HomeMy WebLinkAbout032-2095-20-075 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Sefety and Building Division
INSPECTION REPORT Sanitary Permit No:
488261 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:
Parent, Steve Somerset, Town of 032 - 2095 -20 -075
CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No:
. (0 6 yo Z --- Cft f4_ 23.31.19.926A20
TANK INFORMATION ELEVATION DA A
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benc mark
Dosing Q Alt. BM
!/ l / � - / v �U O
Aeration Bldg. Sewer
Holding St/ t Inlet 3 6 3 „e •� r
.�`
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. ant to Air Intake ROAD Dt Inlet
Septic l Dt Bottom `
ire
Dosing 3 ` A7 Header /Man. _ •� Z
Aeration ljVvy Dist. Pipe U3r Y.7 • •
Holding Bot. System
PUMP /SIPHON INFORMATION Final Grade "Zr (0 '
Manufacturer „/ _ Demand St Cover
f'it0 GPM 5E, ti ` /0 6' -
Model Number Z
TD Lift Frictipn Lq s System Head TDH Ft
�/
Forcemain Legq I D4. Z tv Dist. to Well
SOIL ABSORPTION SYSTEM 4 v. , L �
BED/TRENCH Width , Length k o. Of Trenches PIT DIM NSIONS No. Of Pits ide Dia. Liquid Depth
DIMENSIONS �O 3
SETBACK SYSTEM TO P/L 3 JBLDG WF�L_ LAKE/STREAM CHING Manufacturer: /-
INFORMATION A Q Q HAMBER OR�7 l/
Typ Of Syste �Q� N `i lo, > O l / ' I Ob UNIT Model Number:
DISTRIBUT Ij STEM / .Z, f' / s aw
H eader / Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s) y�-t-6 /
Length _ ! Dia_ Length Dia Spacing —
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
epth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Cente mj / Bed/Trench Edges Topsoil
FR] Yes Q No Q Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:// Inspection #2:
Location: 2009 60th Street Somerset, WI 4025 (SW 1/4 SW 1� 1N R1 9W) NM3 1 n. Parcel No: 23. 19.926A20
OVA-
1.) Alt BM Description
2.) Bldg sewer length = V S/ p /
- amount of cover = L� y � .S v
Plan revision Required? Yes o
Use other side for additional information. 0 6
SBD -6710 (R.3/97) Date _Insepc ors Sig a re Ce o.
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Safety and Buildings Division County
201 W. Washington Ave., P.O. Box 7162 ?"'� S`D t SC
�V ia monsin Madison, Wl 53707 - 7162 Salutary Permij y.T (tbe lied in by Co.)
Department of Commerce (�8) 266 3 /�6 WO
Sanitary Permit Applieatio State Plan I.D�Number _
{ In accord with Comm 83.21, Wis. Adm. Code, personal information you vide _
I may be used for secondary purposes Privacy Law, 05.04(1)(m) Project Addre s (if different than mailing address)
I. Application Information - Please Print All Information RECEIVED
Property Owner's Na me Parcel ;Y Lot !/ lock J!
JUL 0 3 2006
Property Owner's M ailing Address roperty Lot ion g �
. 24r,4 : 1 r y �_ ST. CROIX COUNTY , 1
V -
City, State Zip Code Phone Number 'A, 1. tA,Section
circle )
�f � I
II. Type of Building (check a T N; R� E oo
ll that apply) rn��'
I or 2 Family Dwelling - Number of Bedrooms / Subdivis ame CSM Number
- ��
❑ Public /Commercial - Describe Use
❑ State Owned - Describe Use �'�; ^- L� ❑City�PVillage ownship o f . ��n>< tie
III. Type of Permit: (Check only one box on line A. Complet line B if applicable) / \
A.
ja�Vew System ❑Replacement System ( TreatmenUHolding Tank Replacement Only Q Other Modification to Existing System
B. Permit Renews] ❑Permit Revision ❑ Change of E Permit Transfer to New
List Previous Permit Number and Date Issued
Before Expiration Plumber I Owner
I � _
IV. T of POWTS Syst (Check all that apply) LTf
on - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At- Grade ❑ Single Pass Sand Filter
❑ Constructed Wetland ❑ Pressurized 1n- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter
i ❑ Recirculating Synthetic Media F 54-achi C hatpbe�r 0 Drip Line ❑ Gravel -less P pe ❑ the t)
( V. Dis peerWITreatme nt Area Info 2 & K --
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sr) Dispersal Area Proposed (sf) I S ystem Elevatio prQ t , 6
. � �-' 7 — __ ?l1 i ../ ' I e& J
VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Units Concrete Constructed Glass
New Existing I
Tanks Tanks
Septic or Holding Tank
Aerobic Treatment Unit
Dosing Chamber
VII. Responsibility Statement- I, the Undersigned, assume responsibility for ' al lati o n of the POWTS shown on th attached p lan s.
Plumber's Na me (Print) Plumber's Si gnature 1MPR.S Number Business Phone Number
Plumber's Addre ss (Street, City, State, Zip Code)
' I
VIII. oust / De artment Use Onl _
Approved C3 Disapproved Sanitary Permit Fee (includes Groundwater k Dat Issued ssuing A nt Si ature , Stamps)
Surcharge Fee) ✓ 7 -�
El Owner Given Reason for Denial ' ' I �
X. Conditions �
of Approval /Reasons for Disapproval -� /��t�/�
SYSTEM OWNER:
1 Septic tank, all n serviced ! ma
dispersal cell l Must W,�k fi� 4&4&
ust a all maintai
as per management plan provided by P
2. All setback requirements must be maintained
as per applicable codelordinances.
