Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
034-1088-70-000
Wisconsin Departme of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Sat 2y antjBuilding Division INSPECTION REPORT Sanitary Permit No: 515174 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan 10 No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)J. Permit Holder's Name: City Village X Township Parcel Tax No: Malcein, Glen I Springfield, Town of 034- 1088 -70 -000 CST BM Elev: Insp. BM Elev: BM Description: SectionlTown /Range/Map No: /& • d� �m 1 G S T 28.29.15,570D TANK INFORMATION ELEVATION DATA 3.63 fO 3 1 TYPE MANUFACTURER , CAPACITY STATION Z BSS /a Fjl� FS / V. it Septic J Benchmark Dosing � Alt. Bit Q. ✓ I 71.. Bldg. Sewer Holding St/Ht Inlet g ,j5 ,'t,p ` \ TANK SETBACK INFORMATION St/Ht Outlet TANK TO w P/LL WELL BLDG. Vjtnt to Ai take ROAD Dt Inlet �!! o Septic 5 /$ / Dt Bottom �7 2/ Losing 5 7 / / Header /Man. 2.7 /aL . Z - Aeration Dist, Pipe 2.7 /D2, • Z Holding Bot. System 3.y5� /al•5 PUMP/SIPHON INFORMATION Final Grade , `.� O is 3 • �, Manufacturer Demand St Cove; �` GPM 1 .., (,d✓ J+ 3 . U 7 6� Model Number 9Z ,0 surd- 33.3 cp�� -o�, s . 3 �q TDH I L ift r Friction Loss System Head TDH , �F Forcema Length � Dia, // Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width / Length No. Of Trenc s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS /� /_O � SETBACK SYSTEM TO (O P/L IBLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type f System: 5AJ � 'dO + CHA UN OR /� N Model Number: f / O J� DISTRIBUTION SYSTEM 0 All Header /Manif)d ! J P�P�e(s) tribution y x Hole Size �� x Hole Spacing / Ve Air Intake 7� A 3 ' e �_ % Z ' Z Length 7 Oia Length 7 D Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over ` xx Depth of xx Seeded /Sodded W Mulch d Bed /Trench Center /,7 Bed /Trench Edges Topsoil y es [ No _ as] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: I 1 Inspection #2: 1 / Location: 2938 Hwy 12 Wilillsoln WI 54027 (SE 114 SW 1/4 28 T29N 15W) Village of H/e'r's K Plat Lot 1- 6BIk23 Parcel No: 28.29.15.570D " " 1.j Alt BM Description = +y j�' ` ���'�' (_.. ✓�k +�ti 6 a-te let // a / ZS c� 2.} Bldg sewer length = 25 �u �. � �o- L J � b� - amount of cover = / Q b _ — ----- -4-221 Plan revision Required? n Yes No / 7— i 4) q Use other side for additional information. ( Date Ins ctor's nature Cart. No. SBD -6710 (R.3/97) wo n ConittM6l".Wl -gov Safety and Buildings Division County ` 201 W. Washington Ave., P.O. Box 7162 �S ' Cif 1 Y sco n� Madison, WI 53707-7162 Sanitary P ermit Number (to be filled in by Co.) 100opmbnot of Sanitary Permit Application STransac - b 7 er In accordance with s. Comm 83.21(2), Wis. Aden me Code, submission of this form to the appropriate governmental (� f 3 / unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary puqvm in accordance with the Privacy Law, s. 15, l m , Stats. L Application Information — Please Print All Information Parcel # ' Property Owner's Name / _3 , j(/ Q Cry✓ 2�/ Property e?wner's Mauing Address 9 $7 (:jYVIA Govt. t ..- /� �E'f JJ Phone ZONING .. '/a �t / `/�, Section /�J' OY City, State 1 - OFFICE cmrcie o / T�N; � Er W II. of Building (check all that apply) Lot A Subdivision Name �172Family Dwelling -Number of Bedroo - Tti /S��/ Block # D Public/Commercial - Describe Use ❑ City of D State Owned - Describe Use CSM Number D Village of w of III. Type of Permit: (Check 9Wy one box on line A. Complete line B if applicable) A D New System dacerrtent System D Tmatment/Holding Tank Replacement Only D Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal D Permit Revision D Change of Plumber D Permit Transfer to New��� !.�" �► Befooe Expirations / 7 IV. Type of POWTS system/component/Device: Check all that a ppW D Non - Pressurized In -Gmund D Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ❑ Holding Tank D Otter Dispersal Component (explain) ❑ Pre anent Device (exptartt) V. Dls reatment Area Information: Dcsi Flow (gpd) Design Soil Application Rate(gpdsfl Dispersal Area Req ' (st) Dispersal Area / sed System Elevation 47 04 I VL Tank Info c4ac n Total I # of Man Gallons Gallons Units New Tanks Existing Tanks Septic or 11a31fng Tank Dosing Chamber a VIL Resp onsibility Statement - 1, the undersigned, assume 1 for installation of the POWTS shown ern the attached plans. Plumber's Name (Print) Plumber's MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zi ode} oun /De ent Use on Permit Fee Date I d I mg A Approved ❑Disapproved $ ` ❑ Owner Given Reason for Denial � ` �d l ©( / • IX. Conditions of ApprovaMessons for Disapproval 3 YK ,Q, 44 4,Ct _ - SYSTEM OWNER: 1 .)up tic tanK, effluent fitter and dispersal cell must all be serviced /maintained as per management plan provided by slumber. J 2. All setback requl rerlttito camplete lftsoftIM111ft6 m and sub t to the Counly only on Pape no tee than a In s l I i In si as per applicable, cu o;i Ulf ldi,C a.,r -1 �� � , �,� p SBD -6398 (R. 01/07) Valid thru 01/09 j or t t . £ &'• of S� f tc+t@!f t►ff }-"tQ 4a� o S w www R CO \ o� ♦ '� CP AD ty NS z P va N - 7ZUo "I'VE �- X z j ct $elb ROOIA i Sa f e ty p-p04 and Buildings r r 141 NW BARSTOW ST FL 4TH commerceml.gov WAUKESHA WI 53188 -3789 0 f+�T�( L �y Contact Through Relay isconsin www.commerce.wn ov Department of Commerce vrww.wisconsin.gov Jim Doyle, Governor Richard J. Leinenkugel, Secretary July 02, 2009 RECEIVED CUST ID No. 224832 ATTN: POWTS Inspector MARY JO HUPPERT ZONING OFFICE JUL G 8 2009 HOLLISTERS SOIL TESTING & DESIGN ST CROIX COUNTY SPIA BT CROIX COUNTY W9875 690TH AVE 1101 CARMICHAEL RD PtANNING & ZONING OFFICE RIVER FALLS WI 54022 -4011 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 07/02/2011 Transaction ID No. 1673742 SITE: Site ID No. 184375 Glenn Malcein Please refer to both identification numbers, 2938 Us Hwy 12 above, in all correspondence with the agency, Town of Springfield, 54027 �-� St Croix County 1? 7�/ hlze SETA, SWIA, S28, T29N, R15W # - Y Lot: 1 -6, FOR: Description: Mound, 4 bedroom Object Type: POWTS Component Manual Regulated Object ID No.: 1229173 Maintenance required; Replacement system; 600 GPD Flow rate; 16 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01/01) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD - 10691 -P (N.01/01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706-P (N.01 /01). In the event this soil absorption system or any of its component parts malfunctions so as to create a health arldhe property owner must follow the contingency plan as described in the approved plans. In addition, the neCW, t•a. comply with the operation, maintenance and monitoring duties as described in section VIII of the 1 9 1 manual. A copy of this information must be given to the owner upon completion of the project. G /`� ON RTy All holding/treatment tanks are to comply with Comm. 84.25(7)(a).' F F Maintenance information must be given to the owner of the tank explaining that periodic cleanin the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. I,� MARY JO HUPPERT Page 2 7/2/2009 A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. Inspection r' nts for inspection shall b ma h th of the private sewage system installation is required. Arrangements pec t n s a I e de with e designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Si y, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Julia Lewis - Osborne POWTS Reviewer 2, Integrated Services WiSMART code: 7633 (262) 397 -6005, Fax: (608) 283 -7481 julia.lewis@wisconsin.gov y 'Jun 18 09 02:39p Hollister's Soil Testing 715 -426 -1775 p.2 Mound and Pressure Distribution Component Design Site Inform R ; Residential or Commercial Design Note: Sarni ell (0) calculations assume a 400.00 Esti Wastewater Flow (gpd} Table 83-043 i -s itu sflil treatment for fecal 1.50: Peaking Factor (e.g. 1.5 = 150 %) colifarm of <- 36 Inches. 600.00 Design Flow (gpd) I.K Site Slope (%) 100 .00 Contour Line Elevation (ft) 16.00 Depth to Limiting Factor (in) 0.60 In -situ Soil Application Rate (gpd/ft Distributio Cell information 60.00; Dispersal Cell Length Along Contour (ft) = 10.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpolfe) 1-. Influent Wastewater Quality (1 or 2) Are the laterals the hig point in the distribution Y Pressure Disribution Information network? c11icr r yr 04 ;c F e Center or End Manifold 3.33 Lateral Spacing (ft) If N above, enter the el evation (ft) 3 Number of laterals of the highest point. 0.125 Orifice Diameter (in) 2.25 E 5ii;: + aEad, Orifice Spacing (ft) = 7.4i felorifice 2.00 Forcemain Diameter (in) 112.00 Forcemain Length (ft) Does the forcemain drain back? Y 92.00; Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 18.27 Forcemain Drainback (gal) 9.17 Vertical Lift (ft) 55.91 5x Void Volume (gal) 2.54 Friction loss (ft) 74.18 Minimum Dose Volume (gal) 0.50 in - line Filter Loss (ft) 33.37 System Demand (gpm) • 18.81 Total Dynamic Head (ft) 'v Lateral Diameter Selection Manifold 9iin in. dia o tions I choice in. dia. o tion choice 0.75 1.25 x x 1.00 1.50 x __...._... - - 1.25 x x 2.00 x r_ 1.50 x `. __..... - - 3.00 - - -- -- 2.00 x 3.00 x Gallo_nslinch Calculator ",�" Tr_ eatment Tank Information ........ _ Total Tank Capacity (gal) 1200.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser ._ Manufacturer galtin (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) Polylok Filter Manufacturer 22.24 Dose Tank Volume (gal/in) 525 f=ilter Model Number �! Wieser Manufacturer 1�1 0 Project: GLENN MALCEiN Page 2 of " RkVtsiU Ob ' 0 9 • JuA '18 09 02:39p Hollister's Soil Testing 715-426-1775 p.3 Mound Plan and Cross Section Views T 1/10 8 Observation Pipe : t31 : K... ----�• .__ Q ® A -• .__..... .- ..__..__._....• .... _ ._•..... ..•........ ... . _ -.. __.. r -- 3 -D L ---� Mound Component Dimensions A ft E 28.40 in H 1.00 ft K Eaft ft B 60.00 ft F 9.25 in z 13.81 ft L ft D 20.00 in G 0.50 ft J 7.28 ft W 600.00 (ft) Dispersal Cell Area 1 1428.80 (if) Basal Area Available 10.00 (gpolft) Linear Loading Rate 6.00 (ft) 1110 B Qbs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.44 (ft) ---► „IlIrN r h _ * H riNiirrrru no. i ero. '��` j• .) �nmNirrrim+ 2 uirNi Nirorl. /I / /flrlNlNIIIIf /N/ If /NIIII/II/NllllH✓, F = Dispersal Cell 102.17 {ft} Lateral 101.67 (ft)—► - Invert Cell C � Disper e D€ = Elevation - - ;g 100.00 (ft) Contour Elevation 7.0 % Site Slope Geotextile Fabric Cover Shading Key a c Dispersal Cell See lateral details on 1D = Topsoil Cap A 0 1 . 5 ft Page 4 for number, size, Subsoil Cap i 0 T /' and spacing of laterals. ® ASTM C33 Sand � ! F Laterals are equally [Q Tilled Layer a 0.5 ft Typical Lateral spaced from the Q Aggregate a o Q distribution cell's centerline in the *" — A - distribution cell (AxB). Project_ GLENN MALCEIN Page 3 of 8 r r . MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: GLENN MALCEIN RECEIVED Owner's Name: (same) JUN - 8 2009 Owner's Address: 1058 C.T.H. D SAFETY & BUILDINGS Woodville, WI 54028 Legal Description: SE 114 of the SW 114, S28, T29N, R15W Township: Springfield County: St Croix Subdivision Name: Original Plat of Hersey Lot Number 1,2,3,4,5 & 6 Block Number. 23 Parcel I.D. Number. 034 - 1088 -7000 & 034 - 1088 -40 -100 Plan Transaction No.: 1q►tt Page 1 Index and title Ci S►' v4� f Page 2 Data entry v • .••" "'••...- �W% Page 3 Mound drawings r! Py .• Page 4 Lateral and dose tank -� T image 5 System maintenance specifications Wage 6 Management and contingency plan -� age 7 Pump curve and specifications - . Page 8 Plot Plan ��``� IY11i1�61t1ti������ Designer. Mary Jo Huppert License Number. 