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' ST. CROIX COUNTY ZONING DEPARTMEN 40
fe,
AS BUILT SANITARY REPORT
RR'!0
Owner Attu e 9 r^~ L~ 1
Address 6'"y5 ~r n"
City/State - 1
Legal Description-
Lot £ 1 '
Lot Block ' C~ Subdivision/QSM # - - 3
i) AI&) _,.Sec. TAN-R,Z,5_W, Town of . PIN #
~7.3r.r?. 133
SEPTIC TANK DOSE CHAMBER HOLDING TANK INFORMATION:
Tank manufacturer - Size ST/PC/~ /sum Setback from: House C2__, Well s-n- P/L~
Pump manufacturer Model L~% r~ tai/L
Alarm location -
(HOLDING TANKS ONLY)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
SOIL ABSORPTION SYSTEM:
Type of system: An,, o 9n, Width Length 1-2 Number of Trenches
Setback from: House --r-R Well , P/L Vent to fresh air intake _ r yen
ELEVATIONS:
Description of benchmark Elevation
Description of alternate benchmark' Elevation
s
Building Sewer /o-/,2.2 ST/HT Inlet ST Outlet-- ,ins z„~s° PC Inlet 19, 9 7
PC Bottom f, , 5- Header/Manifold Top of ST/PC Manhole Cover
Distribution Lines ( ) ( )
Bottom of System(
i,~~, O ( )
Final Grade ( ) ~Z 4?.2, 9,1- _ ( ) ( )
Date of installation / Permit number 99 Z~ State plan number 7i4 V
Plumber's signature
IJI
License number ~t,?/ Date
Inspector
complete plot plan ~
1'. r1®~I~'H: , e provide the following:
A, p16iew sketch showing everything within 100 feet of the system.
..woo
S rizontal reference points to center of septic tank manhole cover.
L_......
• Show alternate benchmark, if applicable.
PLAN VIEW
prrdrr>wr~
S8 ,
si
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6
L
qo,
INDICATE NORTH ARROW
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County:
Safety and Buildings Division INSPECTION REPORT ST. CROIX
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary299171
Personal information you provice may be used for secondary purposes [Privacy La s.15.04 (1)(m)j.
Mt glderS„hM- ❑ IAe n of: State Plan ID No.:
K 'CAR CST BM Elev.: t;riUt; Insp. BM Elev.:
17D 61 BM Description: Parcel T~c$._1028-90-100
0b (a0 ~ s¢c~( C,
TANK INFORMATION ELEVATION DATA A9700488 5 d q~
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark loo
Dosing
Aeration Bldg. Sewer 7,75 ga.q
Holding St/ Ht Inlet q3'? a, a 7 /
TANK SETBACK INFORMATION St/ Ht Outlet
TANK TO P / L WELL BLDG. Atake ROAD Dt Inlet
eptic '7D-*- ~7' a`1d~ 28' NA Dt Bottom (vQa.-
Dosing NA Header/Man. .q75 /0 ~-3/
Aeration NA Dist. Pipe /o / •2~6
/p0
Holding Bot. System 1.00-51
PUMP/ SIPHON INFORMATION 1; Ip Final Grade
I~
Manufacturer ( LD Demand _ to ~419__ IO947
Model Number 'Wto3t I L ~'~yPM f •06 Jv&. / Oa
TDH LiftOGl L fiction . Systems DH ~,SFt ss mead Forcemain Length ' Dia. g" Dist. To Well
SOIL ABSORPTION SYSTEM -I bZ
BED/TRENCH Width Length No. Of Trenches PIT No. Of its Inside Dia. Liquid Depth
DIMENSIONS DIMEN I N
LEA ING Manufacture
SETBACK SYSTEM TO P/ L BLDG WELL LAKE / STREAM CC
HA ER
INFORMATION TypeO 5/ 7g; + Mo e Number:
OR UNI
System
DISTRIBUTION SYSTEM
Header/ -Manifold Distribution P i e(s) t x Hole Size ~ x Hole Spa%ing Vent To Air Intake
/ r (e
Length Dia. ~ Length Dia. ~ Z" Spacing ~ o
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over ~t Depth Over Exx Dep th Oed / Soxx Mulched
Bed /Trench Center Bed /Trench Edges soil ❑ No Yes No
COMMENTS: (Include code discrepancies, persons present, etc.) a•qs-
3 a!!r- -11 4 rJ (4/7
LOCATION: STAR PRARIE 7.31.18.132D,NW,NW 2293 80TH STREET
~
10,9,55
~ ~ !7' a t~ ~ r ; i ~ ~~ff%/1P .G~-a~c-T_l~ Q/J~c-c~~a-•e.,0 /Ob. U
ScIAJ •
P%n revisilon reel irtg ❑ Yes No
Use other side for additional information.