Attach complete plaits (to the County only) for the systems on paper not less than 81/2 x 11 inches In size
QT1TI_F10R 111 01 rnzi
of ��1� -� r��.� .f/ ✓ .1 r� .3 Q'� �,>'1 ? � ��/.�� s'o.x P.�/s" "cp �'
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FRESH AYR
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FaNISHE� +RAt ►� 2Tx CoNDUtz ,` MX0LE :G VFR
W! PADLOCK t
4" Cl AAsrA --- WARNING !.ABEL
� dill
i
WAT v
rR TI�H: SEAL$ GAS•
T1 GNT I
MOVED ;,.,.� � A SEAL i MROYEC
91 �� f " �` r ALN JOINTS R WlTm
O SIL 10 1 � .,�,`. ' `CN 3' VIC PIPE
L ,, { I C Skt0. SOIL
PUMP OTF Eav, , *NNWWMW T , �oFr
I D I PURTSED CN;.y
= U TANK
M WAC MIt
3" APPROV DID DUG U 4'DFR TANK MI APPROVAL
OONCRETV PAD
D039
AU JFACTUR;CR; A 6 21 K W� 0 13DR 40SES PER JAY:
,Uz STP "IC d ... GAL. 55w vC:J.�iD SACI,JD:I�G
DOSE F40wSACXs MANUFACTURER: l a GAL .
i•.�R.`� •..�..�..a....,
" MODEL MIMSERt CAP.4= Z:2F5: A . ji iNCi{ =! _4 -- GAL.
SWITCH ?YPS�
p MANVFACTUAIR:
MM,CL IVGMRFR: C : ... .,, INCHES r aA:
SWITC)! T'YPtr �-. .L�C,�.♦_...
D 1t � D Y .• .VG,,, 2YCH2$ � „j,��GA;♦.
AT AS i0 JLU ICU
"I CA L GIfrjMtKCr SS.
CFA a
NITWOAX $up? A ND �rsrr �� oN ���� .
i lg�T FpRC�AiN �R�SSUxL �� fEE"
.i�;�Q„FTI lO G F :' . f R: �I't: 0N FACT FEET
TOTAL D riAMIC MMUD : Frr7
FI...
%ANAL PUM TA N K.
•. acs- r , '
Al "'
Wisconsin Department of Commerce .EVALUATION REPORT Page of
Division of Safety and Buildings c a . ' _.
D in d rdancl with C' 6,,2�ii,'1C'Clfra Code; Canty
Attach complete site plan on pa n n 8' 1 inches in size. Plan must
include, but not limited to: vertical and I n M (SM), direo�!!on and Parcel I.D.
percent slope, scale or dimensions, north arrow, an on and distance dif_8airest rd.
Please print all info abbati; Revie Date
Personal Information you provide may be used for second'a'ry p0epec` olftq- AWO s. 1 5.04 (1) On)).
Property
OM er Propmriyfbcation 1
_ Govt. Lot 1 /� 1/4 S T N R ,E (orxi
Properly Owner's Mailing Addresg Blodq# I Subd. Name or QSW V.
79 b T 2 23
r ely Sta a Zip Code Phone Number ❑ C ❑ Village RTown Nes t Ro
[:[ New Construction Use: Residential /Number of bedrooms �- — Code derived design flow rate Zy /db GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material _�'vrto,ltb Flood Plain elevation ' pplicable
General comments
and recommendations:
F/-1 Boring # ❑ Boring
Pit Ground surface elev. _ ft. Depth to limiting factor in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Ef<#2
all
1-27 Aj
a 4
- 4 4
3.
Boring # ❑El Boring
Ibt pit Ground surface elev. � 7 ft. Depth to limiting factor } //S in. mil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDR
in. Munsell Qu. Sz. Corkt. Color Gr. Sz. Sh. *Eff#1 *Ef1#2
I
5 —
1a 50 �'
*
Effi)dent #1 = BOD > 30 220 mglL and TSS >30 < 150 mglL * Effluent #2 = BOD < 30 mg& and TSS _5 30 mgtL
CST Na Pri Signature CST Number
Address ate Evaluation Co ucted Telephone Number
Property Owner _ ""- Parcel ID # Page r of
F-31 Boring # El Boring
® pit Ground surface elev. �f d/. ft. Depth to limiting factor 7// 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 *Eff#2
/ 4
kJ
4 9
� 4
s -
F Boring # El E] ❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Apelication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDffF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
❑ Boring # ❑ Boring
El pit Ground surface elev. ft. Depth to limiting factor in.
Soil Applicati on Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
i
* Effluent #1 = BOD > 30 220 mglL and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg& and TSS < 30 mg1L
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 -9390 aLO7/O0)
a
Property Owner �,��,E �,A6 Parcel ID # a F Page of
F-3� Boring # El Boring
® pit Ground surface elev. f d/, / ft. Depth to limiting factor 71-19C in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz / Sh. -Efr#1 *Eff#2
6�
4 9
s -
� 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/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
❑ Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil lion Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ffz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
* Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mgA- * Effluent #2 = BOD < 30 mg/L and TSS 5 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 W07 /00)
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CERTIFIED SURVEY MAP
LOCATED IN PART OF THE 4 .5,M/4 OF THE SW1 /4 OF SECTION 23, T31 N,
R19W, TOWN OF SOMERSET, ST. CROIX COUNTY, NASCONSIN. BEING PART
OF LOT 2 OF THE PLAT OF SERENITY.
WI/4 COR• SURVEYOR: PREPARED FOR:,
SEC. 23 DOUGLAS d ZAHLER STEVE & PATRICA PAREWT
S & N LAID SURI"NG, INC. 2015 607H STREET
2920 ENLOE STREET SOMERSET, WI 54023
HUDSON, WI 54016
LOT 3 PLAT OF SERENITY
•� (R =S88�3'18 "E) - A �
C i r go L S8 !WO1" E SM."
r`; y I 4�
LO 5
6 IV .tS " (190,234 = FT.) _ ?iO
I I C7 33' �j 4.37 ACRES SHED N iQ
CONTIGUOUS vYO1 g n I I
BUILDABLE AREA ; d 1
I W i DR�VE1111AY Q I ECK � N w j0001 �
1001 I I
} I g vENT ��' REETAINING w '��
Z watt ,a .
y g $ VEWAY S8T56 29 G W
'29 29"W 334.11' .
aU 1 -3 LO T 2 R =S88'58'14 "E) ACRES O i b N t° (230,344 SCL FT.) 80 Ol 57"E
I y'O I w &09 ACRES - -
Z CONTIGUOUS I
� G 6D BUILDABLE AREA
c I 0
w � � LOt3� = Ir
Z i O +� N • (-� c 3.216 ACRES I'
' ' (140,051 SO. FT)
8 y U' 3.22 ACRES N .
g �' , CON nGuous
�o BUILDABLE AREA
W03 191.�I I
I
�
LOT 4
n &162 ACRES N` w
b, • SQ. FT.) o
. � _.
