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HomeMy WebLinkAbout030-1055-30-000 0 N O $ 'G n d g � � 2 c C.• cn� �xy z 0 M (1)N CD 5 (D t ^} cn C N C. H O d y D p M t N O O G N N C. a 'p A N fD SU p 0 .7 O CT fP c t7 N 3! O Q O O (�{ fl �► G O '.3 o N CD t C O. 0 C1 �D cr+ CD w N c a O •+• 0 0 !I N 3 Q A A o O m M Z 'Ino N C N N 3 .. CD o. 0 M T 00 0 o o N 5 y °! • m V� a zl m (D CD m o) o _ co �', v .. _ O fD Ul 0 W ? I C O � 77 3 a O A y 7 p a I a a by N O D o OL O O Q i N om' c, = p N y y N I h l i l CD 0 ; N prq C O. ( a ? z 3 . I o w rL z is Al 3 m CD N Dj N I O M O W G) D f my < n to v 0 ' o p C O v O 11 3. N 3 A N N G _ 7 N — 7 N N Z N O d O O O O i. O CL CD fOq O E W S a� o N a N C O O' c W C a W N N m m v o W n N In A O O O. O I O C .o fn O N o a r Wisconsin Department of Commerce, PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 404976 0 GENERAL INFORMATION 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: Rouleau, Jim I St. Joseph Township 030 - 1055 -30 -000 CST BM Elev: Insp. BM Elev: BM Description: 1 06 ` 1 10 wat r acs TANK INFORMATION EL9VATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchm�rk O 77 Dosing A - IO Alt. BM Aeration Bldg. Sewer /S 11 A0 W 5 /�� (v. 3 t> o S Holding tt t Inlet TANK SETBACK INFORMATION S Ht Outlet R S TANK TO �P /L WELL BLDG. FVento Air Intake ROAD Dt Inlet �� 7 � � / n � 3 Q� -I Dt Bottom Septic � Dosing r Header /M n. ( yl' .(43 � q C, volix Aeration Dist. Pipe ?off' Z iq2 Qr Holding lBot. Systenr inal Gr _ PUMP/SIPHON INFORMATION F - s Manu cturer Demand St Cover y M J G ( q • Z Model Nu er T Lift ion Loss System Head Ft F Length Dia. ell SOIL ABSORPTION SYSTEM S BED/TRENCH Width 1 Lengt h r No. Of Trees PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO Pt BLDG WELL TREANY LEACHING Manu urer: 0 INFORMATION CHAMBER O I Typ�ystem: �� / tKl) t UNIT Model Number: DISTRIBUTION SYSTEM 1 - I V ha Lvr f HeaderfManifold Distribution ) x Hole Size x Hole Spacing Vent to it Intake / g �2 / N Pipeg k (s) `"`SP 91— �JJLJl9/ Len Length Dia Len th_ Dia a� c SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only 151 IW e a cl Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Ye (JypL Bed/Trench Ce ! 'r. Bed/Trench Edges Topsoil Y No Yes No ! m l 1 COMMENTS: (Include code discrepencies, persons present, etc.) Inspection # 1_/. -1 Inspection #2: / 1 t Location: 1434 Hidden Oak Tr. New Richmond, WI 54017 (NW 1/4 SE 114 23 T30N R19W) NA Lot Parcel No: 23.30. 1980 1.) Alt BM Description = S T t✓&q v 3 - VAVK�o S �6� Cam- s�' Izcc �— 2.) Bldg sewer length = �f S y S -fCiYn Y bT7=� ,vl ..i- ��� ®h �.'`�► �``^� � `� kS clK._�d'+ Plan revision Required? (efl Yes ;,* No � � 1 � � I_ /.�(��U,rVI _ Use other side for additional information. 6C LC Date Insepc ignature Cart. No. SBD -6710 (R.3/97) s .Q�c S� �� a� osc � � �' ---- - '1�'' �,,,�''1 ,,� �� � � � -- — - - Safety and Buildings Division County /� N V Irs c o nsin R 201 W. Washington Ave., P.O. Box 7162 5, 1,c Madison t WI 53707 - 7162 Site Address � �1 Ca / /1 t/ / Dep artment of Commerce , / anitary Number Sanitary Permit pplic ts-04(1* do In accord with Comm 83.21, Wis. Adm. Code, personal infation you provide Check if iston may be used for secondary ses Privacy Law, 1. Application Information - Please Print All Information M sate Plan I.D. Number Property Owner's Name ZONING OFFICE rcel Jc�H..e cv(��s"��� 43 Property Owner's Mailing Address 'roperty Location ✓ Cv j . C_ C / 23• �° I k' X48 �Qe- � A; S �3 T UN, Rf City, State Zip Code J?Wne Number Lot ber Block Number CSM Number li. Type of Building (Check all that apply.) o✓ QCyry _ W I or 2 family Dwelling - Number of Bedrooms 2 13 Village O Public /Commercial - Describe Use JLT wnshi 0 State Owned Nearest Road . z - �." IQs 5) 1hd Ill. Type of Permit: (Check only one box