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HomeMy WebLinkAbout032-1048-70-200 O O O M 7? A 3 • 7 ry Q m -0 'U i d CD 3 A~ a~ Q Cf) o 0 - . 3 N .r 0 is 3 3 c Oz (n F3' (D a -1 (Mfg J S (D 'O r'7 ^ A c o' 00 =r 'Z O !D Co K A1 Q cv 3 3 N co N Q W O O C O O 0 n 0 n N A7 Q) 0 N 7 7 Q N O 'T O 3 N N l o O m 0) m D m ° r~ (D CL 0 _ m Sr 12 C. 3 A A N) U) CL A A 3 W O (Op t(00 a (Cp 0 C O O CD I p' O T < G G D G N Z _Q w m 3 CA ai ai D O O O m M o ui m m < a) to N m 3 m :3 CD 0) CL N Z Q C) D co o a N v o m cn l~1 • N 0 m 'C' i c m N w n n 3 J Z CD O p 2 A d A C 7 O Cl) w a M z 3 a 00 Z m N z m A W f o CL a 0 p: a v c 0 :3 Z a o N IV I II a I I fi I I ti O I O V A w A w CD A V W yA ''.,j V p CL Form - S T C - 104 AS BUILT. SANITARY SYSTEM REPORT as l i OHNEI ' fig r TOWNSHIP i _'5"wc`";S-CT' SEC. T _N-R ADDRESS ST. CROIX COUNTY] WISCONSIN Uet 1~ u1bs2 • f (SUBDIVISION'i LOT LOT SIZE i .w~_..- .w. _....w... , ° ` PLAN VIEW a 1 J . f -1 i,d ' Distances and dimensions.to meet requirements of ItLHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM • I ,.e.,.;.. • g 7 as+A • ""a'...`~:d'w.::. • . :.,7..1 :ATP ~{Ia..' 1 t4 41,41 b I.r 4q i , 1fvi3ii 3[t~ aCS t;+f3 t. e} a?y1 .i it a FV . < ECG j !3,.5I t•r t 3 _ « # 'A ~ ~ e ki! G jlr~ :1: ~ . o » i ~ I'Sj.. Y ! rr c y _ .1 i.. NIL? I'll 4 INDICATE NORTH OW BENCHMARK: Describe the vertical reference point used. h . c' Elevation of vertical reference point: /'1C',vProposed slope at site: f1 m SEPTIC TANK: Manufactures: ~`'tt" I Liquid Capacity: 110-m Y- 1.,:4;:Ndmb6k of rings used: Tank manhole cover elevation: Z %~f ' - , - Tank Inlet Elevations Tank Outlet Elevation: r i Number of feet from nearest Road: Front 10 Side ,Rear, 0 7 mp feet • From nearest-property line Front,OSide Rear, /©o feet Number of feet from: well ? Sa ' building: J (Include this information of-the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER ~d Manufacturer: Liquid Capacity: ' Pump Model:% Pump/Siphon Manufacturer: .2Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: 911.3p Gallons per cycle: / So Alarm Manufacturer: ALT/ Alarm Switch Type: hi, e cc I Number of feet from nearest property line:'. Front, O Side, ORear, © Ft?e~~ 'Number of feet from well: 7 Number of feet from building:_ (Include distances on plot plan). SOIL ABSORPTION SYSTEM/ Bdd: Trench: Width: Length: S`'3 Number of Lines: Z- Area Built: ~v Fill depth to t4 of pipe: , Number of feet f om nearest property line: Front, O Side, t. Rear,O Tt 7 ab~ 7' ~ v ;Number of feet from well: 5 N ber of feet from building: lee (Included Lances 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 sytems4 (C eck one). HOLDING TANK Manufacturer: Capacity: Number oV 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: Inspector:. Dated: Plumber.on job: 4 License Number: } 1 3/84:mj M DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MADISON, WI 53707 p c*e'., State Plan I.D. Number: SE 4i NE 4f Sec .17 , T31-R19 CONVENTIONAL ❑ ALTERATIVE (Ifassigned) Town of Somerse X I I ❑ Mound Ri Ot 2❑ Holding Tank ❑ In-Ground Pressure AME PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Bruce Reinhart T Rt. 5 , Box 3, Hilltop Ct. River Fa is , WI,.--- BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. EL ( 0 REF. PT. ELEV.: Q r 0-% 0 S r n CGS/',? . f ' 1 60.0 Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: David B. Fogerty - 289 St. Croix 135470 SEPTIC TANK/HOLDING TAN e-c✓&-= Q/ 9-3 d G OVER MANUFACTURER: ` LIQUID CAPACITY: TANK 1 T€LE . TANK OUTL ELE : PR ING LABEL LOCKINDED u~Q1 ~ ~UJUt_ ~ ~7, 87•~°~ YES ❑No ❑YES NO BEDDING: EPFF DIA.: YEhfF MATL.: HIGH WATER NUMBER OF ROAD: PROPERT WELLy;'~ BUILDING: VEN TO RESH p . ALARM: FEET FROM ( LINE: L~ AIR INLET: O NEAREST 7~0 7 ❑ YES NO ~ Y FS DOSING CHAMBER: ' / Ce-~ MANUFACTURER: BEDDING' CA PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PRO IDED: YES ❑ NO YES ❑ NO 97 C.E ,r E ❑ YES NO a r ' GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WEL BUILDING: SR VENT TO FRESH LINE:^ INLET (DIFFERENCE BETWEEN YES ❑NO NFEET EARESTO~ PUMP ON AND OFF SOIL ABSORPTION SYSTEM. Check the so moisture at the depth of plowing LENGTH: DIAMETER: MyJERIA~ ND?RKING: r ! jn or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID BED/TRENCH _ i TRENCHES: ( MA ERIAL: - DEPTH: DIMENSIONS -i 5 GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO ISTR. NUMBER OF PROPERTY WELt~ BUILDING: VENT TO FRESH BELOW~IPF~S: ABOVE COVER: ELEV. INLET: ELEV. END: PIPES: FEET FROM LINE: ~t LJ ! AIR INLET:. 3O~ .3I~ 3 PVC. NEAREST 3S - D y~S MOUND SYSTEM: s rps Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO ❑ YES ❑ NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: TNO.OF RENCHES: LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DIS ELEVATION AND TR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑ YES ❑ NO ❑ YES ❑ NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: ❑ YES ❑ NO ❑ YES ❑ NO NEAREST Retain in county file for audit. Sketch System on Reverse Side. SIGNAT E: TITL : SBD-6710 (R. 06/88) ~_c DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUN STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ e 7 8% x 11 inches in size. ~ evison to revious 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 ,y '/4 S T._t , N, R Z!f E (or PROPERTY OWNER'S MAILING ADDRESFI LOT # BLOCK # 3 Z CITY, STATE ZIP CODE PHONE-NUMBER SUBDIVI ION NAME OM8ER go- Or f ou ,x'77 CITY NEAREST ROAD 13 II. TYPE OF BUILDING: (Check one ) ❑ State Owned ❑ VILLAGE : O 0, OWN OF: ❑ Public 21/or 2 Fam. Dwelling- # of bedrooms .3-- PAR AX NU BER III. BUILDING USE: (If building type is public, check all that apply) ~O~ 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 50 Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. E J New 2. ❑ Replacement 3. ❑ Replacement of 4.0 Reconnection of 5.E1 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 uG Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 El Seepage Trench 22 ❑ In-Ground 42 El 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) ELEVATION Z15'0 415- , .5- JNrq,,P Feet f Feet VII. TANK CAPACITY Site in gallons 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 j t 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: ps 4ai#MPRSW No.: Business Phone Number: f Plumber's Add ss Stre , City, State, Zip Code): 1.•~ fX. OUN /DE A MEN USE ON ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate issued Issuing Agent Signature (No Stamps) ~ OA 'It N Approved ❑ Owner Given Initial Surcharge Fee) ` / Ave rs Determination 1q-0cl-7ul X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety 8 Buildings Division, Owner, Plumber t INSTRUCTIONS r 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before they 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'dy 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 A Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. 11. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. 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 theL~klunty; E) soil test data on a 115 form; and F) all sizing information. - - - - - - - - - - GROUNDWATEai 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 ccf standards. SBD-6398 (R.11/88) i • APPLICATION FOR SANITARY PERMIT 3TC-100 This application form is to be completed in full and signed by the ovntr(s) of the property being developed. Any inadequacles will only result In delays of the permit issuance. Should this development be intended for resale by owner/contractot,(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. Owner of property ESV5E d 505AW, _ R E1NIMR7T Location of property S6 1/4 „A,,LC-7-1/4, Section 17 T f_~1-R~Y Township _ S Q s" Er' Sz!!F 7- Mailing address _RT S SOX 3 z9 e- 4 )-OR R I VE2 F/a LL S W 5 4o Z Z Address of site Z 1.76 1- o 5 T, So me 2 S T VV1, Subdivision name _.5 Cc 5c,&vEY M qP Lot number. Previous owner of property _.