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Parcel #: 038 - 1185 -90 -000 06/22/2007 11:42 AM
PAGE 1 OF 1
Alt. Parcel #: 13.31.18.940 038 - TOWN OF STAR PRAIRIE
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
000 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
O - WILSON, MICHELLE MAE & TAD
MICHELLE MAE & TAD WILSON
2116 135TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description ' 2116 135TH ST
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 1.920 Plat: 2345 - PRAIRIE FLATS ADDITION 98
SEC 13 T31 N R1 8W SW SE LOT 9 PRAIRIE Block/Condo Bldg: LOT 09
FLATS ADD'N
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
13-31N-18W SW SE
Notes: Parcel History:
Date Doc # Vol /Page Type
06/03/2005 796649 2814/610 WD
01/06/2004 750802 2486/14 QC
04/04/2000 620640 1500/194 WD
04/04/2000 620639 1500/193 WD
more
2007 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/12/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.920 31,400 159,400 190,800 NO
Totals for 2007:
General Property 1.920 31,400 159,400 190,800
Woodland 0.000 0 0
Totals for 2006:
General Property 1.920 31,400 159,400 190,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch #:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Wi=fWnQepaMtanidCommetoe SOIL AND SITE EVALUATION Page 1 of .
M4siM of ' k* and Buildings in eacerd with Comm 83.05, Wis. Adm. Code
C;<iillo T � F,rowva .lac.
Attach complete aite plan on paper not lean then 8% x 11 mattes in aim. Plan must Count
kKAWe, but not limn aal an
ed to: verd harittami reference point (BM), diredon and St. CrOix
pint slope, scab or d imemaions, nwih arrow, and location and dtetance W nearest read.
Par "I //,y #
APPLICANT INFORMATION - Please print ell iMbrmation. � S � �0 coo
Pegs XW wdaenedm you peostps moy be Serra for ON01 WIN ry purp (P*Awy law, s. 1 S.o. (1) yn)). 'Reviewed Ely Date
Pmperty Owner Pmpslb Location
C Dan govt Lot SW 1/4 SE 1/4 $ 13 T 31 N R 18 W
Property 0wner's Maling AddMa Lot# Biotic # Subd..Nmo or CSW
323 Sawmi1i Lane 9 1 Prairie Flats
City. State Zip Code PhoneNumber L7 City ❑ Village STown Neatest Road
New Richmond WI 54017 715 -246 -4400 Star Prairie, I I
! 65.
® New Construction Use. ® Residential / Number of bedrooms 3 ❑Addition to exisdng building
❑ Replacement ❑ Pubk or onn meroial dewAbe
Code Derived daily flow 450 gpd Recommended design loading rate -7 bed, gPdW .6 trsnch, gpd/ffe.
Absorption area required 643 bed, V 562 trench, If Madinum design loading rate ..7 bed, gpdff .8 tr ench, gpdAtr
Recontrnended intlltratlon surfte elevaWn(s) R (as rehired to site plan benchmark)
Additional design l site considefaltions
Parent material Plwd plain *v*n, N applicable ft
S= Suitable for system Conventional Mound In•Gtound Pirmum AT -Grade System in Fin
U= Unstdtable for system ®S ❑ U ®s O U 0 S❑ U ❑ s CR U El sou E Haklkig Tan U
SOU DESCRIPTION REPORT
god Hwinn D�1th Dorm u WColor 4u. Sz s Color Tenure h sisb Boundary Roots �� T ench
1 1 0 -8 7.SYR2.5 /1 - ---- -- SIL 1FABK 1yVFR AW 1VF 2 ; .3
2 5 -16 7.5YR4/6 - - ---- CL 1FA13K MVFR AS 1VF .2 .3
Ground 3 16r_98 7.SYR5/3 5 O•OR NM -- — .7 A
ale
f
Depth to
Iimdng �- -� -- , ---- -- -
fecbr
98 IN. - '
2 0-8 7.SYR2.5/1 --- - - - - -- SEL 1FAY3K MVFR AW 1�VF .2 .3
2 8 -18 7.5YR4/6 -- ---- -- CL 1FABK MVO• 11W .2 .3
Ground 3 18 -96 7.5YW/3 --- ---- -- S 0 -GR f 1 � r- ` 7 .8
1
BIB F
Ex" ID ST
facw :ONING30 I
96 TN. f
_ f
Remarks:
CST Name (Please P " Telpp s" Na
Aa "4a Dennis owe 715 268-6637
p
Add' 140th Stan VIA 54001 96/97 409 - Refs
107
ZO 39Vd iVAVDX3 '8 ?i ll 311I0 LE99- 89Z -9TL 29:60 6661 /ZT /TT -
PROPERLY oVME SOIL DES CRIPTION REPORT p
JPARCFt 1 Gin* T & Earoa l,,.