(224.861
(R - N89"1316"W) Z 490 ACRES of
LOT 3 C.S.M. IN Nd BUI DAM AREA
VOL. 10 PG. 2772
I ►� - --
��LEGEND N ^' �° 10
FOUND ALU MINUM I,"
COUNTY SECTION
CORNER MONUMENT R- N89'13'16 "
I>
FOUND 1" OUTSIDE N89 3 9" W 489 ' ., Z ( y
DIAMETER IRON PIPE
s
o
TO SET 1- OUTSIDE DIAMETER LOT 2 C.S.M. IN N PISA g 10
BY 18' LONG IRON PIPE. ----- - - - - -- - - - -- I'�
WE3GH ING; 1.13 LBS.. PER VOL. 10 PG. 2737
LINEAR SCALE IN FEET 1" 150' m I
ROADWAY SETBADC >
.... . LINE (100' FROM to
RIGHT-OF-WAY) 150 0 150 I
SOUTH LINE OF 346' To w I
THE SNry�4 (R =SCI, 9 " UI) ADJACENT DRIVE
22"E
SEC. 23 NF _ AV �NVE vii( - S89'13'16 "W} O:
------ - - - - --
rr s7a Samw
62ND -
THIS INSTRUMENT DRAFTED BY. VBLLIAM KANE -- - - - - -
JOB N O. W2-01 DATE: 02/17/2005 REVISED: 03/10/2005 SHEET 1 OF 2 SHEETS
r
'OCMrm1 1 T
LOCATED IN PART OF
THE
SWI /4 OF THE SW I/4 AND PART 01F THE NW 1/4 OF THE SW 1/4
OF SECTION 23, T3 IN. R19W. TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN.
Each parcel shown on this map (plat) is No
lat
I
subject•to State, County and Township diet
laws, soles and regulations (i.e., visi
wetlands, minimum lot size, access to lint
parcel, etc.). Before purchasing or The
developing any parcel contact the St. any
Croix Croix County Zoning O!lice and of I
appropriate Town Board for advice. S M Bas
the
V, F� Zt L3 pub
S88 °5 3'18 "E 409 41' ser
W V4 COWER OF
SECTION 23
_—
to
LOT 4
LET 3 3 5.00 ACRES ..............
217,802 SO. FT. - - --
V1L h3 _Ps 2733 g P"EL. III e
b to VOLM, , PG.231
S88'53'18'E 433.01' Z to .
33.01' 400.00
1 M8'5318 W 400.00
"111
j Nss.4j M bp tip
CD
33. 33•
� �
4.82 x
,
I LOT 3 3 f
7.01 ACRES
305.416 SO. FT.
1'
to
N
( N
W
F N
I
i SSW 53 18 E 808.64
N
PBMU N
p 3
cc _ I o VOL.IC)PG325
�0► I t g `s - � Lt/tN .
I Z
F 0
I I v
i ou
N
LOT 2
r „
22.03 ACRES 4�
t` 959,793 SO. FT. 1 2.49 329.80
`s a �/! Z.
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I
a Lb
-- ---I W
s C
W
33.00'' e.. 33x17' f 2
N89°13'16"W 371.17'
�- 89'13'16'E 414.52'
0
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a y�4•±L', ° z
" LOT I
N89'13'16"W 46967' v C
$ � W
I WT 2 g 4.18 ACRE'
�,�.141 Ns in 182.046 S(
i I I %OnL.h7. PG. M7 1R
[qGOULDS PUMPS Submersible
Effluent Pump
3871 EPO4
EP05
APPLICATIONS • Fully submerged in high M EPOS 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 Rase: Rugged
• Effluent systems thermoplastic design provides AGENCY LISTING
• Homes Available for automatic and superior strength and corrosion ,fit
• Farms manual operation. Auto- resistance. G Canadian standards Assodatim
• Heavy duty sump matic models include 0 Motor Housing: Cast Iron (CSA listed model numbers end
• Water transfer Mechanical Float switch for efficient heat transfer, in "F" or "C ".)
• Dewatering assembled and preset at the strength, and durability.
SPECIFICATIONS factory. ■ Motor Cover: Thermoplastic Goulds pumps is ISO 9001 Registered.
FEATURES cover with integral handle and
• Solids handling capability: float switch attachment points.
1 /4" 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: 1 NPT. seal protection.
• Mechanical seal: carbon -
1013ry /ceramic stationary,
BUNA -N elastomers.
• Temperature:
104°F (40°C) continuous MITERS FEET
140OF (60 intermittent.
• Fasteners: 300 series 10 i
stainiesssteel. 30 — ._. —sc�
s
• Capable of running
dry without damage to $ ? s F`
components. 2$,
Motor:
• EPO4 Single phase: 0.4 HP, a 20 . _..._.._.
