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HomeMy WebLinkAbout020-1411-13-000i n y 0 3~ (7 C ~ ~ ~ O 3 ~ ~ ~; I ~~~ 3 ' 3 :~ I ~ ~ ~ n Z+ .. ~ ~~ m w o ° a n a w n°i ~ N• I ~ N '° ~"~ ? n~ p~ N ~ y N p~ j 7 d Oo C ~ C p ~ ~~ ~ r l N °~ 7 O n 7 ~ N ~ ~ ~ ~ \ 1 3 o s o ° i ~ c 3 ~ ~ v I ~ ~ D a m ~ ~ h a ,° i i ~ ~ lc °" w A N 2 i N i I ` ~ ~~ oNOCCN Q o ~ a ° ° n I • n o -I ~ a~ o c 3"c ~• I a . a ~ hl ~ ~ ~ ~ ~ ~ g ~ ~ D . ~ ° ~ I . Q ~° • ~ ~ „ ~ ° 3 3 m °' ro ~ ~- ~o ~ ! o Z ~~ m _ C W Z ~' ~ o o a o ~ ~~ ~ y ~ ^ N• w C ~ i .' a Z ~ ' D a i .1 A y C ~ iO oni a ~ ~ A ~ ~ .. Z ~ w ~ A ~ ~ cNO fl i ~z ,~ ~ ~ $ ~ ~ y < C G Z F a ~ I I ~ ~ = D I ~ ~ -o _ a n C: ~ ~ o o u,03 n'i c m ~ ~ Z a o Q, ~ rn N ~ ~ N ~ F ~ ~I (D ~ i ~ S y a ~~ Q~~ Q ~ ba `• s I -- ~ ~ i ~ i o ~ ti I o' ~ ~ ~ n A A I o :'~ I ~ ~i 00 I ~ O ~ ti w to ~ f n ° i ,o . o ! ,r Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township LaCasse Develo ment Hudsoy_n~,([~T~o~w.~nshi DST BM Elev: Insp. BM Elev: BM Description: .~~" - ^ ` f ANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic // __ tom/ Dosing ~ /~ ~/ ~~ - ~./~ AerationX Holding TANK SETBACK INFORMATION TANK TO /L o WELL S~ Co BLDG. • ~ Vent to Air Intake ~ ROAD Septic ~ ~~~ ((fit ~ O / Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Num r TDH Lift Loss System Head TDH Ft Force Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM Z/7 J r~ County: St. Croix Sanitary Permit No: 430692 0 State Plan ID No: Parcel Tax No: 020-1411-13-000 Section/Town/Range/Map No: 13.29.19.2583 STATION ~ BS HI FS ELEV. Benchmark p ~ 2 J' J jDS. /~D ~ Alt. BM o ~,~Sa.~a~ n b( ,10.26 Bldg. Sewer 03 ~ ~ ' Z SUHt Inlet v,•O ~ !.~ / SUHt Outlet S,C~ ~~ ~ r /~•2 !S= O Dtlnlet ~ ~- Dt Bottom Header n. / ~'. ~ Cf.~f Dist. Pipe ~• ~o Bot. System /I •~4 ~ 3.~ Final Grade std s s S J8 sae. i St Cover ~ r' 3-Z ~~~, ~ BED/TRENCH D M SION Width r Length t No. Of Tr ches PIT DIMENSI S No. Of Pits Inside Dia. Liquid Depth S I EN 3 ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE(STREAM LEACHING Manufe re{{.'~ INFORMATION CHAMBER O 7 d T Of S stem: y y , ~ i `~ / ~ '~O ~ ,~ UNIT Model Number: ~ 1 i DISTRIBUTION SYSTEM Haa~ar/Manifold / N Length~_ Dia Distribution / Pipe(s) (,~ q ~ Length Dia Spacing x Hole Size ~ x Hole Spacing /_ / ' SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Svstems Oniv Depth Over Bed/Trench Center ~f ~ I~R'~ e.(/ V - Depth Over Bed/Trench Edges xx Depth of Topsoil xx Seeded/Sodded i Yes L _] No xx Mulched Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/ 2 ~ Inspection #2: / / Location: 813 Hillside Trail Hudson, WI 54016 (NW 1/4 SW~1/4 113/T29~NJR19W) Alex~'~and~'e~0r M,,,,e((adows Lot n~ - Parcel No: 13.29.19".2583 1.) Alt BM Description = ~~~'n ~ Sll~~ /~-~"~~~'T~l~rn j ~ ~ ~~ v G( ~~~ "~''l~ 2.) Bldg sewer length = ~~ .-// c),rl"~v""' ~! ~,~0 ~ ~ ~' ~QQ~LL.