Loading...
HomeMy WebLinkAbout018-1066-50-201 0 cn O', 3 v c7 r~ d o ~1 ~ ~D I ~ m a A~ ice' CD O cn g v, z o m Wo ° s 01. 3 C" A 7' 3 N QD W fo n' m s c- N y (31 C 3 O o w rn m 0 3 y r a s O1 "s N N O- 3 'O y fD O O O O CO 'O M N co fD 3 N j N a f n o 3 H N D O C 1 Qo _ ° cn D p j m co N a - v co 3 o o W n 3 L" a rn 0 C) CD co L" O N co to O CA O c 0) a) 3 Q 000 cn o ~`~`zd Nz ry ~.I3 ai N D `IQ T v v o N "M CD CO. = iW CD 4 rn _l A t0 I zz o o z z O ° = 8, O D N a w 3 Sr lV. C.n 7 O W N fB C O N Oro ~w fD 1 C C m (D -4 N v p Z W j N C .Or CL A O o (D O Z N O W m N) o CL o Z A O AZ1 z o B m y z CD A N A ~ i N a D O C to O y D) C (JI N X (D Z a °on m 0 17 o co c d ~ N ~ 0 CL O b cn co rn~ ~ ;0 ti N N N O o b ° v CD A o <n 0 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER GeQ a ADDRESS 7y~ /~o e/f ti SUBDIVISION / CSM4 LOT SECTION o _TQ-~ N-R_L7W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i ~ 3 6, 1a3 Mgr 3 INDICATE NORTH AR OW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: . O SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacit : Setback from: Well House l9 Other Pump: Manufacturer Model# US Size p ff Float seperation Gallons/cycle: fj Alarm Location G -:SOIL ABSORPTION SYSTEM Width: Length /019 Number of trenches Distance & Direction to nearest prop. line:- L 7 Setback from: well House- 6,~ Other ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom gQ~ g© Pump Off Header/Manifold / ' ~g D 9 Bottom of system Existing Grade Final grade DATE OF INSTALLATION: 9✓ 7 PLUMBER ON JOB: LICENSE NUMBER: M ,_5"X 9 D INSPECTOR: U /A;i__ 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division , GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Permiy Htig ~i gameSCOTT E] City E] Village Town of: State Plan ID No.: laG CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: l~ , C~ ~ c (3-S , f 10 TANK INFORMATION ELEVATION DATA 9 04 Pe TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ' ZOd Benchmark S 164) •Lb' Dosing 6" d~~a.'an VJ•~• x.77 / 07•~ Aerat Bldg. Sewer 0 Holding St/,t Inlet 0 ~'Sl9s TANK SETBACK INFORMATION St/~K Outlet TANK TO P / L WELL BLDG. Ventto ROAD Dt Inlet Air Intake - 417t Septic NA Dt Bottom oO ' s 90, z Dosing y50 NA Header/Idae Aeration NA Dist. Pipe e Ho Ing Bot. System 13,33 F7 PUMP/ INFORMATION Final Grade Manufacturer Demand 0of'S 77 6. (o, /(i Model Number 0,5p 33 GPM ction Syesatem~A- TDH Ft S 0'• (09 TDH LiftFri oss Forcemai n Length Dia. H,2 Dist. To well ~1601 SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length / No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION ~z DIMEN I SYSTEM TO P / L BLDG WELL LAKE/STREAM L NG Manufac SETBACK CHAMBER INFORMATION Type Of nawp(ose r umber: System:&K41.6*161 ~'160 OR UN_1T_ DISTRIBUTION SYSTEM Header/Manifold it Distribution Pipe(s) et x Hole Size x Hole Spacing Vent To Air Intake Length/ Dia. Length Dia. Spacing OIL COVER x Pressure Systems Only xx Mound Or At-Grad s Only ver Depth Over xx Depth Of xx Seeded / Sodded Mu c e epth O ~//PF • Bed /Trench Center Bed /Trench Edges IT ❑ Yes E] No ❑ Yes El No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: HAMMOND.30_29.17W; NE; NE; 160TH ST U Plan revision required? ❑ Yes No Use other side for additional information. 