115 or 230 V, 60 Hz, 1550 �d 5
RPM, built in overload with
n I 15'
automatic reset. < a- _. __ . Epos
• EP05 Single phase: 0.5 HP, o
115 V, 60 Hz, 1550 RPM, 3' 10
built in overload with E1)04
automatic reset. 2
• Power cord: 10 foot 5
standard length, 1613
SJTOW with three prong - -
grcunding plug. Optional 20 0 0 0 10 20 30 40 so GPM
foot length, 16/3 SJTW with
three prong grounding plug 0 2 4 -- e s 10 12 m.n,
(standard on EP05). CAPACITY
Gould PUMPS
Q2000 Goulds PUMPS <& ITT Industries
Effective February, 2000
8
J�70#&*4 Mill
STANDARD CHAiii
Quick4 Standard Chamber 41r —
(EFFECTIVE LENGTH)
n
12"
SIDE VIEW
SECTION VIEW
MultiPort End Cap
16"
12"
SIDE VIEW TOP VIEW
FRONT VIEW
& is a a fil " - 4 1111 _� A
X U
MIS Stan dard alti, tt d Ca tNO lnsl pecltica I
Q . A,
Size (W x L H) 34 52"X 12" x 16'' x 12*
Effective Length 48" Invert Height 8" or 1.25"
Invert Height 81
-SYSTE111% INC. OTANDMO
o 1 111 ll 1tw il N ,K)' ch.MbIll C plate, , V " c , xa I,— ,j. by 1, 'j q, . ( _U . - y'). wh lfitai arwf oiwalev
A III of n, o mii e,rcdir system in ac-0 tfa w ,lh hhow,ot 6 i, "i, _b ll . ..." a, 140 10 1q" ,b il I , -I Qw k'I ill 101 -.1 1W il
,1. l and vwIl I,,, *ioyow ijlln ft date Jh&j ft itti po, i. ss. "J Irw tfi� MAic s La I.PQ It. U, HIS; PRI.11 I
1
n e ANAC iI v m W f eq ow by apokill low. 11v wa, r wit, vor-I w, I IpKfi.� upc„ (I w aalP I l,94 o of Mo Slif)til s Nil coinencw
PXPI*JS" its Wal"ArAlY Ill HDI(jil '71W I'll Wfilinfif 21 116 (xillvate HwA*4,xe In Ol Ftybirmli. ';r;F'rw!,cLfl wl riteer, 1151
,a- " q the 8400w 'lei. I I'Alteavv 4 soppy flsf:4acil U•tits IU U!IK 'welmiril by IMILh atro in be by ll ILk,liM VII Al h,
, llahill specil aACWt19g ill W a wacvyl wd/v nilAilAw vi Via Ldrills
ib THF Lilyll AAPPAIIIII All REWDICIF IN SI,'L,1PAFW;WlH (6) &RL LXCll I Aflic Nc, 0':l1*,I WARIPWIES Will h 441EEftl
fItf: 44(f" '�,) Vi WARRAl CA VEN^HMTA&Lll �ITI.l l-'_ 1 04 A: i;ULA i T-1,10 0I SYSTEMS INC
."i INl Sh;ig he VrU it antr LW 4A IN t na' 6vSle- '. ,'la,t.A.Y:I h y :y., I, 11w, It,j-,val .1% ltm Lv,l VQrNirviv does
i4jJ1011 to All 4` 01�"II,Ill srAcw ,;a w ell Il 51. l mol n4 Iwx 4�,r p,nailk. im 'Qunalw. 'W'al ErwkwvftntW ORSHO ft$10MW 86AIh011
Business Park Road • P.O. Box 768
;K to van", (AKuwjctrPa0 n the
L
l , 7tiw,s 4t Il the miffilittion inatfke*Ais; the pal�MAN of Ill w, the Ivil "-1 I Until 644 CO
(" III', """ Q1100i q Old Saybrook, CT 06475
any,Ahw 0-1 �01 by Infillralb, T)A; LithilIed W&74nly ShO ob if lhiiiltl la.l lil iA Of Wo 1"119 M "t, In Itil LY01118d
'Il 860. 577-7000 • FAX W-577-7001
F i I:va, A l r10 il thSY I'll be 'evolil" ii any hl 0, 'Iaftil I. awe Holder lhe Ur AN 1hd pa"Y'fi.j#1 IrCy) ivitil a viv- 800-221-4436
ITI F01, 01 60111 wv rlrvlvr,, lAfAfty,.Al Holder or All 11.0 paqv. for this Ul I ',, to apply'. Ill .Yl be instated I ari
',it) W 09 w 'At'l hii:"l by Sill ally 14) CDcW All <;Iliv vid kil olWs ifSWI n%1llc,0KAW
' I1� N, la
UA*qt(,� I% l OkAha'Ay Ill ct'il 0l kh"� ill
V
Hoicle,
rl,E,tI3 Any pail I if Ills shodd C4,11910 IIA.I C;a ;:. " at# lipwuwl i' C0
I'll j
flej that wl Vlor IL it* 1)ft
53%0 ?. 5,401.1 16; 5 tni7, a 1 90'1: � Ill t(. i U &98944
0911W flatIM P-)*)g q)
I qiUllil Rl (paiSfeied tradell Of Infillir SN-; oo IS 4" ,. fllbzaUr 1 . , ft . Itajiblinil n Franca. . brilitral.or Sysile tno It . )c EDPAPER
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
OwneriBuyer
Mailing Address
Property Address C>( & 0
(Verification required from Ylawning cS't Zoning Department for new construc
City /State s J� Parcel Identification Number/ )( ) 0 -�
LEGAL DEKB PTITIOfit-
Property Location _.Slf ' %, , 'j• , Sec. a , T_ / N R_ / �, Town of
Subdivision (4o7 �____ ,Lot. ;# J?_
CerNfled Survey Ntap # 7 � ,� 1_�� / Volume
Warranty Deed #
.Spec house geno Lot lines identifiable ge no
SYSTEM M AINTENANCE AIWA OWNER C KtT1 (�QN
Improper use and maintenance of your septic sYstew could result in its premature failure to handle N astss. PtaPcr
maintenance consists of pumping out the septic tank every three years or sooner. if needed, by a licensed pumper. What you put into
rile system call affect the function of the septic tank as a treatment stage to the waste disposal system Owner maintenance
responsibilities are specified in §Contra. 83.5 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, signs d by the
owner and by a master plumber, journeyman plumber, restricted plumber or a heensed purnper verifying that (1) the on -site
wastewater disposal system is in pruper operating condition and/or (2) Oct inspr::tion and pumping (if necessary), the septic tank i
less than 1/3 full of sludge.
trwe, 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 Planning &
Zoning Department within 30 days of the three year expiration date.
