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Parcel #: 032- 2102 -50 -000 02/18/2005 09:06 AM
PAGE 1 OF 1
Alt. Parcel M 09.31.19.972 032 - TOWN OF SOMERSET
Current Xj ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): = Current Owner
TODD D AXTELL ' AXTELL, TODD D
432 RICE LAKE RD
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist# Description "432 RICE LAKE RD
SC 4165 SCH D OF OSCEOLA
SP 1700 WITC
Legal Description: Acres: 4.250 Plat: 2166 -LOLLY ACRES
SEC 9 T31 N RI 9W PT SE NW LOT 5 LOLLY Block/Condo Bldg: LOT 05
ACRES 4.25 AC
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
09 -31 N-1 9W
Notes: Parcel History:
Date Doc # Vol /Page Type
05/06/1998 578593 1321/215 WD
02/24/1998 573679 1299/305 LC
02/24/1998 573677 1299/302 QC
11/07/1997 568215 1275/530 LC
2004 SUMMARY Bill M Fair Market Value: Assessed with:
11367 237,500
Valuations: Last Changed: 07/24/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.250 54,200 147,200 201,400 NO
Totals for 2004:
General Property 4.250 54,200 147,200 201,400
Woodland 0.000 0 0
Totals for 2003:
General Property 4.250 54,200 147,200 201,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch #: 312
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety aril Building Division
INSPECTION REPORT Sanitary Permit No: 399627 0
GENERAL INFORMATION (ATTACH TO PERMIT) 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:
Axtell, Todd I Somerset Township 032 - 1023 -80 -000
CST BM Elev: Insp. BM Elev: BM Description:
o d y. oDk-
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
#/ t e Y, Ovo >� "'
Alt. BM
Ir S tU
_ _ _ Bldg. Sewer
Holding_ . (9 /Ht Inlet
r
t ,5- 7
TANK SETBACK INFORMATION - � /9
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD I 7w L 7
Septic 7 S� `!'� / C*k- d # 3 y
Dosing 2 7 j — S S / Header /Man.
z
Aelatien -- - -- - -- - - • - _.__. �. Dist. Pipe
Bot. System c / 3
�r p
PUMP /SIPHON INFORMATION Final Grade S T
ManufactqEer -- Demand St Coffer x ,5
01"
Model Number
TDH Lift / Friction Loss J S "d JTDH It
Fgrcemain Length Dia. Dist. to
SOIL ABSORPTION SYSTEM
BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
F
SETBACK SYSTEM TO P/L JBLDG WELL LAKE/STREAML I Man act
INFORMATION Type Of System: AMBER R
- _� r _ Number.
-lay � Model Num
6 P
DISTRIBUTION SYSTEM P _ �CcSs
Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s) C1 '
Length Dia �� � Length ��` 1� Dia Spacing
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 ri No ® Yes ® No
COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1:1Z / - / -T / 0/ Inspection #2: / /
Location: 432 Rice Lake Road Somerset, WI 54025 (S 1/2 NW 1/4 9 T31 R1 W) Lolly Acres Lot J Parcel No: 09.31.19.972
cr
1.) Alt BM Description = y� ' " " 6� rr 5��,, 7 ���{ jyS / " '6
2.) Bldg sewer length = QJcr`sAi-f �� 5> ✓p,�Ld C C�v�r'C�c�. e /� ✓
= �
- amount of cover G
wr � cd //
� dt e Qsr��ap� by fr 5� male Y'vG�GI�
�✓a,.. tam _ eol` W 5
Plar revision Re�q it d ?� � Yes No
Use other side for additional information. i_ /
Date Insepctor's S' a re Cart. No.
SBD -6710 (R.3197)
Safety and Buildings Division County
201 W. Washington Ave., P.O. Box 7162
N visconsin Madison, WI 53707 - 7162 Site Address
Department of Commerce D R 0 7 ;&k A46E
Sanitary Permit Application sanitar Permit Number
In accord with Comm 83.21, Wis. Adm. Code, personal information you provide �� 2�
may be used for secondary purposes Privac Law, s15. 1 ❑Check if Revision
I. Application Information - Please Print All Information State Plan I.D. N mber , 19 y,-
.,� ,✓ .
Property Owner's Name 1 Number
UiVFO ,
Property Owner's ailing Address E r . { ,(p(�� Pro�erty Location
ST CPDX i4 Aj -k; S N. R Za
City, State Zip Code Phone Num Number Block Number
---
Subdivision Name -G&*fNmnbe -r
S
U. Type of Building (check all that apply) ❑City
X I or 2 Family Dwelling - Number of Bedrooms ❑Village
❑ Public /Commercial - Describe Use township -
❑ State Owned Nearest oad
3 ` x 68.45 t �,rat� CA a
III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable)
A. Replacement ❑ New 2 0 Replacement stem 3 11 Replacement of 6 ❑Addition to For County use
System Tank Only Existing S stem
B. ❑ Check if Sanitary Permit Previously Issued permit Number Date Issued
IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) -Iav tj LW
44 C4 Non - Pressurized In- Ground 210 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland
22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line
45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other
V. Dis ersa]/Treatment Area Information:
Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade
Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) Elevation
7 6
Capacity in Total Number manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Tanks Concrete Constructed Glass
New Existing
Tanks Tanks
Septic or Holding Tank �¢
Dosing Chamber /
VII. Responsibility Statement- I, the undersigned, a responsibility for installation of the POWTS shown on the attached plans.
