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T -3yN-R [.9 Q ADDRESS W bV un woo J ST. CROIX COUNTY, WISCONSIN 1h141 I IAV1� Jwi r5�• SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•I,HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 13 c-DRoorrll 0 33 / �j I I � I� I ' / i I 3 I � I I I IaL _a IV 180 BCD INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used CoRWK S (ab Alec BOX Elevation of vertical reference point: d0• 0 Proposed slope at site: SEPTIC TANK: Manufacturer: W c c k s Liquid Capacity: ZO ) Number of rings used: Tank manhole cover elevation: 101.90 Tank Inlet Elevation: Tank Outlet Elevation: 99-03 Number of feet from nearest Road: Front,O Side, Rear, O 350 feet From nearest property line Front,0 Side,O Rear,0 I y feet i Number rom: well opt, building: (Include th on of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear 0 Ft. Number of feet from well: Number of feet from building: Q (Include distances on plot plan). St�U� 4-So NeADeR 15.g3-9J�.�3 o� SOIL ABSORPTION SYSTEM vv.I0 y. i p Bed: Trench: I <I.-75 Width: 18 Lenth: b Number of Lines: 3 Area Built:VZ Fill depth to top of pipe: ©��y Q Number of feet from nearest property line: Front, 0 Side, O Rear,f'9%Ft . �y,s Number of feet from well: Not IN Number of feet from building: 41 (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Q Q Inspector: Dated: G l�C7 Plumber on job: Q/w•, 13 License Number: —�JT-R (3370 3/84:mj f feel 's tnfo�atJ DEPARTMEPJT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LA�OR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MADISON,WI 53707 NF%, Q NA-,S33,T30N-R19W }CONVENTIONAL ❑ALTERNATIVE State Plan l.D.Numb er: Q hf assigned) i Town a4 St. Jazeph El Holding Tank El In-Ground Pressure El Mound Count Counta Read E NAME O PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Dan He vten 1287 A,,tAowood TACU..e., Hudson, wI 54016 10 -a - Sc ' r/ 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: RichoAd Ha Fun6 i 1059 1St. Ctoix 112721 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.: IWARNING LABEL LOCKING COVER PROVDED. PROVIDED. .) 9-1 , 6Z AYES 1:1 NO 1 ❑YES kNO BEDDING. VENT DIA.. VENT MATL.: HIGH WATER NUMBER OF ROAD PROPERTY WELL: BUILDING.(VENT TO FRESH s� ALARM. FEET FROM tta LINE ^ AIR INLET YES O ❑YES ANO NEAREST �) DOSING CHAMBER: MANUFACTURER BEDDING. LIQUID CAPACITY I PUMP MODEL. PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED. ❑YES ❑NO Y NO ❑YES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPER] W L BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM `INE AIR INLET PUMP ON AND OFF) ❑YES NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATER AN M KING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH. LENGTH NO.OF DISTR.PI PE SPACING. COVER INSIUE DIA ttpliS LIQUID BED/TRENCH TRENCHES .iel MATERIAL: PIT DEPTH DIMENSIONS >✓o GRAVEL DEPTH FILL DEPTH �11'LISTII PIPF DISTR PIPE DISTR.PIPE MATERIAL. NO.DI NUMBER OF PROPERTY WELL BUILDING VENO FRESH B LOW PIPES ABUV COVER EV.INLET ELEV.END: PIPE FEET FROM LINE Q AIR F.T II � ��Q X011 NEAREST—► t MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- ❑YES meets the criteria for medium sand. TIONS MEASURED. ❑NO SOIL COVER ITEXTURE PERMANENT MARKERS OBSERVATION WELLS 1:1 YES 1:1 NO DYES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER. EDGES. DYES ❑NO OYES ONO OYES 1:1 NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH TRENCHES LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE IMANIFOLDMATERIAL. NO DISTR DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEVATION AND ELEV.' ELEV.. DIA.. ELEV. PIPES DIA.. DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES NO DYES 11 NO COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS. NUMBER OF PROPERTY WELL: BUILDING FEET FROM LINE 1 y3 1-1 YES ❑NO ❑YES ONO NEAREST '61 1D iifF t2 ID y t/8 01 Sketch System on � Retain in County file for audit. Reverse Side. G" C ITITLE. DILHR SBD 6710(R.01/82) zoning Adi1Linizttato1L t L ��LHR SANITARY PERMIT APPLICATION COUNTY. e In accord with ILHR 83.05,Wis.Adm. Code STATE SANITARY PERMIT# /ia d / —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. —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES ki NO PROPERTY OWNER PROPERTY LOCATION pAt'i '/a a, S 33 T 3 U N, R 11 E (or) PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BL UMBER SUB IVI ON NAME C Y, TATE ZIP,CO E PHO E N MBER CITY Nt, EST R AD,LA PAR LA�{pMARK s� VILLAGE : 0 0 j��+ kds II. TYPE OF BUILDING OR USE SERVED: — C4600_111F0 Number of Bedrooms if 1 or 2 Family -3 OR ❑ Public(Specify): e� p III. PURPOSE OF APPLICATION: (Check only one in#1. Check;!#2,3 or 4,if applicable) 1. a. �Iew b.❑ Replacement c. ❑ Replacement of d. El Reconnection of e.El 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.-ElConventional b. ❑Alternative C. ❑ Experimental 2. a. ❑System- b. ❑ Holding C.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. Seepage Bed b. ❑seepage Trench c. ❑Seepage it 2. PERCOLATION RATE 3. ABSORPTION AREA 14. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per i ch): REQUCs D�(Square Feet): PROPOSED(Square Feet): °7 r \� Il0 • 1 J Feet Private ❑Joint El Public VI. TANK CAPACITY Site in ga ons Total #of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App: Tanks Tanks structed Septic Tank or Holding Tank lob(.7 Lift Pump Tank/Siphon Chamber ❑ ❑ I ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber' Name(P int): Plumber's Signature:(No Stamps) MP/MPRSW No.: Business Phone Number: �ic DNS �0 7t 3' -70M PI mber's dres (Street,City V tat Zip Code): Name of De igner: 1 C 0)-) C, - Z3 Vlll. SOIL TEST INFORMATION Certified Soil fester( ST)Na CST# k4 y CST's DRESS(Stre t,City,St te,Zip CLA' Phone Number: b b S d s b 'T 5 3 — 3 IA. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee R�',ar qe ndwater ate Issuing Agent Signature(No Stamps) Approved ❑ Owner Given Initial ` Fee Adverse Determination - �.Od X. COMMENTS/REASONS FOR DISAPPROVAL: ICL�, G+Vn_\iXj bit h-)at �T 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 lo 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 iocation, estimated wastewater flow (number of bed- rooms, etc.), depth pf 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(sj should be pumped by a-licensed pumper whenever necessary, usually every 2 tb 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` I. Property owner's name and mailing address. Provide the legal description where the system is to be installed; 11. 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; 9 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 only 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; Vill. 