HomeMy WebLinkAbout032-2114-50-000 1101 Carmichael Road
Hudson, WI 54016
Phone: (715) 386-4680 St. Croix County
Fax: (715) 386 -4686 Zoning Department
Fm
To: Jo Hinz From: Shawna Moe
Fax: 247 -3622 Date: August 7, 2000
Phone: 247 -5900 Pages: 2
Re: Septic verification - Lot 5 of Meadowood CC:
❑ Urgent x For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
*Comments:
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
■"■ -- ....r ST. CROIX COUNTY GOVERNMENT CENTER
\, 1101 Carmichael Road
Hudson, WI 54016 -7710
(715) 386 -4680 Fax (715) 386 -4686
August 7, 2000
REMAX Team 1 Realty
Attn: Jo Hinz
103 Main Street
Somerset, WI 54025
RE: Septic Inspection for M & G Inc located at 2348 53rd Street, Meadowoods
(Lot 5), Somerset Township, St. Croix County, Wisconsin
Dear Jo:
A septic inspection of the above referenced property was conducted on 06/20/2000. This
property is located in the NE 1/4 SW 1/4 of Section 3, T31 N R1 9W, Meadowoods (Lot 5),
Somerset Township, St. Croix County, Wisconsin. At the time of the inspection, this
septic system was found to be code compliant for a three (3) bedroom home.
If you have any questions regarding this, please contact our office at (715) 386 -4680.
Sincey,
, Jon Sonnentag
Zoning staff
/sm
cc: file
f Wisc Department of Commerce PRIVATE SEWAGE SYSTEM y:
Safety and Buildings Division Count
INSPECTION REPORT St. Croix
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.:
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). 363878
Permit Holder's Name: ❑ City ❑ Village ❑ x Town of: State Plan ID No.:
Inc Somerset Townshi
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
/ Zoo 0 / cYfao r I Y 5 .- 032 - 2114 -50 -000
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic cK5 V60 Benchmark 3 v 03.d jQ
D Alt. BM
Aerat' Bldg. Sewer SZ Zy 5 3
olding S / Ht Inlet
TANK SETBACK INFORMATION Ir/ Ht Outlet
TANKTO P/L WELL BLDG. vent to ROAD
Air Intake
Septic NA
D ' Q NA Header / Man.
Aeration Dist. Pipe T(
2. 0
L / 12, q0.�t
Holding Bot. System R - z a, I 6 , S
PUMP/ SIPHON INFORMATION Final Grade
Man er Demand St cover :2, S fs,
Model Number GP
TDH Li Friction stem TDH Ft
For emain I Length Dia. Dist.To
SOIL ABSORPTION SYSTEM
BED / TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSION SG•Z Z DIMENSION
SETBACK SYSTEM TO P / L I BLDG WELL LAKE/STREAM LEACHING Manufac urer:
INFORMATION Type of CHAMBER Model Numbe
System: G 7 (p 0 `F 3 S 1 3- OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold r/ Distribution Pip / e(s) x Hole Size x Hole Spacing Vent To Air Intake
Length `�d Dia Length 3 1 Dia. A Spacing / , r /a �U
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 ❑ No E] Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: �� /�d /00Inyection #2:
Location: 2348 53rd Street, Somerset, WI 54025 (NE 1/4 SW 1/4 3 T3 1N R19W) - 03.31.19.1053 Meadowoods -Lot 5
1.) Alt BM Description =
2.) Bldg sewer length = I �'
7r - amount of cover= >, u
Plan revision required? ❑ Yes G7 No
Use other side for additional inforrryation. 2
J SBD -6710 (R.3/97) Dat Inspector's gnature Cert. No.
r
Safety and Buildings Division
A sconsin SANITARY PERMIT APPLICATION 201 W Washington Avenue
P o Box 7162
Department of Commerce In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707 -7162
• Attach complete plans (to the county copy only) for the system, on paper not less County
than 8112 x 11 inches in size.