1859 -007 Date: 06/05/09 Phone Number. (715) 426 -1775 Signature: " Designed Pursuant to the ,: Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and both 4�e SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706 -P (N. 01101) Version 5.1 (R. 06106) Page 1 of 8 O dG��O�cs �c� Mound and Pressure Distribution Component Design Site Information Note: Sand fill (D) calculations assume a R Residential or Commercial Design Table 83 -44 -3 in -situ soil treatment for fecal 400.00 Estimated Wastewater Flow (gpd) coliform of <= 36 inches. 1.50 Peaking Factor (e.g. 1.5 = 150 %) 600.00 Design Flow (gpd) 11.00 Site Slope ( %) 99.50 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.60 In -situ Soil Application Rate (gpd /fe) Distribution Cell Information 10.0 60.00 Dispersal Cell Length Along Contour (ft) _ � Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft2) Are the laterals the highest point 1 Influent Wastewater Quality (1 or 2) in the distribution Y Pressure Di ibution Information network? e Ce er or End Manifold 3.33 Later Spacing (ft) If N above, enter the elevation (ft) 3 Number f Laterals of the highest point. 0.125 Orifice Dia eter (in) 2,25 On a Spacing (ft) = 7.41 ft /orifice 2.00 Forcemain Dia ter (in) 112.00 Forcemain Length ) Does the forcemain drain back? Y 92.00 Pump Tank Elevatio ft) 1 2.64 System Head (ft) x 1.3 18.27 Forcemain Drainback (gal) Vertical Lift (ft) 55.91 5x Void Volume (gal) Friction Loss (ft) 74.18 Minimum Dose Volume (gal) 0.50 in -line Filter Loss (ft) 33.37 System Demand (gpm) F - 77T - 64 - 1 Total Dynamic Head (ft) Lateral Diameter Selection Mani Id Diameter Selection in. dia. o tions choice in. dia. o tions choice 0.75 1.25 x x 1.00 1.50 1.25 x x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator Treatment Tank Information Total Tank Capa ' (gal) 1200.00 Septic Tank Capacity (gal) Total Working Liqui epth (in) Wieser Manufacturer L_ _._J gal /in (enter result in c B49) Dose Tank Information Effluent Filter Information lok Filter Manufacturer 800.00 Dose Tank Capacity (gal) Pol y 525 Filter Model Number 22.24 Dose Tank Volume (gal /in) Wieser Manufacturer Project: GLENN MALCEIN Page 2 of 8 aim F t t Z— a �SPr r�d�eovlrCa teae o s Div/ www S D D o 0 Li a �{ BeZ Roots l z _j a s ' 1Msconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accorda ) Ad Code Canty s¢e. Plan ST. CROIX . � s th 81 /RI. ' 1 an m t Attach complete site plan on papernot I include, but not limited to: vertical and honzo reference point (BM) diredi near t road. Pareet percent slope, scale or dimensions, north o nd location al jt *0 Reviewed Dade Please print atl, ar n• ,.. , G 15.04 ( (m))• Personal information you provide may be used for se daty �� ❑ Location Pr�(yOwfer Govt. LotSE 114 SW 114 S 28 T 29 N R 15 E (or) W GLENN MALCEIN Property Owner's Mailing C.T.H. D 2 Address Lot # Block # Surber. Name or 1058 ❑ V urn lVeere� Road ---- rip Code Phone Nuurlber Hwy. 12 Woodville, WI 54028 ( 715 j 265-7213 . R / Number of bedroorrr; 3 or 4 Code derived design flow rate 450 of 600 Gpp El New Calstiudior► tlse� - []RwWmnwt 0 Public or commercial - Describe: Flood Plawrl elevation if appliicable ft. Parent material Gerre<ai1nents Mound System - () l 1.67 ft. sand fill and recorruruerrde: To be designed by designer or instal u:t OA 0 Boring El Boring # a Ground surface elev. 100.27 ft. Depth to limiting factor 22 in. Sol Rate ■ Pit C Boundary Roots GPDJff° Horizon Depth Dcrr Redox Description Texture SfNdt TEfi#1 "Eff#2 Gr. Sz Sh lo. MunseM Qu. Sz. Cont. Color . 1 0-3 10YR2/2 v sl 3fgr mvfr cs 3vf-m 0.6 0.8 sl 2fa&sbk mvfr as 2vf n► 0.6 0.8 2 3 -9 10YR2/2 lvf m 0.6 0.8 3 9 -22 t0YR3/3 - sl 2fabk mfr as �3 f2f 10YR4/6 sl 2fabk cw lvf-m 0.6 0.8 4 22 -24 10YR3 /4 5 24-26 �--- 10YR3/4 c2d 101 R5 /6 sl 2fabk mfr cw lvf-m 0.6 0 8 lvf-f 0.7 1.6 6 2 6- 30 10YR3/4 c2d 1oYR3 1s lfabk _ Some gr; 00 .25 29 a Boring # Boring 97 ft Depth to limiting factor in. Sol Rate pit Ground surface elev. GPDAf Rods Horizon Dominant Redox Description Text re Sfnx�ire Co �� 'EJW1 Qu. Sz. ConL Color Gr. Sz. Sh. a'• M� mvfr cs 3vf-co 0.6 0.8 1 0-3 10YR212 = A 2fsbk as Zvfco 0.6 0.8 sl 2f 2 3 -12 10YR3/2 - 2 fsbk mfr _ 2vf�o 0.6 0.8 3 12 -29 10YR3 /4 sl fsbk mfr Some gr. < 150 • Efluent 92 = SOD < 30 mg& and TSS < 30 mg& gOp > 30 < 220 rrglL and TSS > 30 _ NWilber CST Nam 04ease Prim 224832 Mary Jo Hollister Dace EvaNration Corxk>cled Telephone Wrrrrber Address 06 - 20 & 25 - 05 (715) 426 - 1775 W9875 690th Avenue, River Falls, WI 54022 MALCEIN, Glenn (Lot 2) Parcel ID # (Pending) Page 2 of 3 Property Owner F Boring # Boris 99.25 Q Pit Ground surface elev. ft. Depth to limiting factor 16 in. Soil Application Rake Horizon Depth Dominant olor Redox Description Texture &ru ture Cor>sistenee Boundary Roots GPDAf g in. Munsell Qu. Sz. Cont. Odor Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0-10 10YR2 /2 -- I 3fgr &sbk mvfr cs 3vf-co 0.6 0.8 2 10-16 10YR3 /3 - sl 2f -msbk mfr as 2vf-co 0.6 0.8 3 16 -18 10YR3 /4 f2f 10YR4/6 sl 2fabk mfr 2vf-m 0.6 0.8 -- Some gr. F-1 Boring # Boring Q pit Ground surface elev. ft. Depth to limiting factor in. Sol Rate Horizon Depth DominantCokir Redox Description Texture Stnxylre Consistence Boundary Roots GPDff in. MtrlseN Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 "Eff#2 Boring S Boring # Ground surface elev. ft. Depth to limiting factor in. F Pit Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rods GPD1fF in. Munfsel Qu. Sz. Cont Color Gr. Sz. Sh. "Eff#1 `Eff#2 I * 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. S1113- 8330TC0 (R.07 /00) � � i � -� ' Parcel #: 034 - 1062 -40 -000 04/01/2008 12:31 PM PAGE 1 OF 1 Alt. Parcel M 28.29.15.429D 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co - Owner O - MALCEIN, GLENN GLENN MALCEIN PO BOX 162 WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description Z 1'2�,• SC 2198 GLENWOOD CITY SP 1700 WITC Z P 1 Legal Description: Acres: 7.300 Plat: N/A -NOT AVAILABLE S� OTS 1,2, &3 -BLK 21 & 7.3LA ALL THAT PRT OF SE Block/Condo Bldg: S S OF RR R/W XC L BL 2 &26 & EXC P429F Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 28- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 05/06/2005 794285 2798/78 JDG 10/10/2002 693612 2007/118 LC 05/25/1989 448166 841/452 WD 06/05/1985 402483 713/428 LC 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations Last Changed: 06/1512007 Description Class Acres Land Improve Total State Reason UNDEVELOPED G5 7.300 9,500 0 9,500 NO Totals for 2008: General Property 7.300 9,500 0 9,500 Woodland 0.000 0 0 Totals for 2007: General Property 7.300 9,500 0 9,500 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount I Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 , Parcel #: 034- 1088 -70 -000 10/21/2009 04;14 PM PAGE 10F1 Alt. Parcel #: 28.29.15.570D 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner 0 - MALCEIN, GLENN GLENN MALCEIN 1058 CTY RD D WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description ` 2938 HWY 12 SC 2198 GLENWOOD CITY SP 1700 WITC SP 7070 SPRINGFIELD SAN DIST #1 Legal Description: Acres: 0.000 Plat: 01 -055-HERSEY VILLAGE & LANDING LOTS 034 -188 SEC 28 T29N R15W PRT BLK 23 COM 70'W OF Block/Condo Bldg: SE COR BLK 23, N 125', W 150', S 125', E 150' TO POB PRT LOTS 1 -2 -3- 4 -5 -6 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 28- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 08/26/2009 902717 WD 12/15/2008 885445 SD 03/28/2001 641498 1609/66 WD 06/21/1993 500988 1016/457 LC 2009 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/31/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 3,600 103,000 106,600 NO 00 Totals for 2009: General Property 0.000 3,600 103,000 106,600 Woodland 0.000 0 0 Totals for 2008: General Property 0.000 4,000 102,950 106,950 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 #: 034 -1088 - 40-100 10/21/2009 04:13 PM PAGE 1 OF 1 Alt. Parcel #: 28.29.15.570A -10 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner GLENN MALCEIN O - MALCEIN, GLENN 1058 CTY RD D WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): ` = Primary Type Dist # Description 74TH AVE SC 2198 GLENWOOD CITY SP 1700 WITC SP 7070 SPRINGFIELD SAN DIST #1 Legal Description: Acres: 0.000 Plat: 01 -055-HERSEY VILLAGE& LANDING LOTS 034 -188 SEC 28 T29N R15W BLK 23 EXC E 70' OF S Block/Condo Bldg: 45 1/4' OF LOT 2 & EXC E 70' OF LOT 3 BLK 23 & EXC PARCEL 570C & D ALSO THOSE Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) PTS OF ABANDONED HAZEL AND INDEPENDENCE 28- 29N -15W STS Notes: Parcel History: Date Doc # Vol /Page Type 05/06/2005 794285 2798/78 JDG 10/10/2002 693612 2007/118 LC 07/12/2000 626293 1526/78 MIS 05/25/1989 448166 841/452 WD more... 2009 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/31/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.770 10,800 84,100 94,900 NO 00 Totals for 2009: General Property 0.770 10,800 84,100 94,900 Woodland 0.000 0 0 Totals for 2008: General Property 0.000 12,000 87,050 99,050 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 #: 034 - 1062 -40 -000 10/21/2009 04 :12 PM PAGE 1 O F 1 Alt. Parcel M 28.29.15.429D 034 - TOWN OF SPRINGFIELD Current ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 05/07/2009 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - MALCEIN, GLENN GLENN MALCEIN 1058 CTY RD D WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 7.300 Plat: N/A -NOT AVAILABLE SEC 28 T29N RI 5W 7.3A ALL THAT PRT OF SE Block/Condo Bldg: SW S OF RR R/W EXC LOTS 1,2, &3 -BLK 21 & BLKS 22,23,24,25, &26 & EXC P429F Tract(s): (Sec- Twn -Rng 40 1/4 160 114) 28- 29N -15W Notes: Parcel History: ROLLED INTO 2010 USING SAME NUMBER. Date Doc # Vol /Page Type DURING MAP CLEAN -UP REALIZED THIS PARCEL 05/06/2005 794285 2798/78 JDG IS INCLUDED IN THE PLAT OF HERSEY & 10/10/2002 693612 2007/118 LC SHOULD RECEIVE PT OF VACATED 05/25/1989 448166 841/452 WD INDEPENDENCE STREET, NEW LEGAL W/O 06/05/1985 402483 713/428 LC more... 2009 SUMMARY Bill M Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/31/2009 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 7.300 1,400 0 1,400 NO 00 Totals for 2009: General Property 7.300 1,400 0 1,400 Woodland 0.000 0 0 Totals for 2008: General Property 7.300 9,500 0 9,500 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 i ST. CROIX COUNTY SEPTIC TANK MAIlV'I'ENANCE A CTIUMAOW AND OWNERSHIP CERTIFICATION F RM Owner/Buyer /L- Miffing Address L3 J Property Address v;2 49' 3 (Verification required ftovtP & Zomng Departmw for new canstracdm) f J Parcel Identification N'f City /Steer �� 8i" - 70. LEG S(''Rffi4� ) [� / �4 C.,e, x/s , Sec. T �/ N R/ `� W, Town of "'j 0 � Property Location , , Subdivision Lot # CertWed Survey Map # / �C� �J Volu�dae , Page # Warranty D eed # ' �F 3 6 VolUme �y 7 , Page # house y� o Lot lines i�i5�able � no Spec � j SYSTEM i.:A*':'�'�'lu� AM OWNER CERTIFICATION Impropar use and ma�ace of your septic � tbxe t so���� , � . �'�O°+ ° p �°r. Wba you put into p gape consists of pum Dirt the septic W* eve tr Y in the waas� y dispvaal sYd m. Owm e M affect the action of the septic teak as a treatmeux stage .ou6t respo bilities are specified in §Comm. 83.52(1) and in Chapter 12 - St Crone Sani�S' Planning Depst�t a cartification foam, signed by the The property 0W= agrees to submit to St Croix County owner and by a master plumber, job plumber, restricted plumber or a liceowad pumper vacff9m8 that (1) the worsite septic, tank is wastewater disposal system is is proper operating condition and/or (2) after inspect�on