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030-2032-20-100
ti Q o y O va O uq M � c I c I w � I I 0 o I I N N ti ill U � I a 3 I i (D w E: ) v, 0 a�i 3 v z I' z 0 o, z rn C LL c c U. c o c - � Q O a Q m U Z m y I 0'- y I W E E 2 7 T p G Z a m N H z a m I o z �+ _ co o w a Z o c c to I- m m c a) m N ` A ` N m 3 N Y O 0) CY j D. m ' 7 O U N O a 1 5 3 C.) o m Q c� O ° N zmZ z�z z z o 01 C y C CIJ r" a 10 N 00 10 £ (D O L O 0 LO CL 7v `- 0 0. o ` T a a •� Z N> O F' F- H c U v •N to M m a m m a a m Lo 7 O N M a aOp C 0) O a) rn rn m @ U) r- �V L N N L c O `°"` m 0 0 O «. ` W ,.� E N N . 4 I .y S O O "C'� > iN CID m w m CL N a) a) t!1 N O O O 3 N C O N 0 0) E N co O M O U @ a) o LO I p a) a c a c as 0 0 o r O 0 E a) O Z7 N N N W M O Q) N c m N ` m C c o o E z E c � ° 0) a I O ' M '' 3 ao 0 o E 3 `n as c m • �a O N W z C O Z T m F — Z M O Z `!) z >~ w E a �a ma �a I a L: a w CL a w rr `I��1 ci m l 0 in U O in U S Parcel #: 030- 2032 - 20-100 03/1312008 09:33 AM PAGE 1 OF 1 Alt. Parcel #: 23.30.20.453B -10 030 - TOWN OF SAINT JOSEPH 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 DAVID W NEWMAN O - NEWMAN, DAVID W 149 HWY 35/64 HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 149 HWY 35/64 SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 3.800 Plat: 0711 -CS M 03 -0711 SEC 23 T30N R20W NW SE & IN NE SW LOT 2 Block /Condo Bldg: LOT 2 OF CSM 3/711 ALSO COM E1/4 COR SEC 23;TH S 89 DEG W 2431.74';TH S 00 DEG E Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 441.62'POB;TH S 00 DEG E 100.00';TH S 89 23- 30N -20W DEG W 349.84';TH N 00 DEG W 100.0' ;TH N 89 DEG E 349.84'POB Notes: Parcel History: Date Doc # Vol /Page Type 09/24/2002 691615 1988/51 WD 07/23/1997 712/561 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/31/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.800 106,600 147,100 253,700 NO Totals for 2008: n Pr 1 00 147100 253 General Property 3 800 06 6 700 , p Y Woodland 0.000 0 0 Totals for 2007: General Property 3.800 106,600 147,100 253,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 10/10/2005 Batch #: 05 -30 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce SOIL AND SITE EVALUATION LK �Et: F ��l Division of Sataty and Buildings Page of 3 Bureau of Integrated Services in accordance with s. ILH_1383_09.,, Wis. Adm. gode Attach complete site plan on paper not less than 8 1/2 x 11 inches in size('-.,Plan must County ` include, but not limited to: vertical and horizontal reference point (BM)' direction wa percent slope, scale or dimensions, north arrow, and location and distarice to nea 0 p' ri eI # t �� APPLICANT INFORMATION - Please print all infornn. _�� 1_91j: Rev d by Date 1 Personal information you provide may be used for secondary purposes (I nvac Law> s. 15.04 (3$ T Property Owner ✓1 / VCa.>►1Gct'1 -govt. Lot 5 7 1/4,S 23 TAO ,N,R �) W Property Owner's Mailing Address Ldt ` IQ� # Subd. Name or CSM# /q u e a! - -' Goa /, 3 / e 7 // Ci State Zip Code Phone Number Ci ty ❑ Village NJ Town Nearest Road 1� � 11 ❑ Ci / i OGc� o» W� S_1 � 7 /S_� LY .7 S s .s., A STa e ?S/ ❑ New Construction Use: gResidential / Number of bedrooms �_ Addition to existing building W Replacement ❑ Public or commercial - Describe: Code derived daily flow _ _/O gpd Recommended design loading rate . bed, gpd /f? __.--j�_ trench, gpd /ft Absorption area required R bed, ft 7. trench, ft Maximum design loading rate • S bed, gpdifi -_A� trench, gpd/1 ,S! `f ' Recommended infiltration surface elevation(s) � �� c � � ft (as referred to site plan benchmark) Additional design /site considerations 9�� ko Ii(Se LP�Gf.+ti►o Cl+a.,.. �GoMMCc�oa Parent material ..� Flood plain elevation, if applicable S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ®S El ® S ❑ U ® S ❑ U P1 S ❑ U ® S ❑ U EIS RT U SOIL DESCRIPTION REPORT Boris # Horizon Depth Dominant Color Mottles Structure GPD /ft 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench Ground 3 1 A - v ie /st elev. Depth to s 7 � / �— rLS ac/ limiting factor - ,LOb in. $3.1 Remarks: Boring # 1 D -� / �' .3// Sr'L raw+ -►-- r� �' - C t,..� 3 a /y Ground S �G 7 /� r el v. Depth to limiting '4 - Z D Z factor fY4in. Remarks: CST Name (Please Print) Signature Telephone No. �lornas ,11 Old S -4ZF7/ Address Date CST Number sn I1 /e 14/e,-) x-C" `/ -Sam ers- � . s &f s 7= f 9 d a7(ld 9 PROPERTY OWNER b&Vl df Ait.JP" SOIL DESCRIPTION REPORT Page .2 of 3 PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench a -y ©Q y '/ 5r L o ?,..1 s s� y►�t c✓ �� . -57 . Ground 3 7 VA a r5 s6 w"4 t-� _ S" . 6 ee r , k 6 Depth to limiting it. SID factor 4A_in. 32.0Y 6 a Remarks: Boring # elev nd vg / as!� . Depth to limiting fact r ' f�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. 07/96) - Sf w 3,5/s� c c 414) AQ -- _,� �c _ AM Se i f e �I - y i — -- - i _ D r.�,., 6' - QS - - - -- 4 � d.y - - - -- - _ �� WR 4 I I i 1. ' I I � ' I i I .. 1 : 1 , I i i i I I f i I I.. I j : I' FORM NO. 985 -A N.0 WINICanyny� J f - • 0 `Ly 3 g it 11 t0 0 O 0) x r x 0 0 LED G FI 0 a o N rn < MAY 21 1980 0) � c n � z 9 M#� O' CONfiKI _ 0 �O F �oM.r of Deeds � O X _ d+ >�. Cnls Cant', V m z m -0 �\ z r � .T'—o m 6�.. m N NORTH m (n °_ 376.50 c- � 0 D D m z 19 � c) m 0 x , cA I G z o m y m ` b 0 00 ti C' ^' i 0 A< .mot ` 0 0 4 �A n 2 p �O CD cA z (D Gy s o w r N IN w yOS F � GD a - I Z m +° R1 M A m v , (; rn o + - •�- w II - n 0 U`1 l (' n !D V►� I —I m J Cn N ORTH 1 I I n ( H in o - 373.09 0 OD W J (D I t O rt m °' W r W O m = J Z ° o z I x CD N W r w o CD I � m o - r o ,o n -J ro m co a N I w .-. � OD P fir. ° ;: . � ; to -,. s� ° -:` %> art— � 0 0D 0 m VIL V �- ._• J. "a` 372.77 1 dl ;;� ; ,,•,.K., '' ,t >'' SOUTH O .'OL . lit OLRTIr�I�D T� i PS � 01, BEARING ARE REFERENCED TO ST . CROIX C O. ';i I . RAY 21 1980 cF 0 LOT I OF C. S. M. VOL 3 PAGE 711 s �i ST. CROIX COUNTY COMPR EHENSIVE PARKS PLANNING A4 0 ZON;NG COMMITIEf I N gmnjoA N Z to w 0 \_ W o 3 90 - LO - 00 N o: U LLJ . u 0 0 0 � U £z '03S J0 w b/I '3'S 3Hl 40 3N1 ISV3 U y 3Hl ONO 3 90 -LO - 00 N . a IM `xlxfi0o XIogo ' IZS 031Nnssv 38v ON1av3e -w C; ScI XgA IMS QRIaMlao Z re; ° ; TU H ti *10A a 0� I C ) to H1n0 s ��►� - �� �► M I el'le£ b t3 °aR Q oc r3 E gi I � IC, ° - W x 2 ik y tQ =4 LL �^ I I " M -� a 9 y4�J v ^ O M U co cc \ M O I � tb G W I 0 m m °o °m ~O 0' I N Cl) to Z Z J M M I 41 0 w \ - I t' I M ° O O Z 3 I w 0 = N N I a - NN ,LL' (-- `ro a I ' ,n cp ' - Hl a 0 N ��V yb j v I I ° m �� w F 0 w Q Z �. �6 w I , O - 0; co w Q Z ,may I M 2 `` w U. _ _° 3 z_ � I 3 N w 0. .