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HomeMy WebLinkAbout042-1018-70-000 (2)STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS �p lo ae; +1,%- 14 K SUBDIVISIOi1 CSMV LOT 4�2 - Z,- g� �2- Z SECTION 7 T N-R ZY - 1q, Town of .'j. IA., 14t - I l 0 A- ST . CROIX COUNTY, WISCONS IN PLAN VIEW SHOW EVERY` II WITHIN 1-00 FEET OF SYSTEM .14 Ilk TNDTCATE NORTH ARROW I Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank mall1jole coven. 1- — 7 C HMAR K : r �� a; 0 BEN Ld ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING ..TANK INFOR14iATION Manufacturer : Liquid Capacity:- /spa 3' Setback from: Well e House .fie_ r other lea '7 Pump: Manufacturer ,� ,e� Model #- — Size Float seperation --- Gallons/cycle : .A�e) Alarm Location /0_,v,0Wt00 _ SOIL ABSORPTION SYSTEM Width: _ ZZ Length 7 z Number o f trenches Distance & Direction to nearest prop. line: � pooi . /_ Setback from: well: arc House? 4�0� other ELEVATIONS BuildingSewer ST Inlet. - �'�,��_ ST outlet P.I. PC inlet ff ,,;L_ Y PC bottom l'�3G ' Pump Of f J;� f Header/Manifold PZ1. Pd Bottom of system Existing Grade leato Final grade_'�� DATE OF INSTALLATION: PLUMBER ON JOB LICENSE NUMBER: INSPECTOR:IV 3/9 3 : j t �,ar18.1. SEY DR .29 . **VXfESAVW9E�,AIW� r'� umaV"US097 Safety and Buildings Division INSPECTION REPORT (ATTACH TO PERMIT) INFORMATION Permit Holder's Name:] City ❑ Village Town of: FBI ENrM4. BM Elev.-. '�, - BM Descriptio' .� .. t TANI[ INFnRM�rTInN FLFVATIO DA1 TYPE MANUFACTURER CAPACITY Septic S Dosing -coote, Ova 52 Aeration Holding TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. Ventto Air Intake ROAD Septic !`A r NA . D os i n g � it � -�- Q' NA Aeration NA Holding PUMP / Sgqt= INFORMATION Manufacturer ,,�r-�' Demand Model Number S' 7 GPM TDH Lift Friction System TDH Ft Loss Head AA I Forcemain Dia. Length Dist. To well g � v"� ii ounty: Sanitary Permit No-: .1-93524 State Plan ID No.: Parcel Tax No-: --1018-70-000 A A9300178 �p/; Fj STATION BS HI FS ELEV_ Benchmark Bldg. Sewer St 1,11111116 Inlet .33 7 -�in. 6.7 St /,#ft Outlet 1!576 Dt Inlet 7.70 97. Dt Bottom jf • ., H ead eF4 Marc~ Dist_ Pipe �d. 16;2. a/ • Bot. System Final Grade M S Ao AV W_ 5,16400 V a cy , T / SOIL ABSORPTION SYSTEM `'r1h4''_/,aMI �,. a ` 9X_ 35— f BED/TRENCH width ♦ Length No. Of Trenches PIT loOf Pits Inside Dia. Liquid Depth DIMEN I N5;� r DI N I N SYSTEM TO 1 P / L BLDG WELL LAKE / STREAM LEACHING anufacturer: SETBACK INFORMATION [L— DISTRIBUTION SYSTEM Header /44aw4e�d , Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length �v _ Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over ,� �' Depth Over ,� �� xx Depth Of xx Seeded / Sodded xx M Iched Bed / Trench Center 76Bed / Trench dges Topsoil Yes ❑ No ❑Yes [] No COMMENTS: (Include code discrepancies, pe sons resent etc y�� ''�• • U7. .i81AE,LaT,N �J LO IC�. , o r a j u)/j6 T V V t � �� �� ��.JLr �" • • 1 l' Plan revisi req d? - O Use other side for additi nal 'nformation.ic - III -- - - --I%b.- 0 " a i or SBD-6710 (R 05/91) D to Inspector's Signature Cert No "' ..r • ' a _ 46 - r i` w t F . . �Iz! mocarman I � = M SANITARY PERMIT APPLICATInN 1M _ In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE Sj"ITARY PERMIT # —Attach corTiplete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. 1�3.. Check if revision to previous application —See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION — PLEASE PRINT ALL INFORMATION. PROPERTY OWNE PROPERTY LOCATION AeZ Vioa %4 , 5 z,— % o S 7 T,, I Nw R I o"P E (ork!r PROPERTY OWNER'S WAIONG ADDRESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER MIX-" 8! iBE`1.1.f0N NA OR CSM NUMBER Jrf_ ell Z&*I 11. TYPE OF BUILDING: (Check one) CITY NEAREST"ROAD El State Owned D VILLAGE : % N OF: -e ❑ Public U 1 or 2 Fam. Dwelling—# of bedrooms PARCEL TAX NUMBER(S) 111111. BUILDING USE: (If building type is public, check all that apply) 1 El Apt/Condo 2 El Assembly Hall 6 El Medical Facility/Nursing Home 10 El Outdoor Recreational Facility 3 11 Campground 70 Merchandise: Sales/Repairs 11 El Restaurant/Bar/Dining 4 1:1 Church/School 8 0 Mobile Home Park 12 F-1 Service Station/Car Wash 5 El Hotel/Motel 9 1:1 Office/Factory 13 El Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. 