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HomeMy WebLinkAbout024-1042-90-000 0® 0 3 2 0 tz o (D k / 0 J / - (D •• 9 a — C . � k_ i 7 0 / E §ƒ I W \ \\ k k 0 E§ E E) §(/ E w r M ° s « § o 2 a ; ¥ / {; E m 2 / / , [ ; R 3 [ t I 3 t E E$ 8 E I = E § ® / © a ( //± CL \ _ CD j 3 \ 7 3 \ ® j \ C I / § 2 / § E c (D � § I ) E 0 0 0 ;a j� r O 3 o v W 0 & 7 ; ■ g § Q o E '0 - e a = CD § \ , / .. I \ ƒ/ 0 §§f 2 \ 0 7 = . � a g ; I [ C _ CO z - I 2 z / I ..off � .. I Z Q > m f 2 0 k § z .. z I � $ � � > � \ \ § . ± \ f / % \ ƒ 7 � ) _ : F I ? I i I § I % K o » m § \ p o § � I S \ � ] ST. CROIX COUNTY ZONING DEPARTME 9 AS BUILT SANITARY REPORT q Owner Property Address i , SEP j9�99 r City /State ° 1 p '99 " Legal Description: Lot , � Block — Sub •sion/C # �� /, ) ' /a, Sec.M, T -R�W, Town of P e SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK NFORMATION: Tank manufacturer ,(vG> 4mysize ST/PCI / Setback from House ��L Well l P/L r Pump manufacture{ ` Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM T Type of s- stem: A 9 Width Length Number of Trenches Y1 y � � Setback from: House D G _ Well 2 00 P/L aj OU Vent to fresh air intake l ELEVATIONS r i pp Description of benchmark b Elevation Description of alternate benc ark _ Elevation c Building Sewer ST/HT Inlet ST Outlet PC Inlet PC Bottom - Header/Manifold Top of ST/PC Manhole Cover 0 Distribution Lines Bottom of System Final Grade Date of installation / / Permit number Z State plan number Plumber's signature License numbe Date Inspector )t-- Complete plot plan � f 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. V/T g PLAN VIEW � e C'O rt d INDICATE NORTH ARROW Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Y' Safety and Buildings Division Count ST . CROIX INSPECTION REPORT GENERAL I N FORMATION (ATTACH TO PERMIT) Sanitar *at f.: Personal i n formation you provice may be used for secondary purposes [Privacy L , s.15.04 (1)(m)]. 25� �tt�ii;MAiV ; N ES & JAMIE I C�imbavi I�t&r of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: Parcel x'11042- 90-000 le I TANK INFORMATION ELEVATION DATA A9800580 TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic /1(u &', Dvv Benchmark Dosing 5_0 00 0_ S/ AeW� lon Bldg. Sewer q,�p g 3 / Ht Inlet t TANK SETBACK INFORMATION utlet TANKTO P/L WELL BLDG. Ventto ROAD Air Intake Septic >�my/ f 3� NA Dt Bottom Z Dosing "'7 ( +76 r S � NA Header/ Man. n A Dist. Pipe Ho Bot. System 0 3 }, b PUMP/ SIPHON INFORMATION Final Grade Manufacturer Lj Demand S �a Z3 4Q . Model Number ; GPM G�_ —16 b p TDH Lift Z Frictio System �/ TDHZp 3 Ft Head Forcemain Length ZS01 Dia. Z-r Dist. To Well SOIL ABSORPTION SYSTEM TRENCH Width r Lengt No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth IME I N5 DIM EN SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM L H G Manufacturer: INFORMATION Type Of I CHAM o e Number: System: >ZG�� ���/ > d OR UNIT y 00 DISTRIBUTION SYSTEM Header / Mrffold Distribution ill I ! r x Hole Size x Hole Spacing Vent To Air Intake Length _ - Dia. Length Dia. Spacing � y "t 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: PLEASANT VALLEY 33.28..17.2 83 — 170TH AVENUE 0 -!w Or 4 °L�t°r UtrafYl�Sf/51✓°�. �j� Plan revision required? ❑ Yes []No Use other side for additional information. SBD -6710 (R.3/97) Dat spector's Signa a Cert. No. Safety and Buildings Division Visconsin SANITARY PERMIT APPLICATION 201 Box Washington Avenue Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. Y, ar Permit Number • See reverse side for instructions for completing this application State Sani /_ �� Personal information you provide may be, used for secondary purposes ❑ Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATI N Property Owner Name Property Location �r yy Rol ei&l4� /a /a S T N R E or6V Property Owner's Mai 2g AddLess Lot Number Block!WmLer Cltv State �(3 t Zip C�d� Phone Number Subdivision Name or CSM N umber I. - !YPE OF BUILDING: (check one) ❑ State Owned ❑ it jf�� gq� Nearest Road p Village 11e Public 1 or 2 Family Dwelling - No. of bedrooms Town OF III BUILDING USE (If building type is public, check all that apply) Parcel Tax Numbers) 1 ❑ Apartment/ Condo o ��a�� �8 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 YPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable) A) 1. pg New 2_ &Replacement 3. E] Replacement of 4. E] Reconnection of 5. E] Repair of an - - System ^," System Tank Only E xisting System Existing 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 CgMound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 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. 7. Final Grade W n Required (sq ft.) Proposed ( q. ft.) (Gals/da /sq. ft.) ( i ./' ch) f 6 , O Elevation " 3 eet l ,/06 2 , � Feet VII _ TANK Capacit I NFORMATION in g a llo n s Total # of Manufacturer's Name Prefab. Cote steel Fiber- Plastic Exper. T Wank Gallons s New Existin Concrete structed glass App. Tanks Tanks 57 �. Septic Tank or Holding Tank X 16616 j t e ❑ ❑ ❑ 1 ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ I ❑ ❑ VI11. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewa stem shown on the attached plans. PlurrtLer Name: (Print) Ptu ignature: (N S )6rvs) M P 0 P o.: �� Busines One u btr/t Plumber' Ad rRss (Street , City, 1�g C e) �( � r• IX. COUN / DEPARTMENT USE ONLY L, ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issued Issuing Agent Signature (No Stamps) XApproved ❑ Owner Given Initial surcharge Fee) u Adverse Determination �l � IA U_ 3_ / ° X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber + Safety and Buildings 15837 USH HAYWARD WI 54843 -8107 07 \ Vlsconsin Philip G. Thompson, Governor lip Edw. Albert, Acting Secretary Department of Commerce October 28, 1998 CUST ID No.267341 ATTIC• POWTS INSPECTOR WEGERER SOIL TESTING & DESIGN ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 10/8/2000 Identificat Numbers Transaction ID No. 184055 Site ID No. 162715 SITE: Please refer to both identification numbers, Site ID: 162715 above, in all correspondence with the agency. ST CROIX County, Town of PLEASANT VALLEY NW1 /4, NW1 /4, S33, T28N, R17W JAMES & JAIME FREEMAN RESIDENCE SEPTIC SYSTEM FOR: C Description: MOUND, 450 GPD Co 11'a Object Type: POWT System Regulated Object ID No.: 434451 A The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes DEPAR t MEl and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in DlvtS u'r SA chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. SEE CORF The following conditions shall be met during construction or installation and prior to occupancy or use: 1. This plan action is subject to designer comments on the plan. 2. The orientation of the mound system must be such that the mound's longest dimension is perpendicular to the direction of maximum slope. 3. The area 25' below the downslope edge of the mound must remain undisturbed. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries conceming this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 10/19/1998 FEE REQUIRED $ 180.00 PATRICIA S ORF , P S PLAN RE EWER a ^' FEE RECEIVED $ 180.00 Integrated Services <.av,�G ` T Y tBAJANCE DUE $ 0.00 (715)634 -7810, FAX: (715)634-5150, M -F 7:45 AM - 4 :30 0M / / PSHANDORF @COMMERCE.STATE.WI.US ; O -J ! Page of 6 MOUND SYSTEM FOR A -3 BEDROOM RESIDENCE LOCATED IN THE 1/4 OF THE 1/4 OF SECTION 33 , T Z$ N, R l7 W, TOWN OF COUNTY, WISCONSIN. INDEX PAGE 1 'of 6 TITLE SHEET PA GE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW -CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT •W.T.S. PAGE 5 of 6 PUMPING CHAMBER atioa PA GE 6 of 6 PUMP PERFORMANCE CURVE l ov D T OF CO M E FETY A U IN" PREPARED FOR ESPONDENCE PREPARED BY WEGEF: E; C3 = L- TEST I tVG' r AND . � DES IC (23M STit�w I CE �e� �. s/+ F.O. SOX 74 421 N. MIN ST. ARTHUR L RIVED. FALLS. NI 54022 WEGEREA 4 P 715 - 42`.: -01SS • HLL SWO RTN. 5. �SIGN�' �i JOB NO. �' Z q Page a of Approved Synthetic Covering 193TN► c 33 Distribution Pipe Medium Sand I l Topsoil H G 511 F Elev: X00- D S _ 3 E 'I A . b 10 % Slope ( Force Main Plowed Trench of k" From Pump Layer Aggregate Undisturbed D l-O Ft. Soil E N• S Ft. Cross Section Of A Mound System Using F 0,'8 Ft. I Trench For The Absorption Area G N Ft. A S Ft. H 1- Ft. B --) S Ft. I S Ft. Linear Loading Rate= � •Z GPD /LN FT J - 7 Ft. Design Loading Rate= p.I GPD /SQ FT K Ft. L q7 Ft. W Z-- Ft. L J F&ce =8 K Main�_ W Distribution Trench Of 2 - 2 2 Pipe Aggregate Permanent 1 Observation Markers Pipes (Anchor securely) Mound Using I Trench For Absorption Area Page L4 Of Perforated Pipe Detoit I End View End Cap. )Perforated PVC Pipe I I t`o ace lY � S I Install permanent marker at end of each lateral Holes Located On Bottom, Are Equally Spored Q End Cop * t PVC Force Main 4 Distribution Pipe Lost Hole Should Be Next To End Cop Distribution ton Pipe_ Layout P 36 -ZS X 30 Inches y 3d Inches Hole Diameter It `1 Inch Lateral 1 Inches) Manifold Inches Force Main Inches # of holes /pipe \S Invert Elevation of Laterals » S'S Ft. lS �n.sSk 2 , 3S. to GWN-t Place lst hole VS from tee with succeeding holes at 3O intervals._ Last hole to be next to the end cap. r - T Combination Sepuc; Tank acid PUMP CHAMBER CROS5 SECTION A.MD SPECIFICATIOMS ' PAGE S OF (o -VEAIT CAP WEATHER F JU1JCTIOIJ DOX y'C.I. VEUT PIPC APPROVED LOCKING 10 FROM DOOR, MANHOLE COVER wlV '.JIIJDOW OR FRESH wARN1N6 LP.BEL. A_RINTAKE S caaDUIr tj 4" 1AIIJ. t s _ v I � .� Ie •MIU . y�INSVt'�t�oN PIPE PROVIDE I - - -- IAILET AIRTIGHT SEAL I I I • 8 tyFF��S � I I II APPROVED JOIAIT A I I I APPROVED JOIAIT: w C.T. PIPEaR I II I ��C / Tank construction W /C.Z. �IPE shall comply with . I I ALARM IM U.15 and 33.20 e I I I I ow C I I C LLEY. FT. PUMP - "� OFF D COUCRETE 93. BLOCK 3" APPR�FD RISER EXIT PERMITTED O►JLU IF TAWK MAUUFACTURV -R HAS SUCH APPROVAL• Br<OOtN4 SEPTIC E SPECIFICATIOUS DOSE l 3 ,3Z TA MA UUFACTUR ER: IJUMBER OF DOSES: PER QAy TAWK `.►IZE: NrnkO I 6SQ GALLOWS DOSE VOLUME t ALARM MAUUFACTURER: S •S , g`l�T� IMCLUDIMCP 6ACKFLOW: 1`i GALLONS MODEL HUMBER: COL NW CAPACITIES: A= 1� INCHES OR 30 O � GALLOWS SWITCH TYPE: B= Z IWCHES"OR G(LLOW5 PUMP MAIJUFAGTURCR: C= INCHES OR l GALLONS MODEL MUM9ER: 3�� I EPOS D- g INCHES OR �' GALLOWS SWITCH TYPE: 1�1 L DOTE: PUMP AUD ALARM ARE TO bE MIIJIMUM DISCKARGE RATE 3 S• r GPM INSTALLED OW SEPARATE CIRCUITS vERTICAL DIFFERENCE DETWEEIJ PUMP Off AIJD..DISTRIBUTIOM PIPE.. FEET t MIIJIMUM NETWORK SUPPLY PRESSURE , ; 2.50 FEET FEET O F FORCE MAIM X -; � F YoF�,FRICTiOU FACTOR_. S FEET TOTAL DtJ JAMIG HEAD = \ O'.IAI Pump chamber DIAMETER IAITERAIAL DIMLWSIOLI� OF TAUK: LEAICYTH ;WIDTH — ;LIQUID DEPTH BOTTOM AREA : 231= - GAL /INCH AS PER MANUFACTURER = .,. \ - . .. GAL /INCH I "tw .. Goulds .. Y Submersible C _ Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. •Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. Available for d tic cover with integral handle vaae or automatic and and float switch attachment • Farms manual operation. Automatic points. • EPO4 Single phase: 0.4 HP • Heavy duty sump models include Mechanical • Water transfer P M, , built in 230 V, v overd wHz,155t Float Switch assembled and ■Power Cable: Severe duty R • Dewatering RPM, preset at the factory. rated oil and water resistant. automatic reset. ■Bearings: Upper and lower R 115 V, 60 Hz, 1550 RP SPECIFICATIONS • EP05 Single