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HomeMy WebLinkAbout024-1047-01-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division ' INSPECTION REPORT sanitary Permit No: 479284 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Henry, James Pleasant Valley, Town of CST BM Elev: Insp. BM Elev: BM Description: Section(fownlRangelMap No: t Cc^ PA k c T 04.28.17. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �C a C Benchmark Dosing Alt. BM �1/�IP G 41 IJCX.Q,� O 3 / G ,3 . h` i Bldg. Sewer .N Holding St/Ht Inlet �• �►. r a: 1 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / / ' ; Dt Bottom 3C 3e 3� 13• l�5 Dosing �. i . i Header /Man. j b 3� ' 3.75 /et .2-5 Aeration _..,.._...._.,.....,_, Dist. Pipe 3 +� � 1 114 .3 I I Holding .. ....., .,...,. .....- _........ Bot. System L135 V - E , 5 Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover L r cL.,J GPM Model Number TDH Lift C, Friction Loss System Head TDH Forcemain Length Dia. >/ Dist. to Well J* / Z 30 SOIL ABSORPTION SYSTEM BED/TRENCH Width , Length / No. Of Tren s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 1 SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufacturer: �\ INFORMATION Type CHAMBER OR ystem: • � / / � UNIT C� 4 � b G C Model Number: �. 00 l I DISTRIBUTION SYSTEM Header /Ma old � 11 Distribution /� ` � r 1 �� x Hole Size �/ x Hole Spacing Vent to Air Intake / Pipe(s) g' ` Length Dia Length Dia Spacing 1la SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over / Depth Over xx Depth of xx Seeded /Sodded El No I Mulched Bed/Trench Center 1 /_ Bed/Trench Edges Topsoil 1(j < es Q No e� COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / �✓ Inspection #2: Location: 591 172nd Street Hammond 4 T28N R1 7W) Meadows Lot 1 Parcel o: 04.28.17. I WI 54015 ( NW 1/4 NW 1/4 L ) Missy 1.) Alt BM Description = �'`' �.�+► +' C:, [ t o�� cV�J Ct� 00, 0w r 2J Bldg sewer length 7l'tv i �OsN - amount of cover I c'�-5 Plan revision Required? Yes Use other side for additional information. o SBD -6710 (R.3/97) Date Insepctor's Si atur Cert. No. Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 6 f j( is Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) eonsin Department of Commerce (608) 266 -3151 9, Z!&— State Pan I.D. Number Sanitary Permit Application - In accord with Comm 83.2 1, Wis. Adm. Code, personal information you provide /� //13 7a 6 may be used for secondary purposes Privacy Law, s 5.04(1)(m) Project Address (if different than mailing address) I. Application Information - Please Print All In rmati Property Owner's Name arcel # I Lo 1 Block # ti M , J NOV 0 7 2005 , Property Owner' A Mail ingA dress o Pr c�n oo �ODO 1 b ST. CROIX COUNTY � / ZONING OFFICE A r,, N w h, Section City, State Zip Code lone NumDer (circle o e) T R Eo II. Type of Building (check all that apply) or 2 Family Dwelling- Number of Bedrooms i ®` (�` Subdivision Name C�S_M I�umbe ❑ Public/Commercial - Describe Use ❑ State Owned - Describe Use ❑City_ Village WZownship of V A-I V III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System p y p Y ❑ Re lacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. ❑ Permit Renewal Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration ------ Plumber Owner q79 7,F V - //,*S_ � r 7 G. IV. Type of POWTS System: Check all that appl ❑ Non - Pressurized In- Ground _ ound < 24 in. of suitable soil t -Grade El Single Pass Sand Filter El Constructed Wetland El 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 (explain) t• V. Dispersal/Treatment Area Information: Design Flow (gpd) I Design Soil AQp lication Ra I gpdsf) I Dispersal Area Required (sf) Dispersa OWa Proposed (sf) System Efivation oo t �•� �. >ci� t �� ► 65 VI. Tank Info acity m Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Ff 1 Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding, Tank Aerobic Treatment Unit V Dosing Chamber VII. Responsibility Statement- I, the undersigned, ass a responsibilo fo7 installation of the POWTS shown on the attached plans. Plumb is ame (Print) Plumber's Si : !:e MP /MFRS Number Business Phone Number �lS X62 /SS PI ber s Address (Street, City, State, Zip o A; VIII ount /De artment Use Onl Approved ❑Disapproved Sanitary Permit Fee (includes Grow I ater Dat Issued Issuing Ag t Signature (NO )Stamps) Surcharge Fee) �/ �( El Owner Owner Given Reason for Denial / J IX. Conditions of Approval /Reasons for Disapproval -S S _/ ' �Attts$h complete plans (to the County only) for system on paper not less than 81/2 x 11 inches in size 4 � SBD -6398 (R. 01/03) I 29 • ; � y �, p N C.•� ��: 1 112 : yo' 1-7 y �• i c LO - p e s _ �.. _... ED ° ce I t amt �� ¢ 1 • S c.. a `S l/ k s�o 7 Q_ V+�y.V1 Noaa a 23- J Safety and Buildings 4003 N KINNEY COULEE RD commercemi.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sco n s i n www.wwww.commer isco sin. / isconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary September 15, 2005 CUST ID No. 224199 ATTN: POWTS Inspector KENT HOKE ZONING OFFICE H & H PLUMBING LLC ST CROIX COUNTY SPIA PO BOX 10 1101 CARMICHAEL RD COLFAX WI 54730 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/15/2007 Identification Numbers Transaction ID No. 1193726 SITE: Site ID No. 691830 Randy Nyhagen Please refer to both identification numbers, 172nd Street above, in all correspondence with the agency. Town of Pleasant Valley St Croix County NW1/4, NW1/4, S4, T28N, R17W Lot: 1, Subdivision: Missy Meadows FOR: Description: Proposed Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 990021 Revision; Maintenance required; 600 GPD Flow rate; 16 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 101); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The approved changes will become an addendum to the plans that were previously approved on 11/2/04 under Transaction ID No. 1077538. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD- 10691- P(N.O1 /01). • The pressure network is to be constructed in accordance with publications SBD- 10706- P(NO1 /O1) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81)" • 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 POWTS 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. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be gig &mr of the tank explaining that periodic cleaning of the filter is required. Access to the filte!* c t,pe provided per Comm 84 product approval conditions. U72 ltiona fly APPROVED nr-PAGTMFNT nF rnu"rorr KENT HOKE Page 2 9/15/2005 • Comm 83.22(7) - A copy of the gRproved 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. Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83,54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 75.00 Fee Received $ 75.