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HomeMy WebLinkAbout022-1083-20-300 Q c m ° a 3 0 N a Q - h ac a c 4 n O O ° N x N N O D C O ~ V W O O O d U w co f. m O N dJ ~ ro . ui LL c co p O O) C t3 O a I ~ N U1 Q r ~ I 3 ~ Q w I E I O v o Z a m N d 00 N f- Z c c C7 ~ O Z c r 7 4 CD Z ° N - tn H m ° c (D Z E 'a a m a) a) N 7 ~ N Q N • d N C I _ O LL C -0 Q U z co z O Z 0 L E N ~y N y y E IL 0. m 0 v O ° N N d i~ O NO o o It a, e~rrrr~ z > n o o •N OOO z N a a a a m V a) 0) a) } rl ° 0) o N N O O E O O O CD N O ~ N Q ^ co N C Q } ) *i m O c i O O p N C O CC M U F- E 0 N 0 W y "nw N V Q U C C: Q. p O O O lv, _C M W C C N C C N N N C IS C 06 U W rpF -Oi -Oi W t-- 00 N • N Oi C N y N O ~l O L O N Y z C0 . 0 2 2 U V ~ N C/) a xt _EL E D vat Oinv STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS S ,b Q~ ~'c« er ells SUBDIVISION / CSM## (P! LOT # SECTION- T N_R-~ Town of A /C- i ~ ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM r YO ~a Xioa'8e~ INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: /vim . f Ls1 C'z° l D'$~ ALTERNATE BM: E CH HOLDING TANK INFORMATION Manufacturer: k'Ie'51 f"e C Liquid Capacity: V-'6/51P i Setback from: Well House ,26~ Other t; 6 q11 Pump: Manufacturer Coo a f ModAl# Size Float seperation Gallons/cycle: Alarm Location 0 a F -:SOIL ABSORPTION SYSTEM t ~ Width: Length Number of trenches Distance & Direction to nearest prop. line: /oar? NA ~6! Setback from: well: ?/~D' House D~ 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 INSTALLATI -PLUMBER ON JOB: LICENSE NUMBER: 3 ~y 3 INSPECTOR: 3/93:jt Visepnsin'yepartment of Industry, Labor and Human Re PRIVATE SEWAGE SYSTEM County: ST. G`OIX Safety and Buildings Division sINSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Permit Holder's Name: ❑ City ❑ Village Town of: State Pla . HART, JOHN A. & DIANE L. X CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: ' Idl, 7' ,D h- /T.'.A Z,(-, o .a TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic f2c! Benchmark Dosing In-14 I (_'ry yJ ~ Aeration Bldg. Sewer i Holding St/ Ht Inlet g ~j A, CrG.3tr TANK SETBACK INFORMATION Outlet Verit TANKTO P/L WELL BLDG. A irito ntake ROAD Dt Inlet ' qa Septic yc9 s- / Jot yJ(,j' NA Dt Bottom /0,4/0 Dosing ,0 r yr)' > 0 ' NA Header/ Man. Aeration NA Dist. Pipe 6,7 2' 6- Holding Bot. System 714y1 g5l~l PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand 5_2~ 77,777777-7 Model Number ~$6J/ 93 GPM TDH Lift Friction Sl1yStem TDH~ I~ I Ft Loss 6 Forcemain Length Dia. O w Dist. To Well r SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Tr nches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type Of lZet_t) CHAMBER Moe Number: System: ~ G~~ ~ 30 OR UNIT DISTRIBUTION SYSTEM Header/manifold Distribution Pipe(s) x Hole 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 Depth Over xx Depth Of xx Seeded/ Sodded Mulched Bed /Trench Center Bed /Trench Edges Topsoil C] Yes ❑ No xx❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: KINNICKINNIC.29..28.18W, NW, NE, LOT 4, 105TH ST X01,7 F 0,0~/ 7~9 Plan revision required? ❑ Yes Ef No Use other side for additional information. 61d k SBD-6710(R 05/91) Date In a br'sSignature Cert. No. ADDITIONAL COMMENTS AND SKETCH j SANITARY PERMIT NUMBER: U f - l E .e SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY aT ~~~1 -Attach complete plans (to the county copy only) for the system, on paper not less than STATE SANITARY PERMIT # -47 ~~r GlO 8i4 x 11 inches in size. E] Chec if ` O T 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 OWNER PROPERTY LOCATION m h & _q DI". e A r~ /)'/a %a, S / T N, R E (ora PROPERTY OWNER'S MAILING ADDREVA LOT BLOCK # CBY, STATE 15 a CODE PHONE NUMBER SUBDIVISION NAME OR CSM N M ER -CO II. TYPE OF BUILDING: (Check one) CITY NEAREST ROA - L1 State Owned ❑ VILLAGE: 0 ❑ Public 1 