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032-2095-20-050
Wisconsin Department of Commerce County: PRIVATE SEWAGE SYSTEM St. C roix Safa±y and Building Division _ INSPECTION REPORT sanitary Permit No: 488262 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for seoondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Parent, Steve SArnerset, To n of 032- 2095 -20 -050 CST BM Elev: Insp. Elev: BM Des Section/Town /Range /Map No: g = JOY 656 _ 1 10? J,�- - 6 u``• 23.31.19.926A10 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic .� BenClAiz 'a I? 3 7 mo. - ��0 Dosing /�, ) Y v Alt BM 1 / V � jJ' � ti , Yl f � jy Aeration Bldg. Sewer . Z� L Hol In St/Ht Inlet ,� �� 5 ca[. � St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Inta ROAD Dt Inlet Septic , V` Dt BQpL I Ail (I 9 6. 31 Dosing H eade r /Man. A n Dist. Pipe / Holding , � J# Bot. System I � PUMP /SIPHON INFORMATION Final Grad � � t^c�,tft. M anufact urer Demand Srdover P Q /b 7 Model Num ber Dt ( 2 6 , u�I L TDH Li Friction L ss System H TD ! t W -7 Forcemain Len % 4 Dia. �� Dist. to well SOIL ABSORPTION SYSTEM 2 2 4 44 :— BEDiTRENCH Width Length i No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS Or XX SETBACK SYSTEM TO P/L JBLD E KE /STREAM tHAMBER HING Manufacturer INFORMATION T f System: j I Model Number. C, PfST�I IBUTION SYSTEM #1 (� S Q fD Ghic2a� Head anifold Distribution x Hole Size x Hole Spacing Vent to Air Intake c �! Pipe(s) '? Length Dia Length Dia Spacin 7 ,J 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 / 0,> Yes 0 No � Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / I / Inspection #2: Location: 2013 60th Street Somerset, WI 54025 (SW 1/4 SW 1/4 23 T31 N R1 9W) NA Lot-2 �� Parcel No: 23.31.19.926A10 1.) Alt BM Description = f�-P-P � � — IV F , � VAA PW+ Zj 2.) Bldg sewer length = ?.); / _, ��5 - amount of cover = / ��` Y J � C/yyt trY,' Plan revision Required? Yes M / / Use other side for additional information. �/ SBD -6710 (R.3/97) Date Insepctor's Sig ture Cart. No. ,fir c/� ,� �"�.,.� � ��� .Z ���� .f'�1.�� .✓S "� !� p 0 Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 .x isconsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 Bli Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information rovi may be used for secondary purposes Privacy Law, s15.04(1)(rr) I Project Address (it different than mailing address) I. Application Information - Please Print All Information o2 0 13 Property Owner's Na me REGEI Parcel # of B lock 1!� >° Property Owner's M ailing Address Property Locat o ST. CROIX COUNTY t ��W �k Saction 2� CitY. State Zip Code Phone Number (circle o ) II. Type of Building (check all that apply) T -T T •3i N; R_E or& P 1 or 2 Family Dwelling - Number of Bedrooms �—(/� Subdivision, I�l� y CSM Number ❑ Public /Commercial - Describe Use ❑ State Owned - Describe Use _� ❑City _ ❑Village Lbownship of � - 111. Type of Permit: (Check only one box on line A. Complete line B if applica -�- - -- A. f New System ❑ Replacement System U Treatment/Holding Tank Replacement Only T G Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner { IV. Type of POWTS System (Check all that apply) on - Pressurized In- Ground ❑ Mound > 24 in, of suitable soil ❑ Mound < 24 in. of suitable soil U At- Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment unit ❑ Recirculating Sand Filter ❑ Recirculating Synthe Media Filter gLeaching hamber ❑ Drip Line ❑ Gravel -less Pipe Other (e plain) V. Dispers /Treatme Area Informati Design Flow (gpd) Design Soil Application Rate(gpdsW Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Irlevation VI. Tank Info Capacity in 'Total Number Manufacturer Prefab Site Steel Fiber Plastic _ Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank A" _{ j - U 1 Aerobic Treatment Unit h Dosing Chamber ry VII Res ponsibility State ment - I , the undersigned, assume responsibility for in Ration of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si gnature VMPRS Number Business Phone Number I f Plumber's Addre ss (Street, City, State, Zip Code) i I .mac U I VII Lu nt /De artment Use Only T- - pproved ❑ Disapproved Sanitary Permit Fee ('ncludes Gro Date Issued I ing Agent Signa a (No ta s) f Surcharge Fee) A Y4& D / ���s ❑ Owner Given Reason for Denial l vy h IX. YSTEMoUW�1ERproval /Reasons for Disapproval rB 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. (� l 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 8112 x it inches in size cur�_�'taQ ru m !fl'2� :ts�_9 !fir W ° -E �Jr v e, td SEPTIC TANK 6 PUMP �:HAMBEK C; P$ SECTTON AND SPECIFICATIONQ i 4" 'Cl PIPE 12" MIN. ABOVE GRADE WEATHERPROOF ? 25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER W/ PADLOCK E FINISHED GRADE WARNING LABEL 4" Cl RISER 4" MIN. 6 " MAX. 18" IN. ;. •1 t T h I t i�:£T \ GAS- , ` WATER TIGHT SEALS t 'TIGHT /APPROVED A SEAL JOINTS WITH PPROVEO —i— ALM APPROVED PIPE 'IPE 3' B `ON 3 ONTO V0 SOLID ' SOLID SOIL ;OIL PUMP OFF ELEV . FT • -- - OFF h* RISER EXIT D PERMITTED ONLY IF TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD T ONS SPE IFICA ' 4. SEPTIC / DOSE NUMBER DOSES PER DAY: E/ TANK MANUFACTURER: TANK SIZES SEPTIC 1' 4 50 4AL. 