Uwe .ertify that all statements on this form are true to the best of my/our knowledge. hwe am/are the Owner(s) of Ttic
proporty described above, by virtue of a warmaty deed recorded in Register of Deeds Office.
Number of bed ooms
DATE
SIGNA II OF APPLICANT(S)
** *Any information that is misrepresented may result in the sanitary pennir bzing revoked by the Planning & zoning I)eparttnen*
Include w irh this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified gurney nmp if
reference is made in the warranty deed.
(I�0 8105)
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pave of
PILE INFORM CS m L YSTEM SPECIFiiCATIOMS
Owner � Se ptic Tank Capacity � �S d al ❑ NA
Permit qy Septic Tank Manufacturer y _ \ ❑ NA
DeSIGN PARAMETERS Effluent Filte Manufacturer Z 0.b ve, Q NA
Number of Bed M NA Effluent Filter Model Q 0 NA
Number of Public Facility Units r Y , QfJA Pump Tank Capacity g Q T) as , ❑ NA
Estimated flow (averag � p� elide Pump Tank Manufacturer ti �� 5e it, [3 NA
Design flow (peak) (Es x 1.5) d �} alfda Pump M G o �� d ❑ NA
Soil Application Rate ---� ---- nl /de tft= P M ❑ NA
Standard Influent /Effluent Quality Monthly average* Pretreatment Unit
Fats Oil & Gre ase (FOG' ! S30 rng /L C1 Sand /Gravel Fitter 0 Peat Filter
Biochemical Oxygen Demand (BOC X220 mQlL DNA El Mechanical Aeration 0 Wetland
Total Suspended Solids (TSSI 5150 m /L t3 Disinfe ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Call(s) ❑ NA
Biochemical Oxygen Dornand (SOW X30 mg1L in- Ground (gravity) O In-Ground ipressurizedl
Total Suspended Solids iTSS) s30 mg /L NA C3 At - Orade D Mound
_ F ecal Coli tgeom etric mean) s1 cfu1 100 O Drip -Line CI Other:
Maximum Effl Particle Size Ye in die, ❑ NA Other: Q NA
Other: _ O NA Other, _._...__._..._ O NA
* 'Mlles typical for (turn+rsvc wastewater and septic tank effluent. Oth Q NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
onthla)
Inspect condition of tank(s) At least once Avery: '3 m {Maximum 3 years) 0 NA � �(
Pump out contents of tank(s) When combined sludge and scum equals one -third 1'r;) of tank volume ❑ NA
inspect dispersal cells) At least once every: ❑ monthis) (Maximum 3 years) 0 NA
(:lean effluent titter At least once every: - - - -` 13 month(s) 0 NA
�t _ 19 earls) _ --
. O monthlal
Inspect pump pump controls & alarm A Q NA
least once every: Q +�sar(e)
Flush laterals and pressure test At least once every: 0 month(sl ❑ NA
D e _
�-'_ month(e) O NA
— -,�� At least once ev C3 year(e)
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 pending of effluent on the ground surface.
The dispersal ceilts) 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 autho
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 enaptar NR 113,
Wisconsin Administrative Code.
All other services including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment
units, and any servicing at intervals of S12 months, shall be perforated by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service eve,,-it.
START UP AND OPERATION
For new construction, prior to use of the POWTS oheek treatment tank($) for the presence of painting products or other chemicals
that may impede the treatment process end /or damage the dispersal cell(s). If high concentrations are detected have the contents
cf the tank(s) removed by a aeptage servicing operator prior to use.
S YMOM start up shall not occur when soil conditions are frozen at the infiltrative- surface: `
During power outages pump tanks may fill above normal highwater levels When power is restored the excess wastewater will t;®
discharged to the dispersal coil(#) in one large dose, overloading the cells) and may result in the backup or surfacA discharge of
effluent. To avoid this situation have the contents of the pump tank removed by a Septaga Servicing Operator prior to restoring
power to the effluent pump or contact a Piumber or POWTS Maintainer to assist it, manually operating the purnp ccncrc!s to
restore normal levels within the pump tank.
Do not drive or park vehicles ove tanks and dispersal cells. Do not drive or park over, or otherwise dist
within t f urb or compact, the ar ea
th r 5 .eat down Slope of n � ea
P any mound or a soil absorption snag.
Reduction or elimination of the following from the wastewater St ream may improve the performance and prolong the life of the
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers: dental floss: diapers; disinfectants: fa
foundation drain (sufn,,, pump) water; fruit and vegetable postings; gasoline; grease; herbicides; meat scraps m edicatians; co;
painting products: pesticides; sanitary napkins; tampons; and water &oftener brine.
ABANDONMENT
When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is
prop erly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative wode:
• All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed ertd properly disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled w,th
soil, grovel or another inert solid material.
CONTINGENCY PL
If the POWTS ails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
replacemen
"t e n
suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption
system. The replacement area should be protected from disturbance and compaction and should not be infringed upon try
required setbacks from exleting and proposed structure, lot (inns and wells. Failure to protect the replacement area will
result Irt the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must
comply with the rules In effect at that time,
Ea A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in PO4VTS
technology a holding tank may be installed as a last resort to replace the failed POWTS.
The Lt: *e not n evaluated to identify a suitable replacement Bras. Upon failure of the POWTS a soil and site
{ V evaluation be performed to locate a suitable replacement area. It no replacement area is available a holding tank
may b tells a a last resort to replace the felled POINTS,
El Mound and at -grade soil absorption systems may be reconstructed in piece following removal of the biomat at the
infiltrative surface, Reconstructions of such systems must comply with the rules in effect at that time,
< < WARMINO> >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. 00 NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES DEATH MAY RESULT, RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DiFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER WT$ MAINTAINER
Nam _�+s.LL� 1 Name
_ _
Phon ? r, _ _'3 �. I Phone .__ _— — ---- - --_.�
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Name S (flea )
Phone _°"......"—'�
Phone �._......._.