-- t3 M 0 N m ui d' C..) r s oy z M Z 0 I- 6£ 0091 _ m m A . > Q m v o ro c � y� m r o c0 w o 0 w z w z "0?'L9H 01 21343S N I -�, � z to . a 'W31"JlS :)I1d3S 2o 7 pz ONimin9 °m I I - N M w c c TdAO?'ddV NV2- W 1C N S304 CD I t0 t0 N N tT 3 !n SIA102ns SONIW SIHI 40 1bAOSddd °' "� a_ CO m o a 3 0 ( m � a — � 2 F _ I N 0 t O Y W w 0 0 = a a m m 1 M O 2� O N Z z t] Cn 33111WW0� °JNINOZ aNV 1 0 p06 09� opls+ W X ° O O Z ONINNVId SAW 3AISN3H ?t'dN'07 i v W e W 0 LL. a X'C< D 'tS i .09,9L2 F_ 8L61 [J nd Hl N ° ^ s o� o GgAOdddb d aAoo3o s.io' A1N 7 f103 XIG�G 1S � � f V•Sea 'ON wand n vs p _ 0 cn O 9 v 0 d o c 0 CD 3 �� m 0 m >y • +� c 0 CD 1 rt so cn z w Z -i 5 z ° Z w° ID Cn }r • cD cn A OD d D CD N O co n N N Z n N .p ID N N O t CD 0 N N y 7 ? I 41 ? 'O O N ..� 1 N N a 7 O O O En N c � fE 0. a 0 W � S. O N 7 N 7 O Q Z U) m D A a cn cn C D m °- m cn C 5'i co <D a �_ ! -p D N W m =3 y W m O O C C 3 O CD V (O O A O � ` N O (o W y O N W (�/� O C CO (O CT M cn z 0 i 0 0 0 0 0 0 t 000' p o A i y y 0 I n i < N Z tv n0i z CA N cn ? 3 N N N ?! D O O °o o r - 3 A M N w cn 0 CD m o y 0 N I < 3 N N A z N z -I z zcoz D m' O D a 0 O I O =r CD fn y CD N tell CD CD a CD N C) N w (a 0 - a N d a m O m -4 N Z :3 O A Z O n N O .n. n0i a I n A z 3 o I .. Z � N 03 M 0 CD o CL Z 'o c 3 O '" O c o z B m m N D (D a Q 3 a m v c v c 0 a I o n N 0 N y I I A A A ' O O I v 3 (D A CD m ryp o0 A 0 0 0 0 ti N °O O. o °a v' ST. CROIX COUNTY ZONING DEPARTME AS BUILT SANITARY REPORT Owner D wID A l E amrww �VE Property Address /Yf ST/4TE &Wy - City /State J7'dc1 c i aA AV gC %Oel Legal Description: � Lot c2 Block AA Subdivision/CSM # (D G 3 /d• ��� ` ZONING '/a ' /4, Sec. 3 T N -R W, Town of 7,- �� ''# t �32 -� ,�, .It 2L SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer W EE/r 5 Size ST/PC /,I&/ Setback from: House Well P/L Pump manufacturer A 14 Model AZA Alarm location T , (HOLDING TANKS ONLY) Setbacks: Service road Vent to a er Line Meter location ocation SOIL ABSORPTION SYSTEM Type of system: reemG,Y Width _ Length 75 Number of Trenches Setback from: House ( O Well /0,9+ PAL /0 9 Vent to fresh air intake 1o0 f ELEVATIONS Description of benchmark Nf /1 - I 13A S E &E 4 Z2 Eq Elevation /OD „D Description of alternate benchmark rapAr'FA- e-lYr -TI-Ad Elevation /046, -5 Building Sewer YA ST/HT Inlet AIX ST Outlet PC Inlet AIA IF PC Bottom _IA_ Header/Manifold Top of ST/PC Manhole Cover Distribution Lines (I) Z 3 , 8' Bottom of System Q) y' , 5 (1) U ( } Final Grade ( i ) 96 ' ?o 9 ` ( 2) 3;,6 7e 9y' ( ) Date of installation / S/ Permit number State plan number Plumber's signature License number Date Pig / Inspector Complete plot plan � AL 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 $' c�G c= z /' Y O i 8r1 wwz- / N EZ./r T/1c'Ar tG •/Oo O f}cr8�9 - coev�R o% crri scs�6 pAc�r ®Ff�s�- EC /CIB.S/ N S X09 ` r 3 j63 ` J 3 � x � 5 ai ry � 2 �f-cn pep R S n A pt i - 16 0 ( V a �K 5 z INDICATE NORTH ARROW S`��5 Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: ST. CR IX Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. 344562 Permit Holder's Name: ❑ City ❑ Village ntTown of: State Plan ID No.: NEWMAN, DAVID ST. JOSEPH CST BM Elev.; Insp. BM Elev.: BM D ^scription: Parcel Tax No.: rQ v a , �� 030 - 2032 -20 -000 __4 1 1 IN TANK INFORMATION ( �g ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic & Benchmark ,` �v4 Dosing !l Aeration Bld er , Holdi SrtF'et TANK SETBACK INFORMATION t Ht Outlet 3S 1 6 r. TANK TO P / L WELL BLDG. Air In ake ROAD Septic /�Q >SQ / Z _?L1 / NA Dosing NA Header / Man. �� Aerati N Dist. Pipe b t 1 1.9 43: � Holding z.4 Bot. System L t ' PUMP/ SIPHON INFORMATION Final Grade 'k ,Z, Z2 QG, 3f' Manufacturer Demand 00.7 m,r. Z Mo ber GPM Cd TDH Li L oss System 'TDH Ft ead Forcemain Length Dia. Fi Dist. ell SOIL ABS PTION SYSTEM /Z BEDdRENr,14 Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIME 951 N DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manuf cturer: SET CHAMBER INFORMATION Type O Mo el r ember: System: ���f ' i OR UNIT IX DISTRIBUTION SYSTEM S >9a / Header/Manifold Distribution Pipe(s), Q If x Hole Size x Hole Spacing Vent To Air Intake Length Dia. -4— Length 3-5 Dia. AI Spacing" /J/� X/A /00 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: ST. JOSEPH 23.30.20.453B,NW,SE 149 HIGHWAY 35/64 (qqlf ohi = w414C,4 s/a j 45d e- X# '(N SAS a )i�e, oV sys� cur %s l/ 6r � s�� o �5 L ) a ( o, t-44— . fry S yS1� • S Plan revision require ❑ Yes No Use other side for additional inform tion. l oa— 1 Q 1( L t] SBD -6710 (R.3/97) Date Inspector's Si ure Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ��a ......M.�. �..... _ . a � _ i tl [ E F i t , i S e 3 e i i a _ x = e _ _ _ i a.. s P� m= meM e mm w. P �.: =P= .m F e t _s r t e _ E 3 { n _ f t _ € 1 9 E =. __.® .a = _t 9 P s i a E e a mm ....�.- .. ... d _ _ w� r i 3 k F = t 5 � � t e �.... — ,....,.,_ . .% =e =m =�, ..aw.... m =.. �.. _,... . w�, �.m �z=. ... ,; a , 8 s Safety and Buildings Division NVA PERMIT APPLICATION 201 E. Washington Ave. n In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Department of Commerce Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number 'j� IFS �2— The information you provide may be used by other government agency programs ❑ Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Property Owner Name Property Location Y 1 i4 114, S Z 3 T 3 p , N, R :Z0 E (or)Q Property Owner's Mailing Ad ress Lot Number Block Number E e6l V 3� G A City State Zi Code Phone Number Subdivision Name or CSM Number o �. -0 a ( ) -CB.8 Ae_E II. TYPE OF BUILDING: (check one) ❑ State Owned o vi a Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms _, Town OF Sr, O — CU 7S 4Cy III. BUILDIN USE: (If building type is public, check all that apply) Parcel Tax Number(s) 2- -2 7. 9 - 1 0 Zo �S`3f3 1 ❑ Apartment/ Condo — 7 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 a on line A. Check box on line B, if applicable) A) 1. E:] New Replacement 3_ ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System _System_ __TankOnly______________ Existing System ________ Existing System B) C] A Sanitary Perm as 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 12 E f Seepage Trench 22 ❑ In- Ground Pressure , 42 ❑ Pit Privy 13 ❑ Seepage Pit �?