on line A. Numbering is for internal use.) (Complete line B, if applicable.) A. 10 New 3 O Replacement of 613 Addition to S stem �iePluement System Tank Onl Existin System For County use — F B ' 13Check if Sanitary Permit Previously issued Permit Number Date Issued v IV. Type of POWT System: (Check all that apply. Numbering is for internal use.) 44X�C Non - Pressurized In- Ground 2117 Mound 47 17 Sand Filter 50 CI Constructed Wetland 22 0 Pressurised In- Ground 410 Holding Tank 48 0 Single Pass 51 Drip Line �ry� /��� y (� 45 13 At -Grade 46 OAerobie T tment Unit 49 p Recirculating 30 DOther 7 7 ! ' V. Dispersal/Treatment Area Information: .¢-- Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate ystem Elevation Final Grade Required Proposed Rate(Gals. 1Days/Sq.F1.) (Min.11neh) [..C45 Elevation 300 3 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Gmcrete Constntcted Glass New Existing Tanks Tanks Septic or Holding Tank Q f s Die Chamber VII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attacbed Plans. Plumber's Name (Print) Plumber's Signature MP /MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Code) VIII. County !De RartAnent Use Onl Disapproved Date Issued g:�ont 5i mature (No Stamps) 0 Sanitary Permit Fee (includes GrounAwattr .Approved Owner Given Initial Adverse Surcharge Fee) DeArmination c� IX. C of A�aUReas� t ee yLd y(� r Attach complete plena (to the County only) for the system on paper not lest than 81/2 x 11 inches in size -- v,� _�`�,�►�, M 1 1r7 L j 2-2-i v �-- Co tic �r a..; T 4 , .v r . C v� 1 i i I a 7 d l -. 5du. <�% _ /�� /�dtr✓•i�TlOr� G✓ r C.c. � NOi /� � /�/�? f c%F ijf d Cl�� � y — • i�% S r,, v , �� x� %�7 � rte; � L �� � ,�.� /P�a 2,�.� 6.5 - 57 - �Y 7 Cw 4eA" 4 4, 77 0 /1 4 LO M k poi s; AnZ-c- i 7 /i: wlqit IYAY i G d� 6 -57 1 - f 7 CL,,- 3 C Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3 Division of S and Buildings in accord with Comm 83.05, W is. Adm. Code n CE. Soil 8c Site Evatuations Attach crom plete site plan on paper not less than 8'A x 11 inches in size. Plan must include, but not fi rated to: vertical and horizontal reference point (BM), direction and Croix percent slope, scale or dimerrlsions, north arrow, and ion and distance to neares t road. 5 -30-000 APPLICANT INFORMATION - Personal information you provide maybe u r secondary purposes (Prf Law, s. 15.04 (1) (m)). Date 2- L -20 Property Owner _ s ti e r _ Property Location Rouleau, James V. & Ke 41, � 7 �; Go vt. Lot 2 NW 114 SE 114 S 23 T 30 N,R 19 W Pro Owner's Mailing Address f Lot # Block # �&Subd,ame or CSM# 937 Carter Circle Property ng t � y 4 3r � 1980 .� City to �. Z Nu r [_] City ❑ Village ❑Town Nearest Road Hudson ' ` 40 -386 -6 StJoseph Hidden Oak Trail ❑ New Construction Use: > , , 1 rooms °° ❑Addition to existing building describe ❑ Replacement ❑ Pu escn r Code Derived daily flow 31" `' gpd Recommended design loading rate .5 bed, gpd/fF .6 trench, gpd/fF Absorption area required 400 bed, ft . trench, ftz Maximum design loading rate .5 bed, gpolfts •6 trench, gpd/ft Recommended infiltration surface elevation(s) 95.00' ft (as referred to site plan benchmark) Additional design I site amsideration Parent material Outwash s & gr. Flood plain elevation, if mpl icable N A ft S for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank U= unsuitable for system ® S❑ U ® S❑ U ® q 1 u ❑ S U NS o u M S U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring# Horizon in Munsel{ Qu. Sz. Cont. Color Texture Gr. Sz Sh Consistence Boundary Roots Bed ;Trench 1 1 0 -9 10yr3 /2 None sit 2fcr mvfr as 2f,lm 0.5 i 0.6 2 9 -14 10yr5 /4 None sit Ithinpl mvfr cs 2f &m NP 0.3 Ground 3 14 -29 7.5yr4/4 None sl 2msbk mfi aw 2fm,lc 0.5 0.6 elev 98.99' ft 4 29 -34 5yr4/6 None SUls 1 csbk mvfr gs 1 finc 0.4 0.5 Depth to 5 34 -61 7.5yr4/6 None s 0 sg ml gs if 0.7 0.8 limiting factor 6 61 -115 IOyr5 /6 None s 0 sg ml - - 0.7 0.8 >115' ti�.e 3.13$ Remarks: 2 1 0 -7 10yr3/2 None sit 2fcr mvfr as 2f,lmc 0.5 0.6 2 7 -18 10yr5 /4 None sit lthinpt mvfr cs 2f &m NP i 0.3 Ground 3 18 - 33 7.5yr4/4 None sl 2msbk mfi aw 2fin,le 0.5 0.6 elev 98.62'ft 4 33 -41 5yr4/6 None is 0 sg mvfr gs Ifmc 0.5 0.6 Depth to 5 41 -56 7.5yr4/6 None s 0 sg ml gs if 0.7 0.8 limiting facto. 