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020-1447-07-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and'3uilding 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)j. ermit Holder's Name: Gity Village X Township Bast, Kernon Hudson, Town of ST BM Elev: Insp. BM Elev: BM Description: t c.S-C TANK INFORMATION n TYPE MANUFACTURER ~~ CAPACITY Septic ~ _~ 3. i ~. •1 I Z 5.~ F; f Pa te, (~., ~ zs SZS Aeration .~~ Holding ~ TANK SETBACK INFORMATION TANK TO ~~ P~ ~1N BLDG. Vent to Air Intake ROAD Septic ~ 5 /v~ /Cf / .7 24 ... Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Hea T ,--_ Ft Forcemain L Dist. to Well C~lll ARC(1DDT1(1N CVCTFM County. St. Croix Sanitary Permit No: 506276 0 State Plan ID No: Parcel Tax No: 020-1447-07-000 Section/Town/Range/Map No: 15.29.19.2838 ELEVATION DATA STATION BS HI FS ELEV. Benchmark ~ t t / ~.4 /aD • $` A~ . BM +-~ lad ~~ (, ,~ /03 . ~ ~ Bldg. Sewer ~ 55 ~7~ ~~ St/Ht Inlet "• ~ 9$• $r SUHt Outlet J~ ~ ~ l '71 ~$ ~ ~(A Dt Inlet Dt Bottom ` ~\ Header/Man. ~ z.~ ~ ~ • ~~ Dist. Pipe ~ .~d 'q~ , Z ~a , 9to Bot. System ~ -~. Fi ~ Grade -• q ~ ( ! '~D ~ $~ r St Cove / ~v1~t~'- ~ ~„~Q.-'~.. Q ~' u ~~'~ i 13• ~(o . ~fp 14. Z 9S • 7Co t! BED/TRENCH Width ~ Lengthl ~ No. Of Tre~~es PIT DIMENS`IO`NS No. Gf Pit Inside Dia. Liquid Depth DIMENSIONS 3 ~ ,. ~y z ,~'~,,,~~ --- ~.,, SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufactured ^ ~ 1 ,, l _ d-M'- I ~"ra~"t INFORMATION Ty e Of System: JJ ~ ~ S ~ 2~ A J~ w J~. UNIT Model umb~r.~l ~ C~ niCTDiQ11T1/lA1 CVCTFM ~~ z .~- zl = ~!_~ d-ed-~.~- Header/Manifold /~ Distribution x Hole Size ~ x Hole Spacing Vent to it Int 3 r Length_ ~a Dia ~* Pipe(s) \ Length Dia ~ Spacing ~. .~,. ~- cnn rnv~o __ .,-___..__ c.._a....... r,...., .,., nn.,~,...~ nr nr_rraria svsremc unrv / Depth Over Depth Over ~ xx Depth of xx Seeded/Sodded xx Mulched p BedlTrench Center Lj. D 1 ff R LP Bed/Trench Edges Topsoil ~„~ '' Yes ;,ii No ~ Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / /_ Location: 684 Pine Timber Lane Hudson, WI 54016 (NW 1/4 SW 1/4 15 T29N R19W) Coyote Ridge Lot 7 Parcel No: 15.29.19.2838 1.) Alt BM Description = ~~~~ G`6Je''° ~~' Co ~~ ct./ ( 5c're``~ S 2.) Bldg sewer length = J Q -amount of cover = C / ~ / ' J r r~ Plan revision Required? i i Yes I,t~No ~~ ~~ Use other side for additional information. Date SBD-6710 (R.3/97) ~~ 3 S~ Cert. No. Insepctor's commerca.wl.gaV l Safety aaxt Buildings Division ~, ~ 201 W. Washington Ave., P.O. Box 7162 M Wt 5 3 70 7 di 7 1 62 County ? ~ ~! C /O ~ ~ a son, -- ~ sco n s i n ~ ~`~ t)epartment of Comtnercw ~ ~,,,,~.,_.__ Sanitary Permit Number (to(b~e,filled in by Co.) ~~ ~ Z~ ~•' ~ Sanitary Perttiit ,4ppljca~i4n ~ State Transaction Number ~ ~~ (In accordance with s. Cumm 83.21(2), Wis. Adm. Cole, submassiun of this farm to the appropria serurneatal A unit is regwred prior to obtaining a sanitary permit. tvote: Appliratian forms for state-ow W a+s roject Address (if different thanmailing address? ~ submitted to the Uepanment of Conunerce• Personal intornration you provide may be ttse ary ~,~ pUl't)aSeS Iri_a0001'd811CG with IhC Pr1Ya0`f t_aw, s. ! S.C_l4(?)(m), Stars. ~ { ~ _ ' i Annlicution tnf ti Pf i P I f n~ 1 ~ ~ y I t _ . ortna on - ease r nl orni:~tton n ~ - • _ _ _ ~ - Property Owner's Name f __ Parcel p ~..T~~- ~ Q~ l~ 7 Property Owner's Mailing Address / f ~~ ~ ~~~~ __ Property Location / ~~~~ / ' ~ ~ a- ~Bac(r -Pr cl _ Govt. Lot _ _ ( ~ City, State Zip Code 1'ho u r~ ~ ~. ~ 5oction ~ .~I'~llt ~_.~~a.~/ /~f~ o2tl carclcanc} i T N R ~ is ~ _ 11 T f B il ~ ~ .. ; or "- . ype o u ding (check alt that apply) ~(~ et,D L~ • , ~ ICI' I ^r 2 T` homily U~~•elhng Number of Nedraonr ,_. __..._._J ! Subdivistan Namc ~ s~~ ~ ^ P bl 'C ~ aI~ ~ ___._ ~~ ~d u ic~ ommercial -Describe Use __~ ~. ~ `^- _ ~ ^ Cal of ^ State Owned - Describr lise CSM Numlxr ~ _ __ __ _ _ ^ Village of ,___,_,,,~~____ __~ ~_ ~^ J/~~ /' I _ 1 ti / ~ n of ~4_,~'Lpt~ It1. Type of Permit: (Check only one ttax an tine A. Conaptete tine ~ B if applicable) i t?XfJ y ^ Replacement Systanr Q TreatmendHotding'Taaak fteptacement Onty [] Other Moditicatiuar to [xistirFg System (explain) t List Previous Permit Number and Lhie Issued f fS. ^ Permit Renewal ~ Permit Revision ^ Change of Plunttxr ~ ^ Permit Transfer to New ~I 1 f Brfore expiration ~ Owner I 1- j f V. Type of POWTS System/Coutponent/Derice: {Check art tt-at~a~ly) ~4 ~ ~"~„ Nei-Pressurized In-Ground 1] t~•etsurized tn-Ground [~ At-Grade [} Mound y 24 sn. ofsuitatlo soil ^ Mound ~ 2d rn. of suitable soft ~ ~ ^ Holt na K Tank ^ Other gispersal Component (erpiainl4~_,_ __.__. _.__ ~ Pretrearmem t3evice te:tplain>____.________, _~ r 4 U+spersal/Treatrteeng Arra Inf'ormatlon: ~G ~ ~ ~- b i s i De gn FVow (g fTosign Soii Applicatron Rate(gpdsf) Dispersal A quired I) Utspeasai Area Proposed (sI) System Etevatien VL'1`ank loco ~ Capacity in "Total tl of Manufacturer U ~ c ~ -~l J-1 GaNoru Gallons ~ lJnits ~ r, ._ J New Tanks ~ E.ristuzg Tanks ~ u ~ ~ :: a ~ ..