or 2 Fam. Dwellin Z/ g-# of bedrooms L PARCEL TAX NUMBER(S) 111. BUILDING USE: (If building type is public, check all that apply) U - )M3 c?o -300 1 ❑ Apt/Condo 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 80 Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ 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 © Seepage Bed xJGb a r21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench .7, f22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 0, 1. GALLON S PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. L ADING ATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE x REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION Se ? U b~ ~O 0 # Feet Q~~D Feet VII TANK CAPACITY in allons Total Prefab. Site Fiber- Exper. INFORMATION jNewks istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks structed Septic Tank or Holdin Tank as x CGS Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. (P um er's Name (Print): Plu Signature: (No St mps) MPS . Business Phone Number: All Plumber's Address (Street, City, S e, Zip Code): IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved S itary Permit Fee (Includes Groundwater a e Issued Issuing Agent Signature. No Stamps) Approved Surcharge Fee) A ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(8.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber Y INSTRUCTIONS " 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the 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 & 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. 11. 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 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 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 8% 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, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) Submersible MODEL: 3871 SIZE. 3/4 SOLIDS Effluent Pump RPM: 1550 HP: 0.4 METERS FEET I 8 25 ~ I o ` - ---r - - - W 6 20 z 5- 15 ~p 4 0 3 10 5 i 0 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 m3/h CAPACITY GOULDS PUMPS. INC. s[ccn Fats ►Ew rawc 13 wa l Eflactivs DIM Goulds Pumps, Inc. OaoW.19& SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE PRINTED IN USA PUMP CHAMBER CROSS SECTION AND SPECIFICATIOWS ' PAGE OF VENT CAP `I'C.I. VENT PIPE WEATHER PROOF APPROVED LOCKIN 23' FROM DOOR, JUNCTION BOX MANHOLE COVER W0 WINDOW OR FRESH It"MIIJ. AIR INTAKE I GRADE I I y" MIN. I 18" MIW. 18"MIN. CONDUIT \ IAILE T PROVIDE 11, I - AIRTIGHT SEAL I III T APPROVED JOINT I III A W/C.I. PfPE I I I APPROVED JOINTS I I I EXTENOIAIG 3' I I i W/C.EEXTENDING . PIPE EXTENDING 3' ONTO 5QL10 SOIL ALARM 6 I I I ONTO SOLID SOIL I I C I I Ow I LLEV. FT. PUMP---., O ~ OFF CONCRETE BLOCK RISER EXIT PERP'117TE0 Ly IF TANK MANUFACTURER HAS SUCH APPROVAL 3~~ApPQov 86001 Ntq SEPTIC E SPECIFICATIOKJS DOSE TA LJ KS MALI UFACT URCR: ~t~! •~c"'+ ; ' / cnis ~ WUM6ER OF DOSES: PER DAy TANK 51ZE: a GALLOWS -f- LOSE VOLUME ) p ALARM MMJUFACTURER: ~GAi se f F~~" }I` INCLUDIAIG 6ACKFL0W: Q GALLONS 'rC MODEL WUMBER: CAPACITIES: A=3 SWITCH TYPE: Y.J L INCHES OR ~GALLONS PUMP 6 =--~-INCHES OR 1'" GALLOWS MANUFACTURER:- =,pQ) l 1A C = ~D~ INCHES OR MODEL HUMBER: GALLONS gWITCH TYPE: ~eYC krLf LINCHES OR 1-7.L2 GALLOWS MOTE: PUMP AND ALARM ARE TO DE MINIMUM DISCHARGE RATE I GPM ,,INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEM PUMP OFF AWD,DISTRIBUTION PIPE.. Z ~Q FEET 1 • MINIMUM NETWORK ~SUPPLN PRESSURE . " , 2_5_ FCET ♦ ~I_* YEET OF FORCE MAIN X g' r F% IooFLFRICTIOIJ FACTOR..--29_ FEET TOTAL DyWAMIC. HEAD = FEET tl INTERNAL DIMEIJSIOWS OF TAWK: LENGTH -L2L• ,WIDTHL-;LIQUID DEPTH SIG E ~ ' LICEMSE WUMBER: w Y DATE:- Wisconsin Department tions Industry, :.abor and Humar; R elati SOIL AND SITE EVALUATION REPORT Page I of 3 Division df safety & Buildings in accord with ILHR 83.05, WIS. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but ST G~ZO 1)C not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION S°\-\ N * ~1 % N GOVT. LOT NW 1/4 NE 1/4,S Zq T Zg N,R 1B E (or e PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # X94 S. L1C3~2 TZokb H - PT~i~os~o CS11 CITY, STATE ZIP CODE PHONE NUMBER UCITY VILLAGE DOWN NEAREST ROAD ~~tu_t V;,\ tJLS,wI S\j 4T.Z (713) 4Zb- Sog6 Irct~t.~t.CYr_)MK.)1C ZLI T* ST, Pd New Construction Use bd Residential / Number of bedrooms uti `R-N o w tv [ [Replacement [ 1 Additign o existing building Public or commer ial describe Code derived daily flow 1 So gpd v~tea" ~me~ sign ceding rate o • _S bed, gp~2 0 , b trench, gpd/(t2 Absorption area require (.I) bed, ft2 -?-SO trench, ft2 Maximum design loading rate _o_- _S bed, gpd/ft2 0, 6 trench, gpd* Recommended infiltration su evation(s) tt. q,S . S It (as referred to site plan benchmark) Additional design / site considerations -MZ'AJ Ce S '0 cn k1 r-I LxyD L'tJ Parent material S Pk.jvs I-r o Q r"^ s r•} Flood plain elevation, if applicable N, A . It S = Suitable for System CONVENTIONAL MOUND ROUND U PRESSURE AT GRADE SYSTEM IN R HOLDING TANK U= Unsuitable for stem OS ❑ U IRS ❑ U 1@ S O U WS ❑ U ❑ S O U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure Consisterm GPD/ft, in. Munsell tau. Sz. Cont. Color Texture Gr. Sz. Sh. Boundary Roots Bed Trench O- l'2 10~11Z 31Z - ~S Z`Fs~1~t `Muir A-ut-j Zv; 0•1 0.8 13 z 1 Z --Z% ~•S''1 R. 3 J Z - 31 C 3'b w. 'Fh C. L1 O. S Ground 3 ZR-4b -).S `9R 3Jy - ~s 0-Sbk wi CS elev. °tq _q It L/ 4D.86 to L-17- s/6 - S O S 9 M 1 O. S n. Depth to Np'M zoh► ;F I/ jN Lr✓. C3NA/a G s Ct~ !N I/ 8 '1 r ' limiting y `'t k s 2 3 >h v f~ factor 15 0~~ S C r z es- vc.-p u e) > 84~ `r Remarks: Boring # b-l3 ll~`q~ 3Jz ~S z'Sb~c `nn~ ~1~ CQw 2.u EZ 'S 5b\m m 4 S 1ui 4 0.55 Ground - 1 s c sbk ►M v +v- c S o.1 ' e.8 elev. I{ 3$-85 Lo `le 516 - T s °19 o It 0.5 b Depth to limiting factor > 85" Remarks: T Name:-Please Print ress: Arthur L. We erer e~54_ gerer Soil Testing & Design Service-P.O. Box 74 Ri, Signature: ~.4j 4022 Date: CST Number: LA'r3L aZ_ 183 5 . L6, 19 ?z 576 PROPERTY OWNER '\A NAT SOIL DESCRIPTION REPORT Page ,of, 3 , PARCEL I.D. # ffDe th Dominant Color Mottles Structure Roots GPD/ft Boring # Texture Gr. Sz. Sh. Consistence Bw-d3y Bed Trench Munsell Qu. Sz. Cont• Color S Z j SNOT try V o•-> d. b ,.14 u.5 S k tn csb~c rr,v~h cs o•~ a•9 Ground -3~ ~•S 4r? Sly S 1 elev. - v S o. s o. 6 `Fs q,6.6 ft. V34? 51c Yy1 Depth to limiting facto( Remarks: Boring # S Z 'F ~Uk rn v ~w Z v` 8 1 b-\Z b -L R- 31 z. 13 Z. ~-L-Z3 1.5 ~-1R 3/Z - S 1 C. 3bV, GS ~v~ o.y u.5 3 Z3-klo -1.S Litt 31y 1 S cSbtic lv~v ~r CS o.-) v.8 Ground s v347- s o sC vvi~ o• 5 v.6 elev. y y o_& / ~ - 99-o I. Depth to limiting factor ? 8~{u Remarks: Boring # FRI s 31Z -S HR 31y - o•~ 0.8 Ground elev. y 39-86 In 11 R2 S/` p S9 ,M 1 O• S o• 6 aq , d ft Depth to limiting fac$6~~ Remarks: Boring # F 13- Ground elev. ft. Depth to limiting facts JiL-j Remarks: SBD-8330(R.05/92) . , PLOT PLAN page 3 of 3 SCALE 1"= 3p 1305, q z ~ v S E '[p H"T LLT'Pt ~ T Z 5 ~ ~iZ p r.-t S ~I .S'1~,►-1 1'r1Z.,~A . le d Iyv STPt~I~t.. Tb OE'Tts52~11rvE S1Z~ ~ti~ L.uc~1~ON n~ S~ 1 S`~ w`t1` u tV~y~~3 ~l~ of ~~D~uoW1 ~lZC lc~i v~viv , S`~.s~ `Co Q~ w t Q ll S S Ttvk, rJ 3 `~iE S v i ~g L` I~z.~sq m x ~.v 3 LT OI t.~wl~y_ NE 11Y L. l7 C-6~ `C~ll 1.1 S 1~'1'C ~ ~ Pc`{ F ~ ~t.b M tom. 48 6 (NOT lD SCrjl~) Sv t~'rQLE ~-~q F-WR Iii I-D A L I S`-i sT~ ~'l S a, y I LL 99 I 1 O-L 8►-~~1i ~L. loo.o~ 31y" PVC l~iAE g ~l,gg4 pN C6y ktlGb-F 3/yu wl IMP%. 0\)C- 'Pt V- _ ~ ~ Z-L83 CST Signature (-)IS ,Mobs-) Date Signe Telephone No. CST # Labor and Hu angel bons stry, SOIL AND SITE EVALUATION REPORT Page I of 3 . 