HomeMy WebLinkAbout004-1025-50-100
DEPARTMENTOF 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 St ate Plan I. D. Number:
SW,-R15G1 CONVENTIONAL ❑ ALTERATIVE
Town o4 Cady S88~ 04940
❑ Holding Tank ❑ In-Ground Pressure ® Mound
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: 51
Mickey G. Mack 01iLon W1 54027 7-12-
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.:
Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number:
Joe Menten 5658 St. Croix 119406
SEPTIC TANK/HOLDING TANK:
TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER
MANUFACTURER ,fJ LIQUID CAPACITY: TANK INLET ELEV.: PROVIDED
1~ PROVIDED:
0 0 L YES ❑ NO ❑ YES O
BEDDING: VENT Lgy{A.~~ VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH
C.j C / ALARM: FEET FROM (f~"D f LI o AIR.INL&P
El YES NO ( [ ❑ YES /0 NEAREST 7
DOSING HAMBER:
MANUFACTU ER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL PROVI LOCKING COVER
~ PROVIDED: DED:
❑ YES NO ' 1 YES ❑ NO C22YES El NO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH
(DIFFERENCE BETWEEN 7 FEET FROM LIN . U S AIR I~ET'
PUMP ON AND OFF /!0 [XYES ❑ NO NEAREST -0
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH DIAMETER: MATERIAL AND ARKING:
or excavation. If soil can be rolled into a wire, construction shall cease until
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID
BED/TRENCH TRENCHES: MATERIAL: PIT DEPTH:
DIMENSIONS
GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH
BELOW PIPES: ABOVE COVER: ELEV. INLET: ELEV. END: PIPES: FEET FROM LINE: AIR INLET:
~
NEAREST,
MOUND SYSTEM:
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: NO. OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER:
/ Q TRENCHES:
DIMENSIONS (p V 00 MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING:
PIPES: D% ~Z / / v
EL ..fo DIA.: E. /J
ELEVATION AND /D0 GJ 4ej~
DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO
INFORMATION APPROVED PLANS
--D) In YES ❑ NO -r-7- CR'YES ❑ NO
PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING:
COMMENTS: a ~pLK ~ 0 FEET FROM
YES [__1 NO [M YES ❑ NO NEAREST
I
in in county file for audit.
Sketch System on
Reverse Side. SIGNATURE: / TITLE:
Zoning Adminiv6twton
SBD-6710 (R. 06/88)
DI~HR SANITARY PERMIT APPLICATION COUNTY X
In accord with ILHR 83.05, Wis. Adm. Code STATE SANITA Y RFRMIT
EZ: - 90Z/404P
-Attach complete plans (to the county copy only) for the system, on paper not less than STATE PLAN I.D. NUMBER
8% x 11 inches in size. S 8 8__0 7 7 yd
-See reverse side for instructions for completing this application. PETITION
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. FOR VARIANCE IN YES !O
PROPERTY OWNER PROPERTY LOCATION
M11 1C k,- 4' INC, c~ t/4 gU) '/4, S f l Tot , N, R E (or)QPROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME
CITY, SATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD, LAKE OR LANDMARK
I Sa I,U ~rS s'e/Da 7 It Z:l VILLAGE :
II. TYPE OF BUILDING OR USE SERVED:
Number of Bedrooms if 1 or 2 Family OR ❑ Public (Specify):
Ill. PURPOSE OF APPLICATION: (Check only one in #1. Check # 2, 3 or 4, if applicable)
1. a. ❑ New b. N Replacement c. ❑ Replacement of d. ❑ Reconnection of e. ❑ Repair of an
System System Septic Tank Only an Existing System Existing System
2. ❑ A Sanitary Permit was previously issued. Permit Date Issued
3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements.
4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy.
IV. TYPE OF SYSTEM: (Check only one in #1 and only one in #2)
1. a. ❑ Conventional b. ❑ Alternative c. ❑ Experimental
2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e. 9 Mound f. ❑ IGP
In-Fill Tank
V. ABSORPTION SYSTEM INFORMATION: (Check one)
1. a. Seepage Bed b. E1 Seepage Trench c. ❑ Seepage Pit
2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY:
(Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): /
O Sv Feet ® Private ❑ Joint ❑ Public
CAPACITY
VI. TANK in allons Total # of Prefab. Site Fiber- Exper.
INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holding Tank X loo Mz w ~5 Pe- Ci35T
ift Pump Tank/Si hon Chamber ❑ ❑
L:T,
VII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the private sewage system shown on the attached plans.
Plumber's Name (Print): tuber's Si nature: (No Stamps) Business Phone Number:
S o C~ ~ T'e rr- r -73 V/
Plumber's Address (Street, City, State, Zip Co a e of Desi er:
VIII. SOIL TEST INFORMATION
Certified S ' estKOO me CST
- 15s mss.
CST's ADDRESS (Street, City, State, Zip Code) Phone Number:
a 1j. E re) (4.-dw A >z K) ova X73 q
IX. COUNTY/DEPARTMENT USE ONL
pp~~' ❑ Disapproved Sary Permit Fee Groundwater Date Issuing Agent Signature (No mps)
EgApproved ❑ Owner Given Initial rc~hLar~ge Fee
Adverse Determination
X. COMMENTS/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber
INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT
APPLICATION
TO THE APPLICANT:
1. This 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. A new permit may be needed
if there is a change in. your building plans, system location, estimated wastewater flow (number of bed-
rooms, etc.), depth of system, or type of system;
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. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years;
6. If you have questions concerning your private sewage system, contact your local code administrator or the
State of Wisconsin, Bureau of Plumbing, 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 where the system is to be
installed;
ll. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat
restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling;
III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or
repair;
IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project
is in conjunction with University of Wisconsin;
V. Absorption system information: Provide all information requested in ##1-6;
VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed,
number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete
for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval onty if.
tanks received experimental product approval from DILHR;
VII. 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. Fill in designer name if
applicable;
VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number.