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 81/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drayvn 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; 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. ---------------------. ---------------------------- -}- ------���-- -��_-------___-------------------------------'-----------w-------���- J. / s GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more f j commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill - Groundis� included the creation of surcharges (fees) for a number of regulated practices which Wisco tt1xS can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried iBs'35urf3 ° is used in your building is returned to the groundwater through your soil absorption u system or the disposal site used by your holding tank pumper. The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed i,n 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 �f'� /V e r'es't_ Location of property 1/4 !J/_A) /4, Section _�T, T_ N-Rw Township �iJS2 p Mailing address �� b 2 �/�QD Address of site ),I-p4a Subdivision name ,/Upvy2 Lot number gbh e Previous owner of property MalrmkI , he rwlGr C Total size of parcel L . 9RA G res Date parcel was created Are all corners and lot lines identifiable? _Yes No Is this property being developed for resale (spec house)? Yes �_No Volume gg and Page Number?70 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 references to a Certified Survey Map, the Certified Survey Map shall also be required. ------------------------------------------------------------------------------- PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warrant deed recorded in the Office of the County Register of Deeds as Document No. 4�?J-0 ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the co c 'on f aid system, and the same has been duly recorded in the Office o he y ister of Deeds, as Document No. gnature of Owner Signature of Co-Owner (If Applicable) I r U D o Signature Date of Signature ? �• �r WK dittlor i -9;30 A, : ? U ammor r "IS As aM ti/w► w�r.rs ptr■r.�e ale� a balaweb(ai 4"Na Ono*, t1Ma d wbinis tlas ww s =---- I t a3. (1h of St) in Section 28 ad d !Section 33, all in T30N, RIM, de- t Qmeneacing at W Corner of !!.3 lisstt tl- , 8890459E 255.3 feet = thedtoe continuing 9890459E 588.4 Iltr a[ a town rvdt A m 855'06'8 on said Sly bows road 11 ine-114 tt : . . 258.6 feet= th, - 974.3844 600.0 fasts !temps N12a101h 496.9 feet to place of ' AND, the Ely sae-half of that curt of the private ros&+ey described in the �! Deed from Darrel » Mr t and Beverly A. hart to Harry D. SdAm and Mwrgaz-b N. -Ady 31, 1972, req.1rI I &*nt 10, 1972, in Vol. 487, pegs 543, Doc. #31174 it wt of the afooedsecxibsd parcel of land. Tom= MTh!! and 8l>BJh m To a non-i easmmt ovor the entire private roadway described in said deed in Vbl. 487, + 343. iOQI@th�t W= and SLWWr so the mvvisions of the Road 1lgruesient and Be"- I d■M S.od■ber 1.6, 1977, v err 3 m I October 13, 1977, in Vbl. 562, cage 404, Doc. 1111 documents referenced herein are recorded in the Office of the megisber of . Tics 8t. Cxcix County, Wisconsin. � ,j y .... S" is vacant land. Itiallaer to /aaobm ft ft""If as/ b Pq to♦wrier a0ftd:G at »........... ........ Is No td wing mares: (a) $5s 1 is=aaatias of Nb Caatrad; and (b) w Wean of i 2$,QQQ.a.0Q......_............6080m wdtb bow"t1s,Amb harem an w bdi aabtam"t how time b tim at w raft of.... »�10 0�?................ sw asst ow reseal r as vu r m6 sa ham: Monthly cayments of $300.99 comum einr3 March 1 1988, and =i- timmittq on the let day of each succeeding month through and including the 60th Wnthly '{ m"W nt dun on February 1, 1993, at which time Pnrdmmw shall also nay an additional aeoi:ti equal to see-third (1/3rd) of the arincicel balance r minin g after said 60th Z S moettht-f os*vm* due Pbbntary 1, M. 1lte r+eaanining orinciaal balance shall thereafter + be paid in too installmacite, each also emml to one-third (1/3rd) of the =incical bal- �, atae ra minim after said 60th monthly payment due February 1, 1993, which instalLeerits !; be �d oavabl,e onWesl, and m4tigg 1, 1 5t tallment -all the owro., w be/rid b fvA w ar bdoro Nx.....--- .........�iq a[ Wow .1�. .. (w mMasiRy dato). �/� '! d�dng a w �IIt in Mymme4 bblMt abdd amm at w.*ft of,�11{.�...>< ba aanan M w astlra aamot Is ir■It (vUA aW bshmd%sith -6 Hmdtatisa,ddht*mm istwat sari, YNY seedaratbs r main*. an =Nha pftdgd deem). , Tawbawr,rein asnaad h VWAW,aerow to PW mm$W to Vander waosMs esffieied b PIW waaasa*aaAii W"mood tarn,ape"mmum lwr.fire isosraaa pmN wbw dm To w oft"ead bF♦aNdwo Tasir roses b new/a meft to d n obiiptisaa vise 4m Saab wmmft rassivsi by Na V=dW ter PapaaaR a[ or "Oak mmum Ma and raaeaw ma be ft em" bb m wwsw fssd K teseteo aossaM4 bat dm sot bar bow" .ei...lYaeww w*be�4 b.. P"me b aii be mv0d teat b ir""m tdr repaid bdanea M the raft a/oa W say On M edmb& L w emM of mW papsymaM,Nb a bract abdd not be t vMW as is detail wkb nepart to paym a M bas r Na vqmd badrsaa al prhm pd,asi I I (sad Is aaai woo anraias inumst hem msMb M malt dM be trmW r rapid priaipd) b bra Jas w ammM that MW b,dd dana weeM baw boss bah w nsn..3 pgma 1 bans nods as Am gpmm d aMMO: pwNad NM mmN1y patrlaaste aW be sesWlad is the prat of we&d a w paaanb r°- 1 isaaaasao r aastmsadm No wsda■sad poster trios Nmrsbw asdadsd bmOrsm Taaraaae atob*Nat Para aaae b satWW wit So tide as mows by w titb ffUm a asbnOW Is tarabasar far a■miaatlas Now No aeioisit may be, prepaid ran principal befo a January 1, 1992 without Wndoac'a written psnaissian. �e , of any amount of principal may be made only upon sitaultaneous payment of a um equal m and-half of one peroeat (0.58) of ;he entire xxommini g principal balance. ithe Purchaser understands that, upon its due date, the remaining balance under this Land wi 1 be fully due and payable, and the Purchaser is solely responsible for asnn to pat w oast of f 1- nibs oridasn. If We evil n*b in the fnm of m abdreek b ANN be ralaimd by Veadw vM8 w far panbaaa fries b paid. TWdb AM bowkitbd a tabu peaemaWa of w Prov.rty os.......... 4#M..l,......................... IeAL. �a...oa a... i„arl�aMrlfro!—iwswl avO slAIOR�!Ita wt N WXXVWN wwwia 1AFW ant Ow 1.L alwnMS w 1!�Nq rMNrwbw Mr. i �. n • r -s1�# ,� Y� Mai IN lima M { r -r, so 'E p lea, in Wad w«�4 oft an bnwr aerbmams s�rl�il��Oa .ben asp- �r r.�'.rr r�..c �'n be ad abo N..b.....*: M..r .�,r!n=M49 ya ..�dw of an wr..r Mr. � Ott w am W sommk lams oaaattl ra act or deft t at Praba.er. MA sm*it ... .t...................................:.. ........................�............. ..........._............_................................................_......._....... Poeebaaeg that dbr b of ra omwa aal (a) to de nowt of a drink in do popme t of sw pdadod er bAmat abbb ONAb a hr a PWM 09_&—&P Mewing dis eI Ifisi des dale or (b) in do amat at a M M IN of 4dM ablyatlaa at wbbi tbmm 9.r . of ...lqa ww.`.Mi, brN iii■ iy�i.�w+.