~7AAI c B To W Total size of parcel 15 45 AG, Date parcel was created U r" / C) / 17 k 7 Are all corners and lot lines Identifiable?_Yes ~No Is this property being developed for resale ('spec house)?__Yes 0 Volusrnd Page Number K, 7 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWINCt A WARRANTY DEED which Includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the BEAL OF THS RBOISTER OF DEEDS. In addition, a certified survey, if avallable, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a certified Survey Nap, the Certified survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(Ws) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (ate) the owner(s) of the property described In this information form, by virtue of a warranty dead recorded in the Office of the County Register of Deeds as Document No. 4 4 5-C,3_7' ; and that I (we) presently own the proposed site for the sewage disposal system lot I (we) have obtained an easement, to tun with the above described property, for the construction of sold system, and the same has been duly recorded In the Office of the County Register of Deeds, as Document N 5 63 7 Arynstute o o o'er 819natura of Co-Owner (If Applicable) _4141 9T. Da -ors 19natura a 69a- 1 II r &K. 834PAoE 372 DOCUMENT NO. ATE BAR OF WISCONSIN FORM 11 -1982 HIS SPACE RESERVED FOR RECORDING DATA LAND CONTRACT + Individual and Corporate "7 a 5000 IS FINANCED AND N OTHER NON-CONSUMER 44563 ACT TRANSACTIONS) RE 71STEM OFFICE jAni ra B Tnw A ilnm rri ST' CROIX CO., W1 Contract, by and between s a-~'~ d Reed for Record women women ("Vendor", FEB 2 g 0099 whether one or more) and Rrllf`P A Reinhart and Susan R 2.00 P.M Reinhart, ' p r n t' y with rights o f(" PuPcKaserY; Ee V the or more). ~ 41~^~XJC 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 St Croix County, State of Wisconsin: RETURN TO Tax Parcel No Part of Elof SE}of NE* of Section 17-31-19 described as follows: Lot 2 of Certified Survey Map filed August 11, 1987 in Vol."7", page 1867 (No 80). SUBJECT TO and TOGETHER WITH easements as shown on said CERT- IFIED Survey Map. lka3L PEE This i s A ©t homestead property. (is) Ps not) Purchaser agrees to purchase the Property and to pay to Vendor at a place designated the sum of $ 10,500.00 In the following manner: (a) $ 1 5 0 0 n n at the execution of this Contract; and (b) the balance of $ 9 , 0 0 0 , 0 0 ,together with Interest from date hereof on the balance outstanding from time to time at the rate of ten (10) _ per cent per annum until paid in full, as follows: 150.00 on 1 March 1989 and 150.00 on the first of each month thereafter until 1 February 1994. Provided, however, the entire outstanding balance shall be paid In full on or before the First day of February , 1994 (the maturity date). Following any default in payment, Interest shall accrue at the rate of I n per annum on the entire amount in default (which shall include, without limitation, delinquent Interest and, upon acceleration or maturity, the entire principal balance). Voted ammuel taxes, epeolal seeessmamts, We . . . . . 