71 New 2. F1 Replacement 3. El Replacement of 4. El Reconnection of 5. El Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # Date Issued V. TYPE OF SYSTEM: (Check only one) Non -Pressurized Distribution Pressurized Distribution Experimental Other 11 Z Seepage Bed 21 El Mound 30 El Specify Type 41 © Holding Tank 12 F] Seepage Trench 22 1:1 in -Ground 42 El Pit Privy 13 Seepage Pit ssure 43 El Vault Privy 14 ❑ System -In -Fill A ZO—A 74 .7 & NNNN -1-el4l V'6 ABSORPTION V1. ABSORPTION SYSTEM INFORMATION: V A 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE r1G REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 9,3,/ Feet Feet V Vil T� II. TANK INFORMATION CAPACITY ingalIons Total Gallons # of Tanks Manufacturer's Name Prefab. Concrete Site Con- Steel Fiber- glass Plastic Exper. App. New xisting Tanks Tanks structed Septic Tank or Holding Tank 4-_• Lift Pum2 Tank/Siphon Chamber 1 I 1740 Vill. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stam s) tdP/MPRSW No.: Business Phone Number: 7/1-7 3, -2— Plumber's Address (Stree rTity, State, Zip Code): 17' NOW! IX. COUNTY/DFPARTMENT USE ONLY —7 (Approved F-1 Disapproved F -1 Owner Given initial Sanitary Permit Fee (includes Grouridwater e Surcharge Fee) ate Issued Issuing Ag t Sign 0 S mps) , De Q T(; e NIP— Adverse Determination. X. CONDITIONS Of APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 1, 1/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS T 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the tinOe oft renewal any new criteria in the Wisconsin Administrative Code will be applicab►e. 3. All revisions to this permit must be approved by the perry il. i--sui-g a:.Jt�;cri.ty 4. Changes in ownership or plumber requires a Perrnii, T, ��r�s�, rci-in submitted to the county prior to installation. 5. Orisite sewage. sy:�ter E s p r " '-h+: , pumper whenever necessary, usually every 2 to 3 yews. ` 6. If you have questions concerning your onsite sewage sysLe,, cc�;,t � y'-.irar�H•r;str#Jr-rr ter` State of isco.nsin, Safety & Buiidings "biiiision, 608-2'66-3815. 1 To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and Marcel tax nurnher(s) of where the system is to be installed. Il. Type of building -being-served. Check only one and comp ete # of bednJorns f F ca- 2 l~=amily Bti U:kncu. Ill. Building use. If building type is Public, check all appropriate boxes tear apple. IV. Type of permit. Check only one in line A. Complete line B if permit is or tank replacement, ; ec% )r)e t)n, or repair, V. Type of system. Check appropriate box depending on system type. V1. Absorption system informiat on. Provide al! informa.tron rcgi c ,} �' °►� ; , Vll. Tank information. Fill in the (apa.- ty of ever",4ind.'.), E,:. t _ tanks and rnlanrlfa?cturler's nary e.. ;1-idic,atLe pr�[`efa.L --)r sits�fr s�.r ptIC, Pu r1^IU l1 1 �" yn Lind h<,I �i, .} ig G�ii �k� i�% r ` �'•- .Jib` tFs l fy ��� (. c- k G1 r � .,....1 _! � ' - f ; f e , -�, i �.�i �P! •_ f f experin-len4:-i; product approval from DILHR. V111, Responsibility staterrment 1►•sxa'6 ,?I'•�r'::A,er .�, � ,� ;i14 �r� 1`JIYi1 �f .: ,,,-t.,�.k }:� � r:sr, :. „ ;,r4.: �. r IMP, etc.), address and phone nurK ber. Piuri _ e,I I;; ..!rt ��, �ap� �.` !�,_ � , , ; ,7, : IX. County/Department Use Only. X. County/Department .Use On ly. ' } ! r �`► ifr-..,E �.., ¢ r. Y�" i �~ RFi 1 •1i r - ��.- - Fz� ��: i� -� a }��_-. Complete plans and, _pec . =or tro,. s, -,alle h:ir; ,- pians n u.-s' EE.�ciudQe the fc:�.11owu,g. �jp h..lding tanks' s-ept�,_ tart.���` `..1r oIt ea `. It eae � t`J 1! Y sirearnc and iak.es; L-fph. ::ank, '- ..+1: ..• lJy1,f i,• . { rer1:s C�t'1 C: the l cat'r r _a C) complete spec foi pur -s i:A 3rid �:o6' `J�:� 0G r, J;i performance curve; pump model and pump t;ianufacturer- B) set_.' on of the soill absor ot1.4:f, i systc: 1`1 ?f required by the county; B) soil test data on a 115 form; and F) all sizing }nforMation. GROUNDWATER SURCHARGE: 1983 Wisconsin Act 410 included the creation of SUrch.arges (fees) for a nu;r,: regulated practices which can effect groundwater. The monies collected through the�;e surcharges ; > ;;�, ,� f:_�r }t:.