'Labor and Hunoan Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but ST GFtQ 1 K not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION So11 N $ Ol U ~~T GOVT. LOT NW 1/4 NE 1/4,S Lq T Zg ,N,R IS E (or~ PROPERTY OWNER'.S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # 1114 S. L l a eZT`l 1~ h.D CITY, STATE _ QTw ZS `zD C S M ZIP CODE PHONE NUMBER OCITY ~NILLAGE OTOWN NEAREST ROAD \~t~~ ~tuS~l~l SypZZ (715) yZ(,~ Sa96 !ct>JJ.3LC1r~l"K31C lz~s'M &r. Dd New Construction Use (d Residential / Number of bedrooms u o w N Replacement Public or commercial describe Adds existing building Code derived daily flow 1 S o gpd ~D ecommended design loading rate O. S bed, gpdfft2 0 • b trench .9P~ Absorption area requir ~ o bed, ft2 `ZS trench, ft2 Mabmum design loading rate ~ • S bed, gpd/It2 0. 6 ft~, gp~2 Recommended infiltration s don(s) Lst. g s . S It (as referred to site plan benchmark Additional design / site considerationscE'tv c~ s RV, Co ~ h LAJb e Parent material s I tub y o~ rwr.s r•} Rood plain elevation, d applicable N • ft $ = Suitable fa system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN 1 HOLDING TANK U=Unsuitable for stem $ ❑U I2S ❑U ®S ❑U 0S pU WS 0U ❑S ®U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft, in. Munsell (Qu. Sz. Cart. Color Gr. Sz. Sh. Wr-* bertoe Wixt ty Roots Bed ranch z 1 o-1Z to~231Z - \s Z~-s~tic m.~f~ d~~ zv~ o.~ o. B 1 C sbk m`Fly as \v~ 0.~1 0.S Ground 3 Za - qo • S y R 3/ V _ elev. s l C s bk u C S 0.-1 o. a q~~ft• L/ 4D_88 ID `-t 2 s/( - '~s d s9 MI o.So.c, Depth to NoT~ limiting Z,o►~t tN t~~1uN G s cuti Im 8 4 ►/yr `')t" I It 2 3 M y facto a 15 BtpvcJ S C "Z es'R tcT) u e) Remarks: Boring # _ ~ O-t3 lt~~lR 3Iz. 1 S z ~ Sb~rc 7vt u'(Ly. (X,tv Zu¢ 0.7 `o.g Z ~3-2Z ~.S `t2 3/z S 1 c.Sbk m ~y is 1ui o•y `0.s 3 2Z-38 "~-S~tlz 3/y Ground - s c s~k w, v c s o.~ d. 8 elev. t{ 3$-85 `lQ sl °)9• a ft 6 - s s9 g o. 6 Depth ID 2 limiting ffac$5 ~J~ Remarks: T Name.-Please Print Arthur L. We erer g rer Soil Testing & Design Service-P.O. Box 74 River I 54022 Signadue: p Q Z_ t 3 Date: CST Numtter: ~l s~~. L6, t44z 576 1~ ~2T SOIL DESCRIPTION REPORT Page ?f 3 PROPERTY OWNER PARCEL I.D. GPD/ft Depth Dominant Color Mottles Texture Structure Consistence Bw-eay Roots - Bed Much Boring # Horizon in Munsell Qu. Sz. Cont Color Gr. Sz. Sh. \S z~Sv~c MV'F1^ [ av Zvi 0.7 o,b 3 1v~ o.y o.5 S) rn i~- 05 \ C S bk rn v 'Fh cs o• 1 01. 8 Ground 3 Zl-3~ ~•S `f2 31y s O.5': n•6 elev. ~S v S Yy1 018.6 ft 1b ~-(Q s/6 Depth to tim~g factor Remarks: Boring # 1 e-VZ \0 %tu- 317. 4 z ~Z-z3 ~.s ~a 3iz - s 1 l c.-3 bk 0-1 lv f 0.14 0.5 - 1S lsbk ww~ CS o.~ ~.e y 3 23-40 1.S SLR 31 c Grand s g rh~ o s v. 6 elev. 4 yo _ & V349- S /C o s C19-0 t Depth to limiting b m „ Remarks: Boring # ~-~z. ~o" lQ 31z is 1 1 aSbk m ~S 1 v~ o, y o• s 5 Z 1Z-ZZ ~•S ytZ 31Z - 3 ZZ-301 --).s -I?- 31y s \ c5 bk lnn v `Fr Ground 3 O Sg w~ l o. S b• 6 elev. 4 39-8G io 4It 514. 0101.0 It Depth to bmifim factor 6 ~Remarks: Boring # Ground elev. fL Depth to hmiGng factor Remarks: SBa4133o fR.osis2y PLOT PLAN Page 3 of 3 SCALE 1"= 3p ' ~UV SE TD ~3E RT L~pcST ZSt=IZU }'1 Sk.S~t1 1~TZ.~SA . w1EL<_ ti r S~, r r~ d cat S`~ S T~►~ w`~Cu Nu 4- OF BFbCZUawI S ci ~2C ~►~Oiviv . Q S~1.S~w1 `gyp Q~ W t"1'}{ t!V 'T?{c S V I O rna ~ ~ 1~iz~p m ,F) S S 1tvr`1 t3E`lCUv. ~o~pr-~ OF 5 sTtn1 eLeu.z XE;,s o . h~ Ss LTA' ~ n OI +,wl~Y- ICE ITV 0I i '1zM~ J ~ %'u Wile of I -r ~t R b tst q q D.3 ~w2 t>v \Tl h L ~jvD IaLR~Zla'RT~ tom. 9 4 u 0- "am IL. G[9.1' ON (~"MGW iz galo L~ qol ow 3,/y 'r W/ ~RSlI ~'/~An1 9 Z-I83 ~ ~ ~ 9- 1,(~-4Z ('115 ) yZS-Olbs F'1005 CST Signature Date Signed Telephone No. CST # waconbin Depktrnent of Industry. Labor midNuirtanRelations SOIL AND SITE EVALUATION REPORT Page of 3 Division of Safety b l3uildngs in accord with ILHR 8.3.