�.t vM�i�)•aw Mtir..ara.ti.E Nwa aal wiamit sotiee t.v" >r waiom).awl Vosir aba/dw ban Vla A",and rum" ( ft 4 to say .. .1 .laaa r IMF or r opaityt tt Voadse mq, as 16 terminate :. a�iiwrsea@war the Peo�my b:aebeerb abrit feaait9aw t tbo doAs et IIS M�ai0 tap/aymjh a m Mftro --3--7L--j rM�sYY �PssYY yyrr '�:'.ftat en.ad ialsawlofberamsweNs�ssbmoawlr wbWeoawtar Pr�seb►��,�y��tai In K ((M) ysaisrtmar sme yerteetnaa *b of OMlwrt b immeiiHs aal- tb>1 NPtaaat of itlelealiag bslaase, wMb botmad tb& M at do raw in on"M i1t of iofark and ether am�r dm ,is wbbi 000at the Px"mty shall be moblesol at jeilidd and @bap be 11abb!rr ash lrArlwy or(W) wonder may ws at bow ter do mean aysY purobase�ii or aq tbssosf• (N) ViaMr spay Mara Mi Ooatraot aR an and and rwoo " Cwhsstasad"d Y/a to a et 1M a wit btmmi t at Penman b`r�aati end (V Venire ow t of do M � awli! wbwam�ptipe� id rl MMI enreUt.iwr�lae7_/ md�m�ovid" Milan be adds[to pehnryal(a A "M N lrir � jalsatowl. VPen do osmmsasamwt or tits of say active of fersdesme of this Oral Plnabaar t ft tM aitpslain at of•amdwr orf tba bsm mead hta�ma.M son"tba sM14 �� a�[ft NNw o abair lbrd. - '—' *Mtn.iwo.and*erAts wbw w�YN A& Panbssar dien we - - --I e,sell or aeavey any Np) or interest in do h�ab M amamNt of aq et Pasbassr'Ie;iSbts� Centraet r ti eptios,b 'talm Masai�oor in�aanetyy ef�bsr vq wifMit Iba�rbe mtiYw osaamt of V ten oatetawlirs bSlaaa pgabN Under this CMtsaet i. fkA Pail is tai or as btMort b a Pita en amisamwt of Prrebomwe ialawt Mier thin Cestroet"lp m eeearNy ter M r.In as anent of nay$ad trawler,nab or aosesyanee without Vosior's written ooanMfr Iba entire MW;1a�abr �etW'CeaRrant shall beeano immediately iw and pay" in full,at Vesdoee spami w'd adln, tW Mar Payaowts When dw under any mortgage ottbtaadiag asaisst !bs hoPorfy t a (MSNt�W aesrtsose granted M Pardlasa) or Under as nob seeored tMwiehs at s"Fr"M of tbo ameUsts Mae duo order this Co)traet. Purchaser may� loe failn to do so and all payments so made by Pnrehaeer shall be aorsidersl ymaarw Vendor nay wahe Say default without waiving any other subsequent or prior default of Parebaear. All terms of 1Ns Oentraet @ball be binding open and inure to the boo" of they�, _@d le �olsa oaawlr (It wet as causer of Mo Prepeety do weans of Viler hr i@d to>»m.la r lrYOmMt hereof.) rib to the.subject Poemty sal.sews be Jain in tba Dated . ...... ......�t11........................... day of .......... ....... ... sass.. R.. 88..., R �. .>1i•K. ...(SEAL) (BRAL) MWiM H. PMlUnd� g......... * .D ............................. .. .... ........................................................... (SEAL) ..... . ...... --............................... ..................(S1L►L) • ............................... .......... .I..................... • AVTROUTIOATION ACKNOWLISDGMENT <o) ............................................................ STATIC OF WISCONSIN w. ................................................................................ ......ST:..CROIX............fit,, auth ntimted this ........day of............... ........... 19...... Personally came before me this ..ist....._lay Of ................................................................... .......... Ql) z'9:.L d..i d 8Dani tb Eabew named T1TLHeier en.. .................................. . �......... 15: YRYBSR STAT2 BAR O!WISCONSIN (If sot, .. ............................................... ..:s.a`-------- ---- ......................................... ;.: wthorbel M� 706.00.Wis. Stets.) .. ........... . --.�..°'• to me known to be the perwn$.......::..