'DOSE VOLUME INCLUDING DOSE ,,, bd GAL. FLOWBACK: 9 r GAL. ALARM MANUFACTURER. to <r _ aS tr C A = INCHES a `7 d„ GAL. MODEL NUMBER: p t.Y_ SWITCH TYPE: _ tie, c B 2 .INCHES = '4,1 GAT- PUMP MANUFACTURER: GrQ ,. C = O INCHES = �% GAL. MODEL NUMBER: p to SWITCH TYPE: �ne�t_ D = INCHES = GAL. REQUIRED DISCHARGE RATE y GPM PUMP 8 ALARM WIRING AS PER ILHR 16. 23' WA v ERTICAL DIFFERENCE BETWEEN PUMP OF F AND DISTRIBUTION PIPE �a - FE 4f MINIMUM NETWORK SUPPLY PRESSURE . . . 2.5 FEET + FEET F O R CEMAIN X . ,.46 /100 FT. FRICTION FACTOR . 7 FEET r TO DYNAMIC HEAD = - ,�� - r £ET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ✓ ; WIDTH D&AME:.ER LIQU VMli : f " &A p e.2 i u SIGNED: '�%,- z� --_._ LICENSE NUMBER: a.'T Qq DATE 1/88 HGOULDS PUMPS Submersible Effluent Pump rr 3871 EPO4 EP05 APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: heat transfer. ■ Casing and Base: Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion • Farms manual operation. Auto- resistance. 41 cdf0dianSundankAssociation • Heavy duty sump matic models include s Motor Housing: Cast iron (CSA listed model numbers end • Water transfer Mechanical Float Switch in "F" or "C ".} • Dewatering assembled and preset at the for efficient heat transfer, factory. strength, and durability. SP ECIFICATIONS ■ Motor Cover: Thermoplastic Goulds Pumps is ISO 9W1 llegistered. FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. ' /<" maximum. ■ EPO4 Impeller: Thermoplas- 0 Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: V /s" NPT. seal protection. • Mechanical seal: carbon- rotary /ceramic- stationary, BONA -N elastomers. • Temperature: 104OF (40°C) continuous METERS FEET 140OF (60°C }intermittent. • Fasteners: 300 series to stainless steel. 9 30 �. *23 f • Capable of running dry without damage to 8 Fr components. 25` a 7 f _ Motor: v 6 209 • EPO4 Single phase: 0.4 HP, — 115 or 230 V, 60 Hz, 1550 s RPM, built in overload with automatic reset. 4 . ._ ', .. .. EPOS • EP05 Single phase: 0.5 HP, O R 115 V, 60 Hz, 1550 RPM, 10 built in overload with _ _... `, ... EPO4 ._. automatic reset. z • Power cord: 10 foot 5 standard length, 16/3 1 SITOW with three prong grounding plug. Optional 20 0 0 0 10 20 3o ao so GPM foot length, 16/3 S1TW with three prong grounding plug `- ` s 1 6 8 10 0 2 4 12 m' /h (standard on EP05 ). CAPACITY Goulds Pumps a 20 Goulds Pumps ITT Industries Effective February, 2000 03871 1 Wisconsin Department of Commerce S REPORT page of Division of Safety and Buildings in acxo ncedm. ode c... County Attach complete site plan on paper not less than 1/2 x 11 inches in size. Plan must, include, but not limited to: vertical and horizontal rence point (BM), direction and ", Parcel I.D. percent slope, scale or dimensions, north arrow, a d locaoorlInd distsn( *14 earesAroad. Please print all f rmatfon. Re Date Personal Information you provide may be used for secon ary pur 5.04 (1) m)). I 9 Property Owner roperty Location Govt o> s j 1/45 114 N R (oQW Property Owner's Wiling Blo # Subd. Name � v�4 City State Zip Code Phone Number ay ❑ Village Town Nearest Roa New Construction Use: ❑ Residential / Number of bedrooms • - Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material _�i>� Flood Plain elevation if applicable ft._ General comments and recommendations: r ! Boring # [:] Boring t / i 14 Pit Ground surface elev. ft. Depth to limiting facto 116 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Efr#1 I "Eff#2 } Al 1Z q 4 � 4 4 1J 1 Boring # Boring Pit Ground surface elev. // .5"S� Depth to limiting factor >z2 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f>? f in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. r `Efr#1 "Eff#2 / tr 7 / S R Q 4 * Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Na lease \ , Signature CST Number S � Address Date Evaluation Conducted Telephone Number i Property Owner Parcel ID # Page of a Boring #❑ Boring 7I pit Ground surface elev. A R, S�5' ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 t g 7 n o a 4 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 I 'Eff#2 a Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 •EtT#2 " Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608- 264 -8777. SBD -8330 OL07 /00) 8 70,73 llb 9 IJ s'y8, sq ft „�, ��=�� /•%rte / —�a�'� i�ov /} - s�rrx -�,�.� ` �af 411&5 1 t G ` "• • Y �9 111 •e� :� � J! /� {M!�'� � • :' .rte �'� /%' ��/ ' j�i�� !�� 1 �� • ILI I W O Ok lit 011111110 WMAN - �,.�,,,,,,..�•�.a1•ue:�' .�.i �..,lal►1 —° •• .i-� �IM�IArl.ii�lii�i %.��� •r/ J Y w.�w r.. R � �.+ �' WMIAW CERTIFIED SURVEY MAP LOCATED IN PART OF THE SWI /4 OF THE SW1 /4 OF SECTION 23, T31N, R19W, TOWN OF SOMERSET, ST. CROIX COUNTY, VASCONSIN. BEING PART OF LOT 2 OF THE PLAT OF SERENITY. W1 /4 COR. SURVEYOR: PREPARED FOR:. SEC. 23 DOUGLAS J. ZAHLER STEVE & PATRICA PARENT S & N LAND SURVEVNG, INC. 2015 607H STREET 2920 ENLOE STREET SOMERSET, WI 54025 HUDSON, WI 54016 LOT 3 PLAT OF SERENITY --------- - - - - -- (R =S88 5V18 "E) I S88454'01 "E 808.64' q I r I LOT I �'•'� 4.367 ACRES 0% i J 6 6 I� (190,234 S11 FT.) 4.37 ACRES 10 N iD i O I (.% CONTIGUOUS WELL g n I I BUILDABLE AREA d i l ;� i DR�VEWAY '. rINING ECK N d T I N � w � OOj I cn I SEPTIC_, Vt o ro I � VENT C Q SEPTI 1 WALL (A y $ z S87'S6 -4 IIO ,r x g _ •29'w 334L11 1 3. °- ro N (230,344 A CRES .) S88o 8'57"E 1 4 10 j —1 -- a, 5.09 ACRES 1 1 �0 i d 14 i� CONTIGUOUS I C O BUILDABLE AREA I O LOT Z ` z 1 r 1 1 0 N I 3.215 ACRES 8 I I r : (140,051 SO. FT.) 9. y i �' 3.22 ACRES �.