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 812 x 11 inches in size. Plan must include, but S7 .:;GR.Q l K not limited to vertical and horizontal reference pant (84. direction and % of slope. scale or PARCEL I.D. If duner6oned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION ricWtNEDBY DATE PROPERTY OWNER PROPERTY LOCATION So1j tJ 4 014k >v ii:-: ~j GOVT. LOT NW 1/4 NE 1/4,S Z9 T 78 N.R 18 E (a Ye PROPERTY OWNER'S MAILING ADDRESS LOT # 8LOCK # SUED. NAME OR CSM # X94 S. Ltt3~Z1-Y Rpkt> y - Pizc~Ros CS CITY, STATE ZIPCODE PHONENUMBER ~~t~c`1Z sYbZ Z 0OWN C NEE S R FLLS,L--) 1 (115426. So96 i ~LC~ ST pd New Construction Use Residential/ Number of bedrooms ~r-+twowr~, [ 1 Rephoern nt gOr so mmmerdal desmbe n b ebstlrtg btltidwng Code derived dally flow 1 SO r design loading rate o. -Sbed, 9PdV 0.6 arch, WW Absorption area requir o tr~ 0 Ma)dmum design baring rate O . S bed, MW 6 Wdl, WW Recorrrrnended infiltration L1.. qS S ft (as referred to site plan bendxnadc) AdditimaldesignIsilo TCZOvc%ke-s R.t~ohh ~~D Parent material S hxjt~Y Ov rLv ~s H Rood plain elevation, if applicable "'A. ft Suilable S = 1e srtem rWO SS ❑ U ~ 0 ~~E SWIM N FULL] HUM TAW D0 IBS ❑U OS ®U SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD/ in. Munsell Qu. Sz. Cont Color Texture Cor>s<sbenoe Banday .Roots Bed oxh Gr. Sz. Sh. 0-1 t 10 2 31 Z - ~ S Z -~s tic ti+, u f r dw Z -v; 0--) 0-16 Z 12=z8 -7.SH2 3/t - s~ C sbk M'Flo cs 1~~ 0.4 0.5 Ground 3 28 - 41b S lip- 31 y - S C S'bk w~ v F, elev. C S 0.1 o.I3 019 -L/ ft. L/ YD _8 6 i0 y Q 5/(- Depth to - r Z oht =F tJ~ t t, (3 oAIN G s GLIN r rJ I~ S y I /Ur T41 kniting k 5 R 3 env f (odor i s r3rp.,p s C v zes~u lc--pu Remarks: Boring # a 0-13 ltJmv- 3/Z lv► u i-H in Z Is 2 u~ F- 2-Z-383/y C- Ground - 1S Sdk My iv- CS o.1 o.t3 elev. 3$-85 Vo`te 5/6 °19.0 - S S9 wt p S o.6 Depth to liffliling v~~ ~ 3 - sue- ~h-i Q (actor /Ultt w L £ L7 t1Za _ 3 Remarks: Eerg e:-Please Print Arthur L. We erer Phone. 715-425-0165 rer Soil Testing & Design Service-P.0. Box 74 River FaI1s,WI 54022 : C~ ,rn q j_ 18 3 Date: CST Number: 5tfP. L6. t442 576 l~ ►'~RT SOIL DESCRIPTION REPORT Page?-1, PROPERTY OWNER PARCEL I.D. # Boring # F-L Dominant Color Mottles Texture Structure Consistence eouxiaty Roots GP.DAt HoriMunsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed 9 Wong Noun ~.s yQ ~/z soh, m~f~• GS lui o .y u.5 Ground 1-S 4m 31y _ VS C S b~ )r v Fh CS 0',1 b' E ae 6 y 36-8~ ~a~e 51 6 `Fs o s9 r) o• s ; o. 6 Depth to Gmit;ng. . Remarks: Boring # S Z •F ~dl c m v G2w Z u ci. 8 0 -~Z vb `1.R l z ~Z - Z3 C 3V1x 0S )NA o•4 u -S FZ 3 2,3-40 -t,s 41z 31y - S C- Sb1t rnvJ~, CS 0-7 v.9 Ground g r'1 elev. 4 yo-t V347- 5/L O 5 a s 6 99•o M Depth to ffniting factor N Remarks: Boring # (Z~_VZ \o-►Q 51-L sblz Hn vj•r Auj 2 u I ,Z, 0.8 S 2 N-L-Z 7•S 41L 31z - s 1 csbk m S 1 o•y ! o S 3 ZZ-19 >•S 4R 3/y 3 CSbk W\v`C~r cs O o•8 Ground elev. y 39-86 lO 4 R. S ~1. TS O S9 `M O• S d 6 I a. b It Depth to limiting Remarks: Boring # ! Ground ' elev. it Depth to Ratting tacta Remarks: SBD4330(R.05192) PLOT PLAN Page 3 of 3 SCALE 1"= 3p \Nos, qi- ~bvsE lu F3E RT L~RS T 'ZS' h2bN sysl~-rt rn.~A d ; 1►~' ST~~`~ ~b ~`f~12 ~r:~uE g1T~ S~N1~ Low ~ o t= Sy I-A w HCJJ OF ~FDRL10W1 S } -vri 1„jxAnjuv -T?;~ SutTh,3 C 1~fZ~1q O A s s Hvw ~`ow . sow,,,, of s y qS. 5 ' m 0 ^ x ~ S tT~ :3 NI 0 wu1AY_ UE 11V ~ ~~~`C>o►a Sk-ETcN tiPcyF~~~ I B±-1 _ t !Z- t o 1.7' o►a 'M ~t of 3, SIGH Mtn ~ FfUCE PO ~T. 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NGw 3C~ G~1 I~l t't1 So- 3 - 18- C) NbbS~ 6 -4Z ('11S ) ~(zs-orbs --Fl 1F FILED ; SEP 3 01992s- 12 ~ ~ •0 " roIca A 9 JAMES O'CONNELL u Register of Deeds r.