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HomeMy WebLinkAbout020-1411-02-000.sin Department of Commerce PRIVATE SEWAGE SYSTEM y and Building Division ' INSPECTION REPORT uENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes fPrivacv Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township LaCasse Develo ment Hudson Townshi CST BM Ele v Insp. BM EIev: BM Descri tion: //'' ~( Jn~ ~`y, TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic `kJQ/ t / ~/ / Dosing (1 ~ Aeration ~ ~ r r Holding TANK SETBACK INFORMATION TANK TO P L WEI,LI h D BLDG. Vent to Air Intake ~- ROAD Septic Z i or r _ „D C~'D Dosing 6 ~ ~ ~ ~~ Aeration _-- - -- - Holding ,~ PUMP/SIPHON INFORMATION Manufacturer / Demand ~ ~ (_,q GPM Model Number // '' 11 W~~~ ~~ TDH Li~ ~ ~ Friction Loss System Head TDH Ft Forcemain Length Dia. ~„ Dist, toW~ ~ ~ fne~ s ~ 6 SOIL ABSORPTION SYSTEM ELEVA710N DATA County: St. CroiX Sanitary Permit No: 430002 0 State Plan ID No: Parcel Tax No: , I (, ~ ~ ,~ 020- T1144-02-000 Sedion/Town/Range/Map No: 13.29.19. Z~ ST TI.O,N /L ~ BS . HI' ~ FS / E,4EV~ Benc ma k~ ~ ~• s f>36-~ ?~~' v Alt. D(o. ~~ Bldg. Sewer ~ /~~1~ ~x~w !~• . p SVHt Inlet /~ 7 ~ /, r~~ 9 7 , d t Outlet ~? / ~Y ~7 Dt Inlet 2 3, g y 3 / Dt BottomBottom Header/Man. TJ S •5 /1/•/7 Dist. Pipe Bot. System 7 Go, -! < ~" Final Grade . 05 /p2_ ~ St Cover ~9 0~ BED/TRENCH DIMENSIONS Width ~ / t Y- Length No. Of Tre~ s PIT DIMEN NS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P/L BLDG WEL LAKE/STREAM LEACHING CHAMBER O Manu tur ~ GC'~ ~ ~~ Ty e Of System: ?/~1 r /'~ / ~ UNIT Model Number: DISTRIBUTION SYSTEM cam- wst~',~-l~,~u~ll~ . tfh Yt i7T'~ D~~ ~' Header/Manifold (~ Distribution ~ PiPe(s) ~ ~ ~ ~ x Hole Size x Hole Spacing - Ven to Air Intake ~ L th Di th~~ Di L y~S '~~ ~ ~~ eng a eng a pacing SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Svstems Only Depth Over BedlTrench Center ~ ~~ Depth Over Bed/Trench Edges xx Depth of Topsoil xx Seeded/Sodded xx Mulched [~ Yes ~ No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ /~/ /~~ Inspection #2: / Location: 848 Hillside Trail Hudson, WI 54016 (NE 1/4 SW 1/4 13 T29N R19W) Alexander Meadows Lot 2` Parcel No: 13.29.19. ~5~'~- 1.)Alt BM Description = SyS'7~~ ~ ~ ~'t~-d ~~j ~ ~ °`~'r G~d~l-rte 2.) Bldg sewer length = ~f,~/ / / - amount of cover = ~ ~~2U~92`Gt ~ ~~~ ~.," _ / k~ ~~~~L~. ~' q,fitiwtQ GG~/~f,~ ~~~~ Plan revision Required? ;•~s [~ No ~ -\ (~ Use other side for additional information. ~_ ~~ ~ i SBD-6710 (R.3l97) Date Insepctor's Signature Cert. No. e .~ ~~~~~ Safety and Buildings Division C~ntY , ` m ~ 201 W. Washington Ave., P.O. Box 7082 ~ ,S~O~~,~ Madison, WI 53707 - ?082 Sanitary Permit Number (to be filled in by Co.) De artment of Commerce (608) 261546 O~~ l ~ - Sanitary Permit Application State Plan I.D. N~ [n accord with Comm 83.21, Wis. Adm. Code, personal information you provide ~ may be used for secondary purposes Privacy Law, s-5. c ~ C ~ t f C n G G V G LJ jest Address (if different than mailing address) i. Application Information -Please Print All Information Property Owner's Name P I # I.ot # Block # _ NT Y - - pZ --~v Property Owner's Mai ing Ad rest LO N I N G OFFICE Location 7T / Secuon ~~ ~~~ ~ City, S ~ Zip Code Phone Number ~ •' __~t_.ti v -~ ~ircle cog) T N; R