~ ~ ~ I W ~o ~ a~ S at_ v ~ ~ ~ ~, az u ~. ! J"<p[ic or Holduag Tank -__.._..__.,..-.,______. / 02~~ ~ `f~ GaY 1 _ Dosing Chamber i ~ ~ , ~ ' Q ~ ~/ C~ ~ Y "' "'" ~~ ~~°J_ V11. Responsibittty Statement- 1, the underslgncd, assume responslbiilty for ittstaltattua of the PUNTS sh wn on the at[xched prone. ('lumber's Name (Pant) i Plumber's Signature v PRS Nuntbea ~~Business Pltonc Numbet~' T . ((Jz"Clf,~ysr, ~~/7a!cpy~s~ey GJ..~.2' ~~ a~7y`~G~ fZl~~3~G`'91~ Plumber's Address (Street, City, State, Zip Cod:) ~'~^ _ . V-Il. Count /De Iartntertt Use my __ ~- ~,Appmved Isapprove Permit Fee T Datr issued lssuitag ent Cignai re ~ ___ iven Reason _ r, T~cnial 7 Z7 b~ ~ ' ~ I ~ (X. Condiq' n ~ A v easons tar Dlsa royal ~ + S~l$1QEM ~~ pt" 3~ ~ ~; l ~. e C / ~t?t~p.~ ~ p o,~ ~ c.~¢, new o,nn eo...~o~ 1. t~eptic tank,-eMuent fitter and I ~~ I p Ow,+~µ.. ~: ,,~-~-~ c c, dispersal cetl must alt t>e services ! maintt?thiad W • as per management plan provided by plumber. I 2 .Aq se"(back t#culrt3tittertts must tae t„eintainert I __ __ ____ ___ _ __ _ i the systene and submit iv the County arly oa paper not lest than 9 14 z I I lnckes In size SF3D-6398 (R. U1rU7) Valid thtu O1lOt} '~ r~ ~ .5J i'~.':, ' .ri .;.. .+ .t , \ 1 1~ b 3:!'la~? i~13'`~Y~ :.^CR'•6~:IC',:'~ tieN"''3'"::.:SKa:~4i ~~ij2F. ~~ ~ /~ ~/ / ~`V~~GS'-~- s; ` ~.~ ~~ Y~ ~~~ p~ W~ ~ ~ ,Bi~Z R,o ~,~ low ~'~ `~ Y .~ T~~ r .~ ~G=~"'`- ~~ d s,'t~ ~~aDh ~1;~~,~ 'j ~J~ LJ ~y'~ o s" ~ ~3 .~_~ k mgr el ,. ~~ ~ s Ys ~G ~~-~ '~; ~-• ~~~ ~~°„~~ low ~'~ ~ ^~ wrsoorainoepa-ar~oiCorrnrer~ceit3 ~~ _ ~ ~~ L ALUATION REPQRT t~ap~e / ~ ~ Clivistot~ df Safety~d Bll~I1~5 1 C ~ <9 w+ar wm crux S'o m . rns. evarn <.oau c~ S r.' cR OI ~ ,de. ~ not tamed ~: ver~C81 and n oint . atsection and Parma t.a. ~- ~o ~1 verrant slope, scale ad6nensdorrs, north aura~r. grid tocaiinn to n~rest road. Please paint all lnformatlFan. ~~"'~ ~ t~ 7 t~~v~arrw~reearrrseoaaeryovtvor~cv+~rr~.:_ueat~)t•~t. ,v f S£ sec -t Propertyt /C~~.'~t/o,U ~3A~S T ~ PropertytACa6or- c3oyc tAr N~i1 ,~asw tea ~s-~ r Z 9 ~ ~ l9 4{0~ w PraperryOwr~'s Adddress ~ Lot # Bbdc ~ 93rd. Kane ar iSM# E•V N - Phone Number ~UDSo~ w/. syotlp ~?t5~ 38h•~?5 ^ (may ^ 1/~e ®Town Nearest tZoad /fvOso~ l3A~C~~ ~~ - New cortstrucdarr use-.j~[ ~ ~ Number of aednooms 3 ` code derived aesi~ Aoa- rMe yS0 -- ~ cPO D ^ PubGc or oommeraat - oeEVCdbe: t-t mgt ~,vDy au ~ . Flood t'~a6- elevation #~pG~ble ~. ,!_ ~. c _ ~a ' >~E~4- 7 t~ ~-T~~ s7> i'T~/~` Fob ~}-~ CovlJ.?,vcc, 7~e'"oxa.~ i~• y26~.v~ I? d . Cv • T ~ S . a ~°'~ ~ ~ ~ c~rxa s~roe etg,-. ~ ~~ `~~ oeplhlo Bring ladar ~ ~ ~ ~. soi trays Horimon oa~plh oarakrarrt Redorc Oesarlption TexMe 8trudure t?arr~tenoe Boundary Raats ~. a,. sY. caru. c~tor a: sz. sh. -eel -~z o• 1 a Q ~5 ~ihrs/d 5 S ~ • ^1 /• Z-- z ~a •3 /o R y ---- Si ~ ~ s ~ ~ S ~ . ~- • 3 S :Q t-~1 ~I. Pit ~axrd surfeoe elev. ft .. ~ m- Morlmun Oept}s Oon3r~ent t3edorc Deaaipblon Textlune Stnra+x~e Cvrfa~benoe Ban~dary ~ Sb1 time t3PDN'E in. IwpxrseM Qu. Sz. Cont. Cdor C~ Sz Sh. 'Et'fg1 'E~2 ~ o -Co /D yre 313 ---- GS ~ fhb 5 a~ 3 f • ? ~ 'z_. 3 --- s - ~• ' ~ = BOD >.90 _< 220 mgt[. BrNt TSS X30 _< 1 50 mgtL ' Effluent #2 ~ BoD _< 3Q mglL and TSS = 30 rrrgtt. ~ ~~~r ~{tb~~ ~~ ~ .. z G gddr Oats E~ratu~'ion Carducied Telepfwae Number /Iran • ty- 03 ~rs•~~a•3~~Z .,`~_~~ Private Sewage Consultants p S 12 lath Ave. ~iN ~S 1~i2 TOT~9'G of O ~ !~ pring Valley, W! 54767 2 p . !o ~•7 . Z o • D~a ZD • 101,7.30 • ~ Zo • iol~ . yo . aa-o « Ca ya TE ~;p~ ~, ~ERtia,v 139-s r-' ~a t ~. 7 Z 3 y owr~r Paroel 10 # Page of ^ > ~ ~ ~ wt Grad sum elev. ~~ • ~ ~ l]emh ~ ~,~, ~„~,. > florinon Depth Dorrm~d Redox Description Texture - Strtx~ure Consistence Boextdar Roofs sal - ,~ flPa t ~ y V P . MunseW Qu. Sz Cord. Color Gr. Sz Sh. 'Ftt#1 'Efffil2 o~~z ~o ye 3l r-- L i shoe sti w 3 f- , Cp D 5 SSG U S - s - s ,Z 2~~ 1 ~ U ^ Pit Grotmd surface elev. _ R [~lrt- a, rrrtNev, r~.a.,. . Fiaizan ~ l Dorrdnertt Redox DesaipGon Texture . Structure - _ -. Consistence Botxtdary Roots Sois _ Rate GPDJPF n. MunseA Qu. Sz. Cord. Cobr Gc Sz Sh. ~ 'lit 'E1t~2 Q Bottrg ~ ^ ~9 [-] atr Ground surtaoe elev. R ~iSeufh m Par~itirxi der L, Horison ~ Dotninatd Redott ~ T Structtre COratpe 8ot61dafjr Roots Soil lt~e GPD/tt: in. MunssN Qu Sz Cont. Color Gr. Sz Sh. •Etfltl 'Eftl12 Eflttterrt ti'1 = BODs > 30 S 710 mgll and TSS >30 < 150 mg1L ' Eflhtert #2 BODE < 30 rrgll. and TSS <_ 30 ntyt. The Departinent of Commerce is an ecrya) opportunity service provider and employer. If you need assistance to access setvices or need material in an alternate format, please contact the department at 608.266-3151 or TTY 608-264-8777. u ,~ ~ yo Tom- ~,~~ ~ERtia~ 13~-s r' ~.at~-~ z 3 Parcel to a ~ .~ ©~~ # ^ sonng D ~ - Pit Ground surface elev. ~" ~ ~ iL Depth to tac~or > ~ +~. So- Rye Honzor= Depth Dominant Redox Description Texdae Structure Consistence 8oemd~r Roofs GP ORP in. MunseQ Qu. Sz Cont. Color Gr. Sz Sh. •Eff#1 'Eff#2 o~'z ~o y~e 3l ~---- L i ~h~ ~ti w 3 -F . CP D ~ SSG U S - . 