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HomeMy WebLinkAbout022-1098-60-120 sin Department of Commerce PRIVATE SEWAGE SYSTEM y: and Buildings Division Count INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar Permit No.: Personal inf ormation you provice may be used for secondary purposes [Privacy Law, s.15,04 (1)(m)]. 363891 Permit Holder's Name: ❑ City ❑ Village ❑ gown of: State Plan ID No.: ersico Joseph Kinnickinnic Townshi CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: t o /0 U 022 - 1098 -60 -120 TANK INFORMATION EL ATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic r r `OUG Benchmark O d / Dosing 1 sQ Alt. BM 4 / y Bldg. Sewer d Z Hol.dirtig / Ht Inlet A ( TANK SETBACK INFORMATION OHt Outlet ee TANK TO P/ L WELL BLDG. Air I to ROAD Dt Inlet Ile / Air ntake _o Septic > �� ' T /0d NA Dt Bottom Dosing > S� 7j;U� ' ` 160 / NA Header /Man. ti NA Dist. Pipe T Bot.System y.?$ 1o0 PUMP/ SIPHON INFORMATION y ( final Grade ed Manufacturer Demand St cover , / flip Model Number 3 d 7 , GPM (�{ s, 9- d TDH Lifter ?6 Friction r ` � SVStern TDH�d,/ Ft Z Forcemain Length Z / Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Len th No. Of Trenches PI No. Of Pits In i Liquid Depth DIMENSION �S Z DIME SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM CH Manufacturer: INFORMATION Type Of CHAMBER Model Num System: > �S y16 7 �50� OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length ? Dia. Spacing 36 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed/ Trench Center Bed /Trench Edges Topsoil E] Yes ❑ No E] Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) insp ectio n #l: I nspection #2: /Z7 / 6� Location: 49 County Road JJ, River Falls, W1 54022 (SW 1/4 NE 1 4 34 T28N R1 8W) - 34. -Lot 2 q5 1.) Alt BM Description =% 5(�ec� f 2.) Bldg sewer length =3 o ` y< < -amount er = y y2 —'— 4 3.) contour = y) et W , e r LU - Ip Plan revision re4uired7 ❑ Yes No Use other side for additional information. SBD -6710 (R.3/97) Datd Inspector's Si ature Cert. No. k ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: i F E e I F 3 I e E i r e i � t 3 s E 6 E r . , s t L { a E 3 � c 3 } E ., a —.. w } } Safety and Buildings Division Vi sconsin SANITARY PERMIT APPLICATION 201 W. Washington Avenue P o Box 7162 Department of Commerce In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707 -7162 • Attach complete plans (to the county copy only) for the system, on paper not less County than 81/2 x 11 inches in size. T, Iro r • See reverse side for instructions for completing this application State sa / ary Permit Number Personal information you provide may be used for second ea e4 21 1 ❑ Check evislon to �ious application [Privacy Law, s. 15.04 (1) (m)]. State Plan Review Transaction Number I. APPLICATION INF RMATION - P �� P INF ATI N 0 3 159' 0 Property O r Name roperty Location AS P S c d 1/4 yJ Li /4,S 3-1 T .3 e ,N,R 8 E(or Property Owner's Mailing Add ss, ! AY 1 � V I mber Block Number City, to Zip Code C Phon vision Name or CSM Numbe / 1 v� 6 Zzz Z P, Jo II. P BUILDING: (check one) Owned ' ' Nearest Road age K�wyt,�i t,•,W►�+s' C Yh Public 1 or 2 Family Dwelling - No. a Town OF D 6Z� III BUILDING USE (If building type is public, check all t a y Parcel Tax Number(s) 314, a9, L 5. 