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0 CA 0 j 3 - 0 n C 7 ol O 7 m N S 0 m a C :r T Cl m C/) 3 w Z y Z O? O O O �{ n d� o N O 00 m ? ( L� d m N N W N N N _ o� fD N N � "�" v N K OD m d ' 3 S <N O p 3 7 d CD CD a O ; H CA N qI N O p cn Z D m a o D -a W a c a c '_ 3 O �, N a r v � o N z m N° o o z 0 r cn 3i 3 �� M M M = ::• O O O d m N m v M 0 0 cn N o S N m N CD N Z Z o D V m o m N CD fJ c C N C m ? d 3 N E N fl c° A Z m c a II A � � z V o�� mOD 0 3 A X \ O m -4 fN Z A CD p v -t D m d — 0 Z a d (1' _ N rn (/J fA m 90 I V ti N 1 I e I 0 I t1� -11 b n m II I O �P A &9 O e p F C a ° o CL Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: t (ATTACH TO PERMIT) 488032 0 GENERAL INFORMAAOiV 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: Owens, Scott I Pleasant Valley, Town of 024- 1012 -20 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: ,/6Z� ✓J / C`J f 07.28.17.648 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 1 ,, $ F Benchmark a. �Qr Dosing 600 Alt. BM � C 2_ 1 -6 .9 E Bldg. Sewer St/Ht Inlet �. �. f TANK SETBACK INFORMATION St/Ht Outlet 57 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 4 -- Septic 7 �V ltf ,� /./) 7 2— / 7Z � Dt Bottom 3.9 3 SYp 1 - 6 1 Dosing 7 / ' -72, I Header /Man. Aeration Dist. Pipe 93 , a .7 Holding Bot. System 0 PUMP /SIPHON INFORMATION n Final Grade 5' I Z 95. GZ Manufacturer GP and St Cover 2.1 &2* Q 7. 7- av� Model 44 / 1 - 95 93 71 l TDH Lifer Z L Friction - 7 Z System Hg�d T ��' / _� Ft ` 7 zZ c7 3, s Z I Forcemain Leengt9 � Dia Dist. to Well yr SOIL ABSORPTION SYSTEM /v BED/TRENCH Width . Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / 2 SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer.� INFORMATION CHAMBER OR Type Of SAV,. - -� 0 7�G�6 177 / /� / UNIT Model Number. DISTRIBUTION SYSTEM i.s 4- Header /Manifold // Distribution x Hole Size x Hole Spacing Vent to Air takR Length Dia Length Dia Spacing p e✓�� SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only I r ✓� Depth Over Depth Over 7-Topsoil x Depth of 1 xx Seeded /Sodded xx Mulched Bed /Trench Center 72. Bed/Trench Edges ` _ s No __�s .. : : - No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: Location: 1592 County Road N Hammond, WI 54015 (SE 1/4 SE 1/4 7 T28N R17W) / NA Lot Parcel No: 07.28.17.64B 1.) Alt BM Description = � l Go�e�- G N. a ; n5 �" �G C 2.) Bldg sewer length = 90 - amount of cover = 74 -- — 4ignat � Plan revision Required? Yes ' o Use other side for additional informs�1.' -- Date Insepct Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division County my 201 W. Was ' on Ave., P.O. Box 7162 Sf C41A V W Isconsin Madi WI 70 71 Sanitary Permit Number (to be filled in by Co.) Q Department of Commerce (� 32. Sanitary Permit Appli 7nfo!rmati Sta te Plan I.D. Number 11 In accord with Comm 83.21, Wis. Adm. Code, personal i n you RCoE��ED / , 8 7,4a may be used for secondary purposes Privacy Law 1)(m) Pr ect Address (if different than mailing address) I. Application Information - Please Print All Information 2 2005 1592 /v Property Owner's Na me / ST. CROIX COUNTY P cel // Lot N Block # s ¢ � 4+ 0 kv a 4.5 0 4 /o�d -.L o_ 000 Property Owner's M ailing Address Property Location C A P /j� .�. CA ' " S. I,� S.F 1 /a ,Section City, Zip Code Phone Number (� C'� dJ?►/rt o az� f.[/ y� S 4 O / u�� 7!„r - -b17 p (circle T Z o N; R 1 7 E or� • l0 H. Type of Building (check all that apply) ❑ 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name CSM Number �( Public /Commercial - Describe Use ��. .ti ,' e„ f" -r fi t e� d A A!. e, El State Owned - Describe Use Z h1, �� Cp() (� 1 Grj }"l C G ,;. o p�T ❑City_ ❑Village Township of /�le�Sl r /`a 0, III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System y ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. ❑Permit Renewal ❑Permit Revision 11 Change of E) Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that apply) Non - Pressurized In- Ground Mound > 24 in. of suitable soil El Mound < 24 in. of suitable soil El At-Grade 11 Single Pass Sand Filter ❑ Constructed Vand p��_ urized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter Leachin Chambet ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: t 5 Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Required (sf) Dispersal Area Proposed (s System Elevation o 3 72 S C?r 74. ' e?l. VI. Tank Info Capacity in Total Number Manufacturer L Prefab Site Steel Fiber Plastic Gallons Gallons of Units G� c kayc�M tit /� Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank /OOO Aerobic Treatment Unit n �� Dosing Chamber VII.` Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si gnature MP /MPPS- Namber Business Phone Number C 4 a& /es 4 & , r 4 i � /,-* I Z a.oe 7 3 Plumber's Addre ss (Street, City, State, Zip Code) 7 7a ,e -� r. Z 11-r4__ri w.r J +a VIII. Count Department Use Onl pproved Sanitary Permit Fee (includes Groundwater Date su Issuin gent Si to s) was en Reaso Denial Surcharge Fee) ,yf{ 3 t�t..JJ 1 a �� 6 -5 IX. Conditions of Approval/Reasons for Disapproval 1 /� Sy=TEM OWNER: J� J /11o'X� J N� 5�4e,M l ,D q t. Septic tank, efituent filter and C a— NVNa tJQ, 1 /1 Cr) jt A_ dhparsai CON must aN be services / maintained Y 0g n per rnw apemerd plan provided by plumber. 