3 ~ - s D . - ~ 7 / Z. s - s ~. Z 2•~ 1 ^ ~r;,,g t ^ Pit Ground surface elev. ft. ~ do (uniting factor • in. Soa Rate Horizon Oepth Dominant Redox Descxip5on Texhue Structure Consists Boundary Roots GPDAF in. Munsep Qu. Sz Cont. Color Gr. Sz Sh. ~ 'E~>f1 •EtflM2 ^ Pit Ground surface elev. ft. m i'uniting factor in. Sob fie t~! ~ # a ~~ Horimn ~ DorNnark Redox Description. T Strrx~ue Consisterroe BotuMiauy Rohs GPORt~ in. MunseN t1u. Sz. Corrt. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ~~ 'Oft' •LZO/ •OZ r~D - DE • L'rv! - ~ ~,,... off, 5 G~v~S ND • Lo T ~~:v.~---- t ~a / ~ ~ i For issuance of permits and designing 1~~ ' ~{ Contact: Ulbricht & Associates Registered private wastewater consultant and plumt~ts 2812 1QthAve. Spring Valley, WI 54767 715-772-3442 7 G~~ i ~ ~~ ~jrl.S 0~ d ~ `~. ~Z ,~ #Z Sir: ~~~ loo. ~~' i s /, 50 ia~ s~ , .~ `~ `~ V ~¢ G~ 4 ~ ~ ~ .~~ ~ ~. ~3 ~ ~ ~~ sir ~~~ a~ ~- N 5~~ ~~~ goo . o ' GaT ~~ 8"E x X dam' ~ x r I W N ~~ ~W ~ >>H W a;; 0 7' -3~- } ~O" /// t. ~~v i '~ i ~ i W ~ ® ~ ~' ~j i W ,_' ~ F ~ ~ i ~~77 0 ~ 1. ,. ^w~~ U d~ F'QV~ u 0~ ^o N ~ m J l l "LZy~b W~ ~ ~ O Q (A J c ~ N ~ ,68'8LE M.£ 1,96°6pg W 2 O Q N II J ~ ~ m ~ J ~. ~ /, ~`_ ,. ,~~, .. ,~ ..~ ~ ,- • ~ r ~ i ~ / '~~ ,' / ,- ~ ,, ,,. ~~.., ~ % ~i i / /~ ~ ~ / /~ ~ I , i ®~ ~ ~;., i .l `~• r~, ~~ i ~-~-~- ~ i •~.~~~ •` ~ _~ - ~ t.. ~ ~ ~ ,s~.,~ N 3CJVN1 _Q - - - , ,~ f i L24 ~ ~ ~ ~ i ~~ I I , I ~ i i ® ~ ~~ J I ~ o r ~ ~ r ~ ,~ i~ ( ~ ~ J N N i ~ i ~ ~ ~ ,~ ~ g :a; 1 ~ W ~ f °~ I o ' i ° ~ ~ ~ i- $ ~ ~ i , f Z ~ vvv~~~ i 1 I ~ ~ ~ I r ~ I ~ I -----~, ~ ~'-~- x I i I , I i ,Z9 •SEE M.£ 1,96°608 ~ ~ _ ~ i i i ~ ~i 1 N~ ~- ~' ~ ~ ~ I I r.. ' ' I I ~ M rUCl~ HQ H Q~ II ~ ~ ~`, ~ N Ogv~p i ~ i°, JN J N ~ m ,4_~ 11'~ ,1 ~~~, .~'i, \ Jul 20 2007 4:46PM TEflM SPEERBRST 7153868660 ST CRUIX .COUNTY 5(:P'i'IC "!"ANK MAlNTGNANCE AGREEMENT ~-N~ t?wNE1tSHIr CERTjf1CAT101~1 1=0RM _I i oytrncrB ~ k>rertx~ ? • 3~ ~,~ ~ Mailing Address 9i~~' G'q f.~4ki;E Ra~0 ~luc~), w JSGILL!!.5//la ~~'.~ _ - Property Address Sa{ ,Qi~l~ "i MBF~ L~a~v£ f~-~~ ~ 5~bic ~ /~ fverit's<atlioa requ;rrd Pram PlannirrL Depatttnen+ Ca new consnvetionj Cs+y~State ,~I.1/}~+~ / w,Sc4~t}S~~ Aarce! IdcntiFicauog Number ~~ - /'4~Y7~ Q7-Ct~ L~~rA~ IPTION ; Prvpccty Location ~/,~ '/., ~ '~•. Sac. TzI N-tt / 9 'W. Town of ~_,.___~~ Suhtlivisiasrt COQ i2+06~. . Loi ~ ~ ~ Certified 5urv+sy Map q , Volume _ ,Rage Wswtrrauty Dtla M ~ Volume ~.p~$e p Spec house ~ yes O no Lot limos idcntifiabirr ~ yt;s o nv ~YSTIF:M 3V[AiNT[rNAi~cCE leaprgpv v~sc an+l tttaintarw+-at of po++r sep[it syaseat Co+rld tesglt in m ptc+rtaswn isrlure to handle wastes. Proper rrfain,ewncc consists of pumptts,6 twt the septic tact eYcry three yeas or sncrtter. if needed by a Ittxnsed pumper What yots pstt into she system can affep the [W¢rioo O! the scptrc tank as a ereatsueat itaae itt tl+e waste dhsposal sya~ael. The pcnlrCSey owner agrees; +p subnut to 5t, Cnoi>< T.oeting 10spartrttestt a CCRtfit~tiort fonts. ssgr+ad by d+t o«nter and by t etas+u plumber,yorttttcysttan pltnttber, testtictcdplt>•r+lter or a kt:t:tssadpumpcr vtrifping that (i j +h¢ ts!-gtSC waseewasterdisposa+rystem Gaut rtopts operatietg condgion antltar t2) aficr mspestton and pumpitsp (if sieeessary~ the sepsic~tant is less tpast ]'(3 ful} of stuaf;c. IJwe, she uadssrstpted itavc read the abo~s tequireRtents and aRtec to asaitasia ~e pnWate.aewage dispwal XysiGCttt will the ssandaras sex fortl+.lt 'a. asi se the Deprntteme of Cafnmerce aad:tae Dapstrtrt+ent of Natwat Rtssames. State of W iseonatts °• Centficat~oa serYryr~y Rir~asen- has Mere nrainty~o..t uwst be eanl+tetcd ah4 rearmed to t1+e St. C eoiR Gawnty T~+nstg Offiea wzlhtn 3D cSa oft we r e rratitrn dam. .TllR.E ~ AP'PLIGANT JL'~ 1 ~7 DAT$ aTION alf statc+nen,s nr+ +his form arc trim w tht: btst of my (our) tutowletlge I°(vvej srn {afcj lAe owter(sJ of rc, ir~r+r+uc of ~ ~w-ran+y decd raootded in Rreiater of 37at:ds Oflis:a. Q~JS"~+J~"7 DATE •' Any itl~at7nation elxt a m+s-sepcescn,ed rgay result to the santtaty pt:rttue being revokrd by the Zonsttg Department: •"'•• +nelddc wtlh this ajrpiicr[san: ^ sttu,ttreA wamaty deed from the Ragista. of thaatfs office a ec+rnr of the centGcd snwey tttap if tefeieRCe is sretadts in-the:. war-snsy decd Z •d Z66l.9BESTL t,tosuytaC •wos;s:~ dTx a TO ~EO 9.~ 7Ga0 J_ 1952P Sy9 STATE BAR OF WISCONSIN FORM 11 - 1982 6 $ 7 ~ 2 3 LAND CONTRACT KATHLEEN H. MALSH Individual and Gorpporate REGISTER OF DEEDS 125,00015 FINANCEDLAND 1IN OTI ERNNON CONSOUMER - ST. CROIX CO. r IdI DOCUMENT NO. Acr TxwNSncnorvs> RECEIVED FOR RECORD COnCra~C~t~, byy~~and between STEVLTI L. BAKTQ;fd and 08-20-2002 9:30 A!I C_n,YE L. SI>,ICE~N, husband and wife IAND Cf1NTPoRCT ("Vendor", EXEMPT N whether one or more) and ICF.rZnTCY1 SAS REC FEE: 13.80 TRANS FEE: 3246.60 ("Purchaser", whether one or more). COPY FEE Vendor sells and agrees to convey to Purchaser, upon the promp[ and full performance CERT COPY FEE: of this contract by Purchaser, the following property, together with the rents, profits, PAGES : 2 fixtures and other appurtenant interests (all called the "Property "), in St. CroiX County, State of Wisconsin: IdE 1/4 of the SE 1/4 and the I~V7 I/4 of the SE I./4, ~ rRl$ SPACE RES ERVEO FOR RECORDING OATH - all In Sectlon 15, TownShlO 29 llOrt~'1, ~21T1CTe 19 West, N,,A,M~E ~A~_Nj(/~D..R(JE~TU~RN ADDRESS ~, {~ EXCE''T a parl^el described as : ~ ' -" d"`'""~ ~~l~tti _p~'~} Beginning at the E 1/4 corner of said Section 15; t}lence ~l0~1' S00°47' 33"E, along the east line of the SE 1/4 of said ~~ ~yv/~, Section, 407.27 feet; thence S89°0£3' 15"Ta 535.46 feet; ~'!