53($ a 0 1 ❑ Apartment/ Condo 2L "` 1 --110 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an ystem System _____________ Tank Only________ __ Existing system ________ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 AMound 0 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure x _/ _ /� 42 ❑ Pit Privy 13 [] Seepage Pit (� r r �Y�l 43 ❑ Vault Privy 14 ❑ System -In -Fill Cot- (. VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (s;l ft.) Proposed (s ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation Ll 375 3 L 9Feet l0 Feet acit VII. TANK in Ca gallo Total # of Prefab. Site Fiber- Exper. INFORMATION New Existin Gallons Tanks Manufacturers Name Concrete strutted Steel glass Plastic App Tank T nks is Tankk Holding Tank QD O 00 1 C`• ® ❑ ❑ ❑ ❑ ❑ Lift Pump Tank phon Chamber t1 7� ❑ ❑ ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage s m shown on the attached plans. Plu is Name: Pont) Plum er's S gnat e: ( Stamps) MP RS o.: Business Phone Number: a� ,5 as ��s q as - 2175 Plum er's A dress (Street, City, State, Zip Co ): !9 4 S vev T I, .54¢0 2 1 IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sa itary Permit Fee (Includes Groundwater ate I ssued Issuing Agent Sig ture (No Stamps) P A roved Surcharge r eef pp ❑Owner Given Initial Adverse Determination 3a5 � -� X. CONDIT1 OF APP OVAL /REASONS FOR DISAPPROVAL: rJ _ Al't WgrieVt,s — WLAA, Pe.4 A r SBD -6398 (R.12199) DISTRIBUTION: Original to County, One copy To: Safety 8 Buildings Division, Owner, Plumber INSTRUCTIONS ' 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the county prior to installation it w t m must properly maintained. The septic tanks must be pumped b a licensed �m er whenever 5. Ons a sewage sys e s us be p p y p O p p y p p necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safetyand Buildings Division, 608 - 266 - 3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to oe installed - II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling- III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material- Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII- Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County / Department Use Only. X. County/ Department Use Only. I Complete plans and specifications.not smaller than 8 1/2 x 11 inches must be submitted to the county. The plaris must include the following: A) plot plan, drawn to scale or with complete' dimensions, location of holding ank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service, streams and lakes; pump or siphon tanks; distribution boxes, soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance (urve; pump model and pump manufacturer; D) cross section of the soil absorption system if'required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- CIROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigationf and establishment of standards. Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 *isconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary May 15, 2000 CUST ID No.220554 A7TN: POWTS INSPECTOR ZONING OFFICE CARL P HEISE ST CROIX COUNTY SPIA 1042 S MAIN ST 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/15/2002 ldentific!gMnTbers Transaction ID No. 3 Site ID No. 191903 SITE: Please; refer tv both identification numbers, Site ID: 191903, Joseph Persico Proposed Residence above, in all correspondence with fine agency.;; St. Croix County, Town of Kinnickinnic SWIA, NE 1/4, S34, T28N, RI 8W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 662958 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. CAUTION: Wis.stats 145.135(2)(b) indicates that the approval of a sanitary permit is based on regulations in force on the date of approval. The effective date of COMM 83 revisions is expected to be July 1, 2000. Thus depending on the type of system and your design, this plan approval may not be eligible for sanitary permit approval if submitted to the issuing agency on or after July 1, 2000. Note: There is a potential for a law suit that may delay the effective date of the code so this status may or may not change. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. CARL P HEISE Page 2 5115100 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 05/09/2000 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 erard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 785 -9348, Mon. - Fri. 7:15 AM to 4:00 PM jswim @commerce.state.wi.us '110/1 -W ; 763 b , F I MOVE THE EARTH CARL HEISE EXCAVATING 1042 South Mctn RIVER FALLS, WI $4022 (715) 425.2175 CARE F, HE131 Owner MOUND SYSTEM FOR 6 BEDROOM RESIDENCE i � ! N, R Wr LOCATED IN THE ,U � 4 OF THE ±IE � OF SECTION T r TOWN OF � i,n! „- K;ww.� S7- rYOi 9 _- COUNTY,WISCONSIN. P • C INDEX L p p D ft l Of COMMERCE PAGE 1 o f 6 TITLE SHEET DE RTM AF 4ES k D1 NGS PAGE Z of 6 PLOT PLAN p1v1 PAGE 3 of 6 PLAN VIEW -CROSS SECTION ENCE PAGE 4 of 6 DISTRISUTYdN PIPE LAY -OUT SEE cORR PAGE 5 of 6 PUMPING C.HAMS PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED F OR � 40�� ToSEPN PE 95 T CO 12 CO 9 0 F I C � .9 0 00 - R I V E R FA LL5 W f As REB B Car His CST 3314 MPRS 3378 -." 22� 554 1042 South Main Street River Valls,WI 54022 r PL OT PLAN � � 2 �! 6 LOT 2 BY AC SCALE 1 " Z 50 ' 50 ' eXCPP7 WjjffZ ' Di M rr15loNf;D 4. .9- b I� 42 M O N , �1►l .�VI X 90 �A 1 6fi NAP4VR P SPIKE 1% QG1�/5R ► (�1 POIF`' EL.IOp.O c� P t r y ec s b� 000 �crA1. SrPrI � �s Pvc. V 0 cJ J► w � N 0 � 3 CPS Rd � Page -,� Of_ Cross Section Of A Mound Using A Trench For The Absorption Area ASTM C 33 _ H Medium Sand Fill ° F 6w Togsoil F 3 E D G 9�o S�oye Plowed Layer Trench Of �" - 2k" Aggregate, 6" Below Pipe, Covered With D 1.0 Ft. Straw, Marsh Hay Or Synthetic Fabric E Ft. G ) , p Ft. F r Ft. H 1. S Ft. Plan View Of Mound Using A Trench For The Absorption Area -- Force Main J Distribution Pipe I Permanent Markers Observation Pipe W. ' K 1 M " � - Aggregate I Trench Of � 2� L A 5 Oct. I 1 2, Ft. K 105 Ft. W Ft. B Ft. J 7; Ft. L q� Ft. License Signed: Number: Date: y Page Of (o Distribution Pipe Detail For Two Lateral Network Holes Located On Bottom Are Equally Spaced PVC Force Main End Cap ' Y ' X X PVC ' Distribution Pipe P P X * Last Hole Should Be Next To End Cap P Ft. Hole Diameter !q..._. Inch X Inches Lateral Diameter t Inches} Y , Inches Force Main Diameter 2 Inches # Of Holes /Pipe 13 Invert Elevation Of Laterals 1, p Ft. I s ,ie 18 ►o r.. Tee 9 Si ned: License Number: Date: - t • z PAGE pp PUMP CHAMBER CROSS SECTION AIJD SPFCIFICATIOIJS ► VCWT CAP ENT PIPC � WCATNCK PROOIr APPROVED LOCKING f 2� • fROM OOOR JUUC TIOIJ , 80X MAUIiOLC COVER I1,lDOW OR FRCSH IYMItI. Al KE `�JTA .rY GRADE s 4 l �• •� cououlr *AIM, IMLCT ? PRo v10E T � AIRTICPHT �: AP,PROYEO JOlilT A I ! ( j APPROVED JOINT k 4J /C�Z: PfPG ( III W /GI. PIPE CXTtIJDIli& 3' ALM1A EXTEUDIU(m 3' OU 0 10610 401 O I I Ouro SOLID toll ow II 94, PU_ _� orr M �: •'. vt� D Q4.6 ca�ic'tcrt' aLOCK Appacy KISI`ft ..EXIT PCI M11TC0 OWLU IF TAW, tAAUUFACTURC.R HAS SUCH A 1 SPEC- IFICA'I"IO S - Ilia s jI.S -7$ ,StPTIG 1'VC:'i�wtT' • I12•S ?� K .I N1AVILlF'AC'CURCR: •••: ��•• - - -- AIUMBEIt Or OOiES' PER DAy , +" fiAA1K• L1xC' `� S ' :GALLOWS . OOSE iIt�LU;�AE . ;i U �,,'t IMCLUD1N(s OACK S_._ 4X1 -LONS IAR ' I�lA1JUr"TURi.Ri r m • " ' CAPAC1TtC$I A=.- ...WCHES OR .32G -(.dWLLOUy WtrGH' TyP ' , ''�£ w► ' . a g ta_._,�....tIJCNti OR �... G(1LLOIJS K uMP 1'1JlWLITAGTURC C+�.._�.�'lucHES OR ULLOWS i�+lpOEL W1SM9>`R: .. � ---• -� Os.._..I'a.�.ImclaS OR .�LZ..� OALLOIJG SWITCH TSi Ir: M dr t o v/ UOM ':PUMP AMD At ARC TO 5L ItJSTAlLEO OW SEPARATE CIRCUITS , Ml1J1MuM W."ARGE RAYL 1 0, ... �:.GPM1. _ 4 _ FEET �',yCRTiCJiL. CIFFET<EIJG6�D>rTWLCIJ PUMP OFF AUO.OISTRIB TIOiJ PIPC,. M lJCTWORK' SVRPI.y PRESSURC .... 