• CONTIGUOUS 3�• q.,�` ro BUILDABLE AREA " w i ts r oll * i 1% LOT 4 = " �_= c o 'Pin ' f 5.162 ACRES N w ► 'dt W 338.17 k (224.861 FT.) cn c (R =N8.9'13'16"W) #.90 A RES s s I ' I ' LOT 3 C.S.M. IN Ng 8 ��A �- I VOL. PG. 2772 N w IO �IVEV AY' - -- o). LEGEND vtcNil o ( y CITY SECTION rn v I I t CORNER MONUMENT R =N89'13'16" • FOUND 1' OUTSIDE N8D'13'59.''W .46,82 I DIAMETER IRON PIPE Z x �,, m I y 3 8 Z N to SET 1" OUTSIDE DIAMETER LOT 2 C.S.M. IN N d 8 ' 0 BY lar LONG IRON PIPE. V OL. LINEAR FooT " 3 u><s. PER _ IO PO -2'137 � � g ROADWAY SETBACK SCALE IN FEET 1 151Y > S I _ rn rn I .... • . LINE (100' FROM A x 4 � A t4 RIGHT- OF -WAI) 150 0 150 is 9 - SOUTH LINE OF 346' THE SWI /4 (R =S89'54'39 "W) ADJA DRIVE j :jAgt:% r I Cm S88"35 T 22"E L4 I _ . V _. � - SEC. 23 UN � - A V i _ i(R =S89 "YI / °= ------ - - - - -- - N 9" 62ND 80.01' THIS INSTRUMENT DRAFTED BY. WIWAM KANE Mgp JOB NO. 6492 -01 DATE 02/17/2005 REVISED: 03/10/2005 SHEET 1 OF 2 SHEETS LOCATED IN PART OF THE SWI/4 OF THE SW 1/4 AND PART 0, THE NY! I/4 OF THE SW I/4 OF SECTION 23, T31N, R19W, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN. Bxu Bach parcel shown on this map (plat) is No j snbject•to State, Countyq and Township disc laws, rules and regulations (i.e., via: wetlands, minimum lot sirs, access to lira parcel, etc.). Before purchasing or The developing any parcel contact the St. ��� 1 any, Croix County Zoning Office and of 1 appropriate Town Board for advice. Q.1.V. Bas, the Z t pub S88.5 "E 409 41` ser W114 CORNER OF SECTION 23 LOT 4 LOT 3_ ; 5.00 AIRES .............. 217.802 SO. FT. M k?, PG 27'33 $ PaKEL.. Hi a $ n VOL 762. PG 231 S8W53`18"E 433.01' Z n . IL 33.Ot 400.00' 1 ;NW531E W 400.00 Nss '4 M ,f I /D VL1 3V 3V C7k I LOT 3 7.01 ACRES R 305.416 SO. FT. 1' �O 1 N I � N W 1 v 1 ` N 9 SSW53 18 E 808.64 i-i tD I li.p N � 1 ON . Pr3�E4. s 011 o v �'S Vt�L.10 5,PG?25 i 2 , 1 I I 4 J( LOT 2 � CY I 22.03 ACRES a �14 " E 49 ` 1 2.49 329.80 959,793 SO. FT. s s• ; �,l � Z p I a W W N N a vJ S JV 3 u ► C I W I w 1 33.00'' •,. 338.17" / 2 I N89 371.17' I - 89 "13 "16 "E 414.52' LQ1 °� "772 " LOT I Y2 8 ( �!'j. �4 2,0 ° 4.0 2 � I N89 "W 46967' v s l� a+ I LQ1 Z 4.1E ACRE 04 162.046 SC 1 I I M-10. M £737 a .ter s STANDARD C8,4MRFR Oulck4 Standard Chamber (EFFECTIVE LENGTH) j I 8" 34, .. -- __ . _ _ $,OF VIEW SECTION VIEW I MultiPort End Cap T- 12 � - - SIDE VIEW TOP VIEW FRONT VIEW vx �, 1;; ?•<5, rL3P a „y Y .' ?: , : j m rf �, M{St411 ' �.SQ�I dCIt Cat1011= 3 Qnlc S Ciwt►ec On " A' itominat S ae� ifi catio Siz ;w x x H __ ___� 34" x 5 x 12• size IN x L NjM _ �3 x t6" x tz° d8" Inv fie �Aht 8' or 1.25" Effective L ength— �. - ,nven Height 8" ►N__F14- .IR�Ii)L� �' C$ I. �I. �. ��',..$TA��R�R._�.���2..�A��A�( 1 r n l.; .: r:�.., ..I n,! n, *l.w ur u �'dn. wenca' ant, n'M+ reseNrr npn vr.. tr. by U 11 el .r "iLtu i vlrt ' • R I V w�l vs. ., t7 v ,r r rit sY_ IM' Ir. 1^ ^ ^n.: ,. ,rYr ✓Mt nla naln rluna, < w s r+f ;tr r Iq+ al yulJ ' �cro 1 ! a 1 i :.� ,yl. „r te' N � MN M,rR,re; Ope Y,Bi t N slWl n., t d 6dAh#'? !:r n 4.t `•Yth r l�iR , r711 1 n' 1M aMN . 1 yq. W n?Y"'�' • . 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GI epbG Park FioKC� Saybrook, Cl C c • E'.O, E3ox d i 69 t M n tNl! 1 e YJ � i r5atarWs, ;Mr:,Mrl costa o otra ��� sa � i iWV ME'{ la ^er�� �d maregB SlMdMi+aQltO +n 11+t6 Did ay : � a Ix! .G 13b 1r8N1C Or rifler wln'I 0�,3 he,' ,`M G rre nO wr l 1 �i onn!��r:n rait�.v� gUSt11 a f%rwx a mt ,Gye nt>s,al rn .x FAX 860 ` ! n ni nu p:cu • R eat !Mr T' a Inhislh11c1> i5,dlrtiealaM W "rlm9 ^+ M r+'i .!h .JI d [,!a wfna so t IGr,r n ih�e , mllx: 7 -7d00 • FAX 860 �r , a,(• !c .r+uxoikr r)fllrlp of un,rn �'!'ng' e'r` CSaw+ we1R ,»aA . ahnn Y Ie wu °�"" `'S'! yH1 r1K row ymted Oar ydy s o+ Us .(, Eno N r4r 18da r a *now (a �? l n �1; SW221 -4436 r n J Jy r InaR raudw!a.•. h v^+F a to tht. iacrnn n , oohs. a a^! I h�e Z m Oe +!r+ uom�r n 1 -u ma.. -:ern d at M�al'aar ue rs€,Ixnside fx arry !rac m Ram Nr N,K �nmxd v3ronly a wt ,.1 b� t ,'17 day .(Ri UI'sniV C'aIr.1F C} Mulder O: rT,>- }nrr, „d '1 Fo ! t IdX!'Tf Fta,G W' arc lc,U7 GDdBS;: W. 010' IWO,a..rAM bMS rAtd!roiaraµx'p IoytydWon iny,rUXpM. wu y. SftA :.a1Gl' 3Ir. 'xl a fn Wana'.q wV0 kl env Wa'• ar rr Ihrn r�+a rrla N> �. d n d,: »Xar rls ITN dtAYda7 W cRi+tp or extend Ins lnnaM Wa�rp 4 I e,Ma'r rA1m:N:l hml: 'r:,dlalu :va;ralll'd rdglrUO• 1 Y r ".111 I1H .'Ant}s ` Urt.IFl,rgwr,ly:�!!� rY a,I, A IiTyW ru ,hR+ r:l elEflt,a yxl 1 1 eorRM.l INNlrobri J GoIVb'ats nrngpuaw +,: ntr f lvunn>•e unrxra,lu. Isla w sod: i,,,lcnuan. to doer a Jl 0 r.,t n is ' +r fl(II to the T . tk' , rlas: era. Nw ,x x4 yt ear N1N � ° wW Y o aolVr , I Ira apnseaL'e waerahb, r, t1.;1'`F ,t,5,b0 .518 "I, 5,5E , ,671 ,,.rt6, t),0 sgr{uR iM AlCYCI [O �A�+a 5.aa KI " 9, ll Ilk"' .wy,plati, r.nr - '1Ow. Ofno , s l Datar,;ti pending. A 4C�, (;�u;KCUtr IIJM' 4, r tr8c,wr^ at InfAre,o+ u:lp,*j M, t9�J�t:lr"k. C Ir:Y10td'� oa R�,. t,l;k. ,,Sarnk +txSDace , Pots. 1. k . r , a +� r ,:ww , r•�ler are rr9rs-,a art h tNn+ „wiiW' N tt. r�:r. ry n,9 � . � F , ' I aN } 1v (� 4 . �. u�lsrrwl ha!h,�'ld'K rn b4a1(io. lAnldLlr, �sC)!FIOlaTr3nrVth In1Yb 3FM .fitdGNfd JI u,. A ir, * pt U SA ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwneriAuyer Mailing Address Property Address __ __- - _ - - -- - ---- -- _ (Verification required from t►i ng &Zoning Dena rtm t for new cnstruction.) City /State �0 Yn� Marcel Identification Number 03a jo - OS� LEGAL, DESCRIPTIOZi Property Location tip , .S '/, , Sec. �� , T 3 1 N R / �', Town of, �a�r.su� Subdivision , Lot # �- Certified Survey Map # , Page # y,3 3G' ( �/qo Warranty need # ��� `�� Valtime _ o �—_, Page # _. Spec house oe iio Lot lines identifiable 6�0 no SYSTEM M AINTENANCE AND OWNER CE&TIFZCATIQN - rrr ri�wio.r�� 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 to the waste disposal system. Owner maintenance responsibilities are specified in § Coutm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St, Croix County Planning & 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 inspc;:tiors and pumping; (if necessary), the septic tank is less than 113 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 Corrunerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be conTleted and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. 1/\\,e certify that all statements on this form are true to the best of my /our knowledge. liwe ani/are the owner(s) of the property described above, by virtue of a warrtnty deed recorded in Register of Deeds Office. Number of bedrooms SIGNATURE OF PLICA T(S) DATE ""any information that is misrepresented may result in the sanitary permit being revolved by the Plannng; & Zoning Department. � ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (itEV. 08 /OS) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page �_ of y FILE INFORMATION L - SYSTEM SPEC111FICATIONS Owner -: Septic Tank Capacity d al ❑ NA Permit # Septic Tank Manufacturer W r � ❑ NA DESIGN PARAMETERS Effluent Filt Manufacturer Zab Ve_ ❑ NA Number of Bedrooms � NA Effluen Filte Mo 11 0 O NA Number of Public Facility Units ❑ NA Pump Tank Capacity O C) C) ❑ NA Estimated flow (average) al /day Pump Tank Manufac ❑ NA Design flow (peak), (Estimated x 1.5) O O gal/day Pump Manufacturer G O VI, ❑ NA Soil Application Rate � , �] al /da lft2 Pump Model NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit T NA Fats, Oil & Grease (FOG) s30 mg /l. ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (80D,! ! :5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Soli (TSS) :5150 mg /L ❑ Disinfection U Other: Pretreated Effluent Quality Monthly average Dispersal Cellls) D NA Biochemical Oxygen Demand {BOD s mg /L In 30 - Ground (gravity) O In- Ground (pressurized) Total Suspended Solids (TSS) s30 mg /L NA © At -Grade ❑ Mound Fec Coliform (geom etric mean) 510" cfu?1 00ml - ❑ Drip -Line ❑ Other: Maximum E ffluent Particle Size Ye in dia. ❑ NA Other: O NA Other: � DNA Other;.. — .-- Q NA *Values typical for domestic wastewater and septic tank effluent Other; Q NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tanks) At least once ever months! _ y ' 13 Ill ye (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume D NA Inspect dispersal cell(s) At least once every: 0 month( X ye ar(s) ( Maximum 3 years) O NA Clean effluent filter At least once every; ij D month(sl it earls) O NA Inspect pump, pump controls & alarm _A east ! t once every: ,.�, ❑ month(s) -�� [3 NA _ ❑ year(s) Flush laterals and pressure test At least once every: ..-,_ D month(s) M ❑ NA ❑ yearls) Other At least once every: — 0 monthls) �- ❑ NA o yearls) Other: `-^ O NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator, Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. 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CROIX COUNTY, WISCONSIN / Application # Permit # Permit Type 4: `— ��1/ Owner(s): O = Current Owner, C = Current Co -Owner O - PARENT, STEVEN A G Property Address(es): * = Primary C TH 2013 60 T S Plat: 4973 -CSM 19 -4973 032 -05 Block/Condo Bldg: LOT 02 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 23 -31 N-1 9W Parcel History: Date Doc # Vol /Page Type 08/23/2005 804285 2873/309 QC 07/14/2005 800252 2842/572 WD 04/25/2005 5 6- 9 � S I 07/07/1998 582429 1337/583 ( aPL 2006 SUMMARY Bill #: Fair Market Value: 0 Valuations Last Changed: 07/05/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.288 59,400 0 59,400 NO Totals for 2006: General Property 5.288 59,400 0 59,400 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 032 - 2095 -20 -025 07/06/2006 09:42 AM PAGE 1 OF 1 Alt. Parcel #: 23.31.19.926A 032 - TOWN OF SOMERSET Current Ik ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 04/25/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner KEVIN J & AMANDA L PLANTENBERG O - PLANTENBERG, KEVIN J & AMANDA L 2013 60TH ST SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 2015 60TH ST SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 4.370 Plat: 4973 -CSM 19 -4973 032 -05 g p SEC 23 T31 N R1 9W PT SW SW LOT 2 PLAT OF Block/Condo Bldg: LOT 01 SERENITY EXC AS DESC 1337/584 BEING CSM 19 -4973 LOT 1 (4.37 AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 23 -31 N-1 9W Notes: Parcel History: Date Doc # Vol /Page Type 12/14/2005 814239 2943/399 AFF 07/14/2005 WD 04/25/2005 -793156- S 07/07/1998 582429 1337/583 2006 SUMMARY Bill #: Fair Market Value: sessed with: 0 Valuations: Last Changed: 07/05/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.370 55,000 207,500 262,500 NO Totals for 2006: General Property 4.370 55,000 207,500 262,500 Woodland 