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSMART coder 7633 jswim @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Henry F Grote, Certified Soil Testing y Randy Nyhagen - Mound Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with. manufacturer's specifications. Construction methods must comply with the following Component Manuals: RECFII I?: 'I Revision to James Henry plan, Trans # 1077538, Site 691830 SEP 0 g 2005 Mound, SBD- 10691 -P (01 /O1) SAFEN& 6 UILDlrvus Pressure Distribution, SBD- 10706 -P (01 /01) Location: Lot 1, Missy Meadows, was lot 2, CSM NW '/4, NW '/4, Sec. 4, T 28 N, R 17 W Town: Pleasant Valley County: St. Croix Date: September 12, 2005 Owner: Randy Nyhagen Address: 1699 60` Ave. Hammond, WI 5401 Plumber: Kent e Signature: 11, i� License: MP 224199 Attachments: SBD -10577 - Plan Approval Application SBD -8330 Page 1: cover 2: design criteria & calculations 3: plot plan SAFETY AND BUILDINGS 4: system cross section Divis U 5: plan view, lateral detail 6: pump tank exit detail SL E GURRE6Q0NDENCE 7: pump curve 8: system management page 1 of 8 i i i Design Criteria � Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L Bedrooms x 100 gal/bedroom/day x 1.5 gallons /day hydraulic load r Design Caleylations In situ designed loading rate 3 , / gallons /sq. ft. per day Depth to estimated high ground water ?- b in. Depth to bedrock } b in. Cross slope at system 4 Force main length ` ° ft. of Z in. k 1 d Manifold/header length 3 ft. of � z— in. 0 Z $ Drain -back gallons Lateral length @ 5� o ft. of �� z in. Lateral elevation' �� ft. @ bottom of lateral Lateral hole size �Ab in. @ in. ( 4 ' , ' ft.) Spacing ` holes /lateral S Z holes total Lateral volume g gallons Total lateral discharge rate gallons /minute @ ft. head Network pressure compensation losses Elevation difference ft. Friction loss ft. @ S gallons /minute Total dynamic head ft. Pump /si�kon gpm @ ft. of head Manufacturer 1 ^ �i G—, ' Model # 1`I Dose volume gallons Lift/s*on tank ' gallons Septic tank Z'b gallons Effluent filter 0,0 ­o o V 0 27.2- l k'Q CA Measurement pump on and off in. Height alarm from tank bottom 1 �� in. Reserve capacity 4' 6q , 4- gallons specs.caks.res Page Z of g 1: N h e- y S ew P N� �Y� � w�y� St�.e � % '1". �1 N, IR,17w . �W��t►�� ,irk. . / r Y C 3-t- ��t e� p 1 air btmi P; s 'Dar c•H t5e- Ce It akeA U 91 .7 3 `�'rc Fart r� s s., w , a-c e, - :;' - 4 b '7 94.3 3 -' If 1• l Nous - - S a 4.S J4..Q.�_� 0. b o b Mt oo ti " w►.� ` � b i..�oco:1 rp � , .. i v. I obLA.Aev%j oy �..e ll1 T� �o o�.. o+ t.c� �� • i, 1 Z ?VL 2 4 ,0... l U . i l / 4 V \ Y O Lf rin w I V V t 0 B K Y S 2 CL 6� V � '' �' -' WEAT'NERPRO�F LOCKING COVER JUNCTION 4444N iA G A ABE4 . 8coc P GWGK D,�C�IVICT --� --� IL 4 4 r-"4. 77777 7 7 7�zlo'4777 7777777. 4° P►D` 3' A. CL n0 ND►STuR6ED a SOIL 24" T.D. II d 40 Mm4OLE � v ` � - 4 I � � a"� G-A- SIFT Z rr,-5 W F L E 1 4 o RLL P^ 4 4 1.AL 3' WT C. C'o ►W E G.TI OKS `'^/ T_ ON 0"rz� C C `TkAj :h Owt�a. g O Y C9 t Q.1NO.p ow r ~ • c9 L� 2Z. • 14 CS(a PuKP CoAr�E-r� ENV bcoCK � 5EPTIC t 5PECIFI'CATIoJ$ DOSE TAWKS MAWUFACTURER: 1�+ WUMBER OF DOSES: TAWK SIZE. %'L1 _-•S_o GALLOWS ..DOSE VOLUME ALARP'1 f T V,k `• -���_ IWCLUOIWG OACKFLOW: I GAtLoa S hOOEL ►JW4ER; CAPACITIES: A= 2 �' S/ IWCHES OK '� CACLoaS SWITCH TUPE; y 9 =—_. ._IUCMESOR G.l�aa5 PUMP 4 \AQUFALTURCR; C 't ` ` � _ C a iUCMES OR II O. �� GA Ll9aS MODEL WUMOEK. k D■ � IIJ OR �SI.�3 G�149N$ SWI'TCN TdpE; V"`Q'�""'' uo1'E: PUMP AIJD ALARM ARC TO DC MIIJIMIUM DISCMARC4 RATE _�!� GPM INSTALLED OW SEPARATE CIKCIakTT i VERTICAL. OIFFEKi14C[ DETWE[IJ PUMP OFF A1JO 0I3TRIbUTION PIPE.. ` FEET + MIuIMUM ►NETWORK SUPPLY PRE4SUKE . . , . , , 2'�_ �3 FLET YO' - + FEET OF PORC[ MAIN X 2 __� F / 3S loo /tFRICTIOW FACTOR. FEET TOTAL DtJWAMIC. HEAD = a1 FEET VA IAITER►JAI. DIMEIJSIOAJi OF TA1JK: LEWGTH ;WIDTH -- -�...; LIQUIO DEPTH -1 e e � ... s At e 1 9EH SERIES SUMP /EFFLUENT PUMP 0 Specifications MODEL CAL SOUDS SIZE RUNNING PERFORMANCE (OPM @ HEAD) SHUTOFF PWR. CRO. WEIGHT DIMENSIONS N0, N0. US11N6 HP veils (Dit. Is.) AMPSIWATTS 5' 10' 15' 27 A) PS.I. A) 40 I I L I W) 9EH -CIM 509330 UUCSA 4/10 115 3/4 13.0 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH -CIM 509340 UUCSA 4110 230 3/4 6.5 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH -CIA-RFS 509350 UUCSA 4/10 115 3/4 13.0 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH -CIA-RFS 509360 UUCSA 4110 230 3/4 6.5 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 FLOW— LITERS /HOUR Construction 0 1000 2000 3000 Motor Housing Epoxy Coated Cast Iron Impeller Material P oly Car bonate 30 10 Impeller Type Closed Vane H Volute ABS W �.5 W Power Cord SJTW -A 20 = Mechanical Shaft Seal Nitrile with carbon and a 5 ceramic faces = Io = Fasteners Stainless Steel 2.5 Shaft Stainless Steel Bearings Upper Sleeve and Lower 0 o Ball Bearings 0 20 40 60 80 FLOW- GALLONS /MINUTE PUMP PERFORMANCE CURVE u. I15V 60HZ ; ' Little Giant Pump Co. PO Box 12010 Phone: 405.947.2511 Okla. City, OK 73157 ` Fax: 405.951.5674 d ISO 9001 CERTIFIED www. LittleGiantPump.com 4'4 Form 995235 — 01 /00 F System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, H & H Plumbing, 715-962 - 4155, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the.same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water - saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. The upslope toe of the mound system must be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run- off, final settled slope must be 2 -3% over the system or 2 -3% diverting surface run -off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 P /'ev i a u 41 03 o v + . . c a *3 <. w ti;5 ol� S;te. • CoVV e- 'j.� o&- 0&-S S.. b - '2ca3 -1', -�-/ t` .tea on - 3 i-e- C b N +V So 1 G .i'!► . Wisconsin Department of Commerce SOIL EVAL �� Page J_ of I/ Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. C p , County �' Fr0 f Attach complete site plan on paper not less than 8 1/2 x 11 inches in ' �? include, but not limited to: vertical and horizontal reference I ' 'ef�d Parcel I.D. percent slope, scale or dimensions, north arrow, and to tion a ce to nearest road. r ' Please print all informat n. P �, 2�� Review by Date Personal information you provide may be used for secondary purp as (Priv &w, S. 15.04 (1) (1MR- 4 DS Pro erty Own r C N patio IF f a, N l� - -'O O 01/4 1/4 S y T�g N R E( W Lot # Block # Subd. Name or CSM# ro Owner' Mailin Address Property 9 lv ci" Ave . I 1' CA Sov.s Ci State Zip Code Phone Number ❑ City ❑ Village t J Town Nearest Road [� New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate I D GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material �_Q s� ✓' * ^ Flood Plain elevation if applicable _�� ft. General comments =' � � .