Plumber' Name (Print) Plumbe s Si MP/MPRS Number Business Phone Number
&IF / i /s J
PI r s Ad toss (Street, City, tate, Zip Code
VIII. Count /De artment Use Onl
Approved C1 Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Sig ture (No Stamps)
Surcharge Fee)
❑ Owner Given Initial Adverse
Determination
IX. Conditions of Approval/Reasons for Disa prow,a�lc, • _' __ g t ,�
L) (oR. pQ
wu `t�+rinfk, as `
�� n (i. comp ete plane a ounty oily r the system ess on pa es size
�� /v�d(t)�f t
SBD -6398 (R. 05/01)
I
.�/' / /
-- -- _ �� _ ,��. � .� ��- -. - - -_ _ _ _ _ .�,�,�s,�_ _ _ - -� -__ _ _ _ -, - - - -- - - -- - __
__ _ _ __
„ ,
�__� _s� ,� __ - _ _ __ -___ _ _ _ _ _ __ _ - ____ _ _
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- ,Q�P'�r,J�1�- - -
__ _ _ _ _ - _ - - — ��,e��
k
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J� �t /aa_ _ � � _ _ _ .. _ _.. . _ . _
_. __ _ _ ___._. -- - _ _ _, _ .._ _ -_ -- - -_ __ _ �w�� 1
__-
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Wisconsin Department of Commerce SOIL AND SITE EVALUATION
Derision of Safety and Buildings Page of 3
Bureau of Integrated 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 must County
include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimensions, north arrow location and distance to nearest road. Parcel I.D. IF
APPLICANT INFORMATION - Plea a pf nt I information. e w ed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
1
Property O n r Property Location
j Govt. Lot 1/4 1/4,S 9 T N,R E (or6
Property ner's Mailing Address Lot # Block Subd. Name M j
City St a Zip Code Phone Number st Road,
❑ City ❑Village Tow�i � �.
'\ a
C)
New Construction Use: Residential / Number of bedrooms Addition to exi wilding
Replacement Public or commercial - Describe:
Code derived daily flow ;k gpd Recommended design loading ra bed gpd/ft Tench, gpd1fi
Absorption area required _ bed, ft 1 s� trench, ft Maximum design loading rate p trench, gpd/ft
Recommended infiltration surface elevation(s) ft (as referred to site p an enchmark)
Additional design /site considerations
Parent material i - , - Flood plain elevation, if applicable A l ft
S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
U = Unsuitable for system S❑ U S ❑ U PS ❑ U MS ❑ U I ❑ S Wu ❑ S O U
SOIL DESCRIPTION REPORT I' > TA I , ?-bco
Borin # Horizon Depth Dominant Color Mottles Structure GPD /ft
g Texture Consistence Boundary Roots
»= in. Munsell Qu. Sz. C nt. Color Gr. Sz. Sh. Bed , Trench —
l f2 J ' s -
7111
, /
Ground
elev.
Depth to
limiting q2, 96 1 1
factor
in. I I �j2 128
Remarks:
Boring #
... �,J
Ground p #""- —
elev.
Izziar— ft-
Depth to
limiting
factor f/
in. Re arks:
CST Name (P ase P int) + Signature Telephone No.
Address �7 Date CST Number
b / ' YO ')
SOIL DESCRIPTION REPORT
PROPERTY OWNER — Page ,::;2 of
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2
in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench
S
Ground �-
elev.
Depth to
limiting
factor
/-JD in.
Remarks:
Boring #
./.......... v 1 g
44 J 7 .�
Ground
elev.
Depth to
limiting
factor
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 # —
r
Ground 25 _ •�
elev.
Depth to
limiting
factor
' Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
' Remarks:
SBD -8330 (R. 07/96)
- - _ -- - - -
I
49 A
k
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ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF AN EXISTING SEPTIC TANK
This is to certify that I have inspected the septic tank presently
serving the Z / ,Cf� residence located at:
k 5 4 , _Ay} ; , Section _ ' T ,3/ N, R Town of
Upon inspection, I certify that I have found
the tank and baffles to be in ood condition and it appears to be
g PP
functioning properly.
Last time serviced:
Did flow back occur from absorption system?
Yes �!L_ No (If no, skip next line)
Approximate volume or length of time: gallons minutes
Capacity:
Construction: Prefab Concret Steel Other
Manufacturer: (If known): k�.
Age of Tank (If known): 1%98
( igna ure) (Name) ease print
(Title) (License Number)
--/- a-
Da e
Form to be completed by licensed plumber (s.145.06, Wisconsin
Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative
Code)
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
Plumber (applying for sanitary permit) Certification:
In accepting the above statement regarding existing septic tank
condition, I certify that the tank to the best of my knowledge will
conform to t e requirements of ILHR 83, Wis. Adm. Code (except for
inspection penin over outlet baffle).
Nam Signatur MP /MPRS,
I
I
ST CpOIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CI: RTIFICATION FORM
OwnerBuyer t oDD -5 4AA)7 - Ei t_
Mailing Address /AlAI ,r (A N �' /. 0iP 4 4w -
- s�✓v�
Property Address
(Verification required from Planning D:. for new construction) :�PQ
City /State Jo/X6_ Parcel Identification Number J —
o
LE GAL DESCR
Property Location ' /a, , 41� '/<, Sec., 1 W, Town of f
Subdivision ___ . _ , Lot # � •
Certified Survey Map # , Volume , Page #
Warranty Deed # Volume 62 , Page #
Spe house ❑ yes Kno Lot lines identifiable ( yes ❑ no
SYS '' EM MAINTENANCE
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
master plumber, journeyman plumber, restricted plumber or a 1 i- pumper verifying that (1) the on -site wastewater divosal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 fril of sludge.
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of thr three year e ' ation date.
GNATUR APPLICANT DATE
OWNS CERTIFICATION
I (we) certify that statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the property describe by virtue of a Narranty deed recorded in Registet of Deeds Office.
B
fiIGNA OF APPLICANT
DATE
e * * * ** th Zoning Department.