� 3 � 43 ❑ Vault Privy 14 E] 14 S X Z 74 VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Galslday /sq. ft.) (Min. /inch) q�, S Elevation „� Feet V /0 Feet Capacit VII. TANK in allons Total # of Prefab. Site Fiber Exper. INFORMATION g Gallons Tanks Manufacturer's Name Concrete con- steel glass Plastic App New Existing structed T nks Tanks Septic OP aU ' ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ 1 ❑ 1 ❑ ❑ Vill. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plu is Signature: (No Sta s) SW N Business Phone Number: /+ /° 1 NJ J Plumber's Address (Street, City, State, Zip Code): ezA i_L&FX alew - — IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuin ge t Sign ture (No Stamps) Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination Lal X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: S8I16M (8.11/96) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber �I 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 pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator ear 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 numbe -(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 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. G : ; ' ! 46 ' k,4 71 ; ! ! , y , : t i , + t a 9 r�wc — - fola AW I T .dl7 1 , , ! i ± 4 r fi E t e r P I t , g iii � r j — t ! f � f k i , - r , i 1 t t I , e i 1 { i - I i r E e a , r , , C , , i i , I i � E - , ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOP U'T'ILIZATION ()V AN RXISTIN(: S TANK This is to certify that I have inspected the septic tank presently serving the _ OAO D residence located at: Altv_ l/4, 1/4, Sec. 2 3 T30N, R _g�_Q W, Town of ST 7 L--al 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 minutes Capacity: Construction: Prefab Concrete x Steel Other Manufacurer (if known): W EA Age Tank (if known): �y DdA(A-V&M Se-#,^z 1 (Signature) (Name) Please Print /'l hya) 2 9/2 (Title) (License Number) 1� 9 - J (Date) Form to be completed by licensed plumber (x.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 �/�,t/AazA ' �iE L -e- V177 Signature MP /MFRS ^ 22/75 / 5/88 Wisconsin Department of Commerce SOIL AND SITE EVALUATION 3 DIvW,�n of Safety and Buildings Page of Burbau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code -_ T O l County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size lap �n t- , , , ",- �. Include, but not limited to: vertical and horizontal reference point (BM), dir c and percent slope, scale or dimensions, north arrow, and location and dis neg stao Parc ,6) I. D. # APPLICANT ' NT INFORMATI� ' ON- Please print all i '� t ki n. 1 �g Revlewed by Date Property Owner + Pro kiMeti 1d /VCa.JI *1 14" Gv 174 �1 /4 ,Sa3 T.3Q ,N,R ,,C) Property Owner's Mailing Address S, t # Block# d. Name or CSM# lexb_e A/ Ci State Zip Code Phone Number Nearest Road SW 4V31 0t ❑ City ❑ Village NI Town / ❑ New Construction Use: PKResidential / Number of bedrooms Addition to existing building Replacbment ❑ Public or commercial - Describe: Code derived daily flow _ gpd Recommended design loading rate • bed, gpd /ft gpd/f1 Absorption area required OO bed, ft 7S trench, ft 2 Maximum design loading rate �^ , trench, �/ / g g � ? bed, 9Pd /ft — �St— 9Pd /ft Recommended infiltration surface elevation(s) *'� A 1/010., c 4 �1 •s It (as referred to site plan benchmark) Additional design/site considerations GtSt a't n LPcl.ir.o G�a.,,.bers � Parent material Aj'aS Flood plain elevation, if applicable �/�• ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ®S [:1U ®S ❑ U ®S ❑ U P3 S El U ®S ❑ U [:Is 11 U SOIL DESCRIPTION REPORT Boling # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell ou. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench G ro u nd el ev. 3 A e /y I" P, c 14 Depth to S - ;7, 47 I S Ds limiting factor Remarks: Boring # E a -a 1 0 v 411 S .L .� k tn'� " 1 3 2 845 Zr .e /y r L 0?MC4k Pr . 5 Ground s =96 7 s /y dS -- � Depth to limiting factor Y.,nin. Remarks: CST Name (Please Print) Signature Telephone No. `lornss ac, .� . Address Date CST Number s =? = f 9 aa7��9 SOIL DESCRIPTION REPORT PROPERTY OWNER . �r d �"`� Page •? of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots p/ft X ,. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 16 Ve3l C— Lj t3mund 3 rj s3 7- S S/ /y ---- r 5 C %� s6 E y► ► l,: r✓ S . 6 ff. eV sr- y �.s ,e y1 Depth to limiting factor 4&—In. Remarks: Boring #. Ground 0 / y elev Depth to limiting fact r �f�in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots G D/ 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. 07/96) I I l I I. -- -- - - - -- _ I ;� -- C- j S ir" _ - - - - -- - - lsilg T / — b f zce, Lte a __ -- C + td -- - -r — — - - - -- - it e - -- - — oe FFFF EJ/ _ - -- - -- - - -� — ol '00 YL 3 ° -- -- - - -- ..S , ce - - -- - -- - - - -- -_ s _y ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer &Vj,0 "IF 35 to Property Address 1700 t 7'IJ A/ 1/, ` - f'o d (Verification required from Planning Department for new construction) City /State -� >l�, Parcel Identification Number _O =,�D32 — 26 LEGAL DESCRIPTION Property Location " %4, '/4, Sec. 23 , T -lam N -R W, Town of 5T �r�s_r� rte Subdivision 11 a4 - 3 _M -E 7 / / Lot # al- Certified Survey Map # , Volume 3 , Page # 7// Warranty Deed # 3 & 2,16-0 , Volume 6,1 !y , Page # Spec house ❑ yes 9' no Lot lines identifiable W yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, joumeymanplumber,, restricted plumber or a licensed pumper verifying that (l) the on -site wastewaterdisposal 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 days of the three year expiration date. 2 z,) old c �_ _ l l 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 p roperty described above, by virtue of a warranty deed recorded in Register of Deeds Office. b Aa �9L� l�gl p4 SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 05/05/99 WIM 16:07 FAX 715 386 4686 9T CRX CO ZONING QI007 • ; 11 . GasMadat'nat WATT sMl o►wwao M - row It �+ ours aer�+►a+r +wwr w sr�.r %%915 Q va 824 FA "E 546 rM Ma wrM+ao res sabomeal w.. � T.ie1asdbmroara REG I SOWS OFFICE .�.�.__ III. CROIX co., Wei. e"Vssldvr Ased, for Record dim . 