2. Al s@&wk requirements must be maintained as par appNcabks code / ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) /Ivc /0 + l zL� �Q, 7 !00 /sc 0', -- Y IAI v c k) A;-e 30OIX 2 f /Yl k4i;Z rJ-1C P.- A 3 An 0 t ,. 1 p y -� 31 - / - 7 ti CP 0 -' ; :> `; // 6 `� S T Cyr. c �. d to cr 7�,Ilv c,1 Q- ZIP- k v c., P-�VVTIS 7 /A? /� tV 7 /v t L j A Abet l 4-,— A,• A An Safety and Buildings PO BOX 7162 commerce.Wl.gov MADISON WI 53707 -7162 TDD #: (608) 264 -8777 s c o n s i n www•commerce.wi.gov /sb/ www.wisconsin.gov Dep of Commerce Jim Doyle, Governor Mary P. Burke, Secretary November 28, 2005 CUST ID No. 220673 ATTN: POWTS Inspector CHARLES L WEBSTER ZONING OFFICE WEBSTER EXCAVATING, INC. ST CROIX COUNTY SPIA N5815 770TH ST 1101 CARMICHAEL RD ELLSWORTH WI 54011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/28/2007 Identification Numbers Transaction ID No. 1218742 SITE• Site ID No. 707785 Scott Owens - Equipment Repair Please refer to both identification numbers, CTH N above, in all correspondence with the agency. Town of Pleasant Valley, 54015 St Croix County SE1 /4, SETA, S7, T28N, R17W FOR: Description: New Non - Pressurized In- Ground System / 148.5 gpd Object Type: POWTS Component Manual Regulated Object ID No.: 1052983 Maintenance required; 149 GPD Flow rate; 55 in.Soil minimum depth to limiting factor from original grade; System(s): In- ground POWTS Component Manual, SBD- 10705 -P (N.01 /01); Commercial System, 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: 1. This system is to be constructed and located in accordance with the approved plans and with the component manual listed above. 2. On page 2, the well was not shown as specified in s. Comm 83.22(2)(a)3.c., Wis. Adm. Code. The well P. location shall conform to s. Comm 83.43(8)(i)., Wis. Adm. Code. Con) 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 F L . required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. D In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should SEE COR 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. CHARLES L WEBSTER Page 2 11128/2005 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 Balance Due $ 0.00 Wer E Pagel Private Sewage Plan eviewer , Integrated Services WiSMART code: 7633 (608)266-2889, M - F, 0630 - 1500 Hrs pepagel@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 R e F RECE NO V 2 3 2005 SAFQ -Y & BLDQS. DIV. Webster Soil Testing Et Sewer System Design rharlie a Kris Webster, Owners N5815 770` Street, Ellsworth, Wi 54011 Telephone: (715) 273 -3430 Fax: (715) 273 -4181 Wi Licenses MP ST220673, ST 261669, PEI 8803 POWTS Index Sheet Page 1 of 7 Commercial In-- Ground Soil Absorption Si stem Property OwnerfProiect Name "Scott Owens SE 1!4 SE 1/4, S7 T28 N, R17W Q �Q Town of Pleasant Valley, St. Croix County, Contents Page 1 of 7 Index Sheet �4�'�•' e 2 of 7 Plot a Page, 3 of 7 Cross Section of Distribution Cell & Sizing Calculations Page 4 of 7 Cross Section Septic Tank/Pump Chamber Page 5 of 7 Pump Curve Pale 6 & 7 of 7 Management Plan Additional Accompanying Documents: 1. Owners. Occupancy Statement ( 1 page) 2. Copy of Application to DNR for a Holding Tank for Non - Domestic Wastewater ( , A LES L_ " WEBSTER -18803 i �` � 0 E ELLSWORTH ' � _; la o" , 49lly WJS. �.Z► �+ '�",...........� ` a ,.« '�♦* I l A I / - d Fir C Q r . Rc / �` X10 Component manual used: ? ESPON NCE N am e: Iii- Gif oUrid CoInpoIleWtt Manual foi POW T S Version: 2.0 Date: January 30, 2001 C r'r0� PQ-A. r pvc 1 0 76 - g,r, s 4 o P v c T" /OV C4 d SFr � Al /S' 0 v e te"o C, I �k fd). C s C A Lcu L A 7 A), C7 IZ Z' 9 S- ; I 122 ts o "c 14,.p �. Pag Of CA C -Z, O r 5,� i 9O (No Scale) l P jr jric re�I' ppe��jo�7` Approved Locking Manhole Covers 7 o/ With Warning Labe15 Attached n �� �,e�lke Weatherproof Approved Junction Box Vent Cap +� h,t,:+ /y�./ ✓c/,s 12" Minimum F ;���G. '!;n�►�fr ;,urn ft 4" Minimum F.- r � f Quick 18" Minimum � Disconnect SL i 1 /4" Weep Bf.. {'! /re } - 4jtiot a Aed& C*v iF Hole To. C Baffle Alarm B all l i C g;.. c A *APPROVED Off 0AC.Ye*. .to JOINTS WITH APPROVED PIPE 0 3' ONTO Conc. Block SOLID SOIL 3" of Bedding Under Tank --f �Pw }IDw/ynP cl�ld �^ x o�1 � e� a t e C i 0 Number of Doses: Per Day Gallons Per Day /Dosess,, 17 3 -f Gallons Volume of BackfI ow:-:r.3L.I? /6,3 Gallons Tank Manufacturer: Gc�R'cs °� �� - c -' � N ��^ Total Dose Volume: .... • .. _ 3c' -4 Gal Ions Tank Size - Septic /Pump: �o d Ga lons Alarm Manufacturer: 4 Model Number: i E. Capacities: A inches or ,?74 Gallons Switch Type: •� ,; f + B inches or Gal Ions Pump Manufacturer: + C inches or ,Model Number: 3871 "a + D e inches or 7 cl Gal Ions Minimum Discharge ate: Total ..... = L�>. inches or. Gallons Vertical Difference Between Pump Off and Distribution Pipe: Mi nimum Required Supply Pressure: ......................... + ;z--s - 'Feet /o o Feet of Force Main x Friction Factor /lOO Feet: + p eet a Inch Diameter Force Main Total Dynamic Head:...= ia o - ZFeet Internal Tank Di mensions: Length Widt ; Liquid Dept J S� f . /' AJ f jr a. /} ' F v E (..l �!j R J_ C 4 D , f j s �' („/ •¢• d /i - 4- t D 1 13871 EPO4 EP05 APPLICATIONS • Fasteners. 300 series Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent dry without damage to heat transfer. ■ Motor Cover. Thermo las- • Homes systems components. tic cover with integral handle • Farms Motor Available for automatic and and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, manual operation. Automatic points. 