Horizon Depth Do Mumell Qu. SL Cont Color Te*re Gr S h � �'is*ftce l Boundary Roots in. GPDr
Bed � Trench
3 1 0-6 7.5Ylt2.5/1 -- ---- -- SIL i1A8K MYFR A'4V I VF 2 3
2 6-18 7.5YR4/6 - --- --- - CL lFABK MVF'R AS 1 VF 1 .21 `
Ground T
e 3 18 -96 7.5YR5/3 ---------- S 0 - ML -- --- .7 ; 8
42. Z
,
Depth to ;
limiting •
factor
961N-
Remarks: 1 0 -8 7.5YR2.5/I --- - - ---- SM 1FA X MVFR AW l VF .2 .3
2 8 -24 7.5YR416 -- -- ---- CL VFABK MVIFR AS 1 VF .2 3
Ground
Gm 3 24 -96 7.5YR5/3 - --- - -- S 0 -GR ML -.-- ---- 8
elev 3 S ( 1
,
Depth to ,
IaWI
961N
Remarks:
S 1 0 -10 7.5 – SIL 1FARK !VI'`YM ( AW 1 .2 .3
2 10 - 22 7.SYR4/6 - •- -» ---- CL 1FABK M M AS 1VF .2 i .3
Ground
BIaY 3 22 -96 7.SYR5 /3 --- S 0-CrR LISL --- — .7 8
Depth to
Rating
factor � ,
96 IN '
1
,
1.
Remarks:
Gmund
Slav
1
- 1
Depth to
Ming
factor
1
Remarks:
l 60 39Vd IVAVDX3 W ?i 11 31 L699 -89Z -5 ZL Z9:60 6661 /Z I / Z Z
s
s
$k� S� 3 7 �( / tr✓ C 3?Y,,
Lor 9
s - rh F4,
BA . T6 A p Sf✓ Cep so-t
14 RP
A60pfh) 7� Zmp
ff
. I \
s O �
.33 . SAP •
31t 1 7
ro
b0 39VJ IVAVDX3 W Nai 311ID LE99- 89Z -9TL Z5 :60 666ZfZT /TT
ST. CROIX COUNTY ZONING DEPARTMENT
AS BUILT SANITARY REPORT
Owner 0 e l/� u - 6�
Property Address 3 1. -e f
City /State y e eJ ,(�� c a.t cC 4,2 '
Legal Description:
Lot �' _ Block Subdivision/CSM
L %4S� '/4, Sec. 13 , T,�N -RAW, Town of 52 ���. ��' PII�# = a�rtrrG
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFO
Tank manufacturer h4,,'( 4 w e v7`ry,y -Size ST/PC e A Setback from: House — Well -S cL P/L ��",. e
Pump manufacturer Model
Alarm location
(HOLDING TANKS ONLY)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
i
SOIL ABSORPTION SYSTEM
Type of system: t a Width S Length �5 Number of Trenches S 7
Setback from: House Well P/L Vent to fresh air intake
ELEVATIONS
Description of benchmark evr Elevation lUl�' m 0
Description of alternate benchmark a w u r� d -y Elevation
p 7` /.� /'o
Building Sewer ��2' e lf ST/HT Inlet 9-2.- P ST Outlet 15�P ,Z, G , 5' - PC Inlet
PC Bottom Header/Manifold Top of ST/PC Manhole Cover 9 lG • fC
Distribution Lines
Bottom of System (
Final Grade ( )
i
Date of installation / / Permit number 3:5 Y .2l L State plan number
Plumber's signature ' License number p ZZ7 Date
Inspector
Complete plot plan Q
i
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.
i
• Show alternate benchmark, if applicable.