and pumping (if necessary), ft less than 1/3 full of sludge: ,� �� � � �vyage disposal syst,cm with the I/we, &a undeesignod have read the above requia and agree sl Resources, St of Wisconsin. standards set forth, bmgm . as set by the Dapam°°ent of commerce and ft i 5 an o O f w R w St Carob[ County P & Certification stating that your septic system has been mamtamed must be compl Zaaing Depacunog within 30 days of the three year expiration date- I/we ca * that au statements on this form are true to the best of my /our knowledge. I/we arutwe do owner(s) of the property' descnbed above by virtue of warranty deed recorded m Register of Deeds Office. Number etlro.Ms DATE SIGNAVM OF APPLICANT(S) ** *,Amy information that is:cin -S eaented may result in th sanitary permit being revoked by ft YLimAnS & ZoniuS Deparimten # ** hmbirle with tbas application a recorded vAm* dy deed from the Register of Deeds Mce and a copy of the =ffLai =-my nP lf refraraace is made in the w211100ty deed. i (RE OW I 1 ff I+ l !I 9 0 5 4 5 2 5 005452 1 I I BETH PABST I I I REGISTER OF DEEDS ST. CROIX CO., WI I I I RECEIVED FOR RECORD Document No. I I 10/16/2009 11.00 A M 1 I I EASEMENT I EXERPT I REC FEE: 19.00 DECLARATION OF SEPTIC SYSTEM I PAGES: 5 AND DRAINFIELD EASEMENT I Return to: Thomas A. McCormack PO Box 2120 Baldwin, WI 54002 � I 034 -1088- 70-000, 034 - 1088 - 30-001 034 - 108840 -100, 034- 1062-40-000 034- 1088 -20 -010 Parcel Numbers THIS SEPTIC SYSTEM AND DRAINFIELD EASEMENT (Agreement) is created by Glenn Malcein (the Owner). RECITALS: A. The Owner is the fee holder of certain real property in the Town of Springfield, St. Croix County, State of Wisconsin, as more particularly described as Parcels 1 and 2 on the attached and incorporated Exhibit A (the Property). B. Owner acquired title to Parcels 1 and 2 by separate conveyances from different Grantors. Parcel 1 was acquired by Warranty Deed from Helen Ross recorded May 25, 1989, in Volume 841, Page 452, as Document No. 448166. Parcel 2 was acquired by Special Warranty Deed from Wells Fargo Bank, N.A. recorded August 26, 2009, as Document No. 902717. C. There is on Parcel 2 a residence which requires the installation of a new septic system and drainfield, the most suitable location for which is located on Parcel 1. D. St. Croix County has required that the Owner grant a permanent easement (the Easement) over said portion of Parcel I as such portion is described on the attached and incorporated Exhibit B (the Utility Easement Area). 1 of 5 - DECLARATION Owner, as a condition of obtaining a permit for the installation of the septic system and drainfield referred to above, hereby declares as follows: 1. Creation of Easement. The Owner creates on Parcel 1 a perpetual easement and right -of -way to construct, reconstruct, maintain, operate, supplement, and remove a septic system and drainfield easement, with the right of ingress and egress for the purpose of this grant, over the Utility Easement Area. 2. Maintenance and Indemnification, Subsequent owners of Parcel 2 shall be solely responsible for all maintenance, repair and/or replacement of the system and drainfield, and shall indemnify the Owner and successor owners of Parcel l or any portion thereof from and against all loss, costs (including reasonable attorney fees), injury, death, or damage to persons or property that at any time may be suffered or sustained by any person or entity in connection with the activities conducted on the Property. 3. Consistent Uses Allowed. The Owner reserves the right to use the Utility Easement Area for purposes that will not interfere with the Parcel 2's full enjoyment of the Easement rights granted in this Declaration. 4. Covenants Run with Land. All terms and conditions in this Declaration, including the benefits and burdens, shall run with the land and shall be binding upon, inure to the benefit of, and be enforceable by the Owner and his respective successors and assigns. Successor owners of Parcel 2 shall cease to have any liability under this Declaration with respect to facts or circumstances arising after the party has transferred its fee simple interest in Parcel 2 and its interest in the Easement Utility Area. All subsequent conveyances of Parcel 2 shall include the easement rights declared therein. 5. Non -Use. Non -use or limited use of the Easement granted in this Agreement shall not prevent Successor owners of Parcel 2 from later use of the Easement rights to the fullest extent authorized in this Declaration. 6. Governing Law. This Agreement shall be construed and enforced in accordance with the laws of the State of Wisconsin. 7. Invalidity. If any term or condition of this Declaration, or the application ofthis Declaration to any person or circumstance, shall be deemed invalid or unenforceable, the remainder of this Declaration, or the application of the term or condition to persons or circumstances other than those to which it is held invalid or unenforceable, shall not be affected thereby, and each term and condition shall be valid and enforceable to the fullest extent permitted by law. 8. Waiver. No delay or omission by any party in exercising any right or power arising out of any default under any of the terms or conditions of this Declaration shall be construed to be a waiver of the right or power. 9. Enforcement. Enforcement of this Agreement may be by proceedings at law or in equity against any person or persons violating or attempting or threatening to violate any term or condition in this Declaration, either to restrain or prevent the violation or to obtain any other relief. If a suit is brought to enforce this Declaration, the prevailing party shall be entitled to recover its costs, including reasonable attorney fees, from the nonprevailing party. 10. No Public Dedication. Nothing in this Declaration shall be deemed a gift or dedication of 2of5 I I � r any portion of the easements granted under it to the general public or for any public purpose whatsoever. Dated: October J , 2009. ✓ enn alcein, Owner ACKNOWLEDGMENT STATE OF WISCONSIN ) COUNTY OF ST. CROIX ) This instrument was acknowledged before me on October N, 2009 by Glenn Malcein. rCy �G ®tS Notary Public, State of Wisconsin V My commission ispertHe�a --ttq t ms". This document was drafted by: Thomas A. McCormack Attorney at Law 102010th Ave. Baldwin, WI 54002 State Bar No. 01011884 3of5 EXHIBIT A Parcel 1: Part of Southeast Quarter of Southwest Quarter (SE %4 of SW %4) of Section 28- 29 -15, described as follows: Commencing at SE corner of said SE /4 of SW /4; thence West on South line of said SE /4 of SW' /4 9.5 chains; thence North 11.67 chains to R.R. R/W; thence S 71° E on said RIW 10.08 chains to East line of said SE 1 /4 of SW 1 /4; thence South on said East line 8.33 chains to place of beginning, f r f Block "2 " of Plat of Village of Hersey; EXCEPT commencing 33 feet East o SE come o B c 3 g g y thence E 100 feet; thence N 150 feet; thence W 100 feet; thence S 150 feet to place of beginning. Blocks 21, 22 and 23 of Plat of Village of Hersey, EXCEPT E 70 feet of S 45 Meet of Lot 2 and EXCEPT E 70 feet of Lot 3 of said Block 23 and EXCEPT part of Block 23 conveyed to L.H. ! and Crystal Grote in Vol. 473, page 134. Parcel 2: Starting at a point 70 feet West of the Southeast corner of Block 23 of the Original Plat of th Village of Hersey, thence North 125 feet, thence West 150 feet, e nce South 125 feet, thence East 150 feet to the point of beginning; being a part of Lots 1, 2, 3, 4, 5, and 6 of Block 23, of the Original Plat of the Village of Hersey, now in the town of Springfield. St. Croix County, Wisconsin. 4of5 I , 1 1 EXHIBIT B Part of Block 23, of the Plat of Hersey, and part of the Southeast quarter of the Southwest quarter, located in Section 28, Township 29 North, Range 15 West, Town of Springfield, St. Croix County, Wisconsin, more particularly described as follows: Commencing at the South quarter corner of said Section 28, Thence S89 °33'36 "W, along the south line of the Southwest quarter of said Section 28, a distance of 808.63 feet; Thence N00 0 26'24 "W, a distance of 158.01 feeet to the point of beginning; Thence N43 °21'48 "E, a distance of 137.13 feet; Thence S27 °51'35 "E, a distance of 122.35 feet; Thence S00 ° 13'07 "E, a distance of 15.88 feet; Thence S89 °33'36 "W, a distance of 103.00 feet; Thence N00° 13'07 "W, a distance of 25.52 feet; Thence S89 °3336 "W, a distance of 48.30 feet, to the point of beginning. 5of5 J r 1 I Prepared by: Kerry C. Feld, Esq. Continental REO Services, Inc. 7777 Bonhomme Avenue, Suite 1100 St. Louis, MO 63105 Wisconsin Special Warranty Deed This Deed is made and entered into this �N_ day of n1 , 20� by and between Wells Fargo Bank, NA , as Trustee for Option One Mortgage Loan Trust 2001 -B, Asset - Backed Certificates, Series 2001 -8 by American Home Mortgage Servicing, Inc. as Attorney in Fact of the County of _ ,State of , hereinafter collectively referred to as 'Grantor", and Glenn Malcein of the County oa State of 1,� I �O referred to as "Grantee ". The mailing address of the Grantee is 21 g la W j WITNESSETH, that the Grantors, for and in consideration of the sum of Ten Dollars ($10.00) and other valuable considerations paid to the Grantor, the receipt of which is hereby acknowledged, does by these presents GRANT, BARGAIN AND SELL, CONVEY AND CONFIRM unto the Grantee, the following described lots, tracts or parcels of land lying, being and situated in the County of St. Croix and State of Wisconsin to -wit: Starting at a point 70 feet West of the Southeast corner of Block 23 of the Original Plat of Village of Hersey, thence North 125 feet, thence West 150 feet, thence South 125 feet, thence East 150 feet to the point of beginning; being a part of Lots 1, 2, 3, 4, 5, and 6 of Block 23. of the Original Plat of the Village of Hersey, now in the town of Springfield. St. Croix County, Wisconsin. Parcel ID: 0341088-70000 This iS homestead property. (is) (is not) Subject to easements, conditions, restrictions and limitations of record. 2of3 _ A To have and to hold the same; together with all rights and appurtenances to the same belonging, unto the said Grantees, and to His /Her successors and assigns. The said Grantor hereby covenanting that it and the successors and assigns of such Grantor shall and will WARRANT AND DEFEND the title to the premises unto the said Grantees, and to the successors and assigns of such Grantee forever, against the lawful claims of all persons claiming by, through or under Grantor but none other, excepting, however, the general taxes for the calendar year and thereafter, and special taxes becoming a lien after the date of this deed. IN WITNESS WHEREOF, the said Grantor has hereunto caused this instrument to be signed on the day and year first above written. Grantor: Wells Fargo Bank, NA, as Trustee for Option One Mortgage Loan Trust 2001 -B, Asset - Backed Certificates, Series 2001 -B, Grantor, by American Home Mortgage Servicing, Inc., its Attorney -in -Fact r►arosa ltle: Ag„stant Secretary STATE OF ) ) SS COUNTY OF ) t On this VA day of n I , 20 , before me I b029 WVjjVGred Michael — 11=$a to me personally known, who, being by W me dully sworn, d sa at he/she is the 58 S SB eCrB po) of American Home Mortgage Servicing, Inc, as Attorney -in -Fact for Wells Fargo Bank, NA , as Trustee for Option One Mortgage Loan Trust 2001 -B, Asset - Backed Certificates, Series 2001 -B, Grantor, and that the seal affixed to the foregoing instrument is the corporate seal of said corporation and that said instrument was signed and sealed in behalf of said corporation, by authority of its board of directors and said acknowledged said instrument to be the free act and deed of said corporation. In Testimony whereof, I have hereunto set my hand and affixed my official seal in the County and State aforesaid, the day and year first written above. KIMBERLY D. COMPTON ' M Notary Public, State of Texas My Commission Expires Novombet 06 . 