0.000 0 0 II I Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i V KATHLEEN H. WALSH REGISTER OF DEEDS AFFIDAVIT OF ST. CROIX Co., NI Document Number CORRECTION RECEIVED FOR RECORD (TYPE OR PRINT CLEARLY IN BLACK OR RED INK) 04/03/20% 01:40PH AFFIANT, Judy Alexander hereby swears or affirms that a certain CORRECTIVE AFFIDAVIT document recorded on the 14th day of July. 2005 (year) in volume N /A. page EXEMPT # N/A, as document number 800254 which was recorded in St. Croix County, REC FEE: 13.00 State of Wisconsin, contained the following error (if more space is needed, TRANS FEE: COPY FEE: please attach addendum): CC FEE: The legal description was for an underlying legal that contained PAGES: 2 additional lots. Recording Area Name and Return Address AFFIANT makes this Affidavit for the purpose of correcting the above document as follows (if more space is needed, please attach addendum): Burnet Title 5151 Edina Industrial Blvd. #500 To correct the legal description to: Lot 1 of Certified Survey Map located in Edina MN 55439 part of the SW % of the SW ' / of Section wHSl�ip 3�Rar�ge� , Town of Somerset, St. Croix, Wi sin, being part of Lot 2 of the Plat of Serenity filed April 25, 2005 in olume 19 Page 4973 as Document No. 793156. 032 2095 20 000 Parcel Identification Number (PIN) AFFIANT is the (check one): ❑ Drafter of the document being corrected. ❑ Owner of the property described in the document being corrected. A Other (explain: Person responsible for recording the documents. The original document (in part or whole is is not attached to this Affidavit (if original document is not attached, please attach legal description and names of grantors and grantee Signed: Judy xander State of Minnesota ) ) ss. County of Hennepin ), / ed and sworn/l/ ( aff' ed) before me this day of G— Sta a of Minne t I— o .,,r....•'•*++ My Commission (expires) 0 : SERINA M BERG THIS INSTRUMENT WAS DRAFTED BY: NOTARY PUBLIC • 611NNESOTA Coldwell Banker Burnet tty Comm. Expires ��" ��' ���� 1501 American Blvd. West Bloomington, MN 55431 5 -34076 This instrument ❑ is Xis not (check one) a conveyance of real property as per s.77.21 (1) Wisconsin Statutes. (A Wisconsin Real Estate Transfer Return is required for instruments that do convey real property). I *Names of persons signing in an capacity must be t or p rinted below their signature. 9 n9 Y riY bP P 9 1 of 2 gZ Y 9gg (�A REGISTER OF DEEDS KATHLEEN H. AFFIDAVIT OF • CROIX Co., NI CORRECTION RECEIVED FOR RECORD ( Document Number ) 04/03/2006 01:40Pft TYPE OR PRINT CLEARLY IN BLACK OR RED INK AFFIANT, Judy Alexander hereby swears or affirms that a certain CORR 11 AFFIDAVIT document recorded on the 1 4 day of July. 2005 (year) in volume N /A, page N/A, as document number 800253 which was recorded in St. Cr 'x County, REC FEE: 17.00 State of Wisconsin, contained the following error (if more space is needed, TRANS FEE: COPY FEE: please attach addendum): CC FEE: The legal description was for an underlying legal that contained PAGES: 4 additional lots. ?/ 101 `►'U k• Recording Area AFFIANT makes this Affidavit for the purpose of correcting the above Name and Return Address document as follows (if more space is needed, please attach addendum): Bumet litre 5151 Edina Industrial Blvd. #500 To correct the legal description to: Lot 1 of Certifieo Map I d Edina MN 55439 19W, Town of Somerset, St. Croix, Wis nsin, being part of Lot 2 of the Plat of Serenity filed April 25, 2005 in olume 19 Page 4973 as Document No. 793156. 032 2095 20 000 Parcel Identification Number (PIN) AFFIANT is the (check one): ❑ Drafter of the document being corrected. ❑ Owner of the property described in the document being corrected. DK Other (explain: Person responsible for recording the documents. [ The original document (in part or whole pl is is not attached to this Affidavit (if original document is not attached, please attach legal description and names of grantors and grantees). Signed: 9 Judy A ander State of Minnesota ) ) ss. County of Hennepin ) S bed and sworn to r a ' me be a me this 1� day of , tary P lic, State of Minnes to j My Commission (expires) (is): 1 SERINA M BERG :r NOTARY PU841C - 1dINNESOo U THIS INSTRUMENT WAS DRAFTED BY: ±� ttYComm. Exp��es Jan. t. Coldwell Banker Burnet 1501 American Blvd. West Bloomington, MN 55431 5 -34076 This instrument ❑ is Kis not (check one) a conveyance of real property as per s.77.21 (1) Wisconsin Statutes. (A Wisconsin Real Estate Transfer Return is required for instruments that do convey real property). 1 of 4 �l ' 814239 � U, 2 9 `I 3 M] 3 9 9 KATHLEEN H. WALSH REGISTER OF DEEDS Ak'k'IDAVIT OF ST. CROIX CO., MI Doenm�nt HamMr COMMON RECEIVED FOR RECORD 12/14/2005 10:45AN (TYPE OR PRINT CLURLY IN $L,ACK OR p" INKS CORRECTIVE AFFIDAVIT AFKANT, . hemby EXERT N 3 swtm or affuau t mt a ctrtttit: document "corded on the 1 dt h dq Of REC FEE: 15.80 .tt, I J7- 20 O5 __ (yar) In volum 2B4 9 TRANS FEE: Me _ 5T.2__ , as document comber 800252 sv � ch was recorded COPY FEE: [ a t�._.St. Cmay. Slate of Whcotuin. contalned tho foUowlttg PAGES: 3 error (if more space is needed please mach addeadu o: The legal description was an underlying legal , which ;included additional lots. Rbmfmr Ara AFRAM makot, tots Affidavit for to purpose of cotrecdog *e abm document Mme tw R mm Aeecen as follows Cd mare space it moded. please ameh addendum: 6 ,k r ,n J_ % i 't le- 7b correct the legal description}. —See attached • E I ; , , , l_d• N 9� /y1N 5s' q2 area taeaaaaaos Nag= (rsrp C AI fMM b the (check one):' . O Drafter of the doommat kby corrected. Ownet of the property descrlbed In the deeament being eortaeftd. 