PLAN VIEW
C \y
J
i
'v
/
INDICATE NOR TH ARROW
i
Wisconsin Department of Commerce Count
PRIVATE SEWAGE SYSTEM
Safety and 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)). 353214
Permit Holder's Name: []City ❑ Village ® Town of: State Plan ID No.:
P.C. Collo Bui lders, Town of Star Prairie
CST BM Elev.: Insp. BM Elev.: BM Description: P Tax No.:
38 - 1185 -90 -000
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic n S f /006 Benchmark /
Alt. BM z. 3d
Aerati Bldg. Sewer
olding
5 / Ht Inlet L 9 Z
TANK SETBACK INFORMATION / Ht outlet
TANK TO P/L WELL BLDG. Ventto ROAD
Air Intake
Septic ,� ' y �� NA
NA Header / Man.
Aeration NA Dist. Pipe
— r - -r - - T — /a. ; D
P_ s, ,
Bot. System
rl 111 of,, 4 3
H ding
PUMP /SIPHON INFORMATION Final Grade
Manu r Demand St cover AR 96 f�
Model Nu GPM
Lift Friction S stem TDH t
Forcemain Length j� Dia. well
IL ABSORPTION
SO YSTEM S
BED R Width / Length No. Of Trenches PIT No. Of Pits Insi id Depth
DIM 0 Z— DIME 1 N
SYSTEM TO P / L BLDG WELL LAKE / STREAM LEA Manufacturer:
SETBACK AMBER
INFORMATION Type O / f / Mo er:
System:e4r Al OR UNIT
DISTRIBUTION SYSTEM
Header / Manifold Distribution Pipe es) x Hole Size x Hole Spacing Vent To Air Intake
Length — 1L Dia- Length � 10r Dia. Spacing Z 1-7 7 7:�Sr
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.) Inspection #1: (2 /2 ? /'7Inspection #2:
Location: 2116 135th Street, New Richmond, WI (SWI /4, SET S ction 13 T3 IN-RI 8W) - 13.31.18.940
1.) Alt BM Description = 0 u v� �Ariw� `l -0 wd 01 �;•h,`�
2.) Bldg sewer length = 2
- amount of cover S) l � / n ' �
3, X rue s 4lr� �or i�S�rt��e+.- C ✓lsT riGTrGf I tm rr�rJ �
g / -4
/�
' 1 �Ai /t / �l�jarvr+7° �2 - /2:rD A y aeeitraie
�� (LrA.Jr �rutks< Seeohe
< <
Plan revision required? ❑ Yes in No
Use other side for additional inforMation.
SBD -6710 (R.3/97) Da a nspectols Sign ure Cert No.
x
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
i -
t�
X
�(l(� C 35
Safety and Buildings Division
Vi sconsin SANITARY PERMIT APPLICATION 201 W. Washington Avenue
p P O Box 7302
Department of Commerce In accord with Comm 83. is A09t, e/ Madison, WI 53707 -7302
1 -r ,_ `
• Attach complete plans (to the county copy only) for the yk �` , on app no fi County
than 8 112 x 11 inches in size. cf� �'' t
• See reverse side for instructions for completing this a atic ,nl� f ate Sanitary Permit Numbe
LO g - �5�3 mo t`
Personal information you provide maybe used for secondary purposes sr Check if revision to previous application
(Privacy Law, s. 15.04 (1) (m)). a-' X r tate Plan I.D. Number
I. APPLICATION INFORMATION - PLEASE PRINT N "
Prope Owner Name Pope c n
C Arc'v - ' l4, 5 j� T,' , N, R E (or l
Property Owner's Mailing Address Block Number
City, State _ Zip Code Phone Number Subdivision Name or CSM Nurr er
ee
II. TYPE OF BUILDING: (check one) ❑ State Owned 0 t� Nearest R
❑ VII age
Public 1 or 2 Family Dwelling - No. of bedrooms Town OF Szzv J �l ✓
III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment / Condo fl > $ _ �' gs CZ7D
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 on line B, if applicable)
A) 1. & New 2 ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of S ❑ Repair of an
_____System ______ -_ System _______ ______ Tank Only______ _______ Existing System ____ ____Exlsting 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
12 E4 Seepage Trench 22 ❑ In- Ground Pressure '42 ❑ Pit Privy
13 ❑ Seepage Pit I ( 43 ❑ Vault Privy
14 ❑ System -In -Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7l. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/da A . ft.) (Min. /inch) Elevation
i� 5_6 SG v �/� lt. Feet l a ll 9 Feet
Cap acit y
VII TANK Ca in alto 5
g Total # of Prefab. Site Fiber Exper.