9 W SBD-6710 (R 05/91) Date Inspector's Signature Cert No. Safety and Buildings Division viii ie+ Bureau of Building Water System: e-•■~r■r1t SANITARY PERMIT APPLICATION 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less Count than 8 112 x 11 inches in size. A If • See reverse side for instructions for completing this application State Sanitary Permit Number vfstvio(!sphcatlon The information you provide may be used by other government agency programs ❑ Check it (Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Property Owner Name Property Location /4 1/4, S T , N, -5-e-et e/ y t br) W ,NJ Property O er's Mai ing Address Lot Numb Block Number G tate Zip Code Phone Number Subdon am YlIr CS Nu ~r II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ lt~ arest Road ❑ VII age Public 1 or 2 Family Dwelling - No. of bedrooms Town OF Ir 5, III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo ® G -S 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. 14 New 2. ❑ Replacement 3_ ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Exl-----System _ B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Co Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-ln-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate `lev. 7. Final Grade / Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation Feet . 9 Feet VII. TANK Capacity acitns Total # of Prefab. Fiber- Exper. INFORMATION g Gallons Tanks Manufacturer s Name Concrete con- Steei glass Plastic App New Existing structed Tanks Tanks Septic Tank or Holding Tank /9-00 h/ ® ❑ ❑ ❑ ❑ ❑ X O -L+ ❑ ❑ ❑ I I [I F-1 Lift Pump Tank /Siphon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersi ned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) MP14t3lo.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sa itary Permit Fee (includes Groundwater ate ssue Issuing Agent Signature (No Stamps) Surcharge Fee) / XApproved ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) - 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 selvage 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, 608-266-3815. 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. IIL 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 narne, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County / Department Use Only. Complete plans and specifications not smaller than 8 112 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. GRQUNDWATER 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. e i O IN i - i 8 1 / - - moo n _ ~ I I I f i~ Vor 00 i Y 17 I r 14 Thl i ' I I I w-- ( I r, I i - - ! r 4- I ~ I I . . I ( ! I t 'r I ! I i I - ! 1-7 r I' I - - -I-- F- I I j I I - PAGE ! OF .2 PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS VENT CAP 4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING 25' FROM DOOR, JUNCTION BOX MANHOLE COVER ~ WINDOW OR FRESH 12 MIU. ' AIR INTAKE GRADE I 4" MIJJ. y _ 19" P, I IJ . CONDUIT 18"MIN. IJLET PROVIDE I - -7 AIRTIGHT SEAL I III I I I APPROVED JOINT A I III APPRDVED J' C.I. PIPE I I I w/C.I. PIPE EXTENDIMG 3' I III ALARM EXTEX101NC. CIJTO SOLID SOIL B I I I OrJTC SOLID ~ )I I I I I oN C I 1 LL CV.~d-FT. PUMP-~ --J OFF D CONCRETE BLOCK RISER EXIT PERMITTED GIJLJ IF TANK MAQUFACTURER HAS SUCH APPROVAL SEPTIC E SPEGIFICATIOKJS DOSE ' TA►JKS MANUFACTURER: ~e Se R IJUMBER OF DOSES: PER DAY TAIJK SIZE: h00 - 7-f-0 GALLOIJS DOSE VOLUME ALARM_ MANUFACTURER: INCLUDING BACKFLOW: ~73 GALI-OI S MODEL NUMBER: Al/ CAPACITIES: A INCHES OR GALLO; SWITCH TYPE: MeR INCHES OR GALLOl 5 PUMP MANUFACTURER: I~V dg M Atie G INCHES OR GALLOW.: S MODEL NUMBER: 0 ` ' 33 D= ' IAICHES oR ~ GALLOr'S SWITCH TYPE: S.T.0Le D ~ MOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEN PUMP OFF AND DISTRIBUTION PIPE.. ZY FEET + MINIMUM NETWORK SUPPLY PRESSURL~,E/.. F.E.ET + FEET OF FORCE MAIN X 1opr.FRICTION FA'f011.._t.