91:11181498 PF9FRIWFA2_ 4A.0149A A_ue_-T-9 4he SH18141 Faselved by Vendor, Weirdow agreres to apply payinents to these obligations when duo. Stich amounts ecolved by the-yondco, fog ljoyment 01 uni°.alb-i+e rg--Arghej h- Ism 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 _ February , 198 9 (OR) X 7C R TRYR R9c~E4~~E'~lPRt)KPA' '"R~`!C` i 'R' ReArTWI9E')PM 0k 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 countinued 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: None 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. Purchaser shall be entitled to take possession of the Property on 1 F e h r u a r y 'Cross Out One. NTF 2278 LAND CONTRACT-Individual and STATE BAR OF WISCONSIN Corporate FORM No. 11 - 1982 Nelco Forms, P.O. Box 1075, Green Bay, WI 51305-1075 p k Q ML 834 PAGE t371 c, Purchaser promises to pay wt, ue all taxes and assessments levr4d on th , erty or upon Vendor's Interest' % in it and to deliver to Vendor on demar, eceipts 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 1 V by Vendor, in the sum of $ V a e a n t 1 a n d 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 Property 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 actor default of Purchaser, and except: n r n p P r t V n n r t h r if f p n r e 1 i np AR shnwn in r SM Thi c nrnnprty chm-ll 1 rnnvcvcI by rn to in/or Purchaser agrees that time is of the ence and (a) in the event of a default In the payment of any principal or Interest which continues for a period of M 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-AQ-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 following rights and remedies (subject to any limitations provided by law) in addition to those provided by law or In equity: (1) 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 forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property If Purchaser fails to redeem); or (11) Vendor may sue for specific performance of this Contract to compel immediate and full payment of the entire outstandng balance, with Interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (111) 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 Propehy, ah&*a-46 a receiver appointed to collect any rents, Issues or profits during the pendency of any action under (1), (ti) or (iv) a ve. Notwithstanding any oral or written statements or actions o 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 attorney's 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 ccnsen, of Vendor unless either the outstanding hAlance payable under this Contract is first paid in full or the Interest conveyea 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 / day of, February *4 A9 / (SEAL) Janice B. Tow Bruce A. Reinhart (SEAL)/~'C~i~G~/ - (SEAL) Susan R Reinhart AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN SS. St Crioix County. authenticated this day of , 19 Personally came before me this day of February ,1989 the above named Rrii[ _ A R i nhnrt. S Ilan Re-i nhart ]2.ni_~e Tow TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me kn n be the perso who executed the authorized by § 706.06, Wis. Slats.) eg 'n trument and k ~d baairne. THIS INSTRUMENT WAS DRAFTED BY Arnrn Realty Inc Dennis Fleischauer Notary Public St Croix County, Wis. My Commission is permanent. (If not, state expiration (Signatures may be authenticated or acknowledged. Both date39 Sert 1 990 30 are not necessary.) , 19 'Names of persons signing in any capacity shoud be typed or printed below their signatures. NTF 2278A State Bar of Wisconsin LAND CONTRACT-Individual and Corporate Form No. 11-1982 Nelco Forms. P 0 Rmv Ims 1,- o-., ,e', Ge-2ne_.na!e 80 CID AU61~ ,xsc 01 429U23 Of Commit CERTIFIED SURVEY MAP Located in the E' of the SE; of the NEk, of Section 17, T31N, R19W, Town of Somerset, St. Croix County, Wisconsin. NE Corner Section 17 N z N unplatted-lands-owned-by-others bearings are North line of the SO of the NEB ~ o referenced to the east S870341 02,,w G36.13' - h lime of the NE' of section 17 assumed to 30 1 r 1 271.76' 297.62' bear N02057130"W. 681_- 33.341 I 61I 33.41 ence ine I 1 1 ~ 1 SCALE: 1° = 200' ~ a C' cr v, 200 100 0 .200 Y centerline \ r N N co 40th Street IC \C~ z ry \ II ti -P O 'h 6 - r i eZ N ~.f\ ~OW ran w ' O W N n, li N \ o T \ u 6 1 15.771 C) - ~ SEE 624.98' DETAIL,t, 5 ''J \ v~ ; a ~ K i a. 34.27' N ,In _ M 590.71' Ln c 50. 