SBD-6710 (R.3/97) Date Inspector' gna ure ert. N
ADDITIONAL COMMENTS AND SKETCH t
SANITARY PERMIT NUMBER:
f Safety and Buildings Division
SANITARY PERMIT APPLICATION 201 E. Washington Ave.
N*sconsin P.O. Box 7969
Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707-7969
• Attach complete plans (to the county copy only) for the system, on paper not less County
than 81/2 x 11 inches in size. ~S.
• See reverse side for instructions for completing this application State Sanitary Permit Number
The information you provide may be used by other government agency programs ❑ Check if revision to previous application
[Privacy Law, s. 15.04 (1) (m)].
State Plan I.D. Number
1. APPLICATION INFORMATION - PLEASE PRINT ALONE RMATION 97l07o
Propert Owner Name Property Location
t/a 1/4, S T , N, R E (or&
i4f Property Owner's Mailing Address , Lot Number Block Number r
Cit , tate Zip Code Phone Number Subd vision Name or CSM~mber
7 t ) 6,
IL TYPE F BUILDING: (check one) ❑ State Owned ❑ !t Nearest Roa
Village
1-1 ❑
Public 1 or 2 Family Dwelling - No. of bedrooms y, Town of Q
I11. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) `
1 ❑ Apartment/ Condo ~2? `144 _ 4Z
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash
5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT: (Check only one box on line A. Check box online B, if applicable)
A) 1. ® New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
System System Tank OnlyExisting 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 N Mound 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
Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min inch) Elevation
O Sys ,5- Feet Feet
VII. TANK Capacity
INFORMATION in gallons Total # of Manufacturer's Name Prefab. Site - Fiber- Plastic Exper.
New Existing Gallons Tanks concrete Constructed Steel glass App.
Tanks Tanks
Septic Tank or Holding Tank ( ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber - ❑ ❑ ❑ ❑ ❑
VI11. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility, for ;istallationothe onsite sewage system shown on the attached plans.
Plumb 's Nam : (P Int) Plum er' /ign, St m ) MP/MPRSW No.: Business Phone Number:
Plu ber's Ac dress (Stregt, City, State, Zi ode):
!J A).,dF 1 tj
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved S nitary Permit Fee (includes Groundwater ate Issue Issuing Agent Signature (No Stamps)
Surcharge Fee)
XApprovecl I ❑ Owner Given Initial ZgO V111.11V47
Adverse Determination ~o
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD-6398 (R 11/96) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the
Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD-6399) to be submitted to the
county prior to installation
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever
necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of
Wisconsin, Safety and Buildings Division, 608-266-3151.
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed-
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is public, check all appropriate boxes that apply.
IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested for numbers 1 through 7.
VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and
manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and
holding tanks for this system. Check experimental approval only if tanks received experimental product approval from
DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.),
address and phone number. Plumber must sign application form.
IX. County/ Department Use Only.
X. County/ Department Use Only.
Complete plans and specifications not smaller than 81/2 x 11 inches must be submitted to the county. The plans must
include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic
tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon
tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served;
B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume;
elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section
of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
f
SAFETY AND BUILDINGS DIVISION
15837 USH 63
NVisconsin Hayward, WI 54843
Department of Commerce Tommy G. Thompson, Governor
28-Oct-97 William J. McCoshen, Secretary
K O Construction
Kim A O'Connell
504 Third Ave
Osceola WI 54020
Chuck Ennis Plan ID 9710764
NW,NW,7,31,19W
Municipality of Star Prairie Inspector: Leroy G. Jansky
County of St Croix (715) 726-2544
Private Sewage plans including the following element(s):
MOUND 450 gpd
The submittal described above has been reviewed for conformance with applicable Wisconsin
Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY
APPROVED. The owner, as defined in chapter 101.01(2)(e), Wisconsin Statutes, is responsible for
compliance with all code requirements.
This plan action is subject to no additional conditions.
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. All permits required by the state or local
municipality shall be obtained prior to commencement of construction/installation/operation.