2011 Notary Public My Commission Expires: C 4 (Notary seal) c 3of3 I ti V 2007 P 118 STATE BAR OF WISCONSIN FORM 11 - 1982 LAND CONTRACT KATHLEEN H. WALSH Indi.adnal and Carpurate REGISTER OF DEEDS (TORE USED FOR ALL TRANSACTIONS WHERE OVER ST. REGISTER CO. , WI $25,000 IS FINANCED AND IN OTHER VON- CONSUMER DOCUMENT NO, acTTRANSncT+oNS) RECEIVED FOR RECORD Contract, by and between Glenn W. Malcein and Joan C. 10 -10 -2002 9:30 AM Malcom husband and wife LffVL CLWTMiL? ( "Vendor', _XEWT # whether one or more) and Adr; a n r ° ,k , a s± nQT aerson REG FEE: 13.00 TRANS FEE: 330.00 ( "Purchaser', whether one or more). Vendor sells COPY FEE: and agrees to convey to Purchaser, upon the prompt and full performance of this contract by CERT COPY FEE: Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant PAGES: 2 interests (all called the "Property "), in St. Croix County, State of Wisconsin: Part of the Southeast Quarter of the Southwest Quarter (SE%t of SWI-t) , Section 28, Township 29 North, Range 15 West, Town of Springfield, described as follows: Commencing at SE corner of said SE'ti of SWIS; thence West on South line of said SE4 of SW'-t 9.5 THIS SPACE RESERVED FOR RECORDING DATA chains; thence North 11.67 chains to Railroad right NAME AND RETURN ADDRESS of way; thence S.71 ° E, on said R/W 10.08 chains to East line of said SE4 of SW;t; thence South on said Title One Premier Group, Inc. East line 8.33 chains to place of beginning, EXCEPT 706 19th Street South commencing 33 feet East of SE corner of Block 23 of Plat of Village of Hersey; thence East 100 feet; thence North 150 feet; thence West 100 feet; thence South 150 feet to place of beginning. Blocks 21, 22 and 23 Of Plat of Village of Hersey EXCEPT East 70 034- 1062 -40 -000; 034 - 10$8 - 20 - 000; feet of South 45 feet of Lot 2 and EXCEPT East 70 0 34- 108 -30 - 000; 034 - 1 088 -4 0 -000; feet of Lot 3 of said Block 23 and EXCEPT part to (Parcel Identification Number) 034-1088-40-100 Block 23 conveyed to L.H. and Crystal Grote in Volume 473 on page 134. This is not homestead property. (is) (is not) P, O. _ Box 162 Wood ville, W I 54028 __ -.... Purchaser agrees to purchase the Property and to pay to Vendor at . _____ , the sum of S 110 _0 00 —.--_----in the following manner: (a) $ , 000.00 at the execution of this Contract; and (b) the balance of $ 90.000 , 00 _ - .. , together with interest from date hereof on the balance outstanding from time to time at the rate of __- _._? - 0 00 _ percent per annum until paid in full, as follows: Monthly payments of principal and interest in the amount of $808.95, commencing November 1, 2001 and continuing on the 1st day of each succeeding month until paid in full. Provided, however, the entire outstandinp balance shall be paid in full on or before the 1st day of -- -- No - --- - --__ -- , 2Q11]' — (the maturity date). Following any default in payment, interest shall accrue at the rate of 12.000 %per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably anticipated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at anytime after _ No vember 1 _ 2002 (OR) there maybe no prepayment ofprincipal without permission of Vendor.* In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herettom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: None. ** After 30 days of default interest will accrue at the rate of 12% until the mortgage becomes current. Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on October 4 - _ _ , 2 002 •Caws One One. STATE BAR OF wISCONMN LAND CONTRACT - IndhrWaal and COaporats FORM No. 1 i -1962 Attorney Michael H Forecki 1830 Brackett Ave, Eau Claire WI 54701 -4627 Phone: (715) 835 -3029 Fax: (715) 835 -4112 Michael H. Forecki T6220794.ZFX Produced with ZipFonn* by RE FonllsNeL LLC 1A925 Filte 9r Milo Road, Clinger Township. Miu+pan 48035. 1800) 383-9805 U 2007P 119 Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest in it and to deliver to Vendor on demand receipts showing such payments. Purchaser shall keep he improvements on the Pro insured against loss or damage occasioned b fire, extended coverage perils and such other hazards as P P Property ag 8 Y g pe Vendor may require, without co- insurance, through insurers approved by Vendor, in the sum of $ 90, 000. 00 , but Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible. Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except: Roadways , Easements , and Restrictions of Record_ Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of 30 days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of 30 days following written notice thereof by Vendor (delivered personally or mailea oy certified mail); then the entire outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this Contract and Purchaser's rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if Purchaser fails to redeem); or (ii) Vendor may Sue for specific Performance of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet -title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as incurred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendancy of such action, and such rents, issues, and profits when so collected shall be held and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchaser's rights under this Contract or by option, long -term tease or in any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any Y note secured there provided Purchaser makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms of this Contract shall be binding upon and inure to the benefits ofthe heirs, legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution ofthe deed to be made in fulfillment hereof.) Dated this 4th day of Oeto 2002 (SEAL) (SEAL) r •Glonn W. Maloo1n . Adrian Kramarczuk �l (SEAL) (SEAL) • Jod C. Malcein ■ AUTHENTICATION ACKNOWLEDGMENT Signatures) STATE OF WISCONSIN, ss Stt. Croix County. +—+ Personally came before me this 4th day of authenticated this day of t Ar,..a i1 Psifn Ootobetr 2002 the above named il otagU P ubli Glonn W. Malcszn sta of Wisconsin Joan C. Malcein • Adrian Kramarczuk TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person s who executed the authorized by § 706.06, Wis. Stats.) foregoing instrustent and ac ow a the same. THIS INSTRUMENT WAS DRAFTED BY V. Palm Michael H_ Forechi, Attorney Notary Public St. Croix County, Wis. Eau Claire Wi_seonaln My commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged, Both are not necessary.) December 12 2004 ) *Names of persons signing in any capacity should be typed or printed below their signatures. LAND CONTRACT - Individual and Corporece - Sine Bsr of Wisconsin, FOM Na. t r - 0112 Produced well ZipFOrm^ by RE FotmoNet LLC 16025 Fifteen MAO Road. Clinton Township, Michigan 48035, (1100) 393 -9805 T6220744.ZFX U 2798P 079 STATE OF WISCONSIN CIRCUIT COURT ST. CROIX COUNTY G LENN W. MAL EIN and • \ JOAN C. MALCEIN, Flt rp •`- i Plaintiffs,�d V. $1 f CROiX 01"'f I JUDGMENT ,. C Classification Type: 30404 , ADRIAN KRAMARCZUK, e No. 04CV486 FORD MOTOR CREDIT COMPANY; _;: STATE OF WISCONSIN Fit c/o St. Croix County Clerk, Defendants. cLcx► Of couR� sl CROIX coUNt This Court having entered its judgment in the above entitled matter on Jai*' providing for the strict foreclosure of a land contract by and between plaintiff, as vendor, and defendant, Adrian Kramarczuk, as purchaser, providing that the defendants shall have sixty (60) days from January 18, 2005 to pay the Clerk of this Court the amount due under said land contract; That the Court having been further advised that no payment has been received by the Clerk of Court as appears by the affidavit of non - redemption on file herein; That the judgment affects the real estate known and described as follows: 1?art of the Southeast Quarter of the Southwest Quarter (SB %. of SW' /•), Sectio 8, 28, T wwh s 29 North, Range 15 .West, Town of Springfield, desm'bcd as follows: Commencing amen North 11.67 SE% of SW' /; the ncD West on South lino of said SE /4 of SWi /s 9.5 chains, cnains•to Railroad right of way; thence S.71 *B. on said R/W 10.08 chains t 1 line of said 'g of SW'/; thence South on said East If= 8.33 chains to place of beginnin th ence $ase.,10O feet; ending 33 feet East of SE corner of Block 23 of Plat of vill of Hersey, N - 1So feet; thence West 100:fact thence South 130 foot to place of beginning. Blocks 21, 22. ofLDt 2 and EXCEPT and 23 of Plat of Village of Hersey EXCEPT East 70 to Block 23 conveyed 4 to L.H. and Cxystat Past 70 feet of Lot 3 of said Block 23 and EXCEPTp Ut Grote in Voh= 473 on pago 134. St. Croix County, Wisconsin. . . 9EH SERIES SUMP /EF'F'LUENT PUMP 11.65 8.95 � O � —}— - 0 specifications NNOEL 41• USTING ON9UTS NP VOUS MUDS SIZE RUNNING PERFONNANCE (GPM @ OW) "UTOFF N0. 10. PS i PIN A. nENNW WNS Mi L W.) ANPSIN'ATTS 5' I9' IF 19' (It) (Ft! prtisa (N x L x N) 9EH -CI1V1 509330 UUCSA 4110 115 3/4 13.0 1000 70 64 55 41 32 118 20' 24 9.11 x 11.64 x 8.94 9EH -CIM 509340 w= 4/10 230 314 6.5 1000 70 64 55 41 32 13.8 20' 24 9.11 x 11.64 x 8.94 9EH- CIA -RFS 509350 U= 4110 115 314 13.0 1000 70 64 55 41 32 13.8 20' 21 9.11 x 11.64 x 8.94 " 994- CIA -RFS 509360 U=A 4/10 230 3/4 6.5 1000 70 64 55 41 32 13.8 20' Continuous Duty Rated — Little Giant Wastewater pumps are rated continuous duty as long as they are run within the published ratingstorthesepumps" 27 9.11 x11.64x894 FLOW- LITERS /HOUR Construction 0 1000 2000 3000 Motor Housing Epoxy Coated Cast Iron Impeller Material Poly Carbonate 30 Io Impeller Type Closed Vane Volute ABS W 7.5 W Power Cord SJTW -A 20 Mechanical Shaft Seal Nitrile with carbon and E 5 ceramic faces Fasteners Stainless Steel W o Io 2.5 = Shaft Stainless Steel Bearings Upper Sleeve and Lawer 0 0 Bail Bearings 0 20 40 60 80 FLOW- GALLONS /MINUTE PUMP PERFORMANCE CURVE 115V 60HZ = °, L i ttle Giant Pump Co. PO Box 12010. Oklahoma City, OK 73157 ° s �f Phone: 405.947.2511 " Fax: 405.228.1550 www.LittleGiantPump.com . E -mail: customerservice @littlegiant.com Form 995235 — 07/03 1 lC� f — "Wl.grn► Safety county ' and Buildings Division 201 W. Washington Ave., P.O. Box 7162 _ be Madison, WI 53707 -7162 sanitary P �/ r/ �m filled in by Co.) s cos — J VS/ Meper4star>ti of� S Transaction Number Sanitary Permit Application 7 a ..