~ _ FEET F /o TOT~A=L0-31JAMIC HEAD = 'FEET INTERNAL DIMEIJSIONS OF TANK: LENGTH ;WIDTH _lIE6`L_.;LIQUID DEPTH - SIG1~1E D:- ~ LICENSE 1.lUMBER: P ~6 9 0 DATE: ~9 ~ M I T ' K t = EF . 1 :OS OSf433ABD 100H MAX. SOLIDS 5/8" SPHERE MAX. SOLIDS 5/8" SPHERE MAX. SOLIDS "SPHERE 1/3 HP 1/3`HP 1/2 AND'1`HP • 1750 RPM 1750 RPM 3450.RPM o • Available in automatic or manual • Available in automatic • Available in manual or automatic • Non-clog bronze impeller 0 All bronze construction • Automatics feature reliable 0 No suction screens to clean • Non-clog bronze impeller diaphragm pressure switch (1 /2 HP), • Oil-filled, double ball bearing motor • No suction screens to clean wide-angle float switch (1 HP), both with built-in overload protection • Oil-filled, double ball bearing motor with piggyback plug-in • Carbon/ceramic faced mechanical with built-in overload protection • Dual shaft seals standard. Seal fail- shaft seal • Carbon/ceramic faced mechanical ure sensor capability available (wired • Great for septic tank effluent, shaft seal to alarm device) on manual pumps elevator pits, high capacity sump • Reliable diaphragm switch • Non-clogging 2-vane cast iron service, industrial circulators • Completely field serviceable sewage-type impeller • Reliable diaphragm switch with • 1-1 /4" NPT discharge • Rugged cast iron construction piggyback plug-in 0 1 /3 HP, lo 115V 0 1 /2 HP (SPD50H) and 1 HP • Rugged cast iron construction (SPD100H) motors. Ball bearing • Completely field serviceable construction and oil-filled • 1-1 /2" NPT discharge • 2" NPT discharge(3" flange opt.) 0 1 /3 HP, 1 o 115V or 230V • 1 /2 HP, 10 1 4Dr..230V and 3o 200V, 46005V 1 HP, 1 o i 230V and 200V, 3o 230V, 460V or 576V 32 32 tt ` 24 i4 48 C. NA -1 82 tilt F 0 0 o = qo' ' ao , "40 60 ao , f o ,r 19, 20 ao 40 so eo 0 24 ~s Z H " es 120 1" .f. •U.S CAPACITY U.S, GAM. f( 'Ft~ Wisconsin Department of Industry, SOIL AND SITE EVALUATION Labor and Human Relations Page of Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. 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 S-/_ C 0 AA~ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location O e Govt. Lot 1/4 - 1/4,S3O T ,N,R 17 Mbr) W Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# 111.2 - 0 t 1- .2- City State Zip Code Phone Number Nearest Road ~iv ~98 El City ❑ Village ®Town New Construction Use: ❑ Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow O O gpd Recommended design loading rate gibed, gpd/ft2 . trench, gpd/ft2 --trench, gpd/ft2 Absorption area requiredZ gibed, ft2trench, ft2 Maximum design loading rate bed, gpd/ft2-e Recommended infiltration surface elevation(s) N. ad! /4, F2, ft (as referred to site plan benchmark) Additional design/site considerations / Parent material G~ A e i,;; 7'' l ~ Flood plain elevation, if applicable N It Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank S = Suitable for system I U = Unsuitable for system S0 U Id S❑ U ® S El U Q S ❑ U 1:1 S ® U ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench d /v I ~LSd rR w o? Ai f l e V R 41 Id L M Lv Ground SI S S M .4 d 9 elev. ?41 jTft. !V_X-2 a-0-9 64 e- 5 Depth to limiting factor Remarks: Boring # p z - L. 156 F NVC J6 S 2 Al ; • 6 Pfed9 Ground W-? ,O E - r E 6 lev ' rft. Depth to limiting factor >ain. Remarks: CST Name (Please Print) Signature Telephone No✓`" Address Date CST Number 2? -1 46~ PROPERTY OWNER SIB tZ A/ e 1196AChSOIL DESCRIPTION REPORT / / Page '2 of PARCEL I.D.