13 Other ( laid• Tlz Ode;oal dommeot (bs part or whole) is M h rwt attached to cwt Ali yk of ortglnd doc mt nt Is not smachtd, pkast: attach legal dercdpdon and names of cmatora and cmwees). Stilted. �7 Q4c4.•---1��n —� -- - • Mari u anspn State Of' MhMeMta ) County of E E ) aa• Sub d swo e to (or afCl ) before m this � ad o[ HANNA B WIEBOLD N Of. ; t1bTpHy PVAUI: - 1.11NNESOTA MyCOaunlirl ) (� Jf 1,1y Comm fapiles J,n 31- 2010 T � MCr4111dAtAt• are a na 1FTBp D Y: . . r 1 G l vd. 7-d n�� !►� /11 S Y 31 This Instrument U�lls ❑ Is not (check one) a conveyance of real property as per a. 77.21(1) Wisconsin Stawtea. ` A Wlwoaln Real Estate Transfer Pewm is required for ttutcuments that do convey real ro •Kaniet of per7on• 11 ft In 4ay apadw mwt be aped or pAnted below dick stjn•mm U 29y3p��`�00 This Affidavit of Correction is being recorded to correct the Legal Description from Lo t of Se pity Th the Town of Somerset, except part to Robert B. and Sharl M. endricks in vol. "1337 ", Page 583, St. Croix County, Wisconsin, To: Lot 1, of Certified Survey M@p filed April 25, 2005 in Volume 19 Pa a 4973 as Document 0 793156, oca e n part of the SW' /. of the . o ection 23, Township 31 ange 19W, Town of Somerset, St. Croix County, Wisconsin, being part of Lot 2 of the Plat of Serenity. 800252 �� U 2 8 W 2 P 5 7 2 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROI CO. NI STATE BAR OF WISCONSIN FORM 2- 2000 =DEED DocumattNumber WARRANTY DEED THIS DEED, m ade between Steven A. Parent and Patricia Parent, husband and wife, Grantor, and Kevin J. anten and Amanda L. us an and wife as Survivorship Marital FMpCM, Grantee. TRANS FEES 1025.70 Grantor, for a valuable consideration, conveys and warrants to Grantee COPY FEE s f Ilowing described real estate in St. Croix County, State of Wisconsin: CC FEE-. PAGES-. 1 (; Lot 2, at of Serenity in the Town of Somerset, except part to Robert B. Sha ' M. Hendrickson in vol. "1337' Page 583, St. Croix County, ri -D) l crm Recording Area Name and Return Address: ►m uk' Fdittia.A,ealgcTiiia �l GC Exceptions to warranties: UU 3M .ICAQ16 � Easements, restrictions and rights -of -way of record, if any. 032.2095- 20-000 Parcel Identification Number (PIN) This is homestead property. Dated this 24th day of June, 2005. i • Steven . Parent Patricia Parent AUTHENTICATION ACKNOWLEDGMENT Signaturc(s) chef% Br STATE OF WISCONSIN ) lie ST. CROIX COUNTY. ) as. authenticated this 24th day of June Q0 W ISC0n rjt ( bf I Personally came before me this June 24, 2005 the above named Steven A. Parent and Patricia Parent, husband and wife * to me known to be the person(s) who executed the foregoing TITLE: MEMBER STATE BAR OF WISCONSIN nt acknowledged the same. (If not, authorized by § 706.06, Wis. Slats.) THIS INSTRUMENT WAS DRAFTED BY * CVri Brown Peterson, Fram & Bergman — Steven H. Bruns Notary Public, State of Wisconsin My commission is permanent. (If not, state expiration date: 50 East Fifth Street, St. Paul, '� 3/11/2007 ) SS 10 '� {Signatures may be authenticated or actaowledgt am not necessary-) 'Names of persons signing in any capacity must be typed or printed below their signature WARRANTY DEED STATE BAR OF WISCONSIN FORA! No.2 -2000 U 2 8 9 2 P 5 8 8 e101 @zs4 ` KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO.. WI ® COMMANDCREDIT PLUS MORTGAGE RECEIVED FOR RECORD 07/14/2005 08:45AN MORTGADGQET • REG FEE: 15.00 �d /jam MU TRANS FEE: COPY FEE: CC FEE: PAGES: 3 TCF NATIONAL BANK Account Number: 099 -179 MINNESOTA CONSUMER LENDING DEPARTMENT Re To: THiS MORTGAGE ( "Mort gage ") SECURES A TCF N nk REVOLVING LINE OF CREDIT UNDER WHICH max aUltN4 l ow P � A ADVANCES PAYMENTS, AND REDVANCES MAY BE Ma toet. s sake tot MADE FROM TIME TO TIME. NOTWITHSTANDING 55101 ANYTHING T O THE CONTRARY HEREIN, THE MAXIMUM PRINCIPAL INDEBTEDNESS SECURED BY parcel Identillcation no. THIS MORTGAGE AT ANY ONE TIME IS 032209520000 THIRTY FOUR THOUSAND ONE HUNDRED DOLLARS AND 00 CENTS Dollars ($34,100.00 ) . This Mortgage Is made this 24th day o June ,2005 , by KEVIN J PLANTENBERG and AMANDA L PLANTENB ER (3 ()Alj I Husband and Wife J whose address Is 2015 GOTH STREET SOMERSET WI 54025 (the "Borrower"), who grants, conveys, mortgages and warrants to TCF National Bank, a national banking association, 801 Marquette Ave, Minneapolis, MN 55402 (the "Lender"), land and property in Saint Cro ix I County, Wisconsin. described as: The Property � n the homestead of the Borrower. Is / to not Lot 2, Plat of Serenity in the Town of Somerset, except part to Robert B. and Shari M. Hendrickson in Vol. 1337 Page 583, St. Croix - -- County, Wisconsin. street address: 2015 60TH STREET SOMERSET W154025 together with all buildings, improvements, and fixtures on the property, whether now on the property or added in the future, and all easements and other rights that pertain to the property (collectively the "Property"). This Mortgage secures performance and payment under the terms of the CommandCredit Plus Home Equity Line of