04' ;o S87049'39"W 640.75' 50.04' t " 1 i w N PRIVATE ROAD EASEMENT oo i a I~-z Cr Ln 049 139uW ;N S87 1 N 0 1 0 0. I DETAIL 661 W v W YIN - 1 S 1 ~ _ N O ~ .O p I ~ ~ ~ ~ 1 to 3 I N r 38.15 604.94' ~WIV -R SB7o.49!39"W:"643.09' I v, Janis Tow 228 So. Main y w I Kalispell, Montana 59901 4 N O II 33.02' 16 6 J1 612.41 r ; 1 t)r ' N87049'39 "E 645.43 South line of the NE} of Section 17 E{ Corner Section 17 CO1'.P..I:ILi..t..'. i'L.1:!•`MG unplatted lands owned by others LEGEND St. Croix County Section Corner Monument. Fa' ~'1y' 44 ALLEN C 1" x 24" Iron Pipe weighing 1.63 pounds NYiIACEIN O per linear foot, set. S-1 407 t V-11 I S. 0' z VOLUME 7 PACE 1867 t9\ t'ais instrument drafted by Frar1 Oleskacek job no. 87-18 S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT rt St. Croix County w OWNER/BUYER BTU cf S r/5lL'/. / t~../~►'~//9 0 ROUTE/BOX NUMBER Fire Number 2-176 d CITY/ STATE z.F Z' 04~ ZIP 5 D Z 0 PROPERTY LOCATION:*.'' Section T N, R W, Town of 5o:~~~S~ St. Croix County, yE"E •5o,evEy n7As~ Subdivision Lot number Z Improper use and maintenance of your septic system could result in its premature failure to handle wastes.- Prover maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a l'icens'ed 's'e t'ic tank pumper. What you put into the system can a ect the tunction o, the-septic tank as a treat- ment-stage in the waste disposal system. St. Croix County residents may be eligible to recieve a grant for a maximum of 60% of the cost.of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this. program in August of 1980, with the requirement that owners of all'new sys't'ems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber ora licensed pumper veri- fying that (1) the, on-site wastewater disposal system is in proper operating:bondition and .(2).after inspection and pumping (if nec- essary), the septic,tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. H I/WE, the undersigned have read the above requirements and agree o to maintain the private sewage disposal system in accordance with the-standards set forth, herein, as set by the Wisconsin Depart- ment of Natural Resources. Certification form must be completed .b' and returned to-the St. Croix County Zoning Office within 30 days of the three year expiration date. , SIGNE:A, DATE St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. r DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION `LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 539069 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. I SUBDIVISION NAME: '14cE /T/3 N/R E (ar { COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: lt r 1'S' USE 5 - 7'J ATES OBSERVATIONS MADE NO. BEORMS.: COMMERCIAL DESCRIPTION: PROFILE DES IONS : E A ION TESTS: ~esidence ~lew ❑Replace ~ o 01 RATING: S= Site suitable for system U= Site unsuitable for system M'S ENTIONAL: MOUND: IN-GROUND-PRESSURE:SYSTEM-IN-FILLHOLDINGTANK:RECOMMENDEDSYSTEM: (optio I) ou DS ❑u ❑u 0SF_4# El SE40 If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the ) under s.H63.09(5) (b), indicate: Floodplain, indicate Floodplain elevation: ~ld PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 13- 7 A 7 7 .1 X13 7`3 27ti s,,W w 13- 7__ '92- 1,5)1 2 V134- 77 13- 72 IV/we -1177 cy, Alt ry B- A4W e_ -7 / B 77 B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PER1003 PER INCH P- 2 P- y Ms P- P__ P- 7:r I P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION E I \ 3 I i \ { JI~VCW 4~r -all 3 i 0 J2 2- JN A_ ~ E mil- ~ I ( ~ f ~ I ,SP_'ryJ i/rd,'?