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HomeMy WebLinkAbout026-1025-30-100 O ~ 0 y°4 0 w er ao d d ~0 4 a I I c I I N ° I I a I c I (D I s 3 E - o W - a E 0 Z a Z LL C n (L C O O O L ¢ u, I E ¢ w I a w E a0 U) y O r 0 ° W a m a m r F Z I I c C9 O Z c c u a o N Y O N O O .= O 1� ( O O 0 • N L tV N O Z F- Z Z co Z O N Z O N Z o LO r O m E LO m LO o Q ., V r 7 H N a) �` w � I a a .0 m v a a a a) Z E v E . E 'm L a • a a s a C a a a a 3 g m o m a ' N J U rn rn CD } 2 rn o U) °.-° o 0 0 I O` N p0 m W C a m N C d (D O O (D 3 3 O `- �j O c N Co y t�q C IIJ •F+ E N , O O O O O o� H p a) a� m a oo a 4)i n n a m ° o o f r M � 'O to N a3 N 'C V! fa a3 R N N r N O " M C N C� y 7 M L \ m m 7 N N O f6 N a.� H to (D (O CY) C O E L H N W . C N � O w 7 O O` L • ~ N r U N in O N O N O U c ( O O V! a7 m U O o Y M O Z y Y r L (n W E e� RI 0) a. °' ::a. L: a. � • a m :2 N y m c `� E c o S 0 • ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner - .*^ s Pro a de Property City /State r sr 1,09 eRo1X r C0 6fv � � Legal Description: c�vI Lot Block Subdivision/CSM # Sec. �, T.7aq-1J C W, Town of PIN # _moo moo SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer 1,dr eAJ Size STIPC IVJ� Setback from: Hous*; ,, Well P/L Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: 46, Width _ Length 7S Number of Trenches Setback from: House �jQ Well P/L 4 Vent to fresh air intak ELEVATIONS .� p ® z Elevation %�� / Description of benchmark /'� Description of alternate benchmark ElevationS� ���', r 99.&'6 ST/HT Inlet f� ST Outlet !! PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover Distribution Lines () `> � �?y ) j Bottom of System () f y ( ) Final Grade ge Date of installation & / / ermit number WState plan number Plumber's si nature 19. - License number X05 Date' /_ °q7 Inspector ` Complete plot plan � a �=�- I, t44AT � �W .r NOTICE Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW A I e l CC la' ` f CR 75 � i INDICATE NORTH ARROW r Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety avid Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 353243 Permit Holder's Name: ❑ City ❑ Village ❑xfown of: State Plan ID No.: Kieckhoefer, David I Town of Ri chmond CST BM Elev. :. Insp. BM Elev.: BM Description: `` Parcel Tax No.: too r oti ' C,,,,, _ (g At*t } 1 026 - 1025 -30 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �� fib Benchmar t � JOD . Dosing a Alt. BM Aeration Bldg. Sewer�S Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet j 5.3( TANKTO P/L WELL BLDG. Ventto ROAD Air Intake Septic -1-601 > too / � Z.b — NA Dosing .,, fop / 20 NA Header/ Man. �� �� ' 30 20 Aeration NA Dist. Pipe WO qs }o Holding Bot. System o' o .2 PUMP/ SIPHON INFORMATION Final Grade Ma facturer mand St cover ,S.o , O(, Model Number GPM t 6 -wf 9M. fe N TDH Lift F ' n System Ft_ 6,�Z Q�• 3` H ead Forcem n Length Dia. Dist, To Well SOIL ABSORPTION SYSTEM BED /TRENCH Width ( Length r No. f tenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSION SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type O f r CHAMBER Moe Number: System: 7 q 33 > I M OR UNIT _ au DISTRIBUTION SYSTEM Header / M 'fold k Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing 8 � r SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Sodded F x Mulched Bed/Tr nch Center Bed /Trench Edges Topsoil C] Yes [] No Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #l: // /3d Inspection #2: Location: 1634 100th Street, New Richmond, WI (NE1 /4, SETA, Section 7 T30N - R18W) - 7.30.18.99 1.) Alt BM Description= 2.) Bldg sewer length = t 2.4 C tS� - amount of cover © $ Ja� 9%, &4_fb&k AaLp� � `�-6 ; �� s�'!.0 c.�s►� D. $ �o .