• See reverse side for instructions for completing this application State Sanitary Permit Numb
Personal information you provide may be used for secondary purposes �1� Check if revision to previous application
[Privacy Law, s. 15.04 (1) (m)].
S tate Plan Review Transaction Number
1. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATI N
Property Own Name Property Location
1/4 1/4, T� ,N,R E (o r
&V
Property Owner's MailinAddress Lot Number Block Number
City, Sta a Zip Code Phone Number Subdivision NaT or CSM Number
II. TYPE OF BUILDING: (check one) ❑ State Owned Ityy Nearest Road
Village
Public 1 or 2 Family Dwelling No. of bedrooms Town o
Ill. BUILDING USE (If building type is public, check all that apply) Parcel TaxNumber(s) 3, 3t. (
1 ❑ Apartment/ Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining
4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash
5 ❑ Hotel /Motel 9 ❑ Office/ Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable)
A) 1, ® New 2. ❑ Replacement 3, ❑ Replacement of 4_ ❑ Reconnection of 5 ❑ Repair of an
System System _ ___________ _Tank Only System _____ Ex istin g Syste
B) A Sanitary Permit was previously issued. Permit Number 3 Date Issued S O p
V. TYPE OF SYSTEM: (Check only one)
Non - Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 1A Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit 9,3 43 ❑ Vault Privy
14 [] System -In -Fill r 5
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq� Pr set(sq. .) (Gals/day /sq. ft.) (Min. /i ch) Elevation
-� V �eet Feet
Cap acity
VII. TANK in allo Total # of r Prefab. Site Fiber- Exper.
INFORMATION g Gallons Tanks Manufacturers Name Concrete con Steel glass Plastic App
New Existin strutted
Tanks Tanksl Tanks
epticTank rRMT1irt an - ❑ ❑ ❑ ❑ ❑
Li amber ❑ 1 ❑ 1 ❑ 1 ❑ ❑ ❑
Vill. RESPONSIBILITY STATEMENT
I, the un ersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumbe s me: rint Plumbe s Sign No St MP/MPRSW No.: Business Phone Number:
/
Plum er'sAddress treat ity,State, Code):
,
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issuing Agent Signature (No Stamps)
Approved ❑ Owner Given Initial SurcnargeFee)
Adverse Determination��
X. CONDITIONS OF APPROVAL / RE SONS FOR DISAPPROVAL:
le v r tr �+� / 4 Bah < J47 rC (d C4.y
SBD -6398 (R.12/99) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the
Wisconsin Administrative Code will be applicpble.
3. All revisions to this permit must be approved by the pe`irmit'i3s�ing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Fora (SBD -6399) to be submitted to the
county prior to installation
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be purr,ped by a licensed pumper whenever
necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of
Wisconsin, Safety and Buildings Division, 608 - 266 -3151.
To be complete and accurate this sanitary permit application must include:
I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed.
ll. Type of building being served. Check only one and complete # of bedrooms if 1 0 2 Family Dwelling.
III. Building use. If building type is public, check all appropriate boxes that apply.
IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested for numbers 1 , hrough 7.
VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and
manufacturer's name, indicate prefab or site constructed and tank material. Comol ete for all septic, pump /siphon and
holding tanks for this system. Check experimental approval only if tanks received = xperimental product approval from
DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.),
address and phone number. Plumber must sign application form.
IX. County/ Department Use Only.
X. County / Department Use Only.
Complete plans and specifications not smaller than 8 1/2.K 11 inches fiust=be subm tted to the county. The plans must
include the following: A) plot plan, drawn to scale or with complete dimensions, citation of holding tank(s), septic
lank(s) or other treatment tanks building sewers; wells; water mains/water servi( e; streams and lakes; pump or siphon
tanks; distribution boxes; soil absorption systems; replacement system areas; and -he location of the building served;
B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume;
elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section
of the soil absorption system if required by the county; E) soil test data on a 1 15 fc:rrn; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
3
b
_.