IX. County/Department Use Only;
X. Comment area for use by county or resaon given when application is disapproved.
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; dosing or pumping chambers; 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;,frictidn loss; pump
performance curve: pump m,_~del and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) sci! tesr data on a 115 form.
GF4O.04DWATEP SURC:t-4441-;.
On May 1 SjCt 1~j,i ;{1~tr r fi vii- citlr:r C tnir, 18Vv . "tt e' sia
resi ll of Jv+
Cl
Call
t
systen,
Thy wi; -y"
+,v
APPLICATION FOR SANITARY PERMIT
STC-100
This application form is to be completed in full and signed by the owner(s) of the
property being developed. Any inadequacies will only result in delays of the permit
issuance. Should this development be intended for resale by owner/contractor, ("spec
house"), then a second form should be retained and completed when the property is
sold and submitted to this office with the appropriate deed recording.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Owner of Property Ali Gl(C Y G ,G(c~c_GC
Location of Property S W Section T~N-RW
Township C A) Y
Hailing Address ? G, 4-,S a A) S C2 a2 -7
Address of Site
Subdivision Name
.:Lot Number Al
Previous Owner of Property SC4 , a4 /I A)J 2 vac. e3
Total Size of Parcel c5 d • -b C iz ~ S
Date Parcel was Created
Are all corners and lot lines identifiable? Yes No
Is this property being developed for ^resale (spec house) ? Yes _X_ No
Volume i4 and Page NumberG as recorded with the Register of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A Warranty Deed which includes a .Document number, volume and page number, and the
Seal of the Register of Deeds. In addition, a certified survey, if available, would be
helpful so as to avoid delays of the reviewing process. If the deed description refer-
ences to a Certified Survey Map, the Certified Survey Map shall also be required.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PROPERTY OWNER CERTIFICATION
I (We) centti.6y that att Statement6 on th.i6 6ohm ane true to the beat o6 my (oun)
hnowtedge; that I (we) am (aloe) the owneh(b) o6 the pnopenty d"cAi..bed in this
in 6onmation 6onm, by viA tue o6 a wa Aant~ ideed ne onded in the 0 6 6ice o6 the
County Regi,6teA o6 Veed~s as Document No. No(4 ; and that I (We) pnaentey
own the pnoposed site 6p1C the .6ewage di,6po6ayb em (oh I (we) have obtained an
easement, .to Kun with the above deAcnibed pnopenty, bon the conbthucti,on o6 said
aptem, and the same has been duty keeo&ded in the 066ice o6 the County Reg.cateA o6
Veeda, as Document No.
x~
SIGNATUP& OIL SIGNATURE OF CO-OWNERrF APPLICABLE)
DATE SIGNED DATE SIGNED
~Li~~~~tglg v a
,tae taxes when due. V~ndo~s ispe~
texas and assessments levied on the Property or upes `
et+ deaa•slnd reeeiptis showing such payment, e
z
shall keep the improvements on the Property insured against loss or it
perils sad such other hazards as Vendor may require, without eo-insurance, uswrees
ifull insurable valuVu[ Vendor shall not require cover in an amount mom
in tile sum of ge
owed under this Contract. Purchaser shall Pay the insurance premiums when ue. The policies absU
the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the orig 1 -CA
'policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loos to
companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall
to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be
ca11y feasible.
Purchaser covenants not to conunit waste nor allow waste to 1,e comni;Ii-d ran the Property, to keep the Property
tenantable condition and repair, to keep the Property tree from liens huperior to the hen of this Contract, sad
.witb all laws, ordinances and regulations affecting the Property.
T agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions
performed at the times and in the manner above specified, Vendor i!1 on demand, execute and deliver to
a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, exeept
Vendou a r•ees to
O encumbrances created by the act or default of Purchaser, and except: a
and_elivet- to.-pu -c.haser a certified copy of the U..~. Patent
siueb.
era that time is of the essence and (a) in the event of a default in the payment of any principal or
tinues for a period of . h~.... days following the specified due elate or rb) in the event of a default in
other obligation of Purchaser which continue, for a period of ...60.-. days following written notice
b} . t (delivered personally or mailed by certified mail), then ti a ent ire outstanding balance under this contract
iately due and payable in full, at Vendor's uptt a and w.tLout notice (which Purchaser hereby
or shall also have they following rights and itw(:iii, t uh er± to ar.y limitations provided by law) in
vided by law or in equ ity: (i) Vendor may, at I:- option, tertit inate this Contract and Purchaser's
erect in the Property and re- over the Propert% h;.ck t!.i"tigh strict foreclosure with any equity of
toa'to be--couditioncd upon Puiehnser's `r.ll pa, mint rt ',ender. ba!;euce. with interestthercnnfrom
to of def fit at t!n r:;tc in cf'o-t on uch d:.t, and of e r:enuiunt- uae h vi, ur:•1er I in wlimi event all aniounts previously
paid'by Purchaser shall be forefeite•d a. lryui,i;i ! u,.ru r t 11 1, e'ont:::!-t ;md n- rental 'e,r the
Property if purchaser fails to redeem): or tit) \,•n,!-,r wed .ue r :1, , !wrforwance of this Contract to compel
` immediate and full paynient of the entire uu1stan,!, r; \N i'h cit. . t t - n. n at the rate. in effect on the date of
default and other amounts due hereunder, in \+hich event the Proput~ L dl he auctioned at judicial sale and Purchaser
shall be liable for any deficiency; or (iii) Vendor may sue :•t hew t r toe entire unpaid purchase price or any portion
thereof; or (iv) Vendor may declare this Contract at an end and n uioye this Contractasacloud on title in a quiet-title
action if the equitable interest of Purchaser is insigniti(ant, and Ivr Vendor n.a> have Purchaser ejected from possession
of the Property,and have a receiver appointed to collect any rents, is=u,s or profits during the pendency of any action
under (i), (ii) or (iv) abo%e.Notwithstanding, any oral or written statements or actions of Vendor, an election of any
y of .the foregoing--remedies shall only be binding upon Vendor if :ued \0 en pu• -ued in lit;catiw, and all costs and expenses
including reusable attorneys fees of Vendor incurred to erdorvearr. rem.,' n' ne reunder (whether abated or not) to the
extent not pro, ited by law and expenses of title evidence shall be add,-d to principal and paid by Purchaser, as in-
curred. and be included in any ludimtent.