# © le- `D D y - J-e Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Ground 'b 6 Cd S~ C S 7 elev. Depth to limiting factor > 91ri n. Remarks: Boring # a-%i ® - S L ~sd c s Z2 Xf f a- 11-2"2 Q G , Ground 'e . Jr J/,q e , • O elev. Depth to limiting factor 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 # l o 1-9- 10YR 217 -'0 1sd m S G 2s F vF c 'q 1 4Z/P- 6- ed S L- - Ground elev. q61*ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) _ f y~ I f i I II -tom ~ . I / RIL. } ~1 1- - - Lao - _ _ - j - - - - - - -'i ~.alp I_ m- at, - - - - - ! - - - - ----_~-v i - - - - i o - i_- --i - i I 1 E P7 i i i I r - I I ~ C- I I t I - L-j- I I I 1 I I 1 I I ~ , -T , - I _ - I - II - - - l- - - }--t - - - - I - { i II i I , _F STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OwNE SG'O ;,,-204 /ye iiy 6 e A MAILING ADDRESS 7 ' ~O O f`~l S PROPERTY ADDRESS / Gj / ('OV cif 'LL2lU s (location of septic system) Please obtain from the Planning Dept. CITY/STATE 4,11 PROPERTY LOCATION &E 1/4, Alf 1/4, Section T~N-R /~7 W TOWN OF A M j Al ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER o~. CERTIFIED SURVEY MAP , VOLUME , PAGE , 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 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 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 (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. 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 ye r expiration date. SIGNED: DATE: C, St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S 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 5d a 1--t #oe lN(d ,f C A Location of property)VO l/41/4 , Section T_y N-R__/ _W Township # AM6d,&Nd Mailing address '7 a Make lvj* ~ s t 11A A4 Address of site-/)/) - S{- - 661L SZ/o ks Subdivision name j)q0 Lot no. other homes on property? Ye s`/ Previous owner of property ~}Qa Total size of property -ij0,4 ap o Total size of parcel ae Date parcel was created A- y /99e~ Are all corners and lot lines identifiable? X_Yes No Is this property being developed for (spec house)? Yes No Volume and Page Number 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. 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. Signat re of Applicant Co-Applicant 96 Date of bSignature Date of Signature C\j /Y FILED MAY 0 3 1996 ® 5 KATHLEEN H. WALSH Register of Deeds SL Croix Co, W1 5318=3 ~ CERTIFIED SURVEY MAP-- Located in part of the NEJ of the NEJ of Section 30, T29N, R17W, Town y of Hammond, St. Croix County, Wisconsin. w N OWNERS a Gregory J Gillis Deborah A Gillis UN PL~~ I I ED LANDS N a 796 160th Street Hammond WI 54015 'P 0 T H. T 0, =r Ct -1 F---North line of the NEk `4 y S89°0^n9'35"W -_W 13511W 743.001- 0 c a V" N G w c .22' o H. CA,- 1880 w m D 3 N>k Corner U) v CD C Section 30 LOT I 0 N Ln OD o a C.S.M. v In N J- Q c . Ln ~O cn 0 VOL. Ei 117 1L ~E s ° W S89°0 '35"W 571.60' y 'io o 2,c 171.60' (west) 400.00' n F' F x IC N N LINE DATA I~ T °o m A. S89°09'55"W 142.85' m B S89°00'41.!'W 111.75' 1y -I C 500°59' 19"E 17.00:' D S89°00'41'"W 30.80' I-I inl E S00°50'25"E 51.92' iC7 LOT 2 N H F S00°50'25"E 220.33' 0 o z G S00°50'25°E' 33.15' Co 18.92 Acres Inc. R/W soo°5o'2s"E 1e.7 l 0 824,287 Sq. Ft. D x a.. .r 25 m Yd ~i.t♦ '1 •4 N o 18.75 Acres Exc. R/W U.) 816,630 Sq. Ft. { w , ACs tf O1 vim l h7 ` ' t ` , 4'F S y' ti, O . • yt'y 1 J r' i 1 ' , I> Ay 0 3 '961 -0 A 1z o m toix COUNTY - Z I G7 o 4 -h nsive Ptannir - w `t -oning and MATCH LINE g+ .oO1+ w w X~:?t?13 Committee ~o 0 