• wiw4nstn Department of Commerce SOIL AND SITE EVALUATION
Division of Safety and Buildings Page __�_ of
Bureau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and �t�Z I ly
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. D. #
APPLICANT INFORMATION - Please print all information. Reviewed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). h
Property Ovfner Property Location
7 Govt. Lot 1/4 1/4,S 3 T3 N,R E (oreg
r
operty Owner's Mailing Address Lot # lock# Subd. Name or CSM#
X14 s
� ovJ ,os
City Sta Zip Code Phone Number ❑ City ❑ Village t4 Town Nearest Road
New Construction Use: Residential / Number of bedrooms Addition to existing building
Replacement ❑ Public or commercial - Describe:
Code derived daily flow -'qpd Recommended design loading rate 2 bed, gpd /ft gpd/ft
Absorption area required f — `_ bed, ft , Tench, ft Maximum design loading rate bed, gpd/ft C . french, gpd/ft
Recommended infiltration surface elevation(s) �/' ft (as referred to site plan benchmark)
ti
Additional design /site considerations
Parent material _ Rfo s .,I Flood plain elevation, if applicable ft
S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
U = Unsuitable for system S ❑ U as ❑ U JZ�s ❑ U I 0-s ❑ U I ❑ S L5 ❑ s .[9'U
SOIL DESCRIPTION REPORT
Borin # Horizon Depth Dominant Color Mottles Structure GPD /ft
g Texture Consistence Boundary Roots
3 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench
Ground 6 1`
ry elev.
Depth to
limiting q
factor
?11(Zin. So- " ' - " Y"
Remarks:
Boring #
3
Ground 7 —
elev.
Depth to Sf.• �
limiting a
factor
��in. Remarks:
CST Name (Plegie Pri � Signature Telepho�Io. � 1
Address Date CST Number
ip
2aa 31
I
�� SOIL DESCRIPTION REPORT
PROPERTY OWNER Pager of
PARCEL I.D.# y ,D
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Ground
y glev. '
ft.
Depth to
limiting rb.gG
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring #
Ground ,
elev.
ft.
Depth to
limiting ;
factor
in. Remarks:
Boring #
wa<a`
Ground
elev.
ft.
Depth to
limiting
factor
'n. Remarks:
SBD -8330 (R.9/98)
Wt
G�rc�
ee-
xf
Safety and Buildings Division
SANITARY PERMIT APPLICATION 201 W. Washington Avenue
Vsconsin P O Box 7302
Department of Commerce In accord with Comm 83.06,.0i. Adm.Code ! Madison, WI 53707 -7302
• Attach complete plans (to the county copy only) for the system, oramr not I' ounty
than 8 1/2 x 11 inches in size.
• See:reverse side for instructions for completing this ap ,�cafionc�s` ''` : ; st a Sanitary Permit Number,
Personal information provide be used for seconds
you P may seconda purposes' ,,� heck if revision to previous application
[Privacy Law s. 15.04 (1) (m)]- 4
to Plan I.D. Number
I. APPLICATION INFORMATION -PLEASE PRINT AL _ RM
Property n r N e P perty L a
114 \ tt ,5 T ,N,R E(or�
Pro ert Owner's Mailin Addre s tot . m Blo k N tuber
P Y 9 �� �- c u
— T City, Zip Code Phone Number Subdivisio Name or CSM Number
TY PE OF BUILDING: (check one) ❑ State Owned It� Nearest Road
rl Public 1 or 2 Family Dwelling - No. of bedrooms E3 ad Town OF xw
111 BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/ Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash
5 ❑ Hotel/ Motel 9 ❑ Office/ Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT: (Check only one box on line A. Check box online B, if applicable)
A) 1 New 2. Q Replacement 3_ ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
System -------- ________System Tank Only System ExistingSystem
B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non- Pressurized Distribution Pressurized Distribution Experimental Other
11 ✓(Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit t t 43 ❑ Vault Privy
14 ❑ System -In -Fill Z X g L( & l (Zg t
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq_ ft.) Proposed (sq. ft.) (Gals/day /s . ft.) (Min. /inch) Elevation
7 Feet 7 Feet
Cap VII TANK in altos Total # of Prefab. Site Fiber Exper.