"y Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents
to the appoi, i of a receiver of the Property, including homestead irterest, to collect the rents, issues, and profits of
• the Property . ing the pendency of such action, and such rents. issues and profits when so collected shall be held and
applied as tlt,# ' urt shall direct.
P,µre shall not transfer, sell or convey any legal or equitable interest in `he Property (by assignment of any
of.PurchasSr gbts under this Contract or by option, long-term lease or in any other way) without the prior written
consent of r unless either the outstanding balance pay:,hlc :rder tti< Contract is first paid in full or the interest
conveyed is a;piedge'or assignment of Purchaser's interest un.icr tl:;s Cr r t ract solei' % as security for an indebtedness of
Purchaser. l :the event of anv such transfer, sale or conycyance Nx:tkout Vendor's written consent, the entire outstanding
balance itushile tinder this Contract shall become immediatc1% due :rein pa. abl(- in full, at Vendor's option without notice.
Vrn ll make all Payments when due under any mortgage outstanding against the Property on the date of
e _ this Conti' 'icept for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser
p make* timell"ayment of the amounts thcr. due under ti~is Con . act. Purchaser mny make an. such payments directly to
the ,11~o~e(f;raM if Vendor fails to do s,) and all ra na,rt- , in~idc F Purr!-aser shall he considered payments made on
e , this" ~iemtr
Vcn ay waive any default without ware inc and i cr uhso-vi rt or prior defa.:!t of Purchaser.
All t(rms of this Contract stl..ll he hire::nv upon and inure to the benefits of the heirs, legal representatives,
suceessorstassigns of Vendor and purchaser. (if not an owner of the Property the spouse of Vendor for a valuable
considerati ins herein to release homestead rights in the subject Property and agrees to ioin in the execution of the
deed to be made in fulfillme hereof.)
Dated t rs x. :2 dim[ .19
% (Isc•aXIG. Bralldvold
t~F:Al., 13~ Y~ L,I~ ~,(tiyi~Cst C~~. (SEAL)
• Pt-t t•t• .1 . Brandvold, At t ornt•% - in-Fact
(SEAL)
y: 4'
1 Mie•ke•\ G. Mess I.
tllp ' AUTHENTICATION ACKNOWLEDGMENT
Signature (s) STATE OF \\ISCONSIN
n~ ss.
t : fit. C Co J
unty. nQ
y • nuthentikated thi- dad of 1P kr.Lonally came before me this _902~- --day of
Cf 19. a1F- the above named
auk T1T1 F7 \1F:\1RFR ~T.1TE FAH OF W1SCONSiN
Y
tithorired t ;!h:.Rrl. Wis. ~Lits.)
w kii ~ U I,pkl.r verso who executed the o a
TO
l-I:tn1 "r t W :en ,a•c` owle elge the same. a
• xis ; V ti- A, Al F,RAFTFO FN er> ~ ~ 1
e. ~
w' 1'homa-, A Mc Cot•mac•k
in, hl 1400Not.r P County. W,
n.:,% b, nu:'v•r ti; a, d n-rl.r ,w1ed; e•1, l; tr \1` e' ' r r^P ry'~•p "rfi,nent. lIf not. state expiQrrao
rs, a• , . r alai, ytf... .0 19..(1.
-`err+,•r:- ...~,:nnun. :v.. rx P:.r it, ,h,..~ I Lr r, .,d h,.l, •h. a .iRi ,
AFT 1,di, Was
n 'or rate- State ROT of wi■ronsin, Form No. 11 - I9iS
o '
iiD M tt01r~
aV AINDrsAClrolitit _ M - a
z; , n A~ k 'McojaTw Or=
ST. C~iX Co.. WIL
R
J;
andvuld, az•••-•k a
OSCar Br-•...._.
a ra' a teed. fr ; R•'cord _39trf1~
°
betwatt► i a n
by 0 . C
end 7V5 Oct do
.
rand~old =...d~--- - - , _ t n-f aCC 1"weer", Of,~_
J.
. his atturn(-
Y.....-------------------
n
et:. aa...&x_a>xdxulsi-
1r'anti
-
.
. .
or mot. e..._..__••
„ " Whether one or more 1
(Purchases + rompt and fall Per-
uPon the P
to tber with the r
gees to convey to Purchaser, ~
tract by Purchaser, the following Property, ° ,
the "Property
tenant interests ('in called
sad other aPPu county, state of W iseoresin: ItaTU1Kt TO
Tax Parcel No-
. eet of the southwest
F
.
