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HomeMy WebLinkAbout042-1020-30-000 (2)St. Cro County Planning and Zoni*n Monday, July 11, 2005 at 5:05:33 PM Detail Sanitary Information � i�;.�qge 1 of I Computer #: 042-1020-30-M Sub/Plat: NA Section: 8 Parcel #: 08.29.18.114A Lot: 3 TN/RNG: T29N R18W Municipality: Warren, Town of CSM: Vol. 14 Pg. 3813 1/4114: NW 1/4 NE 114 Owner: Kurkowski, John 1059 110th Ave. Roberts, WI 54023 State Permit: 193531 Issued: 07/28/1993 POVYTS Dispersal: Non -Pressurized In -ground Permit: New County Permit: 0 Installed: 07/28/1993 POWTS Detail: Trench - Seepage Bedrooms: 3 VVI Fund: POWTS Pretreatment: NA Notes Inspector As Built Plumber Other Requirements Additional Notes Money Owed Not determined Yes Schumaker, William Original soil report still in active files - attahc to $0.00 Signed Off: No permit with notcard in archives Maintenance Scheduled Pump Date Purnl2ed 1 st Notification 2nd Notification 3rd Notification 7/28/2005 Parcel #: 042-1020-30-000 07/11/2005 04:18 PM PAGE 1 OF I Alt. Parcel #: 08.29.18.114A 042 - TOWN OF WARREN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner KURKOWSKI, JOHN A JOHN A KURKOWSKI 1059 11 OTH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description 1059 11 OTH AVE SC 2422 ST CROIX CENTRAL SID 1700 WITC Legal Description: Acres: 23.510 Plat: 1011 -CSM 14/3813 FKA CSM 14/3780 18 VV I N VV N FE B- E- I NLC-LC S M Block]Condo Bldg: LOT 3 14/3780 LOT 3 23.511 AC N KA CSM 14/3813 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) LOT 3 21.099AC EZ-U-1 527/85 08-29N-18W NW NE Notes: Parcel History: Date Doc # Vol/Page Type 03/17/1998 575223 13,06/365 QC 07/23/1997 1050/610 WD 07/23/1997 886/468 07/23/1997 862/203 more... 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 37928 Use Value Assessment Valuations: Last Changed: 07/11/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 25,000 166,000 191,000 NO AGRICULTURAL G4 21-510 2,800 0 2,800 NO Totals for 2004: General Property 23.510 27,800 166,000 193,800 Woodland 0.000 0 0 Totals for 2003: General Property 23.510 27,800 166,000 193,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 119 Specials: User Special Code 018-RECYCLING Category SPECIAL ASSESSMENT Amount 15-00 Special Assessments Special Charges Delinquent Charges Total 15-00 0.00 0.00 Wisconsin Department of Industry, Labor and Human Relations SOIL AND SITE EVALUATE®N REPORT Page of -Division crt Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (13M), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATinN REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION GOVT. LOT XLJ 1/4 N G 1/4,S 5 T N,R PROPERTY OWNER':S MAILING ADDR LOT # BLOCK # SUBD. NAME OR CSM # CtTY, STATE ZIP CODE PHONE NUMBER eAIIN I OCITY FIVILLAGE OWN NEAREST 04 0� :L - '_���)J'3 ("7x;d zl�To Rlei A) New Construction Use Residential / Number of bedrooms -3' � jAddition to existing building Replacement l Public or commercial describe Code derived daily flow 3'1? gpd Recommended design loading rate .7 bed, gpd/ft2 trench, gpd/ft2 2 Absorption area required bed ft5"1-1 trench, ft2 Maximum design loading rate bed, gpd/ft2 -trench, gpd/ft2 Recommended infiltration surface elevation(s) P/,; 3" e z - 7, .3'y'ft (as referred to site plan benchmark) — Addibonal design / site considerations C.