HomeMy WebLinkAbout026-1165-12-000 Wisconsin Department of Commerce J WSCFWAGE County: SYSTEM St. Croix
Safety.and Building Division
I INSPECTION REPO. RT sanitary Permit No: 463151 0
GENERAL INFORMATION (ATTACH TO PERM , r) 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:
Zinn, David I Richmond Township Oz(6- Ut 5__ (Z ooc(.IZ4Q}
CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No:
C319.O I cyc , 0 o a� lase � 22.30.18.
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTU F CAPACITY STATION BS HI FS ELEV.
/ . 4 ,- i�
Septic Benchmprk or r
125Z reA^
Dosing Alt. BM
Aeration Bldg. Sewer r
c
Holding St/Ht Inlet l
TANK SETBACK INFORMATION St/Ht Outlet D } Go ►
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
� Septic � > � � Dt Bottom
Dosing Header /Man. J `
Aeration Dist. Pipe Nom`
Holding Bot. System
PUMP /SIPHON INFORMATION Final Grade D
Manufacturer Demand St Cover
GPM
Model Numbe n _
TDH Lift riction Loss System Head TDH Ft
For ain Length Dist, t
SOILAB ORPTIONSYSTEM )3)e_A s
ENCH Wid73 ength No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 5- (3)
SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Ma fQctur r�
INFORMATION CHAMBER OR i o!A
Ty Of System: / UNIT
5-0 �� ' /dp , ()Q Model Num r r.
DISTRIBUTION SYSTEM G?Z t.k ST (� L
Header/Mani I f Distribution x H e x Hole Spacing Vent to Air Intake
Pipe(s) :*S. #♦
Length Dia Length Dia
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil
Yes [J No Yes �J No
C�
�
M NTH, (Inclu a odd discrepencies, persons present, etc.) Inspection # t-3 U4- '1 9 / Inspection #2: -
Loc tion: 1442 129th Street New Richmond, WI 54017 IN 1/2 SE 1/4 22 T30N R18W Par N 18.
1.) Alt BM Description
— V* .. S� '
2.) Bldg sewer length = (p , p ' �, / b D
- amount of cover= y �, tv-Ar, / �p x gs.� lr c�r{.10�►
r C 1 a
Plan revision Required? No
Use other side for addition in ormation. _
Cert. No.
SBD -6710 (R.3/97)
County
Safety and Buildings Division
201 W. Washington Ave -, P.O. Box 7162
M � Madison, WI 53707 - 71 62 Sanitary P it Number (to be filled in by Co.)
cons�►n (608) 266 - 3151 3 r
rtment of Commerce State plan I.D.Numbe
Sanitary permit Application
in accord with Comm 83.21, Wis. Palm. Code, persona] information you provide
Project Address (if different an m
thailing address
may be used for secondary pur poses Privac
lication Information - Please print All Informatio 1 T q Z 17-1
L App Par -1 Lot # Block'
property Owner's i JUL
� n Property Location G.
Property
y Owner's Mailing Address ZONING OFFI CE s /
�� ,�j ,V ��� %a, Section
` Zip Code Phone Number
City, State �/� 2 v® 1-el ne
l� ali U/
ubdivisionN e
1T. Type of Building (check all that apply) S
2 Family Dwelling- Number of Bedrooms GC/t l
❑ PvbliclCommercial - Describe Use QCity_Ovillag wnship
Cl Stale owned - Describe Use ' z_ Qap + 2
111. Type of Permit: (Check only one box on line A. Complete line B if applicable} d LJ Other Modification to Existing System
A. S ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only
ystem Issued
it Revision ❑ Change of ❑ Permit Transfer to New
List Previous Permit Number and Date
B. ❑ Permit Rene plumber Owner
Before Expiration K
4 ❑ e S
IV of POWTS S stem: (Check all that a I Q
�4 in. of suitable soil ❑ ❑ Mound < 24 in. of suitable soil ❑ A Single t -Grade ❑ Sand Filter
Non - Pressurized In-Grovnd El Mound -
Mound _
�_C d ❑ Holding Tank Peat Filter (I Aerobic Treatment Unit ❑Recirculating Sand Filter
Constructed Wetland 11 Pressurized ❑ Other ( in) _ -
❑ Drip Gravel-less Pipe A f
Recirculating Synthetic Media Filter Ching hamber , C P ` system
V. Dis ersalfrreatment A Information: Dispersal Area Required (sfl DispersaleiPr Design Flow (gpd)
Design Soil Application Ra dsfl 2_ 67D / � �� if 7 - 7 /
Site Steel Fi
m Plastic
Manufacturer Prefab Glass
VI. Tank Info Capacity Tom Number Concrete Constructed
Gallons Gallons of Units
New F.3asting
Tanks Tanks
Septic or Holding Tank
Aerobic Treatment Unit
Dosing Chamber
thig, for installation of the POW TS shown on the attached
Phone Number
on
VII. Responsibility Statement 1 e unders ned /
Plumb at time responsibility er's � MP/MPRS Number
Plumber's Name (Print) -Z >
Plumber's Address
(Street City State, e)
v. ant Si store (No Stamps)
-h�,r� z 2
VIII. Coun /De artment Use On pe Fee (i udes Groundwater Date Issued lssuing $
Sanitary Approved ❑ Di Surcharge Fee)
110 n on for nial mil•/ � / � � �
A. Conditions pprov l '3 --77tt I�1 CTt"
SYSTEM OWNER: ��`i+n��x Sys
1 Septic tank, effluent filter and
dispersal cell must all bt serviced / maintained
as per management plan provided by plumber.