�e •` foregoing iaotraRlMt and acktawlodse . TNIa INSTRYMEP OMAIT[O av wi.l.].iaQi.J..Gins ........................................ sass, Nobry Pnblie St. Ct+oiix ` (Sigusturw may be authenticated or adtaewhdgr' o my Cemmiesien • are not necessary.) aim c- A791a ........... �t>...a.x........ ug. K4 •Itru of NM.war@ is was,•wetcr sir K v th.q .fetitun� ` L&MID arm• - . �x k" ,1 `` • t � r .dry.. � (�dr11lttrtLMrt11dtttag11dfnttt � ~�..' ! l�IllMta11dprlMlaattaawlr.ffl '�," All 7 i )OOOtipan0y ai NP IP 00rbr 111 dtallpd re�w /•— !t ( )O11otlpatotf0ltafral11dtarl�adlfaft! ---:"�1►1�1�. � �w 1 )W*w is amrr*AM are 11ulMlllpt11111d iva+d a1111111111ntwtb le tN11 Mehfw�e wiwwti_,`.;......,�" � '�! in111d111Aial d t tt. !1 ( )LdUw agn11s b Oa1r L 7: tiorlMNwNtllona+ 11oiuyaratal11Mlyf�r�Itl�t��•' 13 ( )Ldler dt11a provide tltla bww=pw oontract W**w proo jdw In the alnowlt d l ur — prin and ow11r�" 14 to 601111h 18n the poMoy and 11M ninon d the exi11tktg abotrw= 76 ( )The fW ww tg oontktgwwy I.dwlgad 6111ollowr.Nm amow"hpn L r. y`- him r119 bom %e %; due data from roars to !1 : Yam to a ;and =M ( )The 00Ik wkV HMn1N d pwaonal property are endudsd from sale: ; a Ttw lellewlrq IMmM)of pwmw pr�porty an kWuM in sale: r� f° tf �-� ( Its►andlar t11M11rwdwtfrlollowinp6oMlnpNtciN• ' v AN 6thM terms d said oorthaot shall nnlain wowtp11d and In full force and of hA•though fully 11M fofMl 111 Ult�la r IG A LEOALLY NNOUNO AMENOMENTTO LAUD ooNTPAa. .f F OaMd• 3 � ZN DAN {E 0.!A/ (Seller) k ? ) (Seller) w; THIS AMENDMENT SHOULD BE ATTACHED TO THE OFFER TO p jpo4A . � ' 1 . . �~..+ .= .w, •l.•.. -:.ti'Y�{l..''I•• ,•Y ��'R.I:q�JW..',:i.� .�.,,.� :Y.'v ,Y, � d•..,y+, '� I A �� w^V•MR .f <MdRWr.. . '..I�•. ll�A1.a`O�Yi,:+..a ... e.� ..v. �. a.+..ay.,r+ . •%"°• .ice, /I� l t"; ' f ' '�] ... � F•�'f �j � C."i (a--t_!.!-Y2�� C}'_ �7'. ti 'Ur/ L. ! � I r / f ALE'FOR QUARTERS Each side large Is ue squares m tb chains, 40° 6¢0 leg4r/tlron-o('squore 0 scree. " " 400Ft;t Inch Each site wioll red squares 2.5 chains, 10 rods 5 feet. area�011 square,.6Z5 of 1 acre 'I tr' aw .��! ,'!' ! •vdl, r �� �-,:a� _,1!)Jllt�• > ' °I�� <ICi ,fin ` l Mr �•� ': ' , 4l �'•S ��_ 1 ;, �•, <,I�,w 1t►,l a •y� ^y ...S C Y____ < r.';,` 7+,., E; I I • X11 � � J���f'/ �; •Sar �,'' 'A IT ,t.. r. I _ �f4 `� .._ I_ •�_ � ATP'• } ,' .._-•---- �. :, :. , - - _ �2Gp . 1 I to • '�/•may,'� �'�--�.. 1 i i I• f. r S T C - 105 r r SEPTIC _ MAINTENANCE AGREEMENT � St . Croix County ° v , ff OWNER/BUYER ,[r► 1 - 1`ErPn m ' ROUTE/BOX NUMBER lags ArrO&OCO.J -rra.ci Fire Number CITY/STATE H11, ACoh PVT SY0110 ZIP a ti. PROPERTY LOCATION : %4 , VV `-4i., Section_33 -P ' 30 m , i49 _W ' Town c;t �dSP St . Croix County , 1 Subdivision Lot number Improper use and maintenance of your septic system could result in its premature failure; to handle wastes . Proper maintenance 'cun sists of pumping out the septic tank every three years or sooner , if needed , by a licensed se{ tic tank LmLer . What you put intu the system can affect the function of the, SVI,tic tank as a treat 'j ment stage In the waste disposal system . St . 