�a�2., Plan revision required? ❑ Yes Cg No r Use other side for additional information. 1 12, 1 ZO I l � SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. 1 ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: [ S e e 3 I I 6 tt W_ t s � r £ i IT 3 � I .. , l 7 , I� Safety and Buildings Division *Iiconsin SANITARY PERMIT APPLICATION 2 1 B Washin Avenue Department of Commerce In accord with Comm 83.05, m CQQ / Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the sy + n paper not fess. county / than 8 112 x 11 inches in size. l li'Ta rte' • See reverse side for instructions for completing this ap ic�zion P S to anitary Permit Number Personal information you provide may be used for secondary purposes ?� ' E] eck if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. �p C' µ a a Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT A F 0 �4IbfV Property Own e r / perty Location y, T Q, N, R,/5 ( W Property 0 ner's Mailing dd s �� Lot NuIT er Block Number Ci tate ( ` : Zip Code Phone Number Subdivision Name or CSM Number �i�n (el " o/ II. TYPE OF BUILDING: (check one) ❑ State Owned it � Neare ad Public 1 or 2 Family Dwelling - No. of bedrooms To w a n OF l � l Tg i, III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 0,?6 - /D 1 ❑ Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box online B, if applicable) A) 1. ❑ New 2 'Replacement 3, ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an '`_ `System ___________ __ TankOnl�r_____ ________ Exi iq ----- ____ ____E - - -- - System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12Meepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13E] Seepage Pit / 43 au I rivy 14 ❑ System -In -Fill VI. ABSORPTION SYST INFORMATIO . 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (s _ ft.) Proposed q. ft.) (Gals/dayJsq. ft.) (Min./inch) Elevation !S; � �S =eet Capacity . VII. TANK in allo s Total # of Prefab. Site Fiber- INFORMATION g Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic Exper. New Existin A pp structed Tanks Tanks Septic Tank or Holding Tank 4 5 . ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ 1 ❑ I ❑ 1 ❑ ❑ Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plu 's NameX(Pri ) Pl u r' ignature: ( to ps) MP /MPRSW No.: Business Phone Number: r-d PI ber' dress (Street, City, State i Code): 6-� IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved S itary Permit Fee (includes Groundwater ate Issued Issuing gent Signature (No Stamps) `Approved ❑Owner Given Initial ��� Surcharge fee) Adverse Determination I X. CONDITIONS F APPRO�V L/ REASONS F R DISAPPROVAL: VOW Ply =�-- � s as � SBD -6398 (R. 4199) DISTRIBUTION: Original to county, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be purnpedby "a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 - 266 -3151. - - To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 112 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss, pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. LOT PLAN PROJF,C'I' ��✓� r� r�-- ADDRESS l �J�J� /`C� G�/� ✓C�J�� � 1 / 4 1 /4 S /1'?Q N/R W TOWN ��y/ COUNTY ✓ �ra/ k f � c �� MPRS Byron Bird Jr. 220527 DATE �� BEDROOMS CONVENTIONAL )00( IN -GROU PRESSURE CONVENTIONAL LIFT HOLDING TANK LIFT TANK SIZE DOSE TANK SIZE MOUND SEPTIC TANK SIZE /�jzd HOLDING TANK SIZE LOAD RATE ABSORPTION AREA � # of chambers p-7 BENCHMARK V.R.P. ASSUME ELEVATION ❑ BOREHOLE O WELL "H.R.P. �� Vent SYSTEM ELEVATION >12" Sidewinder High of Cover Capacity Leaching Chamber with 3 1. 