E or II. Type of Building (check all that apply) ~ ~ ~ ~ ~ 1 or 2 Family Dwelling - Number of Bedrooms ~ ~~ Subdivision Name 6SA4-Tlumber ^ PublidCommercial- Descn'be Use ^ State Owned - Descn'be Use Z T (~ ~~ ~~ ^City ^Villa ~7'ownship of III. T ype of Permit: (Check only one box on line A. Complete line B if applicable) A' New System ^ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System B • ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Lcsued Before Expiration Plumber Owner IV. T of POWTS S stem: Check all that a 1 Non -Pressurized 1n-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurizod In-Groyhd ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media FilterL,Y,'Lea/thing Chamber ^ Drip ine ^ Gravel-1 ipe ^ er ex sin V. Dis ersaVTreatment Area Information: K I . ( -~ Design Flow (gpd) ign Soil Application Rate( dsfj Dispersal Area Required (s Dispersal Area Proposed (sf) System Elevation ~' 8' / VI. Tank Info Capacity in Total Number tu ac Manuf Prefab Site Steel Fiber Plastic Galbns Gallons of Units / ~ ~ ~ ~'~"~ ` A. /~ Concrete Constructed Glass New Existing G ! Tanks Tanks Septic or Holding Tank Aerobic Treattaetu Unh Dosing Chamber VII. Responsibility Statement- 1, the understgoed, as ume responsibility for installation of the POWTS shown on the attached plans. Plum ame Print)t~ Plumb 's Si MP/MPRS Number Business Phone Number r_ Plumber' Address (Strcet, City, te, Zip e ~~ _ ~ / 1 VIII. oun /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date sued suing A nt Signs a (N ps) Surcharge Fce) (/U ~ ~ ~ ~ '~ ~ 2 ^ Owner Given Reason for Denial 7 p '' '" I~X. Conditions of ApprovaVReasons for Di appr/o,~al ~ ~ ,,~-~ ~ ~ ~~~~ c~~~ 0~~, sy.~., .,. 8 3 • r L` r~~d vet. ~otu~ l`'l~ ~ " l~- 3 ~'1,ltitiTr~A.t~,~.. ~~~i~%~t~/ GGa- ~d~~.~/>~-/~ ~` ""_ G~~~/!~/ Attacq complete plags (to the Coagty ogly) for the system aq paper not test tgaa arrz z t 1 [ncpes to size 2~ •t.. SBD-6398 (R. 08/02) ~ O ~vy \ ~ ~_ O / `~` ~ p J ~ 'z _ a ~ - _ __ w -~ Gy ~ ~- 1 _ _ ~~i-- N` ~ ~ I ~ O ,~. (`,J W_. _. ~~ _ A e ~ ~ ~"'~ i ~\ ,_ ~, ~ .~ ~\ _,_ ~ ~, ~ ~' __ ~- ~ ~, w ~ _ _~, ~ ~ ~' ~ _ ~- ~ ~s _~ ~ - I ~..~ ~ ~ ~_ a ~. s- ~ ~' SJ ~ ~ 11 ~ `~., ~ ~ a ~ ~ a, ~ ~ ~ ~ v` ;- ~'v.' p~ ~. I~ ~--- Q ~- ~y,.. ~ ~ _ ~ n~~ ~ ~ _ ~ £ ; ~. -,____ - 8 a ~ _ _ ~ __ /_ _y I ., .~ ' ~, ~ ~ \ ~` - ~v ~c ~~ ~ ~ ~ ~ a ~. ~- c__. ti- ~ ~ o ~~ ~~~~~~~ ~~ ~- ~~ ~ ~ J ~~ ~=~ ~~ ~ 5~ ~ ~~ ~~• ~ ~ ~ ~~__ o a - ~ - ~ ~ ~l - ~~ ~ ~, ~ ~ ~ v a ~ ~ f ~ ~- I ,V / ~, V S (J~, ~ ~ ~ ~ ~~\ ~ ~ ~ ~ ~ ~-cc w ~ ~ ~~ ~ N ~ ~ ~ ---- - _ ~ ~ I ~ ~~ 0 w ~., _ _ W e _I ~. ~, ~\ 2 „ Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings ~~ xrnrrianro wifh Rrvnm A5 Wie Arun Crv1o 1040 page 1 of 3 Steel Sal Service County Attach complete site plan on paper not less than 8'h x 11 irrctres in s¢e. Plan must St. CfODC inGude, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. OZG - /~~Ii -Cb~Pe~~ Please print all information. R Date Personal infomwtion you provide maybe used for secondary purposes (Privacy L.aw, s. 15.04 (t) (m)). ~ 3 ~ 0 3 Property Owner = Prope ty Location LaCasse Devebpment , Inc. Govt. t NE 1/4 SW 1f4 S 13 T 29 N R 19 W Property Owner's Mailing Address " " A ~ ~ ~ ~ ? ~ 0 Lot # Block # Subd. Name or CSM# A 573 Cty Rd 2 na Alexander Meadows City State Zip C e Ph~e HI~~~rCOUNT !