3- flod r o n 4r osrmf tad fls via day .f I1. Cl. I V r _._!''.ab. V I"1'a lbasar ". "bow ass a VAM. at 50440 ,. NL I1tdr aft and Wm im ere M plissimatr, ap n %bs poops mW ter p wh.,. r utGrr 44 V* 4MMold by Pumbssnr, the blewins peepny. togedr wuh tM 111106 sehw mppmausa S Ut.mb (rr cold da "Piapp"'1. m.e41r • t "` x CaineAr. State d Wbommim • at/Y"1170 Part of the NEC of SWit and Part or NW% of SO of Section 23, Township 30 North, Range 20 West, described as follows: Lot 2 of Certified Survey Map filet' October 24, TU Kay N o. 1979 in Volume "3 ", Page 711, in the PAgister of Deeds office of St. Croix County, Wisconsin. UM i a no t hoeorrtaad� tiN as sari 1lsehr.r s M .00 the Bt9wt, srd to ppy is VoWair et vendor's residence �s1Mds , 000 ist�eago. um=W.O t 11 A ' d " ,j0Wq lll� f[ i s . 0 00. 0 0 t gather with inurmet hum dery I td sa aadl parilssd an nods Pram dm to rims uapdd. at dw raw of ten pr east Per annum, unto Palo I 11ILM akmm purchaser shall make monthly payments of $80.00 per month to a vendor, said payment to include both interest and principal. The Ic!st payment shall be February 2, 1981 and on the 2nd day of each month atreafter until paid in full. 11CU rar, odw anmlraad by Vardar, apnea to pay moothl7 to Vandor pyrmnsta ssfdism raasmW* tv antidpsta the psy s t. of tams., aprdd assnmoment . &* and nq=W isnrrasae reenkma.'to do extant ws deal by Vmfar, Vea w aF+rm t- o :1 11 a thaw dhlisatfm es who dam. 8wh arrwsm mm v.d by *a Vwdor far pwmmst d lases, aasaomssta and In- a a** wM be Aspmdrmd isle ae starer lbmd ar t wkw meeoust, but dell amt bar tataraar mdus odherwiw to4eb d by k w. thw dYd hs sppWd On to lnarmat an the suMM belaws at the rats mp@MW and then to pHzdV.i I(f #WI#F W Ir h1��f i1��4F14i► t�i�iiFi +6'�1rii�4r���b/5►4+�►R1t/ � � ....... � ._�.. � ... , , �9fh�f�°�r tb«. ■ Its sa pnpayawl d pr>aaipal witimut pdrmbsim d Vaadar • lire mv.Gt at ally peapaymssr. tihid eastraet .ha0 set bm er.mrrd as is dadmrtlt >,deh rvsI r o- to psytmmt oo Ion; a the unpaid h arcs d prisolpA sad avast bed is aaeh term aarrtfids estrrm.t tram moth to month shall be trastad as unpoW prisdpail is It Ohn tad dosser dh.s isid br dAwbams wa1W Jim bm had dbs oom* payma aw bass mods as f m qmd W .boor, p IrW tfrde air paymsata d wU be wotim W is dJ w avant of eaadit deny praeasds of inauranra w owdemmtioo, the oar d I r - V Mlles sow sent Ywchn r Is .dtiAW with tits tide w aborts by the tiW wid- mbaitud to Pwvhaar far wmiiw d unapt: No exceptions. Land Contract cannot be assigned by the purchaser without the V +I:ten consent of the vendor, his heirs or assigns. Pi chaser shall not borrow against the above described property or create as lien on said property without vendor's cops�nt�a d an a,barn� is NW b.:.r.m.d by Manor Gerona to pay do eat d Inter tidy svirlssa. if dds wwmeca is 0 U0iU0Iaa WtW 10: U8 r AA 110 a00 4080 a1 t, KA l.0 LUII1ru w1UJd v VOL Purer ptaueitur to pw whoa due alt taLa and mmumrom irMad a Lis pmeRy or weis Vem we iaummos r it anti u t heist to V endor Ora dolie d ndpb thawing welt piytamllR Alrebasa shill brsp ebr bapraavoaoste a tie Pnprey Isaesd ageh of Ion or dumys emmm t.d by fin. s m"m eswatr Parer ad M Vends •sway rs0m. wUistrt �oiASwASar. tirss� hrwrers ap�aavad b!' Va+� err the sass a t f1i 0 ma l s wallift , but Yaadar attAY Art twgwn to ar aunt tern fleas rift 41�s trued tinder this Caowlet. Plrreharsr rUAll per tie Imsenees predems mbar door sbaa oaabbr t#a mbedard bA. its favor of Lis Vam1w'a hrtenet and w11rn Vaada aeMwiae e�aar in +Mtiy. the wipAal at all prheier aoMrtAd ter ham► 1 r elrali be vandet. rem"m "pramptiy glw matter of Iota a na inaurea companies awd Vander UaMne hF �rM N *4 "Nom me m" Well w M to -~sUw rafrit ow IroopAq �= Arr1Ar fort aim A W M famara ssib". Pltmhur eevseastm eat to emmmlt w&ste Aar allow waste to be amomittd an On 14011" 0. u Ifasp fir ttmaembb cot Um ad repdr. to bate do Pir"b w ham Rena superior to the war of ibis Comsa& ad brnr& ardtennou and tegalatbu afAatft m rmpww Vo War -+ Uot is all ell purthmse peke witb laeorost ad other 01009 a shall b ftdy paid and soil "Mi tie 11111111 be bl' af- porkeemetl at 00 tistn Red ib tM Arsaaer abaw apddd, Vaad*r WO OR dam md. mot. and ddhw a ttr Pwolumue, a 1lrarvswty Deed. is he 411 of Lis Peaperty. I"&nd due d d liewr end awcttmlwAeese. owe" say IYe. or eaeumlrweo :rsstsdbytbRact e{dadtdPutshaesr,aodvaeapt easements, reservations and restr ons of record.-- rombaer askew that termm is of the mmutoe and in eau of default is the payer mt of Rey prioeipat or intarvat when dsaa or Is I offanamme of Rey of the omdidms, cc iia Ate. or protidear of Pwchaeer, mA aab ddnk shall aowtfwem fee s pwiod of SEP S�ysm,, .ban Vmdar nett, ai Vmelr'a sprees, Jeeler the eowkree at as Red, dl ei jhts of tks P�Aelsawe anoint tier �p� Went ceno" and the matte to remain V psW by Puteharrr barwAder forfrdbd. ties norm* smdmr's u reseal d mew uemieu sd mo kuldW damsaw far the failure eom�letaly to IttllW chic a/rumemt; and Vander ehsU� wad aritboAt rinse ban the right of ns•mtryi err, at the apdam of Vander And witbout metae to Purchaser, aeries be osi i �hweby wrs.rl ved, dw whole amoeet d pria4d eWl be dewnrd b have elm au su Wasma ad payable: is ch ebs0 6o aril, tie em"m prbk*d Red topther with aQ rAm whi*b may b& w have been paW by Vsmdor as basin mdbaWW t'Iti interest an much dbbure menu at the cafe dtremM ebaa be e011*ctebla in a Writ at lave. ar by faWasure of flies coups" in Ike w1Aa manner an It the whoM of "pald 6**a due at the tier whm any such debuh aeeured. and tie 1w hibbdAUr ebal webrers, with OApAId Wm iwAd�interest. an rim ammo 110 dimbmrud vritk 1Aiasrt as aforesaid In vsM ei o,{ml peemsdimp to esfteae rmy temmdy hmmWer, whether abatd or not, all expanses, raaronabta attermry's Is& ilea tea ad" b tM Odadpol, b000ma due as bwmr*d, and is ass of judgment obdl be inclu tb mhL Upon as mat or durbw the PaNk ay of slay Actim of ftssdoan of this cankam Pnfd wooers to dw 4p oldutment of a taeAivw of do Pmparty, iwdediAs bomwuad interred. to collect the rants. imams*, std profits of the Pn gmrty. Ituiing dw pendency d such males, and such rents, issues, and prdits when se collected shall be haW and applied an ter court dbatl dtrsat. AN &a m* of this Cemu*at shill be binding upon and huwe to the bom its of the bairn, legal repns**atatives, mmmessas and ursigns of VgWm mad Pardmw. ill rot an owner of the Property the spouse of Vendor for a vabtahla consideration loin* brain n ralsau homedemd r4Otm In the subject h pwty and agrees to join in the execution of the deed to be made to fulfillment `rated" 2nd day of February, 19 81 18TAJ iSEAW DAVID W. NEWMM MEAD IsMAU AVt"9 fTICAT10ui ACKNOWLEDGMENT manaum authenticated tifis 2 nd day of STATE Of WISCONSIN . February , 1p 81 d the &bow nand w. . - Dav ;d • -- Nearman and Hang ,T — _ _ - -- . County. N L Psrrooelly 4vw before aim, this day d . . 