phase: P M, , FEATURES heavy duty ball bearing Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo- construction. • Solids handling capability: automatic reset. plastic Semi -open design 3 /4' maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection CO. Canadian Standards Association Total heads: up to 24 feet. with three prong grounding • Discharge size: 1 NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in "F" or "AC ".) rotary/ceramic - stationary, three prong grounding plug improved performance. BONA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 ! I • Capable of running dry without damage to s 30� 5GPM components. _ 8 -- - -- t-2.5 FT Pump: EP05 I • Solids handling capability: Q � 25' 3 /, maximum. a — - -- -- -- w . - -- • Capacities: up to 60 GPM. _ • Total heads: up to 31 feet. L) 6 20 • Discharge size: 1 %" NPT. z 5 _ -__- • Mechanical seal: carbon- 0 15 rotary/ceramic - stationary, a 4 BUNA -N elastomers. o - - — -- - -- -- - -- -- - - - - EPOS - • Temperature: 3 101 I 3s.1 104 °F (40 °C) continuous { j 140 °F (60 °C) intermittent. 2 - ._ - --� - - -+ - -- --- - - - - -_ - -- _ EPO4 _ - _ . - -- - -__ -_ 5 0 00 10 20 30 40 50 GPM L _L 0 2 4 6 8 10 12 m /h CAPACITY ©1995 Goulds Pumps, Inc. Effective May 1995 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT P of 3 Labor and Human Relations — F Division of Safety & Buildngs in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site an on pl p paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (B", direction and % of slope, scale or. PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. t]Z ° 1 O APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE 2 i� 2/98 PROPERTY OWNER: PROPERTY LOCATION - Pc ZS� PS>, �Pc'1 WLE, '�Z "ft" t:OT tQW 1/4 NW 1/4,S 33 T Z $ ,N,R 17 E ( LW PROPERTY OWNER':S MAILING ADDRESS LOT # I BLOCK # SUBD. NAME OR CSM t \`13 C`�VIv`11[ `I `NI `I — CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OWN NEAREST ROAD \t1U W) 540 7_2 (_) LIZS 4010 Ste. [ New Construction Use pQ Residential / Number of bedrooms [ ] AdUgn to e)dsting building j ] Replacement [ ] Public or commerdal describe Code derived dally flow er gpd Recommended design loading rate bed, gPcW - 3 trench, gPdM Absorption area required 30 S bed, R 3_1 S trench, ft KWmum design loading rate bed. gpd/ft • 6 trench, gpdddt Recommended infiltration surface elevation(s) 1 O S. b It (as referred to site plan benchmark) Additional design / site wnsiderations S 'Y- "l s' - MZ%r, t4 . VA ti Q l � UM Ve aF Stx�b Fr L Parent material `-.off o y eg c� Flood plain elevation, if applicable N•fl It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FU HOLDING TANK U = Unsuitable for stem 1:1 S ®U ®S ❑ U [I ®U ❑ S ®U [IS IOU EIS O U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Buidary Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. BW tench o-q Lb 3!Z s 1 Z`�Sb m q - \� lb`?lz 3/(; s 1 Z`�`s�k Yh.`q>- "_S v� • S b Ground 3 1b .3 2 - 1 -S Li 2 3 y °�- >» C 7_ • - z- elev. 9 -2 It 4 `1a313 1.SyIZS /i3 gel wt`F1r - tip: -1 Depth to limiting factor Remarks: Boring # S \ b �j Z Z 8 - �. - 1 loyi� 316 � s1) Z.�a�k r»'fL- �S \� • S • 6 Ground elev. y 30 -Sp S LIR.3/3 �1- S42Sltd Sc� ��,� vv► $ I - Ivp' - Z O -s ft Depth to limiting factor Remarks: cq� aX T Name: — Please Print Phone_ F Arthur L. We erer �5'` 25 -d `. egerer Soil Testing & Design Service -P.O. Box 74 River ,�i 22 ' Sgnature: Date: CST Number: L_ ad&� I �2 ,Lt 9$ -2c� 1 © A -- 9 8 M00576 } t 7 PROPERTY OWNER SOIL DESCRIPTION REPORT Page? of 3 PARCEL I.D.#r O'Z.q— 1 9 D - Baring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPDtft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ITrench Z q -� lo�c� alb s Z �sbk m`F►- �S 1 `F • s .6 Ground 3 19-31 ZSVP— jIy — �C] te,s Yv�`Fh CI.v •'2 .� elev. I 31�y �S'tfZ 3[� -1i •S�1QS�8 s OV Depth to limiting factor 31 �r Remarks: Boring # s L 1 Z4 \ -S �.�►- �s z� � s _ � 3 z °1�Z� lo`tR -�� - st l Z`�sbk VK-� c- 1�1 . S l . - -s Y tL - 3Cy ` s! L c>tivl hti'�>^ �-�► 3 Ground 'y �elev. 4 Ll� -Sb .5 `112 4�[3 `` C1 Ow, M — N1�' Z Depth to limiting factor L I h Remarks: Boring # � o -q t�� -I.tZ �[ Z - si I z`Fsbh w�,f� �s Z,`� • s • � E 3 Z 9 -1t I - )IL sl�I K cs �� • s -b \0— A Ground i elev. y ra -S8 . S �� 313 � � s `'t2 s 1£� s cl oti., Y►1`�I - tvp • z � ob.0 ft. Depth to limiting factor ' Remarks: Boring # S A TZ-eL l S l Q 0 1=t U - :[3 Ground elev. 6 L� ft. " Depth to' limiting factor Remarks: SBD- 8330(R.06/92) PLOT PLAN Pa 3 of 3 SCALE 1 VeNIO LrL Z. i B -S �l p�'N p S• i + B •3 •� � art - �.. \03.0' 3)y b 2.100 IF II-M l - lL too , p'- oN 7 ' �- �l°► ? b� Sl�s� l3 `Ctt1S Ps'�L 3 /y"bl1�. t ` I - we,.� (71 5 ) 425 -01 14 00576 CST Signature Date Signed Telephone No. CST # "VYSconsin Department oflndusby SOIL AND SITE EVALUATION -REPORT, Page N of 3 Labor and Human Relations - DWision of safety & BdIdngs in accord with ILHR 83.05, Wis. Adm. Code CO UNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BAS, direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. C)ZL[ - [ 0 Liz °10 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE Nov.L) PROPERTY OWNER PROPERTY LOCATION b �t�1 Wh F, R. k-t fl N -H61fT:tt?T VUW 1/4 N W 1 /4,S 33 T Z15 ,N,R \Z E (d1N PROPERTY OWNER'S MAILING ADDRESS LOT # I BLOCK r SUBD. NAME OR CSM # \n 3 (' " — CITY, STATE ZIP CODE PHONE NUMBER ❑CRY []VILLAGE wr OWN NEAREST ROAD \21U FA WI S40LZ (ILS) L47,S- 0 )610 'P L- VfrLIL 1`I0'1t Sir [J4 New Construction Use pQ Residential / Number of bedrooms [ ] Add*n to basting buiking j ] Replacement [ ] Public or commercial describe Code derived daily flow er gpd Recommended design loading rate - bed, gp