This project is under the supervision of a state inspector. As inspection concerns arise feel free to
contact the state inspector at the number listed. The inspector for this project is listed above.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or
at the address on this letterhead. Please refer to Plan ID number listed at the top of this page when
making an inquiry or submitting additional information.
Sincere ,
Thomas Bra
Plan Reviewer
(715) 634-3026
Private Sewage System Plan Index/Checklist
All plan sets should be legible and permanent copies, organized into sets, bound with staples and covered
by an index sheet such as this sample. No other pages need be signed as long as the index sheet for each
set is signed. Your cooperation expedites your plan review and shortens plan entry time.
Plan ID N Owner' ame
Legal Description Addr
- 1
CityNillage 1 , County
Contents Comments/Special Instructions
Page # Included Two copies needed for all
plans
1 Plot Plan
2 Plan View, ;y S;. , Q Return by Mail
3
4 Tank & Pump/ Q Fax Letter to (County) (SubmiUcr)
S Siphon Information Circle One and Provide Fax ( )
System Sizing (Public)
6 F_~ Call for Pick-Up: ( )
7
0 Other
1, the undersigned, hereby certify that the ~~~I~ble)
plans and specifications submitted Conditionally
herewith were prepared under my
directio and control. AP
OVED
Plumber signer License/Registration #
OEP NT OF C ERCE
DIVIS1 SAFETY ILDINGS
Address City State
signature SEE CO S ONDENCE
For Office Use Only
Attachments:
Application VVEIVED
Soil & site evaluation
w/ 8,697
f
Fee OCT
Needed for Holding Tank Submittal:
One copy of notarized holding tank
agreement. (Originals to County) i
Needed for At-Grade Submittal:
Original signed and notarized
Application for "Use of an At- 764
Grade" 917
County on-rite
One additional set of plans SBD-10268 (N.01/96)
~.huc~ , ~,rU,tl,'~ /irk/y- /Y~/~ s~:c y ~ /3l/✓- J~ ~46J
j
?S%97 ,a4
hifera.~.z~
0 v
71
7:-?a.9~
040.,2 or
Stroh. March Hay. Or
Synthetic covering 'r
Distribution Pipe
Media Send
M ~G
Topsoil
D
3 ~ E
`Q ~ Slopre \141s~ 604 Of 2 Fore Main Plowed
Aggregate From Pump Layer
0
Gross Section Of A Mound System Using E -,L.~..
A Bed For The Absorption Area F
i
Signed: B ,1.2 -5- Ft.
License Nua W: I Ft.
pate, J Ft.
K Je, Ft.
Pori Ion L S Ft. .
L -14,
Observation Pipe
7N'
W
Distribution Bed Of 2 yt
Pipe Aggregate
Observation Pipe Permanent Markers
Plan Vler Of Mound Using A Bed For The Absorption Area
Ot„~
PUGS
Porforaled Pipe Dotall
. A
n View
)Perforated ,lD,~a~
EM Co PVC Pipe
d•`~ a NOW Located On Bottom,
Are Equally Spaced
s
A4d 4, 4
PVC Force Moir
P
OitlriN•~lian
Pipe
Lost NOW Should On
fraa<t To end cop
End Gap Distribution Pipe Layout P c~,O Ft.
R
S S
X Ze Inches
Y Z-0 Inches
Signed: Hole Diameter Z Inch
Lateral a Inch(es)
License Number: Manifold "_-Inches
Date: Force Main " InCho$
of holes/pi pe-.~'
Invert Elevation of Laterals.Z214_ Ft.
b
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PAGE : Of.
PUMP CHAMBER CR055 SECTION ANO SPECIFICATIONS
VENT CAP
VENT PIPE WE AT H ERPR0oR APPROVCD LOCKING
JUNCTIOAJ BOX MAWHOLE COVER WITH
ZS' FROM DOOR, WAMIING LABEL
WINDOW OR FRESH rlU.
I
AIR INTAKE
GRADE
I '1" MIN.
1 B' /`11 U.
COIJDUIT--'
16,AIN.