8 6' Long ft ^2 per chamber 16" 34" Grade at System Elevation cvc 6--9u j h d L'4 P Al #4 ?4l Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of ,Bureau of Integrated Services in accordance wit t rri 8109, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches ' ize,' "Plan m{� County include, but not limited to: vertical and horizontal reference point M);,directi d,a percent slope, scale or dimensions, north arrow, and location an distance to 6�tfst r Parcel I.D. # APPLICANT INFORMATION - Please print all information. t,sC7lr Rev"i wed by Date Personal information you provide may be used for secondary purposes (Privacy Law, S. 15.pQ Property Owner _ Govt. lot `', 1/4 � 1/4,S T N,Ro Properly Owner's Mailing Address ) o #`- W6k# Subd. Name or CSM# ty � Stat Zip Code Phone Number rP1 ❑ City - Village Jam' Town Nearest Road ❑ New Construction Use: Residential / Number of bedrooms Addition to existing building [� Replacement ❑ Public or commercial - Describe: Code derived daily flow — gpd Recommended design loading rate �� bad, gpd /ft trench, gpd/ft Absorption area required gy bed, ft2 76 �i trench, ft 2 Maximum design loading rate g g Z bed, gpd /ft S trench, gpd/ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site considerations _ Parent material Flood plain elevation, if applicable It S = Suitable for system Conventional Mound In-Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system S❑ U Q S ❑ U S❑ U 0 ,S ❑ U ❑ s M U ❑ S .9 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD /ft in. Munsell Qu. Sz. Cont. Color Texture Consistence Boundary Roots : <• Gr. Sz. Sh. Bed ,Trench = Ground elev. Depth to limiting factor 7f�in. .2f, eo D . 2 Remarks: Boring # ' 6 Ground elev. 9�ft 5� o Depth to limiting factor ,>-&Lin. Remarks: CST Name (Pie a Print) Signature Telephone No. ,L2�� Address Date CST Number s� - - PROPERTY OWNER SOIL DESCRIPTION REPORT Page of S PARCEL I.D.# Boris # Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 1 i- Ground lev. _ — ft. Depth to limiting factor Remarks: Boring # LINE T Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ; Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R.9/98) ss' G a ' j l I � 38� j q AD iA yo' SYSTEM ELEVATION AND SIZING CALCULATIONS Below Grade Chamber Soil Absorption Systems Permit Number 11/29/99 Date O x "x' Gravity Distribution only 1 Pressure Distribution 3 ft Suitable Soil , Note 1: Bury depth as per manufacturer 18 in Chamber Height 2 8 ft Maximum Bury Depth 3 600 gpd Estimated Daily Peak Flow 0.80 gpd /ft Wastewater Infiltration Rate 750.0 ft Code SAS Size 40 % Down Sizing Credit 300.0 ft Reduction ( -) 450.0 ft Min. SAS Size 93.95 ft Proposed SAS Elevation Soil Surface Acceptable Finished Grade EL 4 (ft) Boring Grade Limitation S Elev ation (ft) System Minimum Maximum Number Elevation (ft) Depth (in) Lowest Highest Elevation? 96.95 103.45 1 99.30 115 92.72 97.13 Yes 2 1 98.45 116 91.78 96.28 Yes 3 98.20 115 91.62 96.03 Yes t. Depth of suitable soil required below the infiltrative surface for treatment. 2. Total height of chamber in inches. 3. Maximum bury depth as per manufacturer's recommendations. 4. Based on chosen system elevation, and chamber height. Top of chamber is equivalent to top of aggregate. The addition of fill for cover or the reduction of finished grade may be required to meet minimum or maximum code standards. SBD- 10553 -E (R.05/98) ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ��y- Mailing Address _ C/tF3 �?a �U� �t!� i�,'c�t h'► ern c� Cy i l l Property Address 16 3q AI V ! �i �`"n a �e c� w�. 