W - 3 trench, gpdM Absorption area required 3�l S bed, ft2 3 - 1 S trench, ft K design baring rate ' S bed, gpcW - 6 trench, gpol(t Recommended infiltration surface elevations) 1 b S. O ft (as referred to site plan benchmark) Additional design / sit- considerations 'f'� u� ►�nJ W/ S � x 1 S" ` C1LS�,1C.t� • W� ti� 1 h uwt Ke OF Stk'b Fr U. • Parent material (n\ Rood plain elevation, N applicable lV A - ft S = Suitable for System CONVIDM AL MOUND "ROUND PRESSURE I AT -GRADE MTIM IN FILL I HOLDING TANK U = Unsuitable for system ❑ S ®U I ®S ❑ U I [IS ®U IDS ®U ❑ S IR ❑ SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounds Roots GPD /ft in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. Bed rTmnch N 1 o�°I Lb 3� Z � s 11 Z`�Sb m r c.s t� • s . b - Z q - \� 1�`1tz 3/ � � s 1 � •2- `Fs,�k m`FH �s \� • s • b Ground 3 Ib.31 - 7 - SK23Iy - SCE ° LSb wiV bleu. `R Z fL 4 32 -S • 9 `1 ,S `12 3 13 1 •S y(ZS /f3 9 @, O Vn - Depth to limiting factor 3ZN Remarks: Boring # 0 - O`-tR- 31 Z S 1 Z'� Ah M4► LS Z� S 6 Z Ground elev. - 7 S L IR.313. �� -S - rRS /id c �ti,, VIA N \� - Z On ft Depth to limiting factor 3p� Remarks: TName: Please Print Arthur L. We erer Phone 715- 425-0165 egerer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022' Signadre: / - Date: , O 9 8 CST Numb 0 0 5 7 6 PROPERTY OWNER r - `) - VMM'� SOIL DESCRIPTION REPORT Page Z of . ?Z� PARCEL I.D. # _ 0'2.q \r3gl- qp Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BoundW Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerxh 3 0 - 1o`-t, � 1 Z — s ' Z.`� sb wt'�'�- �s z� . , s . • 6 Z q -`9 ..1.0`t2 3l6 � si � Z.� - sbk w� �s 1 �' • s •6 Ground 3 V° -31 - 1.5 LIZ )1y — c� e_sbk )n�fr. ��, — • Z •� elev. ) 3[� -z •S y S lg S C.� O ti►•+ Yvt'Ql- NP Z Depth to limiting _ facto; << i Remarks: Boring # , s L l Z. sb12 ►��►� cs z,�' , S (_ � U — s Z.'�sUk w�•F�. c� l�' . S E ' k. Ground 3 2. - - SYtZ�[ St cvv wrf� ck, - .3 • 'y _ M 4 - % ft. 4 Ll6 -Sb .S'�2 c1 0,�., w�i - tii>> •Z Depth to limiting factor� N F7F Remarks: Boring # 1 m�Ft- �S L� • s, • L 5 Z 9 -1� t .� sal 3`PSI� ►n�l� cS \� . S�_b Ground 3 1$ 34 �• S til 3 1 l L �� s�k vn•F� Cw • �( . 5 elev. y -4 -S8 - • S -1 CL 313 � ob•o ft. 1 S [2 s 1£s S CA wl Depth to I limiting factor Remarks: . Boring # _ f�10 $ 1Zt;TU l 1 - ZS-9 Ground 85 tiN Q elev. ft. Depth to' limiting factor Remarks: SBD- 8330(R.05/92) ' PLOT PLAN g t Pa e 3 of 3 SCALE 1 "= L)�' CA g -S t1 to%4 q1, 80-�4Y1 -I p C,,C,, . �' B •3 �� %'1. I ti q1 tit 6 !F, 31 y IIU9 g►`�i� I - 4-rL_ \U l , p'- 0 Ni 7 ' �l. cl°� z b�STSR.Q `RhS prR 7 t�tGH� 3 /V"bJ6. 0 PUC PLPF 'rH v z qLq i -fl `o \ W ZD V-'F- ft �-ZMT 2.S' V M't0UA)D c l —�1i ( ) 42 715 14 00576 CST Signature Date Signed Telephone No. CST # Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 L.aba and Human Relations - Division of Safety & BuilcSngs in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than S 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. COZ --( U L4Z - ° 10 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION RPIEWEDBY DATE to G y PROPERTY OWNER: PROPERTY LOCATION -eerr tUT NW 1/4 NUJ 1 /4,S 33 T Z b ,N,R 1 E ( W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 1`13 (o `W _.,,j-TV ll'1 N _ CITY, STATE ZIP CODE PHONE NUMBER (]CITY ❑VILLAGE OWN NEAREST ROAD 1 U M FYrLL$ W [ S4 0 vt (I is) q ZS - 9610 T-_ L v hJl' 4 ft t, 11 Q `\` S'►� P4 New Construction Use pQ Residential / Number of bedrooms _ ; [ ] Additign to existing building j ] Replacement (] Public or commercial describe Code derived daily flow LSD gpd Recommended design lading rate bed, gpd/ft22 •3 trench, gpd% Absorption area required 3 ' 1 S bed, ft - 1 - 7 1S trench, ft Ma)dmum design loading rate bed, gpdAt - (S- trench, gpolR Recommended infiltration surface elevation(s) \m • S ft (as referred to site plan benchmark) Additional design / site considerations W/ S 'Y - 1 S' `11ZS tF • VA �U U"l Ulf �Z, at= Sft b Ft Lt-. . Parent material `-off o y Lam. Lo l Flood plain elevation, if applicable {V A ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors ten EIS ®U ®S OU I [IS 0U DS ®U OS ®U OS QU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundaty Roots GPD /ft in, Munseli Qu. Sz. Cont Color Gr. Sz. Sh. Bed rerldl Y` 1 o'q LO 31Z cs Z of - lwv_ 31 L s > > 2 �`s \ bk• w►�y- s �� • s b Ground Ib.32 `l SK231y — SC� ° Lsb l+1`� C�" •Z •� elev. `� -Z it. y 3z. -,S9 `�.S�R31,3 -�•SyIZS /� gel v� wti`Fh - ►.►P -z Depth to limiting factor 32 ► Remarks: Boring # o -$ z_� sVh rn4� E 3 1 1 - ) - - 1 • S1.11Z-31 y se 1 v czb� � �►- C � . z ` - 3 Ground elev. 30 - 7 •S �t�,31 �-, -S - ri�S�43 ON-., vn'F .\,` ' � ' Z on fl 4. Depth to f� al limiting factor v 3 4 ST Remarks: '�'JNJly oFFJ CST Name: — Please Print Phone: Arthur L. We erer 715 - 42 016'5 ress: egerer Soil esting & Design Service - P.O. Box 74 River Falls,WI 22 Signature: Date: CST Number - PROPERTY OWNER SOIL DESCRIPTION REPORT Page Z of PARCELI.D. 0 2,L4- V 4D Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boixciary Roots GPD /ft in. Munseli Qu. Sz. Cont Color Gr. Sz. Sh. Bed ITrench 3 0_9 X0`1 R- 3 t z - %i - \ Z q Sb> Z q - �,o 3 � s1 � `2.