>f 2 love42 d4'j I-e Parent material Flood plain elevation, if applicable ILI I)q ft Q Q it KI f(`MA1r_MT1r%K1A1 U Q U V1 system MOUND KGROUND PRESSURE AT -GRADE YSTEM IN FILL HOLDING TANK U = Unsuitable for system Cgs Ei U s U El S t9U El S Mij 0 S ;�w I El S SOIL DESCRIPTION REPORT Boring # Ground leer , f t. Depth to limiting f�ctor Boring # Ground elev. 71 0, 0 Z ft. Depth to limiting tor E (or) W Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont Color Texture Structure Gr. Si. Sh. Consistence Bourdary Roots GPD/ft2 Bed TmrK:h Y12 t" i,Al A) 7/ Z, C Remarks: :5 b X A. kc 514 5 1 .00F I _T Remarks: CST Name ase Print Address: /0 Signature: r VL'o P -004 y. X Phone: Date: CST Number 21 2 ;I)e 0 4n IVIt rtcrvn I Page, of PARCEL I.D. # Boring # Ground elev. Y Z, �lfc. Depth to limiting b^tor Boring # Ground lov/-7 Depth to limiting Wtof t Boring # Ground Depth to limiting yl- J* If .Boring # 13 6M OM M4 Ground elev. ft Depth to limiting factor Remarks: I liqui I lal f%O 11 16 A/I /0 57/ 7,5 zz" AU 7 5"' Y12 Y� 5ili A, 0.5.4 Ir, 5/n Remarks: " ' '.' " ' ' ""' 0 ' '*" ' SBD-8330(R-05/92) I IV r, Ay%e- ofl," 5t a f �• r . 16? �a r s lee -, At v r4 �.G 61 &-�93 4 �b S TC 104 AS BUILT SANITARY SYSTEM REPORT OWNER ja SUBDIVISION / CSM# ,^/1/4�L LOT #20- SECTION_TN-R_ 4�O'W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIER SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM .L"UI LATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manu f acturer : Liquid Capac ity : Setback from: Well House Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Len th Number of trenches Distance & Direction to nearest prop. line: Setback from: well: ,.5 House- Other ELEVATIONS Building Sewer ST Inlet: ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION:' PLUMBER ON JOB LICENSE NUMBER: INSPECTOR: 3/9 3 : j t TANK INFORMATION TYPE MANUFACTURER CAPACITY Septi c d oi� Dosi g Aeration Holding TANK SETBACK INFORMATION TANK TO P / L WELL BLDG. vent to Air Intake ROAD Septic f �l� ( NA Dosi n NA Aeration A Holding -'- PUMP/SIPHON INFORMATION Manufacturer Demand Model Number PM TDH Lift Friction 5yst m [TDH Ft Loss mead Forcemai n Length Dia. Dist_ To Well SOIL ABSORPTION SYSTEM f , Q 10*; rt & st%j 3 , 2 9.18.1. I \JAT `9IlWVWy5]' %T E M Labor and Human Relations INSPECTION REPORT Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) erm it Holder's !Name: ❑ City ❑ Village ❑ Town of, X -B NT E ev.: P.a NA Mv."'VI �Descriptio _ (�o .�. ELEVATION DATA County: SanitarygTrinitCROIX State PI 31 Parcel Tax No.: -- 020-50--000 3 STATION BS HI FS ELEV. Benchmark x Bldg. Sewer " f St / Inlet St/ Outlet 'v'�,^ Dt Inlet Dt Bottom Header/Man. � Ir Dist. Pipe p ro Bot. System` I 31, Final Grade �r w � � / Wes' • �.. "�" / BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia, Liquid Depth DIMENSIONS 'DI M E N I N SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING manufacturer: SETBACK INFORMATION CHAMBER Type Of 04- ' .f Model Number: System:.+,',('-�/r'tww - OR UNIT DISTRIBUTION SYSTEM Headerf Distribution Pipe(s) x Hale Size x Hole Spacing Vent To Air Intake Length Dia Length Dia. Spacing / °~ SOIL COVER x Pressure Systems only xx Mound Or At -Grade Systems Only Depth Over r Depth Over xx Depth Of xx Seeded / Sodded d /Trench Center` `' / Trench Edges Topsoil ❑ Yes D No 9 COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: WARREN 0 8.2 9.18.115 (110TH AVENUE) //` r 1 +� Plan revision required? ❑ Yes o Use other side for additional information. SBD-6710 (R 05/91) xx Mulched---- [] Yes ❑ No M SANITARY PFRMIT APPLICATInN CV 6 U LJILMMH In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE S, N AR PER I # -Attach complete plans (to the county copy only) for the system, on paper not less than 81/2x 11 i nches'i n size. 1:1 Ch k if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER I. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION la Cj A' dZ zq,-4�1 1/4, S r T N 9 R E (orX0 LOT # BLOCK # PROPERTY OWNER'S MAILING ADDRESS 7W--- CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER I--] 11. TYPE OF BUILDING: (Check one❑StateCITY NEAREST ROAD ) Owned 0VILLAGE: d-1 E]�2 E@ TOIJUOF: Public 21A or 2 Fam. Dwelling-# of bedrooms t�;) PARCEL TAX NUMBER(S) 111111. BUILDING USE: (If building type is public, check all that apply) 1 F1 Apt/Condo 2 0 Assembly Hall 6 1:1 Medical Facility/Nursing Home to ❑ outdoor Recreational Facility 3 R Campground 7 F] Merchandise: Sales/Repairs 11 El Restaurant/Bar/Dining 4 El Church/School 8 1:1 Mobile Home Park 12 0 Service Station/Car Wash 5 El Hotel/Motel 90 Office/Factory 13 0 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. R New 2. El Replacement 3. F-1 Replacement of 4. F-1 Reconnection of 5. 0 Repair of an System System Tank Only Existing System Existing System B) El A Sanitary Permit was previously issued. Permit # Date Issued V. TYPE OF SYSTEM: (Check only one) Non -Pressurized Distribution Pressurized Distribution Experimental Other 11 El Seepage Bed 21 F-1 Mound 300 Specify Type 41 D Holding Tank 12 9 Seepage Trench 22 El In -Ground 42 El Pit Privy 13 El Seepage Pit Pressure 43 El Vault Privy 14 El System -In -Fill V's V1. 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 1G REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 910- r _J - ------ 7-Feet I OF,?,Vo Feet V... V11. TANK INFORMATION CAPACITY in gallons 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 19 L] L1 Lift Pump Tank/Siphon Chamber V111. 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 Stamps) P 7SW No.: Business Phone Number: 0-0 A-rd f7 Plumber's Address (Street, City, State, Zip Codii): le7� 5 C_ CT 77 - "Vf d IX. COUNTY/DEPARTMENT USE ONLY KApproved Disapproved F� Owner Given Initial Sanitary Permit Fee (includes Groundwater Surcharge Fee) Date Issue 0 Issuing Agent Signature (No Stamps) Adverse Determination A f 1.4 OF LACEITIL&O"k X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 'four sanitary permit may be renewed before the expiration date, and at the tin le of r ene�t — any r^{ew criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer 'Renewal Form {S3D 6399t to be submitted to the county prior to installation. 5. Onsite sewage systems rust be properly maintained. The septic tank() crust be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete ## of bedrooms if 1 or 2 Family Dwelling. Ill. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in 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 in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the Natal 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 systern. 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. IMP, 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'/2 x 11 inches must be submitted to the county. The plans must include the following: A) plat plan, drawn to scale or with complete dimensions, !ovation of i olding t��nk(s+, septic. tank(s) or ether treatment tanks i,l' i'did- i , - -` .t,;;s� ,�,�;'ti.�Y � ;�s'�r titer S rw=ire. �. �. x streams and. ekes; pump or siphon tanks; distribution boxes; so'! absorr* o,n systems; replacemert system areas and the: lUc:ation of the building Secued, R.) ho►izCi!Aal and eleV':�t.i';tl --i:—J yrence poil'ts, ',-,Ir:rnplE'te Spy?^#41CliCr;is forJUTY'p5 andcontrols; close volume; eleva-ficii"! friction 'o5s- unp per¢or!-riance curve; pump model and t)urT]p tnanufacturer, sec.