•, x e y 489265 SL Croix Co., WI x 5 U qs - C Lkii I IFIED SURVEY MAP JDI-N AND DIANE HART Fart of the Northwest 114 of the Northeast 114 of Section 29, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. OIndicates 1" X ?4" iron pipe weighing 1.13 lbs./lin. Ft. set. OIndicates 1/21' iron bar Found. R() Indicates previously recorded date. *Indicates P iron pipe found. NE co R. SEc.29, r?em, R/IWy N 114 coq. SEC. 29, T 29 N, R /a w, / cOUNTY SURVEYOR's mo#./ /COUNTY SURVEYOR'S MON./ llNPLATTEO LANDS N. LINE NW 114 NE 114 N 970 14' /8 "f 2611.94' ~ /L OY' /294.90' - ~N B7. 34/9 "E 6/7.'10' /301.9? FENCE a C r 606.21, 4 I I J.//9 ACRES ' I I b /3S, 921 SO. Fr p O LOT 13.059 ACRES EXC. C q r ROAD R. O. W. a Owner's Address : W I /JJ, 244 s0. FT. ~ 2 I q , 194 South Liberty Road r N N 07-54-18-E 617-50' ^ River Falls, WI 54022 6o5. 34 ' Phone No.- 1-715-4?6-5096 J. 9/ 7 ACRES 41 I{~ b ( /27, 09d SO. Fr b ~I II{1 h I LOT 2 2.1950 ACRES EXC. O W 0 QJ „ q I - - - R OAO R. O. W. 04 'ZI ` N W r 124, 498 s0. FT. M 4 IN 97. 14'/9"E 6/7.10' LOT 4 C1 CAI jb r 604.11' 2.917 AC RES 'O 50. 132 ACRES ( a ~ 0 ~~N /27, OBJ SO, FT, h O 1,32-9, 987 SO. FT. m ~I •JII ^ p~ 2. OS4 A CRES EXC. 50.4 14 ACRES EXC. ROADS 1. O ~ O I LOT 3 ROAD R.O.W. h I, 524.SJ4 SO. Fr. ~If a a 40 I /24, J27 SO. FT. N ZI 603.69' QI . ' N 87• 54' /9"E 6/7.50' ,♦~~It111111~If~ „ ♦ ~Ya. ? I \ ~ `J♦♦~~CJ Ci 0 N c►/ -'fir h I rr Kul% x c t~ LAURE E f (CURVE DATA; fl1 W MU a.~ ICNORO REARING- S/O•YO'40.5"W ' _ ICNORO 0/ST. - 76.o7' ••,RIVER FA L8 e 40 r WISC. • wJ ARC - 76.50' I F/9~ • N IRAQ/US- /9/.00' , 6j r1 / rCENTR4 L ANGLE- 22'5;'23" 'oLAND s ~X% b / /sr TAN. BEAR. - Sol OB' J / "E ,4~~11111~~~~,, W ONO TAN. BEAR. - S21 49' 52"W / N/'GNWAY serS4CX LINE Laurence W. Murphy Registered Land Surveyor 3 i a a This instrument drafted by Laurence W. Murphy i h ro Dated: August 2, 1992 Revised: September 29, 199? W j N49!Y/'19"f 1.20' "Opp I SURVEY MAP FOR JOHN AND DIANE HART: N 114 corner of Section 29, T 28 N, R 18 W, NE corner of Section 29, T 28 N, R 18 W' (County Surveyor's Mon.) (County Surveyor's Mon.) N 8705411811E 2611.84' N line NW 114 of NE 114 I o 11.02' 1294.90' 1305.9 I 1305.92' 11;29+ 606.21' I S 8705411811W 617.50' i I F LOT 1 W .-a (mo PARCEL A I m ~ 0 11.962 ACRES - C I O ID 3 U (n 11.945 ACRES EXC. I Cl o LOT 2 ROAD R.O.M. U) ~ I h I N ~ (D Ut L!~ ED I oo Q r LOT 3 S N L I Z 13.821 617.50' REC'~Q 92~'y .('71 I I 603.681 ~pP N~. w VE r;, 688.66+ W W 15 If, AIV S 87°541181TW 1306.161 In W Cox o 0 O o I P4 o to a 023 I~ 1 N Curve Data: o Chord Bear. - S 10020140.51}W (n Chord Dist. - 76.071 -Radius - 191.00' PARCEL B 18.571 ACRES i C 18.469 ACRES EXC. ROAD R.O:M. W CD (D .1 O Z t7 ~ U1 p C N 48 2115911E 1.201 1-4 3 S line of NW 114 of NE 114 W m S 88°03154T1W 1306.29' O F R ( S 90'0010011W 1305-971) N 42 2011411E 29.601 LOT 4 C.S.M,., VOL. 6, PAGE 1754 I z ca .,0 se m All bearings referenced to the North line I rn m of the Northeast 114 of Section 29,- T 28 N, R 18 W, assumed N 87054'181}E South 114 corner of Section 29, T 28 N, 0 Indicates 111 x 24.11 iron pipe weighing 1.13 lbs./lin. ft. set. R 18 W, (County • Indicates 1" iron pipe found. 0 Indicates 1/211 iron bar found. Surveyor's Mon.) R() Indicates 1/211 iron bar found. SURVEY MAP FOR JOHN AND DIANE HART: Descriptions: Parcel A, That certain parcel of land located in the Northwest 114 of the Northeast 114 of Section 29, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin, , of being part of Lot 4 of that certified survey map recorded in*Vo asl. 9, Page Commencing St. Croix County Certified Survey Maps, more fully described fol; at.the North 114 corner of said Section 29, the POINT OF BEGINNING, of the parcel to be herein described; thence N 87 5411811E (assumed bearing on thenNorth00 55'52"th697.71' Northeast 114 of said Section 29) a distance of 1305.921; of sai on toe East line of the Northwesoo94443fWt6~1Northeast thence4S 87°54d'18eWt 6ion 17.501;tthence 00 S 87 54'18"W 688.661, thence N ortions of N 00°54'43"W 66.01' on the North/South 1/4line ftoaeasementoover,WesterlyQpINT to