2.5 FLCT t'Cir'f OF iORCC M1�1N X . . o,F TYKICTIOM F1�cYOR..�..,:.r.�.. FEET TOTAL O q :','.. ME T ct ^ • .I1ITERWAL. bIMr:1JSi01J or YAUK: LEIJbTH ;wfoTN'.;, ..�.I�IQUIO OEPTH ......r..�.. `i }i ::: ° L.ICEWSE 1.1 DATC:._...,._.,..,:. _ • � � � II li III i., ` .. ., • ' 1 "�`' ; � li "• K �, k fir:;,. y ,n,. f��� F•ya fi, � j �I Vii �!.li ; r . M ,,. II a 38 71 APPLICATIONS Motor: FEATURES Specifically designed for the • Single phase: 0.4 HP, 115 Impeller: Thermoplastic following uses: or 230 V, 60 Hz, 1550 RPM, Semi- Vortex design with • Effluent systems built in overload with pump out vanes for mechani- • Homes automatic reset. cal seal protection. • Power cord: 10 fuoi Farms standard length, 16/3 SJTO Casing and Base: Ruyyed • Heavy duty sump with three prong grounding thermoplastic design provides • Water transfer plug. Optional 20 foot superior strength and • Dewatering length, 16/3 SJTW with corrosion resistance. SPECIFICATIONS three prong grounding plug. Motor Housing: Cast iron • Fully submerged in high for efficient heat transfer, Pump: grade turbine oil for strength, and durability. • Solids handling capability: lubrication and efficient Motor Cover: Thermoplaslic 3 /a' maximum. heat transfer. cover with integral handle and • Capacities: up to 55 GPM, float switch attachment points. • Total heads: up to 24 feet. Available for automatic and power Cable: Severe duty • Discharge size: 1 NPT, manual operation. Automatic rated oil and water resistant. • Mechanical seal: carbon- models include Mercury Float Switch assembled and 0-ring: Provides positive rotary/ceramic- stationary, reset at the (actor BUNA -tJ elastomers. p y' sealing. No gaskets to replace during maintenance. • Temperature: 104 °F (40 °C) continuous Stainless steel fasteners. 140 °F (60 °C) intermittent. • Fasteners: 300 series Stainless Steel. METERS FEET _-- --...- - --.__.._....._..... -_ -... _ • Capable of running dry without damage to a components. 25 .... y- -4 -5 GPM I._..._... —, -- __ ----- .--- +._____......__. _.__..,. _ - — LJ 7 Q I + �-2.5 FT 6 20- f � _._..... 5 Z 15 - .._._ _.,..__... _ ..... .... 0 a 4 2- 5 1 � 0 _.... _.. -- - - —.1.._ ._...... 00 10 20 30 40 50 GPM i o 2 4 G e 10 12 111'/11 CAPACITY k;, 1994 Goulds Pumps, Inc. Ellective May, 1994 1 B38 i 1 ^ /isccnsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of . 3 3ureau of integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code kttach complete site plan on paper not less than 8 112 x 11 inches In size. Plan must County nclude, but not limited to: vertical and horizontal reference point (BM), direction and ST rercent slope, scale or'dimensions, north arrow, and location and distance to nearest road. Parcel I. # hct�n�r t kPPLICANT INFORMATION - Pie t*# liryig ation. R viewed by Date rm 'ersonal inloation u You P rovide may be used r ond5 ry purposes (Privacy , w, s. 15.04 (1) (m)). property Owner Property Location r Govt. Lot 1/4 1/4 S T ,N,R or W �ase.ol, PCYS�G�? �_ W YV 3q Z8 ( ) 'roperty wner's Mailing Addross Lot 11 131ockll Subd. Nam or CSMN - 72 T. T 2 `—` CSYv, ty Zip Code i Ra 1 Umber i' Nearest Road i State �. y�i ,. ❑ C ❑Village [.� Town V C F« J` i ?, `4 a 1 / P,Lf/6 2 K i+v �v c. v w i c O of M al- TT ® New Construction Use: ®Residen of bedrooms Addition to existing building 1U 4 ❑ Replacement ❑ Public or cn.. - Describe: r} Code derived daily flow ` d gpd Recommended design loading rate 0, s bed, gpd /ft © . — trench, gpd/f1 Absorption area required _12- ft 2 __X2_J _ trench, ft Maximum design loading rate 0 . � bed, d/ft 0 9 9 9p f trench, gpd/ft Recommended infiltration surface elevation(s) 100. 