6 56 -112 10yr5 /6 None s 0 sg ml - - 0.7 0.8 >112' R 'v Horizon #4 consists of 0 medium d with cla skins obsery on faces if i ndividual sand grains. tocift rate sted to compensate for high cda content. CST Name (Please Print) Sign a re: Telephone No. 715- 248 -7767 James K Thompson S_ - Address A.C.E. Soil & Site Evaluations I Date CST Number Ref # 340 Paulson Lake Lane, Osceola, 54020 8/13/99 3602 1091 II PROPERTY OWNER. Pwdeau, James V. & Keny SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL LU 030 1055 -30-000 A.C.E. Soil & Site Evaluations Depth Dominant Color Mottles Structure Gs DW Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. sistence Boundary Roots Bed . Trench 3 1 0 -9 10yr3 /2 None sil 2fcr mvfr as 2f,lmc 0.5 0.6 2 9 -18 10yr5 /4 None sil Ithinpj mvfr cs 2f&m NP 0.3 Ground elev 3 18 -45 10yr5/4 None sl 2msbk mfi aw 2fm,lc 0.5 0.6 98.25'ft 4 45 -51 5yr4/6 None Is 0 sg mvfr gs lfinc 0.4 0.5 Depth to 5 51 -72 7.5yr4/6 None s 0 sg ml gs if 0.7 0.8 limiting — f�114 6 72 -114 10yr5 /6 None s 0 sg mI - - 0.7 0.8 Remarks: Horizons 5 & 6 contain discontinuous 1" bands o 7.5YR4/4 0m Ifstands at 12" - " ' rvals. Horizon loading rate justed to cornmen sate or re u nermiabiTit associate with me. Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: 70' 0 rr ces > •Zgj��S /ope EXisfi w(/I Serv; uxa V r"i T I t.�e// Cas,n�. }tss mtal >so' 8 �coi 4j edd s d;54A.,ce elect -IMM' baiar•,re u+lCnae.>n -not ;cn. ez OIQ o� 0© a3 g �— dfain aefd Vera. su' ✓� C/ C n¢i r ¢Sid�r+Ce Owr7�r �a,�►es J. � ���y �Pu.Ce4cc 9 3 7 ��•-- � ^ALP ', ��cdso», mil• 5'�O/6 G 114. lot 1, nW'4SEYq, See. 13 —r. W rl ; k 19 t c�., 7 of fit,. S sep/,, 5�. C' rov a U5 — Y) u; Lo N u) tr; N t r N U; L LC: L:) Lt) C7 C� �. r.� N NNN ►. �� NCV NtiN 0 N r cV NN s NOONNCV d V a N Cl) ca Q M��1 0 U) ; �CI000M �U O 7 apCV C C) d 00Mn v �,� U') Ln l» 1p lf) L() r. In .o Lo U) 47 Lt) w s o 47 to u1 U) ,. m h N N C NNN NN 41 V P - d N ONNN c � N C 0 ^ L1 r MMtp'*CG D i�: N 7M� -rCD V T) Nc E N �c000C: V �30 NN O O E Ci coMh t�C a '- '- :- M O r .- n M 'I Q . Cl) co Cl) A IV Lti V V ro U V 4) 0 v O v G O o C y t •.1 c V Ul �.► LL') 4'1 V) IT 47 l(, r"' J) U) Lo .0 47 Lt) �"� .n Lt7 Lo 0 LO LA �"� U) to Lo Lo p U - ) ' O tiNNNnN 4f (. t+ r_ Nh 1� m ~r` tV��, NNNt~6�N C x 06 ..^- —" C l) C D :D t7 v r '4 Ll r r CV M y :7 U U O OD r C'V C`h M d 3 N M M C7 t1 Lu � d7 0► tq 13 n�04)e? c. NC)Mf -r- (n CC. q to a. vccaoN 0 r r- r N M C 0 cV CJ N M in 4) Q O_ 0 O r 4) Ct m m m t i P V E V C (� V thL") �U)V D) , cVOQlh M V V cV C V C V i���CDWr s- r r N M. V t I1 te. ro c,� ro o ro o L.c U c c C? LU � V w 'r- W o W 0 0 0 u)aoln:na c N j 3 °c 3 r K� c�o�' Z VNNM Z n MMChLnr Z ti z Lo 0MMtl -C).1 m ooclac�h °� c c -S �_ oc�im` �? M M 'l] O C CO O r p fV 7 UM M C) r- 3 L)OONO cDCA f` Cv V 4') MM/�p V Q 1 4 M M N C7 L!) tS tT t; O O -S O C, Q a t. t o ;L Ln N C- N s N M M O Lt7 r N M M It co m N d c 7 U7 L1) CD LT O LO Oq r LD m OC r N m O O cx G 0 L. N Omr -U') JU C-4 C) ) J U C - .40 V 00ack L . rC70C7C] _ 000Off. p r N Q1 •�, Cif . { C1 IL 0 Q Q pj io h O L"� R m �t m a P cDCA V MN R CDrfl �dMN w F. to LAetMN p A tiCDLrfaMN p p eo O A OOGOGO �a OL�OOOCa � _j �r OGC]c7C 40 00000 [ J� N ca m to 4 i Ov 1 Olt _2 K MAI LL tl G I l......