19 the above named . J _ _ - _ P to uw kmrwn to be the person _ who executed the Imemng TITLE: MEMBER S'L'ATE BAR OF WISCONSIN infiUwwat AM acknowledged the same. This inoftment wee drafted by Notary Public County, WIL STEPHEN J. DUNLAP My Conunis,ion is permmact• (If not, slats expiream data: Hudson, Wist- in ' FORM NO. 985 -A _ 1 3525 "9 a FILED AMN Go COMM 0 <y A`9A* '`"°`r °► APPROVED 9y os F 8 � N ORTH AUK 2 3 1978 -4 H H H T 576.5 I ST . r 'n 'D m � CO.NP.:=HENSIVE PARKS PLANNING O X S 0 co O I AND ZONING COMMITTEE N z O = N Z O ti ° Lv v - G) 0 O• ti I X C v D — 0 0 , I t im v X O z OD Z cn D o m v ; I (A APPROVAL OF THIS MINOR SUBDIVIS 1> r f N m '0 N_ I m DOES N MEAN APP..CVAL �� m I I a N r -4 ry I ro° BUILDING srt� OR SEPTIC by-TEM. -w = 1 REFER TO H62.10. -n -� in m m z m z -+ I o v m �f I m 60 I `I GO G n I I OD a �A`y� r ! 180- 35 -10 ' CA z 9yG C m F O fn U) 70 N n w , m N f I 0 � { G z z w I yA< Z D 0 M M a -N i w m 0 C q � p � J 0 _ min NORTH + SACO I n s N = En 372.77' .n c� s O 1 � 1 C O m \ 1 OD S 'Z C L J INTO < rn O m .� w r z z w I (A o O OD °o w OD o I m Nom.. . p I D o N w ° - aD M N co- w iv .. m rs Lin (A m �1.. o g C Qo o- I w 381.18 V S OUTH / p �► 'Q cn ��,�i, �,�► 09 c0 1 O � GyA` l 9 � F 9 yo cn N Z VOL. EE 711 _ w W CERTIFIED SURVEY MAPS �p -_ BEARING ARE ASSUMED ST. CROIX COUNTY, WI. N 00 - 07- 06 E ALONG THE �= EAST LINE OF THE S.E. 1/4 m o f OF SEC. 23 � 3 0 0 L � m Z N 00 ° -07 r -06 r E o N O M (n ? w A Volume 3 Page 711 w t + Form -STC- 104 AS BUILT SANITARY SYSTEM REPORT OWNER l��G' /� VeWll/f/Y TOWNSHIP 5 p�UjE�► %� SEC. 2 3 T 3D -R 2- 0 W ADDRESS P\T 1 ST. CROIX COUNTY, WISCONSIN 5T c% 'S E � SUBDIVISION C LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILH.R 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 5 f 33� J 7d //0a \ iv Al i X000 4L A Sri I Iry G p 1 5 J?, C ig - 17E/ f g'Tce L '_ ! plpi �VMC L?A )9\1 INDICATE NORTH ARROW Pi- AC`/o BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: /oOa,OC,� Proposed slope at site: g�G SEPTIC TANK: Manufacturer: & Liquid Capacity: 2000 Number of rings used: �_ Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: ber of feet from nearest Road: Front Side Rear, O 339 feet From nearest property line Front,OSide,�Rear,O ISO feet if feet from: well ��_ building: ,c.l this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE 1 s P CHAMBER Ma facturer: Liquid Capacity: Pump Mode Pump /Siphon Manufacturer: Pump Size Elevation of in Bottom of tank a tion: Pump off switch elevat ons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nea �stproperty e: Front, O Side, O Rear Ft. umber of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: Length: Number of Lines: Area Built: Fill depth to top of pipe: �f Number of feet from nearest property line: Front, O Side, Rear, O Vt. Number of feet from well: Number of feet from building: 53 (Include distances on plot plan). SE AGE PIT S e: Number of pits: Diameter: Liqui epth: Bottom of seepage pit elevation: Area Built: Has either a drop box or distribution box O been used on any o he above soil absorbtion sytems? (Check e). HOLDING TANK Manufacturer: C acity: Number of rings used: E1 ation f bottom of tank: Elevation of inlet: Number of feet from n rest property line: Front, Side, O Rear, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: Plumber on j ob: c �� •_ � �� � j License Number: U 3/84:mj DEPARTMENT OF INDUSTRY INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR $I HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.`BOX 796 BUREAU OF PLUMBING MADISON, WI 53707 r CONVENTIONAL ❑ALTERNATIVE State Plan I.D. Number: (if assigned) ❑ Holding Tank ❑ In- Ground Pressure El Mound NAME OF PERMIT HOLDER: J ADDRESS OF PERMIT HOLDER: INSPECTIO ATE: n David Newm R. R. 1, St. Joseph, WI 9 —'p7,7 —�s BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF, PT. ELEV.. NE SW, Section 23, T30N —R20W, Town of St. Joseph, Lot#2 Name of Plumber: MP /MPRSW No County: Sanitary Permit Number: Donavin Schmitt I 3205 St. Croix 64854 SEPTIC TANK /HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.. WARNING LABEL LOCKIN OVER l _ PRO ING PRO j E V PA /!?( � . , 5 � (,+ YES ONO LLIY S ❑NO BEDDING: VENT DIA.: VENT MATL.. HIGH WATER NUMBER F ROAD: PROPERTY WELL: BUILDING. ENT TO FRESH ALARM. FEET FROM ly L/ IV AIR INLET DYES NO t ❑YES FIND NEAREST ` DOSING CHAMBER: MANUFACTURER 71 NG . LIQUID CAPACITY PUMP MODEL. PUMP /SIPHON MANUFA HER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ES ❑NO ❑YES ONO OYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL N R'.OF PROPERTY WELL. BUILDING : VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET : PUMP ON AND OFF) DYES ❑NO / / NEA EST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENG H DIAMETER MATERIAL AND MARKING or excavation. (if soil can be rolled into a wire, construction shall cease until fFO VCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH. NF DISTR. PIPE SPACING. COVER J INSIDE DIA.. *PITS. I LIQUID MIGNE ONS / "7' ( T E IWa$. MAT SRI /L, PIT DEPTH: GRAVEL DEPTH FILL DEPTH IDISTIR . PIPF DISTR. PIPE IDISTR. PIPE MATERIAL: NO, DISYR NUMBER OF PROPERT WEL BUILDING: VENT TO FRESH BELOW PIPES ABO C V EL V. INLET .LINE 2 ET C� a , OC E V. END. PIPES 3 2.1 NI"ARESTOM t G" S MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- DYES ONO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS. OYES ONO DYES El NO DEPTH OVER TRENCH /BED DEPTH OVER TRENCH /BED DEPTH OF TOPSOIL. SODDED SEEDED: MULCHED. CENTER: EDGES: DYES ❑NO OYES ONO I OYES 1:1 NO PRESSURIZED DISTRIBUTION SYSTEM: /+ WIDTH. LENGTH: NO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER. o D /T`RE CH TRENCHES: ,�I#�ENSIONSe -'' !a. MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL. NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEVATION AN . ELEV. . ELEV.: DIA.. ELEV. . PIPES: DA: f# ClRMA s t If3 #IO N HOLE SIZE HOLE SPACING. DRILLED CORRECTLY. COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED tI�F PLANS ❑NO DYES ONO El YES COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NIIJAIIB,R PROPERTY WELL: BUILDING: FEET FROM LINE: ❑YES ❑ NO ❑ ( YES 1:1 NO WE Sketch System on .