INFORMATION Gallons Tanks Manufacturers Name Concrete Con Steel glass Plastic App
New Existing structed
Tanks Tanks
Septic Tank or Holding Tank /� ' 01 ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber I I I ❑ ❑ 1 ❑ 1 ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plumber's Si nature: o Stamps)) /MPRSW No.: Business Phone Number:
_*xtew r ;e; - -,:7/
Plumber's Address (Street, Cif, Stat , Zi Code):
7 � (' ! t Q
IX. COUNTY /DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued 11 ui g Agent Signature (No Stamps)
; Approved E] Owner Given Initial - • t99 Surcharge Pee)
Adverse Determination ��S / /—g--?�
X. C ONDIT OF AIPVAL / REA O S��DISAPPRQVAL: r Na
u
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 maybe renewed before the expiration date, and at a time of renewal any new criteria in the
Wisconsin Administrative Code will be applicable.
3. Ail 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 pumperwhenever
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 -31,51. -
To be complete and accurate this sanitary permit application must include:
1. 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 1/2 x 11 inches must be submitted to the county. The plans must
include the following:'Al plot plan, drawn to sca'1e 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 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.
I
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Wiscp�sin Department of Commerce SOIL AND SITE EVALUATION Page 1 of
•. Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code
Gille Trucking & Excavating, Inc.
Attach complete site plan on paper not less than 8f x i i inches in size. Plan must County
include, but not limited to: vertical and horizontal reference M), direction and _ St. Croix
percent scope, scale or dimemsions, north arrow, an tiorja�rd a to nearest road. Parcel I,D.#
APPLICANT INFORMATION - Plea punt all in r - - - -- -- — - - --
Personal information you provide may be used for pu P}�cy Law, . �,9 (1) (m)). viewed n Date e, q
Property Owner 6p� grty Location
Case Dan a 4&T Cot SW 1/4 SE 1 /4,S 13 T 31 N,R 18 W
Property Owner's Mailing Addres 454/ 7� 5 - 246 - 4*0, �Q7 # Block # Subd. Name or CSM#
323 S awmi Lane �` C � Prairie Flats
City S�ity L Village Town Nearest Road
New Richmond WI Star Prairie Hwy 65
New Construction Use: M Residers m ooms 3 E ]Addition to existing building
Replacement ❑ Public or commercial describe
Code Derived daily flow 450 gpd Recommended design loading rate .7 bed, gpd/If - trench, gpd/ftz
Absorption area required 643 bed, ft' 562 trench, ft Maximum design loading rate .7 bed, gpd1W .8 tr ench, gpd/ftz
Recommended infiltration surface elevation(s) a !Y ft (as referred to site plan benchmark)
Additional design / site considerations
Parent material 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❑ U ❑ S U N S❑ U ❑ S E U ❑ Sou ❑ S N u
SOIL DESCRIPTION REPORT
Boring# Horizon
Depth Dominant Color Mottles Structure GPD/ftz
in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. C onsistence Roots Bed Trench
1 1 0 -8 7.5YR2.5/1 ---- - - - - -- SIL 1FABK MVFR AW 1VF .2 .3
2 8 -16 7.5YR -- - - - - - - CL 1FABK MVFR AS 1 VF .2 .3
Ground 3 16 -98 7.5YR5/3 ---- - - - - -- S 0 - M L - - -- - - -- 7 8
ele — -
vS1 f)