37 0 2 7 (Verification required from Planning Department for new construction) City /State kelo K L� vnavtd 1,�J�'_ Parcud Identification Number pd l C '°z C 0,:D° LEGAL DESCRIPTION ' '/4 Sec. N -R W, Town of Property Location t / <, > _�7 T Subdivision , Lot # Certified Survey Map # Volume / , Page # 3 75 . Warranty Deed # O �, Volume , Page # ZE Spec house ❑ yes 0 no Lot lines identi table ; yes ❑ no , STEM MAINTENANCE Improper use and maintenance of your septic system could resuh in its premature failure to handle wastes. Proper maintenance onsists of 1 ,unpiag out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect t1w function of the septic tank as a treatment stage in the waste disposal system. Ti property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plum er, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on - site waste" aterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 7 da of the three year expiration date. q //4/ SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Lamy, // //o/ 95F SIGNATURE OF APPLICANT V DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.****** ** Include with this application: a stamped warranty deed front the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed I ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certi tha I have inspected the septic tank presently C serving the residence located at: Section, TN, R Town of Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced: Did flow back occur from absorption system? Yes No (If no, skip next line) Approximate volume or length of time: � gallons o ?,::!!�' minutes Capacity: Construction: Prefab Concrete C Steel Other Manufacturer: (If known) : /�® cv��r - Age of Tank (If known): (Signature) (Name) Please print (Title) (License Number) Date Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILHR 83, Wis. Adm. Code (except for inspection opening over outlet baffle). Name S ignatur /MPRS . rat '• bocuMENT No STATE BA3 OF WIiCOXSIN FORM 11 -1' * "'• SPA­ �` °• ""•O ��" "• coRO� "o o,T� 98 LAND CONTRACT Individ•al and Cu,poral. HIP USED FOR 1846 = s,u1t0 IS t'IN. \N ACT I TRAN ACTIUNdiNON-CONSUMER M1@'T!a! I OFFXX ST. OW CO, W1 elhart F a ers}u Rt'd fw �d f Contract by and between .... En 9 .... .......... ..... ...... arms, .. .... ......P ......... .. Nov. 5. 1987 .... ................................•..-....... .......................- ....... ( „ Vendor ", and ...... 8:30 AM whether one or more) anu. Gerald Keckt �afer, Jr - __ - . . . .. ...... Half_ ;intere3li•,.q_- eat?,.. ...... ('Purchaser ", whether one or more). ftoldw of 0" li Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance o! this contract by Purchaser, the following property, together with the rents, profiis, fixtures and other appurtenant interests (all called the "Property"), St. Croix - - - In .. ... ..... .... ........... ... ..... ....... ...... ........ .......... County, State of Wisconsin: RETURN To I l ! Tax Parcel No... --- --•......-•-- • .............. 1 The Northeast Quarter (NED and the North Half of the Southeast Quarter (N} of SED , Section Seven (7), .township Thirty (30) North, Range Eighteen (18) West. This ._..is_I1Qt< ....... _.. homestead property. (is) (:a not) Purchaser agrees to purchase the Property and to pay to Vendor at a laee to be designated the sum of; 200 ______ _______ _______ ____ __________ in the following manner: (a) $. -20_, 000 .00___ ...... ............ at the execution of this Contract; and (b) the balance of $18Qi0QQ.t QQ----- - - -- -- - -- --- together with interest from date hereof on the balance outstanding from time to time at the rate of ..T P.n - - - -- 0$�...................... per cent per annum until paid in full, as follows: pr:,lcipal and interest shall be payable in semi - monthly install - ments of $820.00 caanencing November 5, 1987, and shall continue on the 20th and 5th day of each mcnth thereafter, provided, however the entire outstanding balance shall be paid in full on October 1, 1997. All payments, except the final payment, to be made by assignment of Purchaser's milk check fran their creamery. Interest to accrue fran October 1, 1987. At Purchaser's option, Vendor agrees to extend this contract for an ` additional five (5) year term on October 1, 1997, October 1, 2002, and October 2, 2007, provided the interest rate charged at such extension shall be adjusted to a rate two (2 %) percent greater than the prime lending rate as it is now known and as it is published ** * Following any default in payment, interest shall accrue at the rate of --2 ....... % per annum/on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). * above the rate charged Linder this contract at the time of default. Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated 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. >.4try- ameeltt-ms, be- prepaid- wit{+eat- pre+r+i+n+r er- fee a rtab€tRr --- -- - - -— - ---(SR there may be no prepayment of prin ipal without permission of Vendor.* In the event of any prepayment, this contract shall not be treAred as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing incerest 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; p *nvided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examir-ation except no exceptions ** in the Wall Street Journal. If this contract is extended, in no event shall the interest rate charged be less than 8% per annum or exceed 14% per annum. At such times this contract is extended, the balance owing be reamortized over the number of years remaining over said 25 year almrtization. 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 beentitiedto take possession of the Property on_... date. .of .. closing ..... ............_... 19 ......... -Cram Out One. NCI\ wl +.'rr• =fn Local Blank Ca, inc. .AND GON`rHACT — (ndlvtaual and ,T. \TF Ft tFi UP WF3!f`P 'Co orate i'.! k N Yn I t -- tve_ slit w.,i .ee. W IS. J I 'yil, c9 i,'3 49 F.iX 7 1-342 ,1 6489 FCS . 'ii1. 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"u VA.0 7 153 ?:76 1 J Ir,111401t DEED CA.�;gIS� Yt�IRM 1 --- -- - - DOAF ....._..• \I `) �' ;, i� x$97VF17 M►t WDWLMZ DATA I) 1 i ,I , u : Jillu 8 u C y , �F• • mil_ 1 K � , �'�'�' % ',;`,...► �Ie --.� r��. x '.s'i'p ae, i,rl�, r a'�.�+ � a 1 �` . 'l: 1 t ;1 , I s , I , J 1 L Ix 1 70 1 tel:) I , 95. . _. - _ - ... .......... .... .. ......... .. .. F, STATE OF ISCOItiS � ST. CRQ K L�t1rtY J U _.._.- ..xr nt .. 1e m mthis.._ Pctsonaliy came before e, ...... c��i1 - -. A Te[�C�1° COT1S t2t1tlI7e'u:j c3I7C4 �'r i b E' l)' v',�7� d' r , { the above named n °rtz� i]�3 [^1�I - b - - - •• .--., . -- ,.- -. -.... - . -- - .. - me - l to ]criown to br, the 11 executed t1•i? €�ie$oin �rkquptn e e t and acknowle�l ea the sar • ! •�''�. ti EAU11�__� DO A ,�I ....................... ._. © �N0TARY - — - -'- - - -- This inetrulncat d�?tted by r' —) / Notary Public... ' -- ' - - - -r [�O — - .. ..... County, wls. & KP101 ^iL S ._� a rman�nt ----- - -- -- .,. "J�7° y Commi9siodQ 3 (Is }.... (Section 59.51 (1) of the Wiscoasln Statues provides thsnt all inat"meut, to be recorded shell have pimegiy Printed or typewritten thereon the names of the araato:s, Imntece, witnesece and notary). WARRANTY DruD -9TATF OF WFSCONSLN. FORM NO. I gllpt )! I ° 4 i ll' J 1 1 p. C. �141�R C0. vrkwAuur r 612499 CERTIFIED SURVEY MAP Located in part of the Northeast Quarter of the Southeast Quarter of Section 7, Township 30 North, Range 18 West, Town of Richmond, St. Croix County, Wisconsin. Prepared for and at the request of: Mike Germain RE/MAX