<-L(_ -amount of cover = Plan revision Required? es No Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's Signature Vent to ntake Cert. No. Safety and Buildings Division Counh' , ` ~ ~ 20I W. Washington Ave., P.O. Box 7082 ~• ,~~O~~I ~ Madison, WI 53707 - 7082 Sanitary Pennit Number (to be filled in by Co.) De artment of Commerce (608) 261-6546 0 (o ~ Z Sanitary Permit Application State Plan [.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy La , s ~ E I V E © Project Address (if different than mailing address) I. Application Information -Please Print All Information ~ ,, /' / Property 's Name / Parcel # Lot # ~ •Baeelr.# ~ / i o20 - I 3-~ ~ X5$3 Property Owner's Maili ng Address ZONING OFFICE Property Location [f J" ~'/ ~'/ Section / j Ci ., ., , ~ ty, a Zip Code Phone Number ~ ~~ (circle N; R~o ' ~ .+~. t I. Type of Building (check att that apply) S 1 or 2 Family Dwelling -Number of Bedrooms s Subdivis' n Name ~~ • ' ~m ~- ^ PubiidCommercial - Describe U e U ^ State Owned -Describe Use ~3 X S City ^Vil e,l~fo ship of III. Type of Permit: (Check only o e box on tine A. Comple line B if applicable) A' New S tem ys ^ R lacement S tem ep ys ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System B • ^ Permit Renewal ^ Pennit Revision ^ Change of ^ Permit Transfer to New List Previous Pennit Number and Date Lssued Before Expiration Plumber Owner IV. T e of POWTS S stem: Check all that a l Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter Leaching Chamber Drip Line ^ Gravel-less Pipe ^ Other ai ) V. Dis ersal/'Treatment Area Information: CfD -~ t"^~ Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Required (st) ~ Dispersal Area Propo ed (sf) tem Elevation ~~ ~ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank _ i ~L Aerobic Treatment Unit Dosing Chamber VII. Resp sibility Statement- I, the undersigned, some respo ility for installation of the POWTS shown on the attached plans. Plum ame Prinl)~ Plu er's ~ re~ < if /T /~/ MP/MPRS Number L Business Phone Number ,~ lumber's Address (Street, City, S e, Zip Code) w VIII. Coon /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued 1 suin Agent Signature o Stamps) ^ Owner Given Reason for Denial Surchazge Fee) ~-7-~ q ~~'~`' ^ . ~ I IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER; 1 Septic tank, ei~luent filter and dispersal cell must all be serviced /maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances Attach compkte pleas (to the Couuty only) for the system on paper not kss than 81R : I1 Inches In sift n ;Q~ ~~ SBD-6398 (R. 08/02) ~~Sc y~~<~~l3ojnri9f ~L ~~J~~ .;~ -sic/j rd'9~~~J I ' .s~ ~ s ~~ ~ / ~~k ~~ ~ ~~ ~~f ~~~~, / ~~~ ,,,~~~a~l.~ ~~~ ~4oQS~ZA !! `~~ .i ~ ~t~ ~t J~.PO~ttsz.o uJ~ a ~c,~,»/~~~-- ,G,.~ a~',~'~J~ - Jas" ~:i ~~~ ~ /~ - _,~ ~,3 X 80.X3 ~ - /3.;~ ~ ~9~0~ ~~/ _ ~/~ a,~ ~ ~ D~ ,a,~. C" ,3d5~ ~~ S~`~~~ ~_ -- -~ ~ ~ ~~ ~/ ~ ~E ~~ 1' /t~~~ / I / , .~ ~~~ ~~~ ,D~;Jc ~~r-~cf ~~ S ~ 8s;zq r/euS,~ ~~'~ ~~ ~~~ZO ~~ n ,„ ~. .