�/ S�
rh,s docurnent -as orihed +n comploar'ee with chspter Con »m V34 22l2)(b((1)idWf) and 133.54(1): 12) 6 (3), Wisconsin Administrative code,
Parcel #: 032- 2095 -20 -075
07/06/2006 09:48 AM
PA 1 OF 1
Alt. Parcel # 23.31.19.926A -20 032 - TOWN OF SOMERSET
Current *1 ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
04/25/2005 00 0
jTax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner
STEVEN A & PATRICIA PARENT O - PARENT, STEVEN A & PATRICIA
2015 60TH ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description " 2009 60TH ST
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 3.220 Plat: 4973 -CSM 19 -4973 032 -05
SEC 23 T31 N RI 9W PT SW SW LOT 2 PLAT OF Block/Condo Bldg: LOT 03
SERENITY EXC AS DESC 1337/584 BEING CSM
19 -4973 LOT 3 (3.22 AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4)
23 -31 N-1 9W
Notes: Parcel History:
Date Doc # Vol /Page Type
07/14/2005 800252 2842/572 WD
04/25/2005 793156 19/4973 CSM
07/07/1998 582429 1337/583 WD
2006 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/05/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.220 49,100 0 49,100 NO
Totals for 2006:
General Property 3.220 49,100 0 49,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch #:
Specials:
User Special Code Category Amount
r Delinquent
Special Assessments Special Charges Char g es
Total 0.00 0.00 0.00
A 2 8 4 2 P 5 7 3 e¢rai�s3
KATHLEEN H. KALSH
REGISTER OF DEEDS
• MORTGAGE ST. caolx CO., WI
RECEIVED FOR RECORD
DOM ENTNUNIBER 07/14/2005 08:45AN
,p MORTGAGE
NAME & RE 777098 ADDRESS gu'� `- ' 711k EXEMPT I
PHH iAO C orporati o n 0 C P REC FEE: 39.00
— TRANS FEE:
3910 Kirb e Suite #300, I COPY FEE:
HOUSTON, 140 -35�� CC FEE:
PAGES: 15
PARCEL IDENTIFIER NUMBER
032 2095 20 000
(Space Above M Lice For Raordlog Dotal
Return to Burnet Title
MIN 100020000287283505
w
DEFIrIITIONS
Words used in multiple sections of this document are defined below and other words are defined in
Sections 3, 11, l 3, 18, 20 and 21. Certain rules regarding the usage of words used in this document are
also provided in Section 16.
(A) "Security Instrument" means this document, which is dated June 24. 2005 ,
together with all Riders to this document.
(B) "Borrower" is Kev i n J. P I anterlberg and Amanda L. P l antenberg , HUSBAND AND
WIFE
Borrower is the mortgagor under this Security Instrument.
(C) "MERS" 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. MFRS Is the mortgagee
under this Security Instrument. 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 FsWV- Fsnntt' Mae/Frodditr Mat UNIFORM INSTRUMENT WITH MFRS Form 3060 1101
P tA(INQ Ieoos) Fi i „ / ^' F
P"414114 M Yer, i J / - J .- r'r4
VMP Mo11TOA0e FORMS . (eoomi -7791
.339 Q� 3
5 -34076
2of4
' 1 2A42P 574
(D) "Leader" is PHH Mortgage Corp (fka Cendant Mortgage Corp)
Lender is a Corporat i on
organized and existing ender the laws of New Jersey
Lender's address is 3000 Leadenha I I Road Mount 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. 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 Instnmeetet, plus interest.
(U) "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 - Q Second Home Rider
❑ Balloon Rider ❑ Planned Unit Development Rider 14 Family Rider
O VA Rider C 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.
(IC) "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 -sate 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.
(M) "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.
" " air a nonpayment of or default on ,
(N) "Mortgage Insurance means insurance protecting Lender against tit pa e d
8 P g ag ym
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 Insbumem.
(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
®•6A(WQ t000a) 1101
I
I
3 of 4
I �
.9 2.842P 5 7 5
in this Security Instrument, "RESPA" refers to all requirements and restrictions that arc 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 Borrowers 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 ()I) the performance of Borrowers 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 Lender's successors and assigns) and to the successors
and assigns of MFRS, 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 Sere In the Townof Somerset, except part to Robert a. and Shari M.
Hendrickson In vol. "1537," Page W3, St. Croix County, Wh*onaln.
which currently has the address of 2015 60TH STREET
[saes]
SOMERSET f0ty], 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. Al) 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.
® • Page -6A(Wq r000a> P• s or 15 form 5000 1101
4of4
• 1 , J
82221tf,3�
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) 04/03/2806 01:40PH
AFFIANT, Judy Alexander hereby swears or affirms that a certain CORRECTIVE AFFIDAVIT
document recorded on the 14th day of Jul y, 2005 (year) in volume IA age 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
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): Burnet Tide
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 ' /4 of the SW t/ of Section 23, Township 31 N, Range 19W ,
Town of Somerset, St. Croix, Wisconsin, being part of Lot 2 of the Plat of
Serenity filed April 25, 2005 in Volume 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
41 A"t:o_ / �Z , _
Signed:
Judy xander
State of Minnesota )
) ss.
County of Hennepin ), /
ed and sworn p ( afft ed) before me this / /-t d - ay of G— ,
tic, State of Minne t
My Commission (expires) (i /-16 BERG
SEAINA M
THIS INSTRUMENT WAS DRAFTED BY: NOTARY PUBLIC . LIjNNESOTA
Coldwell Banker Burnet
Id Comm. E Jms. St. 2010
`.:
1501 American Blvd. West
Bloomington, MN 55431
5 -34076
This instrument ❑ is A'I 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).
- Names of persons signing in any capacity must be typed or printed below their signature.