'Croix . County res"idents maw 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 July 1 , 1978 . . St . Croix County accepted this �program, in ,August of I980; with the requlrument that x,q' owners of all new ms a s stere:e to keel) their Y .._ b 'I systems properly maintained . , The property owner agrees to submit to 5t . Croix County Zoning a `` } certification form, signed by the owner and by a master plumber , journeyman plumber, restricted plumber 0 a licensed 1)um1)er v e r i fyinb 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 f.urm will be sent approximately 30 days prior to three year expiration . •� 0 I/WE , the undersigned , have read the above requirements and agree N to maintain the private sewage disposal system in accordance with x the- standards set forth , herein , as set by the Wisconsin Depart- ment- of Natural Resources . Certification f m must be completed and returned to the St Croix County "Loniug 0 ice within 30 days of the three year expiration date . r' SIGNED DATE St . Crjoix County Zoning Office P- 0 . fox 98 r Nanimorld , WI 54015 715-7c:6-2239 or 715-425-8363 Sign ; date and return to above address . DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 7969 HUMAN RELATIONS (H63.090)& Chapter 145.045) LOW TIC1, SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: �/ / 33 /T3o H/R/��L(or ZAILING COUNTY: OWNER'S BUYER'S NAME: ADDRESS: �-f,+^o, A,v �dsv USE DATES OBSERVATIONS MA E rr��� NO.BEDRMS.: COMMERCIAL D CRIPTION: PROFI E C IPTIONS: ER ATI N TESTS: v�l/tesidencelew ❑Replace / , RATING:S=Site suitable for sy✓stem U=Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL rEl OLDING TANK:RECOMMENDED SYSTEM:(optional) ffs ❑u 10s ❑up s [_]U IDS RM s IOU �o h lrMh�^�► If Percolation Tests are NOT required DESIGN RATE: �j If any portion of the tested area is in the ,r p under sIH63.09(5)(b),indicate: /' Floodplain, indicate Floodplain elevation: (/U PROFILE DESCRIPTIONS BORING TOTA DEPTH TO GROUNDWATER-INCHES HARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ji ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) L'7 C{i, .' �y c/ 4( 7 a,, ,f/3 Q.rs� 3 .,fs p•- w yc/ B- ye/ Z O , / D SS'f3�� /,�1.B B- 7. 9� �S 7 a yt 6),2 5.k,- f f 83 S B- 3 /`�,75� �,s `S'r'�ll 2,,IOGyc; , 58',3�,5/i, �'(�•,�s��, 3, sish C-s U 7 �:5r/ B- 7 D, i 7/V l r,Z S n *If ge,1,4.0 017-11 a 04er 11n -C ID'S 2.83 C S W yC) eP �5, 55 50-- $nfr�a' PERCOLATION TESTS TEST DEPT WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER I-0LG+ AFTERS ELLING INTERVAL-MIN. PERIOD t P�SOD2 PER O PER INC P i IN P- r 0 I 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 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 -75 ��'IV uti�; ► �. , j � 1 l � 1.• 1 t EE 4 If qd _.. 1 a r( X J N N Py 3 <"J 1 0 0.4 I 3 r i I,the undersigned,hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME(pr' t1: TESTS WER CO PLETED ON:Aar �, If I /3 �V ADDRESS: CERTIFICATION NUMBER: P ON NUMBER 414 13 Teot4 5-l' CST SIGNA R p"f DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — -) OSS SECTI () I\l - 67 P. B. L. PLOT A N -\' O J E C T 13 L U M ILL 0 " NA M E `, L OCAT 10 NJ 5T: To�t� L I C E NI S E �-It- 0�53 --\4 .-d P -t Ott : WqT 1.5 +pf?- � (R tom 10 1?"te-t f Ran S,e P�, '. t D(z �j- Nofie AAIdAcvA IOU ) W015 AVA 3S CFACA] 30 Q()hj �'F12� as k,pa � � _6'�, � ,,\ yU, 01 Y 33 13) 0 Y-0 6A NIVI� f)lzoo M ism C-1-tN. 0, F-F--"bo)C-5 X B rel Sop 160,ol F R ESII AND OBSERVATIOU PIPE CrIzOSS SECTION Approved Vent Cap fitird GP-po� Minimum 12" Above of 4 " Cast Iron Above Pip "-- Vent Pipe To Final Gracie*---_. Marsh Hay Or Synthetic Cove ri ng ( Min. 2" Agg-i CJ' i 1.Over Pipe Tee Pipe DistribuL i24>- Aggregate Perforated Pipe Below - Dencath Pipe —Coi.ipling Terming Ling At ljoLt:om of System