INFORMATION g allons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App
New Existin structed
Tanks Tanks
Septic Tank or Holding Tank p ' ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ ❑
VI11. RESPONSIBILITY STATEMENT
I, the u ersigned, assume responsibility for instajition of th nsite sewage system shown on the attached plans.
Plum er ame: (P t Plumber' Si MP /MPRSW No.: Business Phone Number:
P lumber's Address (Streeej, y S e, Zip Cod
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate slue Issuing Agent Signature (No Stamps)
Surcharge Fee)
Approved ❑ Owner Given Initial I - S
Adverse Determination ' —f5 - —2CtV
X. CONDITIONS OF APPR VAL /�tE� O S FOR DISAPPROVAL:
A at �e r X A-
u -'
SBD -6398 (R. 4199) DISTRI8UTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the
Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the
county prior to installation
5. Onsite sewage systems must be properly maintained: The septic tank(s) must be pumped by a licensed pumper whenever
necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of
Wisconsin, Safety and Buildings Division, 608 - 2663151.
To be complete and accurate this sanitary permit application must include:
I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed.
IL Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is public, check all appropriate boxes that apply.
IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested for numbers 1 through 7.
VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and
manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and
holding tanks for this system. Check experimental approval only if tanks received experimental product approval from
DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.),
address and phone number. Plumber must sign application form.
IX. County/ Department Use Only.
X. County/ Department Use Only.
Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must
include the following: - A) plot plan, drawn to scale or with complete dimensions, location of�holding tank(s), septic
tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon
tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served;
B) horizontal and vertical elevation reference points; C,l complete specifications for pumps and controls; dose volume;
elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section
of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information.
----------------------------------------------------------------------------------------------------
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
Y,4�
`J
o d
� 6
I
Wi�_con'sin Department of Commerce SOIL AND SITE EVALUATION
'Division of Safety and Buildings Page 1 of 3
Bureau of7ntegrated Services in accordance with,s. iLHR 83.09, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan mp6t, County
include, but not limited to: vertical and horizontal reference point (6M), directi6wwd 'I St. Croix
percent slope, scale or dimensions, north arrow, and location and-distance to nea'restroad. Parcel I.D. #
APPLICANT INFORMATION -Please print all information Reviewed by Date
Personal information you provide may be used for secondary purposes (Pridaoytaw, s.
Property Owner o e y'Locti(n >'
Richard Stout ?'Pa L Lo¢ ` r` 1/4 1/4,S T N,R E (or)
ATE SW 3 3 3 1 9 AV
Property Owner's Mailing Address lot Pw `al`6 k# Subd. Name or CSM#
1353 Awatukee Trail 5 Meadowoods
City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road
Hudson W' 5 016 (715 )549 -6731 Somerset 232nd Ave
R] New Construction Use: R] Residential / Number of bedrooms _ 7 3,Z_ _ 4 _ _ Addition to existing building
F-1 Replacement El Public or commercial - Describe:
Code derived daily�o 6 0 0 gpd Q b Ob Recommended design loading rate bed, gpd/ft _ trench, gpd /ft
���� ee
Absorption area required 11 �T "bed, ft 2 trench, ft Maximum design loading rate bed, gpd /ft • .S trench, 9pd/tt
Recommended infiltration surface elevation(s) See Plot plan ft (as referred to site plan benchmark)
Additional design /site considerations
Parent material Flood plain elevation, if applicable ft
S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
U = Unsuitable for system S U 10 S ❑ U ZI S ❑ U I R] S❑ U ❑ S R3 U [Is JP U
SOIL DESCRIPTION REPORT
Boring # rHorizon Depth Dominant Color Mottles Texture Consistence Boundary Roots Structure GPD /ft
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
1 0 -6 10yr4/3 -- sil 1 k mfr cs if -1-5
6 -90 10yr4/6 -- ms osg ml cs -- .7,.8
Ground
elev.