2. All setback requirements must be maintained
as per applicable code /ordinances,
to the Coun on )for the system on paper not less than 81/2 x I t inches in Sim
Attach complete pla os ( h
SBD -6398 .01103)
i
S '1 Test and System PLOT PLAN
PROJECT Dave Zinn ADD ESS E7466 Ctv Rd S Colfax Wi 54730
N 1/2 SE 1 /4S 22 /T 30 N/ 8 W TOWN Richmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE BEDROOM
6/30/04 4
CONVENTIONAL )00( IN -GRO PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1250 LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1212 # of chambers 39
BENCHMARK V.R.P. Top of Walkout ASSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE O WELL *H. R. P. Same as Benchmark
SYSTEM ELEVATION 94.4/94.2/94.0
Well is to meet all Plans Designed Using
setbacks required by Conventional Powts
WDNR 302' Pr operty Line Manual Version 2.0
Vent
95' >6" Standard Biodiffuser
of Cover Leaching Chamber Scale is 1" = 40'
with 31.1 ft2 of Area
1 1 " unless otherwise
6' Long
34 Grade at System Elevation noted
40' -` 4% Slope
150' 45'
Vents B-2
50' 10'
B- 80'
100' B.M.
10' Pro 4
ST Bedroom
10' House
485'
Property
Line
Pro Town Road
L
Property Owner _ Parcel ID # Page of
Boring # a Boring
i Ground surface elev. Depth to limiting factor in.
®
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2
v 31 vs - 4
F-1 Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Boring
a Boring # Ground surface elev. ft. Depth to limiting factor in.
El Pit Soil lication Rate
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
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 (8.6100)
°
Safety and Buildings Divisio County �.
201 W. Washington Ave., P. ox r
,ScOnS,i� Madison, WI 537 — 7162 Sanitary Permit Number (to be filled in by Co.)
Department of Commerce (608 3151 2 5
J
Sanitar Perm P lieatio `' `% State Plan I.D. Number
In accord with Comm 83: 1, Wis. AdAdm. pd information y ide
maybe used for secondary Purposes law. sI5.p4(lxm 7- - oject>Drddress (if di [fetent than tnailigg adss)
L Application Information — Please Print ( it 121
All Infor
Property] Parcel # Lot Block # 1
'V� _;'� - - )
Property Owner sJMailmg Address Prope
City, State 0 Zip Code Phone Number K Sectio
Z J J i C) ) 11
IL Type of Building (ch NN7mRedrooms apply) wt • N, W
or 2 Family Dwelling - Subdivision Number
PubliclComtaucisl - Des 4, nc
State Owned - Describe Use City_ y1 o of
III.1�pe ermit: (Check only one box a A. Complete line B if applicable d—
A ew System Replacement System Treahnent/Holding Tank Rep t Only Other Modification to
Date �'
B. Permit Renewal Permit Revision Xe f t Trarmsf ous P Issued Before Expiration Pl
IV. Type of POWTS System: (Check all that apply)
`a
on - Pressurized in- Ground Mound Z 24 in of suitable soil X M - less in of su il Single S ter
nstntcted Wetland Pressurized In- Ground Holding Tank Aerobic T t R r
' O
Recircula Synthetic Media Filter ' g Chamber Drip Pipe )
V. DispersaVrreatment Area Information:
Desi Plow (gpd) Design Soil Application Raw(gpdsf) Dis R Area Proposed (sB System vatio
J 7 `
VL Tank Info Capacity in Total Number Manufacturer Prefab Site feel . Fiber Plastic
Gallons Gallons of Units �( -t [ p Concrete Cons QW
New I Existing CZ
Tanks Tanks S j
Septic or Holdwg Tack
Aerobic Treatment Unit
( J
Dosing Chamber
VII. Respondbility Statement- I, the a responsibility for installation of the POWTS shown on attached tans
Plumber's ame (Print) Plumber's P/MPRS Number usiness Phone Number 3
Plumber's Address (Street, Ci State, Zip L J </ V Q
VIII. CompYADepartment Use Onl
Approved Sanitary Permit 1 cludes Groundwater Date Issued Issuing t Signature (No Stamps)
Surcharge Fee) 25D veer Reas r • 24rg 2 a
IX. Conditions of Approval/Keas for Disapproval
SYSTEM OWNER: l ,�
1 Septic tank, efflu filter and �'� 6,� —� t)S c ` j
dispersal cell mus all be serviced / maintained
as per management plan provided by plumber.