Team One Realty 1033 Main St. Somerset, WI 54025 OWNERS: Gerald A. Jr. and David J. Kieckhoefer EAST 114 CORNER 1628 95th Street SEC. 7 -30 -18 New Richmond, WI 54017 (FND RAILROAD SPIKE) Drafted by. Kristi A. Eylandt r,�.' t wo r0 ° TOTAL AREA j�2dy�99 °o ! I 3 261,385 SO. FT. ! Rdi�" I D F. law 6.00 ACRES ��L y ,ol i ., ...;E 0 1 ED AREA EXCLUDING R.O.W.: y �' A �; of Or , T 2 1 1 999 247,244 SQ. FT. 4'/I. PA TH EEENH.WALSH 5.68 ACRES °9 _ p �, ✓_� Noisierofp °�'`•�• aLl w . ' ~ OD �, St Croix Co, Nn mgN Jti UNPLATTED LANDS OF OWNER I { �— { 33''• N89'17'31 "E 610.00' I 1 33- 11 1 I 577.00' I .�,� I 1 a .`:; 33. ;;::: 00 I o l i I ti { 1 I I I Iz ?s cn:;. of I N ° 1� Z :.m: CENTERLINE ? o I p Ic �> o :? EXISTING �) N 00 (� I 'n �� I–I DRIVEWAY W I '' (,+ w I 1r �o w Ir 41 i m r � m I ; M i > Z I i WELL Ico I IN ® �I I N I ly 10 ....... :irii. 0 990 O j� j� 1 I r �, �o LOT 1 0 :S .::; m oI o { �rn I AP OVE[� 'rn y � I 6T. CKU COUNTY Planning Zoning and Parks Corn 'ttee 33.00'x h 577.00' v S89'17'31 "W 610.00' 33' I Z If not recorded within 30 d s of I Z y SOUTH a L INE OF THE NE 1�4 OF THE SE 1�4 I p I r o• I Z approval date approval shall be ^' null and void OD UNPLATTED LANDS 1 33' o �f I NOTE: The parcel shown on this map is subject to State, County and Township laws, rules and regulations (i.e. wetlands, minimum lot size, access o to parcel, etc.). Before purchasing or developing any parcel, contact the St.{ I Croix County Zoning Office and the appropriate Town Board for advice. �. I LEGE I i .0 County Section Corner Monument of Record SOUTHEAST CORNER • Set 1" x 24" Iron Pipe weighing SEC. 7 -30 -18 a minimum of 1.13 pounds per (SET NAIL) linear foot. • • • • • • • • •Building Setback Line (100' from R.O.W.) JOB #99022 (Sta1) 150 0 150 NO TH Prepared by A & E GRAPHIC SCALE LAND SURVEYING & CIVIL ENGINEERING SCALE IN FEET: 1 inch = 150 feet Phone No. (715) 246 -4319 BEARINGS ARE REFERENCED TO THE EAST LINE OF THE 109 East Third Street, P.O. Box 325 SE 1/4 OF SECTION 7, TOWNSHIP 30 N., RANGE 18 W. New Richmond, N 54017 WHICH IS ASSUMED TO BEAR SOO'38'34 "E. Sheet 1 of 2 VOLUME 13 PAGE 3752 1101 Carmichael Road Hudson, WI 54016 Croix • Phone: (715)386-4680 Fax: (715) 3864686 Zoning Department Fm To: Jo Hintz From: Shawna Moe Fax: 247 -3622 Date: November 30, 1999 Phone: 247 -5900 Pages: 2 Re: Inspection Report - Kieckhoefer CC: ❑ Urgent x For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle *Comments: ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 _ (715) 386 -4680 November 30, 1999 REMAX Team 1 Realty Attn: Jo Hintz 103 Main Street Somerset, WI 54025 RE: Septic Inspection for David Kieckhoefer located at 1634100' Street, Town of Richmond, St. Croix County, Wisconsin Dear Jo: A septic inspection of the above referenced property was conducted on November 30, 1999. This property is located in the NE'/ of the SE' /4 of Section 7, T30N -R18W, Town of Richmond, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a four (4) bedroom home. If you have any questions regarding this, please contact our office at (715) 386 -4680. Sincerely, Kevin Grabau Zoning Technician /sm (5 t AS BUILT SANITARY SYSTEM REPORT TOWNSHIP SEC. TAN , R l W OWNER TOW �, � } .t` � � `.,�` P.0. AD RESS ST. CROIX COUNTY, WISCONSIN b.%wp SUBDIVISION LOT LOT SIZE U26 1025 PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100FEET OF SYSTEM DD t I j i 609 l r i k5 1 ti 0 1. SEPTIC TANK(S) MFGR. j'0'1Ar - ?5 (c,�n �`I ru • CONCRETE STEEL N0. o rings on cover Depth G DRY WELL TRENCHES No. of width lengt area BED no. off` line wi tth —/ a ' length 70 � area depth to top of pipe -Q# AGGREGATE / ' -- z PERK RATE �3 , 9, / AREA REQUIRED L� ! AREA AS BUILT L DISCLAIMER: The inspection of this syste by St, Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. INSPECTOR �C DATED S 7 1 PLUMBER ON JOB i -1 LICENSE f- . 