� 4 Nt I e m b + � � Yh t'%) V' 9. s - lt a-* 9 and recommendations: C based ora 97.9x' G o �►�'o� w� Boring # Boring Q R Pit Ground surface elev. _l 1 7 0 ft. Depth to limiting factor __ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 ,A 6 - DyR3 /;z 5.` 4. F PL rat w a.w a F Fr I el w • t . D 1 ms ioiC re%{v. G w t V'F I .3 7. y RY/ �o 1.5 `t�2. g L I F5 5K- W� /- G r.✓ -- • y Boring Boring # p l ® pit Ground surface elev. _ / Q o - ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 �{ 04.1 / D "S 0 12 el F . S Ail 3 - y 7 510 FA F 7 .51 X ° 1. Y q1 - 7, 5 Y2y `f C A 016 1 R I r A Effluent #1 = BOD > 30 220 mg/L and TSS >30 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print ) Signature CST Number M IN IA44 4 kic, ddre s V Date Evaluation Conducted Telephone Number � -a9-o5 rva.; I Property Owner Parcel ID # __ Page _ of Boring #� Boring pit Ground surface elev. U -33 ft. Depth to limiting factor_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 -1 SYQY Ok. w t F 4, 1. Q - - 7.519-1 ;:T `i )� If? R.. 1 FS)*V, f,- 6 w I�fi . Y .7 a Boring # ❑Boring ❑ Pit Ground surface elev. _ _— ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 'Eff#1 'Eff#2 Boring # ❑ Boring F ❑ Pit Ground surface elev. _ ft. Depth to limiting factor in. =Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD, > 30 220 mg/L and TSS >30 5 150 mg /L ' Effluent #2 = BOD s 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 need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608- 264 -8777. SBD -8330 (R.6=) N L �9y. h4 ,2 y - . It4�'. a 1-7 w G • 1 eM'd -�'vpo s back -koc �• 3 ,P 1 ht ,o F VO _ IrIc t� � ova es r i s 1 NouS e. q l.90 08/08/2005 10;58 7153815720 REMAX TEAM 1 REALTY PAGE 06 r3` J l41• ... ... .... _..... .. _,_,...., _... 3:0.9 5 � Ale, ORRI z� ` AA.ac. 21.YG j i mv . N07'1 2o�ia�51}• ,� fk I gv a, I it too or °° J R IC 1 R "I I DI P I tca i . a• .. J • I ' 21 • I� I .. p . • . • .. . e • • .. a • .. Y . t • • ♦ • S I 1 11 801 "14'4 iM1A,$.Y � I I ................. .............. ..... ........ +. .�• I h I : N • r `" v . 0 6 in ti i m n"t I a.. 08/08/2005 10:58 7153815720 REMAX TEAM 1 REAL7'' PAGE Ut } + r ST. CROIX COUNTY .� -. WISCONSiN ZONING DEPARTMENT f t r0ywt sN ri.rr. ST. CRO1X COUNTY QOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 _.� Phone: (715)386 -4680 Fax (715)386 -4686 Me o to F Fmwr Jon Sonnentag Dabs: 516/2003 Rae Soil oil -site (NW y NW ;: See 4 To" of Pleasant Valley — Randy Nyhagen) On May 2, 2003 a soil on -site was completed due to a report of marginal soils. Adam Sch-uMakg camol eted._thc _ n so il r ort on January 1. 200 This on -site was required as part of the review .for a proposed subdivision. Staff (Jon Sonnentag & Pam Quinn) has detemined that this site is suitable for a proposed septic system. The day was mostly sunny with temperatures in the upper 60's. A hand boring was completed near boring 3, the most restrictive boring. It was determined that tlae soil report was accurate in reporting that a limiting factor was not present within the first 17 inches of soil. There were possibly a few faint redox features just below the A horizon, but they were not evident below the horizon interface and would not be a limiting factor. This condition was likely due to the plowed A horizon. I Safety anJ ounty 201 W. Washin f ED J , l �seons�n Madison162 itary Permit Number (to be filled in by Co.) Depart ient of Commerce (62 q 79 8 8 2005 late Plan I.D. Number State Sanitary Permit Ap QUOUNTY In accord with Comm 83.21, Wis. Adm. Code, personal inform G OFFICE oect Address if different than mailin address may be used for secondary purposes Privacy Law, s 15) ( g ) I. Application Information - Please Print All Information , r\ �� / / 7Z , Property Owner's Name Parcel # / Lo Block # 761nts [ ttJ . (off}-- (� Property Owner's Mailing Address Property Location /A City, State Zip Code Phone Number N ��, Section o.•.� wz SY/ 6 (rcle one) �� -(` IL Type of Building (check all that apply) �5 T Z� N; R or i® (0* Subdivision Name: CSM Num or 2 Family Dwelling - Number of Bedrooms 8 -. ❑ Public/Commercial - Describe U e C1 State Owned - Describe Use 3,- /6j / Gp ,)f Z ❑City ❑ lla ownship ofd e III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 0;04 ZOL10 — A ' ANew Svs tem ❑ Replacement system ep y ❑ Treatment/Holding Tank Replacement Only ❑�ther Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New , List Fre us bernnit Ni 1�F 1s Before Expiration Plumber Owner J IV. Type of POWTS S stem• Check all that appl ❑ Non - Pressurized In -Ground d > f suite soil ❑Mound < 24 in. of suita soil 11 At -Grade El Single Pass Sand Filter ❑ Constructed Welland 13 Pressurized In- Gro ❑ Holding Tank 11 Peat Filter 11 A7 ic Unit ❑ Recircu ting Sand Filter ❑ i Recirculating Synthetic Media Filter ❑ Leaching tuber ❑ Drip Line ❑ Gravel -le ')3ipe ❑ Other (explain) �(lj V. Dispersal/Treatment Area Information: D ign Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Require s Dispersal Area Propo System Elevation ,3 ✓ k ,z y71P d.8 __1' VI. Tank Info Capacity in Total Number m6hufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units f Concrete Constructed Glass New Tanks Tanks Existin Z a b G /60 Septic or Holding Tank Aerobic Treatment t fnit NNII Dosing Chamber VIL Responsibility Statement I , the undersigned, assume re onsibility for installation of the NrkWS shown on the attached plans. Plumber's Name (Print) Plumber' ignatu MP/MPRS Number Business Phone Number ZN PI u ber's Address (Street, City, State, Zip - c 4e) �. eon. m r� D 3� VIII. Coun /De artment Use Only�' proved ❑ Sanitary Permit Fee (includes Groundwater Date Issued Issui Agent Surcharge Fee) ��< � � / D e� 11 Own en eason for �J IX. Conditions of Approval/Reasons for sapproval SYSTEM OWNER: 3, "a o 1. setic p t6* afrANy t fNW a f � ,n � - e,c sus- t-. ; 5 A% 'k- dispersal cep must all tx services i me ttained I as per management plan provided by plumber. ` Lel/t 2. AA setback requirements must be maintained as per applicable code / ordinances. Attach complete plans (to the County only) for the system on paper not less than 8112 x III hes in size / ytti�C 1V`e r, b� �5��� � iS nom' �a(c� e✓�bx��r� Faf /%D `- SBD -6398 (R. 01/03) 6, 3 I-J ��.�e_. 44tH cajwe4sa.>};av\ t,.>l at.. o �, Q 3 m o d z � to 3 � > > 0 3 r,• eo ci T O Z Z O N O v j N CD CD CD A N ONO N CD CL 9 fD A N :3 V CO CD CD O. N N O ?