Sect ion Eleven (11)9
and No/100-1 (720-0')
unfit ed 'Twenty I of SW41 , at (R1 SW), EXCEPT
Southwest Quartet' (SW Rill- Fiftrel W<, Page 193,
he Nutt,h l`1'2`iN l' of Records,
nt•V-eight d it► Volume 63t o Wisconsin.
of L and de-: oft D1eedti 1-ot ('ru i x County ,
r Registt,t
f
11, W te by v
w
homestead property. lace desi na ......---endoT'
• ~ Vendor at
. • hase the Property and to pay ~ with rote per
0 • - in the tullowin manner: (a) together vr'th interest from +s~
u0purc
t - l u , 00. . 00 per cent pe t»a
a d
the U pe
Mime of
f this Contract: afnd rol lbtilme to time at the rate Of . .
tt ance outstanding date hereof ,
_ a follows: ont• munch from
119
yrlents of $munch t.ht.t•/•aftl?r.
date of each
,r ears f roar
seven Y K
balunc shall he paid in full on or before 7tbeX........................ *ASK the entire atnopnt
hoq~ver, the entire outstanding date l • 1 'L ° per a or nnum mon entire
Q O lik _ - l the maturity aturity, the
ul • - ° P
7~ lon acceleration
+ ~y,• default in pa?rel ent, intern: t shall accrue the rate
ott « hall include, without limitation, delis {uent iite
h-: $
;aes
aloe dK !
req the unpaid balance at the rate sp ecified and then to prt119 Any
uired b~lww. .lattual'Y • 19__._....x0
time after-
tf shall be applied first to interest on rinciPal 't any
` be prepaid without rremium or ee upon p ~K!dklldbK"t
YA yJ&KAP%X 1611Bf~,1i ~{ekd►~islidti respect to Paym1ent so long
interest from month to month shall be treated
s beyp repayment, this contract shalucno(•`'e as ru nit` in default with rasp
event of any P and interest 1 that and in ` have been had the monthly Paym
balance of principal, said indehtedne"' would
n is less than the a`ments shall be continuae~ herefrom• event of credit of any proceeds
am
roviuled that monthl` • P thereafter exclu to purchaser
ed premises above: P remises being
or condemn:,tion, by the title evidence submitted
the condemn Utla as shown
states that Purcha -r is satisfied with the ti that, ht• doe-1;
ser nut,
tiay•
i A` lion except: 1,:►t.h dclliltil ti :ut(1 ~I,t.et bt'Cause of
io-t'al't I,fl ti:ti(l 1
nay,
he t er•m nat. i utl of of at
ai(1 at.Lut ncy- t' thl• iluwc t at,
tual kilowlt-d-ge or by t h< t Ct'm.
fort by t hl, W.: nr i p:f I I,r i nc a{lac i t.~ .
nci ~ d4. at, h, di^'thi 1 it.y it shall
la I of future title evidence. If title evidence is in the form of an abstract,
w sfer agrees to pa: tfte cost aid. t 1 r t' c 1 o s i t)9 • ....XX1OX
purchase price is paid,
cl:ft.
lyp Vendor until the full erty on
r shall beentited to take possession of the Pr4P
cam? Wiweunein U~t t'D Inc.
WA
Yfltrraukw.
/IF Wt} yl`
STATFOAK. u. 1952
lndfvldaal and rKM 11
• DOgUMENT NO. I STATE BAR OF WISCONSIN FORM 11-1882 THIS SPACE RESERVED FOR RECORDING DATA
LAND CONTRACT j
Individual and ::orporata
TO BE USED FOR ALL TRANSACTIONS WHERE OVER
$25,000 IS FINANCED AND IN OTHER NON-CONSUMER
SI
ACT TRANSACTION
Contrae t, by and between Oscar_ Brandvold, a/k/a--- -
Oscar G. randvold,.. _ ,%k7a -G. ~Brariclvold, -_a....
-
_ ,
s z n -1 a. .
- attorney-in-Tact
r' s o b his - j
, ("Vendor",
g.....k Y•....._...
J.....~x~in~dxoJ.s1
Xiht}(e~EX]Ci)Cni(iXrXo~uK retand
-----..__._._..._........---•-•----t......_.....------ ii
Mickey . Mock
("Purchaser", whether one or more) lj
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") ,
St . Croix County, State of Wisconsin: RETURN TO
in
•
Tax Parcel No
South Seven Hundred Twenty and No/100s (720.0'•) Feet of the Southwest,
Quarter of the Southwest Quarter (SW4 of SW4), Section Eleven 01),
Township Twenty-eight North (T28N),. Range Fifteen West (R15W)', EXCEPT
that parcel of land described-in Volume 630 of Records, Page 193,
Office of the:Register of Deeds fox' St. Croix County, Wisconsin.
This 1s homestead property.
(is) iNsxx 7c
Purchaser agrees to purchase the Property and to pay to Vendor at _..l a_c e• d e s i n a t e b v e Halo r•
the sum of $25~ OUO'• .0 .0 in the following manner: (a) ~ '.b~._.....................
19 00 00
at the execution of this Contract; and (b) the balance of $ _.__..z_..._.._ ' together with interest from date
hereof on the balance outstanding from time to time at the rate of 9 per cent per annum
until paid in full, as follows:
monthly payments of $19.2.71 commencing one month from date hereof,
and the same date of each month thereafter.
seven years from
Provided hovL*ver, the entire outstanding balance shall be paid in full on or beforeXbox ........................7t NAof
date riez;_eoi x10c ( 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).
en ess- otherwise- required-by••lsvi#
Payments shall be applied first to interest on the unpaid balance at the rate s11~nuedaand tier to principal. Any
amount may be prepaid without premium or fee upon principal at any time after 19...........
t~i~rX?b~G~E~6XJb~CJ~i~If1Xi~EJ~XLcXp~4C3~Efl~aTi~CCl~s~1oY1Xn~F~~6~C+lC .
In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long
as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated
as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been
made as first specified above; provided that monthly payments shall be continued.in the event of credit of any proceeds
of insurance or condemnation, the condemned premises being thereafter excluded herefrom.
Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser
for examination except:
None. Said attorney-in-fact on oath deposes and says that he does not.
have actual knowledge of the termination of said power because of:
revocation by the principal or by the terms of the power of attorney,
the principal's death, disability or incapacity.