� In accordance with s. Comm. 83.21(2), Wis. Adm. Code, Note' lion oathiin fo orms for sta oo r ig' POWTS are Project Address (if different than mailing address) unit is required prior to obtaining a sanitary permi • be used for secondary submitted to the Department of Commerce. Personal information you provide may ses in accordance with the Priv Law, s. I 1 m , $tats. L A lication Information — Please Print All Information Parcel Property Owam" 6 Natoe Pro party owner's Maning Address S7 (:IYlitc ' Qovt. t Phone ONING OFFICE �� A Section City, State 4 / �icircleo J t T N, p( .J_ B W all that apply) Lot # II, of Bvild'►ug (check , f. � SubdivisionNamc or 2 Family Dwelling - Number of Bedroo 1 / &WMA Cl ity of Block # ❑ Public/Commercisl - Describe Use 2 3 CSM Number ❑Village of � ❑ State Owned - Describe Use wn of III, Type of Permft: (Check y one box on line A. Complete line B if applicable) 111. Modification m Existing system (explain) A• ❑ New System lacement System ❑ Treatment/Holding Tank Replacement Only List Previous Permit Number and Date Issued B. C] Permit Renewal [I Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New _mot f -71 Owner Befoee Expiration IV. T e of POWTS S stern Com oneat/Device: Check all that appl ❑ Non - Pressurized in -Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound 2:24 in. of suitable soil Mound < 24 is of suitable soil ' ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pre One Device ( explain) V. Dig reatment Area Information: $ Dispersal Area Desi Flow Pto sed (si) System Elevation Design Soil A lmcation te(gpdst) Dispersal Area Rat S� / b (gpd) gn PP � Total # of Ivlanuf r o VI. Tank Info t n' ° � ' /Q a Gallons Gallons Units -2 � / /e �• New Tanks Existing Tanks Septic or Holding. Tenk � Dosing Chamber ` J VIL Responsibility Statement - 1, the undersigned, assume sibility for installation of the POWT MP/MPRS t he bed Phone fiber Plumber's Name (Print) Plumber's Addres (Street, ity, State, Zi ode) " VIII, oun /De artment Use Only Permit Fee rd Date Is d I mg Age t Si a.. Approved ❑ Disapproved g ` � �'-_ t � ❑ Owner Given Reason for h�nial (p L IX. Conditions of Approval/Reasons for Disapproval 3 "STEM OWNER: tarsi:, effluent filter and P ✓ , ' ,, /� ,S/N - gal cell must all be serviced / maintained ��3St X062 --�f0 na eent plan provided by plumber. } rovid plamifOtttt10 m and aub t to the Coady only on papa not has than S t/2: Il io in d m provid , quireV ablf' t C uiild!'iGE3S- / vw s-fi' e m - t d t/07) Valid thru 01/09 � ,¢ (/ k., �t� fr�EsE + pit to ,lFp, .. o s vaww o r o 0 0 , 41 v N qua a va @ vc t xt6-T4►•►Q> a t4 6EZ ROOM I c ACC [ , . 0 f ! M 0 0 7! � ƒ I/ o i o n m o m $ % -' EL ca - (A I m = e (D % / to � CD \ CO o G \ '�j r I % ■ � 0 CL CD to . 0 k\0 "IOWA / co \ n r ■ c c & § T T 8. &- 0 0 o -4 > 2 f § CA (A CA { k / 3 CD@ /a � i , z ! 0 § § 2 �- � \ � , » � } CD e B } � I � A 9 ■ T _m 2 9 06 § k 2 ; D _ @ §@k 2 c / c 7 � . Xy % � J C=L ! Err U) A 7 7 \ / k k ƒ ® §E � i Q - �\ � -,j f 0 ) \ 8 1 A 2 i � � Code Enforcement Trackina Sheet Origination Date: 04/04/1997 Violation #: 97 -v -18 Owner Name: Grant Ness Project Name: Septic Failure Property Address: 2938 Hwy 12 Mailing 216 250th St. Wilson, W 1 54027 Address: Woodville, W 1 54028 Municipality: Springfield, Town of Computer #: 034 - 1088 -70 -000 Parcel #: 28.29.15.570D Zoned: Ag- residential Overlay: Unknown Codes section in 15.04 question: Ordinance Subject: Sanitary Code (Maintenance Program) - Ch. 15 HISTORY OF CORRESPONDENCE: Letter of Inquiry Notification Final Notification Citation Letter /Corporation Counsel El o 0 0 0 0 IN Citation Issued: Forwarded to Corporation Counsel: Compliance Date: 09/25/1997 Staff Signature: Findings of Resolution: • 09/15/2006 Parcel #: 034- 1088 -70 -000 5:25 PM o PAGE 1 OF 1 Alt. Parcel #: 28.29.15.570D 034 - TOWN OF SPRINGFIELD Current X! ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner GRANT D & DIANE K NESS O - NESS, GRANT D & DIANE K P0 BOX 2 WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description 2938 HWY 12 SC 2198 GLENWOOD CITY SP 1700 WITC SP 7059 SPRINGFIELD SAN DIST #1 r Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 28 T 5W PRT BLK 23 COM 70'W OF Block/Condo Bldg: SE COR LK 23, 125', W 150', S 125', E 150' TO LOTS 1 -2 -3- 4 -5 -6 Tract(s): (Sec- Twn -Rng 40 114 160 114) 28- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type WD 06/21/1993 06/21/1993 500988 1016/457 LC 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/25/2003 Description Class Acres Land /Improve Total State Reason COMMERCIAL G2 0.000 1,850 93,800 95,650 NO Totals for 2006: General Property 0.000 1,850 93,800 95,650 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 1,850 93,800 95,650 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 R PORT - INSPECTION_ INDIVIDUAL SEWAGE SYSTEM San.iza,y Pe,m.i.t State Septic -1 `- — E I NAME . � � rownahip St. C,o'X County 1 o c a .i o n S �- � Gcf sect SEPTIC TANK 1`t' 1E Size 3 UU0 gattond. Numbe o6 Compa,xmentz D46tanee F,om: Wett it. 12% on g,eateA Atope 6t' Bu.itd.ing it. Wettandd St. H.ighwaze, it. DISPOSAL SYSTEM D.ibtance FAOm: Wett 12% on g,eate, 4tope_6t. Bu.itd.ing it. Wettands F t. H.ighwateA FIELD DIMENSIONS: W.iRh o6 tAe.nch it. Depth o6 Aoeh below Cite .in. Length o6 each tine it. Depth o6 Aoch oveA Cite .i n. Numbek o4 tines Depth o6 tite below gAade .in. Totat length o4 tines :� Stope o6 t&eneh in pen 100 n:t. Distance between tine.6 i :t. Depth to bed,ock it. Totat abs o,btion, area Ut2 Depth to gtoundwateA St. Requ.iAed area it Type o� Coven: Paper oA Stxaw PIT DIMENSIONS: Numbe, o6 p.itb GAavet a,ound p.it.6 yes no Ou#,s.ide d,iameteA it. Depth below .intet 2 Totat abzo,btion aAea it Area eq ui led it2 INSPECTED BY TLS 7 a . APPROVED kt.6 ,DATE 2vr 1979. REJECTED ,DATE 197_ t E PLB67 State and County State Permit Permit Application County Permit* — -5 for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: Helen Rose RR I. Wilson, Wi 54M B. LOCATION: 3X '/ 3M—% Section, T N, R} E (or) (W) Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township ftrin tfield C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify) *Variance Single family Z Duplex No. of Bedrooms 3 No. of Persons 1 D. TYPE OF APPLIANCES: Dishwasher YES Z NO Food Waste Grinder YES Z NO # of Bathrooms 1 Automatic Washer Z YES NO Other (specify) E. SEPTIC TANK CAPACITY Total gallons No. of tanks *Holding tank capacity 3000 Total gallons No. of tanks 1 New Installation Addition Replacement_ Z Prefab Concrete Z *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area sq. ft. New Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width Depth Tile Depth No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land Distance from critical slope I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH -115 prepared by the Certified Soil Tester, NAME Stephen L. ABby C.S.T. # 1406 and other information obtained from Owner (owner /builder). Plumber's Signature MP /MPRSW# ^ 51 8, Phone # 698 - 24 Plumber's Address WOG r PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). Do Not Write in Space Below FOR DEPARTMENT USE ONLY Date of Application - -7/ Fees Paid: State 0, O County ! M Permit Issuede}�ted (date) - ? Issuing Agent Name Inspection Yes �No Va iid# Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy) Revised Date 6/1/76 Plb. t -A' ' a WISCONSIN DEPARTMENT OF HEALTH & SOCIAL SERVICES i corona %o.c b er - Division of Health — —" Section of Plumbing & Fire Protection Systems ON -SITE WASTE DISPOSAL INSPECTION REPORT Name of Premises 14e,` , \.o °» I� , i,a, �Y,�. , .; 3,�� C , vt , �L c �.$� �. \S Teu)n u i...tLMW St Ci s � tY County c� \ Master Plumber , -•,A '�.f';C �l� +S v'••IOat Address Owner ' ` e» Address t;..11 (v\ S S 14 +);� r'l 10County Permits OAppropriate State Permits Typ of Building:` ❑ Public atingle Family or Duplex CHECK APPROPRIATE BOX FOR VIOLATION TYPE OF TREATMENT SYSTEM ❑ Building Sewer ❑ Conventional Soil Absorption System i fi `Septic Tank 1 ;';', - �_ ,:: ❑ Conventional System -in -fill ❑ Holding Tank ❑ Alternate Mound System QSeepage Bed -' ''! , vI ;;` ❑"Molding Tank ❑ Seepage Trench ❑ Seepage Pit ❑ Experimental System BRIEF, FACTUAL COMMENTS AND SKETCH- F- ... �}�r° C�`rcYe�: + •m•t- Mrc�ctil��«, - p ea c c,. Ic v !cam , h,) emus hu c H� ed ca€ n•.•.aaei u�._�� u _ F e Aec �,,•� XY ., (� 5 ; io.s n C _,4...a.d,rco�E..._ f. ` �J( ` I`A SQ f `� r .._ �.�. � i_� p p a p Seeyn <� b C e \e 01 n ` - — —X, ._. ._. .. Al. _... — X k}— — X _ 4 c�� ro��1e • sv1t ` � 'J pp pp � � # � E r i d E l_ ---_ 4 A 4 t V I _ i _.a \ , ❑SEE ATTACHED DISCUSSED WITH PLUMBER (t"j Yes ( j No SIGNATURE (Voluntary) } t�ti i_5 to -.•� DATE OF INSPECTION � J- � � � r•- - •', Signature of Inspector I White - Inspector Yellow - Local Inspector Pink - Plumber or Responsible Party � � ^ E��. � 5� i"� � s * F� t ."ate 0. � s �rr s' �' " $ �� 3Y �� V �s}" '`t.�• F 't - v �' � fi. '§� 9x�. ♦ � 5d .� :''" Yf'r '�`'�'. �i " .�"� Z * " �5v, �� a Ni 9,r5.�' t�' '� ✓ '" s � ;J . A t r. � t �'�.. y �-�' � 5 �� � '� � � R:' f , � �� � � r , iµk. r v +a +, a y t t* ri� a s s • e vk ,ra '~, k � � "� ,, �� � saw ,, •� �: � , �. � � � of �' � :, �.y. r ; `i fir. °^ � � ♦ ° :. � Y�'�� � ,�,� L''` r�r ..��'`����,,,'� '%+ u 5 r '� ^� a`� a a t t i _ A� _r t -�. -"� "^w'e' � '� 4Fac. ♦ ®��a r � N ` ��: � r" ? ` s� R. �• '.��. r. .y s3a �`, � r�?+� # `'�+'§'+''� 'i _ " .r: � '� � �•, : O t t n� _j r ,�.•� • �•;� , k x +�".,' a iC'S k °�'AY ,+ � ri �� ::,:j � t + � +w ._k �,�.. � ��•, s,. �T � "� f4 ra tir ." u .v�>c�.;�,�+,' �' '" Z 7 +.' �a :l � l�r i �• �,� y � *, }� �r r '',a x ��. "�� 'r!M i� h` > , ,� af, ;y. , z fie• ar $ `�" "� ,. *� ".s"r` d 'r MM' 4 0 , e �. .� � rh " �:'�, ,t� user .y� °- " � ' ° i t, ��� r ♦ � % .� �} �x � � •�,y„ zw;rv$4r'� �r�r^y �.��,b �pt'x k.. +��� ��N�� � ' "t� j�� r .. 9- �.,, ' fey ,�, , ,� ;a'4w �t: 7•_� a e�' y '� : �„ f+ l a ' ay 'i x .,� . �` "`� cT - ^�'�r`.:F � , i§i r � �'t5te i� � #' �rs mn * - , ' W - "•- ndt �`' r�z r R - ' ' , (: r � { .,x•n ' � � 'Mh S ;i1:..''' r , �y�. � e°'• � ra,, ��� � }' r � d. � Y § v # Y " � � �`� y a q+. � � a s �. . '` ," �.: , e 'e' l & erg r. ♦ % �� a,�k' '^� w♦` � ^� z r 1�"" xt 3'"x, • '§§ `� � r c. r y �.• � , -a � � Y f'. +�., ,� n 3 nrac tt s r ¢� °'W x♦ ' "" 5� wik �� '. r .� WTI +7h�t+ SZ>.�`' v 5at > yi a'a X� tic r rtva q y3 6 ? r5.a� WWi. ` } +..r P - 1 4 n' All �t w 7C r ✓ b } yi X r ` ` a ! k�' r K - '� ,*,�„qy'Y �,�,. L L k° �'�,r�;'� - �' •�a� '�' s dw �. ^�. ::� ?� x �,� st . �+as+ P1`{ , a �'S. � 4 `,��' `�# t�?' "� t d s � �.< .�'`#.. , a7k t." �xf' ,� • y �` ° j '� , - '*�z'¢, - ' "°, s tic �. w •"+`•s 'L r* � P• t' t� .,,. ,tt^4 s +r,�. c 4.' > '+4 r k;, Y a r a x n� ., r.Y.� Z fib. a • r i �' s { f i .. �� r : 17 I t § s { a �.,.�,'�,: 5, ,, y :,-¢ r • �., ry ,5+x; . 4 r '" ' '+ t Ys`3r a �, � �`'§ .F } 1=, �•� � � ;; . 'F . yw " "' "ctt � Y s F .�lr '� ,� k. �<''' "xx s A t t, 3� y i. w Y rx y: �. , ri '"�j: +r• ` + pb ` A l :r Vi4 �L'd' >`�"' 1 s �" t s.. 4 ° �a ,} i 'H ar .; i2 "+t *t 2w i } iAV k •y tf�•.' °: -, l "r, A'r �q ` a �� 2 iY R� 3 � f � Y•f ti`�111����� � � ��� 5 !. ,�v -'Ky 't? ,..c.; � k � £k fit. e�i - w v; s „„. �+ .� +r -� ,r +t� 'X � -•a t... '+��w •r1 t * • �, .;d' r F .A r�,�. 5P q.t a �'wu 5- �yqt, r' a ry , ^r �r,�'`w� S '� !o- � ,: r" a ' s� `Y" $ 2 � �� A§y, ��,ff n f ,`x,q�;e,T.. r •:! � at ' s � "°�' b. m � �� *�',��" 3 � :• c � � Sf..-Pf��"a" � �� ¢ �, ��� '� �"�, *�a,,�: '7�r'. ` � z�5� ' -� �s` k's, x' ?` ,'^ < ° " t ,• " �d S[/. t i t k J.. zee `"'^ :aci *, „ ✓' ° ,#, "• � P , ,. r °;, , s ` 4w' t s� r a a - r y *.. 'A A 9� &� r .. f r �w�„' < � .5. � S' f:, ♦ ,� � A . 3h .}� � ; *r d °r :.y.: °�, •", F �i "Y �,.M r:'��*' � �t �•..+ * - �o � " � R ... ~xw �.'�` - ^r � "9 X F'm ^i "•��?^ y� `� a •, t r 'i" ''Pi wx r - � � �� '�` i '"� � �� � `1k'w .. � r' t ♦ �;: �� � . "'° r ,�', *x' N ��i s .ly „ � ` r i.'S f��.�� �` w �� ! _��� � - � r -�` � . '�`�} r� � � 'fit' ' R' t +a• ak, r 3 y y �..e �, k`t >' � `�'°` r o �yy��" �' y #'- f.�i'� •r ��''�,?� �i .a.. r � �5.�. �.•5 ; $ + r s,t"��" t Tr � i Y °• x s �� � ,. r � '.,� t i y. '�1 s: . , ,�5 Zt 'E*E ;�`r � I S . �` 3� x t� a t -•; r n t� b } � � $^ 1 4) 10% , - x r q � �# •# h � Y Y :': *tY �w�a � ,�a 7 a��. .,hs x j � J �n� °+.