BEGINNING, containing 11.962 acres, being subject subject said parcel for town road purposes as now laid and traveled and also being easements of record. Parcel B, of Section That certain parcel of land located in the Northwest 114 of the Northeast 114 Wisconsin, 29, Township 28 North, Range 18 West, Town of`1Cinnickinnic, St. Croix Couunty,43 Wisconsin, being part of Lot 4 of that certified survey fullyedesco bed aslfollowsg e 2, Commencing St. Croix County Certified Survey Maps, at the North 114 corner of said Section 29, thence N 87 5411811E (assumed bearing on 1; th the North line of the Northeast 114 f Section ofttheeNortheast9l/4 ofence S 00°55'52"E 697.71' on the East line l to be herein described; thence said Section 29, to the POINT OF BEGINNING, of the Parcee too be 1306.29' (recorded as continue S 00°55'5?"E 621.22' on said line; thence S 88 03 of the Northeast 1/4 of S 90 00'00"W 1305.971) on then South line of the Northwest 1/6 ~ ~$ect;.oii 29b thence N 00 54'43"W 617.58' on the North/South 1/4 line of said Section 29; thence N 87 5411811E 1306.16' to the POINT OF BEGINNING, containi 18.571 acres, town -'road purposes being subject to easement over Westerly portions of said parl for as shown on this map and also being subject to easements of record. Note: Parcel 8 is to be attached to lands adjoining to the South. An affidavit must be recorded as required by St. Croix County stating such. State of Wisconsin) County of Pierce) Registered Land Surveyor, do hereby certify that I have surveyed I, Laurence W. Murphy, to official records and that this map and the above described parcel according description are correct to the best of my knowledge and belief. r rLAURENC W MURP S 1 s. r r N . I FALL ~i~ WISC.,,.~$JQ~,,~+ STC-105 SEPTIC TANK MAINTENANCE AGREEMENT I St Croix County OWNER/BUYER l MAELING ADDRESS S f~ ) d PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE / S 1 PROPERTY LOCATION N) 1/4, 9G T 0 , 1 ! 1/4, Section _ 0 N-R_zT_W TOWN OF C' ~ 1Gi t ST. CROIX COUNTY, WI SUBDIVISION CERTI)N'IEDSURVEY MAP 2~VOL / LOT NUMBER Y UME 9 PAGE MLOT NUMBER_4L 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 dis system. i St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement f a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted~thi's 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. 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 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 tion date. SIGNED: DATE: 331 1 a a 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 ~D1 f7 Q fl Location of propew1j, /4)1/4 1/4, Section 0 T ~F i--`-=- N-R Township 16 7r Mailing address f9 sIb2°r~ YC Address of site Al Subdivision name Lot no. Other homes on property? Yes ~ No Previous owner of property / 1A Total size of property 7 7 6~ Total size of parcel ~l S610 Date parcel was created , Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes x No Volume &Q C4 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 h ffice of the County Register of Deeds as Document No. J(, 7C9 own the proposed site for the sewage ~disposal tsystem ) orr I e(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 of ic~ of the County Register of Deeds as Document No. S ature of Applicant Co-Applicant 3- qo Date of Signature Date of SianaturP _ VOL lo PasE562 DOCUMENT NO. STtE BAR OF WISCONSIN RM 11.19/ THI PACE VE RECOR INJA 5~6J~S LAND CONTRACT to .~ao Individual a nd Corporate (I'O BE UShD FOR ALI.TRANSACTIONS WHERE OVE $25,000 IS FINANCED AND IN Ot HER NON•CONSUMER ~FICE --..ST. CRbIx CQ W(' Contract, by and between.....JOhn..•A.. Hart and Diane L. Hart R~`df, Rechusbandawife...as.._survivorship marital.. property......