«.? ��- '._ for!=_ t t- . • - water contamination irive, stigatton.s and esfah.lishr�•F=r 4 r L S B D-6398 (R. 11/88) nays .et r UCerlMd pWk Testgr & ftmber 03233 F 14*luvw R IVASMood ...VMN 5Q23 ROK 9 WlS %ccr. phone 749-3655 A -If _7 x A < Al 5.7. r z /e 70 we DRYE FOGERn PLt�BING Licensed Perk Tester b Plumber 03233 *3289 iogerty Heights Road _ ROSER'TS. WISCONSIN 54023 Phone 749-3656 - �.-���� !y. i j • ��: �-.- _..�►�y-�� ter. �-1_rr i { k N 3� . Y r JFVY 3 6 3 f H ` PAG E OF PUMP CHAMBER CROSS SECTIOM AAJD SPECIFICATIOUS ' VE IUT CAP l"C.I. VENT PIPE fr WEATHER PROOF APPROVED LOCKING UUUCTIOLI BOX MAWHOLE COVER _. Z5' FRCM 0001t, WINCOW OR FRESH IZMMIL�• AIR INTAKE � GRADE y" MIA. =WON t lwAIM. COUDUIT _ _ _.� ___—._". 1 �T PROVI DIE I AIRTIGHT SEAL I APPRD SEC JQINT A I � APPROVED JOINTS %C.I. PIPE � yr [,_, PIPE EXTEIVDIkIC* 3' .• ALARM ExTEI�flING 3' ..)QTO SO:.ID 5C; :. ONTO SOLID SOIL I l ow PUMPOFF D COS3CKETE BLOCK RISEK EXIT PER'MIITED OWLy IF TAWK MANUFACTURER HAS SUCH APPROVAL SPEC FICATIOKI rIC AND TAWKS MANUFACTURER: - - eoe- �' - NUMBER OF DOSES: :z_` PER DA.4 TANK SIZE : L49iQ DOSE VOLLIME ALARM MANUFACTURER. . L INCLUDING ISACKFLOW:GALLONS tA0DEL LIUMbER: -~ CAPACITIES: 11- 4 IIJCHES OR T GALLOMS SWITCH T3FE: B = z INCHES OR CALLOUS PUMP MANUFACTURER: .-vw C =.�.1._. INCHES OR CsALL0WS MODEL I` WASER: . f.6zz D INCHES OR � GALLONS 5WITC, H TRIPE: MOTE: PUMP AMD ALARM ARE TO BE If PUMP DISCHAR(wE RATE --gam' ---- GPM INSTALLED O J SEPARATE CIRCUITS VEKTICAL DIFFEREINCt Bi9mWEE&A PUMP OFF AUD D15TRIbUTJOM PIPE.. Z FEET + MIuIMUM NETWORK SUPPLS PRESSURE . , , , . . . , , , , FEET + " FEET OF FORCE MAIN X 4aze 2XjoortFltlCTI01J FACTOR.. FEET TOTAL OtIMAMIL HEAD = FEET MTERNAL DIMEWSI01► S OF TAUK: LEIlGTH - ;WIDTH J'!' -;LIQUID DEPTH y� gIGNE D: LICE ESE UUMBER:Za�9 DATE: -117- 0 T D H uj UJ 3 G 28 26 24- 22--- 20-1 18 -L 16 - 14- 12- 10- 8 6 4 2 pw"pLl L I LITERS ''OU04d 'C% I U3808 pool$ T4 !9H AP930A 69ZEO CEZE# JOqwnid It A001 VQd POS"311 uNismn1d AiV390J 3AVG 80 160 240 320 400 480 560 640 650 FLOW PER MINUTE 3280 Old Millors Lane Manufacturers ©/ ... PO. Box 16347 Louisvilio. Kentucky 40216 ZAOTZZ 29.0 (502) 778-2731 j�U,,11'rp' Al"PS A371*11 19179 a MAY 2 g 1993 Do - Ay 2 3-1930P JAMES O-CONNELL Register Deeds 41 ! egister 01 S st Croix c '0' 'Wj cro '0" wl L Croix C tS CDc5 CERTIFIED SURVEY MAP PART OF THE NW 1 /4 SE 1 /4 SECT I ON 7 T29N R 18W WARREN TOWNSHIP ST.CRO I X COUNTY WISCONSIN OWNER: JOHN BOUGHTON ROBERTS, WISCONSIN I E1/4 CORNER SECTION 7 (EX COUNTY MONUMENT) SCALE: 1 200' 20C 100 0 200 400 MAY 2 t - %!. ST. CRW COW"' OMPFebAnsive femwiv zonims"d parks corm"Ilow F I if not recorded T BEARINGS ARE REFERENCED SECT I ON 7 TO THE E—W 1 /4 L I NE AS ASSUMED N89049'13"W vs i*4n �* d"M of CQ apfwwat deft LEGEND: approval sM4Zvib* 6 6' & Void Lo • --EXISTING I" IRON PIPE co IL J, w 3/4 IRON BAR o N z:0) 1 O00CSM VOL. 7 P. 2090 N01*17'46"E 706.791 6 co CD 7 607.78' 33 coILI LOT 2 n L�j ro CN Ln J 0 AREA 261,819 s.f225,076 s.f.15.17 oc. (Net)l6.01 cc. (Total) co 00 V) 0 I a) 00 jC 604,15'33 SO 1 0 1 9'55"W 703.16' (S00037100"W Rec.) IV—S 114 LINE N I CSM VOL'i P.890 IIIN OTES, —aSTATE I•EACH PARCEL SHOWN ON THIS MAP IS SUBJECT TO AND COUNTY LAWS, RULES AND REGULATIONS (I.E. WETLANDS, MINIMUM LOT SIZE, ACCESS TO C-) PARCEL, ETC.) BEFORE PURCHASING OR DEVELOPING ANY PARCEL CONTACT THE ST. CROIX COUNTY ZONING OFFICE FOR ADVICE, LL' 66 4j I 2 A PRIVATE ROAD MAY CREATE A PURCHASER RESPONSIBILITY FOR MAINTENANCE AND SNOW REMOVAL. I IF REAL PROPERTY TAXES ARE NOT PAID BY THE , I OWNER OF THE PRIVATE ROAD THEY MAY BE ASSESSED \ 1 AGAINST THE LOTS SERVED BY THE PRIVATE ROAD, '\ LIJ PURSUANT TO ST. CRO I X COUNTY SUBDIVISION REGULATIONS. '"'1111��� � I 66' DRAWN BY: FREDRICK W, NANNENGA W 1 /4 CORNER SECT I ON 7 (EX. COUNTY WONUMENT) DATE: 5/25/93 F I LENAME: CSM I.DWG Volume 9 Page 2622 DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION PERCOLATION TESTS (115) MADISONP.O. BOX 79069 (H63.0911) &Chapter 145.0451 _OCATIION: ff/&. '/ -5 4 SECTION: /r / (Oro OWNSHIPJMUNICIPALITY: UJ4, jI LOT NO.: Z BILK. NO.: ^� SUBDIVISION NAME: -OUNTY: OWNER' SJ MAILING ADDRESS: • oil 3 ISE DATES OBSERVATIONS MADE NO. BEDRMS. COMMERCIAL DESCRIPTION: PROFILE DES RIPTIONS: PERCOLATION TESTS: IL141foeosidence 5New ❑ Replace ,rl RATING: S= Site Elusuitable for systemLIU U= Site unsuitable Elufor system CONVENTIONAL: MOUND: IN -GROUND -PRESSURE: SYSTEM -IN -FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) LE-L-IJA [qs E3EIS EIU If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: ww� Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS n rr sk . _ BORING NUMBER TOTAL DEPTH IN, ELEVATION DEPTH TO GROUNDWATER OBSERVED -INCHES EST. HIGHEST CHARACTER OF SOI WITH THICKNESS, COLOR, TEXTURE, AND DEPTH TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- / /; f �' ) �f7/C i / , r 9' zF �r �,� , rs � r . r i % c� S / . / f , B- > a ,. 1 _ -7 , , „y „ 11A, y _ _ PERCOLATION TESTS TEST NUMBER DEPTH INCHES WATER IN HOLE AFTER SWELLING TEST TIME INTERVAL -MIN. DROP IN WATER LEVEL -INCHES RATE INUTES PER INCH PERIOD 1 PERIOD 2 PERIOD P- t 1 P- z P- P t/c 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. SYSTEM ELEVATION j ; y,: l i 11 i I {� # i 7 / ' _ j SGr�✓f_�r���LS s T�it',�'S �; T r,^z.�✓--(,r_�_ ; ��r`�rj 3oj.e::�,�T��v j X _7l" l.�<+r%rT `��L� jjG / +�l/I �I / T !�/�/e 1,rr.97.r-gP Vj;, i 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. IVAMt iprintl: RAVE FCaGERiY PLUMBING TESTS WERE COMPLETED ON: Perk Tester $►_ Plumber urens#3233 #3289 CERTIFICA I N NU BER: PHONE NUMBER (optional): Fo er#y Heights Road Phone 749-3656 _ DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) — OVER — - ' � � 'r � I r f••r i 7 i � • e s LOA N. f 30 • r do i 3 i # , j P%F"TY FVlwpM*%. ( , _ •-ter.. r L d fttt Tester & ' ' .uejt `- • _ IIMw � S4Q23 • # Flux ' 749-3M i7� r �404 el 4PI1 A�roo AVI"lleep, 1p ore OP � or ofr7#c t.A� s&r VLC)() coo f f S T C - 100 This application form is to be completed in full and signed b ithe owner(s)of the property Y property being developed. Any inadequacies will only result in delays of the permit issuance. ,Should this development be intended for resale by owner/contractor s ec House), thenla second form should be retained an �- ..d comple wed d whh en the property` is sold and submitted to this office with the appropriate deed recording. --..----------www----------..-r--w-------rr--w-rr rr-----w--w---i.rr- - ---------- Owner of propertyL I� . �' ,� Location of -property 1/4 f 1/4, Section T t` N-R Township Mailing addresscel-) ij,,v��- _S .LA Address of site Subdivision name : C_ M t-4 9 Lot no, �- Other homes on property? yes AOO"'y No Previous owner of property i ,v � . Total size of parcel -� ,�► Date parcel was created Are all corners and lot lines identifiable? &----' Yes No Is this property being developed for ( spec house) ?...Yes t--No Volume �and. Page Number g as recorded with the Register of Deeds. INCLUDE WITS{ THIS APPLICATION THE FOLLOWING: A 14ARRA.NTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & THE SEAL OF THE REGISTER OF DEEDS. ,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 Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all staterients on this forr,; arc true to i�z best of my (our) knowledge that Z (we) am (are) the owners) of the property described in this, information form, by virtue of a warranty deed recorded in h o ' e o f the County Register of Deeds as Document No. va<f<%� and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction ,of said system, and the same has been duly recorded in the office of Co ty f f ist, r deeds as Document No ' Signature of applica t Co -applicant 1 r Date 6'f Signature Date of Signature ()r-i 1N1ENT NO. ONSIN FORA) 11 - IN t STATE BAR OF �VISC LAND CONTRACT Individual and Corporate cro BE USED FOR AL.I. TRANSACTIONS WHERE Ov1 f2r,,000 IS FINANCED ANT) IN OTHER NON CONSUMI ACT TRANSACTIONS) -_Conti'ac b and between J01N H. b GHTONd'-RUTIT--E:'--$OU'GHT01'T------------------ .---_-.... .. - ANC- whether one or more and -__DEAL R . WEINGARTEN I ._._.A..__WEINGARTEN,_-husband_--and-.wi 'e ____ _ _____________________ ..