* * * *s*
Any information that is mis- represented may result in the sanitary permit being revoked by e g
'« include with this application: a stamped warranty deed from the Register of Deeds office
a cony of the certified survey map if reference is made in the warranty deed
-
4 nt 1275 maNTO
STATE BP.R OF WISCONSIN FORM it - 1982 i
r • LAND CONTRACT
r I{ cpo
J��2j1J it ` Ind FOR ALL TRA•a CT o.i OVER
�I lT0 BE U ED -
DOCUMENT NO. f =� FINANCED AND OTHER NON- CONSUMER
ACT TRANSACTIONS)
REGiSTER'S OFFICE
C . Fleischauer, a i� ST. CROIX CO., WI
Contract, by aria between Kevin C %o'd kr % d
n married man, NOV 0 7 1897
i _("Vendor'. i�
t
whether one or more) and Todd D. Axtell,
1 :50 P M
(-Purchabee whether one or more). °,�.,, �-ilk Wa4ln
Vendor sells and agrees to convey to Purchaser, upon the prorupt and full performance osas
isr of O
R +
t of this contract by Purchaser, the following property, together with the rents. profits,
futures and other appurtenant interests (al! called the - Property "), in
S County: St o( Wisconsin:
- -_ %
THIS SPACE AESEAVcD FOR R RECOp ^LNG OA
i
Lots 4 an 5, lat of Lolly Acres in the Town
NAME AND RETURN ADDA_SS
of Somerse , St. Croix County, Wisconsin. KRISTINA OGLi+ND
Zile, Estreen & Ogland
P.O. Box 359
Hudson, WI 540'6
Y gart -off- _
032 - 1 023 -50; 032 - 102 - 80
PARCEL JENTIFW ATNN NUMBER .
A�SFER
F
This is not homestead property
xxx (is not)
Purchaser agrees to purchase the Property and to pay to Vendor at place Vendor 0 0 . 0 05
in the f manner: (a 2 000.00
the sum of $ 56 .000.00 g ) S , together with in terest from date
at the execution -ja this Contract, and (b) the balance of S 54 000.00
hereof on dw balance outstanding frr.R• time to time at the rate of 8% percent per annum until paid in fu'i as follows.
Comncing November 20, 1997 and on the 20th day of each and every month thereafter,
me
equal monthly installments of principal and interest in the amount
a $1 00
Vendor agrees that Vendee shall make the first four monthly payme
of the fifth monthly payment directly to C. B. Valley Real Estate for payment of
deferred commission owed by Vendor.
In addition to the regular monthly payment on January 20, 1998, Purchaser shall make
an additional $2,000.00 principal payment.
Prroided, however, the entire outstanding balance shall be pa.d in Gill on or befc,. the ? Qtb— day of "PXil
2 000- (the maturity date).
Following any default in payment, interest shall accrue at the rate o[ 8 -% per annum on the entire amount in default (which shall
include, without limitation, delinquent interest ant, 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 app:)' payments to these
obligations when due. Such amounts received by the Vendor [or payment of taxes, assessments and insurance will be dep.-sited into an escrow
fund or trustee account, but shall not bear interest unless otherwise required by law.
i
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4 Y �n .f 4 N 88e 33'12"E 259.00'
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7 1 N 88e 33' 12 "E 556.03'
n 27500' 122.18' 73.85 85.00 U
v 3 281.03' T
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ID
2 ACRE° INC. R/w N O N
5.5 O Q1
ry 165,921 50. FT N N to
LI 240,431 SO. FT. O 185,061 SO. FT O W e
G I
3.91 ACRES EXC. R/W o 3.89 ACRES EXC. R/W aESMT 0
--��
5.16 ACRES EXC. R/W a ESMT. !a 0 169,260 SO FT Z
X 224,783 SO. FT. 0 170,500 S0. FT 0
o n
N
F 33' 33'
BENCHMARK- MASONRY NAIL
SET CL OF ROAD OPPOSITE 3
POWER POLE.
EL = 908.24 1 3•. 33.00' N88e33'12' E 836.05'
USGS DATUM 1929 -- 2 58.00 "" ,( ' 242. 0 0' - - - -- �2T0't55' -_ _
N 291.00 275.00' -
M
- - - -
292.90' 275.02' � 269.03'
to I
- N 89° I I' 15 ° E 836.97'
SOUTH LINE OF THE SE 1/4 OF THE NW 1/4 R LAKE ROAD
I
LO_ i 2 UNPL I I EG LA JCS I LJ7 I
l C. S.M Q 5
VgL. y PG.2347 vl IQ,PG ?_.247
TOM BOARD RRGOLnT ON
Resolved, that the lat of
LOLLY ACS in the Town of Somerset, [evin
Fl ilschauer, er, is he approved by the Town Board.
George S clear, Town Chairwan Date
I hereby certii'y that the foregoing is a copy of a resolution adopted
by the Board of the Tom 8o"rset.
(lo,,._ ta . _,a_, -, -, (4(.
I
Wisconsin Department of Industry SOIL AND SITE EVALUATION 2
Lalor and Human Relations Page . /: of ✓ . ,
Division of Safety and Buildings in accordance with s ILHR 83.09, Wis.
Attach complete site plan on paper not less than 8 112 x 11 Inches in size. Plan must County _
Include, but not limited to: vertical and horizontal reference point (BM), direction and S/ e"eo/
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)).
Proper Owner / Property Location
Govt. Lot SE 1 /4,U1J o 1/4,S ` T21 ,N,R E (or )o
Property Owner's Mailing Address Lot # Block# Subd. Name or CSM#
2 S S T' A ox - To 5 ^f 5'0 &--
City State Zip Code Phone Number Nearest Road
S0 . 54 P uL )4,u . 55015 Cl Clt Vi lla 9Town
LJ New Construction Use: lJ Residentlal / Number of bedrooms 3 +0 Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
y So
Code derived dally flow 1r 00 gPd Recommended design loading rate � bed, gpd/ft ' G trench, gpd/ft
Absorption area required _ bed, ft ft2 Maximum design loading rate ' S bed, gpd/fl ' trench, gpd1ft
Recommended infiltration surface elevations} 0 eq . 3 ft (as referred to site plan benchmark)
Additional design /site considerations
Parent material Flood plain elevation, if applicable — T ft
S = Suitable for system Conv tional M ound In- Ground Pressure AT -Grade System in Fill Holding Tank
U = Unsuitable for system P❑ U tld'S ❑ U 53 El [�S ❑ U ❑ S ❑ S (l-(1
SOIL DESCRIPTION REPORT
Boring # FHorizo Depth Dominant Color Mottles Structure GPDHt2
In. Munsell Ou. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots
Bed , Trench
/ 0-6 !o Y 3/3 /a�,y 2 5h /--FA S 1 f , S
............:.........