~: ~ ~~~_ ~, „ , / ~~ s~~ /l -~~ ;3X~©_z3 ~ -~3~~- ~ f ' .ss J7 , S ~~ ~~ ~' ,fin, ~d7 ~. ~~ 1051 Wisconsin Departmento#Commerce SOIL EVALUATION REPORT page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Sal Service County Attach complete site plan on paper not less than 8'/2 x 11 inches in s¢e. Plan must St- Croa include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. O ZQ - ~ /~/ /9 ~ 32Nd Please print all info-maSon. Reviewed aevfcdlin Date Personal information you provide may be secondary purposes (Privacy Lax, s. 15.04 (t) (m)). ~~~(/YLl1~ 3~~ ~3 r Property Owner ~° Property Location LaCasse Development , Inc. Govt. Lot NW 1/4 SW 1/4 S 13 T 29 N R 19 W Property Owner's Mailing Address /~ ~ ~ j ~ 7 O ~ z Lot # Block # Subd. Name or CSM# 573 Cty Rd " A" 13 na Alexander Meadows City State ip Co~iTe pR~.Ntrm~ri y City °~~ Village Tam Nearest Road Hudson WI ONi i - Hudson Alexander Rd. Vi New Construction Use: i/; Residential !Number of bedrooms 4 Code derived design flaw rate 600 GPD Replacement ', Public or commercial -Describe: Parent material Glacial Drift Flood plain elevation, if applicable na General comments / and recommendations: system elevation 93.75 ft, trenches spaced an d depth to code 4.50 ft below grade r~/ Boring # _ !Boring ~ 96 } ' Pit Ground Surface elev. 98.25 ft. in. Depth to limiting factor Sot Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIftZ *Eff#1 *Eff#2 1 0-8 10yt3/2 none sil 2msbk mfr cs 1f .5 .9 2 8-16 10yr4/4 none sicl 2msbk mfr cs 1vf .4 .6 3 16-37 7.5yr4/4 none scl 2msbk mfr gw na ,4 .6 4 37-72 7.5yr4/4 none sUls 2msbk mfr gw na /.~ .9 5 7 -9 7.5yr4/6 none ms osg ml na na .7 1.2 ~r ~ G~`~ // 9z.~ Horizon # 4 has strat~ed layers ~~ , ld .2 ~ (, ~ " ^ Boring # Boring tr Pit Ground Surtace elev. 98.25 ft. Depth to IimRing factor 96 in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 1 0-10 10yr3/2 none sil 2msbk mfr cs 1f 2 10-27 10yr4/4 none sicl 2msbk mfr cs 1vf 3 27-41 7.5yr4/4 none scl 2msbk mfr gw na 4 41-70 7.5yr4/4 none sVls 2msbk mfr gw na 5 70-96 7.5yr4/6 none ms osg ml na na // ~~ 7 d h Horizon # 4 has stratified layers ~~~ ~~ Sys Sot Application Rate GPD/ft2 "Eff#1 I "Eff#2 .5 .9 .4 .6 .4 .6 .9 .7 1.2 tmuent ~ r = esvu 5> su < zzu mg~u ana r s~ >su < ~ 5U mglL • Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L SST Name (Please Print) Signature' CST Number 3avid J. Steel C2~„~~~~ 248956 address Steel Sal Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 8/2/2002 175-246-5085 • Property Owner LdCasse Development , Inc. Q Boring # _ w Boring ~~ Pit Ground Surface elev. Parcel ID # 95.95 pending ft. Depth to limiting factor 96 in. Page 2 of 3 Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP "Eff#1 "Etf#2 1 0-11 10yr3/2 none sil 2msbk mfr cs 1f .5 .9 2 11-23 10yr4/4 none sicl 2msbk mfr gw 1vf .4 .6 3 23-30 7.5yr5/6 none sl 1 csbk mfr gw na .4 .6 4 30-39 7.5yr4/4 none scl 2msbk mfr gw na .4 .6 5 39-72 7.5yr4/4 none sVls 2msbk mfr gw na .5 .9 6 72-96 7.5yr4/6 none ms osg ml na na .7 12 Hor¢on # 5 has stratified layers Boring # _ , ~ Boring ~; Pit Ground Surface elev. 95.95 ft. Depth to limiting factor 96 in. ~ Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= *Etf#1 "Efi#2 1 0-12 