`gsbk w►`�►- C C � • 5 .6 Ground P jay - 3 C� `e SbIL Y►1'Fh CI,� • '2. .3 elev. I 31�y1 S`tfZ 3L3 -1 •Sy S1$ s�-� 0 W , Vv►'�1 '- NP - Depth to i limiting factor Remarks: Boring # 13 # # Ground f elev. i ft. Depth to i limiting factor i i Remarks: Boring # [31 # s Ground I elev. # ft. i Depth to limiting factor i Remarks: Boring # i Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) PLOT PLAN Page 3 of SCALE 1 "= iEt►o ? CLCM g�Jo s t+, 31y "tVj 60 lu � r " rl _ �1, , o QN l � � 0 �'11iZ 1�1 Cb1 "7 W WI 3ly PU�PLP� �� e1 q 7 �Q 1jvr U 052 �tsltiR,g `�Yt s 'PS��A -fl _o a SUS'$ ZD @F, 1°�i' ��• 2S � F'�•Ow1 1''tU1/�A � _ _ (] 1 5 ) 495 1400576 CST Signature Date Signed Telephone No. CST # Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page L of 3 Labof and Human Relations , Div 1 of Safety & Buildings in accord with ILHR 83.05, Wi Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not Limited to vertical and horizontal reference point (BM), direction and % of slope, scale or. PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. C)ZL[ -1 U 0 1 0 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION R IEWEDBY DATE ,4 PROPERTY OWNER: _ PROPERTY LOCATION '1 'l'sk& fe6tfT: CQT NW 1/4 V%W w s 33 T Z b ,N.R VI E ( W PROPERTY OWNER'S MAILING ADDRESS LOT # I BLOCK # SUBD. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER [ []VILLAGE MOWN NEAREST ROAD \2tu F(OUt.S W I SgW_t ()IS) L{Z 4610 'P >_ m_t_ \` 0 - m S7 P4 New Construction Use pQ Residential / Number of bedrooms _ [ ] Addtkn to existing building j [ Replacement [ ] Public or commercial describe Code derived daily flow er gpd Recommended design being rate 1 bed, gW - 3 trench, gpdt' Absorption area required 1 S bed, ft 3 - IS trench, ft Maximum design baring rate bed, gpd/ft •6= trench, gpoltt Recommended infiltration surface elevation(s) 14 B • S It (as referred to site plan benchmark) Additional design/ site considerations 4- ICtt • NA 1>J 1 h uM lZ of SAD R L� . Parent material e\ Flood plain elevation, w applicable M A ft S = Suitable for system ccN IE10011AL MOUND IN- GROUND PRESSURE I AT-GRADE SYSTEM IN FILL WOLDING TANK U= Unsuitable for system I ❑S ®U ®S ❑U ❑S ®U ❑S ®U ❑S ®U ❑S WU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Band3y Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trwch 1 ` o - Lb :3 11 cs 4 Iti Z IL 31(, s i e-'s 1�' • s b , Ground 3 it .3Z - I SL123IV - Sc� 1 eSb In` C�" •� •� elev. `R -Z ft. 4 3Z_,S9 S` 1 rZ313 •SyiZSl6 set �� M Depth to limiting factor Remarks: Boring # , M4 E l Z 8 -\ lOy 316 S1) - 2'�s�k y,2 3 ti, -3o � s�- s1Z.,31 - se � .� e.sb� � �F►- cti � . z -3 Ground elev. 3o -So -S Lt 1231 ) 0 vn '�1- ` - Z o fl-S ft Depth to limiting factor 3p4 7 Remarks: CST Name: -- Please Print Phone: Arthur L. We erer 715- 425 -0165 ress: egerer Soil Testing & Design Service --P.O. B ox 74 River Fa11s,WI 54022 Signature: D l ate: CST Number: t�� 7 �,� q $ -2V °t -- -ZS -99 M00576 PROPERTY OWNER SOIL DESCRIPTION REPORT Page Z of .� PARCEL I.D.# O I qD Boring # Horizon Depth Dominant Color Motbes Texture Structure Consistence Bounclary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Z q-�9 . 3l6 -� Sl � Z,� sbL z w�`� �s l �' • s .6 Ground 3 1°► - ZS Lt P-- 3[y — s � � � sbk Mrs e �,�, • 'Z. • 3 elev. l 31.y `i- YR 313 0V,, Y►�'F1- NP I Z Depth to i limiting r fact, � -F-T i Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor I i Remarks: Boring # _ [3 I t Ground elev. ft. Depth to s limiting factor Remarks: Boring # i:131 S f Ground elev. ft. Depth to limiting factor Remarks: M- 8330(R.06/92) PLOT PLAN Page SCALE 1 "= L)p' eL + g.3 •'� �'.i bFZ - 1.1..103.0 I Z cj °l c7aJ �'� 1j'16 !F� 3.1y • a '� -� court e1. a4_S' T �h WN, 3/V b1A. I �0 cn_q " S � T `o I - W tZ L k k I.- If SC( k f ° l $ -2� —Z '� ( 715 495 -0165 M 00576 CST Signature Date Signed Telephone No. CST # t_ 1U/t11i98 THC; 05:21 FAX 713 386 1686 ST CRS CO WNING Uti2 ST CROI COUNTY SEPTIC TANK MAINTENANCE AGUEMiEir1T AND OWNERSHIP CERTIFICATION FO M Owt ,'Buyer ffA M E5 4 I A i r>n L re—f- f=,,1i A ,J Mai', g Address 1'73G C o ,,) n-) L j J-c.A t, Prof ly Address _ / U n (Verification required from Planning Department for new construction) City, ate le l 0 E ,e- Fft t_ ( 5 Parcel Identification Number LEG X. DESCRIPTION Prop :3r Location y,, N �� '/4, See. 3 � , T ; Y' N -R f j � Town of �� 1 A5 AN t ( A et p " y Subc ii;iort Lot # Cert ed Survey Map # . Volume Page # War my Deeds # Volume Page # 4 fie,, tird t Sys X60 6lS' Spec ruse ❑ yes 0 no L,ot lines identifiable SO yes ❑ no SYS' M MAINTENANC improper use and maintenance of your septic system could result in its premature failure to handle wastes, Froper maintenance coosis r:f I)MM ing out the septic tank every three years or sooner, it needed by a licensed pumper_ What you put into the systern cag of t the function of the septic tank as a treatment stn in the e roast oral s � �P stem. Y the property owner agrees to submit to St. Croix Zoning Department a ucrtiftation form, signed by the owner and by a master umber, 'ourno n lumber restricted J Y p plumber or a licensed tun r ven in that ' 1 - l? 1 f x Y g t) the on site wastcwaterdis al system P� Y is in p i?er operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sledge. Uwe, t ;; n eraigtted have read the above requirements and agree to maintain the private sewage disposal system with the standards set for Mersin/, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating 3 -t vour septic system has been maintained must be completed and returned to the St Croix County Zoning Office within 30 days o to, three year expiration date, 1 61 SI N/ JRE OF APPLICANT DATE OM R CERTIFICATION +,wc) certify that all statements on this form are true to the best of my (our) knowledge- I (we) am (are) the oymer(s) of the prc rty desct;led above, by virtue of a warranty deed recorded in Register of Deeds Office. SI NA JRE OF APPLICANT DATE *****N +lay information that is mis represented pray result in the sanitary permit being revoked by the Zoning Dcpartmen'. • "a w"" '" Cnc1 a with this application. a stamped warranty deed from the Register of Deeds office a cony of the certifled survey map if reference is made in the warranty deed Submit to non - enforcing WISCONSIN ADMINISTRATIVE BUILDING State of Wisconsin municipalities for new 1- PERMIT APPLICATION Safety and Buildings Division and 2- family dwellings (Wis. Stats. 