PROVIDE I
IAJLET AIRTIGHT SEAL I I
I I I I I APPROVED JOIUT:
APPROVED JOIN A III W/ , PIPE
W/ PIPE I III EXTEUDIUG 3'
EXTENDING 3' ALARM
0►JTO SOLID SOIL I II ONTO SOLID SOIL
D I I
ON
C
LLEV. FT PUMP orr
-
D
COUCKETE DLOCK
RISER EXIT PERMITTED OWLy IF YANK MAUUFACTURCK HAS SUCH APPROVAL
B" I}PPAQVE6 8EDbING undcr TriNK
SEPTIC E SPECIFICATIOKJS
DOSE
TANKS MANUFACTURER: IJUM.BCft OF DOSES: PER D"
TA►JK SIZE: L7 GALLOWS DOSE VOLUME
l -L , INCLUDING 5ACKFLOW: GALLON'S
ALARM MAUUFACTUK.ER: /l
MODEL IJUM5CK: 11/ L=~A CAPACITIES: A =cZ27 IUCHES OR _ GALLONS
WLL01~1S----
SWITCH TYPE' ' B yy--IMCHES OR
PUMP MAUUFACTURER: ) C =_L-IUCHES OR ,'g GALL0U.S_
MODEL UUMDER: D--9 - IUCHES oR ZZel- GALLOUS
SWITCH TYPE: IJOTE' PUMP AUD ALARM ARE TO DE
MIQIMUM DISCHARGE RATE GPM INSTALLED OM SEPARATE CIRCUITS
VERTICAL DIFFEKE-MCE OETWEEU PUMP OFF AUD DISTRIBUTION PIPE.. FEET
+ MILJIMLIM METWORK SUPPLY PRESSURE . . . . . . . 2.qq5,~,~, FEET
+ FEET OF FORCE MAIN X Ynrt.FRICTIOLI FACTOR.. -1L29 FEET
TOTAL DIJUAMIC. HEAD )S,,22 FEET
IIJTERAIAL. DIMEAISIONt OF TA1JK: LEWGTH iWIDTIN LIQUID DEPTH
5IGI`JE0:- _ LICENSE NUMBER*. PATE:
Performance
- curves
Pumps
METERS FEET
- go
23 MODEL 3885
SIZE3/4„ Solids
WE15H
70
20 WE10H
60
0 - WE01H
t5 SO
WE06H
. 40
10 WE03M
30
WEOJL
I ,
20 ;zt
S
10
0 0
0 10 20 30 40 SO 4 70 60 100 110 120 GPM
1 8l I
0 10 20 301"Irn
CAPACITY
~GOULDS PUMPS. INC.
METERS FEET
120 MODEL 3885
35 - $ SIZE 3/4" Solids
110 WEISHH
100
30
90
25
70 -
20
60
O
H
SO WEOSHH
15
10 30
20
S -
10
0 0
0 10 20 30 40 SO W 70 W 90 1w 110 120 GPM
L t 1 0 10 20
30 111/11
CAPACITY
•1@" Glomw Purees. Inc. E~ jwy. 1 WS
511'
01114
Wisconsin Department of Commerce SOIL AND SITE EVALUATION
Division of Safety and Buildings Page of
Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must county
include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. #
APPLICANT INFORMATION - Plea~ iirform ' n. R V by ~oZd ^q~ `D
• D Date
Personal information you provide may be used for Pu (Privacy Law,, 15.04 (1) (m)). -13.91
Property Owner RC1V _ Property Location
i\C Govt Lot 114 J 1/4,S T N,R (o&
a' .
Subd. Name or CSW
Property Owners Mailing Address ®CI ? 7 Lot # 19 1 "'07c
gT CR01X
city,Stat Zip Ph Nearest Road
20N1N ❑Y III e f Town
New Construction Use: 10 Residential / Num er of bedrooms Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flow gpd Recommended design loading rate ; , T bed, gpd/ft2jl/-trench, gpd*
Absorption area required _ 75 bed, ft2 37SJ trench, ft2 Maximum design loading rate _,:j__1 bed, gpd*__,~__trench, gpd*
Recommended infiltration surface elevation(s) It (as referred to site plan benchmark)
Additional design/siteonsiderations -
Parent material ~.1J~ o ! f - ~ a2 ~x ~~,trn Flood plain elevation, if applicable JVAX ft
S = Suitable for system Conventional I F Mound In-Ground Pressure AT-Grade System in Fill Holding Tank
U = Unsuitable for system ❑ S U S El U El S ®U E3 S ®U El S U ❑ S 21 U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
A",)-Jr 7
Ground
elev.
lqp_l
Depth to
limiting
factor
Remarks:
Boring #
- S b J
-~0 u
Ground 3~ >,7 s 111C All- 'A1,10
elev.