- S/lP S,'/, ��'w Cs /uf
Ground 3
elev. 7
2 6 - fg S /r SlG c s� �fJ�j( M�y7�i� C4J • �( ;�• S
loo fl. YD A 9, S Yle S/lQ /o l s � s cis
Depth to
limiting
factor
> 0in. ;
Remarks:
Boring #
o -� lo y, 3 3 1o,1,AY If SAe ^fie. 4 S
z z (c- ( /O KA 31 -- 15 - 1 1, 2 f 4& ,,, -fie CS 1 f - .:5: G
_ 3 �� �. syR y � �f 9� •►,, cs � , Y :, s
Ground ?
elev
lob, 7 ft.
Depth to
limiting
factor
> 7-0_in. Remarks:
CST Name (Please Print) Signature elephone No.
� S T 3
Address Date CST Number
.1 CSJ.r -! AssoCIRIAR ---
Private Sewage Consultants
655 O Rd. �-
Hudson, Wis. 64016
ORIG MAL
PROPEWYOWNER F I Eisti�4��`� SOIL DESCRIPTION REPORT Page Z of 3
PARCELI.D.# L J A/ifZr0,0 5 - v13D
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bwn ty Roots GPD /ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed n3rtdt
3 ioyp 9/3 if . Y •S
Ground 3 — L /arX ff �/� �,�,., s�i� il S ,S' ,
el Y,e yr — s/ �f ,e �► �,� s . Y . s
Depth b � - J`L 7,
limiting
facto ,, 'l 7/ S �R `l'` �,w J5
Remarks:
I
Boring # 1 1 0-7 0 YX 313 nM -Fie et.
E, Z- /o vg / 5 // 2- F e
Ground 3 `�'y � s r,e y /S �►'► n►•l Uf�ie cw
elev.
i
Depth to =
limiting
factor it
Remarks:
Boring # 1 1 0-7 / /mf - — �01)/�•1 1 - fsh � 12 a- S t f i 15
!/ie 3/3
11-7_ Zs /o Y e 311�e' Si/ 11" yi • % fit cs f I S ; • G
Ground ' 3 S'-3 7's 2 X S/ f Jd� /IN { R
�GrJ Y s
7,S Tie y��e �S �� �S • 5 ` .4
3
Depth to i
limiting
faces
Remarks:
Boring # }
.... i I
i
Ground
elev.
R.
Depth to
limiting
factor
Remarks:
con 091fn /0 Ac MM
L.
i
_ 5 3 of 3
� LOT 5 �
M A ZI R Sv gD .
5 e,4 Z C
� . = /�3�c�ko�e p�•rs
w
3
76 03 S3 ' ED
woor)
A) E
y
2oao�
4
30'
' 11
13 5 E> : Top o 31 " AIV wAl/ z
el T A90, IF
/ao. FO �A ev,
QZ /40, 7 1/ For . TL>E C4v l O a � Sd
ye ti
13 ,a y' ° y
/hn ► U - t' Ie t � �-
(3 y l
07, 3 -
13s /0�,/,3g 100 T►2Eae.Gv y7,d
R X .
t
9
ST. CROIX COUNTY ZONING DEPARTMEN
AS BUILT SANITARY REPORT
RECEIVED rY.
Owner c SEP 3 Q 19gg
Address _ : 1�g : ST Cpax
City /State s' coUNTY �~
ZONINGOFFIM
Legal Description: Z'
Lot -S" Block Subdivision/CSM #
'/, '/. ,, Sec. �, TAN -RAW, Town of PIN #
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION
Tank manufacturer Size ST/PC Setback from: House Well P/1,
Pump manufacture_ r. Model
Alarm location
(HOLDING TANKS ONLY)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
SOIL ABSORPTION SYSTEM
Type of system: _ Width 1 �2_ Length Number of Trenches
Setback from: House �_ Well _.Z j 2 P2 �2>iL Vent to fresh air intake
ELEVATIONS
Description of benchmar ir /� s x; / ,�,ox Elevation 12w-n�_
Description of alternate benchmark Elevation z
Building Sewer ST/HT Inlet 9s' - ST Outlet 9s; PC Inlet
PC Bottom Header/Manifold 9 1/77 Top of ST/PC Manhole Cover J
Distribution Lines
Bottom of System () 9 73 () ( )
Final Grade O 9 7,
Date of installation - 2142ft . number 30770 State plan number
Plumber's signature ermit License number a2 50 2 Date 9///
Inspector - 2212
Complete plot plan
a
NOTICE Please provide the following:
• A plan view sketch showing everything within 100 feet of the system.
Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable.
PLAN VIEW
�Jill
i
3
INDICATE NO TH ARROW
Wisconsin Department of Commerce
Safety and Buildings bivision PRIVATE SEWAGE SYSTEM Count bT. CROIX
INSPECTION REPORT
GENERAL IN (ATTACH TO PERMIT) San itarj"Y12
Personal information ou rovice may be used for second p urposes [ Privacy L s.15.0
Y P Y rY P P [ Y 4 (1)(m)].
Permit
AXTELL �6ffif Rg e [] Town of: State Plan ID No.:
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel x-:1023-80-000
lid" TANK INFORMATION U 4iEVATION DATA A9800182
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic " , Benchmark r '
Dosing
aaa'
Aeration Bldg. Sewer �. b
Holding St/ Ht Inlet 133 q o 3G
TANK SETBACK INFORMATION St /Z Outlet _
TANKTO P/L WELL BLDG. Air to
i ntake ROAD Dt Inlet
Air
Septic y �� i ,dS ' NA Dt Bottom
Dosing NA Header / Man.