1 Hea d 15 or 230 V, 60 Hz, 1550 models include Mechanical • Water transfer Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, built in overload With poet at the factory. rated oil and water resistant. automatic reset. ■ Bearings: Upper and lower SPECIFICATIONS • EP05 Single phase: 0.5 HP, FEATURES heavy duty ball bearing 115 V, 60 Hz, 1550 RPM, construction. Pump: EPO4 built in overload with m EPO4 Impeller Thermo- • Solids handling capability: automatic reset. plastic Semi -open design AGENCY LISTING 3 /4 " maximum. • Power cord: 10 foot with pump out vanes for • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. co - CamadianSlandardsAssociaUon • Dischar • Total heads: up to 24 feet, with three prong grounding Discharge size: NPT. plug. Optional 20 foot ■ ti Impeller: Thermo - 9 (GSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with Plastic enclosed design for end in "F" or "AC ".) rotary/ceramic- stationary, three prong grounding plug improved performance. BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 i i ) • Capable of running r , dry without damage to s 30 , components. Pump: EP05 8 ( , • Solids handling capability: °a 7 25 /4" maximum. w • Capacities: up to 60 GPM. 6 20 • Total heads: up to 31 feet. S • Discharge size: 1 NPT. Z 5 ' • Mechanical seal: carbon- 0 15 ' i I rotary/ceramic- stationary, —1 4 BUNA -N elastomers. o I I I I • Temperature: '— 3 10 i 104 °F (40 °C) continuous j 140 °F (60°C) intermittent. 2 ; 5 I 0 0 10 20 30 40 50 GPM 0 2 4 6 8 10 12 W/h CAPACITY ©1995 Goulds Pumps, Inc. Effective May, 1995 83871 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page �0 of FILE INFORMATION SYSTEM SPECIFICATIONS Owner t • 0 1,/ > Septic Tank Capacity ;�u al ❑ NA � J Permit # Septic Tank Manufacturer Ce,,•gs ❑ NA DESIGN PARAMETERS Effluent Filter Man ufacturer p ❑ NA Number of Bedrooms C(NA Effluent Filter Model 0 ❑ NA Number of Commercial Units =f° 3 0 NA Pump Tank Capacity g al ❑ NA Estimated flow (average) g a vd ay Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) / ` -. �" gal/day . Pump Manufacturer ❑ NA Soil Application Rate a(/da /fF Pump Model 3 - 7 / iJ ❑ NA Influent(Effluent Quality Monthly average' Pretreatment Unit O NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 420 mg/L ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 m /L ❑ Disinfection ❑ Other. Manufacturer Pretreated Effluent Quality ❑ NA Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (BOD 530 mg/L X In- ground (gravity}, ❑ In ground (pressurized) Total Suspended Solids (TSS) _ <30 mg /L ❑ At -grade f �t p w ►.� ❑ Mound Fecal Coliforrn (geometric mean) 510 cfu/100m1 ❑ Dri -line ❑ Other Maximum Effluent Particle Size Y inch diameter * Values typical for domestic (non- commerdaQ wastewater and septic tank effluent •* Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ❑ months 0year(s) (Maximum 3 yrs.) Pump out contents of tanks) When combined sludge and scum equals one -third (Y,) of tank volume Inspect dispersal cell(s) At least once every ❑ months jg:year(s) (Maximum 3 yrs.) Clean effluent filter At least once every J2f-months . ❑ year(s) Inspect pump, pump controls & alarm At least once every , s IFS ❑ months ❑ year(s) ❑ NA Flush laterals and pressure test At least once every/f t i e� ❑ months ❑ year(s) ❑ NA Other. At least once every ❑ months ❑ year(s) XNA other. At least once every O' months ❑ year(s) XNA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer, Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreattment components; and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION. For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. — Page 2= of System start up shall not occur when soil conditions are frozen at the infiltrative sur ow is restored the excess During power outages pump tanks may fill a bove cell(s) in one large dose, overloading th e cell(s) and may result in the wastewater will be discharged to the dispersal t To avoid this situation have the contents of the pump tank removed by a backup or surface discharge of effluen backup Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compa the area within 15 feet down slope of any mound or at -grade soil absorption area. pe rformance and prolong the life Reduction or : nation of f baby pes c arette butts; condoms; cotton swabs; degreasers; dental floss; diapers; of the POWTS: a y P , fruit and vegetable peelings; gasoline; grease; herbicides; meat disinfectants; fat foundation drain (sump pump) water; scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons and water softener brine. ABANDONkI if N* ste s shall be taken to insure that the When the POWTS fails and/or is permanently taken out of service the followin WsrPonsin`Administrative Code: system is properly and safely abandoned in compliance with ch. Comm 83:33, o penings sealed. • All piping to tanks and pits shall be disconnected and the abandoned pipe e Servicing Operator. • The contents of all tanks and pits shall be removed and properly disposed bf by a Septag • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN if the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: • A suitable