101.63 (7) & 101.65 (3))- �,.u�. SEE INSTRUCTIONS ON BACK OF YELLOW COPY. Personal information you provide may be used for secondary purposes. [Privacy Law 15.04(1)(m)] '11f a t '. � M " Last Name First Name Middle Initial 6� C Street Address t City State Zip Code Telephone No. (Include area code) jZ! f.-- R L t 5 �/�._/ .r' j �! > c�L. j� / 3 - �f d C % c� Amok Building Address Subdivision Name Lot # Block # Legal Description Parcel No. �1'J /i {i 3 1/4, Section T ,� �6 N, R 7 E or s _ - i .roy'i� 9 r, 77 t . I 1 Family ❑ Forced Air Furnace ❑ Radiant Baseboard or Panel Heat Pump ❑ 2 Family ❑ Boiler ❑ Central AC ❑ Other: • u ±,, Nat. Gas L.P. Oil Elect. Solid Solar Space Heating ❑ ❑ ❑ ❑ ❑ Water Heating ❑ ❑ ❑ L ❑ ❑ �'+lTTC'I(311"S�PE. FOUNDATION DT Site Constructed 1 Concrete ❑ Masonry ❑ Treated Wood Manufactured ❑ Other (specify): „. 7k ' MATES? BTILT,If=CQ"T' , i.:,. 'R Living area = 0 Square Feet $ / i 5 , 0 I vouch that-all the above information is correct, and understand that the issuance of this permit is for administrative purposes only. I understand that onsite construction inspections will not be performed by the municipality, but that the Uniform Dwelling Code, Chapters'Comm /ILHR 20 -25, still applies to all new 1- and 2- family dwellings and must be complied with. I understand that the issuance of this permit does not relieve me of compliance with other applicable codes and ordinances. 3 12 A licant's Signature Date Signed MUST BE COMPLETED BY THE MUNICIPALITY BEFORE FORWARDING PINK PLY TO THE STATE DIVISION OF SAFETY AND BUILDINGS I q Town ❑ Village ❑ City ❑ County of: I ��NI�ALIT'� C y�a�r # @.s tVa � (-_: ...✓` � g,�1����4, _ � Iy.l � €�yelt[�Jg LQCatlOrk k k � � , SBD -8254 (R.2/98) White - Issuing Jurisdiction Pink - State Within 30 Days Yellow - Applicant I INSTRUCTIONS The owner, builder or agent shall complete and provide all required information on the application form down through the Signature of Applicant block. This data is used for statewide statistical gathering on new one- and two - family dwellings, as well as for local administration. When completed, submit to local municipality having jurisdiction. Plan review or building inspections will not be performed by the municipality. PERMIT REQUESTED: • Fill in building address. • Fill in legal description of lot, subdivision name, lot number and block number. PROJECT DATA: • Fill in all numbered project data blocks (1 -7) with the required information. All data blocks must be filled in, including the following: 1. Type - Check only "1- Family" or "2- Family" if that is what is being built. In other words, do NOT use this form if only a new detached garage is being built, even if it serves a one or two family dwelling. 2. HVAC Equipment - Check only the major source of heat, not any supplemental sources. Mark central air conditioning if present. Only check "Radiant Baseboard or Panel" if there is no central source of heat. 6. Living Area - Include any finished area including finished areas in basements. For two - family dwellings, include total combined areas. 7. Estimated Cost - Include the total cost of construction, but not cost of land or landscaping. SIGNATURE: • Sign and date application form. ------------------------------------------------------------------ ISSUING JURISDICTION - This must be completed by the AUTHORITY HAVING JURISDICTION. Check off MUNICIPALITY STATUS of issuing jurisdiction, such as town, village, city or county. Fill in MUNICIPALITY NUMBER OF DWELLING LOCATION. If issued by a county, indicate the specific municipality number where the dwelling will be built. Fill in name of person issuing permit and date building permit issued. PLEASE RETURN PINK COPY WITHIN 30 DAYS AFTER ISSUANCE TO (You may fold along the dashed lines and insert this form into a window envelope.): Safety & Buildings Division P O Box 2509 Madison, WI 53701 -2509 Mme` STAT fi 1 • 1111 TM PACE Ntitiitt 40 FOR RtCOOKW44 DA TA p EItIT 4 ., L"o CONTRACT N¢iNACDT T1011sw El it. ' S MV IF. CW 944 COf1tl aY and _ • _ `. ri R4 E M k AND K� -- (•vartdor•, MAR v 110 wh~ ones or lt+ora) an d a1 3:30 o 001 ._f•PufChaaar whether one a mesa). cup Vander aNb and ag-see to oonvey to Pwoheser, open the W" W and haul pK- formana of this coalracl by Purchaser, 1M follow" Propaty togelMr with the rents, profits, fiat ; and other appurtenant InWom Mp oNlad go •PfOWtY -- A * County, State of WWWWIn: N of NEIt except E 6 rods of the N 78 rods RETURN TO thereof; also the N except the 1 411y 15 acres in square form; all in Section 33- 28- t EXCEPT the following describe. parcels: 1. A parcel of land located in the NJ of the Tax Parcel No NEJ of Section 33, T28N, R17W, Town of pleasant Valley, St. Croix County. �Jisconsin, d, as f Commencing at the NE corner of said Section 33; thence S891141'30 "W (true bearing) 99.00 feet to the point of beginning; thence S89e41130tw 2071.00 feet along an existing fence line; thence SO 18' 10 1 "ii 1292.81 feet; thence S89 52' 15 "E 898.89 feet along the South line of said NJ of NEi; thence Iv0 11 E 66.00' along the , iesterly right -of -way lire of an existing town road; thence 58952' 15 " 1172.00 feet along t'_.el�ortherl:.