� U) n D N CL a o a + M� CL W O V O -4 m' � N 2 O o c 3 CA r y cn 0 3 v tv y , I� moo° O SD c " d m CL 0 rr N N D D o O O � N N O G 3 �p O 3 m (D Q A Z O CD 7 N O Z A C 2 N N r A �.c n c�D > >v i o' y a N d N C ao o M, 05 o a CO v ! Nn N d M O N O O a N C < QaO VC fD . C7 c 1 N S CD A �t C co CD CO b O O CD O A w O O (D Dp O l0 69 0 O * C a O CD i CROIX C OUNR AA PLANN &. ZON FAx MEMO DATE: ` // �� TO: �j VWLA-'� Code Administrati FAX NUMBER: 7d / 715 - 386 -4680 Land Informati FROM: Planning FAx NUMBER 715 - 386 -4686 715 -386- 4 PHONE NUMBER: - 3 - 7 1 ( Rea roperty - 386 -4677 Re ling NUMBER OF PAGES, INCLUDING COVER SHEET: 71 6 -4675 i RE: ) /f a dAA -4-e�f- 4 &v ",4 ST. CROIX COUNTY GOVERNMENT CENTER 110 1 CARMICHAEL ROAD HUDSON, W1 54016 715386 -4686 FAX PZ @CO.SAINT- CROIX.WI.US WWW_CO_SAINTCROIX_WI US MEADOWS F THE NW1 A SECTION 4, T28N, R1 7W, TOWN OF PLEASANT VALLEY, ST. CROIX COUP PAGE 4690 AND PART OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 17, PAGE UHP[ QVWIM RAG`�D� X98' � S89 °46'54 "E 1315.49' rn T EDICA THE P 1 I \ ` 13 LOTS = 65.8± ACRE: • ROAD LENGTH = 3224' < 1116,6 1 > > X 1113 AREA OF PROPOSED ROAD = 5. . +�O - i I X1121.4 � I 6 6' ' i I O 1 I PARCEL DESCRIPTION O 1 • ` A parcel of land located in part of • I ° i part of the SW1 /4 of the NW1 /4 of • �� I I l l J II� _I Town of Pleasant Valley, St. Croix • to ` ° , I described as follows: V I p --� � � i � i Commencing at the NW Corner o • S89 °46'54 "E, along the north line ' < 1 ° ° 1 the west line of Lot 1 of Certified Volume 18, Page 4782 at the St. Deeds Office being the point of b S89 °46'54 "E, along said north line Q1 i of the W of the NW1 /4; thence • 1 line, 2623.93 feet to the north line I i on curve of a 5544.58 foot radius whose central angle measures 1' • 100' I 100' X 1127,2 N86'03'1 8'W and measures 1192 y 1 along the arc of said curve and n `` point of tangency; thence N79 °5,' I I OT I 128.70 feet to the west line of the 5. AC.± along said west line, 1507.49 fee' • N.B.A. – 4.3 AC.± i , 11 1; thence N89 °33'00 "E, along sai( • L .0.= 1115.00 �O easterly line of said Lot 1; thence 1 easterly line, 315.63 feet; thence • 33' 33' ` li easterly line, 101.51 feet; thence easterly line, 215.01 feet; thence ea t; thence I ea t to the p • I p cres (3,1. RPOLE I I P Road (1 D AT THE ` • • I all o er eas trictions RUCTION. r N •v 1 d i I o I I, Edwin C. Flanum, Registered V 1 1 hereby certify that the above des( I �O was surveyed by me or under m `— — — — — — 24' — - — — - — I this map is a correct representa \ to the best of my knowledge and ± ' H AVE w 0-) ( 04 ° B CH RK • — — — P O IRO PIPE 294.41' — . — — . — — - EV. 11 87 \\ O"� 11 �\\ ` a` 0 EDV Safety and Buildings commerce.wi. OV 4003 N KINNEY COULEE RD g LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sco n s i n www.w www.commer isco sin.go / Department of Commerce isconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary November 02, 2004 CUST ID No.224199 ATTN. POWTS Inspector KENT HOKE ZONING OFFICE H & H PLUMBING LLC ST CROIX COUNTY SPIA PO BOX 10 1101 CARMICHAEL RD COLFAX WI 54730 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/02/2006 Identification Numbers Transaction ID No. 1077538 SITE: Site ID No. 691830 James Henry Please refer to both identification numbers, 60th Avenue above,, in all correspondence with the agency. Town of Pleasant Valley St Croix County NWI /4, NW1 /4, S4, T28N, R17W FOR: Description: Proposed Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 990021 Maintenance required; 600 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01/01), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD- 10691- P(N.01 /01). • The pressure network is to be constructed in accordance with publications SBD- 10706- P(NO1 /01) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". • 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. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - A copy of the approved plans specifications and this letter shall be on -site during construction and open to ins ection by authorized representaives of the De artment which may include local inspectors. ARP KENT HOKE Page 2 11/2/2004 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Gerard M. Swim Balance Due $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm jswim @commerce.state.wi.us WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Henry F Grote, Certified Soil Testing RECEI James Henry - Mound OCT 2 6 2004 Construction Materials and TechniqueS & 8 LD US Iry All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD - 10691 -P (01 /01) Pressure Distribution, SBD - 10706 -P (01/01) Location: Lot 2, CSM, NW '/4, NW '/4, Sec. 4, T 28 N, R 17 W Town: Pleasant Valley County: St. Croix Date: October 22, 2004 Owner: James Henry Address: 2217 Vine St., Suite 200 Hudson, WI 54016 Plumber: Kent oke Signature: License: MP 22419 Attachments: SBD -10577 - Plan Approval Application SBD -8330 Page 1: cover 2: design criteria & calculations -` 3: plot plan Ak1MENT OE COMMERCE 4: system cross section ivis�uN�F SAFETY AND g�1►,O1N` S 5: plan view, lateral detail NpENCE 6: pump tank exit detail SEE CpRRES 7: pump curve 8: system management page 1 of 8 Design Criteria Residential Wastewater Contaminant Load: 30 mg/L < BOD5 < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L Bedrooms x 100 gal/bedroom/day x 1.5 gallons /day hydraulic load Design Calculations In situ designed loading rate (9 •3 gallons /sq. ft. per day Depth to estimated high ground water i l in. Depth to bedrock > 31 in. (� Cross slope at system ¢ g % c-4JC.. w Force main length ft. of Z in. Manifold/header length o ft. of Z in. Drain -back gallons Lateral length 4 " @ Ste' o ft. of `� Z in. Lateral elevation ° 3 3 ft. @ bottom of lateral 3 Lateral hole size in. @ 4 in. ( -/\'1 ° ft.) Spacing 3 holes /lateral S Z. holes total Lateral volume A- gallons Total lateral discharge rate 1z - gallons /minute @ Z, �/ ft. head Network pressure compensation losses ft. Elevation difference 2,Q ,S ft Friction loss '?I I- ft. @ 3 gallons /minute Total dynamic head ft. Pump /slp�on �$ gpm @ ft. of head Manufacturer ��eAl a.,, Model # Dose volume 2,oct. gallons Lift/sip tank � � e-� av �ro -� s�o C.o 5� gallons Septic tank 1 , z5� gallons Effluent filter C4 k Measurement pump on and off ` ° in. Height alarm from tank bottom in. Reserve capacity gallons specs.calcs.res Page Z of f J. SQ.!M �v'vSS J !.Q- }soh 0. - t w.L t..OA m o Z , � / I t3ti�•, -� �o � o,p t a• 1 \ N y o.v �� •L i 1 i 3 IZ,2 l o�,o IZ,2' �'. 4� t�vC, �� acX o�O Ln.r.►.�o�. ...�1�1 � bo TT'o�., o f t.�1� ��7 i n n �o � � � .. � Q.,' �. Q,,, ...., �..� � Z � ° � •--, o� --�-� � � � �� � ate. LO ` C \\ Oa p 4, n �o d[.V . ;. �e a,.kc ` ► nom. - \ S `�. l Z.O I ^ � r V .w - 4 � �( 'Y N r 4 -i�• � '1"• ice; w � / I �.� Y' \'� V O � Lf. T� �/ V �r ` �0M �♦ KiY �1. \I..N — i �� / �� lt �o\t5 o y 1 - Q.tw.� GJL��'t�r `O 0 ' 1 Or \.�� � � a• � 1• d.(J( \�O+�.T \� / �S z � \ O , l� to � .., - 3 �} , 3 Z � .-, •'4 -O.4 .., \ �h cX.o�- � 2 . � t h Q -.