Ira 12
Depth to
limiting
factor
Remarks:
CST Nam ( ease P ' t) 1 Sig ture Telephone No.
Address Date CST Number
PROPERTY OWNER .itiIs SOIL DESCRIPTION REPORT
Page of Z
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GepIft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
l 7 f s
- ✓ / , L'
Ground 5
elev. ~p -
,-ft . ACS fv S~ 7~ 2 ~r l`
Depth to
limiting ;
factor
in.
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring # ;
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
SBD-8330 (R. 07/96)
LJAT sg
I Su,~YlB~ /YR°.EA
J~
let /
i
Bln
log,
,,r~tf/1NNy~~ 3
PRONALOD FILED
10
NOV 8 1985
Ia,9~36 O'CONNU A beww of
Nth
e
sURJ'e- %t ERTaFI ED SURVEY MAP NO.
~*f III1/1lie'~~, 1611
PART. OF THE WEST 21 RODS OF THE WEST 1/2 OF THE NORTHWEST 1/4 SECTION 7, TOWNSHIP 31 N,
NW COR. A 40401it4VEST, ST. CROIX COUNTY, WISCONSIN
SEC.7- 1-18 S8903Ob0'IE 2773.47' N1/4COR.
G,TH."-N•'SE 7-31-18
SEC. •
30 00'
/L I NE' S ,'RR HT OF WAY
--...r
b N00°399. THIS MAP WAS. PREPARED AND
Q 154..99 DRAWN AT THE; REQUEST OF-. GARY BAILLARGEON
N vo 1.. 7~fy
33.01'-. sri. :.•~3
I;N s89030oo..E SURVEYOR'S CERTIFICATE:
(I" 1~ 99, I, Ronald F. Johnson, a Registered Wisconsin Land Surveyor,
do hereby certify that I have surveyed, divided and mapped
a.parcel of land in the West 21 rods of the West Half of the
Northwest Quarter of Section 7, Township 31 North, Range 18
c a West of Star Prairie Township, St. Croix County, Wisconsin,
c w described as follows: Commencing at the Northwest Corner of
a ;ry s~, Section 7; thence, on an assumed bearing of
5001 02 E, along the west line of said Section 7, a
distance of 210.00 feet; thence S89°30100"E a distance of
LOT 1 3341 feet to the point of beginning; thence, along the
" FT.52.10aAC south line of that property described in Volume 705 page 243
.I3 W of Deeds recorded in the Register of Deeds Office in said
206.99' _ St. Croix County, S89° 30•' 0011E a distance of 176.99 feet to
W, N N
o N N89•30'00°w ° the east line of said property; thence, along said east line
N00°`3110211W a distance of 154.99 feet to the south right-of-
8 N o $ way of County Trunk Highway 11H"; thence, along said right-of.
I= way S89°3010011E 30.00 feet; thence S000 31102"E a distance of
► 79 feet; thence S89°28'58"W a distance of 31.25 feet
I tO ` e southeast eorner of that property described as. a
I exception in Volume 526 page 368 of deeds in said Register o
LOT 2 Deeds Office; thence, along the east line of last said
o property, N0003110211W 208.71 feet to the northeast cornier of
172,698 SQ.
Z said proper thence along the.norbh line of said ro ert
FT. 3.97 AC. o 1 , ' P p y~
o S89 28 581W a distance of 175.71 feet to the westerly right-
R►- ~ of-way of a Town Road; thence along said right-of-way
O DDRIGH It NO0°31102"W a distance of 1224.76 feet to the point of
Y
~ ; o beginning. Containing 6.07 acres more or less. The above
331
described property is subject toall easements of record, and
g to.the,said County and Town roads.
I - T further certify that I have fully complied with the
provisions of Chapter 236.34 of the Wisconsin State Statutes
I and the St. Croix County Zoning Ordinance on Minor Sub-
division in surveying and mapping the same.
t
O~ Ji ~98s
1 Date Ronald F. John on R.L.S. 1186
1 ' 175.71'
seg°271 Lot 1 as, shown hereon will be transfered to the land owner
lo!;in of the shown Volume 705 page 243, Document #399564.
Lot 2 as. shown hereon will be transfered to the land
NOO03102"W owner of the shown exception, this being the 1 acre
I 208.71' 208.71 by 208.71: fnnt_ in Vnl„ma r,?A nnarp 'AhR
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER CAu r Ig S" i(? Gail
1 n: S
MAILING ADDRESS PQ. 6 GX 5_3 ~
41, 2
PROPERTY ADDRESS
(I ation of eptic sy tem) lease obtain from the Planning Dept.