Credit Agreement and Disclosure Statement dated the same date as the Mortgage, subject to any amendment as permitted by Its terms ("Agreement'). In addition to the indebtedness due under the Agreement, this Mortgage secures Protective Advances which may be in excess of the maximum principal amount stated above, with interest thereon and other charges owing under the Agreement (collectively "Debt") and the perfom:ance of all covenants and agreements of the Borrower contained herein. "Protective Advance' is defined as a payment by Lender for performance of covenants of Borrower pertaining to insuring or preserving the Property upon Borrower's failure to perform. The interest rate under the Agreement is variable and can change daily, as described in the Agreement. The full Debt. If not paid earlier, is due and payable on 06124/2045 . Borrower promises and agrees: 1. To keep the Property in good repair, and to also comply with all laws and ordinances, which affect the Property. 2. To pay all taxes, assessments, and water bills levied on the Property and any other amounts which could become a senior Security Interest against the Property. "$ecurity Interest" includes any lion, mortgage or other encumbrance. 3. To perform all obligations under any Security Interest on the Property. As of the date hereof, there exists no other Security Interest on the Property, other than as disclosed to Lender on the title search and report or other title evidence obtained by Lender prior to accepting this Mortgage, or on Borrowers loan application. 4. To keep the Property Insured against fire, windstorm, flood, and such other hazards as under may require, in an amount and manner acceptable to Lender, and with the proceeds made payable in the policies to Lender as mortgagee, and to deliver such proof of insurance as Lender may require. Borrower may obtain Insurance from the Insurance company of Borrower's choice as long as the Insurance company is reasonably acceptable to Lender. Lender will apply any Insurance proceeds to pay the Debt, unless Lender agrees in writing that the proceeds can be used differently. If Lender uses the proceeds to reduce the Debt, Borrower will still have to make regular monthly payments until the Debt is satisfied. If Borrower falls to keep the Property Insured, Lender may, but is not required to, obtain such Insurance to protect Lenders interest. Such insurance obtained by Lender may not protect Borrowers equtty interest in the Property. Lender is not required to obtain the lowest cost insurance that might be available. 5. That if all or part of the Property is condemned or taken by eminent domain. Borrower directs the party condemning or taking the Property to pay all of the money to Lender. Lender will apply the money to pay the Debt, unless Lender agrees in writing that the money can be used differently. If Lender uses the money to reduce the Debt, Borrower will still have to make regular monthly payments until the Debt is satisfied.. , , 3 6� 7 099087 page 1 of 3 5/03 2of2 U 2'842 P 573 6��1253 KATHLEEN H. WALSH REGISTER OF DEEDS • MORTGAGE ST. ceoa<x co.. WI RECEIVED FOR RECORD DOCUMENT NUMBER 07/1412005 08 :45 AN p MORTGAGE NAME 8a RE ADDRESS gu ✓ n ` ' 74�/yte�e EXDPT # e Akx REC FEE: 39.00 PHH Mo Corporation TRANS FEE: 3910 Kirb Lane ,Suite #300 —& COPY FEE: HOUSTON , 77098 t j / )wt )HA) 55 � P PAGES: : 15 PARCEL IDENTIFIER NUMBER 032 2095 20 000 (Space Above This Line For Recording Data) Return to Burnet Title MIN 100020000287283505 ' w DEFINITIONS Words used in multiple sections of this document are defined below and other words are defined in Sections 3, 11, 13, 18, 20 and 21. Certain rules regarding the usage of words used in this document are also provided in Section I6. (A) "Security Instrument" means this document, which is dated June 24, 2005 together with all Riders to this document. (B) "Borrower" is Kevin J. Plantenberg and Amanda L. Plantenberg, HUSBAND AND WIFE Borrower is the mortgagor under this Security Instrument. (C) "MFRS" is Mortgage Electronic Registration Systems, Inc. MERS is a separate corporation that is acting solely as a nominee for Lender and Lender's successors and assigns. MERS Is the mortgagee under this Security Instrumeat- MERS is organized and existing under the laws of Delaware, and has an address and telephone number of P.O. Box 2026, Flint, MI 48501 -2026, tel. (888) 679 -MERS. WISCONSIN - Single FamOy- Fannie Mooff roddle Mac UNIFORM INSTRUMENT WITH HERS Form 3060 1101 Ck- 6A(Wi) loons) /� /� Pace t 01 10 e� kJ P 44 VMP MORT"OE FORMS - (800)521 -net 33 9 q( 3 5 -34076 2of4 - V 2842 P 574 (D) "Leader" is PHH Mortgage Corp (fka Cendant Mortgage Corp) Lender is a Corporat i on organized and existing under the laws of New Jersey Lender's address is 3000 Leadenha I i Road Blount Laure I , NJ 08054 (E) "Note" means the promissory note signed by Borrower and dated June 24, 2005 The Note states that Borrower owes Lender Two Hundred Seventy -Three Thousand Five Hundred Dollars and Zero Cents Dollars (U.S. $ 273, 500.00 ) plus interest. Borrower has promised to pay this debt in regular Periodic Payments and to pay the debt in full not later than July 1st , 2035 (F) "Property" means the property that is described below under the heading "Transfer of Rights in the Property." (G) "Loan" means