Aeration NA Dist. Pipe / a o
Holding Bot. System ?.QG U 3 13
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer errand �� v
Model Number GPM
TDH Lift Friction System TDH Ft
Forcemain Length Dia. Fi Dist. To Well
SOIL ABSORPTIO SYSTEM
BED/TRENCH W idth Length No. Of Trenches PIT No. Of Pits Inside Di;77 Liquid Depth
D IMENSIONS DIMENSION
SETBACK
SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION Type Of CHAMBER model Number:
System: 7 ( / ' 70 ' A OR UNIT
DISTRIBUTION SYSTEM
Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. Length Dia. Spacing
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 )- 4 ° ��'` Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: SOMERSET 9.31.19.119,SE,NW 432 RICE LAKE ROAD
i
V
Plan revision required? ❑ Yes d
Use other side for additional information. a
SBD -6710 (R.3/97) Date Inspe or's Signature Cert. No.
• a
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER: '
�`�- �o4a�cr✓� r
Safety and Buildings Division
SANITARY PERMIT APPLICATION 291 E. Washington Ave.
l t s� ons i a In accord with ILHR 83.05 Wis. Adm. Code P.O. Box 7969
Department of Commerce Madison, WI 53707 -7969
• Attach complete plans (to the county copy only) for the system, on paper not less County ,
than 8 1/2 x 11 inches in size.
• See reverse side for instructions for completing this application State sanitary Permit Number
The information you provide may be used by other government agency programs ❑ Chec If revision to previous application
[Privacy Law, s. 15.04 (1) (m)]. S 0__,yL-9__ State Plan I.D. Number
I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION
Propert r N e Property Location
1/4 A l i 1/4,5 17 T_T , N, R )4or
Prope y Own is ding Ad ress Lot Number Block Num r
Cit State Zip Code Phone Number Subdivision Nam or SM Number
L — ( > -e
II. TYPE OF B ILDING: (check one) ❑ State Owned it Near" Road
Public 1 or 2 Family Dwelling No of bedrooms Iow OF ¢
III. BUILDING USE (if building type is public, check all that apply) Parcel Tax Number s)
01R afoa- 50 -000
1 ❑ Apartment/ Condo — O 9.
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. W New 2. ❑ Replacement 3, ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
System System Tank Only System ________ Existing System
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 ZSeepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit 43 ❑ Vault Privy
14 ❑ System -In -Fill
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 /sq. ft.) (Min. /i ch) Elevation
�- ' Feet Feet
Ca acct
VII. TANK in allons Total # of Prefab. Site Fiber- Exper.
INFORMATION New Existin Gallons Tanks Manufacturers Name Concrete st acted Steel glass Plastic App
Tanksl Tanks
Septic Tank or Holding Tank —° " iff ❑ - ❑ ❑ I ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ I ❑ I ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for ins Ilation of the onsite sewage system shown on the attached plans.
Plumber' Nam . (Pr' t9 Plumber' Si at o St s) rP/MPRSW No.: Business Phone Number:
_
Plu ber's Ac dress (S t, C f y, State Z' Code):
tsCC rs 1
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sam ary Permit Fee (Includes Groundwater D ate Issued Iss ing Agent Signature (No Stamps)
XApproved E] Owner Given Initial Surcharge Fee)
Adverse Determination
X. CONDITIONS OF APPROVAL / REASONS FOR. DISAPPROVAL:
SBC14M (R.11/96) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber
L - -
INSTRUCTIONS
a
I- 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- 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.
II. 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 an(]
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) 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.
'Wisconsin Department of Commerce SOIL AND SITE EVALUATION
Division of Safety and Buildings Page of 3
Bureau of Integrated 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 must County )
include, but not limited to: vertical and horizontal reference point (BM), direction and ✓
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. #
e — —
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)).
Property 0 n r Property Location
/ Govt. Lot 1/4 1/4,S T ,N,R E (orb
Pr6pefty_0wner's7 Mailing Address Lot # Block Subd. Name r CSM
City State Zip Code Phone Number
❑ City ❑Village 9 Town Nearest Road.
New Construction Use: 1 Residential / Number of bedrooms Addition to existing building
Replacement Public or commercial - Describe:
Code derived daily flow gpd Recommended design loading rate ' bad, gpd/f? —1— trench, gpd /ft
Absorption area required _ bed, ft ft 2 Maximum design loading rate bed, gpd/ft ___ trench, gpd/ft
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design /site considerations n ��
Parent material J - > 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 J] S❑ U S❑ U � S ❑ U I [ZS O U I ❑ S M u I ❑ S 0 U
SOIL DESCRIPTION REPORT
Boris # Horizon Depth Dominant Color Mottles Structure GPD /ft
Boring Texture Consistence Boundary Roots
in. Munsell Qu. Sz. C nt. Color Gr. Sz. Sh. Bed , Trench
La
a / A)
Ground / Al
elev. `
imsft. - - 7 '
Depth to
limiting
factor
_in.
Remarks:
Boring #
7
, 2
Ground
elev.
Depth to
limiting
factor
ama in. Re arks:
CST Name (P ase P int) + Signature Telephone No.
Address fip � ' YO � 1 � Date CST Number
SOIL DESCRIPTION REPORT
PROPERTY OWNER — Page .0 � of
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
7 I A
s
I
Ground
elev.
--
I
Depth to
limiting
factor
Remarks:
Boring #
V 1A
k a
Ground
elev.
/eft.
Depth to
limiting
factor
Remarks:
Horizon Depth Dominant Color Mottles Structure GPD /ft
in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots
Bed ,Trench
Boring # —
Ground
elev.
Depth to
limiting
factor
Remarks:
Boring #
13 ,
Ground
elev.
ft.
Depth to
limiting
factor
' Remarks:
SBD -8330 (R. 07/96)
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I
Meiy- 05-- 9s__ COLDWELL BANKER VALLEY RE 715 246 7473 P.01
dal
881t1y
and &adinge In ecCafderroe wkh s. ILHR 83.09, Wis.