~~ thence S14°10' 34"[7 93, 31 feet to a r-~oint on a 90.00 radius curve, concave soutYnaesterly, whose central angle _-_ - - - --- 20-1027-20-000- 20=1027-30-000 measures 25°34'33", whose chord bears N54°32'33.5"W and ~0-10-7-40-On0 and measures 35.41 feet; thence northwesterly along the pARCEt IDENTIFfCAT10N NUMBER arc of said curve, 35.71 feet; thence N14°10'34"E 76.12 feet; thence NO1°07' 26"47 ?00.07 feet to the montmieslted south line of Certified Survey '~7a? recorded in Vollmte 1, Page 217 at the St. Croix County Register of Deeds Office; ttlenoe :738°51' 13"E, alonq said south line, 570.78 feet to the point of beginning. Described *~areel contains 5.37 acres (233,855 scZ. feet). l?arcel shall be subject -to a -private road easerltent that is ~o be shown on the proposed subdivision. T_'arcel is subject to all easements, restrictions and covenants o~ record. This ~-S riOt homestead property. {is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at 947 $akkeri ROad, Hudson 77I 54016 the sum of S~r~$?.~ 135.00---------- in the following manner: (a) $ 200 000 00-------'---'--- ac the execution of this Contract; and (b) the balance of $ 98? ~ ~5 00------------ - ,together with interest (mm 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: -Ionthly navri~xlts of interest only in the altourlt of $5,145.79 c~nencing September 15, 200?_ and continuing on the 15th day of each month thereafter for a c>ericx3 of two (2) years front execution ?-lereof, with a balloon naYr~ent of t~rincinal and interest due on or before Aurnast 15, 2004. The terms and conditions as set forth in the Purchase At7re~ent between the above parties shall survive the closing of this transaction. Provided, however, the entire outstanding balance shall be paid in Eull on or before the 15th day of August, 2004. ~ (the maturity date). Following any default in payment, interest shall accrue at the rate of 7 % per annum on the entire amount in default (which shall include, without limitation, delinquent in[eresc and, upon acceleration or maturity, the entire principal balance). Purchaser,irtt r, agrees to pay arrtaurrts~'afEieietn~blparecieiparecf annual taxes, special assessments, Cire and required insurance premiums when due. ~'the-extrrtc-rceeive~i~y btrtc3ar'/erldoragcm"taapplyPaytnentsrtQ-ti~te~r obiigatioms--5ctctt~rt tmams-reeeiver}tsy-tfit~'dend ar-farpaymertr-af~TaResass~ntems~rrd~znsmat~-wiH~be~depvsited-imaarrzscrvoo--' ivnt}vrirals[eeaec[sarrt;-b[r['3t[atl-rtot'bearY[tteresrvrrtesrntttt'rtt~erequtred'by"lasrr- Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time after C1oSinc7 ,'19---'tbR~'LtiaB2TA3p~Ti3gf~l~tfEgm at~RtTtr~! voithnrtt pertrr6siarr~FVeTtdtn-'- 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 steal! be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded hereErom. Purchaser states that Purchaser is satisPed with the title as shown by the title evidence submitted to Purchaser for examination except: Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shalt be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on C10Si.nC1. • Cross O,u One. StATE BAR OF WISCONSIN ~~^ ~~ Hl&nlc CO'• ~- IANn CONTRACT - Individual and Corporate Form No. 11 - 1982 Mllwaukea. Wis. u._issz~ ssa ' Purchaser promises to pay when due all [axes and assessments levied on the Property or upon Vendors interest in it and to deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Properly insured against loss or damage occasioned by fire, extgnde cpveraRRe ppeeai~ls and such other hazards as Vendor may require, without co-insurance, through insurers approved by Vendot, fn the sum of y1t11~ 1rLStIra7le V31Lle but Vendor shall not require coverage in an amount mom than the balance owed under this Contra[[. Purchaser shall pay the insurance premium when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss co insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied [o restoration or repair of the Properly damaged, provided the Vendor deems the restoration or repair to be economically feasible. Purchaser covenants not co commit waste nor allow waste to be committed on the Progeny, to keep the Property in good renancable condition and repair, [o keep the Progeny free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specified,Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in lee 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; Purcha~r agrees chat 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 days following the specified due dace