2. All setback requirements must be maintained ',x- A as per applicable code /ordinances "
Attach rnmpkte plans (to the County oily) for the syste oa per "o less than 81/2 1 inches in
wr a
yp 5�
O T �t
y
Y
i
PN/ N
PROJECT Da "ve jinn Al S E7466 Ctv Rd S Colfax Wi 54730
N 1/2 SE 1 /4S 22 /T W TOWN Richmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 10/18/04 BEDROOM 4
CONVENTIONAL XXX IN-GROUNIV PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1250 LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1212 # of chambers 39
BENCHMARK V.R.P. Top of survey iron g�'` ASSUME ELEVATION 100 Filter Za A -100
❑ BOREHOLE O WELL * H. R. P. Same as Benchmark
SYSTEM ELEVATION 104.0/103.4/102.8 below grade
Alt. B of 2" Pipe @ 100.2'
302' Prop Line
Well is t eet all
setbacks re 'red by Plans Designed Using
R Conventional Powts
Alt. B.M. Manual Version 2.0 Scale is 1" = 40'
B.M. eSs therwise
e or
>6 11 Standard B' difflr
of Cover LeacT1.4 n amber
with ea
6' Long 11 "
a t ystem vation
34
485' Vents
Property 1 Pro
Line ST Bedro
B -1 House
5'
-3
8
9%
Slope
30' B -2 3 -3' X 83' Cells with >3' Spacing
40' Pro Town Road
�s A,e ,de_ ao �,,�,Q �'�s. Cower s 5 , x; 1 •-�
c�; ,� -� s� � , �.�s ���►�s� Imo �� s ��.,, �� s � ; ►�c`�,e7,,�
r �
�X
�^
.�
ST. CROIX COUNTY
WISCONSIN
.,e.►''. _ - w.''�, ZONING DEPARTMENT
ST. CROIX COUNTY GOVERNMENT CENTER
r ■ r ....r�. 1101 Carmichael Road
Hudson, WI 54016 -7710
Phone: (715) 386 -4680 Fax (715) 386 -4686
Memo to File
Fmm: Pam Quinn
Date: 4/27/2004
Re: Sandy loam structure misinterpretation on subdivision soil reports
Recent soil on -site determinations have brought a problem to our attention. During these on-
sites, bofings were excavated to confirm soil conditions where two conflicting soil reports had
been submitted for zoniAA department review. The soil profiles, evaluated by myself, Dave
Fogerty, and Dave Steel (all certified soil testers) differed from the original soil reports in that
massive (structureless) sandy loams were encountered in horizons that were described as having
either moderate, medium subangular blocky (2msbk) structure by Adam Schumaker or weak,
medium granular structure (I mgr) by Shaun Bird. There apparently has been a
misunderstanding between "structure" caused by handling samples of the soil during texturing
versus the soil characteristics in situ. The soil, when chunks were taken out of the profile to hand
texture, with pressure parted into "crumbs" that appeared at first to be subangular or granular in
shape. However, these were not true peds that broke apart along planes of weakness, but
fragments created by handling. The soil when observed in the horizon did not have distinct units
of structure and should have been reported as "massive ".