9 2 _10- ft.
Depth to
limiting
factor
9 Q— in.
Remarks:
Boring # Z 3
0 -8 10 r4 3 sil r2b<
2 2 -56 10yr4/4 -- sicl 2f„ mfi cs -- .4 ..5
.' 3 6 -9 10yr4/6 M s osg ml cs -- .7 -.8
Ground
elev.
94. ft.
2.�
Depth to -
limiting r' - Z 5, Z w G
factor
9 9 in. Remarks:
CST Name (Please Print) Sig lure Telephone No.
—
Address l Date CST Number
f0 7C`.. Jc'•Lc'
PROPERTY OWNER R is SOIL DESCRIPTION REPORT �-
h a ��9� of
Page �— 3
,y
PARCEL I.D.#
Boring Horizon Depth Dominant Color Mottles Structure 2
g Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
3 1 0 -8 10 r4 3 -- sil 1 mfr C z
2 8-43 10yr4/4 -- sicl 2ynabiK mfi cs -- .4 ' .5
Ground 3 45-(6 10yr4/6 -- ms osg ml cs -- .7 ; .8
elev.
95
Depth to
limiting .�
factor
9 in.
Remarks:
Boring #
1 0 -6 10 r4 3 sil thir�J/
4 2 6 -50 10yr4/4 Sicl 2M?erbl( mfi cs -- .4 ..5
ME 5 0-101 10yr4/6 -- s osg ml cs -- .7 ..8
Ground
97 elgvO ft.
Depth to 4
limiting
factor
101 in. Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring # Z ' - 3
1 0 -4 10 r4/3 sil 1 mfr c '
5 2 4 -30 10yr4/4 -- icl 2 M cs -- .4 '.5
3 30 -89 10yr4/6 MS osg ml cs -- .7 ..8
Ground
elev.
93. ft.
Depth to
limiting
factor
89 in.
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
SBD -8330 (R. 07/96)
ie 4 10
Oarx ohm c --Ieu. 00'
e!,,, loo`
y$7't M r ✓ 1 "1
�I
t l
6! • Qf • S ��-{1 Z�atG�� n2
1
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
OwnerBuyer ` eNA &
Mailing Address V-)
Property Address
(Verification required from Planning Department for new construction)
City /State Parcel Identification Number
LEGAL DESCRIPTION
Property Location t4C ' /,, S1_ '/4, Sec. T 7�3 N -R _ W, Town of S 6Tf% &!a_
Subdivision `Cn y p vJ o 8'p4 Lot #
Certified Survey Map # , Volume , Page #
Warranty Deed # �y� , Volume ,Page #
Spec house N yes ❑ no Lot lines identifiable yes O no
SYSTEM .MAINTENANCE _ .
"Improper use and maintenanccof 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
master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
I/we, 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 ye r expiration date.
9 )X b 0
SIG ATURE APPLICANT DATE
OWNER CERTIFICATION
I (we) certify that all statements can this form are true to the best of my (our) knowledge. I (we) ant (are) the owner(s) of
the prope described above, by virtue of a warranty deed recorded in Register of Deeds Office. � 4 N A.. — I �AS- , /UD
SIGNA OF PPLICANT DATE
* *** ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department."
Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
051'12!00 FRI 13:32 FAX 715 386 4687 REGISTER OF DEEDS X10
STATE BAR OF WISCONSIN FORM 2 - 1998
WARRANTY DEED fi KATHLEEN H. WALSH
Ocument N 'umber 9Afi� JJ8 REGISTER OF DEEDS
((''�� 5T. GROZX CO,, WI
RECEIVED FOR RECORD
This Deed, made between 45 -1P -2040. 1:30 RPi I i
e . CantUr,
r E�1(1:WT N DEED
Ii r � CUT COPY FEE: a'rd - --&-�. Ilu!' COPY FEE:
-
TRANSFER FEES 124.Po
REDIN6 FEE: i 0. 00
Grantee,
i
Grantor, for a valuable consideration, conveys and warrants to Grantee the following
desc ribed heal estate. in Rte .., erni r _ County, State of Wisconsin: ij
Lot 5, Plat of Meadowoods, Town of Somerset,--
Name and Return Address
St. Croix County, Wisconsin. �,�•,� _
J 3 61 A
i H�.nboc.� W i
j 5�1s1 V
03 - 211 -5 - 000 _
Paicei Identification Nurrlber (PIN)
This in nrA homestead property.
(is) (is not)
ii
I�
I ;
,
i;
I I
Exerptions to warranties: easements, restrictions, r:i.ghts -of -way and Covenants
of record.
Dated this 1. day of Mar 2000
(SEAL) _.,Ta P Stou t_.. (SEAL.
)
I
(SEAL) {SEAL,)
AUTHENTICATION ACKNOWLEDGMENT
;i SlgnaWrt:(s}
1 State of Wisconsin,
..._ ...,._ ..
St . Cro ount .I
authenticated this _ day of Personally came before me this 12 th _day of
--May- .ZO.QQ- the above named
_ ut
,
.._ and .Tan?t
TITLE; MEMBER STATE BAR OF WISCONSIN
(If riot O,S me known to be the person S__ who executed the foregoing
authorized by §706.06, Wis. Stars.) Fq instrument and acknowledge the sarr,e.
!
T HIS IN ST RU MENT °� ,o
Janet P Stout
1 3 53 AG�atukee r . Notary Public, Stat f Wilco n MAL",
Hudson, Wl 54016 My comrni55ion is permanent. (If not, Awte expiration date:
.....
( nary
Si es may be a uthenticated or acknowledged. Both am not
_..
!i ' Names <f persons -irina in any caparity mist Its typed or printed helnw their signet e. a
STATE BAR OF WISCONSIN Nsconsin papal Blank Cp., sno.
Milwaukee. Ws. i'
05/12/00 FRI 13:32 FAX 715 386 4687 REGISTER OF DEEDS ZoO2
voi, 1510PAGE338
i: 5TATE BAR OF WISCONSIN FORM 6-5 - 1952
MORTGAGE i KATHLEEN H. WALSH
(To be used for: loans over $25,000; loans $25
REGISTER OF DEEDS
DOCUMENT NO, or less and first lien; or orl��i non-consumer
S(. CROIX CO., W1
act transactions)
RECEIVED FOR RECORD
("MOttgagor"• whether one Or Mor 05 1:30 PH
� mortgages to
t tit MURTGABE
('MorWgcc", whether one or more.)
EXEMPT #
to secur.- payment of
CERT MR FEES
QQ � I Q Qf s Dollars UPY FEU
TRNSFER FEE:
evidenced by a note or notes bearing ar even date executed by Ma Jz 1 2 2 n n 0 REMRDN FEE: 10.00
to PAGES: I
Mortgagee, and an caera; Mn"6' and modific o f the note(s) and refinancings of any
such indebtedness On any terms whxsxvcr (including increases in interest) and thePayment of all other
sun'$, with inmrcsx, advanced to prOU:Ct the SeCu o f t hi s N1
rtgage. the foll owing C r
Pr PC y together
e y i %
with the rents, profits, fixtures and Other alcliurterwnt interests (all called 'Prop n In
County, Statc of WIscons in: rmis SPACE RESERVED FOR RECORDING DATA
Lot 5, Plat of MeadoWoodS. Town of Somerset r NAME AND RETUAN ADURE&E
St. Croix County, Wisconsin.
Dick Stout
t homestead prop This
n n 1353 Awatukee Tr.
a Purchase money mortgage.