CD 1D SEE SHEET 2 ° 010 r o w ,4s * -ot recorded 1279.96' 567.13' 33.00' Ct ~~z s)1 on nr , , N89°24' 15"E 600.13' X33.00'- z CERTIFIED SURVEY MAP Located in part of the NEJ of the NE* of Section 30, T29N, R17W, Town of Hammond, St. Croix County, Wisconsin. OWNERS Gregory J Gillis i ^ Deborah A Gillis IJ N,LAT_ I rc-r1 `AN L, J y 796 160th Street - - - - - - Hammond, WI 54015 N I . K I I `5 C North line of the NE4 -7 W _ S89009'35119 743.00' _ C* a W m 600.15' w o a N567.171 -NE Corner S89°00'41"W 678.92' Section 30 a in D o 0 Septic ® J 33 33 a Ct E 0) 01 House a Well 3 (D CD of ° O W z L rt O o vs`-h z CD CD CJ 0 z ° o ~~7 z 0 pC O F-' M~ O1 I o0 rn I L (n -n - IL lC 00 (D 0- 4- 000 rr m M LD 1T I I~ r k0 -h o w In rt N 11~ = j 0 m nNi it I -I M o 17.31 Acres Inc. R/W N Ln I -I 754,141 Sq. Ft. " r IrTj 15.92 Acres Exc R/W w r} ti 693,449 Sq. Ft. I H N I 1.0 tzxj V` N °a W z If Iy 1 c~ I L~ I 6 6' 10') 10 I , -I I 1= N89°24'15"E 600.13'I IL7 -I 567.13' 33.00' SEE SHEET 1 i llI s ''11 MATCH LINE I -I LEGEND - DOCUMENT NO. STATE BAR OF WISCONSIN FORM 11-1982 THIS SPACE RESERVED FOR RECORDING DATA LAND CONTRACT Individual and Corporate (TO BE USED FOR ALL TRANSACTIONS WHERE OVE `VJVl7 $26,000 IS FINANCED AND IN OTHER NON-CONSUMER ACT TRANSACTIONS) {S 'rE9 C` FICI -rG ST, CROD, C TY., N111 Contract, by and between Grego rx J . G i 11 i s and ' ; Recd for Record - , Aeb_arah_Ax_.Gi_J.1' husband and wife 1 1QY 21 1996 .."("Vendor';-___~__ whether on or ore). and_ .__SCOtt A. Heinbpch a d 8.45 `PAM Diane 'r. lelnbuch, husband;""arid""wife. Va diTig-as ---------~,r,- . survivorship marital prpperty("Purchaser", whether one or more). E Register of Deeds ' Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant interests (all called the "Property"), in Croix County, State of Wisconsin: RETURN AA ^A~--~}.T.y~O..~ ~J/[~(-~ S'10~3 Tax Parcel No_ Part of the Northeast Quarter of the~Ndrtheast Quarter (NE14 of NE-14) of Section Thirty (30), Township Twenty-Nine North (T29N), Range Seventeen West (R17W), Town of Hammond. St. Croix County, Wisconsin, more particularly described as: Lot Two (2) of Certified Survey Maps filed May 3j--199.6, in Volume I'll" of Certified Survey Maps, Page 3096, Office 'of the Register of Deeds for St. Croix County, Wisconsin. T ~I~~~IER This .__i is not -------homestead property. ( (is not) Purchaser agrees to purchase the Property and to pay to Vendor at ._a__place designat_e_d_ by vendor the sum of 1.8_t 450 . 00--------------------------------- in the following manner: a at the execution of this Contract; and (b) the balance of $-.15 , 0.00 together with interest from date hereof on the balance outstanding from time to time at the rate of ten. (10%) per cent per annum until paid in full, as follows: in one payment of principal and interest on or before September 30, 1996. Provided, however, the entire outstanding balance shall be paid in full on or before the___3Oth_____________ day of September 19_q6___ ( the maturity date). Following any default in payment, interest shall accrue at the rate of.•_NIA.% per annum on the entire amount in default (which shall include; without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due. To thp,_extent received -by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time after /A•_-"---•--_--_-_.. 19........ Nmpc ~~~x~~a'x►3~X~~x~rs~s~xbc~€xori~Ai~tao~xsrrn~ssta¢t~catx~ea~xxxxx 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 aecruine• interest from month +n mnnth ahnll he +-+-A