replacement area has been evaluated and may be utilized for the location compaction a re and should not absorption system. The replacement area should be protected fro t�fll to Ines and wells. Failure to be infringed upon by required setbacks from existing and propos protect the replacement area will result in the need for a new the the n effect at that timetablish a suitable replacement area. Replacement systems must comply wt • A suitable replacement area is not available due to setback o replace soil the it ed POWTSng advances in POWTS technology a holding tank may be installed as a last resort nt area. Upon failure of the POWTS a soil and ❑ The site has not been evaluated to identify a suitable replacement site evaluation must be performed to locate a suitable i the ffaailed cement no replacement area is available a holding tank may be installed as a last resort to rep removal of the biomat at ❑ Mound and at -grade soil absorption systems may berecoms�tNco la y pwth t I rules in effect at that time. the infiltrative surface. Reconstructions of such systems <<WARNING>> SEPTIC, PUMP AND OTHER TRE REATMENT TANKS MAY CONTAIN LETHAL GAS CIRCUMSTANCES. DEATH MAY GEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS MAINTAINER POWIrS INSTALLER Name Name �, [ e Phone Phone 3 y3 PUMPER LOCAL REGULATORY AUTHORITY SEPTAGE SERVICING OPERATOR fiCh t�hohh Agency i F a . h Name Phone 7 Phone uette and Waushara This document was drafted by the staffs of the Green Lake. Marqw co Z oning n Adm nistrative Code. Use of this document does not the minimum requirements of ch. Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1). (2) & (3). GMW (2/01) guarantee the performance of the POWTS. November 7, 2005 Scott Owens 1592 CR N Hammond, WI 54015 To: Charlie Webster Re: Occupancy of proposed new building Chaxlie, Per your request I'm sending this letter describing the proposed occupancy of my proposed new building. The building will be located on my property in the SE '/ of SE 1/4 Sec 7 T 28N R17 W. The building will be approximately 7000 sq. ft. in size. In addition to my own personal farm use, the building will be used for repair of agricultural equipment. In addition to myself, I intend to have one full time employee with the potential for an additional employee at a future date. Also, we will have some customers coming in and out. I would estimate that we would have a maximum of 10 customers per day in the summer but few if any in the winter. The building will have two areas for parking and washing equipment and an equipment repair area. It is my understanding that these areas will be provided with floor drains & /or trench grates which 'wili drain to an inside catch basin, which will then drain to an outside holding tank. This will be a bolding tank for `Non Wastewater" and will require approval from the DNR. I've contacted Daryl's septic out of River Falls and he will haul the material out of this tank as needed. The City of River Falls a-Il accept wastewater from this tank. The area of the building not used as indicated above will include a bathroom and some miscellaneous rooms, including a bathroom and a utility room. It is my understanding that wastewater from this bathroom and utility room will go to a regular septic system and drain field that you are going to design. Sincerely, Scott Owens 89/2842005 11 :86 715- 273 -4181 WEBSTER EXCAVATING PAGE 03 liGO tin far A ra C of �ana� far a Hoidi Tan for. n -D Nc es"r. Wa vya te °� s� r r ane ase read and complete all parts o f this forAn and neatrn it with any other m£�armation requested (see part to: H. S chua4elz, Chief astewat" Permits a nd Prelreatxnent Section Dapartynent of Natural Resources P.O. Box 7921 MadisOn, WT 53707 Phone: 60$) 266 -0156 Fax: (608) 267 2800 Personally identifiable Information will be used for program administration and will ,available to requesters as re uir also be made State. q ed under Wisconslrm Open R00ads law (ss. 1 9.31 1 9.39, Wis. Owner Name:. Addr City. ! County: Phone No_: - Fax Nb.: Address where hording tank will be Installed (if different than o wner's address): y county: Designer: Company Name: 1 �c 1s�� AA aaK� U4u 9A RJ Name of Designer: '� ` S - Address: LI, Se o.: ZZ 5595 Phone hto.: - 1 to Fax No.. !- 2✓ha.� r A. Does the tank proposed for installation meet Department of Commerce specifications contained in COMM 84.25, Wis. Adm. Code, for watertightne", sftngt} , and protection from the elements? Yes Pf No If yes, tank Is constru of: Manufacturer of tank lti' i 6i --- Ca aci of tan P tY k. , 00 ,gallons Ts 3� 1 o,,o f d / /.s 2 3 09/28/2005 11:06 715 -273 -4181 WEBSTER EXCAVATING PAGE 04 B. Does the tank have an inspection manhole? Yes / No C. Does the tank have a vent? Yeses No D. Is the tank equipped with a high -level alarm? Yes 4 z No E. Will joints be sealed to be watertight? Yes Z No F. Is tank installation greater than 25 feet from: Public or potable water supply well? Ye No inhabited dwelling? Yes No p }N G. Estimated distance between tank bottom and: Bedrock Groundwater table H. 111 wastewater be hauled off -site by a licensed hauler? es-Z No I yes, name, address and license no. of the company that will haul the wastewater: r 1. Will the, holding tank contents be hauled to 'a publicly or privately- owned, wastewater tr eatment facility for disposal and do you have their approval (Note: You must obtain L ' s approval before submitting this form) or have you received or applied to the Department for coverage to land apply the wastewater under a WPDES permit? Y s / No If hauled to a publicly -owned wastewater treatment facility, name of the municipal _ treatment facility: ICA] nt- 9i VFFIT I J6, U/ If hauled to a private wastewater treatment 'facility, name and address of the facility: 3 4 '09/28/2005 11:06 715- 273 -4181 WEBSTER EXCAVATING PAGE 05 If you have received or - applied for WPDES permit coverage to land apply the wastewater, please provide the name of Department of Natural Resources person who signed the letter of coverage or to whom you have submitted a permit application: 7 , signature O Desig er — License No. Signature of Owner (optional) Date of Signature if you answered to any ONE of the questions A. through 1. In PART 11, t en ou must submit Mans for this proposed holding tank to the Department at the address provided on page 1 of this document. The submittal of plans shall include a description Of site - specific conditions described above that are not met; but otherwise meet the requirements of all applicable rules. If you answered YES to ALL of questions A. through I, in PART ll and all other information on this form is completed in full, then this holding tank is a roved for installation by the Departmeht of Natural Resources, subject to the following additional conditions: 1. 'That a competent resident inspector be provided during the course of construction. 2. That the holding tank and appurtenances be installed in accordance with the statements made and contained in this form. 3. That the storage tank be designed and maintained to prevent leaks, in accordance with ch_ NR 213.15, Wis. Adm. Code. 4. That periodic testing be performed to insure the integrity of the tank is maintained, in accordance with s. NR 213.15(1)(d), Wis. Adm.'Code. 5. That oil and grease be managed such that they are collected before they enter a drain or catch basin, that they are pumped off and disposed dis waste oil recycler as needed. p of b Y a commercial 4 5 I '09/28/2005 11:06 715- 273 -4181 WEBSTER EXCAVATING PAGE 06 6. That hazardous waste be withheld from the holding tank. 7. That solids be collected and disposed as needed in a sanitary landfill. . 8. That, if bedrock is encountered in the excavation, then the bedrock should be excavated and backfilled with adequate bedding material.to prevent damage to the holding tank. 9. That if groundwater is encountered, then the tank should be installed with adequate anchoring such that the empty holding tank will not be floated upwards by groundwater. IN _ - These plans and specifications have been subject of a review in accordance with sec. 281.41, Stats. Where necessary, plans and specifications should, be submitted to the Department of Commerce, Division of Buildings and Safety or other state or local agencies to insure conformance with applicable codes or regulations of such agencies. The Division of Water reserves the right to order changes or additions should conditions arise making this necessary. This approval is not to be construed as a Department determination on the issuance of a Wisconsin Pollutant Discharge Elimination System (WPDES) permit including or a determination as to the ability of the proposed system to comply with any term or condition in such permit. it is also not an approval of an Environmental Assessment that may be prepared for this project, or an approval for any activities requiring a permit under any other statute. Tangible personal property that becomes part of a waste treatment or pollution abatement plant or equipment, may be exempt from sales tax under sec. 77.54(26), Stats. Similarly, property purchased or constructed a a Waste treatment facility and used for the treatment of industrial wastes may be exempt from general property taxes under sec. 70.11(21)(a), Stats. A prerequisite to exemption is the filing of a statement on forms prescribed by the Department of Revenue. To obtain the necessary forms, and information on whether or not your property qualifies for these exemptions, please contact the Department of Revenue, P.Q. Box 8933, Madison, Wisconsin 53708. In case installation of these improvements has not been commenced within two years from this date, this approval shatl become void. After two years, therefore, new application must be made for approval of these or other plans and specifications before any construction is undertaken. If you believe that you have a right to challenge this decision, you should know that Wisconsin Statutes and administrative rules establish time periods within which requests to review Department decisions must be filed. For judicial review of a decision pursuant to sections 227.52 and 227.53, Stats., you have 30 days after the ate circuit court and serve the petition decision is mailed, or otherwise served by the Department, to frle your petition with the appropri on the Department. Such a petition for judicial review shall name the Department of Natural Resources as the respondent. 5 6 M To request a contested case hearing pursuant to sec. 227.42, Stats., you have 30 days after the decision is mailed, or otherwise served by the Department, to serve a petition for hearing on the Secretary of the Department of Natural Resources. The filing of a request for a contested case hearing is not a prerequisite for judicial review and does not extend the 30 -day period for filing a petition for judicial review. i4 ide u uant to sec. 227.48(2), Stats. Chief asewd Pretrea tme t Section W:\schued \HT plan approval process 8- 2003.doc 6 f pLLs 125 East Elm Street =� Electric Since 1900 River Falls, WI 54022 cc W Water Since 1894 phone: (715) 425 -0906 fax: (715) 425 -7217 ��� Sewer Since 1930 �`N /CIPA�' The POWa of Community! October 17, 2005 Scott Owens 1592 County Road N Hamm6nd!WFW15 _ Dear Mr. Owens: The River Falls Wastewater Utility (Utility) will allow you to transport the wastewater from your holding tank to the River Falls Wastewater Treatment Facility (WWTF) under the following conditions: Wastewater shall only be transported by an approved River Falls licensed hauler. Initially, each time the contents of the holding tank is to be transported it will be necessary to notify the WWTF as to when a load will be delivered so operators can be available for sampling and testing. The sample will be tested for the presence of oil, grease, heavy metals, suspended solids, and biological oxygen demands. To be accepted, the collected water sample results must comply with River Falls Municipal Codes 13.07 and 13.08. After several initial tests, it may be determined that additional testing is not needed or not needed as often. The Utility reserves the right to modify, discontinue or require additional testing at its discretion. 1. The WWTF to be notified by you two weeks prior to transport of the collected water to provide sufficient time to acquire a sample and test. 2. A sample will also be taken from each truck load delivered to the WWTF for disposal, by a Utility employee. 3. The initial sample may be required to be sent to an independent laboratory for testing at your expense. 4. If the results are approved by the Utility, you will be allowed to transport and dump the collected water to the WWTF and pay the current charge for disposal. In addition, please notify the Utility of any changes in major quantities of waste types. If you have any questions concerning this matter, please give me a call at 715 -425 -0922. -8in� rely, Don Gu ng WWTF Superinten nt cc: Carl Gaulke, General Manager Wisconsin Department of Commeroe Z40 ON REPORT Page 1 of 3 Division of Safety and Buildings in accordance county ST. CROIX Attach complete site plan on paper not less than 81 ust include, but not limited to: vertical and horizontal n ) d Parcel I.D. (Pendi percent slope, scale or dimensions, north arrow, and est Please Print all infor tiom-) F. �' Reviewed Date Personal information you provide may be used for secondary urposes (Prtvaq Law *I) (m)). 9 Q Property Owner ZONING n SCOTT OWENS GovL Lot -- SE 1/4 SE 1/4 7 T 2 /N R 17 E (or) W Property Owner's Mailing Address Lot # I Block # Subd. Name or CSM# 1592 C.T.H. N — -- CSM Pending City State 27p Code Phone Number []Village • own Nearest Road Hammond, WI 1 54015 ( 715 796 C.T.H. N Pleasant 34211ew Q New Construction Use ntial / rooms Code derived design flow rate GPD ❑ Replacement 0 Public or commercial - Describe: Parent material outw Flood Plain elevation if applicable M-A ft. General comments Conventional In- ground trenches — 0 loading rat -- to be designer by Charles Webster for commercial building and recommendations: --- — --- ---__. System to be located in the wooded area north and east of fence line so it is not in the cow pasture. 6 M C.1O0 4- " 6� C, ' t-' n 1 ❑ Bo" O �� / � �-- 5 /� a v � � ^ r Boring # ❑ Q Pit Ground surface elev. 97.35 ft. Depth to limiting factor 6 m. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure ture Consistence Boundary Roots G PDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. " Efr#1 *Eff#2 1 0 -8 IOYR2 /I - sl 3mpl &csbk ds as 2vf-m 0.0 0.2 2 8 -16 10YR3/3 - sl lmabk ds cs lvf-co 0.4 0.7 3 16-36 I OYR3 /6 — sl l mabk ds cs 1 vf 0.4 0.7 4 36-56 10YR5/8 — fs OS9 dl cb lvf-f 0.5 1.0 5 5,6-60 7.5YR4/4 f2f7.5YR416 sl lmsbk mvfr -- -- 0.4 0.7 2 Boring # Boring 95.00 55 V Q Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDNF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *EN#2 1 0-4 10YR2 /1 - 1 3f -csbk mvfr as 3vf-m 0.6 0.8 2 4 -12 10YR2 /1 — 1 2f -msbk ds as 2vf-m 0.6 0.8 3 12-20 IOYR3 /3 — sil 2fabk mfr cs 2vf-m 0.6 0.8 4 20 -33 IOYR3 /6 — sl If- -mabk mfr cs lvf-m 0.4 0.7 5 33 -55 10YR5/8 - fs Osg dl as lvf-f 0.5 1.0 6 55 -58 7.5YR4/4 f2f 7.5YR4/6 sl I msbk mvfr -- -- 0.4 0.7 * Eftluent #1 = BOD > 30 220 mWL and TSS >30 150 mgA- * EfBuent #2 = BOD :5 30 ffq& and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Mary Jo Hollister 224832 Address Date Evaluation Conduded Telephone Number W9875 690th Avenue, River Falls, WI 54022 08-23-05 (715) 426 - 1775 w� Property Owner OWENS Scott Parcel ID # (pang) Page 2 of 3 3 Boring # Boring 94.00 64 E] 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 *EfM 1 0-3 10YR2 /1 -- sl 3fgr ds as 3vf-m 0.6 1.0 2 3 -7 10YR2 /1 -- sl 2fsbk ds as lvf -m 0.6 1.0 3 7-30 IOYR3/3 -- is lmsbk mvfr cs lvf-m 0.7 1.6 4 30 -64 10YR3 /6 -- s Osg dl -- -- 0.7 1.6 F Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f1= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#1 I *Efr#2 Boring # Bori g Pit Ground surface elev. ft. Depth to Limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munsed Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef(#1 *Eff#2 ` Eftluent #1 = BOD, > 30 220 mg& and TSS >30 150 mg& * Effluent #2 = BOD, < 30 mg& and TSS c 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- 8330Tal (R07 /00) / Blom ., s q,.