1 of 2
i
U 2842 P 588 E31ZP�2s`�
KATHLEEN H. WALSH
REGISTER OF DEEDS
ST. CROIX CO. , VI
COMMANDCREDIT PLUS ®MORTGAGE RECEIVED FOR RECORD
07/14/2005 08:45AN
G S MORTGAGE s
vYC
REC FEE: 15.00
35- TRANS FEE:
Ale COPY FEE
CC FEE:
PAGES: 3
TCF NATIONAL BANK Account Number: 099 -179
MINNESOTA CONSUMER LENDING DEPARTMENT
Re To:
THiS MORTGAGE ( "Mortga e") SECURES A rcF N nk
REVOLVING LINE OF CREDIT UNDER WHICH 'AE R l w
ADVANCES, PAYMENTS, AND RE- MAY BE M•x oo su
MADE FROM TIME TO TIME. NOTWITHSTANDING 101 r 8 N ss "° �
ANYTHING TO THE CONTRARY HEREIN, THE
MAXIMUM PR1NClPAL INDEBTEDNESS SECURED BY parcel identification 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 June. 2005 , by
KEVIN J PLANTENBERG and AMANDA L PLANTENBERG, nAA Oktk l ida —
Husband and Wife J whose address Is
2015 60TH STREET SOMERSET Wl 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 Croix County, Wisconsin, described as:
The Property , n the homestead of the Borrower.
Is / Is 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 WI 54025
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 Horne Equity Line of Credit Agreement and Disclosure Statement dated the some 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 performance 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 Borrowers 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 06/24/2045.
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. "Security Interest" includes
any Ilan, 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 Lender
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 Borrowers 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 Landers interest.
Such insurance obtained by Lender may not protect Borrowers equity Interest in the Property.
Lender is not required to obtain the lowest cost Insurance that might be available.
5. That N all or putt 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 undl the Debt Is satisfied..
099067 page 1 of 3 5/03
&Z2 rQ7 6
2of2
I
I
�L
814239
U 2 9 4 3 P U 3 9 9 KATHLEEN H. WALSH
REGISTER OF DEEDS
Ak'FID&VIT OF ST. CROIX CO., WI
Docvtn�nt NwaMt
COMMON RECEIVED FOR RECORD
12/14/2005 10:45AN
(TYPE OR PRINT CLEARLY IN $LACK OR M M CORRECTIVE AFFIDAVIT
AFKANT. , hereby EXO PT 11 3
Ivivam or affuuu Out a certain domairmt word on the 14j-]h dqy of REC FEE: 15.00
- i aultr,: . 2005 (year) In vol>vae 2842 TRAITS FEE:
pie _ s___2? ___.. as document Dumber 800252 — wbleh was tecorded COPY FEE:
La Comely, State of %cousin. contalned tW folloving CC FEE:
Mot (it mote spatx IS heeded, please anecb addendum) PAGES: 3
The legal description was an underlying legal ,
which .included additional lots.
Ara
AMAW tots At'1ldavk for tie purpose of cotrecft the s bore document !tame od leum Mdteu
as follows Cif mart: span it shied. pleue tupoh addendum: (, t, r , t J 7
To correct the legal description. -See attached. 'r /s/ el; ^4
rd 9 .� /hry ;sv39
632. .1— S 2c> 60 0
Turd Weedfloul" Nvmber OrR9
AFFIANT is the (ctreek ono):
� Crafter of the doetuneat being corrected. '
O Owwr of the propat(y desattbed is the doctta A a being corrected.
TLe Odgk l document 0a part or whole) h O h tat .att eW to a& AM* of oritltal 4m matt is not sttath4 pteast attach legal
dts;ceiptioo attd uxts of tmntors and trantea).
• _ Marian lRansm
State of wi esota )
0MMq
Sub d Iwo to (or a ed) before me this
� ta dg or , -
HANNA 13 WIE80LD
001ARV PUBLIC - 1.11NNf$OTA -
Kotary Public. Stitt Of, i'IlYY7� � q.l Tema, Eapiles J. n 31.2010
My Cowmislloa (expires) (is)s d / � � /•-/ U
r ate Me'iltif�tuwra�e nalA1•SC DY: .
u fvd nq, J1�:>S'y
TE►!s instrument Cs ❑ i not (check one) a coeveyatlee of real property as per a. 77.21(1) WiscOcuin Sattttes.
A Wisconsin Root F.Itata Transact lLctuca it re eyed for tttstruments that do convey feat ro
•tlaenet pt txsoru 1181dAt in Itay eapaety tt,wt be typed or printed below t tlanuure.
U 29y3ar,�i00
This Affidavit of Correction is being recorded to correct the Legal Description
from
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,
To:
Lot 1, of Certified Survey Map filed April 25, 2005 in Volume 19 Page 4973 as Document
No. 793156, located In part of the SW % of the SW % of Section 23, Township 31N, Range
19W, Town of Somerset, St. Croix County, Wisconsin, being part of Lot 2 of the Plat of
Serenity.
t� _.29y3''r'
, B�Dra252 \�
U 2 6 M 2 P 5 7 2 KATHLEEN H. WALSH
REGISTER OF DEEDS
ST. CROIX CO., XI
STATE BAR OF WISCONSIN FORM 2- 2000 RECEIVED FOR RECORD
I�ocr,rnentNus+tbes WARRANTY DEED 07/1412005 08:45AII
WARRANTY DEED
THIS DEED, made between Steven A. Parent and Patricia Parent, EXW tl
husband and wife, Grantor, and Kevin J. Plantenberg and Amanda L. REC FEE: 11.00
Plantenberg, husband and wife, as Survivorship Marital Property, Grantee. TRANS FEE: 1025.70
Grantor, for a valuable consideration, conveys and warrants to Grantee COPY FEE
the following described real estate in St. Croix County, State of Wisconsin: CC FEE:
PAGES: 1
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.
Rowrding Area
Name and Return Address�v r ��5
Ed0"ftR. 614V)7
ro
Exceptions to warranties: IIt+JcGa 11a.S4O
Easements, restrictions and rights -of -way of record, if any.
032 - 2095- 20-000
Psnel Identification Number (PIN)
This is homestead property.
Dated this 24th day of June, 2005.