° C~' Village ~ Tawn Nearest Road Hudson WI 5401 7~'~~~-S~~E Hudson Alexander Rd. /_ New Construction Use: Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement ,Public or canmercial -Describe: Parent material Glacial Daft Flood plain elevation, if applicable na General comments and recommendations: system elevation 99.80 ft, trenches spaced and depth to code 3.50 ft bebw grade Boring # Boring I? 96 I Pit Ground Surtace elev. 103.30 ft. in. Depth to limiting factor ~ APplira6on Rate Horizon Depth Dominant Color Redox Description Texture Structure Cons~terx;e Boundary Roots GPD/ttZ *Eff#1 *Eff#2 1 0-7 10yr3/2 none sil 2msbk mfr cs 1f .5 .8 2 7-15 10yr4/4 none sicl 2msbk mfr cs 1f .4 .6 3 15-28 7.5yr4/4 none scl 2msbk mfr cs na .4 .6 4 28- 7.5yr4l4 none Is osg mvfr na na ~ .7~ ~~ 1.2 ~Z ~i Boring # - .' Boring ~: Pit Ground Surface elev. 103.30 ft. Depth to limiting factor 96 in. Soil Application Rate Ho on Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ft~ *Eff#1 *Eff#2 0-6 10yr3/2 none sil 2msbk mfr cs 1vF .5 .8 ?~ 6-15 10yr4/4 none sicl 2msbk mfr cs na .4 .6 15-27 7.5yr4/4 none scl 2msbk mfr cs na .4 .6 4 27-9 7.5yr4/4 none Is osg mvfr na na ~ 1.2 T 2 •, trrruent ~~ = tsc~u ~ su < 1zu mgrL and r ss >30 < 15U mglL * Effluent #2 = BODS< 30 mg/L and TSS <~0 mg/L :ST Name (Please Print) Signature: CST Number David J. Steel ~ ~ 248956 address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, Nevv Richmond, WI 54017 7/30/2002 175-246-5085 • pr~rty pWner LaCasse 6~relopment , Inc. Parcel lD # Pending Boring # Boring ' 103 00 th to De ft limitin factor . Pit Ground Surface elev. / p . g Horizon Depth Dominant Color Redox Description Texture Structure Consistence 1 0-8 10yr3/2 none sil 2msbk mfr 2 8-23 10yr4/4 none sicl 2msbk mfr ' 3 23-96 7.5yr4/4 none Is osg mvFr Page 2 of 3 96 in. Soil Application Rate undary Roots GPD/ftz 'Eff#1 'Etf#2 cs 1f .5 .8 cs na .4 .6 na na .7 1.2 a Boring # ~ Boring 90 101 De th to ft limitin factor 96 i /; Pit Ground Surface elev. . p . g n. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 'Etf#1 *Eff#2 1 0-10 10yr3/2 none sil 2msbk mfr cs 1f .5 .8 2 10-19 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 19-29 7.5yr4/4 none scl 2msbk mfr cs na .4 .6 4 29-96 7.5yr4/4 none Is osg mvfr na na .7 1.2 'Effluent #1 = BOD 5> 30 < 220 mg(L and TSS >30 < 150 mg/L 'Effluent #2 = BODS <30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or Borna # ~~ Boring - -- - - - r Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST-POWTSM LaCasse Dev., Inc. New Richmond, WI 54017 Lic. # 248956 NFU4,SW1/4,St3,T29,R19W (715) 246-6200 Town of Hudson, St. Croix Co. (715) 246=5085 .Alexander Meadows, Lot 2 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. ,Cey~~~ /~r= `~ ~ A = a~~i~rk £ J /DO.GOFi- Tap of /y' P'KP~'P~ l3or %~ f ~~' ~~ : /03.3°~` /~2= /o3.3pr'r ,B3s /o3,ooFr /3 ~ = ioi• 90 ~'~ Fr ~---~ 7-~°z S'1' CROIX CUUN`l'Y SLl''1'IC '!'fINIC MAIN'I'LNANCI? AGltl?LIvI~N'1' AND OWN1?ItSlll[' CI?lz'1'II~1CA'1'ION DORM Owner/Bttycr L~~~4r~S~ ,t;s1~~1o l ,. p~,~~-- Mailing Address _1~ 3 G 7~~~ t%t'~ ~ C7`~rz~~,~.(d~l.. I'roharly Address L (Vcriticaliou required liun- Planning Ucpa-Uucnl fi,r new cansUuclio Cit /State ' /~ Y ~#/' ~~ W L ____ 1 urccl Iclcnlilic;-lii,n Nnntl-cr _021- ~/ ~~-~ Z--.