or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of 45 days following written notice thereof by Vendor (delivered personally or mailed by cerliRed mail); then the entire outstanding balance under this contract shall become immediately due and payable in full, ac 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 Properly back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser§ full payment of the entire outstanding balance, with interest thereon from the dale 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 [o fulfill this Contract and as rental for the Property iE Purchaser fails to redeem); or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full paymem on the entire outstanding balance, with interest thereon at the rate in effete on the dace of default and other amounts due hereunder, in which event the Progeny shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) vendor may sue ac law for the entire unpaid purchase price or any portion thereof; or (fv) Vendor may declare this Contract ac an end and remove this Contract as a cloud on title in a qufet- title action if the equitable interest of Purchaser is insignificant, and (v) Vendor may have Purchaser ejected Crom possession of the Progeny 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 Eees 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 incurred, and shall be included in any judgment. Upon the commencement or during the pendency oC any action of foreclosure of this Contract, Purchaser consents to the appointment to a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Progeny 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 Propery (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§ interest under this Contract solely as security for an indebtedness of Purchaser. In the event of any such transfer, sale oc conveyance without Vendot§ 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 whets due under any mortgage outstanding against the Properly on the date of this Contract (except Eor any mongage granted by Purchaser) or under any note secured [hereby, provided Purchaser makes timely payment of the amount then due under this Contract. Purchaser may make such paymenr•; 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 ocher subsequent or prior default of Purchase. All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal represencacives, successors and assigns of Vendor and Purchaser. ([f not an owner of [he property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to ,join in the execution of the deed to be made in fulfillment hereof.) Dated this ~ ~ day of Ataciust !fig[ 2002 a'^-a (SEAL} ` (SEAL) „ Steven L. Bakken ..ernon J, t ~~ (SEAL) (SEAL) Cav L. Bakken ~ Donalda J. _ Z^-Bast AUTHENTICATION ACKNOWLEDGMENT signature(s) Steven L. Bat:ken. Caye L. Bakken Kennon .J. Bast, l~onalda J. Sneer-Bast authenticated ~ ~ day of ]A~~~ ~ ~- TITLE: MEMBER STATE BAR OF WISCONSIN Qf not. authorized by 5706.06, Wis. Slats.) State of Wisconsin, ss. sT- Gr~~ County. Personally came before me this day oC ALtc(t15t, 2002 , ~ ,the above named Steven L. Bakken and Caye L. Bakken, hus}~and and wife and ~cernon J. Bast and Ibnalda J. Sneer-Bast to me known to be the person who execured [he Coregoing instntmen[ and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Attorn~v`Barzv Pa -2~QIJ'.~E,PQKIEK,ZITi ZY=a~ Fit2dson F7I 54016 Notary Public, St. CZ'o1X County, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration dace: necessary.) 19 ) • Names of persons signing in any capacity should be typed or printed below tlxir signatures. LAND CONTRACT - lndividu¢I ¢nd Corporate - St¢te Bar of Wisconsin, Form No. I t - 1982 Pt~WYS GWNER"8 ~ANLIAL~ 8e MANAGE>'~IENT PLAN ~~+~ ~nii'aRi~arc~N L;; - , Owner ~ Y87'EiNi $PECfIGiGATi0N8 Per tim #~ ~~"~ ~ .-.-____. peptic lank Capacity f~.~FJ $~ptlc Tank Manufacturer ~ ~'~~~ DESlcztu Coeawa~c.•....~ _ Numbsr at Bedroornx --.r_,.._._._..._---_-.___,~.-.~...._. e~ NA Plumber of Puktlic Pa~citity Units ~~'_' Estimated flow {at~eragai --~_~~____~•____...-„ ----.._..__._.__..._~-- -__ G ~ ~ ~ n'Plr~n.~ Design flow fpsak}, {Estirnatsti x 1.5i -~~ ~aii Application Pate _ ate-. d.',$.X.~~ Standard iniiuent/Effluent Ca~rrti3ty~~ M~~a~thty avetapp" Fats, Oil & Grease iFQGI 3d mg/L Biochemical Oxygen Demand {BUDfi ~ <_220 mg/L q NA _ Total 5uspendad Sttiids {TSSi ~ 5150 mg/L Pretreated Effluent Quality - Month;y average Biochsmica! Oxygen Demand {80D~! ~ ;;30 mg/L Tuta! 8uspentfad Solids iTSSi ~ ~3tt ntg/1 G NA _~ Feca! Coliform igsssrnstric mean} a10` cfu,ll4Qmi Maximum Effls~ent Par*.icle Size - ~ _ l~ in die. ~ Nq _._._ ____....__ Othtyr• _ ~ .~.._.__ ~ NA ~ "'.~;alt~es rypic.at for darnestic aastaweter and septic tank r+ff(uent MAihiTENANCl2 5Cl~IfFClltl F trffltaent Filter Manufacturer i~ffl~ u Filter Model Pump Tank Capacity -~»..~ __ Pimp Tank Manufacturer pump Manufacturer Frump Mabel t°reir4atment Unit L7 Sand~tiravel Filtt3r >~3 Mec;h~snical Aeration q pisinfection Llia L'e!i{tti D In~t3raund igravityi C~ At-Grade [~ [9rlp-Line she ___.