Added notation: on 4/23/04 Mark Iverson (Cedar Corp. certified professional soil scientist),
Shaun Bird, and myself did an evaluation of soils on Lots 6 & 9, Richmond Meadows where the
original soil report described the third horizon as sandy loam, "l mgr ". On Lot 6 we checked
soil profiles within a POWTS distribution cell and then excavated a test pit on Lot 9. The sandy
loams in question were a weak, coarse to very coarse subangular blocky structure, where planes
of weakness were just discernible when peds were parted from the profile. The peds separated
with v= li t pressure by soil tester. Sand coatings were observed on the ped faces in the Lot 9
soils, which supported the determination that some structure existed to allow water to move
through the upper portion of the sandy loam horizon. However, below the weak - structured soil
we found massive (structureless) sandy loams and the boundary between these horizons was
irregular, which would mean a distribution cell could encounter alternating weak and massive
sandy loam. Shaun said he would amend his soil reports with a memo recommending that any
sandy loams he identified as "lmgr" or "2 mgr" be assigned a lower loading rate of 0.3 gpd/ft2
(see attached memo for Whitetail Meadows) to provide a larger dispersal area.
Page Two — Soil Memo 4/27/04
Massive sandy loams have been assigned a soil application rate of 0.2 gpd/ft with the code
changes in Comm 83.44 -2, effective as of 2/1/04. The application rates listed on the soil reports
were higher due to the structure having been described as either weak or moderate, which affects
the calculations for sizing of POWTS distribution cells. Obviously, one of the concerns is to
make sure loading rates for the soils are not in error and allow undersized POWTS to be
installed. For example, in December 2003, Lot 35 of Richmond Meadows subdivision had to
have its loading rate reduced to 0.3 gpd/sq. ft. when the installer encountered massive sandy
loam at the system elevation. The sandy loam horizon had been described on the soil report as
"I mgr" with firm consistence.
Leroy Jansky, Dept. of Commerce Regional Wastewater Specialist, has been consulted on this
situation and advised the zoning department to require on -site verifications for any lots with this
potential misinterpretation on the soil reports. All soil reports with sandy loam "1 or 2 mgr" as
its structure will be required to use a design based on the current code's soil application rate for
massive sandy loam @ 0.2 gpd/sq. ft. unless additional soil testing proves otherwise.
Wisconsin Department of commerce SOIL EVALUATION REPORT Page of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code County
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
R viewed by Date
Please print all information. _
Personal information you provide maTbeAmed j secon dary purpmes1privacy Law, s. 15.D4 (1) (m)). O U - 2
Property Owner / l Property Location
.5 T' LL C / /��� .l�/ GC �f Govt. Lot 1/ J 1/4 S T N R E (o W
Property Owner's Mai' Address Lot # Block # Subd. Name or M#
City §tate Zip Code Phone Number ❑ City ❑Village If'T Nearest Road
New Construction Us Residential /Number of bedroom Code derived design flow rate GPD
❑ Replacement Public or merclal -Describe: _— - - - - -- - -- — --
Parent material > Flood Plain elevation if applicable ft.
and recommendations: ''o L Cwt �>? /
Boring # Boring / >
Pit Ground surface elev. Depth to limiting factor ln ' Soil licafion Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Cola Gr. Sz. Sh. 'Eff#1 'Eff#2
C s
® frig # Boring /�/
/ - a
Pit Ground surface elev. Depth to limiting factor � in. Soil ADDlication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
U C a
I / Ih,
• 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 Nam* (Please Print) Signature CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 9— f�__ O 715 - 246 -4516
Property Owner _ Parcel ID # Page of
[3-1 Boring # ❑ Boring's
Pit Ground surface elev. ' Depth to limiting factor _��� in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
p 0 X31
3
T2ti __,�
a Boring # ❑Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in- Soil fication Rate
Horizon Depth Dominant Color Redox Description Texture Strudure Consistence Boundary Roots GPD/t
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 * Eff#2
Boring # Boring Ground surface eiev. ft. Depth to limiting factor in.
❑ Pit i Soil Application Rate
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots *Eff#1 Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
Effluent #1 = BOD > 30 < 720 mg/L and TSS >30 1150 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.
590.8330 (8.6/00)
Soil Test Plot Plan A
Project Name William Stock/Steve Dalton Sha
Address 1748 112th St.
New Richmond Wi 54017 C #226900
Lot 12 Subdivision Lundy Meadows Date /11/03
N 1/2 SE 1/4S 22 T 30 N /1318 W Township Richmond
n Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Survey Iron
System Elevation 104/103.5' *HRPSame as Benchmark
Alt. BM Top of 2" Pipe @a 100.2'
302' Property Line
95 Alt. B.M. Scale is 1" = 40'
B.M. unless otherwise
noted
Please note: Installer must
verify all lot lines and setbacks
before installation. Please Note: Tested area
may not be suitable for
desired building area.