{~.~ LTGAL D)rSCRtI''L'ION -~- i'roherly Location ~ '/,, y,, 5cc, ~~, 'I' Z~, tJ-1t~~W, Town cif ~u ~5~~ s ,,r SuUdivision I~' (~..x A~ ~,o,~ , yyi,P~, „~ ,, ~, I_ol /l ~_. Certifier! Survey Mtth ~I tiVnrrunty llecd t'E Sher !louse ld yes ^ no Vc,luu-c 1'al;c ~l Voluntc I'ttgc ~E Lul liars itlcnli(inl,lc I~Yycs U no SYS'11!;M MAIN'1'1!,NANCL Improper use and ruainteuanceof yuiu scplic systen- caul,! -esult iu its p-cn,ature t~ilu-e to 1-andle wastes. I'roperntainlenauce consists of purnpiug out the acptlc took evc-y !lace yca~s or sooner, if necclccl by a liccuscd puu,pcr. Wlrat you put irtlo the system eau atI'cet the function of the scplic teak as a Ueaiu-cul singc in the waste disposal syslertt. The properly owner agrees to artbtnit Ia 5t. Croix 7.oniug 1)cparlntcnt a ccrlificalion form, signed by the owner and by a utast~rpiuutbcr, jounteyrnan pluntbcr, reslticlcd plu,ttbcr or a licensed puutpcr vet ifying tltal (1) the ou-silo wastcwat~erdisposal system is iu proper opcraliug coudilion and/or (2) alter inspection and pumping (if ncccssaty), tltc acetic tank is less than I/3 full of sludge. I/wc, the undersigned have read the above rcciuitcntcnls and agree to ntaiutain the private sewage disposal syslertt with lho standards set forth, hereirr, as set by .the Dcpatlntcut of Cnnuttcrce and the Deparlntcnl of Natural Rcsot-rces, Stale of Wisconsin. Cettificatiou slallug that your scplic syslertt has hero utaintaincd nwst be co~uplctcd and rctutncd to the Sl. Croix Courtly Zoni»g Office within 30 days of the tttrc year expiration date. SIGNA'I'UR Or AI'I'LICAN'I' I)A'1 Lt O~'yNI;R CLIt'I'Ih1CA'I'ION I (we) certify that all slalentents on this li,tnt a-c ttuc to fl,c I~cst of u,y (onr) knowledge. t (wc) am (are) the owner(s) of tl-e properly describ above, by vittuc of a warranty elccel tccutdccl iu Itcgis{cr of 1)cccls O[Iicc. S / ~d / 03 S NA'I'UItLt ~ AI'I'LICANZ' UATLt "**'6'~* Any i-eforntalion ll-at is n-is-tcprescutc~l n,ay tcsult iu the sanita-y I,ennit icing !evoker! by the Zouiug Department. ****** ** Iududc with lltis aF,lsllcetlon: a stamper! wa„ant}~ dcc-f Cro,_n tiie_i;c[*istcr of [3o cIs otTice. -: _ _ '. ~ _ .: s cohv:cf;` ,lac cw;iificci~sttrvc; ti-ni:~i~ t' fc,oncc is ~--ac~'Fi-i,lf-: warrai~ty~ced " 1'U1Y'1'S UWNLIl'S MANUr1L ~c NIANAGLMLN'1' PLAN rays l'.~i~ t ';{ ~ ~. FILE INFORI'~IATION Owner - Pc;rmit is b6 il>~`CTC:N PARAMETERS Number of bedrooms ~ o NA Number of Commercial Unit ANA Estimated flow averse ~ al/da Desi flow eak , Estimated x 1.5 al/da Soil A>>lic;ttion Rttte ~,II/d;l /ft IltllUent/lallulalt (~U;I~IIy MUlll~l~y /~Vl:l'ilb'~'M 1=•'at~, Uilx & Gruua~s (IOU) S:~U ntg/L biochemical Oxygen Dcmund (BODs) S22U ntg,/L Total Suspended Solids (TSS) <I50 m L Procreated Effluent Quality O NA Monthly Average** a~uchemicnl Oxygen Demand (bODs) _<1p Itt~/l. Total Suspended Solids (TSS) mg/L <:~U Fecal Coliform eometric mean ~ <IU' cfu/IOOInL Maximum Effluent Particle Size %v inch diameter MAINTENANCE SCHEDULE SYSTEM SPECYFIf I Se tic Tank Ca acit a! o NA ' Se tic Tank Manufacturer o NA Effluent Filter Manufacturer o NA ' Effluent Filter Model o NA Pum Tank Ca acit ul ~ NA Pum Tank Manufacturer ~ NA Pum Manufacturer NA Pum Model .,2x NA Pretreated Unit t.'r ,~;ulcl/<iruvol filter