� O 4CA ..Retain in county file for audit , Reverse Side. TIT N , DILHRSBD6710(R.01 /82) �, ,unseonsln APPLICATION FOR SANITARY PERMIT r � (PLB r. OUNTY EnTOF UNIFORM SANITARY PERMIT # �! InOUSTRM, LRBOR 6 HUfnRn RELRTIOnS — Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8' /2x 11 inches in size. —See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS 4 0 . d Z L�A UID - sr PROPERTY LOCATION CITY: x'1/4 1/4, S 3, T Q N, R E (or) OWN F c�/ z OT NUMBER BLOCK NUMBER SUBDIVISION NAME EST ROAD, LAKE OR LAND ARK STATE PLAN I.D. NUMBER 36 -GY ^� TYPE OF BUILDING OR USE SERVED CL. 1 or 2 Family Number of Bedrooms: 3 Public (Specify): VW THIS PERMIT IS FOR A: DC New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank ❑ System -In -Fill ❑ In- Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity 1 44/" Lift Pump Tank /Siphon Chamber Holding Tank capacity Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In- Ground Pressure Total #of Prefab. Site Steel Plastic Tanks Concrete Constructe Septic Tank Capacity Lift Pump /Siphon Chamber Ma PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): ` 6 6 M [X Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print): Signatu I NCEtIRS P j Fhone Number: C — 3 1 ( 7/57 cSS' Plumber's ddress: Name of Designer: 3 COUNTY /DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved �j ❑ Owner Given Initial y Approved Adverse Determination Reason for Disapproval: Alternate course(s) of Action Available: DILHR -SBD -6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber r INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 �� T To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67 -T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. I 1 r - 5fI-- ,j Z, DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY &BUILDINGS INDUSTRY', DIVISION LABOR AND PERCOLATION TESTS ( P.O. BOX 7969 HUMAN RELATIONS t / MADISON, WI 53707 • (H63.09(1) & Chapter 145.045) 3 Z 7 4 G.! f L GSA ION: SECTION: TOWNS /MUNICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: ti w '/ '/a Z Mo N/R w E (or ST Ja,If/"/� Z yo • iil 7i l COUNTY: , OWNER'S BUYER'S NAME: MAILING ADDRESS: S� &0/ _DA IV 4,4,1 I v X ! 4 S� • S`yo Z ---- USE DATES OBSERVATIONS MADE NO. BEDRMS : COMMERCIAL DESCRIP PROFILE DESCRIPTIONS: 1PERCOLATION TESTS: Residence 7 A 7T , New ❑Replace 1 *4 r 2�_ O L� J S65 33 �AI rlyr - V� Vr ,'.tA RATING: S= Site suitab for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN- GROUND - PRESSURE: SYSTEM -IN -FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) . ©s ❑u ®s ❑u s au a s ©u o s au 60VYZ0T1M x3 If Percolation Tests are NOT required DESIGN RATE: 103 M T- I If an t, F y portion of the tested area is in the under s.H63.09(5)(b), indicate: 8 ",000Aj roie Floodplain, indicate Floodplain elevation: .ni berci•Mkc Fr PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER -IN CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- �,� �y.0 /' �— >�S �S''/3u'6y Si, 233'G�3v�Gy. s: , � .r7' a -�y. 3.f .S B- Z �Z a 9 off - > /i.o � & . v C- B-3 7 Y• - i ' Ao- 33 'D/- /A;- 5 "'/ j 7' Od- ge a u„e s/ It v c > 9 CJ le �,,,. v CS P4. 45 33 '40`- aa, ors.+ "c 10AM . 67 "4 a y , % er s•' . 3.3 7F-36' /Z $ . 6a . Fu.c s/ ,?. / 7' ' �,, v Cs � �� . B -S /1.0' /d /.��� �i.z 7s'8,n a�� %�, YLs' 7 s�, 6_0 ' B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. PERIOD 1 PERIOD PERIOD PER INCH P_ r� v — 011. ,e ,v &75 4" ,eg w - P- Sc 5 P oh l-/ ' Soi r F — SO //_ &X %ST' P - -- L% fr D S /.V 4? < P- _ " A9 ec P / S 7 " O M P- p_ / PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. &770 4t' Aco AXL i ; GHEE SYSTEM ELEVATION 1 &r ef/e y� ter- • E a r t _ -- t i , 1 I ? [ i 34? o�� N ___ E 1, --- - w ..... / _ ♦ 3 1 � 9 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 the location of the tests are correct to the best of my knowledge and belief. I NAME (print): TESTS WERE COMPLE ON: AO&O 2(GfjiP /C�iT C yT �7 AD DRES S : Q �kr/L tJ� [.( // �/ S IF6� I NUMBER: ?�S E N E �l0 (optional): CS SIGNATUR DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR -SBD -6395 (R. 02/82) — OVER — 1 INSTRUCTIONS FOR COMPLETING FORM 115 - SRD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or cornmercral project; 3, MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5.. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be used , if desired; B. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all appropriate boxes as to dates, names, addresses, flood plain data, percolation test exerrtp- tion, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the approptiate box; 11. Sign the form and place your curreot address and your certification number; 12= Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st — Stone foyer 10 ") SR — Bedrock cob — Cobble (3 - 10 ") SS - Sandstone gr — {gavel (under 3 ") LS — Limestone * s — Sand HGW — High Groundwater cs Coarse Sand Perc, Percolation Rate med s m_ Medium Sand W — Well f — Fine Sand, Bldg - Building Is — Loamy Sand Greater Than sl - Sandy Loarn _ _ Less Than "1 — Loarn Bn Broom sil - Silt Loam BI Black si — Silt Gy — Gray cl - Clay Loam Y - Yellow scl — Sandy Clay Eoam R — Red sicl - Silty Clay Loarn mot Mottles sc; — S<`,ndy Clay vtir! - vJth .' — Silty Clay -ffI few, firlo, faint' *w r � <, f,kay cc: _ coromon coarse of -- Peat rnrn — Many, nnediurn n — Miiuc:k d — distmo . f} -_ h�roniinr.r�t HWL — High vvater level, `►y Six general soil textures surface vvati =r SSAA for liquid vvaske disposal BM — Bench Marl: VRP — Vertical Reference Point TO THE OWNER: This soil test report is the first step in secur -ing a sanitary perrnit. The county or the Departanont may request W"rilicanon of this soil test in the field priot to p(.rrnit ssuance. A complete set of pksn for the private se�raaE,e syste+ll and a permit. applicati )n must be sii rn to the armiopriaie local a~rthCKityi in order to ok iain a perrnit. The saniufry- �rermit rivist be t.k,tained and posted prior to tare i • Y� �� oK � ArPl? or TT 0 j OAR- ewzk ZIL e R o "et- 44rl NO SeAt i5 I )Ywy as -6 4 / �o n ►® Q 1 000 A T/► NX � S Q Xc 3, E X 9 0 ` /S X 3� i ez a " pipe Y EL /00, Da r! /ZT f GU ' 57r JoSeIll W/ dZa�" APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner /contractAr.,( "spec house "), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - Owner of Property 00-01 d N e, ty ntia.