Attach oomplete We plan on paper not less than It 112 ■ I 1 "m in site. Plan mull County
Include, but trot NMW lo: vlftd end horizontal releenos point (9Mi, &*di rt ere! 5 C eo!' X
percent ek+pe; scale of dimeneMne, north arrow, and iocatkm and deterrce fo neersel road. Pncel I.D• #
APPLICANT INFORMATION • Please print an Informsllolr, riwred bV Dee
pagonN kdomaaon you Pwldr maybe wed for seeond" papoose IP*" Law.*.
P own Property LooN{ar
k6Ul,tJ r�LEI SCl7 � v�`R 0-1 Lot 5.,e 114,V&) v4,s 9 T 1 ,N,R
PropeAY0_fes ng ese Lot# Block# Subd.Nameor Bbl#
2 5 G 15 r A ae . S o , S 1 1 , if 70.e SugD , G-
8fate Zip cods Phone NumMr
SO SF •PAlJL A,J. 5507 5 (G /�3ys0 i2 &$d C'N villa �TOwn NeareelRwd
ApleAr PD. _j
0New ConeNudon U es; Ls7Reikleritie+ Number of lfedrOniM �o Addition (o eris#ng bulkk4
Cl Reploosmenf C]Pubito or cormnarciei . oseeiwe:
Ys . 0
Code derlwd r1a Itow S (�
\` ll �- #pd �!� �., Recommended design Ioad6v rate r bad, gpd#1 hmch, ado
Absorption arm requkad -_� ` bed. 11 bench fl a Merdmum design loading rate - ' 5' bed, gpdAf ' G trorrclr, gpdrlt
`i AscommendedlnlMOsNon surface eleveponfe) Sul ltimrefenedto oft plan benchroi)
t
AddlNonal dWrialle oonetdera#ons a d'r' 0y 4(-e s
Pared malnlal 1.=J G� fk� D.VAHr .rJi /� t /efy p � pteln elwadon, # appWcaWe
9 . SuWe 1a eys%," #anal N n t�rrreW Prestnue tar Byelem S
U llneuMable br system (t [] u lid 9 U c 9 [) U Mrs 11 U [] 9 Q �1 ❑ S (� D
SOIL DESCRIPTION REPORT
Boring # FH oeefh Dominant Cola wilts Texture Sinoapna Conslsfewe Boundary Roots
In. AWinsell OU. S:. Cont. Color at. Sx. Sh. tied GPDO
. T hinch
o /ay,e3 /3 1FfAf 2 { ,fhc 0— fe 1 5 ' f f S G
JG /o yt 5/G s' / sAe 4"-fe Cs /Uf S • slw Ground rrd - d 7_.S ✓� /b S/ /fJ�jf' &Vyr"o cza
Depth to _
2mlNrrp
lador
Remarks:
Boring # `
o g0 Yoe 3/ ZfR 'L /f �i • s
3 7 1YR !/ 5 F7 1 n/rYfli? C5 Y •
L L" - zs
Depth b ff
2mMng
recta IL
J.0 -11n. Remarks:
CST NamelPlasaefxelnry Srgnslwe '� - Telephone 4%
Jp Of3ER 7` 7•/6,6W 1 c' h7 E'OWi7� �G(i u 7 /5 3 tiles - P. , P5"'
Addrear Date CST Number Privale Sewage Consuaerte
Nadsoa, e40+e
clop
it
M -98 11:24A COLDWELL BANKER VALLEY RE 715 246 7473 P.02
/ROPERrYO1wNER FfE1S�,rfu�,�2 BOIL DESCRIPTION REPORT pop— d 3
/// S'u
Boring # fiorizon Depth Dominant Color MONO Texture Structure Con w1ce awdry Roots 93PDRt
In. Manses Ou. Sz, Cont. Cobr far. St, Sh. 9ed
/0 ix 3/3 /O hr's .•„fe 4 S t y .S
ie 3/g;� s� /. � , sdr • �,e as r ,f . s •c
Ground '1 5 �, sl 1f ,� • S
#actor „ 7.5 YR 11S 0 s cQ j " — • S , G
Remarks; — - - - - --
SorMg N - /'f - _
d- 7 IO N 313 10+x/'1 . � n, O S Y • S
Ron
�- 7- A /o il S 2 f 3 C n,, f e CS S. G
1 � All. 5 b S A 2 .8
�
hu:br or
' Remarks: —
6oring 0 - 1 mr 313 10 r 1 -tShe Wf k CIL
I � .z
3 S- 7,,f R Y1 s/ r f rltK 4"f
t2 Arm r s
�/ ?P D 7,s Y, yip
OepR b
J
Remarks:
Borkrg A
13
Drou,d
etev.
Ceplh b —
#miNnp
tachr
Remarks: --
een s��n.e ncnw
I
May -05 -98 11:25A GOLDWELL BANKER VALLEY RE 715 245 7473 P.03
Fo
• rs a.
• Mr4�o�' suBD
S,Ik�rs.
� I
,B ACKkoe PITS
1
W
'^-- 76' �3 � l.� ooDED
w 1 910 f-
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sir.- rop op 31y
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z • ° w W Sy ffl
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w a. h
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N 88-33'12"E 259.00'
J Z N 3 12'♦
Z w w Z V
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F w O N J' N
LL m J N w
Q W 1
Z
r w
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Z N8B °3312 "E 556.03'
I
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I - 122.18' 73.85' 85.00
275A0' U
4 ^ 281.03' T '
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R� O 4.25 ACRES INC. R/W O 4.27 ACRES INC. R/W O N
1 5.52 ACRES INC. R/W 185,921 S0. FT. N
to 185,061 SO. FT. N
CI 240,431 SO. FT. O w °
� 1 1 ES
0 3.89 ACRES EXC. R/W 8 MT
� 3.91 ACRES EXC. R/W Z
5.16 ACRES EXC. R/W s ESMT. w p 169,260 40. FT
170,500 S0. FT.