�.0 "c \T `� ti T 1L. WEATN ERPaooc LOCKING COVER - ru NCTION 6cvc Lf w4ly A IV&% . tzvlcK c��calu�cT --� c, T Ac PI9r 3 ' 0�1b k N O 1 U R 8E D 1a, i i \ S°' L 24" I.D. KmuO P E NT 4g /4" T WLIG Ap►'a.ovLD A 21 c0 , ►+o:G a V SQL, CfLSKET WFLE i AL & KH4' a+To .Au. Plrc C s� \ C42KH E LT 10 N.S � � "/ � . ( � � _ ` U-Q 0� " � J VKL7 STL7RTS Ow CorvC.RE . C ���. 8c0CK SEPTIC f SPECIFI DOSE TA kJ KS MAIJUFACTUKER: ( umbER OF DOSES: PER DKZ TAWK SIZE: \'Ly -A- GALLOWS DOSE VOLUME S� �1� iv IIJCLIJOIKaG OACKFLOW: 2 da `� b ALARM /y/WUFACTURGR: c GA LONS MODEL WUM15ICK: ° \ ��`' CAPACITIES: A= 2 i° '� IIJCHES OR L WlL0U5 wa.�. �. 11, � SWITCH TtlPL! B - Z INCHES OR "LLOUS PUMP I'\AIJUFACTURCit �OeAIL C ■ � iUCnES OR zo R'" GAL,OUS MODEL WUMCER: 2 ct 0■ � INCHES OR a1b � Z 3A1,L0ki5 JWITCH TYPE; IJOTE: PUMP AUD ALARM ARE TO DC MIKIIMUM DISCNAR" RATE G PM / INSTALLED OW SEPARATE CIRCu TS VERTICAL DI ►FEREIJCE DETWEEIJ PUMP OFF AWO 013TRIbUTIOW PIPE.. 4 FEET + "�IUIMUM ► SUPPLY PRCisURE F + FEET OF FORCE MAIKI X 2.Sg FF Z� ' T✓ f ,10o /xFRICTIOW FACTOK. 1g � FEET y� �� a TOTAL DtJWAMIC. HEAD = 1 4 7 FEET 'L I►JTERKJAL DIMEAI610KJG OF TAWK: LEW&TH ;WIDTH LIQUID pEPT �� FR(-- l 6 0 I g ` A �! p SECTION: 5.10.260 ) n LIMPS ,,5S MCE 19M FMO269 Product irt fAffA formati%A presented here D L`� 0991 reflects conditions at time of o Supersedes ublication. Consult factory regarding 0389 .iscrepancies or inconsistencies. MAIL TO: P.O. BOX 16347 Louisville, KY 40256 -0347 SHIP TO: 3280 Old Millers Lane 9 Louisville, KY 40216 (502) 778 -2731 0 FAX (502) 774 -3624 HEAD /CAPACITY CURVE SEWAGE and DEWATERING WARNING: Model 293 should not be subjected to less than 15 feet TDH. TOTAL DYNAMIC NEADICAPACITY PER MINUTE SEWAGE AND OEWATERING SERIES P58 265 267 268 282 284 292 293 294 295 405• FT. M. rs Gal Urs Gal Llrs Gal Urs Gal Urs Gal Urs Gal Urs Gal LIrs Gal Urs Gal Urs Gal Urs 5 1.52 41 128 484 128 484 128 .484 130 492' 180 681 140 530 196 742 225 852 400 1514 10 3.05 27 89 337 89 337 89 337 95 360 158 598 124 469 181 685 205 776 350 1325 15 4.57 5 50 189 50 189 50 189 63 238 135 511 106 401 130 492 165 625 185 700 300 1136 20 6.10 1 10 38 10 38 10 38 33 125 1 106 401 88 333 1 119 450 150 568 168 636 250 946 25 7.62 1 76 288 68 257 106 401 136 515 1 153 580 200 757 30 9.14 43 163 47 178 90 340 121 458 140 530 150 $68 40 12.19 5 19 50 189 94 356 115 435 50 1524 58 220 89 337 60 1829 13 49 59 223 70 21.34 25 95 Lock Valve 18' 21.5' 1 21.5' 1 21.5' 26' 35' 1 42' 50' 62' 77' 40' W HEAD CAPACITY CURVE 4 MODEL "405­ 1 2 400 35 Ln 10 HEAD CAPACITY CURVE 30 SEWAGE MODELS � a 25 0 75 6 0 j 22 a 0 4 i 20 10 2 T 18 o U.S. GALLONS 50 100 150 I00 250 3O0 350 X00 4S0 500 16 LITERS 200 400 600 800 1000 1200 1400 1600 1600 50 0 FLOW PER W INUTE = 14 � i� 12 35 10 30 Z93 8 25 6 20 ZZ 282 ftw- 15 4 284 10 2 262 292 5 266, 67, 68 294 295 0 U.S. GALLONS 10 20 30 40 1 50 60 1 70 80 90 100 110 120 1130 140 50 160 7018019 200 21 220 230 LfTERS 0 80 160 240 320 400 480 560 640 720 800 > 880 Q FLOW PER MINUTE `Consult factory for optional Impeller performance curves. ' System Management Ma:iZg'ament of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, H & H Plumbing, 715-962 - 4155, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water - saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. If possible, the upslope toe of the mound system should be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run- off; final settled slope should be 2 -3% over the system or 2 -3% diverting surface run -off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 W&oonsin Department of Commerce SOIL EVALUATION REPORT Page l or _ 3 Welon of Safety and Buildmgs . in accordance with Come 85, tAlis. Adm. Code County Attach complete site plan on paper not less than a 19 x 11 inches in size. Plan must include. but not limited to: vertical and horimoal reference point (BM), direction and Paroal I.D. percent slope, scale or dimensions, north arrow, a locations a nd distence to nearest road. Rer�ed Date Please P au► � fED Pwwnld k1ronnetion you provide may be for eeca dary WuPores (Privacy L s. 15.04 (1) (m)}. (P/3616 Propertyo � r LIAR 2 5 2003 � L � an � 1/4 ")14 S Tl N R /:it E (or)� r s M Ad 11 Block # Subd . Name or CSM# PrapeRyOwner aRng rem ST. CROIX COUNTY Q L ZONING OFFICE A .-Ice, ' I CRY state ap Code Phone Number ❑ City ❑ V48P © Town Rearest Road ® New Corn*uction Use: ® Residential 1 Number of bedrooms 3 ' y Code deri+red design now rate GPD ❑ Replacement C1 Public or commercial - Describe: Parent moe" __ I i , ( Flood Plain elevadon d applicable General comments f c y s -/� H'� e% v, and re�mmersdations: A-lour 8l-e /0/. 2 0 Boring 1 eorir,g # ❑ Pit Ground surface elev. /O S i ft: Depth to Rrtsiling factor _ M. Sol Rate Hodson Depth Dominant Color Redoes Description Texture Structure Consistence Boundary Roots GPDW In. Mtmseil Qu. Sz. Cont Color Gr. Sz. Sh. "Eff#1 I VFW Z /0 �8 /o s — S, "c/ ,n 1'!'l � r c S ( d , ° - E- - <o I- M - r — • 1- 5 ❑ Bing Boring # ® P(t Ground surface elev. 02 % 20 ft. Depth to ding factor Soil AMlicallon Rate Horton Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1l`F in. Mussell Qu. Sz. Carat Color Gr. Sz. Sh. 'EW1 'Eff#2 vl , Z o ,S'/ - S; c m y 4 I < 5 v . ' EM uwd #1= BO •> 30 S 220 mglL and TSS >30 < 150 mgiL ' Effluent #2. = BOD < 30 mglL. and TSS c30 mglL CST Name (Please Print) _ tore CST Number 4 arK o- k, mof I -e - XS O Address Date Evaluation Conducted Telephone Number 1 l�' S1, ale I • z /-- `�- 0 3 ��S-Zy� 4bo8' h Parcel ID Page of 3 Property o ❑ Boring Boring ft. Depth to �g factor —1 -- in. sot Rate El Ground surface elev. COW Redox D Texture Sbudue Corm Boundary Roots GPD1tP Horizon Depth Gr. Sz Sh. "EiM1 "Etf#2 in. Murssell Qu. Sz. Cord. Color / _ G I d o i ❑ Bans ❑ Boring # ❑ Pit s?G nd.suface elev. ft- b tirrut�9 actor lo ' sot tion Rate Horizon Depth Dominant Color Redwr Description Texture SNnxirae consistence Boundary Roots GPDIfP Inn. Mtnseil Qu. Sz. Coat Cobr Gr. Sz. Sh. *owl 'Efilx2 \ El ❑ Pit Boring # a Boring Ground surface etev. fL Depth to g bCtDr in. Sot Appliced9p Rate Horizon Depth Darn6nant Color Redox Description Texture Structure Consistence Boundary Roots GPDNF in. Mu>seli Qu. Sz. Cord. Color Gr. Sz. Sh. '011#1 'Eff#2 ' E16uent #1 = BQD 30 <220 mg1L and TSS >30 <_ 150 mglt "FPM #2 = BOI) 30 mgk and TSS <_ 30 mg1L The Department of Commerce is an equal opportunity service provider and employer. [f you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 60 8-264 -8777. 