Depth to
limiting -- - -- - I ---- -_ -- - -� - --
factor
98 IN.
—� -- —
Remarks: - - - -- - -- — - - - - -- -- - - - - -- -
2 1 0 -8 7.5YR2.5/1 ---- - - - - -- SIL 1FABK MVFR AW 1VF .2 .3
2 8 -18 7 .5YR4/6 ---- - - - - -- CL 1FA MVFR AS 1VF .2 .3
Ground 3 18 -96 7- 5YR5/3 ---- - - - - -- S 0 -GR ML - - -- - - -- .7 .8
ele v9o� `� -- - - - - -- - - -- — - - - - -- — - – –
Depth to
limiting — f
factor
96 IN.
Remarks: - -- — -- - -- -- - - -- -- -
CST Name (Please Print) Sig _, re: Telephone No.
_Denn G _ ille _.e ------- ___------- - - - - -- 715- 268 -6637 - --
Address CST Number Ref #
t� t
372 140th Street Amery, WI 54001 x6/97 3409 107
i
PROPERTY OWNER: Casey Mn SOIL DESCRIPTION REPORT Page 2 of
y PARCEL 1.D.# Giile Trucking & Excavating, Inc.
Horizon Depth Dominant Color Mottles Texture Structure onsistence Boundary Roots GPD/fr
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench
3 1 0 -6 7.5Y ---- - - - - -- SIL IFABK M VFR AW IVF 2 .3
2 6 -18 7.5YR4/6 ---- - - - - -- CL 1FABK MVFR AS 1 VF .2 .3
Ground — — —
e(ev 3 18 -96 7.5YR5/3 ---- - - - - -- S 0 - ML - - -- .7 .8
Depth toS
limiting -- -
factor
96 a — - - -- -- -
Remarks:
4 0 -8 7.5YR - --- - - - - -- SEL 1FABK MVFR AW 1VF .2 .3
1
F2 8 -24 7.5YR4/6 ---- - - - - -- CL 1FABK MVFR AS 1VF .2 .3
Ground
elev p 3 24 -96 7.5YR5/3 ---- - - - - -- S ML - - -- - - -- .7 .8
9z 3 s
Depth to
limiting _ --
}
factor
96 IN. - -- -- -- -- - -- -- - -- - -- - - - -
Remarks:
5 1 0 -10 7.5YR2.5/1 ---- - - - - -- SIL 1 FABK MVF AW 1VF .2 3
2 10 -22 7.5YR4/6 ---- - - - - - CL 1FABK MVFR AS 1VF .2 .3
Ground — -- -
elev 3 22 -96 7.5 ---- - - - - -- S 0 -GR ML - - -- - - -- .7 .8
- -- - - -- —
Depth to
limiting - -- -
factor
96 IN. - — - - -� - -- - --- ��- - - - - -�
Remarks: - - - - -- - — -- --
Ground -
elev _
Depth to
limiting -- - - -- — --
factor
Remarks: _— ^ - - -i _ -- - --
I
w SF s T3 /4)(M / c
STS-
/a/7
pep ��-►. 00 ? �.
sa. Iii
1 v
31117
Aggregate SAS
SYSTEM ELEVATION AND SIZING CALCULATIONS
Below Grade Aggregate Soil Absorption Systems
Permit Number 11/8/99 Date
X °x" Gravity Distribution
only 1 Pressure Distribution
3 ft Suitable Soil 1
6 in Aggregate Depth 2
4 in Nominal Pipe Diameter
450 gpd Estimated Daily Peak Flow
0.80 gpd /ft Wastewater Infiltration Rate
562.5 ft Minimum SAS Size
88.40 Ift Proposed SAS Elevation
Soil Surface Acceptable Finished Grade EL 3 (ft)
Boring Grade Limitation SAS Elevation (ft) System Minimum Maximum
Number Elevation (ft) Depth (in) Lowest Highest Elevation? 90.90 92.73
1 93.15 98 87.98 91.65 Yes Cut required
2 90.40 96 85.40 88.90 1 Yes Fill required
3 92.20 96 87.20 90.70 Yes
4 92.35 96 87.35 90.85 Yes
5 90.50 96 85.50 89.00 Yes Fill required
1. Depth of suitable soil required below the infiltrative surface for treatment.
2. Depth of aggregate below distribution pipe.
3. Based on chosen system elevation, and aggregate depth. The addition of
fill for cover or the reduction of finished grade may be required to meet
minimum or maximum code standards.
s.15.04 1
Personal information you provide may be used for secondary purposes [Privacy La w, ()( m )] .