`. Location of Property NP k Section a 3 , T 3o N - $ a0 W N W SE Township $'t 'T el s �,Oh Mailing Address .)Q # 1 _ Sf Subdivision Name ,)pA)E Lot Number . Previous Owner of Property ge n r y .� e.� f Total Size of Parcel 3, / Ac',e& S' Date Parcel was Created Z c- : R y, 197.E Are all corners and lot lines identifiable? l- Yes No Is this property being developed for resale (spec house) ? Yes p_ No Volume 3 and Page Number 7// as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING 1. Warranty Deed 2. Land Contract 3.• Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION 1 (We) evLa6y that aft atatementa on this 6onm ate tku.e to the beat o6 my (oun) knowP..edge; that I (we) am (ane) the ownenda) o6 the ptopenty deaeh i.bed in thiA in6onmation 6onm, by viA tue o6 a watnanty deed neeonded in the 066ice o6 the County RegisteA o 6 Deeds as Document No. 269 ; and that I (we) pnea en tey own the ptepoa ed a.c to bon the a ewage d u po' oz ata yatem (on I (we) have obtained an easement, to nun with the above de6cAi.bed pnopenty, bon the conatnucti.on o6 said ayatem, and the name has been duty neeonded in the 066ice o6 the County Reg.catet o6 Deeds, as Document No. �1gls ov L,=� , SIGNATURE OF OWNER SIGNATURE OF CO -OWNER (IF APPLICABLE) y -1a &<s DATE SIGNED DATE SIGNED H z H a STC - 105 r r . a ' H ` SEPTIC TANK MAINTENANCE AGREEMENT H 0 St. Croix County z d a H OWNER /BUYER D n. ✓, ��y�n 42 �1 t� ROUTE /BOX NUMBER # 1 Fire Number CITY /STATE 5Y Z -/,/,S. ZIP PROPERTY LOCATION: filj� 1 4, 5L4) k, Section ;L3 T 3,9 N, R Iv w 5 Town of Sf Jogepk St. Croix County, Subdivision AleVe Lot number I Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper What you put into the system can affect.,the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix.County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on -site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. 0 E I /WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart - ro ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED <•. GG� %%may+ use_ DATE St. Croix County Zoning Office P.O. Box 98- Hammond, WI 54015 715- 796 -2239 or 715 -425 -8363 Sign, date and return to above address. VrATZ a" of wta0or M — Yom 11 b Um OOAf1AA�.Ta "�i/INI M/ C MMON TIM{ SPACE IIIBWNSP POQ R[OOROMta DATA 369:150 VOL 624 Pd ;;E 546 CONTRACT. 1W nd bskmm _Henry J. Lentz REGIiiERS OFFICE ST. LAOIX CO., WI& P'Vandor••, tired for Record ft 3 wisthar ass er msasi and David w. Newman day of F eb. A.D. 1911 P'PorchdEr ", whether one or mare. at 9:40 A r L YrEiEr asEi and 481008 to t:onrsg to Puecchmm upon the prompt and 6A pseforr Aft Esssala a! dds oowset by Pmebew. the Minoring property. together with the aolow of aE�ta t. Croix Intwe0a WI eWbd the "Property'). county. Stab of wiaoonow. asrwar To Part of the NEit of SWh and Part of NW's of SE% of Section 23, Township 30 North, Range 20 West, described as follows: Lot 2 of Certified Survey Map filet' October 24, Tax Key No. 1978 in volume "3 ", Page 711, in the Register of Deeds office of St. Croix County, Wisconsin. S- Q Tbis is not bomMtesd icy lie► le not► p a�ew to purchase the property, and to pay to Vsodor at vendor's residence tier ama d i 7, 0 0 0. 0 0 in the foUowing manner: J 1 W0fWAd94 fy(tdg4A44A[yf A i , 0 0 0. 0 0 together with interest from date based en such portions as remain from time to time unpaid, at the raw at ten per amt per atmum. until paid itaosMUowc purchaser shall make monthly payments of $80.00 per month to the vendor, said payment to include both interest and principal. The first payment shall be February 2, 1981 and on the 2nd day of each month thereafter until paid in full. PmcMw. unees sensed by Vs odor. areas to psy monthly to Vendor paymsnts sufficient reasonably to anticipate the pay - sssat of taxe& special assessments, fire and required insurance premiums. To the .mom received by Vendor. Vendor apes to sp * Mmeew to these obiigadone when dus. Such amounte received by the Vendor far payment d bums, assessments and in- mm" will be deposited into an ssorow fund or trustee account, but sbaU not bear interest udws otherwise required by law. i�� sow shall be applied first to interest an the unpaid baWws at the rate specified and than to principal. /pfy/pfgigd AAJ iid,4F�v6f J4i161i�d✓9f 1IId1�9d ,�1iP�6dI�+1lfySy�jtyftfr/ ��t7�7�f�i -1 there Eve be so prepayment of prbw4W without permission of Vendor.* In the event of any prepayment, this contract shall not be treated as in defauk with respect to payment so long as the unpaid bo s we of principal, and ins~ lsod in such ate accruing interest from month to mouth shall be treated as unpaid principah is bees than the mount that said imdsbtedness would have been had the monthly payments been made as first specified above: pveidsd that monthly psymsmta shall be continued in the event of credit of any proceeds of insurance or condemnation, the con - domead pnmis a being thereafter wwhuded herefrom. Poch@ sr states that Purchssw is satisfied with the title as shown by the cite widens submitted to Purchaser for examine- (AM adapt: No exceptions. Land Contract cannot be assigned by the purchaser without the written consent of the vendor, his heirs or assigns. Purchaser shall not borrow against the above described property or create any lien on said property without vendor's consent. Ptednar apess to pay the cost of future cite evidence. It tide evidence is in the farm of an abstract. it shaU be retained by l VOL 0�'N Purchaser promises to pay wbeo due all tries and asawmosits levied as the Property or upon VendWo bona is It end to deliver to Vendor an demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or dsmap occaaiesed by firs. este.ded