9eo- e330MOW or PAGEaOFa ' NAME: T_ LOT #_LEGAL DESCRIPTION: G! 1 /4 #0 /4,S- aE(oF& r � SCALE: 1 "= �lD (ELEVATION: /00 • C) BM 1 DESCRIPTION: BM 2 ELEVATION: 9�- 6 c z CC BM 2 DESCRIPTION: A 0e cA Ae g - lt e i( c� SYSTEM ELEVATION: 1 612, �Q SYSTEM TYPE: In Q y nc� i 6v" v .4 r v y tY 0 1, C) ro� � SIGNATURE: DATE: 3 �63 RF 1005 F Wisconsin oepaartmant of Commerce S AL N REPORT Pa of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must County 7 C g include, but not Welted to: vertical and horizontal reference point (BM), direction and Parcel I.D percent slope. scale or dimensions, north arrow, and location and distance to nearest road. t7 2 Q� Q r j UD Please print all Information. Re .pate Personal WdO —tion You Wovide —Y be used for ssacndwYWpown (Privacy Low. s. 15.04 (1) (m)). IA1 Properwowner Property location A L L 5W /V k fj,4 &Z:F�NJ Govt Lot W ie NWt/k s � T 28 N R 17 E (a)Q Properly Owner's Mailing Address Block # Subd. Name or CSM# 2 Cl J 2 2 y2 A Q E1J U E ! M / s.s Y M r4AOW S CW State Zip Code Phone Number ❑ Village ® Town Nearest Road Nee A W1 1 547471 ( 1s) 2. 135 J( a b07 10 New Construction use: ® Residential / Number of bedrooms Code derived design flow rate 450 — CD D Q GPD ❑ Replacement ❑ Pth6c or commercial - Describe: Parent material f=lood Plain elevation if a pp6cable - !�/ / A ft General comments and Area . X __ Spot Tested suitable for a mound (RO.W.T.S.) system using sand AU OWN F I ® Pit Ground stsiace elev. 49 59 ft. Depth to limiting factor 2 q_ in. Soil Awkstion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bournda ry Roots GPQW In. Munsell Qu. Sz. Cunt Color Gr. Sz. Sh. 'EB#1 *111#2 o -/ Y t 2 r ry) +1 e s 2 I Y re l — SL I Z ryi ; e w v 4 3 _ I D YR 3! Y , S i e I -1= 6K M-F i 2 ® Pit Ground surface elev. 9 ft. Depth to limiting factor 2 (o at. Rate HMIZOn Depth Domkwd Colot Redox Description Texbre Structure Consistence Bohr Roots GPOW In. Mtawell Qu. Sz. Cont Color Gr. Sz. Sh. 'EW1 'Ef #2 1 10 YR-2z. — a 3 MW t 3v-f 3 14_2� ! ork 4 5 C] m 10K i , -4 •-e+ - m I p 7• �R`�1't'o SC 1 m IDK 1 d4 . W t- : co 5 0YR c b Ellktent #1 a BM 30 < 220 n4L and TM >30 < 150 nW& ' EMmt #2 = WD < 30 mglL and TSS S 30 mglL CST Now (tee Prix E t G N'r �'S 9 Nu Andress Date Evaluation Conducted Telephone Number Av S 2 t rJ i` i VA I 5-1 — 715 •'772- 34+2 � For issuance of permits and designing Contact: Ulbricht &Associates ORIGINAL Registered private wastewater consultant aW OwW 2812 10th Ave. Spring Valley, WI 54767 ' •�,u 715 - 772 -3442 ■ { { f.'. . is ,�. �., f, !_- C•! r � Sri ,,. -n , wn „., r , , i.. nn. , n,., inn , , _� ki a,i.. ✓�.. OEM TI-TIM �I �' F't`�►J M 1SS Y M��°t i�vJ S PA C:TE 3 c-F 3 L � • = Cpti1TOVR CA lit ®= 13 vtzca� ND� ?y P L-11VE 2 9 3 7 'R S � N r � ' r Z 1 9 x4l 1 la Z<+i ' 4 a o ce ��' • 1 �So loo' w aVo w 3 5 Los�E g I = 9q 59 5 v cx��s VrJ %FC7RM 1 ORIGIN L t ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT N N N N M N N M ■+ N���r ST. CROIX COUNTY GOVERNMENT CENTER 116 - 1101 Carmichael Road Hudson, WI 54016 -7710 Phone: (715)386 -4680 Fax (715)386 -4686 M emo t o Fl From Jon Sonnentag Date: 5/6 /2003 Re: Soil on -site (NW % NW % Sec 4 Town of Pleasant Valley — Randy Nyhagen) On May 2, 2003 a soil on -site was completed due to a report of marginal soils. Adam Schumaker completed the original soil report on January 1, 2003 This on -site was required as part of the review for a proposed subdivision. Staff (Jon Sonnentag & Pam Quinn) has determined that this site is suitable for a proposed septic system. The day was mostly sunny with temperatures in the upper 60's. A hand boring was completed near boring 3, the most restrictive boring. It was determined that the soil report was accurate in reporting that a limiting Factor was not present within the first 17 inches of soil. There were possibly a few faint redox features just below the A horizon, but they were not evident below the horizon interface and would not be a limiting factor. This condition was likely due to the plowed A horizon. Parcel M. 024 - 1000 -90 -130 06/30/2005 08:37 AM PAGE 1 OF 1 Alt. Parcel #: 4.28.17.6A -20 024 - TOWN OF PLEASANT VALLEY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 01/27/2004 00 0 Tax Address: Owner(s): * = Current Owner ALLEN C & LINDA L NYHAGEN NYHAGEN, ALLEN C & LINDA L 2952 2 1/2 AVE NEW AUBURN WI 54757 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 5.273 Plat: 4690 -CSM 18 -4690 024 -04 SEC 4 T28N R17W, NW NW CSM 18 -4690 LOT 2 Block/Condo Bldg: LOT 02 (5.273 AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 04- 28N -17W NW NW Notes: Parcel History: Date Doc # Vol /Page Type 04/23/2004 760448 2555/235 QC 01/27/2004 752728 18/4690 CSM 10/06/2003 742544 2428/310 EZ -1 04/17/2003 717783 17/4498 re CSM ore.. 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/03/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.270 38,900 0 38,900 NO Totals for 2005: General Property 5.270 38,900 0 38,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST CROIX COUNTY SEPTIC TANK MAINMANC.E AC AND CIWNIERSH P CERMCATION FORM awner/Buyer _ Tp,.W "t Trailing Address 22 i Vt,, -c Property Address �7— ( Verification required fron, - ing bepartment for new constauction -) City /State Z44 M M. 0 (O 't) ,_ Wi Parcel Identification Number 024. 1 Dbb - LEGAL DESCRIPTION Property Location V4 , ry w l� > Sec. 1 'T �N R", Town cif o e� 1". Subdivision M J �`/ /Y'�,� t7 W f�l� 3 L�t���Ly �? G , Lot# Z , Certifled Survey Map # — 75 2,7 Z<6- , Volume Page # Warranty Deed # 7 �' y g g , VOIUMB ,/ ( _ Page # _ J qi Spec house yes no Lot tines identifiable yes no SYSTEM M- AINTENANCE 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 pumpei. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in § Contra 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix Couaaty Zoning Departaient a certification form, signed by the owner and by a master plumber, journeyman pluruber, restricted plumber or a licensed punWer verifying that (1) the on site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 15 full of sludge. I/we, the undersigned have read the above requirane is 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 mast be completed and returned to the St. Croix County Zoning Deparnnent within 30 days of the three year expiration date. SIG A'I' OF APPLICANT ATE OWNER CE RTIF'ICAT ON Uwe certify that all statements on this form are true to the best of my /our knowledge. I/we anlare the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office Cr A F A�P'LICANT ATE Any in&rmation that is misrepresented may result in the sanitary permit being revoked by the Zoning Department. * ** ** Include with this application a stamper/ warranty deal from the Register of Deeds Office and a copy of the certified survey map if reference is trade in the warranty deed- ub /SI I_nq o 10:40 11514 J1 /ly NURMLANU SURVEY1NU PAGE 01 Ac- J, �I .Mw. ,.,,...... o1M•M•.rr..w s-- —� ....... ..t MISSMWADOWWS Tic .......................... ; COUNM MAT OF. I w ........ • 14 Of Tie i -- - tnlnhrF - ' ' --- -� ; I 1 pd — Im'ND Oawr Oa THE 15wi^OP"a 17 LoT i. , j - Iwv.N. YCTIOY q. MM. wiTw, 70Mw ev, i7 lyp'��= ��`k o+j"4bwr Vat&". ST. OR= OOUNn, wu00w14w1 R40LLN MQ OMrMIQO OuArEr LOT IN i I I I �� MAP 014 XOPUMD M VOLUME a, mam .am A N D ORr ON, CWRrM1IV SUWAT MAP NBOOAD[6 M VOLUME i,, Ph" dom. F �puiyy I Liw•nsw —� i JJJ I. I`➢ I � ! •• lip �irN�r � Iwlw I I Ya.iM NM.•0.4 I I rslnaat�l 1 as I •� I wq.lrypnr EI I \ W M1..•M av I IS a I Lq M7aM M../7 1 I a I I Iw w•F I 1 q Lor ' L tt i �.mlwvNMV� ;• :�•+win+4'w .1. ■17W _ 1._ ....... oo wNi FEW ,•.100' bp "N" i. 7 2" .w. _ _� .. ,.- % "� / "1 STFANT ^ j - C # .•'• LOr7 1 Y i LOP • jt (} YyMMM.ap.n ■■■■ 11 • I T A 9i I Mwl*f MAP.[ % Lp'i .a - -' i � I �� j ` M�•wnSwuwwLw.�aww.NwwI0.�4x� . / I 1 w•aRltrw LN rs w w I �. "gd �,10•l•r LOT n w MgYM�rtw111NL���r. �. L.o.lft ..........• ....•, \}, x 4 pop I ymnv n +.r�_a � .J V O w.wsa•....n7r.w•• ' n �itla r Lot ■ .� u al I ♦ — miw.,r.M,. 1 l : �� , q•swwT.. I � wry wrwLwr.w.w wiwr.w.r'IYiw 1 / I lob a LA l �/ •1C -•Na I•b ••.Vw ••mow v ''�+ '�. _ A, iwM Fwa o.•!A{ NM P OHM OF■NrRO tl; 2802P 141 � .7 c:) .e+ State Bar of Wisconsin Form 11 - 2003 LAND CONTRACT REB ST. I C R DEEDS H. D (TO BE USED FOR NON - CONSUMER ACT TRANSACTIONS) OF DEEDS ST. ROIX CO., MI Document Number Document Name RECEIVED FOR RECORD CONTRACT, by and between Allen C. a Linda L. Nyhagen 85/13/2885 12:30PN ( "Vendor," whether one or more), and Jim Henry Inc. LAUD CONTRACT ( "Purchaser," whether one or more). EXEIPT # REC FEE: 17.88 Vendor sells and agrees to convey to Purchaser, upon the prompt and full TRANS FEE: 1508.80 performance of this Contract by Purchaser, the following real estate, together COPY FEE: with the rents, profits, fixtures and other appurtenant interests "Property", in C FE 4 St. Croix County, State of Wisconsin: W 1/2 of NW1/4 of Section4, Township 28 North,Range 17 West, St. Croix County, Wisconsin lying North of I -94 EXCEPT Lot 1 of Certified Survey Map filed July 6, 2004 in Vol. 18, Page 4782, Doc. No. 767995. Recording Area Name and Return Address Note: The above described parcel includes Lot 2 J1N' N K3 WY JIVE... Certified Survey Map in Vol. 18, Page 4690, Doc. No. 752728. C e 1 7 I/l AD a r - 5 - 7 . -a L vO /- 1c> e) t0, w! QZrI •lJ� - ° It�•►DD A9Nr� Parcel Identification Number (PIN) pUO This is not homestead property. (40 (is not) This is a purchase money mortgage. (is) (is net) Purchaser agrees to purchase the Property t the sum of $ 500, 000.00 in the following manner: (a) $ at the @*eGatiefi of this Gen#aGtj an (b) the balame of , e Seller to be repaid in 13 installments of $38,461.54, with no interest being charged. Each installment is due and payable at the closing of each of the buyers 13 "to be" subdivided lots. provided the entire outstanding balance shall be paid in full on or before ("Maturity Date "). Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. CHOOSE ONE OF THE FOLLOWING OPTIONS• IF NO OPTION IS CHOSEN, OPTION A SHALL APPLY: X A. Any amount may be prepaid without premium or fee upon principal at any time. ❑ B. Any amount may be prepaid without premium or fee upon principal at any time after ❑ C. There may be no prepayment of principal without written permission of Vendor. State Bar Form 11 - Page 1 RFiMAX Teen 1 Realty 2217 Vine St Ste 200. Hudson Wl 54016.5864 Phones (715) 381 -5700 Fax: (715) 381 -5720 Massy Meadows. Jim Henry & Associates Produced with ZipForm- by RE Fw%Net. LLC 18025 Fifteen We Rosd, Clinton Township, Michigan 48035. (800) 383 -9805 www.zOfbryn.com A' 28 02 P 142 CHOOSE ONE OF THE FOLLOWING OPTIONS• IF NEITHER IS CHOSEN OPTION A SHALL APPLY: x A. Any prepayment shall be applied to principal in the inverse order of maturity and shall not delay the due dates or change the amount of the remaining payments until the unpaid balance of principal and interest is paid in full. ❑ B. 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 specified above; provided that monthly payments shall continue in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded from this Contract. Purchaser shall pay prior to delinquency all taxes and assessments levied on the Property at the time of the execution of this Contract and thereafter, and deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, extended coverage perils and such other hazards as Vendor may require, without co-insurance, through insurers approved by Vendor, in the amount of the full replacement value of the improvements on the Property. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of Vendor's interest, and evidence of such policies covering the Property shall be provided to Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided Vendor deems the restoration or repair to be economically feasible. ❑ Purchaser is required to pay Vendor amounts sufficient to pay reasonably anticipated taxes, assessments, and insurance premiums as part of Purchaser's regular payments [CHECK BOX AT LEFT IF APPLICABLE]. Purchaser shall not commit waste nor allow waste to be committed on the Property, keep the Property in good tenantable condition and repair, and free from liens superior to the lien of this Contract, and comply with all laws, ordinances and regulations affecting the Property. If a repair required of Purchaser relates to an insured casualty, Purchaser shall not be responsible for performing such repair if Vendor does not make available to Purchaser the insurance proceeds therefor. Vendor agrees that if the purchase price with interest is fully paid and all conditions fully performed as specified herein, Vendor will execute and deliver to Purchaser a Warranty Deed in fee simple of the Property, free and clear of all liens and encumbrances, except those created by the act or default of Purchaser, and: CHOOSE ONE OF THE FOLLOWING OPTIONS; IF NO OPTION IS CHOSEN, OPTION A SHALL APPLY: ® A. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination, at the time of execution of this Contract. ❑ B. Purchaser states that the following exceptions set forth in the title evidence submitted to Purchaser for examination, at the time of execution of this Contract, are unsatisfactory to Purchaser. ❑ C. No title evidence was provided prior to execution of this Contract. State Bar Form i 1 - Page 2 Produced with ZipFormTM by RE FormsNet, LLC 18025 Fifteen Mile Road, Clinton Township, Michigan 48035, (800) 383 -9805 www.zipfbrm.com Missy Meadows. tO02 F 143 CHOOSE ONE OF THE FOLLOWING OPTIONS; IF NEITHER IS CHOSEN, OPTION A SHALL APPLY: ❑ A. Purchaser agrees to pay the cost of future title evidence. ❑ B. Vendor agrees to pay the cost of future title evidence. Purchaser shall be entitled to take possession of the Property on Time is of the essence as to all provisions hereunder. Purchaser agrees that in the event of a default in the payment of principal or interest which continues for a period of 15 days following the due date or a default in performance of any other obligation of Purchaser which continues for a period of 15 days following written notice thereof by Vendor (delivered personally or mailed by certified mail), the entire outstanding balance under this contract shall become immediately due and payable at Vendor's option and without notice (which Purchaser hereby waives), and Vendor may singly, alternatively or in combination: (i) terminate this Contract and either recover the Property through strict foreclosure or have the Property sold by foreclosure sale; in either event, with a period of redemption, in the court's discretion, to be conditioned on full payment of the entire outstanding balance, with interest thereon from the date of default and other amounts due hereunder (failing which all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property); (ii) sue for specific performance of this Contract; (iii) sue for the unpaid purchase price or any portion thereof; (iv) declare this Contract at an end and remove this Contract as a cloud on title in a quiet -title action if the equitable interest of Purchaser is insignificant; (v) have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits; or (vi) pursue any other remedy available in law or equity. An election of any of the foregoing remedies shall only be binding on Vendor if and when pursued in litigation. All costs and expenses including reasonable attorney fees of Vendor incurred to pursue any remedy hereunder to the extent not prohibited by law and expenses of title evidence shall be paid by Purchaser and included in any judgment. The parties agree that Vendor shall have the options set forth in this paragraph available to exercise in Vendor's sole discretion. Following any default in payment, interest shall accrue at the rate of 8.000 % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. Purchaser may not transfer, sell or convey any legal or equitable interest in the Property, including but not limited to a lease for a term greater than one year, without the prior written consent of Vendor unless the outstanding balance payable under this Contract is paid in full. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full at Vendor's option without notice. Vendor may mortgage the Property, including the continuation of any mortgage in force on the date of this Contract, provided Vendor shall make timely payment of all amounts due under any mortgage, and the total due under such mortgages shall not at any time exceed the then remaining principal balance under this Contract. If Vendor defaults under such mortgages and Purchaser is not in default hereunder, Purchaser may make payments directly to Vendor's mortgagee and such payments will be credited as payments hereunder. All terms of this Contract shall be binding upon and inure to the benefit of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. State Bar Form 11 - Page 3 Produced with ZipForm rm by RE ForrnsNet, LLC 18026 Fifteen Mile Road, Clinton Township, Michigan 48035, (800) 38 3-9805 www.zipform.com Missy Meadows. 2.802P 144 Dated J VENDOR: PURCHASER: Q �9A C (SEAL) - °��rv7� (SEAL) *Allen C.N ha en * JimA Inc. GM d -� . ) L , 1 (SEAL) (SEAL) *Linda L. NYhag� AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) CC� ) ss. authenticated on G Doom Personally came before eon the above -named e * d N •mod �.� �' TITLE: MEMBER STATE BAR OF WISCONSIN to me known to the person(s) who executed the (If not, foregoing 7instrum and acknowledged the same. authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: # Notary Public, State of Wisconsin My Commission (is permanent) (expires: o�D (Signatures may be authenticated or acknowledged. Both are not necessary.) r NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY WW • . LAND CONTRACT STATE BAR OF WISCONSIN �.� No U * Type name below signatures. CJ rb •�� • L` ♦♦ ♦ p State Bar Form 1 I - Page 4 Produced with ZlpFormTM by RE FormsNet, LLC 18025 Fifteen Mile Road, Clinton Township, Michigan 48035, (800) 383 -9805 www.zipfbrm.com Missy Meadows. V OL 18 PAGE 4690 XATHLESA H. WAIST REGISTER OF DEEDS ST. CROIX CO." MI RECEIVED FOR RECORD CERTIFIED SURVEY MAP 01'2"2' SURVEY MM CERTIFIED SURVfiY MAP REC FEE: 13.00 LOCATED IN PART OF THE NW 1/4 OF THE NW 1/4 OF COPY FEE: 3.00 SECTION 4, T28N, R17W, TOWN OF PLEASANT PAGES: 2 VALLEY, ST. CROIX COUNTY, WISCONSIN. z MI�]PdLQ4`[D dLaln]D� GOTH A VENU E 011_Mn_CD Q�7 04G11CG°33_ o �, 89°46'54'I 2630.98' p ♦ - 1o3a_40' _ rn � 889 °46'a4 "E 287.09' o� -0 _1315.49 W NW COR. SEC. 4 6 �'2 o NORTH S89°46' "E 281.09 1/4 COR. w �'� SECTION 4 p I T z ..................... � co I SETBACK LINE i D.O.T. # 55 -94- 3697 -2003 I SURVEYOR: I DOUGLAS J. ZAHLER I I �" i S& N LAND SURVEYING, INC. C I ° 2920 ENLOE STREET i m � .z 1 HUDSON, WI 54016 z PREPARED FOR: i I y00 I RANDY NYHAGEN (� r' C i (�0 1699 60TH AVE. I s A HAMMOND, W1. 54015 I APPRCWED .a 97 01KIMCOLWTV j� I �i � m A i v n 7. owt"s w.wl P"Hr� Pem"iillwe o l o LOT 2 I �. m I JAN 2 7 2004 q I A g 5.273 ACRES �� Igg 229,68 SO. FT. INC. RM/ � i � 1 hacntlrowl � nnn I 5.060 ACRES N i � - 220,405 SO. FT. EXC. R/W O0 I `• T I L A O 1 Y D m WISC,O `3 g m o g I i m y DOUGLAS J. y� 1 C Z ga 66' m I S A � OVERH POWER LIN z 8 3 '* I I. 8E : SOIL BORINGS 1V � — �' 0 ° N88 °58'03 "E 281 "00' I MMn Pt�La441�DD �G`:lD� - d; w94 94 aW SCALE IN FEET 1" = 100' 100 O 100 THIS INSTRUMENT DRAFTED BY: WES ANDERSON JOB NO. 6143 -02 DATE: 3/20/2003 REVISED: 4/17/03 SHEET 1 OF 2 SHEETS Vol 18 Page 4690 St. Croix County Map Output Page Page 1 of 1 St. Croix County Ma in Hammond ffi .x 33 "A ,f.. CEMI84M NE 114 - NE 1I4 MW 1 14 - NW 1I4 NE 114 114 CSM1F4M a Pleasant Valley 5 4 BE 114 -NE 114 SW 114 -NW 114 BE 114-NNW 114 ' ,l'.i' Legend Y ►filCl pal Boar, dales St. Croix County Planning Department 3`° d1lrBlons 1101 Carmichael Road [� cerevea !3LWVeY Maps Hudson, WI 54016 RaC011s Phone: (715) 386 -4674 JIM Road pa/road Orai wage DISCLAIMER : The information contained on this map is advisory. Map Streams accuracy is limited by the quality of the public records from which it was Dam prepared. It is not intended as a substitute for an accurate field survey. Ferre Mal akean nlemnl Vern _Veen AERIAL PHOTOS : Aerial photography is date - sensitive. Features that exist " presently in the County may not be present in the photos. i I http: //72.21. 230.178/ servlet /com. esri. esrimap .Esrimap ?ServiceName= StCroixOV &Client... 6/30/2005