_ i i • Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity in- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include Information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567 -P (R.6/99). Table 1: Systern Des n Specifications Santa Permit Number Number of Bedrooms Design Flow - Peak pd o^ Estimated Flora - Ave pd) Septic Tank Caped al Soil Absorption Component Size ( ) pe of Wastewater tic Table 2: Soil Abs ion Co nent - Limits of Reliable O o n Se Tank nt Soil Abso on Co nt Design Flow -Peak Maximum Influent Particle Size (in) 1/8 Maximum BOQ, ) 220 Maximum TSS m L A 150 Table 3: Maintenance Schedule Septic Tank inspect and/or service once eve 3 years Outlet Filter Ins once a year and clean at least once every 3 ars Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an Individual certified to service septic tanks under s. 281.48, State. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of'the se and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall cleane ecessa to ensure proper operation. The filter cartridge sho not tx =moved unleisions are made to fetain edolflZ Itrthe tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component 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 shall have its contents removed when the volume of scum and sludge in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of an 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. 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 the tank. No one should enter a septic or other treatnent or holding tank for any reason without being In full compliance with OSHA spndards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethai gases, and rescue of a person from the interior of the tank may be difficult or Impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Naga Eton Com gnat The soil absorption component serving this structure Is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown In Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual Inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 k Manag4n1@nt Plan for a Septic TanK and Soil Absorption Component and shrubs directly ton feet,Of the plantings of deep - rooted trees ly over arm may obstruct wastewater component should be avoided since root Intrusion into the oompo flow. 3 CO"N4ENCY PLAN If the POWTS falls and cannot be repaired the WIQwin= measures have been, or must be taken, w provide a code compliant replacement system: A sulubk replacement area haf been evaluated and may be utilized for the locadon of a replaoement SON absorpdon system. The replacement area should be protected from disturbance and compactlors and shotsid rat be inttM1eW6 upon by required setbacks from existing and proposed suacwm, lot Una and wells. Failure to protect the replacement If" w "' result In the need for a new soil and site evaiuition to establish a suitable replacement area. Replacement systems must comply with the rules In effect at that time. Q A suitable replacement ama b not avallable due to setback and/or ON llmitatbns. Dart $ adv*M In POWTS technoloSy a hoidtn% tank may be Installed as a fast resort to replace the tared POWTS. [7 The site has not been evaluated W identify a suf abW replaew4o area. Upon failure Of else POWTS a soft and site evaluation must bt performe6 to locate a suitable replacement area. If no replacement area b available a holdinir tank may be Installed as a fast resort w replace the failed POWTS. * Mound and at -grade soil absorption systems may be mconstructtd in place follo removal of the piomat at the Infiltrative surface. Rxconstnutiom of such systems must.comply with the rules in effect at that titre. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATM[9WT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE Of A PERSON FROM TX INT11RIOR OF A TANK MAY EE DIFFICULT OR ImpneltlRl IV ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name- Name Pfatse is- .PY- Y Phone 56P7AGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name ASency S ro ' I �!S - 2. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT I AND OWNERSHIP CERTIFICATION FORM Owner/Buyer V, kclk C Mailing Address Property Address (Verification required from Planning Department for new construction) 2- x tt at. City/State $A/Vhfarcel Identification Number IGAL_DESGR1P'X'XODI . L . 2 Property Location W W I ' /., Sac. �L TN RW, Town of t� . Subdivision . Lot # CarGtfied Survey Map # . Vohune . rage # Warranty Deed # IQ Q 3 Volume L ID Page # S pec lsvase 0 yes U Lot lines identifiable 0 yes C'no USI M MAINTMANCE Improperuwsndrnabdensnoeofyourseptiacysoearaaetldresultiaitspre cet'ar7nretobsadtewasGes.Proper eonsista of F i q iag out tie septic tank every duce years or soot if headed by a koensed pumper. V bat you pat iaw the system can affect the fimctioa of tie septic tank as a treatment stage is do waste disposal system. The property owner agram to wbmd to St. Cmix Zoning Depubment a. eectifioatioafom signed by doe ovmrr and by a ' PP> reas< ic�elplrnmbermalivassedpompervedfymgthat (I)ffie oa -aite rvsstewatecdssposalsyrtem is in proper operating condition and/or (2) after inspection rind Pumping (if necessary). the septiatadris Iess than In fall of sludge• Uwe, tie mzdersigaed have read the above mquiremeats and agree to uzatnta:in doe private sewage digxxd system with the standards set fod% harm, as sat by the Department of C mmeree and the Department of Nadual Resoumes; State of Wisconsin. Caen staff that your selsti .ens has been mainuined=9 I--- v=*lr� an d d e d to tie SL Croix County Zoning Office 30 days of die three expiration, date. =((Vw Vc6) , ICANT . t all statements an this form are true to the best of my (am) hsowledge. I (we) am (are) die owner($) of the property ve, by virtue of a warranty deed recorded in Register of Deeds Office. C VY 02 SI W OF UCANT DATE information drat is mod may result in the sanitary permit being revoked by the Zoning Depacmurt. s« Include with this application: a stamped wa my deed from the Register of Deeds office a copy of the certified survey scup if reference is made in the warranty deed 03/20/02 WED 15:32 FAX 1 715 386 6360A ) ESTREEN&OGLAND 0001 y 142 f 1`6 6 STATE EARtr CU�?RA � -1982 ISQ3�49 � KATHLEEN H. WALSH tro aE usao a0a ALA � N-CO e oyes REGISTER OF DEEDS OOCXIMENT N0. 323J= u >nNANAa AND t TRA UC O TIO�NS) NON.[Oexuttaa ST. Mix ca., MI RECEAD F M w= Lo W" I J i } f,;► COUMMt, by and between Gordon C. Ra aua and OS-20 -1999 9:30 M . *t Chloe Arm C. Kapaun, us b., aad wife "Tr 1't ('vcndot , I= CWMV I" . whether one or mote) and James V. ROUl. and Kerr A. owl 44 Rouleau, bus aad and wife 1 4.4 F Y COP FEET ' a � _- C EE FEEL 189.00 t CPurcharer', whether one or more). T VMIM FEEL 1 .40 Vendor sells and agra Purchaser , PAW to convey to Purcha, upon the prompt and full performance PABEPI 3 of thk contract by Purchaser, the following property, together with the renu, profits, Poautva and other appurtemi blteresta (all called the'Properry'), in St. Croix County, Stale of Wisconsin: THIS SPACE AES@wED FOR MCORD)Ne DATA X NAME ANO RETURN AOnaeaa ) David J. EstreenI 304 Locust St. Hudson, ilia. 54016 030 - 1054 -90 AAACEL JOMMMAM NUMBER , (See Attached) M 44 44 I is not I " +.,we4440 M +6 This homestead pmptrtyt .. N da nMr�. ( Cu) fu twc) i s I I Purchuer alas tD urthsu the Property and to pay to Vendor at their residence the strut of t 63 , 000: 09 f t manner: (r) s 10.0 a the owration of this Contwt; and (b) the balance of S j ' O � g - - - - -- -- tether with Interest horn date M hermf an dte balance outstanding fain doe to time it the rate of 8 percent per annum until paid M full, as f°Ibwr. d Payable in five annual payments of $13.319.30, including accrued interest, comeneing May 15, 2000 and an the same day each year until paid in full. ii F I wundiag p 15th Y Provided, however, the entire o balance altP6 be aid In full tin m belore the day of the ma .,ley date). pdfowhsg my defauh in psymeat, interest sbdl same u the rate of 9 % per annum on the entire amount in default (whklt shaU indwk, wttltout Amotion, delinquent interest and, upon aeeelemdon or maturity, the entire prim"t balance). . i +..,.. ► ,t ,i. illd,4 It 1 ! 