------------.......------•----------------------------- ("Purchaser", whether one or more ) Vendor sells and agrees to convey to Purchaser, upon the prompt and full per, formnnee of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant interests (all called the "Property") in -..... at.,.Q X.QJ.K ............................... County, State of Wisconsin Tax Parcel No. Part of the NW1/4 of SE1/4 of Section 7-29-18 described as follows: Lot 2 of Certified Survey Map filed May 28, 1993 in Vol. 11911 , Page 2622. TOGETHER WITH a 66 foot easement as shown on said Certified Survey Map. t Subject to the terms and conditions of the Roadway Maintenance Agreement recorded in Vol, 11984,11 Page 361, Doc. No. 492505. This .. S not - .. - - - .. homestead property. (is) (is not) Purchaser yreeb�.�x chase the Property and to pay to Vendor at ...P1aCe Vendor directs __.____� the sum of ..._.3�O�.... .. ....... in the fo I wimann r: (a) $._....'�.......----------.----------.-- --------------------- -- --- at the execution of this Contract; and (b) the balance of $ -.... .� ���.`... ...--..----, together with interest from date hereof on the balance outstanding from time to time at the rate of.......................................... per cent per annum until paid in full, as follows Commencing July 1, 1993 and on the first day of each and every month thereafter, equal monthly installments of principal and interest in the amount of $296.o8. irst Provided, however, the entire outstanding balance shall be paid in full on or before the.......f................... day of ----------- June--_------------.--_-, n03-- ( the maturity date).Following any defatllt in payment, interest shall accrue at the rate of ........... % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance) . r-o w,h ePrr ven lerr-a:n"U'rts gu -per mm-m ilry -amIt t p r4 ;�mrn�t-t-rx .""rrrix) -Mq"me'rRx; fire-�mt ][egcrfre�t �trtaratn� �rrrmitrms when-dme`TcT'tf��'extt�l'1t't�+t'�►tv�fi'bt•''ti"��daf Vett�}rrragrtes-tv�Ippky-paymeats--to-titeser'vbtig�tivtts trerrt3t 'Stsc�t�- ttomttrnrvrmfitly't'h '' aY'f'8!rp•firn"t of tax Ps,-mr essmentY-STfd-iM.0 MnCE-Wt&i3e- dnUtdted-tl to-Un-+185tol timd'�1rtrYi3t SZ�UtiL—b1lL"'�fi i-YTbt��AF rtsr RITit�g3-t3ThEt'vv!'Se"Z'IEt�t11T� C�i"A1A. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time ttfe�Tf'� tn�c- be' T[er pre�m+�t1t -af ��in�tp'�i'�1't'tsat�'�rtfi�t'b�'vgd3a'r':� 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 day f closing - 19 •Cron. Out One. LAND CONTRACT --Individual and STATE. AAR OF WISCONSIN wi.consin Legal Blank Co. Inc. Corporate FORM Nn. 11 - 1992 Milwaukee. Wis. 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, ex- tended coverage perils and such oth9r hazards as Vendor muy require, without co-insurance, through insurers approved by Vendor; in the sum of n/a k --- &� ................. * .......... , but Vendor shall not require coverage in an amount more than the balance owed undera tract. Purchaser shall pay the insurance preniiums 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 frurn 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 ishall 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 oreqcumbrances,cre ted C aull ff Pu rJ, !aq _U It NIS ag�ff 1�� _ Ayan8 �axqp t easements, restr 9TI S-ur f— 660rd ..... IT --a-nY-9- .................. .. ................................ .............................................. ­­ ------------------------- ......................................................... .1 ............................................................................................................................. I ........................................... ............................................................................................................... --------------------------------------------------------- ............................................................................................................................. ­ ...................... ............... ­ - Purchaser agrees that time is of th ssence and (a) in the event of a default in the payment of ;Any principal or interest which continues for a period of .. �b ...