SBD- 10553 -E (R.05/98)
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
n OWNERSHIP CERTIFICATION FORM
Owner/Buyer t t� GVA 6 ( � rt S <—
Mailing Address - 7015 0o . IC d E
Property Address o) / 1P t 5 4p 1 r7
(Verification required from Planning Department for new construction)
City/State AIP(Al l/C 4 n^u ' Parcel Identification Number 6 3� ���5 Gl0- O O
LEGAL DESCRIPTION
Property Location SW %,, 5>E /, Sec, �3, TAN -R-LLW, Town of - St,4rc A44
Subdivision '4 ' ( K r c >��� Lot # /
CertiCed Survey Map # '� Volume , Page #
Warranty Deed # LO Volume , Page #
Spec house ❑ yes no Lot lines identifiable 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, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) 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 ee year expiration date.
GNATURE 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
Ike pr scribed above, by virtue of a warranty deed recorded in Register of Deeds Office.
IGNATURE 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
�. YUL 14 JJ )?4E /1RJ
~ Y STATE BAR OF WISCONSIN FORM 11 — 1982 6.00E�61
LAND CONTRACT
Ind pp
KATHLEEN H. WALSH
FOR BE USED
R ALL TRANSACTIONS WHERE OVER REGISTER OF DEEDS
DOCUMENT NO. $25,000 15 FINANCED AND IN OTHER NON - CONSUMER # ST CROIX CO., WI
ACT TRANSACTIONS)
RECEIUED FOR RECORD
Contract by and between Daniel J. Casey and 04 -05 -1999 9:30 AM
Be t a n. C a sp , '111 S h a n •a a n rl w i E e a c LAND CONTRACT
survivorship marital property
( "Vendor ", EXEMPT N
whether one or more) and P_ C _ CnIj B T n e CERT COPY FEE:
COPY FEE:
TRANSFER FEE: 570.00
( "Purchaser', whether one or more). RECORDING FEE: 12,00
Vendor sells and agrees to convey to Purchaser, upon the prompt and full performance PAGES: 2
of this contract by Purchaser, the following property, together with the rents, profits,
fixtures and other appurtenant interests (all called the "Property "), in
S t. C r o i X County, State of Wisconsin:
THIS SPACE RESERVED FOR RECORDING DATA
Lots 8, 9, 10, 13, 14, 15 , 17, NAME AND RETURN ADDRESS
18, 19 and 21 of Prairie Flats a0tfp/ w#1 iS f
Addition in the Town of Star
Prairie, St. Croix County ' h
Wisconsin.
w�
038 - 1185 -80 -000, 038 - 1185 -90 -000
038 -1186 — 01- 00 03R- 118 -30 -000
PARCEL IDENTIFICATION NUMBER
038- 1186 -40 -000. 038 - 1186 -50 -000
038 - 1186 -70 -000, 038 - 1186 -80 -000
038- 1186 -90 -000, 038 - 1187 -10 -000
This __ is not homestead property.
(is) (is not)
Purchaser agrees to purchase the Property and to pay to Vendor at 323 Sawmill La. New Ri chmond , W I
the sum of $ _1_ A n _000 0 0 in the following manner: (a) $ __l1, , n O 0 0 0
at the execution of this Contract; and (b) the balance of $ 1 R 0 , 0 0 0 . 0 0 , together with interest from date
hereof on the balance outstanding from time to time at the rate of F. i gh t. percent per annum until paid in full, as follows:
Purchase price determined as follows: Lots 8, 9 and 10 $19,900.00 each;
lots 13, 14, 15, 18 and 19 $18,900.00 each; lots 17 and 21 $17,900.00 each.
A Warranty Deed will be given for each of these lots upon payment of the
original purchase price (stated above) of each lot, plus accured interest.