* Steven - Parent * Patricia Parent
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) ("he Br
STATE OF WISCONSIN )
B 'V ST. CROIX COUNTY. ) ss.
authenticated this 24th day of June �p j$COn
Stuff bf 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 * C86i Brown
Notary Public, State of Wisconsin
Peterson, Fram 8c Bergman — Steven H. Bruns My commission is permanent. (If not, state expiration data:
50 East Fifth Street, St. Paul, 14N 5510 3/11/2007 }
S- Igo - ?(0 38YY-:z
(Sigmturra may be auOwnticatcd or actarowlcdg . both ee not nemury.)
'Names of persona signing in any capacity roust be typed or printed below their signature
WARRANTY DEED STATE BAR OF WISCONSIN FORM N94-2000
�. KATHLEEN N. VALS11
REGISTER OF DEEDS
AFFIDAVIT OF ST. CROIR Co., VI
Document Number
CORRECTION RECEIVED FOR RECORD
(TYPE OR PRINT CLEARLY IN BLACK OR RED INK) 04/03/2006 01: 40pn
AFFIANT, Judy Alexander hereby swears or affirms that a certain CORRECTIVE AFFIDAVIT
document recorded on the 14f day of July. 2005 (year) in volume N /A. page EXERT 1
N/A, as document number 800253 which was recorded in St. Croix County, REC FEE: 17.00
State of Wisconsin, contained the following error (if more space is needed, TRANS FEE:
please attach addendum): COPY FEE: CC FEE:
The legal description was for an underlying legal that contained PAGES: 4
additional lots.
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): Burnet rite
5151 Edina Industrial Blvd. #500
To correct the legal description to: Lot 1 of Certified Survey Map located Edina. MN 55439
in part of the SW Y/4 of the SW % of Section 23, Township 31 N, Range
19W, Town of Somerset, St. Croix, Wisconsin, being part of Lot 2 of the
Plat of Serenity filed April 25, 2005 in Volume 19 Page 4973 as Document
No. 793156.
032 2095 20 000
Parcel Idenrficafion Number (PIN)
AFFIANT is the (check one):
❑ Drafter of the document being corrected.
❑ Owner of the property described in the document being corrected.
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 grantees).
Signed:
Judy A / Idxander
State of Minnesota )
) ss.
County of Hennepin ) /
S bed and sworn to r a ' me be a me this day of k
tart' P lic, State of Min to
My Commission (expires) (is): SERINA M BERG
r NOtAAY PUBLIC - QINNESOTA
THIS INSTRUMENT WAS DRAFTED BY: t a t' Comm. Expires Jan. 31. 2010
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 Wisconsin Statutes.
Y P P Y 1 P ()
(A Wisconsin Real Estate Transfer Return is required for instruments that do convey real property).
1 &4
793 1 Mr=
11!OL 19 PA1313 4973
KATHLEEA H. ULSA' — " —
CERTIFIED SURVEY MAP s� STE OF DEEDS
LOCATED IN PART OF THE SWI /4 OF THE SWI /4 OF SECTION 23, 731N, RECEIVED FOR kECORD
R19W, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN. BEING PART 04/25/2005 03:00PM
OF LOT 2 OF THE PLAT OF SERENITY CERTIFIED SURVEY MAP
Wt /4 CM SURVEYOR: PREPARED FORz , C � = 3380
COPY SEC 23 DOUGLAS J. ZAHLER STEVE & PATRICA PARENT PAGES t 2
S & N LAND SURVEYING, INC. 2015 607H STREET
I 2920 ENLOE STREET SOMERSET, VA 54025
HUDSON, WI 540'16
LOT 3 PLAT OF_S_E RE TY .
• (R- S88"S3'16 "E) —
0 1 r S88"S4"Ol"E 808.64'
'OHO LOT
6 6r I} 4,387 ACRES
( L (190,234 SO. FT.) _
-,- 4.37 ACRES
r CONTIGUOUS SHED 1C r
BUILDABLE AREA t'.A:.N:.N.11L. n 'O' O
D VEWAY r y
It I O i SEPTIC' ib n
VENT SEPTIC} ' ;.. i .
Z WALL
_ y g - RIVEWAY S87'S6 546 s�9 v iw
O„
g $ �- 29'YV 334.11 LOT' 2 R =S88'�i8'14 "E)
5.2 ACRES S88'38 "57"E
IH i0 * 3 E ( 230.34 SM .1. 80.01' —
' CONTIGUOUS i c
p I z BUILDABLE AREA I O
W L OTa I
3.215 ACRES �+ •
(1401 SO. FT.)
3.22 ACRES
H�
i :
D TI U SS
O I�
-P
L d
OT 4
N
i 5.162 ACRES
N89'i 3 59 W 33817'
i t (R- N89.13'16 "WI) ( �4 9.0 MES ') C7
w; • LOT 3 C.S.M IN Z Z CONTIGUOUS
BUILDABLE AREA
1 -4; VOL. 10 PG. 2772 "dd
10
- — LEGEND �! w
FOUND ALUMINUM m Imo'
COUNTY SECTION I b
CORNER MONUMENT R- N89 . r
• DI I" OM N89'13"59 "W 469.67" z j>
SET 1" OUTSIDE DIAMETER LOT 2 C.S.2M. IN N 9 d Z -10
l BY .r LONG MON. I - - � d
ri
WEIGHING 1.13 UM PER VOL. 10 PG. 2737 N IrA
LINEAR FOOT --------------- --
SCALE IN FEET 1 rn m
" = 150" '
ROADWAY SMACK
m I
. ....... LINE (10(r FROM IV I
RIGHT -of wAY) 150 0 150 c I 346' TO
SOUTH UNE OF I
THE SWI /4 __ (R- S89 "w) _ A DRIVE �� �
� b x 40.42'
C . ( 'NE._._ f (R S89 W)
THIS INSTRUMENT DRAFTED BY.' VMWAM KANE 62ND mmmff
an- 01
JOB NO. 6492 -01 DATE: 02/17/2005 REVISED: 03/10/2005 SHEET 1 OF 2 SHEETS
V`bl 19 Vol 4973