-days following the specified due date q6 (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of __._ days following written notice thereof by Vendor (delivered personally or mailed by certified inuil), then tho 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 finiitutions provided by law) in addition to those provided by law or in equity: (I) Vendor may, at his option, to r m i n a to 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 anioun is previously paid by Purchaser -shall be forefeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if purchaser fails to redeem); or (ii) Vendor may sue, for specific performance of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet -title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits (11.11-ing 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 nnuedy 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 in- curred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the 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 cunsent, 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 amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms Of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and a *Sals of Vendor and Purchiser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins trein to release homestead rights In the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof.) DVted this ZU........ ................. day of ...... � ................... . ........................ 19.93 SEAL) -- -- - -------------- ---- -- ------------ . ................................ .......... .... ........ ...... (SEAL) 4vg�A - Dell R. eingarten Judith A. Wein ten -------------------- 9 ---------------- ........... �p ------------ .... ... - ------ ------ .... ............ .................... (SEAL) .... .. . ........ ...... �7 ---------- (SEAL) 6Fh ohn H. Boughton Ru h E. ought .. ......... ......... .......................................... -- - ---- ------------------ - .. ................ ......... AUTHENTICATION Signature(s) ............................................................ ­­ ..................................................................... . . authenticated this .-------day of ...................... t _.., 19 ...... .......................... ------------------------------------ I ---------------- 0 .............................................................................. TITLE: MEMBER STATE BAR OF WISCONSIN (If not, --...................................................... authorized by § 706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY Kristina Ogland ------------------------------------------- Attorney -at L - ------------------------ -------------------------------------------------------- ....................... (Signatures may be authenticated or acknowledged. Both are not necessary.) ACKNOWLBDOMENT STATE OF WISCONSIN St. Croix --------------------------------------County. Personally came before me _-_day of iU rl e .......................................... 0 19 -------- the above narned .............. ------------------------------------- --------------------------- A---------- ...I�Qtfigartg, John lip�AgU o.n . -------- U -E. o-ughto-n ---------------------------------------- ----------- --------------------------- to me known to be the person __q ........ who executed the lo, n,,, n s t, r u n, and acki o )edge the same. . . . ...... ----------- ....... . *__A1_ice_J_oy ... C in l S -------------- * ------------ Notary Public- *S..t.-- Croi-x. ., . 1 . .-Count Wis, My Commission is pernianent. (If not, state expiration date: ---------- j!Aly... 1.2. - ---------------------------- 0 19..93...) ONatnes of persons signing in any capacity should be typed or printed h­1 their elsnAtUMS. LAND CONTRACT — ladiwMeal and Carpwale —State Bar of Wiscoradn. t,oirm No. 11 — 198 2 SEPTIC TANK MAINTENANCE AGREEMEM St. Croix Count OWNER BUYER ADDRESS: 24L FIRE NO: LOCATION: �'�.