__. or _._ of DNA ~,n~4 ^NA _,'1 L, f'~ [7 NA .~~Z~ ©NA w~ l3 t7 ._.___ _'~f DNA lx~ 1Q- S~ i~, O NA .C~r- d ~..t ~ _ ... ~ Q ~,A _ Q P!A __ . ^ NA Q Pefat Filter D Wetland © Other: Q P1A D in-Ground fpresaurized} O Mound O Other: ^ P!A NA Or.-rer: _.._._... q NA Service went ; Service FrequancY Inspe4t condition of tankfsi '--~- r ~ --- + ~ At least onoe ®yery: ~ mrsnth{si ``~ _ $I year{s- tMeximum 3 yesrof L't NA Pump out contents of tanks} _ T ~ . ~ i When corn road sl b udge a ^~~~_~ nd scums equals one-thud !Y3} of tank volume C] NA inspect dispersal ceilfsl ~--~----•-_•----------_ ___._ { At least once )eve _ ~' O monthlsl "-"-"----'T"'m.._ ~ ~ yearist (Maximum 3 years) - L~ NA Ctsan e~ttlctent titter - . ~ .w At lea&t tinge every; - ~ ~. 0 mesnthls) ~ Yssar(si ' - C7 NA inspect ourrsp, pump contrnis & alarm ~ At ie$et trnoe sv~y: ___ ,..,~., CJ rnonihfssl "`____._.____..._.~__ O NA ~ r~iush laterals and pressure test ~'~ ~ At least once every; ,~,,,,,, ~ month(si ~~ -_~ Other: _ v ~ ,..~..._.....~.._...»..... __..._... At least once every; _ CI month{g) .~~ _ -- Q earls} ~ ^ NA Other: ......_ _.__ - _, D NA rvreatn r ttvAnc:e INSTfiUCTION8 lnsRBCtians of tanks and di8parsai cells shall he made by an indivic#t,al carrying one at the foltowinp licenses or certifications: PJlastPr Plumber; Master Plumber Restricted Sernter; POW75 Inspector; POWTS Maintainer; Septage Servicing Operator.. lank inspections must include a visual inspection of the tank{st tO cdentffy ;tiny missing or broken hardware; identify any cracks or leaks, measure the volume of combined sludge and scum geld t4 check for any back up or ponding of affluent on ihv ground surface. The dispersbl ceil(si shall be visually Inspected to check the ,effluent levels in t:he obaervatian pipes and to check for any pending at affluent on the ground surface. 7ha pending of effluent an the ground surface may indicate a failinr~ condition and regytires the imsYSadittttt notification of the local regulatory authority. Where th® combined accumulation of slr,;dge and scum in any tank equals lane-th'srd {y3i or more of the tank vo,uma, tree entire eo^tertits of the tank shad be removed by a Septag® $ervtCiri~ Qparetor gnr~ disposed of in aecardanee with chapter i'Jfi 113, Wisconsin l~dmit7istrative Cede. All pt:her sHrvices, including but nit llrnited iQ Lhe aervicirrg of effluent fFtterar. mechanical or pretssurixad compnnenrs, pretraatmenz uri's, rir~ti any s~rvic'rng at intervals of 512 months, shall be perfrarrrtsd by a certified iAOWI'S iVlaintainer. A service report shell ba prrrvided to the local regulatory authority within 1Q days of completion of any service event. STIlRT UP AND OPERATtoN Yr+flP ___.__ nt For new construction, prior to use of the PpWT5 check treatrrtsnt tarrkle) for the presence of painting Products or ether Chemica{s that may impede the treatment process and/cr darr:aQa the dlispgrsal Grll3sl, 14 high concentrations are detected have the contents of the tank(si removed by a septage servicing operator p~'6or tq its. ._ . System start up steal! not occur when soil conditions sea fFOZen alt the infiltrative surface. ' ' ` During power outages pump tanks may fiA above nerrnel highwater levels. When power is r®stgred the excess wastewater will hts disr_harged to the dispersal sell(s) in one large dose, etiverlaeding-the cellfy) and may result in the backup qr surface discharge o` effluent. To avoid this situatlgn have the contents of thq p4l1~D ta[1k renlaved by a septage Servicing Operator prior to restoring sower ~,to thsr effluent pump or cgniact a P;umber of Pt'!W'?`S Maiht81t1ar t0 assist in manually operating the pump controls r.Cr restore normal levels within. the pump tank. C}o not drive or park vehicles aver tanks and disparan; ce!!$. Dq net drive or park over, or otherwise disturb or compact, the area within i 8 feet down slaps of any mound or et-grade gof! ebeorptk>r3t arse; Reduction or elimination of the following from ilia wastewveter ,trl~gm rtlay improve the performance and prolong the iif4 of ih+3 F'Qy1/TS: antibiotics; baby wipes; cigarette butte; cnndorns; oatton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump! water; fruit and ve8etabte negiin~ls: g~tevlt"ne, grease; herbicides; meet scraps; m9dicatians; ~::I; uaintsng products; pesticides; sa~~litary napkins; tamptini; atrttl vvgter scili~ner brine. ABANgONM>rNT 1Nhen the PQWTS fails andlor is permanentay taken out of seryics the fo{lvwing steps shall be taken to insure t`lat the system is properly and safely abandoned in compliance with chepttlr Cofitlti $3,~$; 1Mis3ttonsin Administrative Code: • All piping to tanks and pits shelf be dlscannQcted and the aband+inatf Ripe openings sealed. • 1'ha contents of ail tanks and pits shall be rdrYlovet,! end propgrhy disposed of by a Septage Servicing Oparetor. • After pumping, all tanks and pits shag be exaaveted and temovect or Chair covers removed and the void space filled w th soil, grave! or another inert solid material, CONTINt3ENCY FLAN If the FOWTS fails and cannot be repaired the foAowira(~ me8&urbs hAVe been, or must be taken, to provide a code compliant replacement system' O A suitable replacement area has been evaluated e-nt1 may be 4tlllx8d for the bcation of a replacement sal! absorption system. The replacement area should be pi•otectad from distui'lsance and cgmpactlan and should not be infringed Upon by required setbacks from existing and propasdd attuCturo, lot linilss mild wells. Failure to protect the replacement area wail result in the need for a nsw sail and site evelustit~n to setablirh a suitable replacement area. Replacement systems must comply with the rules in effect at that time. C7 A suitable replacement area is not available due Sq: >asibeek andlor soil limitations. Barring advances in PflV~'?S technology a holding tank may be installed e~ 8 iept rapprt tQ repie,ce the failed PQWTS. .`~~C7 The site as not en evaluated to identi}y a a~ult+rble replacement area. Upon failure of the i'C3V~J7S a soil and site lY evaluation be per#ormed tq locate a suttablg rsplpcerhent tXes. if no rrpiacament area is ova?table a holding tarslc may b ~ falls s a fast resort to replace thq fail~r $CV~'T~,, ^ Mound and at-grade sail absorption systems may be iacanatNCtad in place fcliowing removal ofi the biomat at the infiltrative surface. Reconstructions of such gysterns rnuat Aornply with the rules in effect at that time. < <WARNiNO> > - SEPTIC, PUMP AND QTNER TREATMENT 'CANKS AAAY GON~`AIN LETHAL: Q/iSgES ANpIOR IIVSiJFFICIENT t7XYQEN. DO NOT ENTrrR A 3EPTiG, PUMP OR OTFfER TREATMENT TANK dl~14p~# ANY EiR~tl~ll$TANCE&. DEATH MAY RESULT, RESGUE OF A PERSON FROM THE INTERtQR OF A TANK MAY BE ('i!¢F'iCiJ't* OR (MP~tiSralE. ADDITIONAL CAMMfNTS PQWTS INSTALLER ~ TAINER ~-_ --- Name ~ ~ 1 ~~ 1 A rv. ~U.'~0.~rt..'[i;.. fVenya Phone ''~ / ~' ,.- .3 g "v.~ ~ v7, a0 PhOrtd __.__ _.. ,,...._. SEPTAt3E SERVICING OPERATOR {PUMPER) ' Q Al ,~~ `ULATQRY AUTHORITY Name I _ I~Patne S d". Cho: tr C.o,, zo n ; Pngne Phone 7J5 - 3S~ - ~b ~~____~___ This ~ocumertt wa3 drafted in compliance with chapter Go!nm e3,~2(2l.lbii1li'dlllC(fl Grid 83.54(1), (ZI $i (31, wisevnsin 4ctrtiinistrative Codo SPURT UP AND OPERATIQN ~~cR _____ ~* For new construction, prior to use of the FOWT5 ahsi:k treatrrtent tarrkla} tar the presence of painting p€crducta ar ether Cherr.icafs that may impmde the treatment prooa98 and/or darinegg tits diepersst C!ptt48}, if high cancentrationa are detected have the cont>nts of the tank(si removed by b septege servicing operator pf'~or tQ use: ., , System start up shall not occur when soil conditiortm are fra~en at the infiltrative surface, '. V .-, During power outages pump tanks may fill above Hormel hi~hwater ievela. When power is restored the excess +rera&fevt•ater wilt ba disr_ha-ged to the disperse! oeu(•) in one urge do$e, avertaeding into cHll{sl and may result in the backup or surface Ai,charg,~ ok effluent. To avoid this situation hpve the contents of fhb pu(Trp ygftk removed by a Septage Sgtvicine Operator prier to restorin power ':to .tire,. effiaertL pump or contact a Plumber or Pt7W'{`S Maintalrser to assist irr manually ooeratrng the pl.rnp controls t; restore normal levels within. the pump tank. C}a not. drive or park vehicles over tanks and di&perssf eeiis, pq t14t drive ar park aver, ar otherwise distur+~ cr compact, the area within 1 s feet down slope of any mound or at-grade sail ebsorptioit areal; Reduction or aliminati®n of the following from rile w;leteurreter stfegm tri?Ay improve thra Rerformancg and prolong the iifa of th~' POWTS: antibiotics; baby wipes; cigarette butts; ec,ndvi^na; aattpn swebx; degreasers; dental fioss~; diapers; disinfectants; fat: foundation drain {sump punnet water; fruit and vegetrable avellr's~e; gamoi'inc; grease; fierbicides; meat scraps; madicatians: O i; painting products; pesticides; sarrirary napkins; tampgni; find water saafisner brine. ABANDONMENT When the POWTS fails and/or is permanently taken put t~f seryi~s~ the faitcwing steps small be taken to insure t'~at the system rs properly and safely abandoned in compliance with chapter Cori41'~i $3,~3, 1Nisaonsin Adrnirtistrative Cade; • Ali piping to tonics and pits shall be dlsconnq>~tisd and the abandoned pipe openings seated. • Thd contents of art tanks and pits steal! be rerYia+tst! end property disposed of 5y a Septage Servicing Oporatr~r. ~ Alter ptarnping, a+l tanks and pits shalt be excitvated and i'a+ttovect or their covers removed and the void space filled w.th sail, g€avel or another inert solid material, CONTINI3ENCY PLAN if the f'gWTS fails and cannot be repaired the fallayviir~ rneesures have been, or must be taken, to provide a code compliant replacement system: © A suitable replacement area has been evaluated And may be 4tllix®d for the bcation of a rise+aasmeni sot! absorption system. The replacement area should be prpteCt~td from distcarfa>81nee and compaction and should not be infringed upon by required setbacks from exlstfng end proposed siPuCtur6-, tot t"snee mnd welts. Failure to protect the replacement area w~=il result in the need for a ns3w soil and site evelu~tion to eetabHeh li suitable replacement area. Reptacemasrrt systems must comply with the rules in effect at that time. P suitable replacement area is not avaifablia due tot ssi~a~lc aind7or 9C!i !imitations. 