@.11>v._i a _1 i.-._ _ z 1 i ( ! i t I ~ t , i 3 r 3 ~W t I iJ !nIr /Tr1 0 - ( E F I ~C , /fT~/~a1`C CZ [l~ i f flack. c~ S_$~lfl 19= a2~n ~T I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord 2t a p76cedures and methods specified in th Wisconsin Administrative Code, and that the data recorded and the location of the tests are correc to t e e t f my kn ledge and belief. PLUMBING NAME (print): D" Avg FOGEM TESTS WERE COMPLETED ON: Pium er Licensed#P3e233 es289 2/ 4 p-aA ADDRESS: CERTIFIC ION UMBER: PHONE NUMBER (optional): ROBE S, WI CONSI 54023 CST 2SNATU DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DI LH R-SBD-6395 (R. 02/82) - OVER - INI TRUCTIONJ . _R COMPLETING FORM 115 - SBD - 6595 To be accurate soil test, your re,:)ort rnust include: 1. Gompl ~ iption; 2. The a clearly indicate whether this is a residence or commercial pr 3, MAX: ,er of bedrooms or commercial use planned; 4. Ir -rnent system; 5. G:> gating boxes. A SITE IS SUITABLE FOR A C)LDING TAN[ ONLY IF ALL OT] RULED OUT BASED ON SOIL CONDITIONS; 0. PL is shown here for writing profile descriptions and com, the plot plan; 1. °1 ua:aratn accurately locating your test locations. D..,-wing y preferred. A cl if desired; rk and veitic ;I i reference point art permanent; 0. ,;,riate boxes as to dal names, addresses, flood r test exemp- 10' ch as flood plain, el „a} does riot apphr .,1 ;n the appropi fate box; 1 1. - Il' :''e your current add "cl your certific<ati s and distribute as L ALL SOIL TES: _ MUST BE FILED WITH THE Y V ITHIN 30 DAY -DIVIPLETION. 7"EVIATIOr'_ ~ERTIFIED SOIL TESTS, ib GIs 0- i rn 0 F,VVL _ k RP TO TI I.......:. Th° the Dep~-t- !°;t arl:.,. 'c Ssel. of { ?vaiY, n , , I a i (b r~ ~ a O A 4 o ~~Qti p~ A i h R 17PILoHR SANITARY PERMIT APPLICATION COON In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than El ~ 8% x 11 inches in size. cn if re isio to evi s 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 .ter %a %a, S 17 T , N, R E (or)40 PROPERTY OWNER'S MAILING ADDRE LOT # BLOCK # X-1- r C Q CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER °v C A--2- s- 7 7 7,9- .-j E:l CITY NEAREST ROAD II. TYPE OF BUILDING Check one ( ) State Owned ❑ Y4LLAGE: C c E416 ZZ l Public L 1 or 2 Fam. Dwelling-# of bedrooms 3 PAR EL TAX NUMOBER( ) III. BUILDING USE: (If building type is public, check all that apply) 241 3 _ L 1 ❑ Apt/Condo 2 ❑ Assembly Hall 60 Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 80 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. E New 2.E] 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 Seepage Bed 21 ❑ Mound 300 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 ,f0 0 r 3~. 92- Feet PX v " Feet VII. TANK CAPACITY Site in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New lExisting Gallons Tanks Concrete structed glass App. Tanks Tanks Septic Tank or Holdin Tank _ 4AAQ 77 Lift Pump Tank/Si hon Chamber 9~1 OO 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 Star~pa}- MPtMPRSW No.: Business Phone Number: t ~Gl~ 1 r LSlA Zf 74 /0 Plumber's Addr ss (S rest, City, Sta , Zip Cod OZ Af 14 A- X-40101 4 ~ 41, IX. OUN /DEP TMENT USE 6N &Y ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuin Agent Signature (No Stamps) Approved El Owner Given Initial Surcharge Fee)~h~a ,I A erse D termin i n ! V v (i 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 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 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. 