CITY/STATE e
PROPERTY LOCATION AIIJ 1/4, 1/4, Section, T__iz.~N-R /P W
TOWN OF ST. CROIX COUNTY, WI
SUBDIVISION LOT NUMBER
CERTIFIED SURVEY MAP~aaZ,VOLUW_„~PAGED// _,LOT NUMBER
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 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 for a maximum of 60% of the cost
of replacement of a failing system, which was in operation prior to July I, 1978. St. Cruix 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 St. Croix Zoning a certification form, signed by the owner
and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (I)
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.
Uwe, 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 stating that your septic has been maintained must be completed and returned to the St. Croix
County Zoning Officer within 30 days of the three year expir lion date.
SIGNED.
DATE: -
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
8 T C - 100
This application form is to be completed in full and signed by the
owner(s) of the property being developed. Any inadequacies will
only result in delays of the permit issuance. Should this
development be intended for resale by owner/contractor, (spec
house), then a second form should be retained and completed when
the property is sold and submitted to this office with the
appropriate deed recording.
Owner of property Lba r/e 5 S111I1 r_S
Location of property.J/1,4) l/4_~-1/4, Section ,T~LN-R____
Township Mailing address
Address of site
Subdivision name Lot no.
Other homes on property? Yes- No
Previous owner of property / l1t?71 s W c ns o n
Total size of property Z.1 P-e'eeS
Total size of parcel 2. 1
Date parcel was created lgSg5-
Are all corners and lot lines identifiable? Yes No
Is this property being developed for (spec house)? Yes No
Volume _f and Page Number 1441 as recorded with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE
NUMBER. AND 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 statements on this form are true to the
best of my (our) knowledge that I (we) am (are) the owner(s) of the
property described in this information form, by virtue of a
warranty deed recorded in the office of the County Register of
Deeds as Document No. -50-355' , 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 the County Register of Deeds as Document No.
s1o333s
- " " -Al &ial-4:t12
Signature of A licant Co-Applicant
Date of Siurc Date of Signature -
,a P 5PAcf
r .63335 ! STATE BAR OF WISCONSIN FORM 11 - 1982
LAND CONTRACT
!j Individual and Corrpporate
JO BE USED FOR ALL TRAMiAi TTONS WHERE OVER
DOCUMENT NO. $zs.ov B FiNA?ICED AND IN OrHER NON-CONSUMER
ACT TRANSACTIONS)
Il
jj Contract, by and between _ 'i}trvnaa R QIJanSpny f -baUrlfl~aul~
a single person,
("Vendor", rs
jI whether one or more) and Char-Les-I.-Ennis and Gail A. it 9:30 A. m
~I Ennis, husband and wife.
. ('Purchaser", whether one or more). I lbpt~~ J use ft
~I Veri sells and agrees to convey to Purchaser, upon the prompt and full performance
of this contract by Purchaser, the following property, together with the rents, profits, !I
j futures and other appurtenant interests (all called the -Property"), in jI
I St. Croix County, State of W-wonsm. 11
II THIS SPACE RESERVED FOR RECORDING DATA
r AND RETURN ADDRESS
it II KRISTINA OGLAND
II Zilz Estreen & Ogland
p.0. Box 359
WER Hudson, udson, Wl 54016 FEE
PARCEL IDENTIFICATION NUMDER IIJj
I I
I
Part of West 21 rods of the W1/2 of IVIA of Section 7, Township 31 North, Range 18 !
West, St. Croix County, Wisconsin, described as follows: Lot 1 of Certified Survey
ji Map filed November 8, 1985, in Vol. rr6", Page 1611, Doc. No. 406936.
This _ is not homestead property. Ij
( (is no0
I I
Purchaser agrees to purchase the Property and to pay to Vendor at place Vendor directs _
the sum of S_ 10, 700.00 in the following manner: (a) $ 2,140_00
at the execution of this Contract; and (b) the balance of $x,560.00 together with interest from date
hereof on i:ie balance outstanding from time to time at the rate of _tan (107.) percent per annum until paid in full, as roll ws:
Commencing on the 24th day of August, 1997, and on the 24th day of each and every
month thereafter, equal monthly installments of principal and interest in the amount it
of $113.12.
i~
~j I!
i
I
ii
P: Provided, however, the entire outstanding balance shall be paid in full on or before the 24th day of Jul-V,1999 ii
(the maturity date).