• right-of-way line of said torn read; thence N0e18'10 "E 1242.65 feet �2 the Rpoint lown ofin ng. 2 • r, 21 acres of the SE of the 1 1-W of Se•�tion 33 , Pleasant Valley, St. Croix i:ouLty, 'diaaronsin. This S N o r h" (is) o s not) IvNt- s C rA �� 7'r55 p u rchase the Prop er ryt the sum of t3 � K with interest from date at the execution of this Contract; and (b) tht �f _ _per cent per annum hereof on the balance outstanding from tim �1�✓) \/1 until paid in full, w follows: j0 YiEaarts S � day of Provided, however, the entire outstand _ )f EAt E 19 _l the 1 on the entire amount Following any default in payment, In maturity, the entire In default (which shel! include, without _ principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due. To the ex:snt received by Vdo , Vendor agrees to apply payments to thew obligations when due. Such amounts receive.- by the Vendor for pay taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but Shelf not bear interest unless otherwise requited by law. ified and then to pri : !pal. Any Payments shall be applied flat t interest on the unpaid balance at ti a after s pec JAaJ J R R ti l , 19�.�. —.1 ' amount may be prepaid without premium or fee upon princip �1'. sge•aaaa�e - �P� • in the event of any p re pay ment, ment, this contract shall not be treated as In default with respect to payment so long I as the unpaid balance o/ principal, and interest (and In such case accruing Interest from month to month shall a treat as unpaid principal) is less than the amount that said Indebtedness would hew been had the mon °.hly payments been of�nsuranosorscondferttnatlonethe condemned premises being hereafter ex Iuded romthe event of credit of a:ly proceeds � Purchaser state' that Purchaser is satisfied with 'to title w shown by the title evidence submitted to Purchaser for examination except- N C N C Purchaser agrees io 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. p q Purchaser shall be a ^t "'ad to take possession of the Property on Cross Out One -- - - -- - -- -- - - - - - -- __ =_' Sel NTr 7 79: !I I( LANG CON TR ACT — IndivWcal and STAT M M OF W1tiCO` 3iN Nano Forms PO Box +0208. Green Bay. W 54307 0208 I� �1 c.rO.rate �jtM ft anC � 1vMr 4 en s ' ,. V Mme ``� �. x. y� � � =•' �� $� V Ift hale 01111111 of Vim` TAW � e0gerglrMtl��a0n1M11t is . �� free Mel* fMe �►+ vet0it i r 1M Purdue** 1 1► W4 Ogler 4" . ehaR a thel ken and In 0 efleefHad. MN llur0lgMr, le . In lee eblt�W � Itao aw any Rene or en umbranas created bI, the ad w 111110111011 Of , and a - I Puri tees r sprees that time is of the aeesnos arty is) in Ma event of a ttp(&ul I MN ;1» of any I hildset or h+terest wnid continues for a psrm r of _ Aip i oRgwkV a* specified due dab or it) In No event of a d0suft M ppee�r}}��rmane of 004r obligation of Purchaser which continues for a iod of toNowllgqpp WillAttefl novae tflenof by Vendor (delivered personally or mailed by 09fNfli d mall), then the, 4dallee 4naar V" WWI beeorne Immediately due and payable In 1140, at Vendor a ion and w~ 1MIhImI Plrrdwer 0 f watws), and Vendor s fol teel Of" hew the r and rerned6~ ise � b OW 0rtlwlded by Lt> addition to those provided by I&.-• or In pu may. M his option, Yet am! t akrw and P1MM IN rights, We and Interest in the Property and reeever t-0ta ►ropeRy beds 11tkf Woo ally rt Ion 'to be conditioned upon Purcfleser's %* of the * W004 Ia-0ereet the date of doWN at the rate In *tied on such dYa e>rbI rriount due Neraenitler rA1kh e111�faR alt atNOwlI IMAAW paid by Purchaser WWI be forfeited as for falhrre to %ft lea Property lt Purchaser falls to redeem): er pl M sue for epoeOM Nit 10 Immediate and full payment of the entire baiarloe, with In tM/aea �If ttla tbtlt to of an p M of doWlc an m d other amounts due hereunder, M Wh10A -0110 Property " tm awgm"d d aM /�IRfteeor strait be liable for any deficiency: or pu ) V*Ww so at kW far e � M so �Ir S W thereof• or pv) Vender may declare this Cawaet t and and remove thes actler rf the equitable interest of Purchaser In and h ) Veoww lstay butts �tMettbser ell tifaal of the Property and have a reaiwr app to 11044 My twits, Mom or *aft MMi fit 04 E under (1). (t) at Ov) above Not�i tier of the foregoing rein stall only be bindM;; tuW Viond med er If and when punk" r� MNS ext ` ent not prohibit by � sanfd� of ppenses of .vie tee: f i : l be added to prrld�.f itir�l.: r In- cursed, and shelf be Included In an ; udgrnent. Upon the commencement or during the pwWarmy of any salon at foreclosure d this CttnWW Poircheeer etlaNnts to the appointment of a receiver of the hoesteed Into a. b copeat the refNb ijleues. lend proNb of the Property during the .cy of such action, � r rents, Issues, and profit slflan M o011 -111 ed eheN be 11Nd and applied as the court shell direct. Purchaser shall not transfer, sell or convey shy hog or equittable Interest In So Pfoperty eeetgfNrlertR of espy of Pu'clteser's rights under this Contract or s0�. tyll0 -harm Ne`i or In My ~ &*) 1M pr1 under this CoMrad ti itat ptilld bt M or th 0r mmt1M consent of Vendor unless either the outstandh* balMte , p - able e MtereM catad is a pledge or as tgnment of Purehaeer'a b under this Contract SOWN s ssetarillf far M Y1de01tdsees lei: Purcha In the event of any such transfer, aisle or without Vendor'* w�r1 o0nesrlt�, the 0 the olMior1dM10 balance payable under this Contract shall Montle bnaledirllNy due and payable In fuse, at Vender's Option without aatka Vendor shall make all payments when dus 1M1der any mortgage outelandinp a0iirts1 the Property on this da" at this Contract (*zospt for any mortgage granted by Purcheeer) or under any rate srmred provided PWO*A ar l makes timely payment of the amounts then due midi*- tW 0on tract. Purchaw may t1Wtle any etta(t� pan," directly to f the Mortg If Vendor falls to do so and 20 poymertt0 so made by Purchaser ble eonMdtred payM ante mob