+a^n, cf'.he soil absorption sste rE required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1933 `�'/ Sc�JnS�r� Act 413 included the cr;ration of surcharges Gees; for a nUrY►1� regulated practices which can effect groundwater. The monies c 0ik_1c.t( cf thl-O ugh these surcharges arc., used for rrion'toring gr��f_>�������E��.�c r, g, c)� rid water coMarrrination investigations and establishment of =standards. SBD-6398 (R.11/88) f APPLICATION FOR SANITMY PSXHIT • S T C -- 10 Th 1 v o ppl 1 ca t f on form Is to be conpin Lad In full and s I geed by the ownt t (i) of the property being developed. Any Inadoquacles will only result In delays oC tilt pzrr+1 t issuance i - Should thiis development be Intended Co= #salt by owner/conuactot(spec house), then a second torrn should ba trtaIned and cawpIvtsd when the property is sold and submitted to t h I a of Lice with the appropr late deed rtco`dIngo • w no w w w wr an on f an w.rw w0WMM1 so w w. w.w.w wwwrw wwww w•r�www r..•.wrwrrw..rwrw.�.wwws�.rwr w �.rw...ww�.wwrw w r rM►•Mwwwwww�rw tT{ = t Oproperty +� I e, Yc... r Loc#tlon o[ M ro ett 114 1I�, S•ctlon -. T 2---j4-R V r � Tovns h l p j 6"e-' ' ' r. N-alling addrwxs 10'�'o 21 Mdrasr of site lul>d ivIs ion nam Lot nuabe t Pravlous ovnar of property Total r 1 to of parcel WMA r% e ' - Date patrol was created Are all corners and lot lln#s id•nt1fisble? `��` yes _ No Is this property being developed for resals (spec house)? Yas No Yvtvr+� and Paq+r Humber +� � as recorded Vith the Register of Dead 911 M •d.Mao w w W www. do �rw.ww.rwarrrw w.rr Mw.�wt►rwwrw�rrrr&a"Mmeww�•rwrwwwww..�rw.wr.w wrw.rrs�s�rirrrr•i•rr•.rw+�.rw+gow� I NCLUD9 WIVI TN 1 S APPLICATION T11¢ POLLOWI NC z X V AaKNTY DQID which IncludG9 a DOCUNYNT HUMBItR, VOL"M AND PAat KUNeIR, and t1ze 9ZKL OT Tilt RROISTRR OF DRRDA* to addItIon, a certI I I a d ■utvey, if avaIIable, vouId be helpful so as to avoid delays of the ray Iawl ng proceas. If the deed de•criptlon taterences to a Certlfled Survey Nap, the Cattltled Survey Nap #hall also be requI red. �r r r.`.� i w�� w.r� w..w w ar wwwrw�. •.• s wwr.. .rw•�r.wwrfr..+w..w..rrwwwwr. wwoft "'W.7w.r wu. wwww.rM 80M,m,wwsw wwws . PROPERTY C?VNER CERTIFICATION I (vt) c'rL1 ty that all statemenka on this Lome are true to the best of my (out) knovltd9ri that I IWe) Are (ate) the owner(s) of the property deed lbcd 1n lh1■ Imtotmatlon Corm, by virtue of a warranty deed recorded in the office of the countY aeglrt,er of Deeds as Document No. _� and that i (ve! pc eient ly own the proposed sit® for tha sewage disposal ray to ern (or I (we) have obtained an essernent, to tun With the above dascr lbed property, tat t.h• conittuctIam at so 1d nystemp and the ■am■ has been duly recorded In the oI [Ica of the Coynty Register of Deeds, as Document No. - 1 gnsture oC owner signature oL co-owner { 1 f Applicable) 7/ J'S4 / f � -- --- Date o[ Dlgnaluc Date of 819natucs • iri:r C DOCUMENT NO. Li�-.__.Ri�i� "STATE BAR OF WISCONSIN FORM 11-1982 1� THIS srALa REStwvEp FOR RECOROIrI0 psTA LAND CONTRACT Individual and Corporate t 41TO BE USED FOR ALL TRANSACTIONS WHERE OVER 1$95,000�IS FINANCED AND IN OTHER NON-CONST.MER- R— GISTER'S Of-FIC- ACT TRANBACTIONSZ - - -- - _ -_ - y� CROIX CO., W rST. +,ec for I��cor�d k o f New Richmond a Contract, by and between B_an ----- _-.--- ---- --- -----t---------- �f dullscons�i.n___bankin�_.... � ��� � 9 .o_rganized__and___exis_tin_8__W corporation --- --__............................... . ........ ("Vendor", whether one or--more)•.and_ Jri .__-Kur�Cowski.--an:d._�nne__T_. $ ; 30 AAA � ' � s ivorshi Kurko..s..i_„__hus_b►and an_d_.w fe�___�s_-_.ifizy_________________P.