10yr3/2 none sil 2msbk mfr cs 1f .5 .9 2 12-29 10yr4/4 none sicl 2msbk mfr cs 1vf .4 .6 3 29-42 7.5yr4/4 none scl 2msbk mfr gw na .4 .6 4 42-96 7.5yr4/4 none sVls 2msbk mfr gw na .5 .9 Horizon # 4 has stratified layers * Effluent #1 = BOD s> 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 Boring # Boring _ __ _._ _ Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST-POWTSM LaCasse Dev., Inc. New Richmond, WI 54017 L1C. # 248956 NWl/4,SW1/4,S13,T29,R19W (715) 246-6200 Town of Hudson, St. Croix Co. (715) 246-5085 Alexander Meadows, Lot 13 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The Nation of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. i 2 `5 N 8' ~ 3~ ~l ~~~7~ ~ ~i~2' ~'L,~~~ C~I~) ~ ysr ~~ ~ f~ ~o~f' ~~.. ~l7.Zc$'J- ,.~ n, ~ ~,~ 5/0~ "s ~G ~ J~ = i,3{ncLi Mon~C ~'/. /Ov .Ovl`t ~'~, Gi9=~5f+- ®= A~~ ~3*`er~`ch~~~ ~r 1.9f5o1-'- -~a~, /~ A = $ar-iry5 ~f 1 _ ~~arihy t~le~ia~S ~j ~i = 9~ asF~ b "~~ ~' $3= cis-~~~~ QSc= 95~ 9~-~} /3~ E`,~i~~3'"` ~~ 1-(3/`^- 33` ~~ aa. LeT /~ ~2 0 5'~ POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page, or _~ FILE INFORM TION Owner Permit ~ ~2., ~ ~~ DESIaN PARAMETERS Number of Bedrooms ^ NA Number of Public Facility Units ~NA Estimated flow (average) al/da Design flow (peak(, (Estimated x 1.51 al/da Soil Application Rate al/da /ft~ Standard Influent/Effluent Quality Monthly average' Fats, Oil & Grease (FOG) 530 m~/L Biochemical Oxygen Demand (BODE) 5220 mg/L ^ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent duality Monthly average Biochemical Oxygen Demand (BOD61 530 mg/L Total Suspended Solids (TSS) 530 mg/L ^ NA Focal Coliform (geometric mean) 510° cfu/100m1 Maximum Effluent Particle Size Ye in dia. ^ NA Other: ^ NA "Values typical for domestic wastewater and septic tank effluent. SYSTEM SPECIFICATIONS Septic Tank Capacity al G NA Septic Tank Manufacturer ~" ^ NA Effluent Filter Manufacturer O NA Effluent Filter Modet Pump Tank Capacity gat G NA ~^;A Pump Tank Manufacturer ~ NA Pump Manufacturer ''` ANA Pump Model ~ ~ Q NA Pretreatment Unlt ^ Sand/Gravel Filter ^ Mechanical Aeration ^ Disinfection ^ Peat Filter ^ Wetland ^ Other: f~.~ NA Dispersal Ce(lls) ~In-Ground (gravity) ^ At-Grade ^ Drip-Line O NA ^ In-Ground (pressurized) ^ Mound ^ Other: _ Other ^ NA Other: ^ NA Other: ^ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condit}on of tank(s) At least once every: ^ month(s) (Maximum 3 years) ear s O NA Pump out contents of rankle) When combined sludge and scum equals one-third I>yl of tank volume ^ r~A Inspect dispersal ce(lls) At least once every: ~ ^ month(s)' IMaxlmum 3 years) earls( ^ NA Clean effluent filter At least once every: ~ ^ month(s) year(s) ^ ; iH. _ Inspect pump, pump controls & alarm At least once every: ^ month(s) ^ earls) •~LNA Flush laterals and pressure test At least once every: O monthls)~; t:: , • . ^ earls) ANA Other: At Ioast once every:. ^ month(s) O ear(s) p NA _ Other, U iA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following lioenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septago Servioing .Operator. ~ ~ank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any oracks or leaks, measure the volume of combined sludge and scum and to check for any back up or pending of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to cheek for any poncfin~ of effluent on the ground surface. The pending of otfluent on the ground surface may Indicate a failing oondition and require :tie immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum In any tank equals one-third IY,1 or more of the tank volume, the v ,tire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 13, Wisconsin Administrative Coda. `' ~ - All other services, including but not limited to the servicing of affluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service avant. GMW (4rJ1) ti { }: Pa9e~ of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tanklsl for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal celllsl. If high concentrations are detected have the contents of the tanklsl removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwatar levels. When power is restored the exec;# wastewater will by discharged to the dispersal cellla) In one large dose, overloading the oelllsl and may result In tM backup of wrfeo• dlacher~v 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 tanks and dispersal cells. Do not drive or park over, or otherwise disturb or Compact, the aruo within 15 feet down slope of any mound or at-grade soil absorption area. 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; herbicide;;;;meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine.. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the systerc properly and safely abandoned in compliance with chapter 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 grid properly disposed of by a Septage,Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers remOVed and the void space filled whit soil, gravel or another inert solid material. CONTINC3ENCY PLAN If the POWTS fails and cannot be repaired the folluwing muasurus Nava bean, or nwst be tukun, to providu a code comNlinnt replacement system: _ . ,,,-~ ,; ., ,. •~. A suitable replacement area has been evaluated and may 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 rnu~r comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWT technology a holding tank may be installed as a last resort to replace the failed POWTS. ~~ - - ~-- -~ ^ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that limo. < < WARNING > > , SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUM8TANCIE8. ~ DEATH MAY IRESULT. RE8CUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS ~__ w,,:.. r , POWTS INSTALLjER ~ ~ i"i POWTS MAINTAINER Name Phone ~'~, ~ Name Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Phone Name ~' ,:. Phone `r' . ' .. This document was drafted in compliance with chapter Comm 83.22(2)Ib)11)Id)&If) and 83.6411), 12) & (31, Wisconsin Administrative Code. ~~~ S'1' Cli;O1X CUUN'1'1' SLl''1'IC '1'flNK MAIN'1'LNANCL AGltl?1?ML~N`I' AND UWNI?1tS1111' C1?!Z'I'11~1CA'1'ION I~OItM Orvncr/i3uycf ~~G4133.