avesap peril and such other hazards as Vendor may squire. witbout coissnrsncs, through insurers approved by Yefiw. in the sum of f ful l i rem�rahl a vale n . but Vendor shall not require Coverage in an amount core than the balasa owed under this Contr act. Purchaser shall pay the insurance premiums when due. The policies shall contain the stssdrd cheer in favor of the Vendor's iatsesst and. unless Vendor otherwise sprees in writing, the original of all policies Covering the ty shall be deposited with Vendor. Purchaser shall promptly give notice of loss to ins ence companies and Vendor. Unless chaser and Vendor otherwise agree in writing. insurance proossds @ball be applied to restoration or repair of the Prepnty 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 Preprty is tenantable condition and repair. to keep the Property free from liens superior to the lies of this Costract. and to oesapiy ar lows, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and otter moseys shall be fully paid and all conditions W aB be lab ly performed at the times and in the manner above specified. Vendor will on demand. execute end deliver to the Pvacl r. e Warranty Deed. in fee simple. of the Property. free and char of all liens and eueumbnooss. except any hen e s or encumbrances created bytheactor defaultofPtuchaseraa ,dexcept: easements, reservations and restrictions of record. Purchaser agrees that time is of the essence and in case of default in the payment of any principal or interest when du& or is the performance of any of the conditions. covenants, or promises of Purchaser. and such default shall continue for a period of days, then Vendor may, at Vendor's option, declare the contract at an end. all rights of the Purchaser under this spew meat cancelled, and the amounts paid by Purchaser hereunder forfeited. the same to remain Vendor's property ore rental of said premises and as liquidated damages for the failure completely to fulfill this agreement. and Vendor shall forthwhb and witboeu notice have the right of reentry; or, at the option of Vendor and without notice to Purchaser, notice being herby expressly waived. the whole amount of unpaid principal shall be deemed to have become due and payable; in case such optics shall be cm dead. the unpaid principal and interest together with all sums which may be or have been paid by Vendor as brain authorized with interest on such disbursements at the rate aforesaid shall be collectable in a suit at low. or by foreclosure of this coafta in the same manner as if the whole of unpaid principal had been due at the time when any such default occusd. and the in- debtedness shall embrace. with unpaid principal and interest. all the sums so disbursed with interest as aforesaid. In case of legal proceedings to enforce any remedy hereunder. whether abated or not. all expenses. including reasonable attrney's fees. shall be added to the principal, become due as incurred, and in cans of judgment @hall be included tbrem Upon the commencement or during the pendency of any action of foreclosure of this Contract. Purchaser consents to the ap- pointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property, during the pendency of such actim and such rents. issues, and profits when so collected shall be held and applied as the court shall direct. Ali terms of this Contract shall be binding upon and insure to the benefits of the heirs, legal representatives. successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins bervin to release homestead rights in the subject Property and agrees to join in the execution of the dead to be made in fulfillment hereof. 2nd day o f February, 19 81 Dat this . l ,.. cz A ISEALI 21 4. ( SEALI • DAVID W. NEWMAN • HENRY LENTZ ISEAL) ISEALI AUTHENTICATION ACKNOWLEDGMENT Signatures authenticated this 2nd day of STATE OF WISCONSIN February , Ip 81 of the above named David Newman and Henrys J - _ County. J Lentz Personally -.ame before me. this day of 18 the above named '7 STEYHE J. c ~ to me known to be the person _ who executed the foregoing TITLE: MEMBER STATE BAR OF WISCONSIN instrument and acknowledged the same. / 01W. 1 0 This instrument was drafted by Notary Public County. Wis. STEPHEN J. DUNLAP My Commission is permanent. Ilf not. state expiration date: . 19 .l _ Hudson, Wisc in ° a L r s `- g O 3 N ? t!► U1 N ° G N . �p O (D �� •< p 7 N X n A N) 0 C Z O 0 A 3 Q CD M p 7 cn CD m . n p 1 w p =w (D 0 (G 7 0* 0 O .-► " fD jy w OD G O fD N f .a N w 5 -- r c0 ? c�D O O O DD h 0 a 0 � �� CD w O O CD O w 0 O ► . 0 > o 3 0 `< C C w n O Z� C`G Q 0 w E r. W w Er w y p• n D C m Q �IO Q O n .► ° Ny O Dc � C n .w. C Cl m 0 CD CO) �o CD oMo 3�m<D a a a cn CD (O ca � *oo0 � m _ Q y ( - n j O a cDV,=ra (O w N M �► ° (OD (D 0 -. ID � n n N -., �. 0 v, p O' (� •« O a CD n N w C co CA ao c , c aw o m CL c cr to CD m p C ��p p O 0 0 m 0 n 0 p O ca n & - - 0 C D S CL a _ e CD 'x. O CD • I i ' �. 82?' 00 t j !!'ll�is ' Uhl" �rsrs110* 01 t ORVM tadfiPEIre► /fi ilitsit8 !I �� ,.tis wM e VMt I Of the UM f SW% and Part of NWT% of ,r 4 _ an 2 Township 30 north, I West, cribed as follows: Lot TM ;# Z416 f7- ified S p flap filed October 24, s fsd► s. ' _3970 A& Voiuse `, Page 711, in the Register ; z O��K1s office of St. Croix County, Wisconsin. . j k ar: IieNf�.aryLt•�q►��i� ltd vendor's re • iirtei..isa.sr: 1..�: ,r V~ $ S.o00.00 , �.�, e r (shall stake monthly payments of $80.E -tea sa#d payment to include both interest and priWi shall be February 2, 1981 and on the 2nd d of r until paid in full. = .a�r��lav�.a��rse.rsa�� sefeis�a�eearl�r r. fn,h,,.4 w�riiei iswessr �r.1r /re «wrt wNt..i y � � , e4�elisr iwsMiraw■Ir�wiwi�l�Y+riR { 1rrl�Mte�Is+ ens *tsi er w"w eeewut. be @W net best Mw" sehee let Me • lraeseii �ds�ee et tre tMe e�edAed er the a '� d p� �esstiesie� of Yesier.•� � iisetM e�ti ae i. �elwRwiMnu�eec a � , � k iitsrt W JOIN""= nests 190006 s� M #Mlt�li ewlii Urw W W tr •r"b Np►�eerb Mee � ss ii Y'sa i erwiwt d ee�k d red �oeeede d i�wr�eir�e , � , r � test rlrri�wr Y es W* W► NO • Asw b die e dde wMe.e..t d s• raine so exception ,Wnd Contrac�_ cannot be assigned by the purchaser t of the ndor, his heirs or assigns. 11 not bor �siss# the above � d s esc � rf bead i a r.•z ji. tnteir "r!r1�A��!�► r1sU�tii2 _. ON r, �K• d . z} S xF