Following any default in payment, interest shall accrue at the rate of per annum on the entire amount in default (which shall
j m,lude, without limitation, delinquent interest and, upon acceleration or maturity; the entire principal balance).
it
I 4
i I
Purchaser, unless excused by Vendor, agrees to pay month))' to Vendor amounts sufficient to pay reasonably anticipated annual taxes, special II
assessments, fire and -equired insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these
obligations when due. Such amounts received by the Vendor for payment of taxes, .ssessments and insurance will be deposited into an escrow !I
fund or trustee account, but shall not hear interest unless otherwise required by law.
j
Payments shall be applied first to interest or 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
~ I
'I
In the event of any prepayment, this contract shall not he treated as in default with respect to payment so long as the unpaid balance of
principal. and int.icst (and in such ase accruil,g interest from month to month shall be treated as unpaid principal) is less than the am, unt 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 tide as shown by the title evidence submitted to Purchaser fur examination except: it
None
~i
L
veL 1255PA040
+ • ' Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest in n and to deliver to Vendor
an drasand receipts showtrtg such payment.
Purchaser shall keep the improvenieats or. the Property insured against loss or damage occasioned by fire, extended coverge perk
and such other hazards as Vendor may require, without co-insurance, through insurers approved by Vendor, in the sum of S n a
out -inAor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the insurance premium
when due. The policies shall contain the standard clause in favor 4 the Vendor's interest and, unless Vendor otherwise agrees in writing, the
orWnai of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies
and Vendor. Unless Purchase- and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property
dammed, 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
cpeudnam and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with al! laws, ordinances and
crimsons affecting the Property
Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and a!I conditions shall be fully performed
a the ruses 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 -ny liens or encumbrances created by the act or default of Purchaser, and except:
Faasam t-s rpgtr; ~ioatg rtriri&- c of
hL5_ 'L- y of co d, if any
Purchaser agrees that time is of the esaettce and (a) in the event of a default in the payment of any principal or interest which continues for
a penod of -&-Q_ days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which
continues for a period of - days following written notice thereof by Vendor (delivered personally or mailed by certified mail); then the entire
i.~ ootsaoda g balance under this contract shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser
barby waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in addition to those
paowided by law or in equity: (t) Vendor may, at his option, terminate this Contract and Purchasers rights, title and interest in the Property and
mcom the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire
°A°uxbrig balance, with interest thereon from the date of default at the rate in effect on such dare and other amounts due hereunder (in which
event alf amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the
Property if Purchaser fails to redeem); or (it) Vendor may sue for specific performance of this Contract to compel immediate and full payment on
the enfit 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 (iti) Vendor may sue at law for the entire unpaid
pnrchttsr 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-
tak acum if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and
lase a receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (it) or (tv) 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 3ttomeys fees of Vendor incurred to enforce any remedy hereunder (whether
aoared or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchast-r, as incurred,
and shall be included in any judgment.
Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to uvt a-rvrintment to
a rccemr of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendkacy . if 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 Purchasers rights under
this Contract or by option, long-term lease or in any other way) without the prior written consent of Vendor unless either the outstanding balance
payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract solely
as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire
outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice.
Vendor shall rnak; all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any
mortgagle granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the amount then due under this
Coraract. Purchaser may make such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be
eonst,iered payments made on this Contract.
Vendor may waive any default without waiving other subsequent or prior default of Purchase.
All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor
and Purchaser. (If not an owner of the property the spouse of Vendor for a valuable consideration loins herein to release homestead rights in the
sttgect Property and agrees to join in the execution of the deed to be made in fulfillment hereof.)
Dated this day of _ July te_9Z .
(SEAL) (SEAL)
Thomas B. Swanson Charles R. Ennis
(SEAL) (SEAL)
Gail A. Ennis
AUTHENTICATION ACKNOWLEDGMENT
sanuds) - Maws B SW ngnnr___ State of Wisconsin,
[hSUrl pg R Frmi Q s f'Ai l A Fnni ss.
aurheacicated this County
day of - July 1g 97 Personally came before me this
_ day of
19 , the abr:e named
Kris-- t'^' ~a18nd _ -
T[TLE: MEMBER STATE BAR OF WISCONSIN
(H not,
authorized by 9706.06, Wis. Slats.) ~
to me known to be the person Vho a-cuted the foregoing
instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY