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HomeMy WebLinkAbout028-1036-40-100 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF RUSH RIVER COMPUTER NUMBER 028 - 1036 -40 -100 Parcel Number 26.28.17.220A OWNER NAME: First JAKE P Last CROWLEY PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 1932 10TH AVE W SECTION 26 TOWN 28N RANGE 17W'/160 SW 1 /440 SE Line Description Line Description TOTAL ACREAGE 20.054 PLAT CSM 17 -4456 LOT01 BLK 01 SEC 26 T28N R17W SE SW 15 02 LOT 1 CSM 17 -4456 (20.054AC) 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division y INSPECTION REPORT sanitary Permit No: ' 430176 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: J / 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: Crowley, Jake I Rush River Township 028 - 1036- 40 - /00 CST BM Elev Ins M leesc' o: p tion: Section/Town /Range/Map N q 3 p 7 7- 3 v: BM D mZ 26.28.17.2& TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic O Benchmark Dosing Sd Alt. BM 34 looS-s` Aeration Bldg. der t -G�e.Q �• S .r— 3 �, 3 �i y 7 Holding St/Ht Inlet S o kft /o a S 9 TANK SETBACK INFORMATION St/Ht Outlet TANK TO /L , WELL BLDG. Vent to Air Intake ROAD Dt Inlet f Septic > C -f Dosing (� Heade an. - f•� J f1 !� � � Z Aeration Dist. Pipe--- 'AL OF p�3 Holding Bot m� „ a, -y/ -7 PUMP /SIPHON INFORMATION Fi I ra 1 D 03 Manufacturer Demand t Cover H� / 9 O. GPM Q Model Number � 2 Z X9,6 TDH Li Friction ss Syst m Heo TDH Ft 2. Forcemain Length ! Dia. Dis . o Well O v ui j- t�l SOIL ABSO TION SYSTEM BED /TRENCH Width / Len / No.( Trench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS off SETBACK SYSTEM TO P/L DG W LL LAKE/STREAK LEACHING Manufacturer: INFORMATION M OR Type Of System: I I- 2 .o7 '>10 T Model Number: DISTRI ON SYSTEM '>10 Model f f , f Header/ anifold Distribution x H6T e Si e x le Spacing Vent t Air Intake Li Pipe(s) �� b �! /f r L Length Dia Spacing /� b r >/5 � SOIL COVER x Pressure Systems Only xx Mound Or - Grade Systems Only / �' Depth Over f Qum Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center / - Bed/Trench Edges Topsoil Yes [ i No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: // Inspection #2:4( /03 Location: 1932 10th Ave Baldwin, WI 54002 (SE 1/4 SW 1/4 26 T2 R1 7W) 40 acres Lot 1 `x -_ /M Parcel No: 26. 8.1P 1.) Alt BM Description = 7 ° Qf-Qvf,( �� ��i Wt.,� l a r Water + Wes a4l , 2J Bl sewer length = �u� 1 �, b �y 10444 [/ (�jLQ 44AJ CMAV/ 4 - amount of cover = Plan revision Required? Yes No �j s D � Use other side for additional information. SBD - 6710 (R.3/97) Date Insepctor's Si nature Cert. No. Safety and Buildings Division County \ *1 , W 201 W. Washington Ave., P.O. Box 7162 ST CROIX so wnsin. Madison, WI 53707 - 7162 Sanitary Per a Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 3 d> � Sanitary Permit Application p State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide �1 ('�, l may be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address (if diffe ent than mailing address) I. Application Information - Please Print All Informatio Property Owner's Na me Z U Parcel H 44IK t /! JAKE CROWLEY 028 - 1036 -4Q -00 �Q Property Owner's M ailing Address 4 Property Location N8228 450TH STREET y, P City, State Zip Code tritfa'Nfiml►er SE �/a, SW �k,Section 26 SPRING VALLEY WI 54767 715/77 99 (circle e) II. Type of Building (check all that apply) ✓ Q T 28 N; R 17 E or W ® 1 or 2 Family Dwelling - Number of Bedrooms 3 Subdivision Name CSM Number ❑ Public /Commercial - Describe �Usse / ,, t / 709135 El State State Owned - Describe Use W rSAl S X S7 -alck ❑City ❑Village (XTownship of RUSH RIVE III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. 2 New System ❑ Replacement System ❑ Treaunent/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 IV. Type of POWTS System: (Check all that apply) ❑ Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil [Y Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter V ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Ap li� Rate(gpdsf). Area uiredJs Dispersal Area Pr sf1 System Elevation 450 1 . S` � , Dispersal 450 Req fJt}) 450 � 101.85 VI. Tank Info Capacity in I Total Number A4anufacturer Pie fa b Site Steel Fiber Plastic Gallons Gallons of Units !�/ DO Concrete Constructed Glass New Existing LW�" ` A �w Tanks Tanks Septic or Holding Tank 1000 1000 1 WIESER CONCRETE X Aerobic Treatment Unit Dosing Chamber 650 650 1 WIESER CONCRETE X VII. Responsibility Statement- I, the undersigned, assume respo ibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) P is Si gnature MP /MPRS Number Business Phone Number BENNIE HELGESON 0292 715/772 -3278 Plumber's Addre ss (Street, City, State, Zip Code) W1229 770TH AVENUE, SPRING VALLEY, WI 54767 VIII otmt Department Use Onl Approved ❑Disapproved Sanitary Permit Fee (includes Groundwater D Issu d I ent Signatur Stamps) Surcharge Fee) ❑ 3 63 Owner Given Reason for Den y�`ll % `� IX. Condition Ap ro�ons for Disappro val 5 �o ,�,�,� 3 .sZ h,u_I -- S 6ww p AtWcomplete lan�theCount oa l) for the sl tem n pa not lest than 81/2 x 11 inches in size OYI � ty �LRiYt& SBD -6398 (R. 01/03) „� � � _66� Clibe.. k s _Z)qe c -• ► Scale 1 "= 9 f3' - page ] S of r�s Z 'DO Nv CID MPPrIt-7 � 3� , , o e toO_ dre � ! a7ti � ' � � •. 3ly�D�A.PVC n�D�wl�� � i I zLgq 7 . 10 1 P\3M 99c � ' , vF ��►- �t Rq.3' ory � � Z' � P t De-' ►� / 4 10 SONt-E � tzoN 9L 1 � AVM NOTES 1. Elevations shown are existing ground elevations unl.e$s otherwise noted. 2. Install 4" observation pipes with approved caps. ( 4 required). 3. Septic tank to be 1�4U J� gallon capacity manufactured by 4. Bench mark Ben .._ 0 U 5. Divert surface water around system to prevent ponding at the uphill side. Safety and Buildings ` 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 ` TDD #: (608) 264 -8777 onsin www.commerce.state.wi.us /sb *is c www.wisconsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary June 16, 2003 CUST ID No.267341 ATTN. POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 _ 41 4 1 k � CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 06/16/2005 Transaction ID No. 876165 SITE• Site ID No. 660296 Jake Crowley Please refer to both identification numbers, Town of Rush River above, in all correspondence with the agency. St Croix County SE1 /4, SW1 /4, S26, T28N, R17W FOR: Object Type: POWT System Regulated Object ID No.: 907278 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes Condit and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in APPR chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: DEpARTiAENT ON OF General Approval Requirements: SEE CORRE • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706 -P (N.01 101). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The location of the lot line in question is to be verified. The county shall request proof of the location prior to the issue of the sanitary permit. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. Stat • Comm 83.22(7) 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. ARTHUR L WEGERER Page 2 6/16/03 Owner Responsibilities: • Comm 83.52 Responsibilities. 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. • Comm 83.55 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. 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 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633' (608)789-7893, 7:45 am - 4:30 pm Monday - Friday cbratz @commerce. state. wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 TITLE SHEET p `7 FOUND SYSTEM 1i ✓(//�/ �/ FOR A BEDROOM RESIDENCE p� This plan has been prepared in accordance with the Mound Compo - n Manual SBD - 10691 -P and the Pressure Distribution Manual SBD- 10706 -P (N.01 101) (N.01 101) LOCATED IN THE SE 1/4 OF THE Sw 1/4 OF SECTION Z( ,T N,R 11 W TOWid OF U S1 �_AZ ST L 1X COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR N g Z '-1 S O T 4 s; ly Own 3' CO&fMERCE ! 0 ftU ! iE7NC 0 NG3 PREPARED BY WEGE�EFZ E3 C3 X L_ TE=ST' = NG AND. DES I CBM S�F2V S CE P.O. Box 74 421 N.lain St. River Falls, WI 54022 Phone 715- 425 -0165 ��Ntetr Fax 715 - 425 -6864 A Ecm . �2GEki:N = 0.915 i• ELLSWOk ��''4► �'s I G �MN 6 -4-03 JOB NO. 03 Mound System Management Plan Page Z o f 7 Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tan 7 !CJ p k shalt be maintained b y an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank k shall have its contents remov when the volume of sludge and scum in the tank exceeds 1/3 the liquid volum the tank, If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is enerall not required. However, if such y q ch products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank 3 /I The pump (dosing) tank shall be inspected at least once ev' a 3' ears. A(I s ve alarm s, and pumps verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as ecI , tested to ry. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to rovide some protec P p ct on from frost penetration. Traffic other than for vegetative maintenance on the mound is not recommended since soil compaction m on of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L 8005, 150 mg /L TSS, and 30 mg /L FOG. Influent flow ma not exceed maximum design flow specified in the permit for this installation. y The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral'be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ondin . Pondin level shall P g g s s a l be reported to the owner and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual rid local or state rules pertaining to system maintenance and maintenance reporting. z;� A b 10 b 4 t t? No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed y to: The County Zoning-Office at -106'7 V690 ,The system installer at The tank manufacturer at g OED 3, -. !k qS �l The effluent filter manufacturer at q Z� The pump manufacturer at OVL_,O 06/16/2003 14:45 17154256864 WEGERER SOIL TESTING PAGE 02 Scale l Page of % �U ON. i o e to o oft 9 nLPew /L�� J 9 9e - zM V IC- ' � � - Et 4q. 3' o►a � z, p t De L'i An 1, p4 zo `° LL 13'D� ►"1 LO ov C Sop � �o`c 10' 3�Ptt_E - 'Pl Pt NOTES i — 9 L 1 �l l�t..11� 1. Elevations shown are existing ground elevations unle�$s otherwise noted. 2. Install 4" observation ' p ipes with approved caps. ( 4 required) . 3. Septic tank to be Nt GS Ogallon capacity manufactured by - ti`- al�s�,'�• ��J C��� �►�-� �-� Lnao �6 SO � 21 tiJ / A � 8ac� z�� etc -�'t . 4. Bench mark _ uU • 5. Divert surface water around system p tem to prevent pondfng at the uphill side. Page Of - 7 • Approved Synthetic Covering ASTH C33 Medium. Sand Distribution Pipe Topsoil . - - - - - - -- - - H - - ' —�s $ all 0.5 °�' Slope Distribution Cell of Force Main Plowed z" to 2- 2agregate From Pump Layer r Undisturbed p,�( D \•15 Ft. 2 �S Soil J E \.Q,3 Ft. Z Cross- section of a mound system using F O -o Ft. a 8 2 cells for the absorption area G y.S Ft. O -S P_ F H 1.0 Ft 2 ' C Z Ft. Linear Loading Rate =3• GPD /LN F I 1Z Ft. f'710-�- Design Loading Rate = -- GPD /SQ FT b4v�N tU K \Z Ft. L - L Ft. W 3� Ft. L � T K A — - -- — —4-��c c� s tC bservation -- Pipes _ (anchor securely) - - - - -- '— — - - Force / W .: '_ ._ _ _ - -__ - - _ — _ — — - •Main Distribution i " i " Pipe Cell of to" 2� aggregate Plan view of a mound system usin, 2 cells for the - absorption area Distribution Pipe Layout PAQe S of -] .o Place the holes at the bottom of the distribution pipes at•equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long turn or 45 ° fitting to a point within six inches of the final made. Terminate the ends of the laterals with a valve,:threaded can or • threaded plug- Provide access from final grade for the valve threaded can or threaded plug. 7 L ?_�iZOSS FV C 1�V C Latent Manikid Lateri x x z Xa x!Z x x s x Lateral Length -V Lateral Length — P Oistributian Line I h r•1J 1 FJ �.= Fz RcE m Rf�V P — -7 Ft, Hole Diameter I/S Inch - • s Ft. - Lateral " 1 Inches) X ? inches Manifold Inches Force Main " Z Inches # of holes /pipe 1 Invert Elevation of- Laterals -S Ft. Combination Septic; and PIMP CHAMBER CROSS SECTION AMD SPECIFICATIONS' PAGE OF �I VCLIT CAP WEATHER PROOF JUIJCTIOW BOX 4'C.1. VEMT PIPE APPROVED LOCKING � 10' FROM OOOR, AANHOLE COVER P--)IV ,i11J00W OR FRESH wARIJIUG LA6EL.. �sp���iJ SNIPE COt�DutT ~ w !►�iRT)sttT"Ztrp ALP, s F l} F-1 nt tgp - l1 G QfiL7 E l I I&ILE i" PROVIDE `''' AIRTIGHT SEAL I I I ^ -a A, LS I I I APProved Z� FiL� '� I I CI Approved joint w/ [z-_ L1 I I I joint w/ i II PVC pip ALMA PVC pipe i II 6 i I 1 OM (� C I i CLEY. "f7 I — PUMP --J OFF D CONCRETE -� ; S S• � BLOCK • RISER EXIT PERMITTED OLILy IF TA MALIUFACTURC.R HAS SUCH APPROVAL —ISEDO N Br<pD i N 4 SEPTIC f SPECIFICATIOUS DOSE ''II TAWKS MAL)UFACTURER: Cwo1 z- T�-: uuMB OF DOSES: S `"I L PER DAB TAW 51zr, WL_ IWO A 1"JR CgLLOA1S D05 VOLUME r ALARM MAMUFACTUR.ER: S S•�`1 -tMKQ Sy S�1' 'IS IAICLUDIWG 6ACKFL 1 � � • S GA�LOht: PIODE.L WUMBER: ��L } CAPACITIES: A= 1 U 30� - IMCHCS OR GALLOys SWITCH TyPC: '3y 8 = 1)JCHES'0R _L_ G p LLOLJ5 PUIAP ikAL1UFACTURCR: —G b �] 1. DS C= /!2 - 1 ►ICilE5 OR " D•S WtLLOL15 MODEL IJUMBEK: O' S D- 1 1 "Z INCHES S IAICHES OR GALLOLIS SWITCH TYPE: MOTE: PUMP A D A 8E MIMIMUM DISCHARGE RATE zZ,q GPM INSTALLED SEPAIIA E CIRCUITS VERTICAL DIFFERENCE CETWEEU PUMP OFF A D15TRIBUTIOW PIPE.. �b'3q FEE Z � + MIRJIMUM NETWORK SUPPLY PRESSURE FLET S_OX •f' /6 S FEET OF FORCE MAIN X 1 °1) F j �_ $3 �OOFCFRICTIOU FACTOR_. FEET TOTAL MWAMIC. HEAD = Z _y'� FEET As per manufacturer n.0 gal /in. Liquid depth 3 Y Goulds _ °f 7 Submersible Effluent Pump F 3871 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. dry without damage to heat transfer. ■ Motor Cover. Thermo las- • Effluent systems components. p • Homes Available for automatic and tic cover with integral handle • Farms Motor: manual operation. Automatic 'and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical points. • Water transfer 115 230 Hz, 1550 Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, , built in n overload with automatic reset. preset at the factory. rated oil and water resistant. SPECIFICATIONS • EP05 Single phase: 0.5 , FEATURES ■Bearings: Upper and lower 115 V, 60 Hz, 1550 RPM, heavy duty ball bearing Pump: EPO4 built in overload with ■ EPO4 Impeller. Thermo- construction. • Solids handling capability: automatic reset. plastic Semi -open design AGENCY LISTING /a' maximum. • Power cord: 10 foot with pump out vanes for �. > • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. SP Canadian Standards Association • Total heads: up to 24 feet. with three prong grounding _ • Discharge size: I /i NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo - g plastic enclosed design for (CSA listed model numbers osed • Mechanical seal: carbon- length, 16/3 SJTW with improved performance. osed desig end in F' or "AC".) rotary/ceramic - stationary, three prong grounding plug p 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 •Capable of running l dry without damage to 9 30 ! ! • ` components. i , I Pump: EP05 • Solids handling capability: 2 0 5 Z Z i 3 7 - /< maximum. W , }- -- • Capacities: up to 60 GPM. _ I • Total heads: up to 31 feet. 6 20 I • Discharge size: 1IN NPT. z 5 i • Mechanical seal: carbon- a 15 rotary/ceramic - stationary, a 4 zz- ci BUNA -N elastomers. • Temperature: ' 3 10 104 °F (40°C) continuous ! I 140 °F (60 °C) intermittent. 2 i 5 1 0 00t. 1 G 20 30 4¢ 5o GPM 0 2 4 6 8 10 12 mlih CAPACITY 0 1995 Goulds Pumps. Inc. � , cnc Wisconsin Department of Commerce SOIL EVALUATIO REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. C -1 Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County Parcel I.D. S c—n X include, but not limited to: vertical and horizontal reference point (BM), direction and O d distance to nearest road. -- percent slope, scale or dimensions, north arrow, and location an -_ _® oz8 -�03b -UO -000 40 Please print a r nfer � q r e-viewe by Date Personal information you provide may be used f condary purposes (Privacy Law, 15.04 (1) (m)). Cti!�Y!/Y�� 23/S3 Property Owner roperty Location �` E_ ���w L �j � i°tJ 1 9 2003 r S7 1/451 *1/4-T N R �� E(or W' Property Owne Mailing Address , x l of # Block # Subd. Na City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Roafi AV/LAe 'q sl�tur tG V ku-tt I S CIS) 728 -4 c t9i New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate U S U GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material L pv kzC > Flood Plain elevation if applicable S�J )QN ft General comments and recommendations: Z C g y ' Y -- S 7 [ ON G w `N1 L +J 1 ► 1 -t U ty Z t �' �• { F LL, OF CeLLS Boring # ❑ Boring / © pit Ground surface elev. �. ft, Depth to limiting factor 6 in. Soil Application Rate I Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rocts GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff #2 L�JLlfL 3 t3 - s z 2'�s k m v` t aL-j ZS -S - -t� to tY - Sit Zsbk m eta, tv - s 3 lb Zb lo�te y/ Ctd� �.Sy�s1g si S 1c-sb )n'Ft- Cw — •Z- , ; Boring # ❑ Boring ❑ Pit Ground surface elev. 3 ft. Depth to limiting factor 1S in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 SJ- bD Sl L+s t 2ks `6 k im`�l- cw 1 •s �, 3 Ns - do �� 3 t6 e1 1.54I s1 l�SbIz mv`fl e�,, 0 rn v fl- Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = KID, 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig na re CST Number Arthur L. Wegerer C W - 03 S�, 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. !lain St. River Falls, UI 54022 -31 03 715 -425 -0165 I U t Property Owner _Y Parcel ID # b ZC� - �� O - y — V 0 0 Z Page of F�]) 3 Boring # ❑ Boring - ® Pit Ground surface eiev. q 4 • 7 ft. Depth to limiting factor 15 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /11 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 p 1 0'1 313 = s i 1 Z' - b 12 Y✓1 V`� ek3 Z,`F , S • 8 1L ) V �� - si I Zhu s k m c4, v'F • S 3 is -Z JoLl lz y!y - S , -if s ly si I \asbk L--, - • z • 3 Y a 3 tOH 2 7/ 3 e �S COIF Yn U Boring # ❑ Boring c� ® Pit Ground surface elev. 4 ' 7 ft. Depth to iimiting factor 1 S in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 •Eff#2 f -� Juy1Z 3 �3 - si 1 Z`fSb rn \J� cw Z� - S •g Z -lS lw -m V/ - si 1 Z sb►r m 1- ���` • s e 3 13 -2] 1 0- 1.S Ll a, m P- cw ?n -3 t�`1JZS /6 ,f `�S U� wIV Ph ,L[ F-1 Boring # Boring Ground surface elev. ❑ ❑ Pit . ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 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 fonnat, please contact the department at 608 -266 -3151 or TTY 608- 264 -8777. SBD -8330 (R.6/00) PLOT PLAT Pace 3 of 3 Scale I'= Y) ' y �U 0� 3� z _ x v SLIT CdY✓tPfj�r 3a o t� 1oO- dIZ r 01 ��0\ 9 I r B 1 � 1.10 0.0 pN t �iti c I 3��aD�fl.PV c ntnewl Ltv J nd � J- 38 g 3 2 9 9s 0) �z.. Qq.3' or.► � V% PO � 1Z01J Pt �t 6 0 O' 9L �o Avg o� S- 3�_p3715- 425 -0165 220254 CST Signature Date Telephone ITo. CST No. Job NO. Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings Page of • in accordance with Comm 85, Wis. Adm. Code �X Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County S 1 C,1 Q include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. oz8 -v03t -yp -000 Please print all information. I Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). I I Property Owner Property Location lz \Z-0JA1 L ` - 1 6evt -het— S C 1/4 SI,t) 1/4 S Z � T Z 8 N R E (or W '` Property Owner's Mailing Address Lot # I Block # Subd. Name or CSM# L A S (� 71+- T City State Zip Code Phone Number City Village ty Town N [3 ❑ 9 Barest Road S)`urJ V 14,1 S`I ) 07 1 (CIS) 7 - 4 jZv 1tWzl)Z New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate y S O GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material L k - P S Flood Plain elevation if applicable SV A General comments and recommendations: U r , V �7 w r� ti I I , G Kj (j hj Zt vF S Fi u i O F Ca L.S I F T1 Boring # ❑ Boring I © pit Ground surface elev. q.� ft. Depth to limiting factor ! 6 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff>*2 j 0_9 1,okfz 313 — Z -tb to�2 �!y - si i Ztn 3 16 ZrD lo�te �/ C1� `i.S�12s1 si S 1C-sb i 8 n1.'Fr i Cw - 3 I �s OVA , Boring # ❑ Boring ® Pit Ground surface elev. 3 ft. Depth to limiting factor �S in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 o =B �o�2fL313 — si1 Z�sbk �4 v'f -ti- o- Iti rL — st 1 ZI.Sbk 101"'f+ cw lv� •S •� 3 �o \-I2 3 ! L et - .s�2 s1� s l lt^ s b h n�v 0- 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) Signa re CST Number Arthur L. Wegerer 03LSS 220254 Address Vi e g e r e r Soil Testing & Design Ser vice Date Evaluation Conducted Telephone Number 421 N. Main St. River Falls, 1-7I 54022 715 - 425 -0165 U ( Property Owner L �1J� L� �{ Parcel ID # d ZO ^ ��3 b - �Q — U (� Page Z of 3 F Boring # ❑ Boring ® pit Ground surface elev. R 4 7 ft. Depth to limiting factor `5 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 ►0`14 313 = sl 1 2'f sb ew Z,� •S -8 Z _�S l u l F- V /Y - s i I L.4 % k m ct U'F • S • F3 3 1S -Z6 w Wy Sq,R --sI si I leS \o k y�'P�.- e — . Z • 3 Y z6 —3 to r2 7/:N Boring # ❑ Boring ® Pit Ground surface elev. q 9- 9 ft. Depth to limiting factor 1 S in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 iz 3 !3 - si 1 Z�sb 1z ritU� cw Z`P z -ls 109p. yly - si 1 Z V 's bk m �1.v 1v� • S 8 3 1 S -Z7 1 oy 2 y(y 0 1 A l, S L-t 2 sl 8 s i t 6 S b k vn'F1- I N F-1 Boring # ❑ Boring Ground surface l ❑ Pit ce eev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 i Effluent #1 = BOD, > 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD, < 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.6/00) PLOT PLAN Page 3 of 3 Scale 1' -1 0 0 38 z x 'DO ti U7 CD h�1 P �r2T � 3 A o � to O- d2 ��1l�Ci -8 1 J.5ola r I 0 p - r J 99�• � Lam. q ON 3 Iq 4 t�i�- ova PIPE"w/ ,q PO 0� 4 -3 �T 10 3�cLE � 2otJ 600` t To CT \4 'Ir S 31- 03715 425 -0165 220254 CST Signature Date Telephone Iio. CST Alo. Job NO. JUL -02 -03 08:23 AM P.01 S`I' CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERS111P CERTIFICATION FORM Owner /Buyer _ a� L e- Mailing Address AA2Q Z Property Address 1q 01-h �fve �csf" T (Verification required from Planning Department for new construction) City /State Parcel ldcntilication Number Da - 1 0-3 6 - 40 OD LEG DFtSCRIPT ION 1 Property Loeatio S ' /., 5 y.1 V4, Sec, ate T -R 1`1 , Town df R=6 ' Subdivision , Lot #.• 1 Certified Survey Map # 09•/ 3 S" , Volume Page # Y �' X �' ;trr;tnty De f# . 2 3/ U 9 , Volume S ,Page # _ Spec house O yes W no Lot lines identifiable �s C o SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St, Croix "Zoning Department a certification form, signed by the owner and by a dis disposal system ' 1 master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that ( ) the on - s ite wastewater p is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 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 Zoning Office within 30 days of the three year expiration date. z� - 7 / 6. 5WIIATURE OF APPLI ANT DATE OWNER CERTIFICATION I (we) certify drat all statements on this form are true to the best of illy (our) knowledge. I (we) am (are) the owaer(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. DATE �ATURE OF APPLICg? 'n De attmcnt. ..goof • " "` Any information that is tnis- represented may result in the sanitary permit being revoked by the Zom g p •• include with this application; a stamped warranty deed from cite Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed r YOI 1J4UPAGL 153 r STATE BAR OF WISCONSIN FORM It - 1982 C5 31 C> 9 45 KATHLEEN H. WALSH LAND CONTRACT kEGISTER OF DEEDS ,7 -. DEEDS �•� `�. 2 � f ..�; �,� i Individual and Corporate ST. CROIX CO., WI (TO BE USED FOR ALL TRANSACTIONS WHERE OVER 125,000 IS FINANCED AND IN OTHER NON- CONSUMER RECEIVED FOR RECORD Document Number ACT TRANSACTIONS ) y `'�,....•c '�..., "� ,�. 10 -04 -2000 9:30 AN CONTRACT, by and between Namond O. Jacobson and Bernice I. LAND CONTRACT Jacobson EXEMPT N CERT COPY FEE: COPY FEE: TRANSFER FEE: 135.00 ( "Vendor ", whether one or more) and Jake P. Crowley RECORDING FEE: 12.00 PAGES: 2 ( "Purchaser ", whether one or more). Vendor sells and agrees to convey to Name and Ar Address Purchaser, upon the prompt and full performance of this contract by Purchaser, BAKKE NORMAN, S.C. the following property, together with the rents, profits, fixtures and other 900 Main Street r appurtenant interests (all called the "Property"), in St. Croix PO Box 54 t{ County, State of Wisconsin: Baldwin, WI '54002 0 028 - 1036 -40 -000 arcelldentifiutlo bar) The SW 1/4 of the SW 1/4 of Section 26, Township 28 North, Range 17 West, St. Croix County, Wisconsin. This is not homestead property. £is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at 110 W. Pine Street, Roberts, Wisconsin the sum of S 45,000.00 in the following manner: a , at the execution of this Contract; and (b) the balance of S 35,000.00 , together with interest from data hereof on the balance outstanding from time to time at the rate of 6.0 % percent per annum until paid in full, as follows: Three Hundred Dollars ($300.00) per month commencing on November 1, 2000 and continuing on the first day of each month thereafter. Provided, however, the entire outstanding balance shall be paid in full on or before the 1st day of November 2003 . (the maturity date). Following any default in payment, interest shall accrue at the rate of 10 % per annual 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 antici- pated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply Payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time xfwr xxxxxxxxxxxxxxxxxxxxxxx , xzxxxx (OR) 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 shalt be treated as unpaid principal is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded here from. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: None Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on October 1 2000 Cross out one. LAND CONTRACT - Individual and State Bar of Wiscooslo Corporate Form No. 11 - 1982 Information PMossbnals company. Fond du Lae, WI x04855.2021 VOL 1548PAG 154 Purchaser promises to pgy 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, ex- tended coverage perils and such other hazards as Vendor may require, without co- insurance, through insurers approved by Vendor, in the sum of S Full Insured 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. 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 shalt 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: 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 N 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 60 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 Purchasers 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 payment of the entire outstanding 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 in- curred, 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 in any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchasers interest under this Contract solely as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendors 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 prior default 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 fulpliment hereof.) PPia ted this 4 )ar"ayof September 2000 EAL) / /mac: �•. �.�_� (SL•AL) " Namond O. Jacobso Vendor ' e P. Cr owley �• Purchaser (SEAL) (SEAL) • Bernice L Jacobson Vendor Purchaser AUTHENTICATION ACKNOWLEDGMENT Signature(s) Namond O. Jacobson, Bernice I. Jacobson, STATE OF Wisconsin ) Jake P. Crowley St Croix ) ss. COUNTY) J� authenticated this day of September 2000 Personally came before me this'A9QUay of September 1 2000 the above named Namond O. Jacobson, Bernice L Jacobson, Jake P. Crowley TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and acknowledge the same. . • • . authorized by § 706.06, Wis. Slats.) N)S Ot,I THIS INSTRUMENT WAS DRAFTED BY n ✓ BAKKE NORMAN, S.C. Thomas R Schumacher Notary Public St. Croix '4,4ty t � My Commission is permanent. (If not, gate cgyeortc y necessa may be authenticated or acknowledged. Both are not �•) �, -a 3 - tea ) `:, J, \A Names P •f�° " Names of persons signing in any capacity should be typed or printed below their signatures. • "••S • • LAND CONTRACT. Individusl and Corponle. State Bar or W4csoala Fom No. 11. 1982 Information Prolossionals Company. Fond u-Lm. Wf 800- 655.2021 Wisconsin Departmon of Commerce SOIL EVALUATIO REPORT page � of Division ofSafetyand SUiktings In armardance with Comm 85, Kris. Adm. Code County m n Attach complete sine on B inch" Coun 3 C O t oatvde, balot times to: va+ c�nd horizontal ralbrance point (BM), direction and Pan81 I.D. Percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please Ordlt all Mformeffoll. Reviewed by Date Personal Informaren you provide may so usetl for a ary . t6. 0) (m)►. Property owner Pro Lo cation P C�rn�v 1 Gavt. JL IKYW 114 S 2.4- T N R preparty owners ma ring Address C 2 0 2 of a 8laclt Subd. Name or CSMO Chy Vale T C [] village Town Nearest Road I .i• h )l 1 - 14 74P - 7 1 ZONING OFFIC f'� h River 10 New Construction Use: [51 Residential I Number of bedrooms 3 ^� Cade derNed design flow rata l / /� Q U GPD d Replacement 11 Public or commercial - Describe _ Parent material r, - - Flood Plain elevadon If apprioable General co and r ecommendations.. a Swing it 0 5-1,g Pit Ground surface etev, q9" _ ft. Depth to Periling facaor in. Sol Udicallon Rate Horizon Depth Dominant Color Redox Description Tatlure SwoWm Consistence Boundary Roots QPD in. Munsell OU. St. Cant Coon Gr. Sz. Sh. 'EW1 'Eff#2 1 <r Ic iC 3 511 � C - t e r- `3 .'a Z C - /U 2/q l Z 1 , vAr L Swing 0 ( string �l Pit Ground s uRaca ciao. _ R. Depth le linang factor in. Sort Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAY In. Munsell Ou. Sz. Cant. Color Car. Sz. Sh. 'EW1 'Eflir2 Z- `1 -2 IL �11�1 S l Zir6hk, Y4 - C. r Effluent IM w SOD > 30 5 220 mg& and TSS >30 c 160 mWL ' Efluent #2 = 800 ,: 5 3o mg/L and TSS : 30 RV& CST Name (Please Print) r Sig Utz i CST Number Address / D v action Conducted Telephone Number Yi i Ed wd22:2e ZOOZ OZ • 'O xdd woad Proverh owner _ r�� � _ _ Parual ID S _ Page z of 3 ❑ timing ® Pit . Ground suAaoe dev. / ft. Depth b *FdbrW fucbr L 7 ____ in. SOU Application Rabe Horizon Depth Dominant Color Redo: Description Texture Stnusrrrr Consistence Boundary Roes GPDRP in. Murmd Qu. SL Cont Cobr Gr. St. Sh. 'Eigk1 I-M c s "7 ., 'cl Z k r c= 7- t C2P'7. - S 1 (v Boring # ❑ ❑ Pit Ground suftee elev. n. Depot b rrmifrtg factor _ in. Sol tnj?g!�w Rats Hefkan D qxh Dominant C490 Redox Ddecrotion Terms Strudur s Conslssenae Boundary Roots GPD/fF im Muns it Qu. Sz. Cont. Cobr Gr. Sz Sh. - EW1 *1202 Uoring # r ❑-� Ekmbn9 u Pit Ground spftace d w. � It Depth io UmMng facer __ in. Sof tion Rate Horizon Depth Dominant Cow Red= Daseription ToMm 80ur=tr4 Consistence Boundary Roots in. Muned Qu. Sz. Cart. Cow Gr. Sz. Sh. 'EW1 'Etfti2 EfOuent tit 800, > 30:S220 mglL and TSS >30:S 150 mg& ' Mont 22 = BODr <_ So mglL and TSS :S 30 trayL The Department of Commerce is an egtW opportunity service provider and employer. if you need assistance to access services or need rnaterml in as alternate format, Please contact the department at 608 - 266 -3151 or TTY 608..264.8777. 4erlv7bfR.07q� bd Wd22:20 Z002 0Z ' 'ON XUA WOdd r ..z N m 9 3 C' 7 0,C, VOL 17 PAGE 4456 KATR= H. WALSH REGISTER OF DEEDS ST. CROIX CO. VI RECEIVED FOR �tECORD 02/10/2003 01:25PK REC FEE: 13.00 COPY FEE: 3.00 CERTIFIED SURVEY MAP LOCATED IN THE SEi /4 OF THE SWi /4 OF SECTION 26, T28N.R17W, TOWN OF RUSH RIVER, ST. CROIX COUNTY, WISCONSIN. OWNE EY NB228 450TH STREET SPRING VALLEY. WI. 54767 LEGEND J �- - INDICATES SECTION CORNER MONUMENT o rn ( AS NOTED ) rn N1 /4 CORNER SECTION 26 - INDICATES i' X 18" ( OUTSIDE DIAMETER ) �i IRON PIPE WEIGHING 1.13 LBS. / LINEAR ( ALUMINUM CAP FOUND ) FOOT SET. o� N - INDICATES FENCE. UNPLATfED LANDS In' ?n I ( I 2 NORTH LINE OF THE SEi /4 OF THE SWi /4 4 IN S89°59' 'E 322.06' 661.03' 33.00: 628.03 e l ►� I 661.03' 1289.06' 9' 1 I I , �• ; ; ; LOT 1 LOT 2 a ,552 SQUARE F T 8 ( 3,857 S()UCRES SET Q 1 ( s I .054 A - 0-.W. INCLUDING R.-O. I� I of 807.602 SQUARE FEET 851.946 SQUARE FEET �1 ( 19.558 ACRES ) 1m (yQ (38 540 ACRES) EXCLUDING R. -O. -W. EXCLUDING R. -O. -W. a: Z APPROV1:_ in sr. CROIX G00 rn 1 Q V:11nlno and r:nr,rriticn 1 I Fa10203 b,1 8; O I I I If lint Iwioldvd within I- day; of lem 1 CURVE INFOr IATION- _ approval null F ind shad t+a � ^ I R ,us- 707.00' null And vrud c 1 1 ; CENTRAL ANGLE- 15- 36'20" CHORD- 191.97' — 1 N0705923"W tL — I 1 ARC LENGTH- 192.565' TANGENTS INC.) �I 1 I IN N15 � CDI 1 OUT- N00 I I _ II I I 10U SETBACK LINE g... FROM RIGHT -OF -WAY nS� N_ = N89 1267.51' OVER WIRES _604. _ — 6 63.2_ 1326.68' — 663.34 4 3326.68 - 13 -------- - - - - -- - -- N189 'W \ \7 �YTLJ NTH LINE OF THE SWi /4 _AVENUE �- UNPLATTE_D \ \ UNPLATIED LANDS_ LANDS O N .