~ ~~J.a.Gd~,~rw.'~"' Mnilitrg Address 1't'ol)arly Address (Vcriticaliou icquircd Boni Planning UcpaiUucnl tilt new constriction) .~ City/Slate _~i,~5,~@~~' ^ I'ttrccl Iclnntilic;ttiiiit N-in-I;cr _ OZD ' /~f//-~3`~~oZ5~3) LI~GAL DrSCRiI''I'ION 1'rol)erly Location N W '/,, _$W '/,, Sec. ~_, 'I' LQ t~I-lt ~ ~VV, 'l'awn of SuUdivisian ~~X, ~e.1~.4 .Lot ~f ~ !3. Cerdified Survey R~itrlr If __ _, Vt,luuic f 1'nge ~/ \Xlnt•~•r.•~/~r 71no~1 ~~ ~~~ 1`~ , v~)lnittC.' (933 1'itlja f~ O~~ Spec Douse ^ yes ~ no Lt,t lines idcnlitiatl,lc ~ yes ^ no SYS'1'L+'M MAIN'I'1!,NANC1~ Improper use acrd niaiutcuanccuf yuin septic syslcnE cuultl icsult in its ptcutaluie tiiilute to Candle wastes. Properrnaitrlenancc consists of purnping out the septic tank every ihtcc years or sourer, if ueeelect by a licenscdl pumper. What you put into. Ilre system eau atrcct the futtcllott of the septic teak as a ticainicnt stage iu the waste disposal systecu. IIEC properly owner agrees to subuEit to St. Croix 7.auiug I)epaitnicnt a ceititication form, signed by rile owner and by a uEaslprpluuEbcr, journeyruan plutiEber, restricted phunber or alicensed ptunper vcE ifyingthat (1) lire on-site wastewat~erdisposal syslenr is trt proper operating couditiwr and/ur (2) after Ittspcefiurt and puruplnl; (if necessary), tlEC aclrtic lank is less tlrau I/3 full of sludge. 1/wc, the undersigned Itavc read the above rcquitcntents and agree to nEaintain the private sewage dlaposal system wltlr fire standards act -forth, herein, as set by .the Departnicot of Lrnnuicrcc and the Ucpatlnicnt of Natural Kesourees, Stale of Wisconsin. CertlCtcatiou slating (hat your septic system has been nrainlaincd roust be cumplcted and rout ncd to the Sl. Croix County Zonhrg Office within 30 da Ilra lhr year expiration date. ~l~r/oy SIGNA'I L[ OP APPLICAN'T' UA'I-L~ OS'~INI!.R CIfiR'I'II~ICA'I'ION I (wc} certify liter all stalcnicuts un Iltis faint me ItUC to the bcsi of niy (our) knowlccll;c. the pro ty described above, by virUEC of a wauanly decd Eccotdccl iu Itcgislcr nC Uccds U(ticc. Si A'I'UItI? Q I'1'LICAt~iZ' I (wc) ant (are) the owner(s) of .Z / i/ra~ UATI? +**+++ ,arty inforEtration Ehad is ntis-tcpresculccl stay Ecsult in t1-e s;tni(aty penult being Eevokecl by IIEC Zoning ©epartmeul. **+*** *'* &rreludc tvitti tlEls ~l,l?llestiott: a slantpccl ~iraEianf~- dcccl Croin tii~.E?,,Fisicr of i3a~,Es oircc _ ' ~ _ - r ~ - -_ - ~_ s coly:r~," tl~c c:c.iificd~siira,e.