I:I Nr;ll I'ilt~~r I-I Muuhanir;ll Aur;Uion u W~~II;-n~l o Disinfection o Other; M anufucturer Dispersal Cell(s) ~Jn-ground (gravity) o in•ground (pressurized) o At•grade o Mound o Drip line o Other; + Values typical for domostlc (non.cpmmarcie{) wastewater and septic tank effluent. •+ Values typical for pretrostted wslstewuor. Service Event Service Fre acne Ins ect condition of tanks At least once ever o months cars Maximum 3 rs Pum out contents of tank , When combined sled a and scum a eels one third 'h of tank voles Ins ect die ersal cell s - At least once eve o months ears Maximum 3 r~ Chun effluent filter At least once ever o months Cur s (nsttcct punts, tnlntp controls & ;tl,lrln At least once ever u months o uur s ~'Nn flush lutbrals and ~ressurc test At least once ever o months o yeur~s) ~ NA Other; At least once ever o months o curs ~'NA Other: At least once ever o months o curs ,¢~NA ,. ,,; MAINTENANCE INSTRUCTIONS ' Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certificatiol Master Plumber; Master Plumber ResMcted Sewer, POWTS inspector; POWTS Maintainer; Septage Servicing Operator, Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on t ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to cr.eck for any ponding of effluent on the ground surface, The ponding of effluent on the ground stufaea tray indicate a failing condition and requires the immediate notification of the local regulatory authority. u' '~'~~ ~`~• ~ ~ ~ ' When the combined accumulation of sludge and scum in any tank equals one-third ('h) or more of the tank volume, the ent, contents of the tank shall be removed by a Soptllgc 5urvicing Operator and disposed of in accordance with ch, NR I I3, Wisconsin Administrative Code, The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer, .. A service roport shall be provided to the local ro~ul;ltory authority within 10 days of completion of any service event. START UP AND OPEKA'I'ION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that my impede the troatmont process and/or damage the dispersal call(s) If high conaenttag4na +u'o dotected hay the contents of the tanks(s) removed by a septage servicing operator prior to use. ,;;. Owner: ~~{ ~ ~.~ ,~v~ .nov.,~ ~~ N°Y°~or~ System start up shall not occur when soil conditions are frozen at the infiltrative surface, During power outages pump tanks may fill above normal high water levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over conks and dispersal ccllti, Do not drive or park over, or otherwise disturb or compucl. The area within 1S feet down slope of any mound or ut-grade soft absorption ure. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers;. disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONEMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with ch. Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage servicing Operator. • After pumping, al! tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and m~y be utilized for the location of a replacement soil absorption system, The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from.existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. o A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology, a holding tank may be installed as a last resort to replace the failed POWTS. ... ~" ~ he•s' -tras"nortiee -•evaluatezhto ' tifyA suit eplacemen rea. Upon failu •of a PO •a soi and~site""` ~~e al atio must pe rmed t orate suit le reply men rea. If n reply ent are ailable a h din ,. to may called as a esort to re ace the failed POWTS. o Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomut at the infiltrative surface, Reconstructions of such systems must comply with the rules in effect at the time. ~, .. «WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASES AND/OR INSUFFICIENT OXYGEN. DO,NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER A1~IY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTAL ` POWTS MAINTAINER Name Name Phone '' Phone SEPTAGE SERVICING OPERATOR PUMPER) LOCAL REGULAT Y AUT ORITY Name Phone ,,. `;;~ . Name > - ~ ;,, Phone Document Numb STATE BAR OF WISCONSIN FORM 11 - 1982 LAND CONTRACT Individual and Corporate (TO BE U5ED FOR ALL TRANSACTIONS WHERE OVER S25,000 IS FINANCED AND 1N OTHER NON-CONSUMER _ _ ACT TRANSACTIONS) :,:. CONTRACT, by and_between; Renee E. Spott,'a single woman ("Vendor", whether one or more) and I.aCasse Development, Inc. ("Purchaser", whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full performance 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: Area Name and Return Address Kristina Ogland Estreen & Ogland P.O. Box 359 Hudson, WI 54016 20-1017-70-000; 20-1017-50; and part of 20-1018-20 (Parcel Identification Number) All that part of the North half of,the Southwest Quarter (N 1./2 of SW 1/4) and the Northwest Quarter of the Southeast Quarter (NW 1/4 of SE 1/4) of Section 13, Township 29 North, Range 19 West located North of the railroad right-of-way and West of Alexander Road. This is homestead property. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at any reasonahtP in~,.ra~~ the sum of $ ' in the following manner: (a) $ _ at the execution of this Contract; and (b) the balance of $ ,together with interest from date hereof on the balance outstanding from time to time at the rate of _ % percent per annum until paid in full, as follows: - - - - ---- provided, however, the entire outstanding balance shall be paid in full on or before the tl day of _ _ _ _ (the maturity date). Following any default in payment, interest shall accrue at the rate of 8 % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required .insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Suc)z amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow and or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amflunt +ney-~be-pr$paid-wit~hox~~etn-of-€ee-upon-peit3ejpal-st-auk dime-a€ter (OR) there may be no prepayment of principal without permission of Vendor.* except as provi a in ddendum 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 here from. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest end 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- ,~nded coverage perils and such other hazards as Vendor may require, without co-insurance, through insuxers approved by Vendor, in the sum of $ full Insured value ,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 111 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 no't'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 Wazranty 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: municipal and zoning ordinances, easements and restrletions of record Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of 30 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 30 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: (i) Vendor may, at his option, terminate this contract and Purchaser's rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from the date of default at the rate. in effect on such date and other amounts due hereunder (in which event all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if purchaser fails to redeem); or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other,amounts due hereunder, 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 deelaze this Contract at an irnd 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 Kaye Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in- curred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendency of such action, and such rents, issues and profits when so collected shall be held and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchaser's rights under this Contract or by option, long-term lease or in any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to do. so and all-payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof.) Dated this 24th day of July LaCasse De ent, I,,nc~~ '~ ~.-IL_~~ Al~~_ (SEAL) * Richard W. LaCasse, President Vendor (SEAL) Vendor AUTHENTICATION Signature(s) Renee E. Spott authenticated this ,~,y~`day of . ,j ~~, ,2002 L * ith A. Remington zoo2 (SEAL) * Renee E. Spott Purchaser (SEAL) * Purchaser ACKNOWLEDGMENT STATE OF WISCONSIN ST. CROIX COUNTY ss. Personally came before me this 24th day of July , -2002 the above named Richard W. LaCasse, President of LaCasse Development, Inc. r. __ N DE M E:AD VV • re , u . ~ . N1/4 OF TH 3 pE $1N7/4, PART OF THE NE1/4 OF THE S'W1/4, AND PART OF T 3 T29~ R19NV; TONVIV OF H~,JDSON $T.CROIX COUNTY, WISCONSIN. I ~~Q~1U~ I 41 ny.uT 430.01' I 40.21 4 100' i I 66 ~_____ i__ ~_-I OUTBUILDINGS I ~~ ~~ ! __--• ' ~ _ I WELL EXISTING DRIVEWAY I ~ BARN n - . I +J I' ~------I I ~ I~ ~ LOT 1 I ~ I LOT 3 ~ 3.510 ACRES O ,~ (152,891 SQ. FT.) I ~`, 2.696 ACRES r-- ~ ~~ (117,456 SQ. FrJ ~ I L.8.0. =960.0 ~~ I ~ ~I ~~ ,• i ~ 4~ • HOUSC~ f WELL ~ ~/ ( ~~ ~ N89°3T24"E 430.01' ,l~ H.W.E, a 956.a (~i ~~p- ~~ sroRM I W; et 7,~t j WATER I 0~ ^ / RETENTION ~I O ~.~ AREA I ~ ~ ~~l __.~.._._._. _.___.___,,~, y" ~. •••••. T ~ I . ~ ~,` ' • • ~ ... tnQ fi ............. i Z C~ 1! ~\~ ` - S87°39'38"W 336.41' ~ p .~~ 6 ''\ ~'' 0 ~- ~ ~ ~ N87°39'38"E 334.45 ' Z ,- ~ 195,44_ • ~ ~ ' `~ .l SING F~4M1 LOT # LOT 1 LOT 2 LOT 3 LOT 4 LOT 5 LOT 6 LOT 7 LOT 8 LOT 9 LOT 10 LOT 11 LOT 13 LOT 14 LOT 15 LOT 16 lOT 17 LOT 18 LOT 19 TOTAL AVERAGE O V>i O ~ CD y N O N a cnZD c3 D y o. W ~ r. Z O O 'o 0 3 m -+ 3 O m .Z1 fD C N 3 m D a a 0 v Z 0 m tll O N O O ~- 3 W ~ ~ ~ ~ ~: o w ~ n ', y N typ ~v 0 v ~ ~ m eo .. ~. a ~ aD c°n _ y N O. N w ~ ~ 'o ~ c O O O y ~ ~ y ~ v v ~ d ~ ~ °- ~ rn M C Z Z ~ D ~ y y C 7. N fD ~. 7 O C a ~ ~ Q O '•" 3 y Z W c a 3 d o 3 ~ 3 n ~? 'a d _ -~ o G IV Q O ~ ~ ~ J "'I ~ N ~ N y N O ? °o v' N O c 3°Y~ o: N D X d a c~ ~! o~i a C0 G (/1 ~ ~ A Z tom'! -~ .'~ L! A Z O .. O m ~ 'w ~ Z A ~ ~ d MCI 0 ~• ~• O 0 ~y,,~ • v y R y A '~~ N W N O O W A w ;A Oq Opp ~ A ~° b H