1 �b1 ql� . Payments shall be applied first W interex on the unpaid balance at the rate specified sod then to principal. Any ataount may be prepaid t whhOtlt premium W fee upon printypd at any time titer J May 13 19-22- ( 2 1 is �i In the event of arty pmpaymettt, this corms Asti not be heated as in dclault with "MICI ED payment m 10% as the unpaid balsa of � principal, and r "MSI (and in such case accruing interest from month to month shall be treated ss unpaid principal) is fen than the g nouns that said indebtedness would have bean had the monthly payments been trade as first specified above: provided that ttteatthly payments shall he continue in the event of = a, of my proceeds of Insurance Or condemnation, the tottdcmaed premises being thereafter eaduded herehom. i Purchaser states that Pttrchwr is satisfied with the title u shown by the title evidence Submitted 10 Purchaser for amttuttstion except: Nape ' Purduaer:#Ca to pay the Cost of future title evidence, if tick evidence is in the form of an fibs—'. it shall be retained by vendor until i the full purchase prig 14 patd. k Purclaw shag be entitled tO take pt _own of the Property on date of eltlsi3l LW��. � Grow Ow Ora ,.. waaMNMi tapg aww Ce., Vw STATEaAROFWIBCON S Tti MawWtw,vnM LAND CONT1cACT - 1aalv.1 „a CoM... Perw p e. li - 1982 1444 i� e af1Y dlScloiute, Cgpyfnq, afsrafouaan or use or tnrwalunu vi �.......,,,.A..,,.. •, r ........................... ......._� -_ _...... recipient IF you have reWved tM telecogy In erMr. pIWSe norlfl/ 44 Ov telephone 4WIeW Rnfne fateN So that We CW V nqE for the rMneyat of the original doWtnkntatlon at no fast to You. Located �h the IfisiatiC Carneg�r Obrary ijnil�enJ In the event of sny prepayment, tRp WILL1 74uu Fri• ••��•�_ _ . -- - -- ts shall be se accruing interesa from � tic to ade as first specified above; that monthly pgymen punt that principal, and interest (and to such ca said indebtedness would have, been had the monthly p ymer ..}timed in the event of credit of any ptvcteds of insurance or condemnation, the condemned premises being thereafter excluded here from. 4 i 4 4e, d: i Purchaser states that Purchaser Ls satisfied with the tide as shown by the title evidence submitted to Purchaser for examination except: w .r4+N w NODS t i 1 Purchaser agrees to pay the cost of future title evidence, II title evidence is In the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. date of tlosin , 1 r purchaser shall be entitled to take possession of the Property on i • Own Out Orin. wisawsn legal EMIR Co•, Inc. SYATt BAR OF WISCONSIN 4 LAND CONTRACT - Individual and Corporote Form No. L —1982 t F '4_j ti I E y i I i i r+MN4444 �+M A I t i +i 03 /20/02 W 15:33 M 1 713 30-6560 ESTREEMOGLAND (m002 4iA l iBOAL DESCRIPTI i. .d A parcel of land located in the SEY, of Sec. 23430N -ROW further described as follows: From z ; i an iron pipe stake located at the Northeast comer of said SEY., go South a dicta w of 686.4 feet; , thence West a distanco of I $S4 feet to an iron pipe stake; thence South 16'3 5' West a distance of 280 feet to plate of beginning; thence North 88°10' West a distance of 200 feet to the high water line of Bass Lake; thence South 16°35' West along the shore of said lake a distance of 70 fact; thence South 88 0 10' Fast a distance of 200 feet; thence North 16 East a distance of 70 feet to i place