% qy� 0 90 Im o Aft O O IP o- b3 rte" • t 1� I - J 2 3 � ' � �Fm1�uJD 54p.PACE PRbPOsF,p P - L too"' 0' A •T v X i ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer SO Mailing Address 1 s' C X & f Property Address /,57' CX N (Verification required from Planning & Zoning Department for new construction.) City /State 9 - / 6i_ � Parcel Identification Number ex + -/ --to - 00 0 LEGAL DESCRIPTION Property Location s.E' 1 /4 , S � , 1 / 4 , Sec. 7 , T - -2- 8 N R /7 W, Town of P�Gdfd�t yd�fJ' Subdivision A , Lot # NA . Certified Survey Map # , Volume Page # A Warranty Deed # PO 7 3 , Volume �5��,f , Page # Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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 Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper 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 1/3 full of sludge. Uwe, 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 Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number bedrooms ' SIGNATURE OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08 /OS j , ) p r. DOCUMENT NUMBER I.AND CONTRACT IEW Z• IC - 30 _- KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD CONTRACT, by and between Orville Owens, a single man, 03- OJ -e001 'i:30 A11 ( "vendor ", whether one or more) and Scott T. Owens, a single man, ( "Purchaser ", whether one or more). vendor sells and agrees to convey LAN`u' to Purchaser, upon the prompt and full performance of this contract by LANDC Cii.ITNACT Purchaser, the following property, together with the rents, profits, EXEMPT p COPY FEE: fixtures and other appurtenant interests (all called the "Property "). CORY FEE: in St. Croix County, State of Wisconsin: TRANSFER FEE: 300.40 The west 40 rods of the East 50 rods of the Southeast Quarter of RECORDING FEE: !4.00 Southeast Quarter (SE 1/4 of SE 1/4) of Section Seven (7), Township RAGES: 3 Twenty Eight (28) North, Range Seventeen (17) West. NAME AND RETURN ADDRESS Leo A. Beskar, Attorney 49— RODLI, BESKAR, BOLES & KRUEGER, S.C. 219 North Main Street P. O. Box 138 River Falls, WI 5022 024 - 1012 -20 -000 This is not homestead property. Parcel identification Number Purchaser agrees to purchase the Property and to pay to vendor at such place as reasonably directed the sum of $100,000.00 in the following manner: (a) $ 0 - at the execution of this Contract; and (b) the balance of $ 100.000.00 , together with interest from date hereof on the balance outstanding from time to time at the rate of 6 -5 percent per annum until paid in full, as follows: Monthly payments of interest only of Five Hundred Forty One and 661100 Dollars ($561.66) per month commencing April 1, 2001, and monthly thereafter. Provided, however, the entire outstanding balance shall be paid in full on or before the 1st day of April, 2021. Following any default in payment, interest shall accrue at the rate of 96 per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by vendor, agrees to pay monthly to vendor amounts sufficient to pay reasonably 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. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time after date of closing. 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 herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: Easements, restrictions and rights -of -way of record, if any. Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on date of closing. Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest in it and to deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, extended coverage perils and such other hazards as Vendor may require, without co- insurance, through insurers approved by Vendor, in the sum of $ full insurable value , but vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing. the original of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible. 1,�i7c7PAGE 628 Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except: Easements, restrictions and rights - of -way of record, if any. Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of 45 days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of 4S days following written notice thereof by Vendor (delivered personally or mailed by certified mail); then the entire outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equity; (i) Vendor may, at his option, terminate this Contract and Purchaser's rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if Purchaser fails to redeem); or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full pay,nent cf the entire outstw balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may 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; and (v) Vendor may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (ii) or (iv) above. Notwithstanding any oral or written statements or actions of