%��1/41 SEC* —T 1 4 N-R Yj TOWN OF: ' y' STe CRO� r�C''IX COUNTY SUBDIVISION: LOT NO. M 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 septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system; St. Croix County residents may be eligible to receive a grant to help with the cost of the 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 system properly maintained. The property owner agrees to submit to the Ste Croix County Zoning a certification form, signed by the owner and by a master plumber, journey -man plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating 'condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification from will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned have read the above requirements and agree to maintain the private sewage disposal system -in accordance with the standards set forth, herein, as set by the Wisconsin DNR, Certification form must be completed and returned to the St. Croix County Zoning Officer within .30 days 9f the three vear expiration date. SIGNS DATE: St. Croix County Zoning Office 911 4th Ste Hudson, WI 54016 IS4�� gisit.w OU04d 8:Z0V9 NISN LM313ob- lsi:0104j"S'00`4 peoll 60ZE11 CEZE* )nqujnld I JOIS*I- '"d miewn1d AJLH'3fj )O.100 wo . U��_ CERTIFIED SURVEY MAP X 0 z 0 z W PART OF THE NW 1/4 SE 1/4 AND NE 1/4 SW 1/4 W SECTION 7, T29 N1 R 18W WARREN TOWNSHIP • ST. CROIX COUNTY WISCONS I N OWNER; JOHN BOUGHTON ROBERTS, WISCONSIN UNPL AT rED L ANDS 1116th LINE_ — SCALE 1 300' `►` O CSM VOL .7 P18,59 300 150 0 300 600 BEARINGS ARE REFRENCED TO THE E-W 1/4 LINE P08 NOI 017'.33"E 793.46 (Mva.) SEC. 7 AS ASSUMED N89049413"W 66 N6o'04?_'0O'E 793.25 (R*C) r' w LEGEND LOT 0 t: p J--EXISTING I'/e $0 IRON BAR 0 — —SET I" x 24" IRON PIPE LLJ co QD WT. 1.68 LO. PER L. F. 8!1116. 00 (n X— —EXISTING 5/4 IRON BAR o ri 674.70 %0 aZA 1 S 0( 0 Soo 37 00"W * — —EXISTING I" IRON PIPE 83.00 N01017'46"E 33 — -4 010 1 47 so. 00 E r w 0 AREA LOT 2 0 Oq W(Note-, 7w) Net Area excludes road R/W) 30► ll 0 N I' t-Wi CO Total a 309,232 sq. ft./7.10 ac. SOO*37'00"W Net = 281, 171 sq. ft. /6. 45 ac. z SO 1019T5-5w-w- MANS 5 114 / A(E 401 2 _L Csm VOL. J P 890 Total = 261, 385 sq. f t. /6. 00 ac. Net z 224,825 sq. ft. /5. 16 ac. NOI'018'40"E 6&9.26(Mecai LOT 3 661 "t­* 0 Total = 256,225 sq. ft. /5. 88 ac. OD L WD Net = 2159636 sq. ft. /4.95 ac. LOr j N 0 Lli S.230 N) -- '.7 3.5 0 0 01 W) 00 < W • (EXISTIN7 66 1/4 COR. SEC. 7 COUNTY FREDPlrK W. 'to ow MONUMENT) ft" I A Nt,"L A V1.1 0 r,-',' D B U R' e M N ti S U il%4 •• r LEGAL DESCRIPTION A tract, of.:.l�i�d' located in the NW1/4 of the SEi/4 and in the NEi/4 of the. �`)1/4, all in Section 7, T29N, R18W, Township of Wac.r'wn, : Counter: ­.of St. Croix, State of Wisconsin, described as follows: Commencing at the E1/4 Corner of said Section 7, thence N89049'13"W (Assumed Bearing), 1686.68 feet along the East-West centerline of said Section 7 to the POINT OF BEGINNING; Thence continuing N89049' 13"W, 1271 . 23 feet to the North line of Hennessey Road; Thence continuing N89049113"W, 36.02 feet to the centerline of said Hennessey Road; Thence S231,49137"W, 780.62 feet along said centerline of Hennessey Road to the centerline of a private road; Thence S89023' 00"E, 511 . 74, feet along the centerline of said private road; Thence N01° 18' 40"E ( RA N00037' 00"E) , 33.00 feet to the West line of said private road; Thence continuing N016 18' 40"E ( RA N00037' 00"E) , 668.26 feet to said East-West centerline of Section 7.- Thence S89°49113"E, 318.52 feet along said East-West centerline of Section 7; Thence S010 19' 55"W , (RA S00° 3 00'' W) , 670icr f cet i,o tic Wes t 1 i pie of said private road; Thence continuing SO1619155"W (RA S00037700"W), 33.00 feet to the centerline of said private road; Thence S89023' 00"E, 434.00 feet along the centerline of said private road; Thence S00037' 00"W, 83.00 feet' - Thence S690 23' 00"E, 333. 17 fee t • Thence N01617' 33"E, 793. 46 f ee t RA N00042' 00"E, 793. 