Check system location
before excavating.
485'
Property
Line
B -1 9%
Slop
-3
85'
0
B -2
30'
106' 108'
40' Pro Town Road
Maintenance and Contingency Plan for a Septic System
Maintenance Plan
1. Septic Tank is to be pumped once every 3 years.
I p
2. Eff luent filter is to be cleaned once a year. Please note: a larger filter is being installed in
order to extend the maintenance interval of the filter.
3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of
the cells.
4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system.
5. The owner agrees to save this plan.
6. Do not plant trees nor park nor drive over system.
7. Watershed is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
e Plan
Option #1 system fails, determine cause of failure, use ; -9mate area and install new
sy m in tested replacement area.
Option #2. Install system at a lower elevation, by removing chambers, removing biomat,
and install new system.
Option#3. No adequate area is suitable for replacement area, and system elevation
cannont be lowered. Install holding tank as last resort.
3. Replace any other failing components as needed.
Plumber: Shaun Bird 715- 246 -4516
St. Croix County Zoning 715- 386 -4680
Pumper Tom Mondor 71 5- 246 -5148
Shaun Bird #226900
ST CROIX COUNTY NiENT
IV .ie;INTgNpNCE AGREE
SEPT�C'TAI AND .
oWNV
HIP CERTIFICA ION PoRM
owner/Buyer �P
Address
Mailing
ent for new constiuctton)
PropertY Address iced from Planning Departm
(Verification iequ a
Parcel Identification Number
City /S.tate
LEG e- -- . DEsC.�p Z � ,r Town of �
Property Location Lot #
LL �!
Subdivision page #
Volume _
Certified Survey M Page #
dole o ��
Warranty Deed # / yes C3 no
Lot lines identifi
Spec house ❑ Y
O
ermaintena"Ce
1 emature failure. to handle wastes. Prop
t its p What you put into the system
YSTE �Se�r,ce of your septic s yste m Soo da�� a licensed pump er.
ro per use and if needed by stem.
co nsis ts pu m p ing out the septic teak oY a � at stage is the waste disposal sy
� a t� si ed by the owner and by a
can affect the fuaction.of the septic Lank tree a certification form, disposal system
to St. Croix Zoning DePa cnt . that (1) the on -site Wastewater � of sludge.
rty owe agrees to submt or s licensed pumper venfy�$ tic tank is less than
The P lumber, restrictedplum i f necessary), the Sep in&
masterplumber, journeyman p 2 after inspection and pump
condition and! () r ivate sewage disposal system with the standards
m proper nd agree to maintain the p eats a
d have read the above req�� artmens o .Nam Resources, State of Wisconsin- Ce rtificati o n
is 0
Uwe, the undersigns t of Commerce and the Dep returned to the St.. Croix County Zoning
set forth, herein, as set by the Departing must be completed and
stating that Your Sept" system has been
f the three year expiration date. /
DATE
1A 1'tTRE OF APPLICANT
ICATI N ' knowledge. I (we) am (arc) the owner(s) of
OWNE C gTIE' O to the best of my (o�
that staumm� on this form are true inter of Deeds Office.
I (we) certify ye of a warranty decd recorded in Reg
the property
described above, by C1 lI i
DATL
permit being revoked by the Zoning Depattn►eat. « « « « ««
S URE � OF APPLICANT
esssss pa information that is min- mpresentedmay result in. the sanitary P
y
ss Include with this application: a s t a mpe d warrautY deed from the RegeferenccDs made in the warranty deed
s copy of the certified survey Map if
..-�- 2 6 ?? P 3 3 q - 7 - 7 -7 __=1 Z3 1 1
STATE BAR OF WISCONSIN FORM 11 - 1982 KATHLEEN H. WALSH
LAND CONTRACT REGISTER OF DEEDS
' Individual and Corporate
ST. CROIX CO., MI
(TO BE USED FOR ALL TRANSACTIONS WHERE OVER RECEIVED FOR RECORD
Document Number $25,000 IS FINANCED AND IN OTHER NON - CONSUMER
ACT TRANSACTIONS) 10/18/2004 10 :30AM
CONTRACT, by and between Dalstock, LLC, a Wisconsin limited LAND CONTRACT
liability company ( "Vendor ", whether one or more) and EXEMPT #
David Zinn ( "Purchaser ", whether one or REC FEE: 13.00
more). Vendor sells and agrees to convey to Purchaser, upon the prompt and TRANS FEE: 258.00
full erfomance of this contract b Purchaser, the following to ether COPY FEE:
P Y g g CC FEE:
with the rents, profits, fixtures and other appurtenant interest (all called the PAGES: 2
in St. Croix County, State of Wisconsin:
12, L ndy Meadows, St. Croix County, Wisconsin
Recording Area
Name and Return Address
Kristin Ogland
Attorney at Law
P.O. Box 359
Hudson, WI 54016
026- 1066 - 80-000
Parcel Identification Number (PIN)
This is not homestead property.