Purchaser agrees to pay the cost of future title evidence. If tine evidence is in the form of an abstract, it shall
be retained by Vendor until the full purchase price is paid. .
date of closing.
Purchaser shall be entitled to take possession of the. Property on X?6X.......
*Cross Out One.
LAND CONTRACT-Individual and STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc.
Corporate FORM No. 11 • W82 Milwaukee. Wis.
r
1985 real estate taxes have been prcrateo b-n,;ween the parties.
Pur hager to,'ppayy all re l estate taxes when due.
~urchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's, interest
in it and to deliver to Vendor on demand receipts showing such payment.
Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, ex- '
tvi:ded coverage perils and such other hazards as Vendor may require, without co-insurance, through insurers approved
by Vendor, in the sum of Jull insurable valugut 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
of:,Itain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original
n: all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to
:11, prance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall
iM applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be
::oinically 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 act or default of Purchaser, and except: Vendor agrees to.
obtain and deliver to purchaser a certified copy of the U.S: Patent
t:o the„piremises.
Purchaser agrees that time is of th essence and (a) in the event of a default in the payment of any principal or
interest which continues for a period of . ~ P.... days following the specified due date or (b) in the event of a default in
performance of any other obligation of Purchaser which continues for a period of ...60 days following written notice
thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this contract
shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser her
waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in
addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this Contract and Purchaser's
rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of
redemption to. be conditioned upon Purchasers 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
raid by Purchaser shall be forefeited as liquidated damages for failure to fulfill this Contract and as rental for the
Property if purchaser fails to redeem) ; or (n) Vendor may sue for specific performance of this Contract to compel
immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of
default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser
shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion
thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet-title
action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession
of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action
under (i), (ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor, an election of any
of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses
including reasonable attorneys fees of Vendor incurred to enforce:any remedy hereunder (whether abated or not) to the
extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in.
curred, and shall be included in any judgment.
Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents
to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of
the Property during the pendency of such action, and such rents, issues, and profits when so collected shall be held and
applied as the court shall direct.
Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any
of Purchaser's rights under this Contract or by option, long-term lease or in any other way) without the prior written
consent of Vendor unless either the outstanding balance payable under this' Contract is first paid in full or the interest
conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for an indebtedness of
Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding
balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice.
Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of
this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser
makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to
the Mortgagee if Vendor fails to do.so and all payments so made by Purchaser shall be considered payments made on
this Contract.
Vendor may waive any default without waiving any other subsequent or prior default of Purchaser.
All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives,
successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable
consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the
deed to be made in fulfillmeT)t hereof.) 85
Dated this .............Q........ dsilW 19
Osc G. Brandvold
..(SEAL) By v!~r''trd~.,--......(SEAL)
* Peter J. Brandvold, Attorney-in-Fact
a u............. (SEAL)
* Mic Yey Mock
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN
ss
J ---....County. . nd
authenticated this ........day of 19...... - - er ovally came before me t is .........day of
.kl LILI • 19.. the above named
--..Q~n,a~l.
* ...(!1. .(t L?
.
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by § 706.06, Wis. Stats.) to me known to be the erson Z who executed the
ac owledge the same.
THIS INSTRUMENT WAS DRAFTED BY fore Ofi, mstrumen- and
g...... !
Thomas A. McCormack
_Jy G`i~
f3aldwi.nl_._WI. $40 2 Notary Public .X................... cot.nty, Wis.
(Signatures may be authenticated or acknowledged. Both My Commission is pgrmanent. (If not, state expiration
are not necessary.) 19a.
date : ..a.. 19..Q0..)
'Names of persons sigriig in any capecity should be typed or printed below their signatures.
LAND CONTRACT - lndlvia-0 ar tl Corpors:o - Stata Bar Of 704tcn5in, Fenn No. 11 - 1982
r
S T C 105. r
a
H
SEPTIC TANK MAINTENANCE AGREEMENT o
St. Croix County z
d
a
H
OWNER /'B*W-CR Psi c 'ke 3 Mock -
ROUTE/BOX NUMBER Eoute -~41 Fire Number
CITY/STATE Wilson isconsin ZIP `l02 ?
PROPERTY LOCATION:SY; k, S,, Z, Section 11 T2,q_N, R1_W,
Town of CP, d3z , St. Croix County,
i
Subdivision Lot number
I
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes. Proper maintenance con-
sists 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 treat-
ment stage in the waste disposal system.
St. Croix. County residents may be eligible to receive a grant for
a maximum of 60% of the cost of replacement of a failing system,
which was in operation prior to July 1, 1978. St. Croix County
accepted this program in August of 1980, with the requirement that
owners of all new systems agree to keep their systems properly
maintained.
The property owner agrees to submit to St. Croix County Zoning a
certification form, signed by the owner and by a master plumber,
journeyman plumber, restricted plumber or a licensed pumper veri-
fying that (1) the on-site wastewater disposal system is in proper
operating condition 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. Ho
I/WE, the undersigned,, have read the above requirements and agree •(n
to maintain the private sewage disposal system in accordance with H
the standards set forth, herein, as set by the Wisconsin Depart- 'v
ment of. Natural Resources. Certification form must be completed
and returned to the St. Croix County Zoning Office within 30 days
of the three year expiration date.
SICNE1)
/ a
DATE December 27, 1988
St. Croix County Zoning Office
P.O. Box 98
Hammond, WI 54015
715-796-2235 or 715-425-8363
Sign,. date and return to above address.