�y I z1 SCALE IN FEET 1• = 250' :• JOS H V. * : GRA BE ti = S- 295 t O 125' 250' 500' > NEW RICHMOND t PREPARED BY: WI 1vRANBERSURVEYING 6 S ..••f 0 2 1239 C.T.H. 'E" SUKv� NEW RICHMOND. WI. 54017 PHONE ( 715 ) 246 -7529 SHEET I OF 21 GRAFTED BY' JOSEPH W. GRANBERG JOB NO. 02 -040 Vol. 17 Page 4456 9Shh 86 ed LL Z 30 Z 133HS OirO 80f 6ZSL (SLL) 3NOHd LLOhS 'IM 'ONOWHOIN MEIN .3. 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Adm. gods Attach complete site plan on paper not have than 81/2 x 11 Inches In size, Plan must Co y �1� <~ include, but not limited to: vertical and hod aontal reference point (8M), direction and Pahl I.D. percent slope, scab or dimensions, north arrow, and location and distance to nearest road. Please p rint a In110 E Re0k -wed by Gat owsonal in/ghnAtlon you prorJda maybe used aecondery purposes (Pri.aw, e. t .oa (1) (m)), �y d i Property Owner �1 - / y q party Location ^��' l"fC 'W ��� G 2��2 G Lot _ v � + 1/4 s2(t T 2S N R 1 E(pQ Property Owners Malilog Address s Block # Subd Neme or CSM# Aj qZZ S �`�- ST. CROIX COUNTY (, (�j CR Y t � °a Zip Code City 0 Village 15Tnwn N at Road " q i fiver New Construction Use [�J Residential I Number of bedrooms trade derived design ft** C 0 6PD ❑ Replacement ❑ Pub& or commercial - Desciba: Parent material 1 T Flood Plain elevation ti applicable General comments and recommendations: S���c ��tJ • ���' ro rl4,3 r - V , �/`, cc Boring # ❑ goring i © Pit Grwmd surface glow. 9� G L ft. Depth to 6rnitinp ter Zi a, in. Sot Appkadon Rate Horizon Depth Dominant Color Redo% Description Texture Suucturg Consistence Boundary Roots OPM in. Munsell Qu. S2. Cant Color Gr_ 87- Sh. 'Efi11 • c Boring # ❑ Boring 1 I 0 Pit Ground surface elev. t. Depth to Knitting facer _? _ in. Sol Application Rate Horizon Depth Dominant Color Radox Description Texture Structure Consistence Boundary Roots GPDi'ltt In• Munsell Qu. ft Cont. Coipr Or. Sz. Sh. •Eff#2 1 _10 / / g Wusnt #1 = SM > 30 220 mg& and TSS >30 :160 " CST Name lease - < Effluent 02 = BOD 30 mall- and TSS < 30 mall (P CST Number Add Tess �- " •�/ Dots Evaluation Conducted Telephone Number .S` Td WdZ2:20 Z00Z 0 ' 'ON X1dJ WOiyd Property Owner O m L�j i e Parcel ID 9 Z 0 - Jo 3 `�? 6_ � Page of 3 a Boring Q Boring Pit Ground surboe etw. 9 60 ft. Depot m VA ft to Amor -V— — — M. Sol apetft Rata Hortznn Depth Dornlnant Color Redo: Description Texture Structure Consbtence Boundary Roots GPDAF la Munson Qu. S2. Cant. Color Cis BE Sh. "61fJ11 '802 s; c f V- . J Z / - 3tC) --4 ^� Bor 4 ❑ Boring E:1 Pit Ground suRaee stets. ft. bepth to amlling facor � in. soil Bate Horizon Depth Dominant Color Redoz t]eaerlptton Texture Structure Consistence Boundary Raab GPDNF In. Munson Qu. Sz. Con. Color Or. Sr- Sh. 1 'EitS2 Boring P ❑ Boring ❑ pit Ground surface slow. ft. Depth to IlmIft factor _ In. Hodznrt Depth Dominant Color Radom $ots lion Rate Description Texture Swewre Consetaneos Boundary Rctota gpoff In. Munson Qu. Sz. Cons Cobs Or. Sz Sh. •EW1 I - E X2 ' Eynuent #1 a BOD, > 30 S 220 ffV& and TSS >301 150 mart. ' Effluent 82 BOO < 30 _ ntg/L and US K 90 tttgll. The Dcpansmcnt of Commerce is an equal opportunity service provider and employer. If you need assistance tu.aocess services or need msterial in sm alternou. format, please connect the dcpa"Umt At 60 9-266 -3151 or TTY 608 - 24"777. SoDNS3o t6A7 /ODs Zd WdZ2:20 Z00Z 0Z ' 'ON Xdd 1408d �a -A 9 6 \ (`ate 6\ o� Nn-Irvr e1-ey, SF��,w�s z�' 1 fl iliPl� c� LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF RUSH RIVER COMPUTER NUMBER 028 - 1036 -40 -200 Parcel Number 26.28.17.220B OWNER NAME: First CLINT J Last CROWLEY PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 1944 10TH AVE W SECTION 26 TOWN 28N RANGE 17W '/4160 SW '/440 SE Line Description Line Description TOTAL ACREAGE 20.061 PLAT CSM 17 -4456 LOT02 BLK 01 SEC 26 T28N R17W SE SW 15 02 LOT 2 CSM 17 -4456 (20.061AC) 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF RUSH RIVER COMPUTER NUMBER 028 - 1036 -40 -200 Parcel Number 26.28.17.220B OWNER NAME: First CLINT J Last CROWLEY PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 1944 10TH AVE W SECTION 26 TOWN 28N RANGE 17W %160 SW 1 /440 SE Line Description Line Description PARCE L VOLUME & PAGE HISTORY TYPE VOLUME PAGE DOC# NOTES ►.WD 2441/ 167 744456 CROWLEY JAKE TO CROWLEY CLINT ..WD 2403/ 222 739212 JACOBSON NAMOND TO CROWLEY JAKE ..CSM 17/4456 709135 CSM 17 -4456 Use Arrow Keys to Select, F7 -ROD, F10 -Exit