(is not)
Purchaser agrees to purchase the Property and to pay to Vendor at at a place from time to time determined, the sum of $ 86,000.00 in the
following manner: (a) $ 500.00 at the execution of this Contract; and (b) the balance of $ 85,500.00 , together with interest from date hereof on the
balance outstanding from time to time at the rate of 6% percent per annum until paid in full, as follows:
Commencing on November 14, 2004 and continuing on the 14 " day of each and every month thereafter, r payments
in the amount of $150.00.
Provided, however, the entire outstanding balance shall be paid in full on or before the 1st day of June, 2005 (the maturity date).
Following any default in payment, interest shall accrue at the rate of 6% 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 October 6, 2004
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: 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 14 , 2004.
* Cross out one.
STATE BAR OF WISCONSIN Information Professionals Company, Fond du Lac, WI
LAND CONTRACT - Individual and FORM No. 11 - 1982 800 -655 -2021
Corporate
LEGEND
Section Corner Monument of Record
J
o Found Iron Pipe as noted
• Set 1 " x 18" Iron Pipe
(weighing 1.13 lbs. per linear foot) Located in the Northeast Quarter ofthf
p Set 1-1/4" x 18" Rebor Township 30 North,
(weighing 4.303 lbs. per linear foot)
A LEGAL TERMINUS FOR ALL LOTS. MATH NAVIGABLE WATER
... • • • • Building Setback Line IS THE INTENT HEREON THAT SHOULD THE ORDINARY HIGH
(100' from R -O -W, 75' from Wetlands) THE ORDINARY HIGH WATER MARK RISES THE LO LINES MN
THE TERMINUS OF USABLE LAND FOR THE LOT/LOTS IN OU
Proposed Driveway Location ORDINARY HIGH WATER MARK. ALL LOTS MATH NAVIGABLE
MATH THE STATE OF MASCONSIN DEPARTMENT OF NATURAL !
12' Utility Easement (typical)
-- T Existing Fence Line NOTE NO OWNER OR RESIDENT SHALL DO
OF THE APPROVED COMPREHENSIVE WATER
L.B.O. = Minimum Lowest Building Opening BUT IS NOT LIMITED TO BUILDING UPON. OB
H.W.E. = High Water Elevation POND EASEMENTS, WATER DRAINAGE DITCHE
x.99 Benchmark (Top of Iron Pipe)
All lot corners marked with 1"x18" Iron ELEVATIONS ARE BASED ON AN USGS NAB
Pipe (weighing 1.13 lbs. per linear foot)
unless otherwise s own. � U,S _ _ FISH _ _ _ ! & WILDLIFE _ _ _ _
U NP_L A T_T E D LANDS
_
gSg,gT Eostl'West 114 Line - - - - -
S89
1 21 �,4' - 179.16' / 966. 252.39' 233.88'
302.40 -
to
j � N O
N
LOT 12 NE= LOTH LOT 10
ARE 2 04f ACRES
TOTAL AREA: 1. 55 acres 67,712 sq. ft. 66,425 sq. ft.
/ w 1.52 acres
� O
92,416 SO. FT, w • --•-•
• 2.12 ACRES , . • 0
LOT13 AREA ABOVE ABO ICE O H W L • � `J-� L.B.O. = 961.3' - . • '
1.67 -1- ACRES - 115.25
TOTAL AREA: � � � � N89"
1550846 SO. FT. - - - 9
-� 3.58_ ACRES _ 15 ,
L.B.O.= 961.3' . • _ �' S895:
-152.
- -.... _.. .-
} Droinoge
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. ti ,y, • - - • �, LOT 26
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��9 ��'h• • �k � � ��r �� - , 71,396 sq. ft. 1.79 acres
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