25 feet) to the POINT OF BEGINNING. Containing 826,987 sq. ft. or 18.98 ac. including town road right o f way. Subject to any and all easements, rights of way or conveyances of record. Bearings are referred to the East-West one -quarter line as assummed N890 49' 13"W. CUL-DE-SAC EASEMENT This easement located in the NW1/4 of the SE1/4 Section 7, T29N, R18W, Township of Warren, County of St. Croix, State of Wisconsin, described as follows: Commencing at the E1/4 Corner of said Section 7, thence N89° 49' 13"W (Assumed Bearing) , 2165.01 feet along the East-West centerline of said Section 7; Thence S00610' 47"E, 80.00 feet to the center of a 160.00 foot diameter cul-de-sac having a radius of 80.00 feet and there terminating. SURVEYORS CERTIFICATE Iv FREDR 1 CK W . NANNENGA, A PROFFc; ; i nN n I, L A KID c+ ��r++► vD EG : S i EnED IN THE STATE OF WISCONSIN, HEREBY CERTIFIES THAT BY ORDER OF AND UNDER THE DIRECTION OF JOHN BOUGHTON, OWNER OF THIS PROPERTY, HAVE •SURVEYED AND MAPPED .:_THE PROPERTY DESCRIBED. THE PLAT SHOWN ON TH15 MAP IS A TRUE AND CORRECT REPRESENTATION Ur THE EXTERIOR BOUNDARIES OF THE SURVEYED LAND AND THAT I HAVE COMPLIED WITH THE PROVISIONS OF CHAPTER 236.34 OF THE WISCONSIN STATUTES 1r0 THE BEST OF MY KNOWLEDGE AND BELIEF. �scoly op FREDR I CK W. NANNENGA, PLS yi Of 7582 CURRELL BLVD. FREDRICK W. a WOODBURY, MN 55125 NANNENGA '•* September 16, 1988 = = S-1958 s s = WOODBURY s�sMNWE .err ���if'�j� •�h.NN' 0�%�` SU��k>> 4 �1111A .. �, r ,A l�ill� /-,�•� ec�; t ? � Yj(Y� -�' R % L CU � E"- r: r -- 1L) � ✓l E1 l� S k l � � ° :.� � �' •1 EILED 499883 MAY 2 $ 1993� 3 6 JAMES 0,CONNELL APPROVED Register of Deeds St Groix Co., C E R T I F I E D S U R V E Y M A P PART OF THE NW I /4 SE I /4 SECTION 7 ' T29N R 18WY 2 1/ WARREN TOWNSHIP ST.CRO I X COUNTY • W I SCONS I N OWNER: JOHN BOUGHTON ROBERTS, WISCONSIN ST, CRW cCX7X' E14 CORNER SECTION 7 w6h � EX COUNTY NC�NUAIENT) SCALE: 1 " = 200' zaniv and 200 100 0 200 400 !Parks com"irfew BEARINGS ARE REFERENCED TO THE E—W 1 /4 LINEreowded SECTION 7 AS ASSUMED N89049' 13"W wridsin 30 4sys of, of EN 1 : i ppin Y at ~Itys ry1 66' i f& I I � VOW 3E 0) • --EXISTING I" IRON PIPE 4 ' L i j' X--EX I ST I NG 3/4" IRON BAR Q 0) J ' CSM VOL. 7 P. 2090 I 1 I N01° 6 P.O.e, ss o I' I 17 46 E 706- 79' ���t�x�il� 1 0 33 - , w co ,� •. r Q �CQ � z I ' LOT 2 Cn AREA 261,819 S.(16.01 oc. (To told o - I 225,076 s.1,15.17 oc, (Net) o • co co j � �� 1..• y1r Z 6 'I 00 604.15 cra I S01 ° 19' 55"W 703.16' I- (S00°37'0011W Rec.) 114 L /NE I � I 1 i w I v�j CSM VOL. 3 P_890 z Q' I' J tf� 1. EACH PARCEL SHOWN ON THIS MAP IS SUBJECT TO STATE AND COUNTY LAWS, ,RULES AND REGULATIONS (I .E. WETLANDS, MINIMUM \ LOT SIZE, ACCESS TO PARCEL, ET N FORE PURCHASING OR DEVELOPING CONTACT TACT THE'ST. CRO I X COUNTY ZONING ck�O OFFICE FOR ADVICE. 1 1 2. A PRIVATE ROAD MAY CREATE A PURCHASER 66 • RESPONSIBILITY FOR MAINTENANCE AND SNOW REMOVAL. I I 3. 1 F REAL PROPERTY TAXES ARE N OT PA 10 BY THE OWNER OF THE PRIVATE ROAD THEY MAY BE ASSESSED AGAINST THE LOTS SERVED BY THE PRIVATE ROAD, LlJ PURSUANT TO ST. CROIX COUNTY SUBDIVISION - - I REGULAT I ONS, C'N � 66 DRAWN BY: �` . N 1� R' WI/4 CORNER SECTION 7 FREDR I CK WNA•NENGA (EX. COUNTY NONI,F.tENT) DATE: 5/26/93 �o F I LENAME: CS? 1 I .DWG Volume 9 Page 2622 1 CERTIFIED SURVEY MAP PART OF THE NW 1/4 SE 1/4 AND NE 1/4 SW 1/4 SECTION 7, T 29 N, R 18W WARREN TOWNSHIP ST. CROIX COUNTY WI'SCONSIN OWNER, JOHN 804JGHTON ROBERTS, WISCONSIN UNPL AT TED LANDS ///61h L rNE ------.-- - - SCALE 1 " = 3 00 ` ' 300 ISO 0 300 Goo CSM VOL. 7 P. /859 BEARINGS S ARE REFRENCFQ TO THE E W 1/4 LINE P�OIB NOI°IT'33"E 793.4 Mvo. SEC. T AS ASSUMED N99049' I3"W N M '042 OQ [ 713.29 (Item) W LEGEND ti o° r..-- EXISTING I 'As" IRON BAR � I LOT o --SET I x 24« IRON PIPE ui o n WT. 1.68 LB. PER L. F. CID8 116 00 4 " X ---EXISTING 3/4" IRON BAR � 674.70 ` 50083.00 W • --EXISTING I" IRON PIPE s N01017'4 6"E Z 33 1 W I w° �$°�mo.00 g * I: S p`� r LOT ? �q W (Note: Not Area axcludfs road R/w) Iw m g N *, t _ pit a Q kA s; i Tota 1 = 309, 232 sq. f t. /7. 10 ac. � $00'*37'oo"rr x J q s Net = 281, 171 . f t. /6.45 ac. S01 19 SSW 670.16 Moo� I i N- S 1/4 LINE p LOT .2 - '7 Total a 261,385 sq. tt./6.00 ac. � ) CSM VOL.3 P890 I Net = 2249 825 sq. !t. /5. 16 ac. I 4E ��. 66I � � v M111t1111111►/ oco Lij SFY ? FREDRICK W• NANNENGA = S-1958 W I/4 CDR. SECT WOODBURY i • (EXIssTINQ COUNTY M01iUMEWT) MN •• o S U R t���,♦ (REV. 9-28-88)