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) DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION BOX HU$ AN RELATIONS PERCOLATION TESTS (115) MADISON W 53707 (H63.090) & Chapter 145.045) LOCATION: SECTION: T0WNSHIP)ftnt~,-W LITY: LOT NO.: BLK. N(TSUBDIVISION NAME: SE '*E 1/4 17 /T 31 N/R 191 (or) W Somerset 2 n/a Tow COUTY: OWNER'Sk6XMEX)GMME: MAILING ADDRESS: St. Croix Janis Tow 12228 S. Main Kailispell, Mont. 59901 USEDATES OBSERVATIONS MADE NO. BEDRMS : COMMERCIAL DESCRIPTION: PROFILE DESCR PTIONS: PERCOLATION TESTS: Residence 3 n/a ®New ❑Replace 7-10-87 n/a RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) 0 S❑ U El S 11U E S❑ U ❑ S ©U ❑ S En u conventional If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Class 2 Floodplain, indicate Floodplain elevation: n/a _ decimal' PROFILE DESCRIPTIONS page 9 PmC BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH NJ. OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 6.67 99.00 none >6.67 .75bl.l.s. 1.42bn.l.s. 4.50bn.m.s B- 2 6.75 98.90 none >6.75 .75bl.l.s. .83bn.l.s. 5.17bn.c.s. B 3 7.16 98.82 none >7.16 .83bl.l.s. 1.25bn.l.s. 2.58bn.m.s. 2.50bn.c.s. B_ 4 6.50 98.71 none >6.50 1.17bl.1.s. 1.75bn.s.sil. 3.58bn.c.s. B- 5 6.41 99.20 none >6.41 .50bl.s.l. 1.33bn.l.s. 2.00bn.m./s. 2.58bn.c.s. B- PERCOLATION TESTS TESL' DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 P R PER INCH P- P_ s e design rate 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 zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction an ercent of land slope. SYSTEM ELEVATION 95.32 0 . . . . z t . _ I E ,sue K _P .1 ©o . Vj ~ I t ~ S. 2 , ~~rr L~ 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 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): TESTS WERE COMPLETED ON: Gary L. Steel 7-10-87 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 988 N. shore Dr. New Richmond Wi. 54017 229 1715-246-6200 CST SI TURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILJ1H-SBD-6395 (R. 02/22) --OVER - L ~j'z-331 1071- , 'W{ 74 I ~ 6 3 107- 7-x 3C~ r, a+o one Sca le / .ZO Q s$l~t ~ QSSr.IrNC /MO v~ Go►^~,e r r q *rvey Spa C ©r &7 • survt y lea lFc - e (mss ' I PAGE OF PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS VENT CAP i°C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION BOX MAWHOLE COVER 25' FROM DOOR, 12"MID. wINCOW OR FRESH I AIR INTAKE GRADE i y"MIN. I ~ 18"MIRY. CONDUIT IB"MIN. ~ 111 ~ IA11._F T PROVIDE AIKTI&HT SEAL I I j i I I ~ V : rj_ T - T APPRO`JEC JOINT A QwE FOGERTY PLUMBING I III APPROVED JOINTS 'v/C.1. PIPE ~.icensed Perk Tester & Plumber I III E-ATEM WG PIPE EXTENDIM& 3' #3233 #3289 1-1 I ALARM ONTO S S JQTO SOLID SCII. B Fo erty Heights Road i I I ONTO oL►D SOIL ROBER S, wI749 SIN 54023 Phone I I ON C ► I I OFF -f ~ PUMP 0 CONCRETE BLOCK RISER EXIT PEKmi-ITED OWL4 IF TANK MAWUFACTURER HAS SUCH APPROVAL SPECIFICATIOUS TIC AND TANKS MAWUFACTURER: /mil/C°G" NUMBER OF DOSES: PER DA.4 TAMK ;AZE: GALLOWS DOSE VOLUME ALARM MAWUFACTURER' 4&,41 d= INCLUDING 6ACKFLOW: GALLONS MODEL NUMBER: ^17L U CAPACITIES: A=4_~ , IWCHES OR ZLe GALLOWS SWITCH TtIPf: 6 = INCHES OR 19; GALLOWS PUMP MAWUFACTURER' " lL t( y!7`6~ _l C=.2-4 IWCHES OR tLE GALLOWS MODEL NUMBER: 97 h'f D- Z_ INCHES OR26 - GALLONS SWITCH TYPE: MOTE: PUMP AND ALARM ARE TO BE ~d GPM INSTALLED ON SEPARATE CIRCUITS PUMP DISCHAR4E KATE VERTICAL DIFFERENCE D&MIC w PUMP OFF AWD 018TRIBUT40W PIPE.. FEET + MIN©I~MUM NETWORK SUPPLY PRESSURE . . . . . FEET + FEET OF FORCE MAIN X /ooFtFKICTIOW FACTOR.. rL FEET TOTAL Dy1JAMIC. HEAD = JL. FEET IMTERNAL DIMEWSIOWC Of TANK: LENGTH ;WIDTH ~f J;LIQUID DEPTH SIGUED: ' .e-G LICENSE DUMBER: DATE: 4'7p s -117- T D A T CURVE w 30 1 TOTAL DYNAMIC HEADICAPACITY PER MINUTE V EFFLUENT AND DEWATERING 1 SERIES 53-55-57-59 97 137.139 163 165E 28 M I L1 RS LTRS LTRS { LTRS , LTRS 1.52 163 ! 