vendor, an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as incurred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendency of such action, and such rents, issues, and profits when so collected shall be held and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchaser's rights under this Contract or by option, long -term lease or any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default without waiving any other subsequent or prier detauit of Purchaser. All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof.) di!t.1595PAGE 629 Dated this 1st day of March, 2001. (SEAL) 04, Scott T. ens Orville Owens (SEAL) (SEAL) AUTHENTICATION ACKKOWLBDOIiBNT Signature of Scott T. Owens and Orville Owens STATE OF WISCONSIN ) ) so* COUNTY ) authentit d this 1st day of March, 001. Personally came before me this day of 19 the above named Coe to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. Leo ]►. "Oskar TITLE: MEMBER STATE BAR OE' WISCONSIN (If not, authorized by 5706.06, Nis. State.) THIS INSTRUKENT WAS DRAFTED BY. Notary Public County, Win. Leo A. Beskar. Attorney My commission is permanent. ( If not, expiration date: RODLI, BESKAR, BOLES & KRUEGER, S.C. 19 ) 219 North Main Street. P. O. Box 138 River Falls, WI 54022 Parcel #: 024 - 1012 -20 -000 12/12/2005 02:41 PM PAGE 1 OF 1 Alt. Parcel #: • 7.28.17.64B 024 - TOWN OF PLEASANT VALLEY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner SCOTT T OWENS O - OWENS, SCOTT T 1592 CTY RD N HAMMOND WI 54015 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 1592 CTY RD N SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 20.000 Plat: N/A -NOT AVAILABLE SEC 7 T28N R17W W 40 RDS OF E 50 RDS OF Block/Condo Bldg: SE SE, TOWNSHIP PLEASANT VALLEY. Tract(s): (Sec- Twn -Rng 401/4 1601/4) 07- 28N -17W Notes: Parcel History: Date Doc # Vol /Page Type — Z 03/05/2001 639732 1595/627 LC — I e � -- 7 ' I 'i / 2005 SUMMARY Bill #: Fair Market Value: Assessed with (� 87476 Use Value Assessment Valuations Last Changed: 06/03/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 15,000 102,900 117,900 NO AGRICULTURAL G4 2.000 200 0 200 NO AGRICULTURAL FOREST G5M 16.000 9,600 0 9,600 NO Totals for 2005: General Property 20.000 24,800 102,900 127,700 Woodland 0.000 0 0 Totals for 2004: General Property 20.000 34,500 102,900 137,400 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: 10/21/2005 Batch #: 05 -39 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of commerce SOIL EVALUATION REPORT Page _L of Division of Safety and Buildings in accordance with Comm 85. Wis. Adm. Code minty Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must M. 4A&M include, but not limited to: vertical and horizontal reference part (BM), erection and Parcel W. percent slope, scale or dimensions, north arrow, and location distance to nearest road. P 0 j S S� Y a Reviewed Date Please p rint all information. � Z Personal iroon ation you provide may be used for secondary purposes ;.04 (1) (m)). Property Owner Property Location . . Govt Lot 1/4 1/4 S 7 T N R E Property Owner's Mailing Address Lot # Block # Snbti. or CSM# L C � city State • Zip Code Phone Number ❑City ❑ viiiage Flown Nearest Road New Construction Use: ❑ Residential / Number of bedrooms Code derived design flow rate GPC ❑ Replacement 2" or commercial - Describe: Parent material fv /! Flood Plain elevation appiidt ft General and recommendations: t t - a ' Boring # [] Boring Pit u,!► Ground surface elev. � /.d ft Depth to lirrating factor 7� - -_ in. A Soil Appli ilm RaU Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1W Gr. Sz. Sh. •Eff#1 •Eff#2 in. Munseq G1u. Sz. Cont. Color .... . .3 a_r 7 A z Ne •7 S - � soft # Q'Pit Ground surface elev. ?Ad _ _ R Depth to kniting factor -- lo- sOQ Soli A tip RatE Redox lion Texture Structure Consistence Boundary Roots GPDi'(P Horizon Depth Domeiant Color Description •E{#1 *0102 in. Munseti Du. Sz. Cont Color Gr. Sz. Sh. j •s - LS S 1 z. t1/-ZZ ZE-SAL �- r • L �+" t • EffNrent tit =BOO < 30 mg/L and TSS < 30 ff*I - - ' EfMfent #1 = BOD > 30 220 mg/t. and TSS >30 < 150 ntg/L ' CST fVtlrrrber S;ST Ptarrte (Please Print) 2 2I/i� Evahration Conducted Telephone Number Address Fogerty Plumbing & Perk Testing , r • • bL It n o h N N� o -y v� C 0 NN e2m N 03 o b W ,per, w i I n a O ` k IA -4 O V1 V _` Vk l fr M 1 Property owner .. e&7) &� AAe *S Parcel ID # _� Page 2 Borin ® # El Boring Q r Pit Ground surface alev. ft. Depth to irrwYrg tac(nr _. in. Soil Rate Horizon Depth Dominant Color Redox Description Texture Shudure Consistence Bo roloy Roots GPD/fE lo. Munsell Qu. Sz. Cont. Color Gr. Sz- Sh. A 'EWI 'EW12 S r /- Z 3 3- 7 - ' z AK ' c Ie • #1 — 8 � �fS s� � o . ❑ B oring # pQJ Boring Pit Ground surface slew. ff. Depth to frrri>ing factor �. Sod Applicati Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff lo. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Etf #1 *0102 r Borin # Pit Grand surface slew. ft• tog factor S Rate Horizon Depth Dominant Color Redox Description Texture Strttam Corsistence Boundary Roots GPM in. Munsel Qu. Sz. Cont. color Gr- Sz. Sh. *EM2 Effluent #1 = BOD, > 30 220 mglL and TSS >30 S 150 mg& ' Effluent #2 =•GOD c 30 mglL and TSS _< 30 mglt. 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 608,603111 or I- W 608- 264 -8777. SUD43I0(RAM)