(IS) (N not)
Mortgagor warrants title t the Property, except restrictim a caninems and easements or record, Hudson, W1 54016
if any =d "CC-PC nimA.e
Mortgagor promises t pay when due all taxes and assessments l on the Property or VpOI1
Mortgagor's interest in it and to deliver to Mortgagee on demand receipts showing h
Mortg4or shall keep the improvements on the Property I ns ure d spi ing suc pa
WE any loss or damage PARCEL )DEN 71riCA71ON NUMBER
Occasioned by fire, extended coverage perils and such Other hazards as Mortgagee may require, through
insurers approved by Mortgagee in such amounts as Mortgagee shall require, but Mortp shall not require coverage in an amount more Lhun the balance of the
debt wiEfto cc- insurance, and Mortgagor shall PAY the premixim when due. The policies shall contain the standard mortgage clau in favor o f Mortgagee and,
unless Mortgagee otherwise. agrees it writing, the original of all policies covering the property shall be deposited with Nlortg;%gec. Monmor shall promptl
g
notice of loss to insuratice, companies and Mortgagee. Unless Mortgagor and Mortgagee otherwise agree in writing, insurance proceeds shall be applied to restoration
e
or repair of the Property diumaged, provided the MortgaBcc deems the rcstorAtior, or repair to be economically Icasibic
Mortgagor covenants not 10 commit waste nor suffer waste to be committed on th FrOPCIly, to keep the Property in good cundition And repair, To keep the
Property free from lier superior to the ben of this Mortgage, and to comply with all laws, ordinances and regulations affectin the Property. Mortgagor
shall pay
when due alt indebtedness which may be or become secured at any time by a rnortgage or Either lien an the F-rcperty superior to this Mortgage and any failure to do
so shall constitute a defilUlt under this M or t gage ,
Mortgagor agrees that tirat is of the emncc with respect to payment of principal and interest when due and in the Performance: of arty of the covenants and
rl)Tolnisesof the Mor(gVorconzaint�dherein oi the note( beTtb ln the event ofdcf&ulr,�\4ort 3gce may at his option and su*oject. jol notice rovisions
p
of this Mortgage, declare Llic whole amount of the unpaid principal and accrued interest dut and payatie and collect it in a suit a law or by foreclosure of this
Mortgage by action or advtniscracrit Or by c-xcrc�lic of Arty Other remedy avinlable at low orequit and MonKegce may 1 the ProPer[Yat public sale Ind
of conv give deedi;
conveyance to the purchasers pursunt to the stAuites,
Unless otherwise provided Ill Lhc notes) secured by this M on&jge , prior to any acc (Other than under the List paragraph of this Mortgage) Mo
shall mail notice to Mortgagor specifying: (a) the default; (b) the action required to cure the default; (c) a date, not less than 15 days from the date the notice is mailed
to Mortgagor by which date the default must be cured; and (d) that failure to cure the default on or before the. date specified in the notice ma resu in acceletworl
In case of default, whether abated Or roc, ail costs and e. ernes including reasonable attorneys' fees and expenses of title evidence to the extent not prohibited
by law sh-1 be added to the principal, become due as incurred, and in the event of foreclosu be included in the judgment.
Mortgagor agrees to El provisions of Se 1346.101 and 845.103(2) of the Wisconsin Stat as tilay ap ly to the Property and is may be amended,
periliftting Mortgagee in th even of forceI0,51JIV, Waive the right to judgment for deficienc turd to hold the foreclosure &dc within Elie time provided in such
applicable Section,
Unless a Mortgagor is obligated or, the time or notes secured by this Mortgage, the MoTty,&gQT shall act be liable (Of any breach of covcrwts contained in J)is
Mortgage.