248 11 394 j 231 231 EFFLUENT AND DE~~~ATERING ?3? 3 os iz9 215 300 23 rt i. 4.57 ) 1 72 1 163 242 227 227 ? f 26 SEWAGE AND DEVIATERING ' 6,0( ~7 104 136 223 227 \ - \ 7 62 1 3-0 " 1 216 223 - 9 14 - 1206 220 y 172 206 241 I_,z-,9 I- 15.24 - , i 125 ,s, \ - 18.29 57 i 161 22 21.34 114 24,38 to 53 s MODEL MODEL Lock valve, 9• 24.5 26 s6 20 163 \ 1165 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE F 4 \ SEWAGE AND DEWATERING f SERIES 267 268 262 284 293 , 18 \ \ 'P M LTRS LTRS ! LTRS LTRS 11 7T LT RS - \ 1.52 -L 408 386 .t0 492 681 3.05 ) 227 273 360 598 16 ; 4.57 76 .a 163 238 511 l 5 5 ~`•p~ \ 6.10 30 ' 125 401 t \ 7.62 r 288 { 1`f ,q \ 7 9.14 163 7 292 t \ 10.67 64 227 ~J _12.19 174 ✓ f y t • 13,72 >8' 106 12 m4 \ a0 15.24 - 45 _EE 11 11 A M O DEL Lock Valve: 21' 26' 35' 53' j 293. 10 _ ~ I MODELS { 8 137 139 6 a i MODEL 4 284 ' MODEL - MODEL 10 268 \ \ - 282 2 _ MODELS { 53, 55, MODEL MODEL 57, 59 97 267 E . . s;s I.S.. 10. 20 30 40 ' a0 . 60 eta .r0 + iC~t ~ 1t3 0 30 140 150 160 ,170 18+0 190. LITERS 80 160 240 320 400 480 560 640 650 FLOW PER MINUTE 3280 Old Millers Lane Manufacturers of... P.O. Box 16347 f ZAOZZZA60ir Louisville, Kentucky 40216 t (502) 778-2731 ,QUAL/TY pL/MPS SacL- /939 f e i r t PARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & .BUILDINGS DUy-fRY, DIVISION \BOR AND PERCOLATION TESTS (115) MADISO 0 53969 JMAN RELATIONS (H63.09(1) & Chapter 145.045) )CATION: SECTION: TOWNSHIP/MUNIP T OTNO.:BLK. NO.: SUBDIVISION NAME: E- 11 N4 17 Al H/11 191 wow Somerset Z` n a T , 3UNTY: OWNER'S gth .T-'1? Z NAME: MAILING ADDRESS: St. Croix Janis Tow 2228 S. Main, Kailispell, Mont. 59901 E DATES OBSERVATIONS MADE NO. BEDRMS.: COMDAER Ali L DESCAR FT NF6aNvv PROFILTE U'~SZ`~IPTIOtVS: C A N TESTS: Residence n/a ❑Replace I 7-10.-87 I n/a 71 %TING: S= Site suitable for system U= Site unsuitable for system )NVENTIONAL: MOUND: IN-GROUND-PRE UR : S STEM-IN-FILL HOLDING TANK: ECOMMENDED SYSTEM: (optional) S ❑U I NS [:]U 0 S []U ❑ S ©U El S MU R conventional Percolation Tests are NOT required DESIGN RATE: Itany portion of the tested area is in the n/a _ ider s.H63.09(5)(b), indicate: class 2 Floodplain, indicate Floodplain elevation: decimal' PROFILE DESCRIPTIONS )RING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL W H CKNESS, COLOR, TEXTURE, AND DEPTH JMBER DEPTH IN. ELEVATION OBSERVED EST. HIGHE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) 1 7.00 100.77 none >7.00 .83bl.s.l. 1.17bn.s.l. 5.00bn.m.s. 2 6.83 100.52 none A.83 .75bl.s.1. 1.83bn.l.s. 4.25 bn.c.s. 3 6.67 99.92 none >6.67 1.00bl.l.s. 1.25bn.l.s. 4.42bn.c.s. 4 7.00 99.31 none >7.00 •58bl.s.1. 1.00bn.l.s. 1.67bn.s.sil. 99.22 6.42 none >6.42 2.00bn.l.s. 4.42bn.c.s. - I PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES JMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD R D P PERINCH Pp- LipS1 )T PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori tal 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 and slope. YSTEM ELEVATION 96.92 31 I I I I )I, a 1 ~ I I I(~~ I i I I i I I ( I I I { T 1~~ ~ i ~ ~I I I I ~ I. i 1 I I. ~ I I I I ' . ! i ' I i I i I I 1~ _ i l ~ I I I I I i I I ~ I N ~ I I 1 ~ ' I ~ I I ~ ~ G r, I I I I I t i i 4-; I )I I f I ; f I I ' ` I I ~I I 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 Iministrative Code, and that the data recorded and the location of the tests are correct to the best of,my knowledge and belief. \ME (print): TESTS WERE COMPLETED ON: Gary L. Steel 7-10-87 3DRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional)7 988 N. Shore Dr., New Richmond, Wi. 54017 2298 17.15-246-6200 CST SIG I)RE: / Cc 1 f L-. - ,STRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. IR-SBD-6395 (R. 02/82) 0VFfl