+( 224,783 SO. FT. o o ;n
N
o
O
N
33' 33'
0
BENCHMARK - MASONRY NAIL
SET CL OF ROAD OPPOSITE 3
POWER POLE. 33.00 N88°33'12 "E 836.05'
EL = 908.24 13'2 _ _ _ _ — ` 242. -
USGS DATUM 1929
275 2 38.00• -
N 291.00 .00' -
N _ -
_ r 269.05'
292.90' '^ � 275.02 —
N89 °11'15 ° E 836.97`
T— SOUTH LINE OF THE SE 1/4 OF THE NW 1/4 RICE LAKE ROAD
I
LO T 2 T�D L'�PJQ� c L Y I
Q. S.M.
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v IJ,CQ 4847
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TOWN BOARD RRSOLUTTON
Resolved, that the lat of TALLY AQ2SS in the ToNn of Somerset, Kevin
7 Pl i�schauer, er, is he approved by the Torn Board.
7_31 -qi
George S W lear, lbwn Chairman Date
I hereby certity that the foregoing is a copy of a resolution adopted
by the Hoard of the Ibm>a of Somerset.
1. 3 I �
ALICE Conwo" ZbWU CleXr Date
i
sun ar �sacassn )
p .
1, ALT" cowo". belay the mly elected, qualified awd actis/ Valve
Tmasuror of the lbws of Somerset , hereby certify that 1 r w- e- mr'Aar+rw
j T275 ?5530
STATE 8F,R OF WISCONSIN FORM It - 1982
5 F'i 321 �� LAND l and ACT
Co te
Individua and Co it
�) 1T0 BE USED FOR ALL TRANSAC1 01 W'HERf
DOCUMENT NO.
$ 27a �? U FINANCED AND IN OTHER NUN- CONSU *IER
ACT TRANSACTIONS) �I
RMSTER'S OFFICE
{j Contract, by a nd between Kevin C. Fleisehauer, a 1 ST. CROIX CO., WI
i married man, — ''; 11141111 for %0°d
( "Vendor'. '; NOV 0 7 1997
tel
A
Todd D. x ;
!i whether one or more) and To '1
1 :50 P M
_ ( "Purchaser whether one or more). ! ��
Vendor sells and agrees to convey to Purchaser, upon the prorapt and full performance ' R leis of 04eds
of this contract by Purchaser, the following property, together with the rents, profits,
1 fixtures and other appurtenant interests (al! called the - Property "). in !j
St CrQ1X County, 5< ' of Wisconsin:
THIS SPACE RESERVED FOR RECOF!DtNG DA
Wits 4 and 5, Plat of Wily Acres in the Town `NAME AND RETURN ADDR
of Somerset, St. Croix County, Wisconsin. KRISTINA OGLAND
Z%, Estreen do O,gland
P.O. 80, 359
i Tludson, WI 540'6
Park o - —
032- 1 023 -50; 032 - 102 -8
AARCK 16EN FFiCATZN NUMBER
'
$ A�SFER
i
F
This is not homestead pieperty-
X3W (is noel
Purchaser agrees to purchase the Propeny and to pay to Vendor at place Vendor directs
the sum of Y 56,000 00 in the following manner: (a) S 2,000.00
at the execution Ur this Contract, and (b) the balance of $ 5 4,000-00 , together with interest from date
hereof on dhe balance outstanding frc T time to time at the rate of 8% percent per annum until paid in fu'i, as follows.
Commencing November 20, 1997 and on the 20th day of each and every month thereafter,
equal monthly installments of principal and interest in the amount of $1,000.00.
Vendor agrees that Vendee wall make the first four monthly payments and $277.00
of the fifth monthly payment directly to C. B. Valley Real Estate for payment of
deferred commission owed by Vendor.
In addition to the regular mmnthly payment on January 20, 1998, Purchaser shall make
an additional $2,000.00 principal payment.
Prrn-ided, however, the entire ouistandi..gbalance shall be pa.d in (till on or befr., the _20th — day of AbUil
PQQQ (the maturity date).
Following any default in payment, interest shall accrue at the rate of — 91 - -% per annum on the entire amount in default (which shall
include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance).
iihirchaser, 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 app; payments to these
obhgatims when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be dep, into an escrow
fund or trustee account, but shall not bear interest unless otherwise required by law.
Paonents shall he 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 nm
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 n 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 mon*, ly payments hall be
continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrorn
Purchaser states that Purchaser is satisfied with the title as shown by the title evidence subnt;tted to Purchaser for examination except:
none.
Purhaser agrees to pay the cost of f,Ture ntle evidence if iitle evidence is in t foirn of an a- suact, it shall be retained by Vendor until
the "Lill par_hase price is pail!
1'urJi shall be emiilcd to take possession of the Property on _ da+y--Qf_ ___.,, 1
Car —
STATE BAR OfV�iSCONS', _.. w sco— ,egN R1,* co, IM
Li N'1 C.O \TRACT - Ind .idu,t and Carp,,tate Eu :rr No. It - 1992
poi 1275PAc;5�ff
Purchaser promises m pay when due all taxes and assessments levied on the Property or upon Vendor's interest in it and to deliver to Vendor
on demand receipts showing such payment.
Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, extended coveraW peals
and such other hazards as Vendor may require, without co- insurance, through insurers approved by Vendor, in the sum Df S N/A I
but Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay [!r insurance premium
when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the
original of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies
and Vendor. Unless Purchaser and Vendor otherwise a;; -te in writing, insurance proceeds shall be applied o restoration or repair of the Property
datraged, provided the Vendor deems the restoration or repair to be economically feasible. i
Purchaser covenants not to commit waste nor allow waste to be commatcd on the Property, to keep the Property in good tenantable l
conk Lion and repair, to keep the Property free from liem superior to the lien of [his Contract, and to comply with Al laws, ordinances and
regulations affecting the P-operty.
Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditr_ins shall be fully performed
at the times and in the manner above specified,Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of
the Property, free and - !ear of all hens and encumbrances, except any heirs of encumbrances created by the act or default of Purchaser, and except
Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interes which continues for
a period of _ 30 — days following the specified due date or (b) to the event of a default in performance of any other obligation t Purchaser which
continues for a period of 30 days following rotten notice thereof by Vendor (delivered personally or mailed by certified nnil then the entire
outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and without rxxice (which Purchaser
herei v waives), and Vendor shali also have the following rights and remedies (subject to any limitations provided by law) in addition to those
provided by law or in equity: (i) Vendor may, at his opden, terminate this Contract and Purchaser's rights, title and interest in the Property and
reco%zc the Property back through strict foreclosure wlth any equity of r:demption to be conditioned upon Purchaser's full payment of the entire
outs :ndmg balance, with interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder (in which
event all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract nr.d as rental for the
Property if Purchaser fails to redeem), or (ii) Vendor may sue fur specific performance of this Contract to compel immediate an <l full ra,ment on
the entire outstanding balance, with interest thereon at the :ate in eifc .t on the date of default and other amounts due hereunder, in which event 5
t,.e Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency or (iii) Vendor may sue at law for the entire unpaid
purchase price or any portion thereof; or (iv) Vend, may declare this Contract at an end and remove this Contract as a cloud on title in a quiet-
title action if the equitable interest of Purchaser is insiga ficant and W Vendor may have Purchaser ejected from possession of the Property any
have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (u) or (n•) above Notwithstanding
any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be binding upon Vendor .. and whr .r
pursued in litigation art; Al costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether
abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser. as incurred, I
and shall be included in any judgment.
Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appomtment to
a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendency of such action
and such rents, issues, and profits when sit collected shall be held and applied as the court sha,. direct. {
Purchaser shall not transfer, sell or corivfy any 1 gal or equitable interest in the Property (by assignment of any of Purchver's rights under
this Contr .cr or by option, long-tem. lease or in any other way) without the prior written consent of Vendor unless either the outstanding balance
payable under this Contract �s f.r ;t paid n dull or the interest conveyed is a pledge or assignment of Purchasers interest under this Contract solely
as security for an indebtedness ., Purchaser. In the event of any such transfer, sale or conveyance without Vendor's writte•i _orsent, the entire
outstanding balance payable under th s contract shall become imtniciately due and payable in full, at Vendor's option notice.
Vendor shall make all f „; merits w'--n due under any mortgage outstanding against the Property on the date o; this Con ra (except for any
mortgage granted by Purchaser) or under -my note secured thereby, provided Purchaser makes timely paymeni of the amount then due under this
Contract Purchaser may make sac h Nayraents directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be
considered payments made on this Contract.
Vendor may waive any default without waiving ocher subsequent or prior default of Purchase.
All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor
and Purchaser. (If not an owner of the property the spouse of Vendor for a valuable consideration;oins h,-rein to release horr,estead rights in the
subject Property and agrees to join in :` : execution of the deed to be made in fulfillment hereof.)
Dated this day of C ^ -.Ober 19 97
fp
— (SEAL) (SEAL)
Kevin C. Fleisch ua er Todd D.'Axtell
(SEAL) — _ (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
a Kevi C. Fleischau State of Wisconsin,
St ture(s) _ ,
� >s
Todd D. Ax - - - -- , county 1
authemicated this ? 0 �L - day of October _, t 97 Personally came before me this _ day of
(�� —_— -�— -- — _ —• 19- -, the above named
----------------------
K ris tin Ogl
TITLE: MEMBER STATE &4R OF WISCONSIN
(if not, — _ - - - - - -- --
authorized by §706 t6, Wis Stats to me k:. wn to }x the person __ __ who executed the foregoing
tn,trunient and a knukledgr the cci ^u.
THIS!NSIRUMENI Y /AS CRACTE: BY
_Att Kristin-a_Oglan
--- - - - - -- ------- - - - - -- ---- - --- -- - - - -- -
�ttQril� Notary Public. - ----------- -_ -- -- _ _ County, VVts.
(Signa'ures may be aut�ienn..;ted or acknowledged Both are not M} is pemlanet:t (It not, :;ate expiration date
necessa
- Na T. I
t AND CONTRACT rid Corporate - st to fl.ir of Vwis,on,in. Form No. 11 - 196:
I
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
t _ - ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
M�M�(
Hudson, WI 54016 -7710
(715) 386 -4680
August 5, 1998
Hartman Homes
Attn: Becky
Somerset, WI 54025
RE: Septic Inspection for Todd Axtell located at 432 Rice Lake Road, Lot 5
of Lolly Acres, Town of Somereet, St. Croix County, Wisconsin
Dear Becky:
A septic inspection of the above referenced property was conducted on July 22, 1998. This
property is located in the SE Y4 of the NW of Section 9, T31 N -R1 9W, Lot 5 of Lolly Acres,
Town of Somerset, 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.
Sincerely,
Mary J. Jenkins
Assistant Zoning Administrator
/sm
r .
ST C i<:' OIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP C} RTIFICATION FORM
Owner/Buyer �AIJ 7-n- �
Mailing Address 0 4 �� We-s A / VA) 6WA144
Property Address
(Verification required from Planning Department for new construction) r�?°
City /State J0/xE95E W-7 / Z: Parcel Identification Number
LE GAL DESCR
Property Location �, '/4, -4 --'/4, Sec. , Tf,/ N -Ra_W, Town of s ,moo <i_
Subdivision J , , Lot #
Certified Survey Map # _, Volume , Page #
Warranty Deed # Volume , Page # , •
Spef house ❑ yes Kno l-ot lines identifiable X yes ❑ no
SYS " EM MAINTENANCE
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 fril of sludge.
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
d -ys of t e three year ex . ation date.
W'
GNATUR APPLICANT DATE
OWNE CERTIFICATION
I (we) certify that statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the property describe by virtue of a warranty deed recorded in Register of Deeds Office.
STGNA OF APPLICANT 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