) Manifold diameter in. Step 6. SIZE THE FORCE MAIN A) System discharge rate B) Force main diameter C) Friction loss will be ft./100 ft. Step 7. TOTAL DYNAMIC HEAD A) Vertical lift z,:Q! ft. ,l9 B Friction loss ft. /66 C) TDH = ft. h Step H. SELECT A PUMP Step 9. DOSE CHAMBER SIZE Step 10. DOSE VOLUME ~o ~A l 0o~s/k volu E ,b27. Z;? i i : / f3G'E ~ o d std TYII)l, -1933: . . . . . JO~rE~Cs~ET ~tl t S~QdS" ~ V SI ~O d. /off l= $ tionaftV aftROVED APF p,RTMENT OF INDUSj`sil', LABOR SEE OORRc tjcE /R'cPes~/jO . wk - _ I 83 y Yof. '_qq 833 SICACIO A) tjt . -~BaS S1~~ S~N1 P D Perforated Pipe Detail SID~00"' 4 F~a()R ~~n t~ , 1P nd vl• )Perforated J _ Ead Gap PVC Pipe d`de~ae Holes Located On Bottom, 1. S Are Equally Spaced PVC Force Moar .7 Q PVC Manifold Pipe ; I Allernal• Position Of Ois•~lion Force Main pit•ipe P Lost Hole Should Be Next To End Cop End Cap Distribution Pipe Layout P Ft. R S X O Inches Y Inches' 33 Signed: Hole Diameter V/ Inch Lateral " Inch(es) License Number: Manifold s2 -inches Date: Force Main " Inches of hales/pipe, t© Invert Elevation of Laterals2Z:0,~j-Ft. ~ Fage J o:' 8 'PLAN VIE', OF PRESSURE SYSTEM 0 Observation Pipes Permanent 14arkers T7 SITE SEW dos p1p PVC pipe iron, pumping pP 1`~ chamber sDi iiapifold pipe PVC I 15 lit I 3 I j i I on Pipes NDistri/u~~ 1y , PVC i! N j O Ends Capp ed 7 holes spaced on `s center bottom No Scale L-~'~ . ~ t3 b o r us S91-40648,fm w N. N. m a g"~ :j (D 1-7 r" a ,.Jl a. o ~x N N m n rt p .P O 0 w I-h N Ct hj m 1 N ro ~o ri) ro N rt rt w rt r- 0 tij d I-h rt , , p- M 0 SEWAGE SYSTEM o S~ r• ~ ~ I Irt ConItiOnally A PrYOVED a DEPARTMENT Of INDUSTRY, LABOR AND 'AN RELA`f10N;~ I OF A~ Lol GS ` rt 0 ` rt • w r w n w a m Yy;4M 1 I~' . _ PAGE OF _cL PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS q33 S,cAA~014ac VENT CAP r 'i C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUUCTION BOX MANHOLE COVER 23' FROM DOOR, r , , 12"MIU. I ~,y f WINDOW OR FRESH AIR INTAKE ( ~4 GRADE 4" MINI. ' ~ IB" MIAI. I CONDUIT L - - _ r • r "E SEWAGE SYSTEM ` / ROVIDE i INLET. - P I~LC AIRTIGHT SEAL I II . ~ II V ovit I III APPROVED JOINTS APPROVED JOINT A pww W/C.I. PIPE. I III W/C.I. PIPE EXTENDIMC, 3' A i y I-sELATiONS I I I EXTENDIAIG 3' NDUST Y, LABOR AND i , I 1I ALARM ONTO SOLID SOIL ONTO SOLID SOIL 1 ING~ DEP IgTME ,QF III I S I 1 C . E I I ~U SEE CORRES IVD I PUMP __j OFF D CONCRETE BLOC4~ RISER EXIT PERMITTED ONLY IF TA1JK MAULWACTURE.R HAS SUCH APPROVAL SPEC-IFICATIOMS EPTIC AND OSE TANKS MAIJUF_ACTURER: WMBER OF DOSES: PER DAM TAtiIK'SIZE / EGA LOtJ~S`/ DOSE VOLUME: GALLOAIS ALARM MAVJUFACTURER: CAPACITIES: 11,= 11JCNES OR GALLONS MODEL HUMBER: Q 6= IMCHES OK .?1Cc1~Z GALLONS .SWITCH TYPE: C=INICHES OR l S- GALLONS PUMP MANJUFAGTURER: 9 1 D=~WCHES OR.~ GALLONS MODEL NUMBER.*. .~An ~'wEs'-~~~L MOTE: PUMP AMD ALARM ARE TO BE IUSTALLED ON SEPARATE CIRCUITS SWITCH TYPE:Li PUMP DISCHARGE. RATE GPM VERTICAL, DIFFERENCE 9ETWEEU PUMP OFF AND DISTRIBUTION PIPE_. FEET + MINIMUM NETWORK SUPPLY PR/E/SSSURE . . . 2.5 FEET -I-~ FEET OF FORCE MAINZ XF~ FEET goo FLFRICTIOU FACTOR_ . TOTAL D9MA.MIC HEAD = Z,2,7 FEET INITERNAL DIME SIONS OF TANJK: L N&TH ;WIDTH ,LIQUID DEPTH SIGUED: LICEIJSE NJUMBER. S1 DATE:1 ~ ; .{f., III!! SUBMERSIBLE U . O ~r~ IDS S : i ` ~ttf lk+ y~ y t.: S~1►AGE AND EFFLUENT PUMPS `3 48 3 EP0311 LL4f DISC. OopPFP0311 142 FP0311 1/1 HP ' 115 V Effluent Pure 1/2" solids 256.80 172.10 a ~ak~°~Submersibie . ,z. r MODEL EP0311 , r V rV`,,r; 4 Effluent: Pump /933 hxt ~ t SIZ..E'A" SOLIDS ' METERS FEET yI i s 20 G141I~IkI ` I Fu's i tca~; 4 77 10 1 r n 10 1••~ 11 y4f' i 4 i 40 e s q 0. 00 4 . e 12. ; . 1• 24' Z• 02 36 20 GPM 7.S m'Ih 2.5 5.0 0 cAPACirr Performance 3885~.- •curve MODEL 3885 sue,,, . SIZE.'/4" Solid 2~ &0 f44 ,~1 20 \ E0 44~y~ o Y#r~ t' I 16 40 w9a SIT= 10 0 0 to 70' ' eo w 100 110. I00 OVY /t~ o to >o >o 40 so >o •"•m i:~1~:'' 1 ~.r....._-- 10 20 CAPACITY A LISC DISC. - 3/4' solids 491.55 329.35 115 V La+ H I t~`f,~Y 5 (7~m.E0311i. 142 HE0311L 1/3 HP iar 3/4•' solids 491.55 329.35 s r= fi0l3PWE0311M 142 ' NE0311M 1/3 HP 115 V Mid H' '.t rl 1#ati~~X .~•~1 High H 3/4" rtiblids 704J5 aFZv v( :Q7CILSTi0511}i 142 yfE0511H 1/2 HP 115 V " lids R4J.65 565.25 ' ° FIC 7G1~ Iti: I 230 V FLSgh M. 3/4 so `5r~,,rv . ~ > C#3UPti'E0712}~ 142 HT 112H 3/4 HP 5 'F ? I>YS .r.•.:;.. !~aSEE.FC~I3JC7WINC PMT FM PfR.Fao-V~DIL'E Am SPflCIFICATIQt1S. PAGE D7u i i;>i'"d+ .'pATlr, DEPT 30