3 r r REPORT OF INSPECTIO_'I-- INDIVIDUAL SE14A zE DISPOSAL SYSTEM Sanitary Permit _A tat&j Septic TOWNSHIP S t. Croix County S�'DTIC TA "?K Size gallons. "dumber of Compartments �. Distance From: I•Jell _ ft. 12% or greater slope ft. Building ��_ ft. Wetlands � f� 7 17ighwater ft. DISPOSAL SYSTEM T ile Field or Seepage Pit(s) Distance From: TJell 0 ft. 12% or greater slope dfi ft Building ft. Wetlands FIELD T3i�;hwater ft. Total length of lines ---- `- -"— ft. !lumber of lines_. Length of each line ft. Distance between lines ft. Width of the trench _LZ Total absorption area � 0 �sq. ft. Depth of rock below the in. Depth of rock over tile in. Cover over rock Depth of the below grade in. Slope o ,�.!`2�1 _ trench in per 100 ft. Depth to Bedrock 8 Oft. Depth to ground water _Aft. Number of pits Outside diameter ft. Dept'll below inlet ft. Gravel around pit: yes no. Total absorption area sq. ft.� Square feet of seepage trench bottom area required Square feet of seepage nit area required \ �� Inspected by: Title: _ - -- Approved , Date 1977. Rejected , Date 197 tr - 7 0 t2 State and County State Permit PLB67 Permit Application County Pe 't # 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: A&A ATION: 4 ection T ?ON, R tH E (or) 10 Lot# City _ Subdivision Name,M& SG nearest road, lake or landmark Blk# Village Township n �/ C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Person D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YESA—NO # of Bathrooms Automatic Washer YES NO Other (specify) E. SEPTIC TANK CAPACITY Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation Addition Replacement _ }c Prefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) � 2) 3) _Total Absorb Area n sq. ft. New Addition Replacement >r *Fill System Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length ��Width Depth Dept No. of Lines Z. Seepage Pit: Inside diameter Liquid Depth Tile Size Sr 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 Certitied Soil Test NAME � xl� C.S.T. # and other information obtained from (owner/builder). Plumber's Signature MP /MPRSW# -4571G-3 Phone Plumber's Address PLAN VIEW: Provida sketch below of system (include direction of slope and all distances in accord with H62.20, including well). i c !,01 1, n£ Do Not Write in Space low FOR DEPARTMENT USE ONLY 1� Date of Application Fes Paid: Stat Co nt i % 0 Date Permit Issued /Rejected (date) _Issuing Agent Name Inspection Yes_Z�L_ Valid# Date Rec'd 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/ 11 / 76 EH 1 `15 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH • P.O. BOX 309 MADISON, WISCONSIN 53701 I q REPORT ONSgIL BORINGS AND PERCOLATION T T ' LOCATION: '/4, ' /<, Section � , T R E (or&,Township or Municipality 0 Lot No. , Block No. —, County Su vi ' n Owner's Name: Mailing Address: U TYPE OF OCCUPANCY: Residence No. of Bedrooms 7 Other EFFLUENT DISPOSAL SYSTEM: NEW f ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS `7 `�� PERCOLATION TESTS 4 "1 — SOIL MAP SHEET 3 -1 6 SOIL TYPE 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 MIN /IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- 1 r 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) PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas,) Indicate on the plan the location and square feet of suitable reas. Indicate number of square feet of absorption area needed for building type and occupancy. ® Indicate scale C or