-"it .irr �'.2 r ' n>o` :r y � St � �°" `� �` 3 � ����a 91 �'a* yl'�i^s.:��'�.?'n ;. � k r " e J # , '.' 4.� 1 '�. � '�, ^��� �k *� Y � ` T w - _.,t ?' v¢a }�. �i "i ° r v'r5 ` r,+ � �" �* b r'v . 7d "'4 ri X y : yir f .fir -!� Ax �t -�tC�+ fa• ��,. h � :;�� � i v�' � '� �`,, "":1,10 ,}".?'H .� .!� ° M•c sra ° � r �' .,-t ,+t t :. a �'r„a . ffi`` ,�,'"si^" L k k 54 ..,' =•x yi y x ,i , " .� �rt+•ti s, -S. rr„ , +E y. - •7 '� F R s* , - •y 4 e2 .Y•, I TV. �,�++' �*rss. ; �"�+ .s^^ss,,'a's a�'�• t 2 "*. r "� ` e w��s,� �}, , t,.� ;S, t :• '$nt'>Z. �`�� *$+'� wi � # �"i?�"`� /'��♦ �''�`'� ur' arY ,� � i n', r `�' � ;♦ wr^�s,. �* �f {�� ` 7rz iir .-, � � �a. M ''C �,.� s ,� �' '� •° 'r ,�: ' ' '33 . a . r `y + �' � � . � '" � .a r r a ��k, � $. 3+ 3 ~�� *���• �.iR + } ^+ ''. • +r }: r# k i' :4 '4 w f -. Z Y�r';fr"F s :: i �"' }$ "_ 5.,, ,��" : +}-+. ,(y >• x?t J ti : 'y� - %C w d'+e r Y,y , �yr.r.�,,, Sre .w' r f -�k' < •y �Qk'- tic. , 1x �'�'ey'E a , S ;t j t` ` !S,.,y , ''v tZx, , � ♦ 4'"_" 'ft'8 r fir: � i wW;Tf 'L. � ,y,.s^,+s � y q•, � ciY .a.... ,�- ,,wk��� � �r ? "r''7" '`' � 7 �� nw; 't}�' ," Z" � i ' d V .1'" .cky.�' �, ♦'X :< i "ft1!c1 (�g '" ,.! '.° r r 4v r f � k `t s '!�, '_ A. s y f K k 'k'r,� # a a +S ter r r " c 3f y x i wt w q��� • t: i h r rv ,�. `�s*+r' � �� rrw �"�.'/, ; •' s'+R ',x. ,� as k� , .�'. '� t S r Y € � ✓ .,.d ,g'�, `r .t:. � S ::?"�.v5� R+'c -F `+�k; _1 P' '�MJ � th>4, M ��� 7 �' a.0 � r si: � r „< 3 ., g & "'•: x R��,,:; $ f; f��11a � � F � Y '•;'� e � fi � =�` � } F� s r�. � x � =' .� � r . 3 �'� : a rr 4 "r<�� r �.,:.�� r�? �� •" � a� �' . � � x� � '<;Y 45 if e � �.r" G xe �: S :•, 5 r e -: 3�� a r �..� '"` � a, p � ''�" a ,n vit ria rao yr -!` 7hi. .' � '{ �'.� NR �x :.,,J'e .'.,r• .�., r q, p .... ,,��.. '}. "` sr �:' 4 I � ,�.� � ,�� z' • �^ � e� ,sc a 3'a s' , �^ w , ��.�•� �NeS , •+. ' °z,. K �'. Sf 's,• : k 6 '�,� T .^^ y k� L `010 r4 - !'air ° v`+ ae �` TYt, t "a!- 3"` s-*�.. - < .r.� � t a :� w#. x ♦, �' �".:. r ; �„�6 ��' "- � �� - d=3t�' : +rti , 5 ti ',�'#7• ! }r f,. ,;,< , ` r "r x as',:, 4 rF I k x sa+ / X i+ " n. 'FF w c,"'w x 1 a Z i " pi"pa+ ' s �@, � k�^'s � .a +'w,'.; r+r, • �` : a, a w r � � � Y " ✓ TY f it '� , �. r r�°�s1G '� ��� •+fie •,- � .., s �' } 'd 'b �` > � '�° " �, ��� #r � �� �` ?' � • "r�,; ,� ',� a `� �°�., y��. �- tw r { ";J•�' � ;+' ��,�,- c , �� y p,, y,�'`i. a'aNfx s � �km., T a t- -u r ,�,:: ' �+, +, # �# r=:' ='� a } �n 'dT 'y i° M' " ,q^° :,?"" A r�'# ga'f . k r t' '"r '�L +r' 7 A a `n •6+ .� -' A a 'YW4 ;",�n a *, H w +Ad'.``W`"g+ "'� a?. "'a" 9f „1 `" e• ,S ;"' . a , - "tt !�nrs - 'P `a ,.. `. 7 ^`5S �.•ft h�.,:�.a, § `%�" t Yrb � & �'r•'f ��3-d {, ,� �� '§ � f' �` .iy q I" ,` , 'r � � i r � t ,��.�.5' ���''� ^4 t. S y .r,,�'*L? � i *�rrtir : aD s..fi' `'- �t�Fvy R 3 ^f� r u = � ,�., � , ti, ls ,�, s�; _ � � ' ( '�.3� ' � ' .,1 d t - �w,{�a�,x .. ,y,,, "♦' e� �3 ,�;. w ��rti -a y n�"� �, � � • �'. � 7 ? �� � <,u + .. �� 'a � f e'.: �. °'.i'%�=''l� WM1, t� "$� � N F�A . ":F" +'i� �Se� a ,• ( ,. K"e •#•,�h ry x , 2 "9 ;. A^djX ^a E �+. �� L "' > §°"-. i . M� t t vtf� • 4 b � L F .. •'K a? t y�� r i � ;y • 1 .S ``17 �'�• ��� '. t MR ':• v f� :i Y �« x, ?dt I. I rt x ' .,'j 'd,' - £>I' v t . +�• ' �"^ - yi�' .yea � Y .:? `fi a �?N�},a V >fi q ,.•. .`g.. �, " - . � � a'$"�<y. :; K � � t �� � W°' >� �:Yal"' ; Yr K r '� ..1 , y "d,ty •ar� y ,.,�. ; � ,� � .. ,` E ° 7� �^ �; ` �a w:• �`w'' I � ' taa s M1 " � fys. a ��;�i�'i.�'r A + '� � ` •� ✓ir ,t?�' + �,"='� �; t ;#'- 'fir 'x � ; I� r i� •r �fj :$ - F .} # - •' ` yoil, � ^ A ft t :• `° ' fir +� x y " t i� a xs, y R • it •i,}� �� � � ak {,i' a .,fa't" "`'` r " ( � � ;+ rc � � y ,� c i •Z ""' `���^I"`�` i �� > � t "� f $ r� � �' < r `�� +ky� ice' ti � � t �... � f✓��... t C ! j'r.� � 'd' Ey� Y{ 6M1Y :. [{.;., 4 2 ^�' eo• "i � k'Y +#.,r �' v ' +k* A } � v J '' �i� Y t fnp R y jf vXi p.. b"�C3 k �.°. X.• '� A' / i ` r [ °9r � 'lb �: •.. .1�,: • - .S X' ." . {�.. 7 d �. � �� � + '` �"s A s .«j •t;` t. � . ui }g � "� � d, .� °d r x y d7 t ' :. r � �" ' >.t. " t Ft x t�'L�� J" �r +t a • -Yr ;�!M • `< •� AS a`. �' �s,i� ��a ` �i 4��f ,.. f .r' , i+�'� �t'fr r r�� 4� ° �2 d � �•- k' ��� ,. �i {+ �a I c r .. Y •: •a �,yrtu.: h. :: Y x ••� ' 14 _ .,g� +j' 'G , � X ##- ' �' -, +r r' , -• �'. �t +`M 1 � ` ' x s,�j� p S^ 'fir v t. "` '�F >�,Y 'r,:. �� } r �������' '°r ao�.63'+ T4 7r � � •� y.t� � s,.f� �'� � }��� ���� A,��+' s�� ' a}er r >; r ;,� � � "�, � W"I,f ✓. r t� � JS v �:. '�a=, TL Ai 4 "f# .f�M S � � s #� y ' + � �� "' t *A ?u �' � °. ' ao� .:71p w 1` .Y ,'•",` '.�`k � s '�'s, �,#��� lx' ` f Y '� S } F. a+t'. .,r„ s•.. 7::: *t x *v: 4.4 �. =i „ :v ' wt ,++' � ' `�" ' S�� �a a.,.§x� * L yr : Y� ; . ,:;K �'✓x�G ' : y i �dr ` ,'..�d � 4'' I�Y�te �71�'`.. �� .<Pt • a § `�'?.,y ��3 =r � r I�a mr,. �'}�.�k -�" �r" '.2.= S .y { .. 2 'Y O tt h;. ��E' K °I''� r a', iz 414 ' ">d'e . .q•'Px k Y( -- .', 4Gy`''," . '".:rte - :t..: a , `tsa'', q ¢ J+t -, > x ✓ -{'f .ry > .fir xa' V „� aX �',`�'{�- s k Y tW i5F y tk q `: $ ^" ." f °,.<'}10 •'' y d $'' ' Opt `' »� ; ,c #' �<& s '*' r ^'� 7' -+�' s�R iy � _�,i` �_ ' � �t'�¢� � } ` � ;e � . ;L � u ` .:4 T �� �� �`n� �{ d '� � ,x � "'� ° ��_.y i'. � � ,� le.lA��.i i"' ,.,+ �x5 '<` � � ii vt:#•+�' � f >' s '' 4Y �+,. ,y Tv ,P Il k ,3s"• l c 5 x". }4 �e a1�s x YIs.'� !;A9�D i "s a a4 ys2 / y,� 5 "� eiy„ 1 4 7+ t r� r` t't .t t ..•rs 2T^i 'f` �fF c�' - .F 1W�", P t � ec •L °+ < .;,z •{ .t r., ; tk s > } +�• aF"kv ,.s ;R '� F*•..-' � i. �,ty �w •"°#t "K. a � � . ° t Y• f ,£ c� ,r r 1 i t «+ «'�' r' � �� i`3.Y".��Y r a' �. vs•+ w` S F id A .as 4e F �t '� � . f ,� y .� r �q" # , k .9 > .," �i d a 'swt f r �',.s ,•a,rP`a✓ .•,* �. ti 4a'' y sr's^F S K t� 9 � pa t'' f K .vlt ''„r�l "�.°`. <,> t +L e " �r"�` t+" > tk r k ?• �r�t r* 3• $ e_ ' `�'"� 4, '' k ':t4f. s M1 .•t *�" ".tK w r i s , , s p ,.. : s as ,f'�J•t N„r'., i•1 v a � t l' 3' .n �wr J ! Y �' J•t � �§ . a c 'w�' Jb rt*" r a rr + 1 .s # fiR` r , � 1 , $f ,�`�{ �} y � Al �T ,� � y �. fits 4 +4 . y „ iG y �* .��,V ";� ta�Y � ,} � �F ■ A - y ���F��� r�!' '�."� � �'��'` �- F �;• � ��, 7���� ., ��a*� ; `ti > ����- `+° � s z r �u ,.< ��.° t "'�„i..�<+.F�� ,� t � � f. "e �y•t�'�„ ay:;._ ;'t 3 t �p e ♦h r t x' `{Y"` +r ..ear (a,rt Yet" y }: `'y /�{ x._ i' ° ` a <`'^/ t - �+ .r•c Y , r s , r �} a z k � = k>` 4 : � E ar+* A . t e>t . a ^+>r $ "�,+ s a ,,. " �� ^• r• rV,�•'.+�..f a . r .... ,..?..1...... ......:sak. .. :'ss. Fes....:';! ._.$,x ._ •�.. �.>� rF.. ,._.. ��..,_ ., erx •.., ' .. s..snw . ,n.��d.,w.:.:; ? State of Wisconsin \ DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH MAIL A0011[!!1 •. O. !O■ 309 'I MAOIlOM, WIlCON lIN 53701 IN REPLY PLEASE REFER T0: CERTIFIED July 11, 1979 !' Tc Mrs. Helen Ross Wilson, Wisconsin 54027 �.4. • Re: Failing disposal system, abandoned Dear Mrs. Ross: Enclosed is a copy of my inspection report of July 3, 1979. As I discussed with you on that date, the septic tank which served both your residence and Marshal Schillinger's is in extremely poor condition and is apparently leaking. Evidence to support the contention that the tank leaks comes from your statements that within a matter of hours following pumping of the tank on May 20, 1979, and again on July 28, 1979, the tank was observed to be full. You stated that 6 hours after pumping of the tank on May 20, liquid was surfacing out of the tank. I might also note that the tank is metal and corroded so badly that Mr. Aaby and I easily cut the metal (inadvertently) with a shovel while inspecting its condition. This is not surprising since the tank and disposal system i were installed some 25 years previous. There can be little doubt that some of the water which leaks into your basement comes from the septic tank. I have confirmed that the water table occurs at less than 2 feet below ground surface in your yard and in { fact over most of the immediate vicinity of your home. As noted on the report, there is a rise in elevation north of the fence and store which does have sufficient soil over the high groundwater level Ot Gour insta I a tion of a mound should you wish to have one ation tests and additional borings will be required for design data before a plan can be prepared and submitted to the State Plumbing Section for approval. Due to the above stated facts of the problem you have been experiencing, in keeping with our conversation of July 3, 1979, and because the system is located on your property, I am directing that you take the following action in accordance with the provisions of the State Plumbing Code. ' 1. H 62.20(4)(a)1. Septic Tanks and Other Treatme Tanks All tanks shall be watertight and fabricated so as to consti an i ndividual structure. 8 We have already established that the septic tank is not w co 7 49 �. F i I r:k Mrs. Helen Ross July 11, 1979 �r Wilson, Wisconsin Page 2 2. H 62.20(i)(b) All abandoned treatment tanks shall have the contents pumped and disposed of in accordance with INR 113, Wis. Administrative Code, t the tank or entire top-of the tank shall be removed and the remaining portion of the tank or excavation shall be immediately filled with suitable fill ,f material. You have abandoned the septic tank and are now diverting household waste to your new holding tank, therefore this procedure is required. 3. H 62.20(2)(e)7 There shall be a minimum of 3 feet of soil between the bottom of the soil absorption system and high groundwater or bedrock. The area which you showed me as being the location of the old soil absorption system has high groundwater at less than 3 feet below ground surface. Since you have a holding tank for your own disposal now, the system is no longer needed and must be discontinued for use. Corrections shall be completed within 30 days from the receipt of this letter or a written agreeable date satisfactory to state and county authorities. Your cooperation in making these corrections are required and when they are completed, kindly notify this office. Sincerely, James A. Sargent, Chief State of Wisconsin Section of Plumbing & Fire Protection Systems DePertment of Hoa & Socia Services Di of Heakh f his document is a full, true and correct COPY Dennis R. Sorenson of the original on file and of record in my On -Site Waste Specialist office. �� 9 Certified By DRS:db encl . cc: James A. Sargent, Plumbing Section ,tKff old Barber, Zoning Administrator, P.O. #227, Hammond, Wisc. 54015 Marshal Schillinger, Rt. 1, Wilson, Wisconsin Steven Aaby, Aaby Plumbing, Heating & Electric, Woodville, Wisc. 54028 State of Wisconsin \ DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH MAIL ADVOM30: P. O. 300 MADISON, wlseo..1 : 01 IN REPLY PLEASE REFER TO: July 24, 1979 Mrs. Helen Ross Wilson, Wisconsin 54027 Re: Directive of July 11, 1979 Dear Mrs. Ross: Thank you for your letters regarding the situation at your residence. I do appreciate your concern for speedy disposition of this vexing matter and will pursue it as quickly as my authority allows. You are correct in understanding that the 30 day time limit, imposed by directive, does extend into the month of August. Should the time limit for correction be exceeded, my next step is to seek enforcement assistance in the Circuit Court of St. Croix ounty. Regrettably, this would take more time, however. I am not empowered to proceed in another way. As to the disposition of the existing failing septic tank, since it is located on your property, I found it necessary to direct its destruction to you. I do expect compliance with the directives, and when completed, your problem with sewage leakage and ponding should be over. Feel free to contact me if you have further questions. Sincerely, James A. Sargent, Chief Section of Plumbing & Fire Protection Systems Dennis R. Sorenson On -Site Waste Specialist DRS:db cc: go ld es A. Sargent, Plumbing Section C. Barber, Zoning Administrator, P.O. 227, Hammond, Wisconsin 54015 No. 845708 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED— A ^ NOT FOR INTERNATIONAL MAIL (See Reverse) SENT T L L T7j :R L�F N T CE Of V 1��J��T 1( � 1 � STREET AND NO. �� � P.O., STATE AND ZIP ,ODE PO $ Certified Ma�1 /l�oturn Icec:e1pt Requested POS CERTIFIED FEE ¢ DATE : ` ` Maw W W SPECIAL DELIVERY He 1 en Ross 4 LOCATIO : SE ° RESTRICTED DELIVERY ¢ Route 1 — WI 54027 W Uj SHOW TO WHOM AND DATE ¢ W ilson, F y DELIVERED CC Springfield 'I h H Uj SHOW TO WHOM, DATE, AND H s ADDRESS OF DELIVERY ¢ 0 C ; - ' W SHOW TO WHOM AND DATE oe DELIVERED WITH RESTRICTED ¢ MS . ROSS rn c Z DELIVERY Dear o F SHOW TO WHOM, DATE AND I �.