__.._. I bolster ................. .._._...------.._ r of Oess marital _ property -------------------- ("Purchaser"', whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance of this contract by Purchaser, the followjng property, together with the . rents, profits, fixtures and other appurtenant interests (all called the "Property"), = = --- BANK OF NEW RICHM St. Croix_ __________________________ Count State of Wisconsin. ls1. y� RETURN TO 355 South Knowles Avenue 1 ........................................ r New Richmond, WI 54017i Tax Parcel No. The Northeast 1/4 of Section 8, Township 29 North, Range 18 West, EXCEPT all that part of the following described tract ly;ng therein: beginning at the Northeast comer of said Section; thence South 00°48' West ;along the East line of said Section 8, 561.66 feet; thence 1� South 86°17' West 47.1 feet to the center of a town road as reconstructed during 1973; 11 thence North 31°23' West along said centerline 168.5 feet; thence North 34°53' West 348.2 feet; thence North 42°11' West 100 feet; thence North 45034' East 82.9 feet; thence North 69059' East into the Southeast 1/4 of the Southeast 1/4 of Section 5; 374.13 feet to the East line of said Section 5, thence South 00051' West along said line 125 feet to the point of beginning, also EXCEPT beginning at the Northwest corner of the Northeast 1/4; thence South 660 feet; thence East 660 feet; thence North 660 feet; thence West 660 feet to the E point of beginning. This --------- homestead property. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at . _ R i c h mo n d_ x _ _ j S_C O n S 1 n _ - the sum of $.�Q_Q, Q Q...Q----------------- ------ in the following manner: (a) $- •-Q Q 0-------------------- ----- at the execution of this Contract; and (b) the balance of$_Q_3,_0QD.._Q_Q--.___..__---.--, together with interest from date v hereof on the balance outstanding from time to time at the rate of ---- n...L P.. )----------------- per cent per annum until paid in full, as fcllows : Monthly payments of $600.00 commencing on March 1, 1990. There shall be an additional payment of $3,310.00 due each December 1st during the term of this contract. ' Provided, however, the enti�e�outstanding balance shall be paid in full on or before the --------- 1S t__-__..___ day of ¢ February__________________ ___ 19...._.._ ( the maturity date) 1 -• '�*AYGX)W" (tX a*XX X? qXrXt�iXzXXXXX; C Yi oX `fi ye)CtXrX;�d�c�f�at3C XjC sT *AXM tK X X �1 �C X�#� �G 6�Xe�i E r : �dt)G X X' �. �,�E� )6 ( V)( Nix &X a { Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligaticns 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. P 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 xf x------------------------- XU X----- N6hyVk In the event of any prepayment, this contract shalt 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 Dave been had the monthly payments been 4 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. ll Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submittfd to Purchaser for examination except: None. i . t I 1� ' 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 enttie to take possession of the Property on....a.t_C _. _O eCrms Out One. H Cnwkm. 