of beginning. Togcdwr with an easement for an access road to the above parcel ftm the town road as now traveled, WNW h 111, ;,i,► f ppf r 4 Y I I b ( I I h t j 1 i I ...a ,.4 44 � ,*4 , i Y i.l j 03/20/02 WED 15:33 FAX 1 715 388 8580 ESTIMMOGLAND 0003 STATE BAR OF WISCONSIN FORM 11 - 1982 608924 LAND CONTI ACT ladbtdaslodCa oats KATHLEEN H. WALSH (TO 11Ui MR AU TRANSACTIONS WHERE OVER REGISTER OF DEEDS DW,VMENTNo. MW15EtMN� IN IN WC ONsuxu ST_ CROIx CO., WI IfECEIII® FOR AE= Contract, by and between Qarald J. Stehnke and 00-20 -1999 10:00 AM Patrice M Stabake husband and wife ('Vendor, LAO COOM -hctha one or twit) rand Jmw V. Rouleau and Kerry A. CM E Rouleau, husband and wife COPY FEE: ('Pmhner , whether one or more). TWMM FEE. 211.00 •• -r+ • b r i ,A1J 1 ba #11 Wendor sells and agrtxs to convey to Purchaser, upon the prompt a REC(IF INS FEES 14.00 rind full performaocc PAW1 3 of this contract by Purchaser, the followitrg pmparA together with the rents, profus, Naures and other appurtenant uucrcets fail cslkd the "Property), in . 5t. Croi, _ CountK State of Vdiswnain: _:..t TW8 8N1C.E MOVED Fdt N &Cc1MING DATA • ! r ., �• - ..h��. NAME AND IIarURN ADWtaaa David J. Estreen 304 Lceust Street Hudson, WI 54016 k 030- 1055 -30 -000 wwcu.1O NuNraaP (See Attached Exhibit A) This is not homestead property. .,, 3W (tint) ++ t.1•+ M .k;l• Pachaser agms to purchase the Property and to psy to Vendor a thei rF sni ATICP i 4it 1444 the sum of S 73 AM, (k) to the fallowing manner: (a) S 10,000-M u the execution of this Contract; and (b) the balance of $ 5.� nri^ nn together wkh Interest from date T " ` hereof on the balance outstanding from the to time at the me of 7.5 percent per annum until paid in fvl4 as follows: Payment in the amount of X18,809.75, including principal and interest, due on the first anniversary elate of said contract and annual payments of $18,809.75 due on I the anniversary Mate of each of the three succeeding years. I I I ; Provided, however, the entire outstanding balance shell he paid In full on or befort the 17th _ — day of At to " t 1JUL13 (the maturity date). Following any default in paymeru, Interco shag accrue at the rate of 9 % per annum an the entire amourA in default (which shall include, without limitation, delinquent huerew and, upon acceleration or mmurity, the entire principal balance). M k Pasxim®estg�oatmtc felt Paooatlmt�suaaesatlgP laWAv tltilniet Purchaser shall pay annual taxes and special assessments, if any, when dale. t Psyments shall be applied firm to itttereu on the unpaid balance Rt Plu rate specified and then to principal. Any otavuat may be prepaid without premium or fee upon principal at any time after ddLP of -la 11 In the event or any Prepayment, this contract shsil not he treated a in default with respect to payment 20 long as cite u npaid balance of • .Wa - principal, and hire= (and in such case mxruirtj interest from month to rnatth shall be treated as unpaid principal) Is less that the amount that .444 i , 4 #* y+F said indebtedne� would have been had the monthly payments been made as fast specified above provided Phu monthly payments sboll be t i . : ,;t continued in du Evert of credit of any proceeds of insurance or condemtwtion, Ehe condemned premises being thereafter excluded lterefrom. it of Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: Now Puttdtww agrees to pay the cm of future title evidence_ if tick evidence is to the form of an abstract, it shall be retained by Vendor until the full pureltase price is paid. Purchaser shall be Entitled to take posse -won of the Property on date of closi , R _ -. • c.-N as, o-s P ITArE ails OF W{SCONStN wwo"W LINO IN* rA" 1AL LAND CONTnACT - ledtvtdvol --d CMonw Forty No, 1 1-1"2 ~sort= cots' r 03/20/02 WED 15:54 FAX 1 715 386 6560 ESTREEMOGLAND 0004 i r ., ., EXMAT A tt «,.