Provided, however, the entire outstanding balance shall be paid in full on or before the 29th - day of Ma rch, 2001
19, (the maturity date).
Following any default in payment, interest shall accrue at the rate of 8 % per annum on the entire amount in default (which shall
include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance).
Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably anticipated annual taxes, special
assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these
obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow
fund or trustee account, but shall not bear interest unless otherwise required by law.
Payments shall be applied first to interest on the un paid balance at the rate specified and then to principal. Any amount may be prepaid
without premium or fee upon principal at anytime after Mai r eh 30, 19 9
1i1' )1t )PXmX=)60W XX
In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of
principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that
said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be
continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom.
Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except:
None.
Purchaser agrees to pay the cost of future title evidence. if title evidence is in the form of an abstract, it shall be retained by Vendor until
the full purchase price is paid.
Purchaser shall be entitled to take possession of the Property on Ma rCh 30 19 99
Cross Out One.
LAND CONTRACT — Individual and Corporate STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc.
P 7 ' Form NA, j 1 — 1982 Milwaukee, Wis.
!f S
t , Y
Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest in it and to deliver to Vendor
on demand receipts showing such payment.
Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, extended coverage perils
and such other hazards as Vendor may require, without co- insurance, through insurers approved by Vendor, in the sum of $ on e
but Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the insurance premium
when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the
original of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies
and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property
damaged, provided the Vendor deems the restoration or repair to be economically feasible.
Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable
condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and
regulations affecting the Property.
Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed
at the times and in the manner above specified,Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of
the Property, free and clear of all liens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except:
recorded easements. rights of wa and covPnan s
Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for
a period of 2 () _ days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which
continues for a period of 30 days following written notice thereof by Vendor (delivered personally or mailed by certified mail); then the entire
outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser
hereby waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in addition to those
provided by law or in equity: (i) Vendor may, at his option, terminate this Contract and Purchaser's rights, title and interest in the Property and
recover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire
outstanding balance, with interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder (in which
event all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the
Property if' Purchaser fails to redeem); or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full payment on
the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event
the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid
purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet -
title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and
have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (ii) or (iv) above. Notwithstanding
any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be binding upon Vendor if and when
pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether
abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as incurred,
and shall be included in any judgment.
Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment to
a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendency of such action
and such rents, issues, and profits when so collected shall be held and applied as the court shall direct.
Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchaser's rights under
this Contract or by option, long -term lease or in any other way) without the prior written consent of Vendor unless either the outstanding balance
payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract solely
as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire
outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice.
Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any
mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the amount then due under this
Contract. Purchaser may make such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be
considered payments made on this Contract.
Vendor may waive any default without waiving other subsequent or prior default of Purchase.
All terms of this Contract shall be binding upon and inure 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 herein to release homestead rights in the
subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof.)
Dated this 29th day of Ma r ch 1 19 qq_.
(SEAL) (SEAL)
Betty D. Casey
(SEAL) (SEAL)
P. C. Collova Builders, In c.,
by Patrick C. Collova, its president
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) State of Wisconsin,
SS.
St. Croix County.
authenticated this day of 19 Personally came before me this 2 9th day of
March , 19 9 9 the above named
Daniel J. Casey and Betty D. Case
` and Patri ck C. Col 1 ova president- of
TITLE: MEMBER STATE BAR OF WISCONSIN Collova Builders, Inc
(if not,
authorized by §706.06, Wis. Scats.) to me known to be the person g_ who executed the foregoing
instrument nd a knowledge the same.
THIS INSTRUMENT WAS DRAFTED BY n C"i ia�2�
John D. Walsh
• John D. Walsh
Notary Public, st: , C r p j x County, Wis.
(Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not n date:
necessary) November 25, 2001tin..,,,...t.;1ki ,..!
' Names of persons signing in any capacity should be typed or printed Ifelow their signatures.
My eommissl ; Expires Nov. 25, 2001
LAND CONTRACT — Individual and Corporate — State Bar of Wisconsin, Form No. 11 — 1982
I
r t THIS INSTRUMENT DRA
N1 /4 CORNER
SECTION 13
(2" IRON PIPE FOUND)
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