the debt evidenced by the Note, plus interest, any prepayment charges and late charges due under the Note, and all sums due under this Security Instrument, plus interest. (H) "Riders" means all Riders to this Security Instrument that are executed by Borrower. The following Riders are to be executed by Borrower [check box as applicable]: ❑ Adjustable Rate Rider Q Condominium Rider ❑ Second Home Rider ❑ Balloon Rider ❑ Planned Unit Development Rider ❑ 1-4 Family Rider ❑ VA Rider ❑ Biweekly Payment Rider ❑ Other(s) [specify] (1) "Applicable Law" means all controlling applicable federal, state and local statutes, regulations, ordinances and administrative rules and orders (that have the effect of law) as well as all applicable final, non- appealable judicial opinions. (.n "Community Association Dues, Fees, and Assessments" means all dues, fees, assessments and other charges that are imposed on Borrower or the Property by a condominium association, homeowners association or similar organization. (IQ "Electronic Funds Transfer" means any transfer of funds, other than a transaction originated by check, draft, or similar paper instrument, which is initiated through an electronic terminal, telephonic instrument, computer, or magnetic tape so as to order, instruct, or authorize a financial institution to debit or credit an account. Such term includes, but is not limited to, point -of -sale transfers, automated teller machine transactions, transfers initiated by telephone, wire transfers, and automated clearinghouse transfers. (L) "Escrow Items" means those items that are described in Section 3. (Nn "Miscellaneous Proceeds" means any compensation, settlement, award of damages, or proceeds paid by any third party (other than insurance proceeds paid under the coverages described in Section 5) for (i) damage to, or destruction of, the Property; (ii) condemnation or other taking of all or any part of the Property; (iii) conveyance in lieu of condemnation; or (iv) misrepresentations of, or omissions as to, the value and/or condition of the Property. (l) "Mortgage Insurance" means insurance protecting Lender against the nonpayment of, or default on, the Loan. (0) "Periodic Payment" means the regularly scheduled amount due for (i) principal and interest under the Note, plus (ii) any amounts under Section 3 of this Security Instrument. (P) "RESPA" means the Real Estate Settlement Procedures Act (12 U.S.C. Section 2601 et seq.) and its implementing regulation, Regulation X (24 C.F.R. Part 3500), as they might be amended from time to time, or any additional or successor legislation or regulation that governs the same subject matter. As used INtlN,: •6A(WQ moe) FW z of 15 Form 3060 1101 3of4 + 2842P 575 in this Security Instrument, "RESPA" refers to all requirements and restrictions that are imposed in regard to a "federally related mortgage loan" even If the Loan does not qualify as a "federally related mortgage loan" under RESPA. (Q) "Successor In Interest of Borrower" means any party that has taken title to the Property, whether or not that party has assumed Borrower's obligations under the Note and/or this Security Instrument. TRANSFER OF RIGHTS IN THE PROPERTY This Security Instrument secures to Lender. (I) the repayment of the Loan, and all renewals, extensions and modifications of the Note; and (ii) the performance of Borrower's covenants and agreements under this Security Instrument and the Note. For this purpose, Borrower does hereby mortgage, grant and convey to MERS (solely as nominee for Lender and Lenders successors and assigns) and to the successors and assigns of MERS, with power of sale, the following described property located in the COUNTY of SAINT CROIX [Type of Recording Jurisdiction] [Name of Recording Jurisdiction] Lot 2, Plat of Serenity In the Town of Somerset, except put to Robert S. and Shari M. Hendrickson In vol. "1337," Pape 533, St. Croix County, W[econaln. which currently has the address of 2015 60TH STREET [saes] SOMERSET [city], Wisconsin 54025 [Zip Code] ("Property Address "): TOGETHER WITH all the improvements now or hereafter erected on the property, and all easements, appurtenances, and fixtures now or hereafter a part of the property. All replacements and additions shall also be covered by this Security Instrument. All of the foregoing is referred to in this Security Instrument as the "Property." Borrower understands and agrees that MERS holds only legal title to the interests granted by Borrower in this Security Instrument, but, if necessary to comply with law or custom, MERS (as nominee for Lender and Lenders successors and assigns) has the right: to exercise any or all of those interests, including, but not limited to, the right to foreclose and sell the Property; and to take any action required of Lender including, but not limited to, releasing and canceling this Security Instrument. BORROWER COVENANTS that Borrower is lawfully seised of the estate hereby conveyed and has the right to mortgage, grant and convey the Property and that the Property is unencumbered, except for encumbrances of record. Borrower warrants and will defend generally the title to the Property against all claims and demands, subject to any encumbrances of record. MWSAiWI) t000p pose 3or15 Form 3060 1101 • 4 of 4