~, tuni;~i~ fci~n~~ is uE.a~l'~itt;air~ t~ratiatty~ettl'~ -` 'J 193: i' 02 • STATE HAR OF WISCONSIN FORM 11 - 1982 LAND CONTRACT Individual and Corporate (TO BE USED FOR ALL TRANSACTIONS WFSERE OVER 525,000 IS FINANCED AND IN OTHER NON•CONSUM£R Document Number ACT TRANSACTIONS CONTRACT, by and between Renee E. 5pott, a single woman ("Vendor", whether one or more) and LaCasse 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. Crolz County, State of Wisconsin: E~849~5 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX C.O. , WI RECEIVED FOR RECORD 07-24-2002 12:30 PM ~rNVU l:l;,V'r rtHi; r i:ACMNT tr REC FEE: 15.00 TRANS FEE: 2545.60 COPY FEE: CERT COPY FEE: PAGES: 3 Area Name and Return Address Kristina Ogland Estreen 8c Ogtand P.O. Box 359 Hudson, WI 54016 20-1017-70-000;20-1017-SO;and part of 20-1018-20 (Parcel ]dentification Number) AlI 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 (l`lW i/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 reasonab-e location the sum of $ 533,178.00 in the following manner: (a) $ I at the execution of this Contract; and (b) the balance of $ 355,278.00 ,together with interest from date> hereof on the balance outstanding from time to time at the rate of seven (7) % percent per annum until paid in full, as follows: One payment of 5177,900.00 principal and accrued interest due January 3, 2003. Provided, however, the entire outstanding balance shall be paid in full on or before the third day of January 2004 (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 principa[ 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. Such amounts received by the Vendor for payment of taxes, assessments and Insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal.-Any acn©tint-mey-b~prapaid-wit~hoat~prert~retrrir-or'-fae-ttpcx*-Pritteipafst-enyfiene-a~€Eer (OR) there may be no prepayment of principal without permission of Vendor.' eaCept 8s prov3 e n ~ dendtta 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 for examination except: None Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. closing date except as Purchaser shall be entitled to take possession of the Property on provlded in Addendum , * Cross out one. LAND CONTRACT - Individual and State Bar of Wisconsin Corporate Form No. 11 - 1982 Informatbn Probssionala Company, Fond du Lac, WI s00-BSS-2021 ~~. PREPARED FOR: LACASSE DEVELOPMENT.1~ S73 CTY. RoAO 'A' IR1050N. M 34016 111E feVER BAfet. A CORPORAIKN DULY gROANIZEp VK1UE Of IHE LAMS OF 111E STATE OF M9CONSMI. pE5C1aBEp LAID ODES lIEAEBY CONSENT TO 111E S OEOICA1tON OF 1HE tJwO DESCRIBED ON iMK PLAT 11E ABOVE fZR11FICAlE OF LAt:ASSE DEVELOPMENT RECEIVEL1e ~P ~"~~°~ °''` tllvlelan rp~dotbne of lM Toen of Hudean, lM dYaellen or Laeeaee DeWapn+ent, eawTad, dMded and n~aPPed AbeaMr P~ ~7 l1y npreeente sa alrlar eaenderla eiW Fi v ~] „~~ I 200/~'~` ens Mol lnk pbl k beaten b pxl lA d tl~a NE1/4 of tM SWI/4, and pat {~pEp Seellen 17, 72eN. RteM, Teen of Hedean. (tlf2 ~~ r~ i ~ ~.:-r ~ Ilat+4q 62752 sans of fond (2733.4a2 N MT7[SS tMEREOF. TiE SND LAVER 6ANK NAS CAtISEO THESE PRESENTS t0 sE tetNED 6Y KEW! TK,NSYON, PRESIDENT AT - tKSCONSN,DAND ITS (ARPORATE SEAL TD BE FIEREIN~ AfTiJEO 71e5 OF SPATE OF tK5CON9N ) SS C011111Y Of SL f3ttlDt) nAY OF ~0_._. pER50NNLY CAME BEFORE IIE 71e5 KFNN fRKISMON. PRESefEfIT of TIE ABOVE NAMED CGRPORATION, 10 -E KNOeM flE THE PERSON tIHO EKEQI7W TLE fOREGONO NSTRUYENT, ANO 70 ME KNO7N BE SUGI pRESKIEfIT OF