at this Contract. f Vendor may waive an default without waiving any other subWuent or prior default of 11RChaeor. All terms of this Contract shall be bindling upon ltd Inure 110 the benefits Of the I1ehs, Ngsd repreeentstives. successors and assigns of Vendor and Purchaser. pt not sn owner of the Property the spouse of Vendor for a valuable consideration joins heroin to release homestead rights M the subject Property agrees to jWn In the execution Of the deed to be mad in fulfillment hereof.) f Dated this Y l day of I - 62M.0- -ack- -(SEAL) i pEAL) F- LF- rJ E NAM L_ F�eEE�rIj EN IC ACKMOY4' BARBARA A FERROZZO :ipnaturel STATE OFVSR��T rwrwttrvuataataerstrrw e r.AUasglr oourrry N h _ f►�► sE ,,, Q.tee. �. te.a thenC eCthfa 1 1 %ay of t 1g Person fly came me M 7 day of �• 1 ' '�•' ..:: • �fc.rcmrt» Exp ice;s _an. Z x;� _. tq,E2,tfla above llsrrled TITLE: MEMBER STATE BAR OF WISCONSIN r (If not, to me known to be the parwr),40--wM executed the authorized by § 706.06, Wis. Slats.) foregoing instrument andaekrwwledge the same. THIS INSTRUMENT WAS DRAFTED BY Notary Public linty, Was. My Comma Sion is perrsiisnent not, state expiration (Signatures may be authenticated or acknowledged. Both date__ are not necessary ) 'Names or persons vgmnq in any capac,ry shoud ne typed or printed below their signatures SBIJ NTF TM state ear of Wlsoanpn LAND CONTRACT — Individual and Corporate farm No. 11 —Item Nelco Forms. P.O Box 10208. Green Bay, WI 54307 - 0206 1. eY y - DOCUMENT NO, STATE BFAS OF WISCONSIN "Am i --- *«n e►ACC ftse"M no aeeawM"o e•Ta GMS VOL �� 41'8 t�,ASae oi� _ — — — n V i »IG�AC�t..t._,tsM�It10,.. .......... .... ........... fb� - s,[krta.: car,. its.c�!!IAA�t._.4/14C4.X..�..:. RUGO5 i= Ala ,• ft ....- J,1h�.I�AAr .• ..... «..... ......... « «.....- ._.. «.« w � Id 12:50 R. M .. -. .. . ...... .,. ».... . .. .... ...... .....��.. ...... ...... _ «..._ _ .» .... -... ..... . .................... ° «..- ..... « _...._.. ............. _ �� *0 0640wias 4"Wood real ertsta is ..dt�..C�O�lI ..... ......... . ....... ... apbr. sea" of Wkwoo I INMA + TO 1T34 County Rd.. hi itiver Falls. MI E4M TM P+aeeat IN:... !' M i 0f NE # axOxpt E d.rods of tM N I$ reds thericf; also the W {except the any 16 acres In swa form; all in Section W26 EXCEPT the foll0riing dworibsO p prIn: 1. A parcel Of turd located is the N * of the NE * Of Section $3, Td4h" 117W, Tom of pleissnt Val St. Croix County, MiscoesiN described as fOl owe: wing at the WE owner Of said section 29; thane 4g *411 a0"M (true bAa ring) 14.00 fiat to the point of beginning Ehlanci 804 2011.00 fist along an existing fencx* Dine; thence MO 16 im.8i test. thmm 14#'42'16" 144.44 feat along the South lino of said N } of WE *i thw4& NO 18'0 44.00' slang the Westerly rightt-of -wey line of an existing tvm road; thence g44'6246 1172.00 feet Along the Northerly right- ef-nay line of said too road; thence N0'14'10 1142.03 feet to the paint of beginning. 2. E III aerie of the SE of the Nth a= Section $3, T20, R17W, TOM Of Plan, -A"t V alley, 4t. Croix County, Wisconsin. Thin deed is given pursuant to a marital settlement agreamu►t signed 00 Jiars 1, 1442, and filed in the circuit Cou for Pierce County, Wisconsin, iA Case No. 41FA90, In IM the Narriage of Nancy LindeeLb Frommen and James S. Freeman. By said marital settlement weement and this deed, Nancy A. Li.dseth relim.ishas all right, title and interest in the above described praperty, VW twu ♦ .....j ............... ,......... ..__ ...... __••- « -------------------- _. ............. i - ... (DIAL) A. Lindeeth ........• ... ............................... ........ . ............... (SRAL) ..................... « ............................................. IBTi�tL) • ................................... ............................ ... • .................. _ ................................ .............. AUT]KNUTICATION ACKWOWLEDt MUNT Si nat—(s) oL..K&hc'V_ -A -... Jnfteth..- «....... STAT= O! CO WISNSIN .....-..«.......... . ...................._. ............. «......_...._. «._. -. «- -•- ------_---�,,. I a� aatbeatkated *U .r ..I QQ T* o [ . « - , • - - . I s . 42 parsonagy come bet we are ibis .- . « M « _ . «... «..day � .... « «Atla.._� 7.i�f._. �l!Jr.• «-- . t �«._«_«. ___.__._ «y ...... he above vaned •_ ------- ` -------- -_"_- ---------------------------- ----•- ------ •- -------- • _ ... 'll.w.. ..... - --------------------- - ---- » --- ««-------------- TITLE: BilB STA S ISCONSIN .._ «.. - - - -------------------------- ( .........._ ................ --.._---- - -• - -- iT; 7Yi.OQ, Was. a#sta.) _... ._._.._««._ -___ .- _----- ._ ----- .... ...... .. ... U eta ksawn to be dw paw ........... wbo aseoted the taraeoIRC btdrRIraat and ukWW648 *0 now TMta INSTRUMENT WAS DRAFTED BY ------------------ AttQrnayt.ftilltp- J.sMCXl4...... ........ .----------- "-" .... .................... ............................... -- • - -• - -- ! . -- ------------- Hudson.- Va -- 54010. _ t� (RiSaato M, - is t (If pet, at&% separation rea may be antheetic,ated or aeknowted;ad. BotA P are not neeeasary.) date- ----------------- ------- . .............................9 1Y ......... ) 41M CLAIM DaaD STATZ "a or WOWNSIM wUYea. L.pl aL.t Ow Im a O � � r � �jj o ° T �Y N o � p � r _ LP Ls rl I {!, J• 0 1 3o v . �N N'A i M Iv 1 1 • I, �i. � ra j H U rcl 4J WUl > p O p O A ro E I� I n N aa) I rq Q) p tT U ro M M m 44 O 0 P a �J a O 0 m rl ri - U rd •J a) N U 04 04 rd u :3 O U � E3 2 HR7� 9 v $ -7' r , q fd b 4J P4 rn W •rq O o v�o� �s ro - H o �' �4 rg 4 n J 0 rd +� 3 9 4IQ � 3 .� Mg A a ' U N O x 44 3 ° r-{ r-+ 4-) U) ro i o H A ,� p rA W H H U) pQ Q N M 4 U1 Lp it O O � r