9TATF BAR OF wISCON,;I ti Stock No. ,�C11 1 ------- FORM No. 11 -- 1982 SEPTIC TANK MAINTENANCE AGREEIIENT St. Croix County rT a OWNER/BUYER .C� 1� ROUTE/BOX CTMB Fire Dumber CITY/STATE T NP R Section ) PROPERTY LOCATICN Town of Ste Croix County, Subdivision Lot number • maintenance of your septic system could result in Improper use and n 11 . its premature failure to handle wastes Proper maintenance con, sists of pumping out the septic tank every three years or sooner, tic c tank umper. W-hat you Put into if needed, by a licensed' *s'e2LJ__u., L�s U the system can alTect the Function o. the -septic tank as a treat -- the stage in the waste disposal system* St. Croix Count 71 residents- m:2�Z be eligible to recieve a grant for a maximum of 607. of the cos replacement of a failing system, prior to July 1, 1978. St. Croix County s in operation p wh3-c was t of 1980, with the requirement that accepted this program ram in Augus owners of all'new sys't'ems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a matey plumber, Journeyman plumber, restricted plumber or_a licensed pumper veri- fying that (1) the on -site wastewater disposal systemis in proper operating condition and .(2).after inspection and pumping (if nec- essary), the septic -.tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year . expiration. I/WE, the undersigned have read the above requirements and agree t© maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Depart- tif 'cation form must be completed ment of Natural Resources. Cer I within 30 days and returned to the St. Croix County Zoning office of the three year expiration date. SIGNED DATE—,--/ st. Croix County Zoning office 911 4th St. Hudson, WI 54016 386-4680 L Sign, date and return to the above addresse 0 Wisconsin Departrmnt of Industry, SOIL AND SITE EVALUATION REPORT Labor Human RelationsDivis Saf�?ty & Buildings in accord with ILHR 83.05, Wis. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or dimensiioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION --PLEASE PRINT ALL INFORMATION PROPERTY OWNER: A) PROPERTY OWNER':S-MAILING/ADDRE A Ae TYATE ZIP CODE PHONE NUMBER , ST A0 1) �ei Page -/—of COUNTY -57 �{',� frig PARCEL I.D. # REVIEWED BY DATE PROPERTY LOCATION GOVT. LOT IV W 114N G_ 1/4,S c� T 2 IN,R LOT # I BLOCK # I SUBD. NAME OR CSM # E]CITY QVILLAGE IWOWN NEARESTTOQ iet_ A) Axi E (or) W New Construction Use Residential / Number of bedrooms Addition to existing building j j Replacement j j Public or commercial describe Code derived dal flow gpd Recommended design loading rate j bed, gpcVft2 S _trench, gpd/ft2 Absorption area required 745— bed, ft257-3 trench, ft2 Maximum design loading rate 7 bed, gpd/ft2 —trench, gpd/ft2 Recommended infiltration surface elevation(s) fl, i _J_y 92 17 6!6 - 5 /ft has referred to site plan benchmark) Additional design /site considerations&p/`C->r j6 lop` ,6 2- Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN -GROUND PRESSURE AT -GRADE SYSTEM IN FILL KXDING TANK U = Unsuitable for system [as Ei U TVs O U 11 S tou os Oiw El S PU [I S SOIL DESCRIPTION REPORT Boring # Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont Color Texture Structure Gr..Sz. Sh. Consistence BaxiJ3ry Roots GPD/ft2 10 313 Bed ITrench .4 Ground 7/ 54�? jr- 0 C 1i ft LIq 7 r;04A /l% 5 & Depth to limiting factor Remarks: 0 _/1 lsb� Boring # 11-,271F J ye AC I-r Ground elk' -5 7 Depth to limiting �ctor Remarks: CST Nam ase Print Phone: Address: )0.20 /Aloy Signature:Date: CST Number: 2 1 evil ncrun i PARCEL I.D. # Page a of 3 Boring # Ground lev` / 1, 92ft Depth to limiting Boring # Ground Mimi / f t Ground Depth to limiting Yj?- Of Ground fL Depth to Infifing b= Remarks: F- 7 r' �' z 71y� 1 �" YR Y Z 5Wj 1 1 (9 .5 tj ill dopo� N-Mw� Remarks: SBD-8330(R-05/92)- A. �62�d3 D �� r I ) r� (r,?- frocc /a4- P N Alf �J 7e I Alf _too. 7e Act I�lf veel / -e- 17� Sods- /-Xeld 7 eeP, 'LIP -k 9 v2— Ic.