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUJ'
INDUSTRY, - C L
P.O. BOX
LABOR AND PERCOLATION TESTS (115) MADISO
N WI 53i~
HOMAN RELATIONS
(H63.0911) & Chapter 145.045)
LOCATION: SECTION: TO /MUNICIPALITY: OT NO.: BLK. NO.: SUB ISION NAME:
t~t11 /T,6 N/R16 E ~d
k7_ /
COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS:
_6t ►ts
TR 6 ro >,c A c. k e K 6c tL
USE DATES OBSERVATIONS MADE
NO,BEDRiV-COMMER IAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS:
%Residence ❑New RReplace
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE:SYSTEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM: (optional)
If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the
under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST. I EST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
B- '70 q p 1U 0 / 2 L. TS • ;7- 17 ~?e ,1 4 9A.t/~Ja yG T,' ~r'~
B- 2- 7D q uZ6. N O C. e / 8 L TES lO ~ 7 JZ W• flew s, Z .
B-3 q 111 2 S a L•-fi'.S__ S- A'S /9' 48
B-
B- Ji - G' 2 0. L 'W/q-1V F6
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD1 PERIOD2 P R PERINCH
P- / 12 Al 0 30 / . , $
P- 2 I'~ o 80 /
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 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 6,
1[
t T'
s
r
4410
N
7__ - -
E
i
1 L _ &I.
[ ~ p 3 1 ~ E x a 1
E t
t -
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:
--S' s e e k Te- r- / / - y-'r I'
ADDRESS: CERTIFICATION NUMBER: PONE NUMBER (optional):
L L ~v 3 , a d G,/ ~4 Ae-k1d /Q0Aj er 5"S=S'S 8 5 3S 73 5//
CFV IGNATURE:
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
ulLHi;-SBU-6.195 (R. 02/82) - OVER -
1
INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395
To lac )fete and ;oil test, , .r report must ir)clude:
1 . C T1 des c
2. Tf wheth Jlis is a residence or co•. ~ project;
3, MAXI ; winoer of b Comm use plant ^d;
4. Is th ,Fla rr u;
5 suitability s. A SI i IS SUIT, FOR A HOLDING TANK ONLY IF ALL
OTHER >YSTEMS ARE OUT BASED ON SOIL ITIONS;
0. PLEASE use the abbrevir` . here for writing profi.:: iptions and completing the plot plan;
7. MAKE A LEGIBLE di-, wately locating your test -ns. Drawing to scale is preferred. A
separate sheet may b u - E i;
8. iM' jl<e your benchma ical elevation referee are clearly shown, and are pe
0. C( 'I qropriat( to dates, names, addre, d plain data, percolation test e,: "i P-
e;
10. n, elevation) does M Iac,a N.A. in the appropriate box;
1. l.; I address and your r - )rl number;
12 c ~.iies anc lbute as requir(A. ALL SOIL TESTS MUST BE FILED WITH THE
L_O ''-HORITY WITHIN 30 DAYS OF COMPLETION.
NS FOR CERTIFIED _ TESTER
T 0 als
st BR
Cols I~") SS - I ne
3") LS I
- HGV%' - - Iwater
C . Per<;
nd w .
- Bldg t tilt
Is - L ; GreU:
~sl - cam < Less Thy
Bn - Brown
sit - M1 BI - Blau k
- Gy
Y - 'Y" )vv
' .y L:-am R - f. ..I
Loarn mot Motd'es
S(- _ r y Clay vv/
sic - Si"y Clay f I I
-
C - ~I ly CC - c t
pt F ,t rim - V ~m
n - -k d - d
HYt1L - Hi~i`;
. oral soil le.xtures
waste disposal BM - B
VRP - V tit
State of Wisconsin ` Department of Industry, Labor and Human Relations
PRIVATE SEWAGE PLAN APPROVAL SAFETY & BUILDINGS DIVISION
Office of Division Codes and Application
201 Fast Washington Avenue
P.O. Box 7969
Madison, Wisconsin 53707
RFD CEDAR PLUMBING & 14 EATING Owner: MICKEY MOCK
1120 N. BROADWAY R.R. 1
MENOMONIE, WI 54751 WILSON, WI 54027
RE: Plan Number: SOB-04940 Date Approved: December 19, 1988
Gallons Per Day: 600 Date Received: December 12, 1988
Project Name: MOCK, MICKEY Location: SW,SW,SEC.11,28,15W
Town of CADY County: ST CROIX
Fees Received (Priority Review): 260.00
The plumbing plans and specifications for this project have been reviewed for
compliance with applicable code requirements. This approval is based on Chapter
145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are
stamped 'conditionally approved'. This approval is contingent upon compliance with
any stipulations shown on the plans. All items that are noted must be corrected.
All permits required by the city, village, township or county shall be obtained
prior to construction. The licensed plumber responsible for this installation
shall keep one set of plans with the department's approval stamp at the
construction site. The installer shall. notify the appropriate inspector when
inspections can be made.
This approval. will expire two years from the date approved or if a sanitary
permit is obtained, it will expire the day the initial sanitary permit expires.
The Section of Private Sewage has reviewed these plans for private sewage system code
requirements only. These plans have not been reviewed for the code requirements
set forth in Section IL.HR 82 for general plumbing or in Chapters 50-64 of the
Wisconsin Administrative code.
This approval is for the following components only:
REPLACEMENT PE'1"I'1'ION
- REPLACEMENT MOUND
Inquiries concerning thds approval may be made by calling (608) 266---3937.