+ ADDRESS OF DELIVERY WITH ¢ Of As required under the ST. CP.OIX COUNTY ZONING OR RESTRICTED DELIVERY Article TOTAL POSTAGE AND FEES I s hereby given that you are in violation o a POSTMARK OR DATE the ST. CROIX COUNTY ZONING ORDINANCE. o e running over tE The violations noted are sewage q) ground causing a health hazard. . July 1, 1979 and the following actions should be taken by itable area; then Contact a certified soils tester who is to locate a su stem direct a plumber to obtain necessary permits and have proper system installed. The first violation is noted as having occurred May 29, 197 9 i. and any penalties P rovided for in the ST. CROIX COUNTY ZONING ORDINANCE shall be applicable as of that date. Please feel free I to contact this office, for we are available to assist you in clarifying this matter. Yours truly, � HAROLD C. BARBER Zoning Administrator HCB : j h cc: Tcwn Clerk District At=torney f / EH, 115' WISCONSIN DEPARTMENT OF HEALTH AND.SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: '8S '/4, S ' %, Section A_ TAN, R 15E (or)(W)Township or Municipality Springfield Lot No. , Block No. County $t• Croix Owner's Name: Helen Rosa Subdivision Name Mailing Address: Wilson, Wisconsin TYPE OF OCCUPANCY: Residence a No. of Bedrooms 3 Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT X DATES OBSERVATIONS MADE: SOIL BORINGS 6/13/79 PERCOLATION TESTS SOIL MAP SHEET 72 SO L TYPE Skyberg PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN /IN No Per* Teat Taken P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B— 1 360 18a SUBMIG 2 3 66 8 18 SKYBZIG B_ 3 336" 20 SKYBUG 36" 28" SSYBMW B _ 5 36" 28 SKYBNHG 6 36" 28" sxstBSRa PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy. Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. LL (III • �N s x o I A :.0 LL • r I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. Name (print) Stephen Im ♦aby Certification No. 1406 Address Woodville. Wi Name of installer if known CST Signature COPY A — LOCAL AUTHORIT` 1 �, ; • 4 • � � < � Y r '1^ I � � �.1 ..� �� „ � � . __ .�. �+� 1 � .. i_ o r40 d v� m c CD m ro 3 �, v M O Cn Z z of O i. L7 N O "� • 0 Oo W �C C ' - A_ Pr O (D 9 3 A N fT OD O • L1 7 C 0 � -I O� c m m �' D o D m CL a o a o +n j N N o o p � w ID v Z D m a w (D cw D ( n a w _ 3 P o o N m 0 C) OD n ' N Z -4 Cl) » a N 0 -4 0 0 3 O O O �' �i Un ai aiai 0 O 4 w m to cD tsl ' 3 c m A N % DD= °� O � q 0 C m D x c CD M N O I oo v � CL A z o C cn N Z CD O A w O< m c a °- am o 0 �o N� r. o � wp� 0 3(o , c °Dx3 ro o o a ID ro 0 go CD vi, 3 ;uCLy N CL 0 O ro 4 N {y N (n 7C N !I CD W <D O N 7 N b A CD tr a D EH 0 r � O y O (D ~ y C) * v Parcel #: 034 - 1088 -40 -100 07/08/2009 05:07 PM PAGE 1 OF 1 Alt. Parcel #: 28.29.15.570A -10 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - MALCEIN, GLENN GLENN MALCEIN 1058 CTY RD D WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 74TH AVE SC 2198 GLENWOOD CITY SP 1700 WITC SP 7070 SPRINGFIELD SAN DIST #1 Legal Description: Acres: 0.000 Plat: 01 -055-HERSEY VILLAGE& LANDING LOTS 034 -188 SEC 28 T29N R15W BLK 23 EXC E 70' OF S Block/Condo Bldg: 45 1/4 ' OF LOT 2 & EXC E 70' OF LOT 3 BLK 23 & EXC PARCEL 570C & D ALSO THOSE Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) PTS OF ABANDONED HAZEL AND INDEPENDENCE 28- 29N -15W STS Notes: Parcel History: Date Doc # Vol /Page Type 05/06/2005 794285 2798/78 JDG 10/10/2002 693612 2007/118 LC 07/12/2000 626293 1526/78 MIS 05/25/1989 448166 841/452 WD more... 2009 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/15/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 12,000 87,050 99,050 NO Totals for 2009: General Property 0.000 12,000 87,050 99,050 Woodland 0.000 0 0 Totals for 2008: General Property 0.000 12,000 87,050 99,050 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 h 0 m p 3 - 0 n t= T� ° c 3 `�1 c o n v m m m cng z SSy z m� z'0 SSN z ;u CD 0 m 0 0 3 0 0 9 m 9 n 3 0 o m m m v, �° °° ° ;D p a s m � e p a CL w A w N ro W N 7 �" fll N O. w O R V O O O C m m N (�aD a O C m m m N N O 5 O 3 0 0 3 0. o (0 r ° � 14 (n Z cn Z A U) z V? z A A n m (o` A (n O m co D T O - =s O 00 N C (D a C n a 3 O M 3 O O ao 0) v ` a w �1]ryA ° N ° 3 ? •o OOON �• A A A D * * * ,e 3 � c � cn cn m m cn I cr N m t� (n m m m fii a w o m j m 3 m 3 7 7 7 7 3 DI I r r r r f m _ N D D m o 0 'D "O 0 N Q n "O 0 "O 0 N 0 _fl. CD 0. N W m O O fl. ( O y m O A O 3 7 (D ��m mda.: mom r-j CD 2 X O N to O ? m e O =r CD 7 , C CD (o : . to Ia z m �—+m '^ "3 ? m m - = ato rn r 0wy a-. �0 =r p_a Ti: z 0 0 �L 3 to CM 0 (D O d (D O' @ O Q f] O I cn X37 �3 m Q0 s �, oo a °° CL m C, m Z n� � o awe o� a to 7 w y l o •o o(D m m �0 d M 0 o a l w o o 0 m m N� 0 Cl) o o ts (D A j .a N 7 '6 `t p ° N m a p O. A �t v N -7 _"f 7 "O * A O (n m p; 0 0 r :3 amp <.3� 3 co °' o(0 (0 ° C- . <3 3f° cDQ7N. °�°to 0 m nao m- 0 m 7 m _ m_ __ �' N C o m N �? m O R (D m (D O 7 N m C m m _ p"' C y i,p O 7 m N m CL CL F O p A N (Do 7 m N m O. °_ - 7 w CD O O m 0 O- O X 7 O 7 Cj O z N m p O m 0 O. 0 7 O A a 3 O N p � r 7 3 g 3 y (o 0 Z m S? 3 7 'a -^3 -,(0 o Z S� m0CD (D ° 00 (p mm -•m ° o C m j 7 3 (A -j m m 0 ,7.. C j S m j 7 3 N V m m (n It fi p" m 3 7-0 O m O N �p - O. m ? 7 'D O m C1 >' t0 m m m 7 �7 s lD m N m 7 .� � m mew cti � (D o� u m m m C o � O 0 O �• . �0~i O tU 0 O N m (n N 0 O= = O- N p O 3. N m (n v o f m o m m m v 5 "»' m m�a o �a m m m � m m�a 7 C 07 �� a „ 0, n. v N w o C m >> o y' � a� o ( w 00 I _ _ _ .� < c I' � o o'm So <a �c'a m 3 o a'v So O'C�. ?N 7 UN 7'W� N -N 7 »� 7 ; S w ' i •rte. N m in O d Z N . y# m M m O O m Z H ,Z 0 N O y (ND y (D 0 7 O. O y N 0 O E (O N w A H 7 a m O y N O kj c 3 7 O. to O. 7 fD a I Qb 0 mm 'm aro m C) o f o o 0 v V ° o ° o i ° o ° o CL A J Parcel #: 034 - 1088 -70 -000 07/08/2009 04:57 PM PAGE 1 OF 1 Alt. Parcel #: 28.29.15.570D 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner O - WELLS FARGO BANK NA WELLS FARGO BANK NA 6501 IRVINE CENTER DR IRVINE CA 92618 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 2938 HWY 12 SC 2198 GLENWOOD CITY SP 1700 WITC SP 7070 SPRINGFIELD SAN DIST #1 Legal Description: Acres: 0.000 Plat: 01 -055-HERSEY VILLAGE& LANDING LOTS 034 -188 SEC 28 T29N R15W PRT BLK 23 COM 70'W OF Block/Condo Bldg: SE COR BLK 23, N 125', W 150', S 125', E 150' TO POB PRT LOTS 1 -2 -3- 4 -5 -6 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 28- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 12/15/2008 885445 SD 03/28/2001 641498 1609/66 WD 06/21/1993 500988 1016/457 LC 2009 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/15/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 4,000 102,950 106,950 NO Totals for 2009: General Property 0.000 4,000 102,950 106,950 Woodland 0.000 0 0 Totals for 2008: General Property 0.000 4,000 102,950 106,950 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 . I 2157 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 2 Division of Safety and Buildings in accordance wit li� de Certified Soil Testing County Attach complete site plan on paper not less than 8'/2 x 11 inches e. St. Croix include, but not limited to: vertical and horizontal reference point M), di percent slope, scale or dimemsions, north arrow, and location an distance to nearest road. arcel I.D. 034 - 1088 -70 -000 Please print all information. NOV 1 6 2004 e ' wed Date Personal information you provide may be used for secondary purposes ( rivacy Law, s. 15.04 (1) (m)). 9 Property Owner r —MOO, on Ness, Grant & Diane Z t E 1/4 SW 1/4 S 28 T 29 N R 15 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# � C&>- 3 2938 HW 12 1,2,+ 32 Hersey Plat City State Zip Code Phone Number City j Village I& Town Nearest Road Wilson WI 1 54027 715 - 772 - 4699 Springfield I HW 12 nstruction Use: jW Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe aren material loess over till Flood plain elevation, if applicable NA General comments and recommendations: limited area, well setbacks, shallow soils over seasonal saturation indicate holding tank M �j Boring # 46 Boring Pit Ground Surface elev. 99.5 ft. Depth to limiting factor 0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 `Eff#2 1 0 -4 10YR 3/2 - sl 2 4 -10 gr below 4" appears to be old road /parking w/ SS gr compacted I Boring # 16 Boring „j Pit Ground Surface elev. — 99 ft. Depth to limiting factor 0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -8 10YR 3/2 - sil 2 8 -20 10YR 4/4 fl 1OYR 6/2 sil 3 20 -30 10YR 3/4 f2d 7.5YR 4/6 sicl 1 OYR 6/2 lacks A +4 "; presumptive limit is 0" ' Effluent #1 = BOD 30 < 220 mg /L and TSf >10 15 ' E u t = BOD < 30 mg /L and TSS < 30 mgt CST Name (Please Print) S n ure: CST Number Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 11/5/2004 715- 233 -0398 At z � 1 It 1 � j Sb cr r¢ 9 Z_ Parcel #: 034 - 1088 -70 -000 06/19/2007 08:24 AM PAGE 1 OF 1 Alt. Parcel #: 28.29.15.570D 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co - Owner O - NESS, GRANT D & DIANE K GRANT D & DIANE K NESS P O BOX 2 WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): Primary ary Type Dist # Description ' 2938 HWY 12 SC 2198 GLENWOOD CITY SP 1700 WITC SP 7059 SPRINGFIELD SAN DIST #1 Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 28 T29N R15W PRT BLK 23 COM 70' W OF Block/Condo Bldg: SE COR BLK 23, N 125', W 150', S 125', E 150' TO POB PRT LOTS 1 -2 -3- 4 -5 -6 Tract(s): (Sec- Twn -Rng 40 114 160 1/4) 28- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 03128/2001 641498 1609/66 WD 06/21/1993 500988 1016/457 LC 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/15/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 4,000 102,950 106,950 NO Totals for 2007: General Property 0.000 4,000 102,950 106,950 Woodland 0.000 0 0 Totals for 2006: General Property 0.000 1,850 93,800 95,650 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 I � — \ 000) o C T 0 c \ j \ T \ k ƒ 7 I I E z �» m\ m� o / e r o k t;\\ P CL k\ ® 9 2 9 2 . _= s I\ I G m \ / N \ § j k ¥ % 0 0 0 I E % < :3 @ E c I 0 / 0 y % 2 2 0 \ ® §\f1 CD j j 4\ 2 E# : § M T M \ R, 0 0 o w < - . \ / ( ;( °$ CD ; D > > ƒ �- CD m 7 7 / � a = ` \ * § § � § " < = w \ m m 00 } \ / z o \ = 7 . D \ ® � E \ � :EC /) k Sm0 �\ E co - , EE ƒ CL CL :3 0 R 7 E C.) \ ,=a CD W wmm, „ - ; 223x- } CD CD &$�#K \ \k §/ \ . F 7j /\ \ « 5 3 0 \ 2 . ƒ \ / 0 \ \ 2 _ : \ & \ 4 J � t i Wisconsi itmentofcom La rnd oit �� II�QI EVALUATION REPORT P age 1 of 3 Division df utnd Buildings cordance with Com 85, Wis. Adm. Co de Attach com %' �� ST. CROIX � d t nche size. Plan must i 'n include, but t not ete limit al refference point ( ?, direction and Parcel _ t percent slope, scale or dl (Eibn and di tance to nearest road. � Date Plea Personal Information you provide m econdary purposes (Privacy law, s. 15.04 (1) (m)). �� Ale Propemrowler Propert Locabon 0 GLENN MALCEIN Govt. Ld — SE 114 SW 114 S 28 N R 15 E (or) W Property Owner's Making Address Lot # Block # Subd Name or J� 1058 C.T.H. D 1 - (Peadit) City State Zip Code Phone Number []Wage ■ own Nearest Road Woodville, WI 1 54028 1 ( 715 ) 265-7213 Hwy. 12 1 Springfield lr.1 New Construction UseEl Residential / Mmber of bedrooms 3 or 4 Code deriued design flow rale 450 or 600 GIRD Replacement Q Public or corraneraal - Describe: Parent material Flood Plana elevation if apple able ft. Gum cow Mound System - 0.6 loading rate - 1.67 R. sand fill and r ----- -- ---- --- ---- y�, To be designed by designer or installer ` r d r /d d O5 t ,,�: 5 �o �✓ , �-� C S a Boring # Boring Q Pit Ground surface elev. 99.77 ft. Depth to limiting factor 16 in. Sol Rafe Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rods GPD f in. Mussel Qu. Sz. Cont. Coin Gr. Sz. Sh. Tim 'EN#2 ,//�� 1 0-3 10YR2 /2 - 1 31gr ds cs 3vf-m 0.6 0.8 -1-'r 2 3 -10 10YR2/2 - I 2&W ds as 2vf-m 0.6 0.8 3 10-16 10YR3/3 - 1 2fabk ds as 2vf-co 0.6 0.8 4 16-19 10YR3 /3 fif 10YR4 16 i 2fabk mfr as 2vf-m 0,6 0.8 5 19 -24 10YR3/3 c2d 10YR5 /6 1 2f-mabk mfr aw 2vf-m 0.6 0.8 6 24-30 10YR4/6 c2d 10YR516 sl if - -mabk m& - lvf-m O.4 0.7 Some gr; cobbles. F 2 Boring # Q Boring 96.47 16 ✓ Q Pit Ground surface elev. ft. Depth to limiting factor in. Sol Rate Horizon Depth Dom�t Redox Description Texture Structure Consistence BwxWy Roots GPD/ff in. unseli Qu. Sz. ConL Color Gr. Sz. Sh. `Ef 'EffiR2 M 1 0-3 10YR2/2 = A 3fgr mvfr cs 3vf-m 0.6 0.8 2 3 -8 10YR2/2, sl 2fa&sbk mfr as 2vf-co 0.6 0.8 4 3 8-16 IOYR3/3 - si 2fsbk mfr as 2vf-co 0.6 0.8 4 16-24 10YR3 /4 c2f 10YR4 /6 sl I fsbk m f r as 2vf-co 0.4 0.7 5 24-30 10YR4 /4 c2f 10YR4 /6 s Osg ml - 2vf-m 0.7 1.6 Some gr; few cobbles. Eta #1 = B00 > 30 720 mg1L and TSS >30 150 ng& ' Effluent #2 = 6013 30 rrg& and TSS < 30 mg& CST Name (Please P" si at e!ft / A S � CST Number Moy Jo Hollister r ` -' 224832 Address Date Evallimbon Conducted Teleptione Number W9875 690th Avenue, River Falls„ WI 54022 06-20-05 (715) 426 - 1775 r 1 Ply Owner MALCEIN, Glenn (Lot 1) Parcel 10 # ( Pending) Page 2 of 3 3 Boring # Boring 95.97 16 fa or in. © pit Ground surface elev. ft. Depth to Irmrttng ct Sol Rate Horizon Depth Dortwand Color Redox Description Texture Stnx:4xe Consistence Boundary Roots GPDW in. Mu nsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eii#1 *BW 1 0-6 10YR2/2 - I 3fgr ds cs 3vf-m 0.6 0.8 2 6-12 1 10YR2/2 I 2f -msbk ds ab 2vf-m 0.6 0.8 3 12 -16 10YR3/3 _ I 2fabk ds as 2vf-m 0.6 0.8 � ( 4 16-27 10YR3 /3 flf 10YR4/6 i 2fabk mfr as 2vf-m 0.6 0.8 ---- 5 27 -33 10YR4/6 c2 10 d sl lfsbk mv& — Ivf-m 0.4 0.7 Some gr; cobbles. F-1 Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Rate Horizon Depth Dortmna nt Color Redox Description Texture Structure ConsMenoe Boundary Roots GPDIIF in. Munsell Qu. Sz. Coat Color Gr. Sz. Sh. `E8#1 *Eft#2 Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Sol Rate Horizon Depth Domi>ark Color Redox Description Texdme Structure Consce Boundary Roots GPDW in. Mu nsef Qu. Sz. Cont. color Gr. Sz. Sh. *EfF#1 *Eff#2 * Effluent #1 = BOD, > 30 220 axft and TSS >30:s 150 mKA • Effluent #2 = BOD 5 30 mg/L and TSS 5 30 mgtL 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- 8330Test (R.07l00) i V A- 7 dwzv Dw/ p� N a-r s 1C�1 OAK, As L B � 9 Gao &� 9� q7 L J Z ' --+1 04 NOT d �F uar- T (Sou P1L) J h Owner: Ness, Grant Computer #: 034 - 1088 -70 -000 Address: 216 250th St. Parcel #: 28.29.15.570D Woodville, WI 54028 Municipality: Springfield, Town of Address: 2938 Hwy 12 Wilson, WI 54027 0911212007 unknown, unknown Carrie Stoltz Drove by site, took pics (in alleged file under Ness, Grant). Saw no evidence of surface discharge. This can be handled under a new sanitary ordinance. .4`,ti s1 v �\ M �`��. f '!"r.• jp t / v ��' � kk ' j J"r}, a '.1 .,� '� •, - - ,tL � 'A % � ,,t � !•r � » U r��� r { ' � ', •i I "f i � �+ ',"t Vt �I Y �7 � t �J.�� 1 �'. .�J'' � r r" Y � � � �..,. r' i — C "3 ' ' � r� „ 't1'.,/+1 {�.-, �+y(,`1�f ^� �` �; 11 [_ `�; ���••� ,.1�tP f:}�'.n �lyfr ��+ '�` t •. I - l � ) [.' � ���� !{� ; � \.fi.F 'hs �- � �,: '�,' AI ., � L.e) 7' may, (, '����f1 -w Y � �r.- -. .• '��i � +. t - 's� "•� „/ t•f�1 _! , ,� !M1 ,;1t y,�' [ ( I r ►, 1� . r .' A iS y g y� + c t"rfl ri? f✓ '� yr � .. i• i s.. 1 ,•: �' i, t j ,;,�tia ��!�` �S� w , i 1r � i'` �/, • r Y = ^� � '��` r 1,a</'�. � 1 6 r �; r s Y r { l' r' f /;' . '` � �'` M1ro � ! � , ''� ,.� ri ir �. `. rt+ 1 ,, _.'s,� r7r ' Z p„�`.l. ♦ 1 ►�' ., M -id' ✓„ . (�. r f,{,f , a f N M1 +ir.�',�. "i!� to '�,,�.• \` . Y 3 � ' �? ��y`+�},I �i�n l 3A � 7 ` � r'� '. �:. .� • c�`.Sr " �� - �. 1 }� � i + 'i+- "`�i'e jh�ilk7 � '� ��r' t � v � . y.. - r k ..4' � �— + .�'%.r y� j y 7 t1 � Y � �Tf' t �, •' '� � \ t ' h �Y y— t � 1 i t i '�+ � �� y • i - �r .}.,, ,! r Y; ,> t �� f '` , • ' t l t K i t ” � Vw IN k 01 p ' t a Zt r� ! 1 'i�" M1 ' : •nit III"l�r t4M JIM ,t � 7 •,1 n. +e„ .` - _�� r I ��'� s � "��!� ', ," 1, �^���trx' ''+ � S'' - 'ar �� irk t , t I � �•' �� ��� ..w r I Z11 i y r ' 1 00 J ! All f i 0 co 0 0 d f 0 M m A to h' '< ox m M 3 1 01 1 q M� CJ) Z "0 2 2 z (n ; z "0 2 2 a z -` O 70 cn N 0 O CD w w N C� �, sa O w w w C O A W CO 'a N '� • 00 a m p o a �° m O n a m_ (o c° SA♦ w CD c OJ W 5 w E . N c 07 W CD m . w 1 N O. O 0 w w N N Q G5 3 =' w w (/� 7 O v N "S 3 a o 3 B o cNO oo A; +r( H OD 7 C d C <r Z cn z D cr z z D m 4 $ z CL co 00 0 0 C1 C= CD CD -», W 7 o m o 4 � n 0 to w w m co l 3° s Z Z 0 0 N . hi• O �I lh�iil O N N Q. N 0 n 3 3 N y N W N a v v v ° o x fn cn m o cn N m ° - w d w ro CD CD CD m N N 3 N CL a z z 0 o z z 2 0 D D 0 m o O m a O a CA 9 d �M CD CD a x T N C (D C w jO (D w v O N a 3 a 3 (D O O O 0 A Z n .► L11 N .. w O � � rt C) ? Z O CD w CO 3 O CO O CD O < O < Cn - i N O O m N CO d ^1 CD d (D C L Z �' 0 3 A 0 to (D ? w N C 0 0 0 3 ao f N a w y O� n c7 2 o• (n w f Cl) � w D 3 O 0 O CD CD CD N O C� w N 0 O O_ O_ Q O (D CD CD N C wt w M O_ O O. CD M '6 ( =i 7 'O N A O to CD �: O Q > .O CD _ O 'O N ? O to CD O; 00 La. C .0.. <.� z 3(o maw O CCO o <� <.3 z 3(o coax C) — n , o c _ __ _ 0 CO w (O O j' N fD C N (D w w D? O CO w (O O �' m (D C w CD N N C m m o� CD m a R��� Z m-4 o m a m a a� x� z a v 0 m o no p m a 0 (D 0 ao o ?r O O n x 7 O -. 0 0 w O O O. 7 O CD to cD CD o a 0 o c m �3 CD w m — 0 0 o C CD �3 m N 0 CD = m 2 m 0 0 m y "( 3 (n 0 2 3 0 N N m (p CD a-0 O (D cOD w —fin CD Cp X 7 . 0 O CD +] S 3 N t0 CD (n (D O 0 S 7 w (O CD m (D p O N' 'C N d 'p rn C n (D O y y 0 w 0 C -p CD 0 Cn �. CD < — a < 0 P 0 w f O CD w --n. `< C <. < N p 0 0 3 -p N `G C <.,< N �. r 0 > n d v o — wo �> 0 0 - aT o v, wo .+ M — .. -. p1 N CO �� E 3'o d 2 (o w �� 00 3 o d 2 C5D � S N O w (D w w (D � S N O N CD w w b S S (D O fD "' 0 �= N O CD = 7 (D p y 0 7 OZ ` O N y A N O O 0 `< O O f CD O , = a N NCD (O S MO. y„N1 O ' w CO p 0 (D _. w O p 0 (D J S p, V C 3 =r C 3 ED CD n o o o b ° CD CD o 0 0 0 0 0 0 0 p ° °O i o 0 00 i ti Parcel #: 034 - 1088 -70 -000 09/13/2007 12:01 PM PAGE 1 OF 1 Alt. Parcel #: 28.29.15.570D 034 - TOWN OF SPRINGFIELD Current XXf ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - NESS, GRANT D & DIANE K GRANT D & DIANE K NESS PO BOX 2 WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 2938 HWY 12 SC 2198 GLENWOOD CITY SP 1700 WITC SP 7070 SPRINGFIELD SAN DIST #1 Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 28 T29N R15W PRT BLK 23 COM 70'W OF Block /Condo Bldg: SE COR BLK 23, N 125', W 150', S 125', E 150' TO POB PRT LOTS 1 -2 -3- 4 -5 -6 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 28- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 03/28/2001 641498 1609/66 WD 06/21/1993 500988 1016/457 LC 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/15/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 4,000 102,950 106,950 NO Totals for 2007: General Property 0.000 4,000 102,950 106,950 Woodland 0.000 0 0 Totals for 2006: General Property 0.000 1,850 93,800 95,650 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount i I Charges Delinquent Char Special Assessments Spec es a g q g Total 0.00 0.00 0.00 — N p N m y� Ln � O O to fl V o v cn Pi C) 0 4 , iv a Ln N fD O F. r (n C r to 2 N Ln Co N O U9 fD (D d- 00 7 7 Ln V V S T. c In T O O �p ID O rWrp O. �O O ' 7 O CD Q O < N N CD O N V rt O c n n %.0 co 3 cD rn r o C o m X�- o 1 o 00 z m _ can O O rt cr O O l p N �A �D ;cn O rt t0 S O V 7 �O 0 7 7c N p '.. Ij rt S W ry ca ° (D In n �" • p O W n to ' 0 N cn n m LL CD CD n 0) c1 n c CL m � (D CD N N (D ... . N r O ty Q ,•, fD O rt ' (D +n FT ! j to N 1C:a In rt ;.7* !CA !91 d 70, ' O 7 N 0) a p p < V CL f 7 f1 (D 112 � W -del � Cl q) < 0 0 (D 2 x 0 r Ln V) 00 m S V ",T a Li c � CO I aa rIj __j V) �,)�S SWUpV PaJODDA VI ro =r ro co S L'LB I L4 Lo :r 0 ° o ro a FD (D > w C, .,L 1; 0sli > D > - n j L SZL. < 70 (A OD I "S 0 _1 m C F CD I of r-) cl, O C) (81 ol C T.9 V) 00 m (0 W6-Qd m ace.- �lv 0 w C:) z i jaaj�S aDuapuadopul PaTODOA C � CD > 00 M,,L0,2 LOON 0 ' 05: 02 1 jr > l l� 6 + 'Iru 0 C a / C� C� , I M I LO I C 0 N > 00 _T CO U-j , 76S 3- r � n 0 z - > > z Ono 0 0 < 0 C) asuaj X M ---I CD ;:a E ;Q (D c Z Z F O V) < cn rD tom C) C) > > . Z: 5 CD Z r z C) (D rj --1 11 (j , Ln (.4 0 (.n Ln '-J ti �4 (Y OD C) w 3. "3 - -, > W m Ln _ C) rl) 00 (Y) ': i -Z (D ,,, - (A > 0 cl� �0 O QA un _.; -n � o C7) 110 - :� , GA O 0 Lrl FD 0 Ln 0 7 rD < _,00 t P� _ -3 Z Q. Z < N rD Ul / . ,, * , -0 ", 4 -- 1 0 N 0) U, rD CT x U) U 0 m m U, rD rD Z: rD 00 C) > m r7l - rD --i r n > rD W 0 0 z m CD m Lo 0 0 m 0 (A , - 0 - 9 1y r1i V 03 rD ) .0 > rD Frl C:) D n C:) > 0 0 b rD z m rD 0 rD 3,,1C.91.00S 3"ZC,9 LOOS 99t ' N zo < T CO 00'� I 9l 00 5 t D_ rD 0 F) 3,,L�,9 L.00S CO CD CL) N 0 rD Cl- > CD n m - cn =7 > 0 0 0 _,j 0 :T :3 ::T :T :T :7 D :T :T :5 _ :T m zr 0 0 CU 5' (D (D C) 0 - (D (D (D (D (D (D (D (D (D (D (D CD (D (D (D (D (D L/I . < E' D :5 :3 0 :3 Q D 13 :3 :) D D :) : D : D � (D 3 CD Dl n rD � CD P w 70 n n n o o o n n n n n n n n n n 5* m 3 L n 0 0 0 C,4 0 0 m 0 0 m m m m m m m m a m m 0 0 r '...,� ca- aj V a j CD 9 — 6 0 z m C: Z) n C/) M - U) Cn Z (.n 7 (f) Z (f) 0 Cn Z Cn Ul Cn Z (A N) 0 n 0_ - 0 I (D (T 0 CIO X10000000000000000000 rl 00 C) 0 � 0 D 0(.0 0 (�o CD (D 0 (D n - M CD rTi C c +1O v) L4 C� 2. CD :3 (3) cyl 0 rD 0 - 0 (D CY) - CA CJ > ca rD :D :3 0 41 1 _ 1 � (A CA (A C^ � C- L U � C_ � (D C) -TI r - (A - 0 _P: C5 0 L4 0 (_,� 6 L'i 0 C�j 0 L,4 a Q_ -1i • 0 C) 4 (j) � j 0 � - -i m j 0 m 4 m j m j cy) :z > :7 �,j - r rD (f) (D :3 r n 0 (D CD C7\ rD 3 rD Cn 0 (A - (D G C) 0 0 0 0 0 0 0 0 0 0 (D - CD 0 0 , m - 0 0 CA 0 0 (1) 0 :3 c V) > rD D C: :3 6 0- a_ CL a a 0- x -- 9� 0 �c - Qj 0 Ll� - 0 )> M aj (D D > n c I Z 1 3 0 (A :T C 00 (D D :3 D (D c ca_ :3 D :3 :3 :3 :D (14 CD rrl r--4 0 cn 2 (D (D 0 0 C= :Z: m D Cf) Fri (D CD CD (D (D (D m (D CD (D (D CD C)m -t rD C 0 -0 CD CD r I> --I c C) 0 - (n i� Ln Q Q c cn =; 2, - 2 0 0 0 0 0 0 , - - - --- i ::E m = < (D - - - (D 0 rD 0 rQ - U - - (D n o :3 00 E -P �,j Cn 8 CY, C) 0 (,D Ln :E 0 n m (_4 00 C,4 P, u rD (D 0 (D (D 0 N) 9 Cp cn CD 0 (D ID 0 (Z) c_ -n 0 0 3 0 o 0 0) CD ( -, J CD 0 C) (D aj D_ - --1 0 r" 0 (Z) 0 -n C - 3 rD (D Q < 0 o 0o (D (I r) rD N Q_ (D (D (D (D (D (D CT (1) (D (D (D (D (D (D (D (D 0 (D cu 0 cn Cl) 7- m ::7 M CL 0 m C3_ rD 0 C) C) m - - (D rD 0 :3 7-!7 :z V) (D 0 0 D -n rD r 0 (T (D t\j 0 (D n (D (n 00 =5- cl > 000 0 r > 0_ 0 Ul (D LD (D U) CD 0 -n En :3 0 TQ 0 (D Q() -° O 0 0 O n