SAID CORPORATION AND ACKNOaLE0GE0 THAT iNEY f7EfaJ1E0 T1E FORGOe40 INSIIBJYEIIT AS SUCH OfF1CER AS TIE GEED qF SAID CORPOILATIDII erY ITS AUTHORITY. LACASSE OEIIELOPMEtIT NC.. A CORPORA7KN OtILY OROANZEO AND 0051UID UIIOE7t ANO BY MR1NE Of THE U715 Of iNE STATE Of MSCOfISN, AS O7WER, ODES HEREBY CETIIF'1' 7HAT SAID CORI'ORA710N CAUSED llE UU6) DESCRRlEO ON Ties PUT TO flE 311RVEYE0. OMDE0. NMPED AND OEDICIITID AS Rf]IIEp ON IIeS PUT. l/1d155E OEVELOPYENT INC. ODES filRTIETI CERTIFY ItMT Te5 PLAT B REOllelEp BY 5.136.70 OR 5.2]6.12 70 OE lRIBMT7E0 TO 111E FOLLOMNO fOR APPROVAL OR o6~ECTlotl: TDeN OF teJDSDN. Si. at01K COUNTY PtANNNG, 2'ONNG. ANO PARRS COINRTTEE. N M1NE55 VHEREOF. iFE SAID I.ACl155E t]EVELOPYENT NC:, NAS CAUSED 7FESE PRESENTS 70 8E SKiEO BY ItK7tAR0 I.ACIISSE AT nAY OF tasro715t14 1002. 1N5 PERShcN1Y CAME BEFORE ME Te$~AY Of ~~~ 11102. RK71AIb LACASSE, PRE90ENT Of THE ABOVE NAMED CORPORA710N, 10 TIE KNOMI TO BE THE OtT1CER ttHO EKECUTEO 71iE FOREGOING fNSIRUtE11T. ANO 10 L1E KNOW-TO BE SUCH PRESWElIT Of SAID CORPORATON. AND ACKNDVAEDCEO 7NAT IE EKELUTEO THE FOREGOING NSTRIIMENT AS SI1C11 OFFICER AS 111E OEEO Of' SAKI CDRPORAtKN 6Y I15 AU1HOfKn - ST. CROl7C COUNTY PLANNING. ZONING AND PARKS COMMITTEE RESOLUTION RESd.VEO, 7NAT 711E PUT OF ALf7fMIDER MEA00115 N 1FE 10MN OF ffU090N. tACASSE t1EVlOP1tENT NC., 07efER. IS HEREBY APPROVED BY 1tE sT. CROIx eOlltiTY PUINeIIp, ZONNG A71D PARKS COMMITTEE. ART .ENSEN, f31AMtlfAN STEVE fIA1ER ZONf11C OeECTOR 1 FeOIEBY CERTFY 1HAT TIE FORECONG 6 A COPY OF A RESOl1f7pN iltE ST. f7tp1 COUNTY PLANING. ZONNG AND PARKS f~LRRTIEE SUE E NELSON. COUNTY CLERK snrnr e/ ootd seeebn 1x tnal« the Eael-.eat Ouertr ene of cold 666.60 feet asap the NaM-aoaM to a petnl an a 640.00 feet redMn elnre. anlyd angle that meowwa ~VO'SB', o and maoevae 427.44 fwl: thanes add I.WYe end CaMieb of Neeandr e1 langane~ fllenea $47'OB'17'E 346.66 t< 56e71'D3'r 45171 Met nap the wtar of Me SauMaat fA/artr; thaw K oouM Nne N the NarUboet paertr er M632T'06'N 1]5.14 feet abnq Ub Mlm Pae6k ftalrood b e pdnl on e ave awM.estrl7c rAM o an4d enele +d that Mars N64Z2'40.51e and ~aMeoateAy slap the arc of ooVl nrra eel b e paint on a 2614.63 bet redus M a eentrd angle got meoawo 131 f5'47'N aeW moeera 66.77 4eU arc of sak auras end aaW right-of-aey ynt-ol-ray Nsoxro6~ll Tssu r..t to . alrra,:eaneow eouMeAX aRh a eenlyd e ehad Ihot Deers N679YDG311f an0 .eeerly clap Ma arc el eek care ane Ma+oe 563'tt'16'ef le0~S6 feet obrp r e 20.7e.67 faOL fed<Ile aurae, eeneere ys Mat raoealrtl Ot03'36'. • MarO Mal II 64.31 faaC thenp eauthasteAy abnq right-of-rrey 54.40 feeU Manes add rllht-of-aoyt thence NOOro7'45'E t of lM SarMeeet puertr al add nrie¢ K tEll. CONSTtUCTON AREA THAT HAS NSw pEPAR11fQ1T OF NATURAL RESOURCES NSULT MM 1HE ONR TO IIIAIftE >E].L CONSTRUCTON STANDARDS FOR THIS .E PLACED SUCH THAT TIE wSTALLATION R OBSTRUCT M90N ALONG ANY LOi E OF A 91RVEY STAKE BY ANTlk1E 6 A ONSN STATUTES. U11UTY EASEMENTS AS DF Pll8l1C BODIES AND PRIVATE PUBUC THE AREA