I
SBD-6423 (R. 03/88)
State of Wisconsin ` Department of Industry, Labor and Human Relations
SAFETY & BUILDINGS DIVISION
RED CEDAR PLUMBING & HI.ATING
Page 2
Sincerely,
JAMES QUINLAN
Section of Private Sewage
Division of Safety and Buildings
PPP01.2/0009n/ 2
cc: MICKEY MOCK
.-Private Sewage Consultant ------County UW-...SSWMP Plumbing Consultant
-Owner Plumbe~^ ~ Gnvi~^onmental Health
i
i
j
i
i
I
SBD-6423 (R. 08/88)
State or Wisconsin \ Department of Industry, Labor and Human Relations
SAFETY & BUILDINGS DIVISION
December 19, 1988
201 E. Washington Avenue
P.O. Box 7969
Madison, Wisconsin 53707
Mickey Mock
Route 1
Wilson, WI 54027
Petition No. S88-04940-P
Dear Mr. Mock:
Re: Mickey Mock - Residence
Onsite Sewage System
SW,SW,11,28,15W
Town of Cady, St. Croix County, WI
Section 145.24 (1), Wisconsin Statutes, and s. ILHR 83.09 (2) (b), Wisconsin
Administrative Code, allow the owner to petition the department for a variance
to the installation for a onsite sewage system to replace an existing onsite
sewage system at a site which is not in full compliance with the siting
standards in the administrative rule. The system design proposed should
protect the waters of the state from contamination. If this system becomes a
failing system or contaminates the waters of the state, this variance shall be
rescinded.
The petition for a variance requested to s. ILHR 83.23 (1) (d) of the Wis.
Adm. Code was considered on December 13, 1988. The petition has been
conditionally approved. The condition being that in the event of failure, the
mound system shall be replaced with a holding tank or other off-lot system.
The rule requires that a mound system have a minimum of 24 inches of suitable
natural soil.
The variance requested was to install a replacement mound system on a site
with 12 inches of suitable natural soil.
All of the data and statements submitted on behalf of the petitioner were
considered. This variance is specific to the subject petition and cannot be
used for any additional modifications.
i ncerely,
ffichard MeYer JArchit Director, Offi sion
Codes and Ap(608) 266-3080
RM:JQ:1254g
cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa Falls
Thomas Nelson, Zoning Administrator - St. Croix County
Red Cedar Plumbing & Heating
SBD-6928 (R. 10/87)
f\~J bcnL,/D
rr
I
y o 3 r ti ro
N y s
ITT o N ~
71
7F `
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PAGE OF
PUMP CHAMBER CROSS SECTION AND SPECIFICATIOIUS
VENT CAP
`I"C.I. VENT PIPE ~
WEATHER PROOF APPROVED LOCKING
25' FROM DOOR, JUNCTION BOX MANHOLE COVE ~
WINDOW OR FRESH 12"MIU.
AIR INTAKE
I
GRADE I `i" MIN.
I ✓
CONDUIT--
18"MIN. Ilk,
Ih1LET PRQV4. yFF _ I -
ONSITE SSE'WAGE SYSTEN4;IRTIGH 1''•.
APPROVED JOINT AiA~L". O~s:!~! APPROVED JOINTS
/C.T. PIPE W/C.2. PIPE
W
EXTENDING 3' ALARM EXTENDING 3'
ONTO SOLID SOIL c r I ONTO SOLID SOIL
a I i~E
LATIO
QtNS ' I
r 3 IA !r. t
I oN
C[ th I f 1~ r: ri~ue~
iJeI' U~a Afe
I
ELEV. FT.
J OFF
CONCRETE BLOCK
RISER EXIT PERM17rED ONLY IF TANK MANUFACTURCR HAS SUCH APPROVAL
SPECIFICATIONS
DOS r~ I iC,..C•T 61 -
TANKS MANUFACTURER. V a ~ r i ~ 1JUMBER OF DOSES: r-"r(. DA-'l
TA"K `_IZE:_- 7._1?C- GALLOWJS DOSE VOLUME ~G51?
ALARM MANUFACTURER: S e4ec:,Tro'' 1 INCLUDING BACKFLOW: GALLONS
MODEL IJUMBER: 84 10 w CAPACITIES: A= 073'9 INCHES OR !5 r~51GALLONS
SWITCH TYPE: Re -fc..U r ~ ~ Z. 3Z
g =s ~ I N CHE S OR G/ LQO►JS _
PUMP MANUFACTURER: l 'ro rLkq-~''cc- C=INCHES OR 'C,AL6609 J
MODEL NUMBER: ~Q D=CINCHES OR GALLONS
SWITCH TYPE: Me rc-o cL. NOTE: PUMP AND ALARM ARE TO BE
MINIMUM DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. FEET
+ MMCINIMUM NETWORK SUPPLY PRESSURE , . . . . , . . . 2•`-~ FWE:
+ `J0 FEET OF FORCE MAIN X 3-'~_F~ T y~ ' ~loo FT.FRICTION FACTOR.. TOTAL DUNAMIC HEAD = F T' aJ
INTERNAL DIMENSIONS OF TANK: LENGTH ~
WIDTH ;LIQUID DEPTH
SIGNED: LICENSE KJUMBER: " ,666 DATE:-
Perforated Pipe Detail
0
En"Vi,,
)Perforated
"a'
End Cop PVC Pipe
1. Ja~,oeoe
Holes Located On Bottom,
S Are Equally Spaced
41
1
P S
PVC Force Main
w From Pump
PVC
Manifold Pipe
Distribution AHernote Position Of
Pipe Force Main From Pump
Lost Hole Should Be Next To End Cap
End Cap
Distribution Pipe Layout P 1//~
-7-v
S
X S 0'
Y _
Signed: Hole Diameter Inch
Lateral / JMLWInqh(es)-
License Nu ier: Manifold 2' Inches
Date: Force Main " Inches
It Tp q
Cook ~j
Straw, Marsh Hay, Or
Synthetic Covering
Distribution Pipe
Medium Sand
Topsoil - F
D
3 E
~e -7 e
Slope
2 Force Main Plowed
r Bed Of 2 z Layer
/ Aggregate From Pump
Ca p aZ Ft.
E Ft ,o
(;Foss Section Of A Mound System Using F f 7S Ft.
or The Absorption Area
k G / Ft.
A Ft. H Ft.
Signed: Z B~ Ft.
to S ~ K t. g~
License umber..:
Date: 0-2=c Ft.
1 N~
Alternate Position S /o2~ Ft. Fe 1 2
19
of Ft. g8
Force Man lrA
i Observation Pipe
- -
JA Force Main
W
ed Of ~,~--2
Distribution B 2
Pipe Aggregate
Observation Pipe Permanent Markers
Plan View of Mound Using A Bed For. The Absorption Area
• Features and Performance -
1" to 2" Solids Handling Submersibles
SP40A MAX. SOLIDS 11/4" SPHERE - 1750 RPM
SP40
24 •Oil-filled ball bearing motor Incorporates.
automatic reset thermal overload.
• High capacity non-clog two-vane Impeller
20 _ passes 1-1/4-inch solids. -
• Oil-isolated level control diaphragm
b switch is enclosed in watertight housing
18 mounted to pump.
0 •2-inch NPT discharge.
_ • All bolts and screws are stainless steel
12 to facilitate field service.
0 • Choice of automatic or manual in cast
6 iron or bronze construction.
FULL LOAD
4 AMPS AT 16 115V. -
9.4, AT 230V. 4.7
FULL LOAD
AMPS AT 36 230V.
2.72. AT 46OV. 1.36
0
0 20 40 60 80 100 120 .
U.S. GALLONS PER MINUTE
SP50 - MAX. SOLIDS "SPHERE - 1750 RPM - - - ~.j
SP50
28
_~it-fiats , heavy-duty ball-bearing motor.
• Enclosed, two-vane sewage type impeller
24 passes 1-1/2-inch solids.
• Oil-isolated level control diaphragm
switch is enclosed in watertight housing
20 mounted to pump.
W 'yA a Mechanical shaft seal with carbon and
t6 ceramic faces.
1 •2-inch or 3-inch NPT discharge.
- e Completely field serviceable with easily-
+2 removed stainiesa steel fasteners.
° • Automatic or manual in cast iron or
bronze.
6
FULL LOAD
~~~FFF 4 AMPS AT 16 115V.
12.0. AT 23oV. 6.0.
FULL D
AMPSLAT 86 230V.
3.8, AT 460V. 1.9
a0 2040 60 80 100 120 140 160 '
U.S. GALLONS PER MINUTE
24 SK50M - MAX. SOLIDS 2" SPHERE - 1550 RPM i
} SK50M
I
zo
• Non clog, two-vane, semi-open impeller
"o NP passes 2-inch solids. '
- • Pump-out vanes on rear shroud of
W 16 impeller prevent stringy material and grit
from building up in the seal area.
FULL LOAD , • Heavy-duty, oil-filled motor has'superior
12.0 12 AMPS AT 16115V. cooling and bearing lubrication for long,
_ trouble-free life. -
• Thermal overload protection is built j to I
6 motor windings. 71J X88
L~ - - - - • 2-inch or 3-inch NPT discharge:
• Cast Iron construction.
4
• 20-foot cord furnished as standard.
. 00. 10 20 30 40 50 60 70 so - - U.S. GALLONS PER MINUTE S s -o2 4 4 2 '
State of Wisconsin \ Department of Industry, Labor and Human Relations
SAFETY & BUILDINGS DIVISION
December 19, 1988 P201 E. Washington Avenue
.O. Box 7969
Madison, Wisconsin 53707
[dickey [lock
Route 1
Wilson, WI 54027
Petition No. S88-04940-P
Dear Fir. P1ock :
Re: [rickey [dock Residence
Onsite Sewage System
SW,SW,11,28,15W
Town of Cady, St. Croix County, WI
Section 145.24 (1), Wisconsin Statutes, and s. ILHR 83.U9 (2) (b), Wisconsin
Administrative Code, allow the owner to petition the department for a variance
to the installation for a onsite sewage system to replace an existing onsite
sewage system at a site which is not in full compliance with the siting
standards in the administrative rule. The systen design proposed should
protect the waters of the state from, contamination. If this system becomes a
failing system or contaminates the waters of the state, this variance shall be
rescinded.
The petition for a variance requested to s. ILIiR 83.23 (1) (d) of the Wis.
Adm. Code was considered on December 13, 1988. The petition has been
conditionally approved. The condition being that in the event of failure, the
round system shall be replaced with a holding tank or other off-lot system.
The rule requires that a mound system,: have a minimium of 24 inches of suitable
natural soil.
The variance requested was to install a replacement mound system on a site
with 12 inches of suitable natural soil.
All of the data and statements submitted on behalf of the petitioner were
considered. This variance is specific to the subject petition and cannot be
used for any additional modifications. 12
Sincerely,
~00~
kichard [Meyer, Architect
Director, Office of Division Codes and Application
(668) 266-3080
R[l:JQ:1254(1
cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa Fails
Thomas [gelson, Zoning Administrator - St. Croix County
SBD-8928 (R. 10/87) died Cedar Plumbing & iieati nq
r r
State of Wisconsin Department of Industry, Labor and Human Relations
'`'I, • ` i:{i'tt;s' i SAFETY & BUILDINGS DIVISION
I
r
SBD-6423 (R. 08/88)
I_
ST. CROIX COUNTY
6}~~1 WISCONSIN
{
{ ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54016
_ (715) 386-4680
November 7, 1988
Division of Safety and Buildings
Bureau of Plumbing
P. O. Box 7969
Madison, WI 53707
I
Dear Sir:
An on site investigation for the Mickey Mack property located in
the SW 1/4 of the SW 1/4 of Section 11, T28N-R15W, Town of
Cady, St. Croix County, revealed suitable soils at a depth of 12
inches, below which high groundwater was noted.
This site should be suitable for a mound system.
Should you have any questions regarding this subject, please feel
free to contact this office.
Sincerely,
0. fv' C~? ►h rs
Thomas C. Nelson
Zoning Administrator
TCN:rms