9arring advances in PC3U~1'S technology a holding lank may be installed es a laei: regent to replace the fa:led PpWTS. N~Qo The aite as not en evaluated to identity tl goit#b!e nPapiacemer-t area. Upon failure of me Pt?VL~TS a soli and site. evaluation be performed to locate a aultablp rep~l~emint tries. If no replacement area is avai+able a holding tank may b talte s a feat resort to replace ih~p }ratted PQWTE, O Mound and at-grade soil absorption systertts may be i+aoonstrWCted in place fefiousling removal of the biemat at the infiltrative surface. Recanstructians of such t}ysterns must Qarnply with the rules in effect at that time. < <WAANiN4> > SEPTtG. PUMP AND OTHER TREATMENT TANKS MAX CQN7AIN I,ETNq~: gAS3ES AryprpR 1NSi1FFtCtENT OXYQEN. DO NOT ENTER A 3EPT1C, PUMP OR Q'I'FfER TR~ITMENT TAl1lK alNi)~ii ,gtyy Ct~tGii'If~gTANCES, DEATH MAY RESULT. RESCUE OF A PERSON FRAM THE tJV7ERtOR QF A TANK MAY BE tWRI=iCUt»t f~R IMP~itiStelE. 4D0lTtORiAL CQMMt:NTS PONR'$ iM$TALLER t p0 AtNEA ._ - -Name = \~~ t f,,,~ S G~1 .c NAnta Phone '"~ / a!' .~ ~ 8' ._~ / c~, ~ Phdhd _.. ,....,~ SlEPTAQE SERViClNG OPEliATOR lAUMAERt Name 1 Phone Q AL ULATQRY AUTNt?RiTY PFtgna 7l5 - 3 (o - 4~b ~~ -~~-~ Th=e ~iorumerst was drafted in com~fiarce with chapter Gomm a3.~2(2,l:tbNllldl&{f} acid g3,54it1, (2i & (3-, Wisconsin 4<',rninistretive rode , uyt, v. • SEPTIC TANK ~ PUMP CHAMBEk CROSS SECTION AND SP%CIFICATIONS ..., 4" Ci V£r1T PIPE 12" MIN. ABOVE GRADE ? 25' FROM DOOR, WINDt~W OR FRESH AIR INTAKE FINIS~iED GRADE 4 " C I RISER ~--•+ ].8" IN. 6" MAX. I NLET ~ r~1 /' WATER TIGHT SEALS APPROVED 'IPE 3' )NTO SOLD 'OIL PUMP OFF ELEV . FT . ~~.. B C D WEATHERPROOF JUNCTION BOX WITH CONDUIT ~ r t ~.. ~~ E ', GAS- ~ 'w TIGHTS SEAL ' ' ~ BALM ' ON i ~ ! dOFF 3 " APPROVED BEDDING UNDER TANK APPROVED MANHOLE COVER W 1 PADLOCK € WP.RNING LABEL 4" MIN ~~ /APPROVED JOINTS WITH APPROVED PIPE 3' ONTO SOLID SOIL s~i4 RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS APPROVAL CONCRETE PAD SPECIFICATONS SEPTIC f DOSE TANK MANUFACTURER: l._lte.se..cz TANK SIZES: SEPTIC ~~,$'a GAL. DOSE ~p~ GAL, ALARM MANUFACTURER: 1_~eve~e-ct..~.. MODEL NUMBER: e~.~! SWITCH TYPE: 'Me.c~.c PUMP MANUFACTURER : ~- ov~, _____._ MODEL NUMBER ; ~~0~4 SWITCH TYPE: 'MecZC..____- NUMBER DOSES PER DAY: DOSE VOLUME INCLUDING F LOWBAC K : ~S 9 GAL . CAPACITIES: A = as IP3CHES = y b a GAL. $ = ~ INCHES = ~ a. GAL. C = ~3 INCHES = [ tp ~ GAL. D = ~ INCHES = ~ ~+~p GAL. REQUIRED DISCHARGE RATE ~O C;PM PUMP ~ ALARM WIRING AS PER ILHR 1b.23~ WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE I~ FEET + MINIMUM NETWORK SUPPLY PRESSURE . 2.5 FEET + ~~ FEET FORCEMAIN X a.~oFT/a.oQ FT. FRICTION FACTOR 1.5'7 FEET TOTAL DYNAMIC HEAD = J3.SZ,FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH -- ; WIDTH - ; DIAMETER .- LIgUID ~' ~3S " ~1 Gal . ~e.rZ 1 ~~ :SIGNED: C~J ~~_~/ ~~^ LICENSE NUMBER: ~,a ~ 9 9 n DATE: 1/88 r ~ . ~GOULDS PUMPS • Fully submerged in high grade turbine oil far lubrrcapon and efficient heat transfer. 3 Q ~ 1 EP04 o . EP05 APPLICATIONS Specificapy designed far the following uses: • Effluent systems • Homes • Farms • Heavy duty Sump • Water transfer • Dewatering SPECiFICATiONS • Solids handling capability: '/<" maximum. • Capaaties: up to 60 tiPM. • Total heads: up to 31 feet. • Discharge slze: 1'f2" iVPT. • Mechanical seal: carbon- rotarylceramic-stationary, BONA-N eiastomers. • Temperature: 104°F (40"C) continuous 140°F (b0~) intermittent. • fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: •EP04 Single phase: 0.4 HP, 115 of 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0,5 HP, 115 V, 60 Nz, 1550 RPM, built in overload with automatic reset. • Power cord: l0 foot standard length, 16/3 S1TOW with three prong grounding plug. Options! 20 foot length,1613 SJTW with three prong grounding plug (standard on EP05). ®200ci Goulds Pumps Effective February, 2000 8387f Available for automatic and manual operation, Auto- matk models include Mechanical float Switch assembled and preset at the factory. FEATUitES ^EP04 Impeller: Thermoolas- tk Semi-open design with pump out vanes for mechanics! seal protection. Submersible Effluent Pump ^ EP05 Impeller. Thermoplas- tic enclosed design for improved performance. • Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for effident heat transfer, strength, and durabgity. ^ Motor lover: Themwpiastic cover with integral handle and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING ~' Csn~dan 3tAndards Assodation (CSA listed model numbers end in "F" or "C".? Goulds Pumps is ISO 9001 Registered. L..,.._......_.,__.. ,1. ~ ~.. .L., i __ i .,- 0 2 a 6 8 10 12 m~/h raracrTv Gotal~s Pumps tTT Industries