Upon de&UIL or during the p en d ency o f any action to foreclose this Mortgage, Mortgagor COuSellt.1 to the appointment of a leceivtr of the Property; including
homestead interest, to collect the rents, issues, and profits of th P ro p erty , d ur i ng t h e pendency of such an sexton, and such rents, issues, and profits when so
collected, shall be held and applied as th coun s h a ll d irect
Morigagrc may waive jny d %,ithout walvirlg any other subsequent or prior default by Mortgagor
In the event of any default by Mortgagor of any kind under this Mortg or iny nutz(s)secured by this Mortgage, Mort may cure the default and all burns
P aid by Mortgagee for such p urpose shall iminedUcely be repaid by Mortgagor with interest at the rate. Ellen in ciftc( under the note secured by this Mortgage and
shall Constitute a lien upon the property.
Mortgagor shall not transfer, sell or convey any legal or equitable interest in the Pmperry (by dead, land contract, opton. Iong-terns l ust or in any other ",
without the pncr written consent of Mortgagee, unless either the indebtedness =cured by this Mortgage is first paid ill full or the interest conveyed is mortg or i
ether security interest in th P ro p erty , subordinate to the lien of this Mortgage The entire indebtedness under the Lotc, secured by thi Mortgage shall become
due and payable in full, at the option of Mortgagee without notic upon any transfer, SaIr or coliveylt•ce made in violation of this paragraph, it
for
n
Mortgagor hereby tran-&-tr.s.ird assn gns absol to MORgilgC42, AS gddillOnAl security, ill raits, i-,%uesand profits which b ecem e or p enj i n d ; u nd er
any
of agreement for use or occupancy of the Property or any portion thereof), or whici wer previously collected and remain subject to Mongagopr$ control following
any default under this Mortgage of the note(S) secured hereby and delivery of notice of exe o f this assignment by Mon to fl- tenant or other user(s) of the
,
Property This arWgrinienE shall be enforceable with Or without Appointment of a mxivrr and regardless ofMortgagee's loci 0, P 0 sses sic n of the Property,
D ated this —1 2th
day of
(SEAL;
(SEAL)
(Mortgagor)
by Michael
1 ; 7 h U fli E Q W N ACKNOWLEDGMENT
State of Wisconsin,
AUthCllEiC21Cd this day of St. Croix county. ii
Personally came before me this I
day of
—May
the above named
M i r m a i m
TITI,J-:; MEMBER SIATE BAR OF WISCONSIN
not, . ......
authorized by §706.06, Wis- Stars.) to me known to be the person who executed the foregoing it
iastnirrieat . id ulknowled— thc Saint.
THIS INSTRUMENT WAS DRAFTLO BY
Janet P. Stout V0
1 353 Awatukee Tr.
Notary Public, County, Wis.
(Signatures may be auLheAtic-ayel or acknowled -d, both a My c ommission is pernirrivrit. (If not, s date
necessary.) -Mte expiration
7 7.. ': ......... ....
• M"'W5 01 persons ,"&rllng;n R!ly 0;sp6cily should be ly-ped or; lined hdrw thew si8natarm . . ......
MORTGAGE STATV DAk OF WISCONSIN wirv. Legal Slunk o,, Inc.
Form No, 6-5 - i9a2 MIKY"ee. Wis,
M E A E
Rl GISTER'S OFFICE
ST. CmnrX Co. W13, y �
n" .v , a tes R. th.
f Sy� A b . 19
4 MRw+tdw4 S6 2�-
S w .•.......�
NORM
VICINITY MAP
N88'105% 529
N881 6'IVE 1326.17'
. Nlr. • "5'E 1326.17'
FIA4.644 S0.
) 32 ACRfs
Ne. Ti6'3 3'w Y t
619 78.
POND NO. 2 71h.
/ ILI N
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1s1.502 SO. f1 •i _
3.02 .CRCS - 10
1 30. 7 32 so r 1
' 3.00 AC-415
i (Y) '• 1
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r
133.605 so
A : . RES r }3,'29 SO. rr
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...............
PONE) N0. 1 ` PONE) EASEMENT
- Y -
I �, 589'3Y33'w 1098.76'
S58 7'29*W 132
- "----
232ND AVENUE
BENCH 4ARK � �� `