5 ft(as referred to site plan benchmark) Additional design/site considerations PEA Ou,yu O W � i 4 M to 12 � �,'�� S a r A Parent material i i c S e Flood plain elevation, if applicable N ft 3 = Suitable for system Conventional Mound In- Ground Pressure I AT -Grade System in Fill Holding Tank J = Unsuitable for system ❑ s 21 u ®s ❑ u I ❑ S ®U IDS ®U ❑ S [R ❑ S 'NU SOIL DESCRIPTION REPORT 3orlrl # Horizon Depth Dominant Color Mottles Structure GPD /lt 9 in. Munsell Qu. Sz. Cont. Color Toxturo Gr. Sz. Sh. Consistence Boundary Roots Bed , Trench 13 j o. t 2 10 Ya 1/1L_ 2 �sbK n1 v a s 1 f o.5 0. io 2 12-33 1 U R 4 5 S; i Zf G.S' around 3 3-43 7.5 V K 9 1 4 rt r C S — 0,$ :0, eft 43. 10 tQ e, FtF - 7. S Y ( 5 $ i1 nrr��� -- — )epth to miting actor -- — —' 4 n Remarks: 3oring # v R 4/ `—' S ) 2 b/C nf s t E l 2 l8.29 0 fR 415 Si �>� /C '�r C S �� *S;o. Zq- 1 0 Y(Z S -3 �i R around q 3 Y R V4 very 1 s7 ) $ 0 5 MAY — L�,S 6 ►lev. )epth to miting actor Rema ,ST Name (Please Print) Si ature Telephone No. CO i� is e f2 011 Address Date CST Number 1 092. 5 5 ��vt. - F� S4 Z- V2,q 6 aaos I SOIL DESCRIPTION REPORT i PROPERTY OWNER 12 t C 4 ti Page _2 — of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Structure 2 In. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed , Trench �0YR4 Si 2 4.6 bK Vn ;r AS 6. - 10 1'R 411, s; 1 21 t' O's around 3 7 3 Q 4 5 2 4 y1t f r C O. S 0. 318V. s,rft 4 354 ?, S t 7. C ( 0m Y14 Depth to imiting factor Remarks: Boring # around elev. ft. Depth to imiting factor in. Remarks: Horizon Depth Dominant Color Mottles Structure Pp In. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed .Trench Boring # ; 13 Ground elev. ft. Depth to limiting factor In. Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor ' Remarks: SBD -8330 (R. 07/96) ! V/ :. � E Ce 7 - w�2rt CJC��JY��N OhC� • LvT ? B Ac �( 83 i o � a i a I � j i Bru $PkE POWEK POE LPa ELA00,0O O F c.� f ,M V o- u> t R 4 54 a. 1 ' _ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address es ` 3 fX 7 75 !` c 01 Property Address 9 r=a ji (Verification required from Planning Department for new construction) City /State Et VcJr Parcel Identification Numbe ^ " L z LEGAL DESCRIPTION Property Location $W ' /s, %., Sec. T �& N -R,L� W, Town of i n Gt r I vl ►.�U+ Subdivision , Lot # Certified Survey Map # 3 , Volume Page # 3 4 �- Warranty Deed # Z 3� Y . Volume Z Page # Spec house ❑ yes no Lot lines identifiable C�es ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a mastcrplumber, journeymanplumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiraSipn date. / J n ,�X GNATUtE OF XPPLItANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described abo , by virtue of a warranty deed recorded in Register of Deeds Office. GN OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed voi. 1512PAGE 95 623344 STATE BAR OF WISCONSIN FORM I I -1982 KATHLEEN H. WALSH LAND CONTRACT REGISTER OF DEED ladividud and Corpsrala (To BE USED FOR ALL TRANSACTIONS W HW OVER DOCUMENT NO. sn,noo is RNANCan AND IN OTMR NON- C.O M RECEIVED FOR RECORD ACT TRANSACTIONS) 05 -18 -2000 2:45 PM COntract,b and bctween EstherLee U. Reinatrt LAND CONTRACT EXEMPT N ("vendor", CERT COPY FEE: whether one or more) and Joseph N. Persieo and Gladys COPY FEE: 3.00 TRANSFER FEE: 225.00 Persico , husband and wife RECORDING FEE: 12.00 (" Purchaser, whether one or more). Vendor sells PAGES: 2 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: Lots 2 and 3 of Certified Survey Map recorded in Volume 14, Page 3842 as Document No. 62!2232,, being a part of the SW 1/4 of the NE 1/4 of etion 34, Township 28 North Range 18 West, Town of THIS SPACE RESERVED FOR RECORDING DATA Kinnickinnic, St. Croix County, Wisconsin. NAME AND R ETURN ADDFkfSS RETURN TO TITLE ONE 70619TH STR±1:.T SOUTH HUDSON, WI 54016 22- 109 -6 -110 (Parcel Identification Number) This is n t homestead property. � (is ) (1s not Purchaser agrees to purchase the Property and to pay to Vendor at where vendor_ directs , the sum of S 75 , 00 0 00, in the following manner: (a) S 37 :i . 