«.�,,�,�,► LEGAL DESCRIPTION: } ` ! A parcel of land located in the SEK, Sec. 23 -T30N R19W 8urther described as follows. From an iron pipe stake located in the Northeast comer of said SE %4 go South a distance of 686.4 feet; thence West a distance of 1554 feet to an iron stake; thence South 16 0 35' West a distance of 210 feet to place of beginning; thence North 88 °10' West a distance of 187.8 feet to the high water Mark of Sass Lake; thence South 16°35' West along the shore of said lake a distance of 70 feet; thence South 88 °l0' East a distance of 217.8 Beet; thence North 16°35' East a distance of 70 feet; thence West 28 feet to the point of beginning. Together with an easement for an access road tD the above parcel from the town road as now traveled, i . I,. µ +. *4 , � "ll�ti�1 �+► .Rn I.. H - ' rte{` •• - j I I_ *4 +4 I dir dy }•�, '�� : wn ay�.IMMyW v 0 V KC S4_o _ /2.2 f,,__— — __ o Nee °io w V 1 N B6 °Ip'W �BT.B .26e.7 i Of � % i r N 6B ° �o "W /67,61 � ^ o X66 ° io'W "gza h r rz� � N,se°�o'w /eyg f I r r ? s- I � X01 /00' ,r G IV IV iA 2 /per 9 I H r :. �8 .Lu 'O Sur ve ye d June 95¢ �' Nofe.' Nor. fh ine 4. rce/ :~ "m cde ara / /eJ / 0' 0 ��;.$i7 ' . � / ƒ { ƒ A 0 § S S ®c Q e. > & \ \ \ \ CD P k $ { ; ! $ § § ° � _ 7 ` � Si co ° ® 0 / E E � / / § ¢ CL ° C cc D \ \ \ Ix lot �a / S § G, n r M C � . } 0 0 0 }i f %, } _/ / co (4) (A \ 2 2 W \ \ o / 7 # w { 2 CL \ I f C \ _ § , o �- } ° N « C CD 2 — \ \ 2) $ _ : \ / z F \ P� \ � ■ T § k ca 0 } 7 2 ) M k � \ � > 2 0 ( / � ) \ Nt � ) . / , ) / \ , m � � \ < » ?/ �§ \( �\ , � ST. CROIX COUNTY WISCONSIN ZONING OFFICE rnrr ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 r Fax (715) 386 -4686 Parcel #: 030 - 1054 -90 -000 02/24/2005 09:51 AM PAGE 1 OF 1 Alt. Parcel #: 23.30.19.198K 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * JAMES V & KERRY A ROULEAU ROULEAU, JAMES V & KERRY A ' 937 CARTER CIR HUDSON WI 54016 = Districts: SC - School SP - Special Property Address(es): Primary Type Dist # Description * 1432 HIDDEN OAK TRL SC 3962 NEW RICHMOND SP 8040 BASS LAKE REHAB DIST SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 23 T30N R1 9W PRT GL 2 COM NE COR SE Block/Condo Bldg: 114 SEC 23, S 686.4', W 1554', S 16 DEG W 280' TO POB, N 88 DEG W 200' TO BASS Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) LK, S 16 DEG W ON LK 70', S 88 DEG E 23- 30N -19W 200', N 16 DEG E 70' TO POB Notes: Parcel History: Date Doc # Vol /Page Type 08/26/2004 772658 2644/136 QC 05120/1999 603449 1427/513 LC 07/23/1997 1199/18 QC 07/23/1997 929/110 2004 SUMMARY Bill M Fair Market Value: Assessed with: 5186 97,100 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 95,500 0 95,500 NO Totals for 2004: General Property 0.000 95,500 0 95,500 Woodland 0.000 0 0 Totals for 2003: General Property 0.000 53,600 0 53,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount 040 -OTHER ASSM'T SPECIAL ASSESSMENT 361.21 Special Assessments Special Charges Delinquent Charges Total 361.21 0.00 0.00 I 99917 (9LL) Xe=l • 09917 -99£ (54L) OLLL-9L0179 IM `uospnH peon Iaeg3lwje0 LOLL b31N301N3WNa3A09 )l1Nf1O0 XIOuO'1S 30I33O OAIINOZ NISNO3SIM AINnoo xloa3 1s ST. CROM COUNTY + ° ✓� SURVEYOR'S RECORD , r r •� ern_. ° I: i - J23.9 N 88 ° 3o'W it - K V • u n : w s N w •� +, •� �7, �, ,_� '� .,.a �r r .r.a. .— .r e — -. '!•,t Gie, 4*.'a 1 C�vhd r 1 F ` • ' I2..Z - Mai! s / rs , .1 `...._ t..- ..... -.� . t /e• t � a re be. r New � ►w A 1'r 7 w. � �( J !�_A ail ry s /.. �/o sae• o I i /00' ( I 1 , s y M o 6 Q ° ♦ / I r' / o - s9. I I Lo � Surve t d -Iune 4, /954 I V 6.o ti Nole: Nor- "h fine par-ce1 f� "made pare/ /el 1 � W;'f 60',5 of exis-finy bounder y of rti,�o es . b Io-I nex4 nor-fA? as aleP, by exis4, yC9 M o u p %P e s �d IC-e 5 7 U h C/ o n s a: /o / !',7 e, I /k o ° I /9s'7