distances. Give horizontal and vertical reference p ' G. indi to slope. , 4 " , tN Tv I J i� / � I L i V 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) / f "l Certification No. �,�! �) � � � r `. > r Address & Name of installer if known CST Signature COPY A —LOCAL AUTHORITY Parcel #: 026- 1025 -30 -100 03/31/2006 03:00 PM ' PAGE 1 OF 1 Alt. Parcel #: 7.30.18.99B 026 - TOWN OF RICHMOND Current Fx 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 RICHARD D & TAMMY J WHITE O - WHITE, RICHARD D & TAMMY J 1634 100TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description 1634 100TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 6.000 Plat: 3 ?- C' 1313752 SEC 7 T30N R18W PT NE SE BEING CSM Block/Condo Bldg: LOT 1 13/3752 LOT 1 6.00AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 07- 30N -18W NE SE Notes: Parcel History: Date Doc # Vol /Page Type 12/17/1999 615685 1478/613 WD 12/17/1999 615683 1478/608 WD 12/17/1999 615682 1478/607 WD 12/17/1999 615681 1478/606 WD more 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 95491 165,000 Valuations: Last Changed: 06/19/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.000 56,300 85,200 141,500 NO Totals for 2005: General Property 6.000 56,300 85,200 141,500 Woodland 0.000 0 0 Totals for 2004: General Property 6.000 56,300 85,200 141,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 521 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I Si:C499 CERTIFIED SURVEY MAP Located in part of the Northeast Quarter of the Southeast Quarter of Section 7, Township 30 North, Range 18 West. Town of Richmond, St. Croix County, Wisconsin. Prepared for and at the request of: Mike Germain RE /MAX Team One Realty 103 Main St. Somerset, WI 54025 OWNERS: Gerald A. Jr. and David J. Kieckhoefer EAST 1/4 CORNER 1628 95th Street SEC 7 -30 -18 New Richmond, WI 54017 (FND RAILROAD SPIKE) Drofted by. Kristi A. Eylondt TOTAL AREA 261.385 SO. FT. k ':7 ,2Ci' -•i i1 F {7 w: !� 6.00 ACRES 4 S!;; i ::..,, ` �ED AREA EXCLUDING R.O.W.; .,, m' IOti ACT 2 1 1999 ► 247,244 SO. FT. ." ��,• r' KATHUmV if Wgl�y 5.68 ACRES pISterWD�a co, IN UNPLATTED LANDS OF OWNER 133': N89'17'31'E 610.00' { I 577.00' �i 33 33.00'-:��� U) � I Ip ti I I CENTERLINE t�.11 T O g j-1 p Ic EXISTING ool N { I i - a t r �, <++ DRIVEWAY w 1 P I rt 41� L4 i rn m { m cn im Ir IC) �N WELL im IO N m 2 O UI CO I T 1 :,:.. O ( C h t0 �1 O ° SHED m ac IM � APAROVE& I I I ;m ST. Ch&X COUNTY 433- { i g I'♦ Platu Zoning and Parka com 33.00'. 577.00' nf T 2- 1199 S89'17'31 "W 610.00' I Z a If nat ra00r0ed within 30 days of SOUTH LINE OF THE NE 114 OF THE SE 1/4 approval data approval shall be { null and void UNPLATTED LANDS { 33'� ! 1 NOTE: The parcel shown on this map is subject to State, County and Township laws, rules and regulations (I.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. { i Croix County Zoning Office and the appropriate Town Board for advice. �. I FGFNI) { i County Section Corner Monument �� of Record SOUTHEAST CORNER • Set 1" x 24" Iron Pipe weighing SEC. 7 -30 -18 a minimum of 1.13 pounds per (SET NAIL) linear foot. • . •. • • • • •Building Setback Line (100' from R.O.W.) JOB #99022 (Stal) ISO ° ISO NO). TH Prepared by. GRAPHIC SCALE LAND SURVEYING & CIVIL ENGINEERING SCALE IN FEET: 1 inch - 150 feet 1 Phone No. (715) 246 -4319 BEARINGS ARE REFERENCED TO THE EAST LINE OF THE 109 East Third Street, P.O. Box 325 SE 1/4 OF SECTION 7, TOWNSHIP 30 N., RANGE 18 W. New Richmond, N 54017 WHICH IS ASSUMED TO BEAR SOO'38'34 "E. Sheet 1 of 2 VOLUME 13 PAGE 3752 I � AMMSViewer Page IofI � \ a y �Y \ . � ƒ 6 #p: 7 2 £2]0!78 we stle /LRPorta2ARC MS /Ma F amea p? !N= 3/31/2006