0 0 at the execution of this Contract; and (b) the balance of $ 37 F 50 0.00 _ , together with interest front date hereof on the balance outstanding from time to time at the rate of 8.000 percent per annum until paid in full, as follows: Monthly payments of principal and interest. in the amount of $275.16 per month commencing June 18, 2000 and continuing on the 18th day of each succeeding month thereafter. Provided, however, the entire outstanding balance shall be paid in full on or before the I�th, , day of Ma _ _ , 200"2 (the maturity date). Following any default in payment, interest shall accrue at the rate of — 8 . 0_00 % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upoli accelerntiun or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably anticipated 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, Paytnentc 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 ac any time afttr 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 hcrefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: I 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 wail du full purchase price spa Purchaser shall be entitled to take possession of the Property on Date Of Closing •CMt.Out Oac. 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V*101111 s,JOpttoA uodn Jo AmdoJd aq) uo .P3IAal ssuawssasse pus soxn 11E anp uatlm And o) soslwold 2ase4amd 96 111 IMT "I FILED � P AY 0 2 2000 f 6 2222 {LEFTIli.VIAL T �, CERTIFIED SURVEY MAP ESTERLEE U. REINART Part of the Southwest 114 of the Northeast 114 and the Northwest 114 of the Northeast 114 ofSection 34, Township 24 North, Range 16 West, Town of Kinnickinnic, St. Croix County, Wisconsin. Note: An erosion control plan must be ALL BEARINGS REF. TO submitt d to St. Croix County prior ^ a± v • , • •••••••••• • r, to construction on Lots THE EAS E / 2 and 3 . • &URE E': OF SEC. W, Hy i AS`j Ol'� WATERCOURSE f77 U C ! r s ommittee ��' S ! 1 13 �.. S S' ..RIVER FALLS, 4/ Z MAY 0 2 200th 42� �� s s�� �F9'•••..WISC.•,.••• N t te appro shall b® a N d ll and void o> r `fie 6�6, 5�9 \� � MOUNDS 3 CO ' dl &" Z I o DRIVEWAY SHED % \ O WELL U!MEl GANAGEH ATT LOT 1 - r W/ 8.913 ACRES, 388, 262 S0, FT. 2 / 8.228 ACRES, 338,409 SC. FT. in EXC. ROAD R.O. W. 0 W N N 90. 00' 00" E 920.10' z k 511.90' I 43 4 N , 384 o W ^ S 74 16T1 "E 408.20' 876.46' 4.00' co l LOT 3 p- ^ I 8 000 ACRES. 348,496 SO. FT `? I° 7437 ACRES, 323,961 SO FT. T 3 46' I EXC ROAD R.O W �6 L 2 Owner's Address: N � ^ 2 7 8.001 ACRES. 348,517 Sri. FT. C ' 55 C.T.H. 'kl N to LL Z p ( I h 6.757 ACRES. 294,354 SO Fr. River Falls, M 54022 ° g co �1 EXC. ROAD R.O. W. v U This instrument drafted by Laurencq W. M Murphy Dated: March 15, 2000 ° �j a "Revised this 26Th Cn U `� ► "� ' $ N day of April, 2000." ce o r _... W N �__.._��...__.....___�.. ...� 00 53.90 o 2 -_ 3 -- 2836.1_$' N 89 29" E 602.58' � { 2 _N 89' 32' 29 ".E .. 458 ,- - -- _ f.- 1 - - 548.68 Cl) f� ---_ r 1321.3 ' sill - 607.96' — —v - 114 LBIVE� co _ 1119.88' ^ R( 1 1 05 . 5 ' MORE O R LESS) CIA CENTERLINE �- N 89 •'E 5277.44' -v 3 3 , 5 Q UNPL LA / 14 o Q/ I F Q Q' r • Indicates 1 " x 24" iron pipe weighing 1.13 lbs.Ain. R: SCALE 1 ^ = 200• set. 0 50' r 200' 300' 400' 600' 600' ! - . 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