_:::: Zg.......... .Vendor", F a whether one or more) and Richard T. Bluhm and Jill M. Prince~ at ,a3 ...husband..and..wife...as_.suryiyorship marital property r ("Purchaser", whether one or more), ' W s Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- Deeds formance of this contract by Purchaser, the following property, together with the 0,S OFFICE rents, profits, fixtures and other appurtenant interests (all called the "Pro pert - - ~0 X9 M11, ~ in .7R...... Cx'Q~,x................................ f~~ ~untY, State of Wisconsin: RET N,TO Parcel B, C.S.M. recorded in/Vol j MAR _199_5_ _ Volume 9 i Page 2543, li as Doc. No. 489265, Register of Deeds office, a~ - °;'10:00 AM St. Croix County, Wisconsin, as shown on Exhibit A attached hereto and incorporated herein by reference. Tax arse ` 1 _ 1 h~ Re9fatertsf"Deedi (This parcel is to be attached to property already owned by Purchasers lying to the South of the described property so that the combined parcels will be con- sidered as one parcel in accordance with the zoning ordinance of St. Croix County, Wisconsin. The parcel lying South of the above parcel is Lot 4, C.S 0.o Vol. 6, Page 1754, Register of Deeds' office, St. Croix County, Wisconsin, al B, as shown on Exhibit A, will become a part of this lot.) F ~n This is..Y.1.Ot................ homestead property. l R (is) (is not) XFmpT Purchaser agrees to purchase the Property and to pay to Vendor at sugh..p13C2.. as...reaSOnably d' the sum of $ ....57.,.0.0.0....00..... in the following manner: (a) $ 7., 000 00 at the execution of this Contract; and (b) the balance of $ ._5.0.,.00.0....0.Q .together with interest from date hereof on the balance outstanding from time to time at the rate of ....................eight............. until paid in full, as follows: per cent per annum Monthly payments shall be paid in the amount of $477.85. Said monthly payments are l amorthtized over 15 years, and shall begin 4-1-95 and continue on the 1st day of each Furchaserseagree. to take over Vendors CRP responsibilities on the described parcel; for the year 1995, Vendors and Purchasers shall divide the CRP equally: one-half to Vendors, one-half to Purchasers. Provided, however, the entire outstanding balance shall be aid in full on i II P or before the .........at day of March .,....2.010....... }9.......... (the maturity date). Following any default in payment, interest shall accrue at the rate of......... 8 .............If. per annum on the entire amount I~ in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). - I I pated annual taxes, special assessments, fire and required insurance premiums when Vendor agrees to apply payments to these obli atio ce y Vendor, g amounts received by the Vendor for for payment of taxes, assessments an a eposited into an escrow fund or trustee account, but shall not bear interest 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, 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 lest tha., tk, o...,,.....-- __-A , , . V co Q. K i y1 1 C ~L h C r- " , DOCUMENT NO. STATE BAR OF WISCONSIN FORM 11-1982 THIS SPACE RESERVED FOR RECORDING DATA LAND CONTRACT Individual and Corporate 526298 ('1'O BE USED FOR ALL TRANSACTIONS WHERE OVER II$25000 IS FINANCED AND IN OTHER NON-CONSUMER - ACT TRANSACTIONS) REGISTERS Q ~FIGE ~+p Co,' ST. CROIX oWi Contract, by and between..... John.. A. Hart and Diane L. Hart Reo'd for Recut, s husband...and..wife...as, survivorship marital., property. FEB 2 7. 1995 ".Vendor", I "Vendor", one or more) and Richard: T. Bluhm and Jill M. Prince, at 2:15 P • .........P............................ Sbad and wife as survivorship a.rita. . l roI. . ertY . m......................... (.Purchaser", whether one or more). , Register of Deus Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant interests (all called the "Property"), in ......QrQ 7 County, State of Wisconsin: RETURN TO Parcel B, C.S.M. recorded in Volume 9 Page 2543, as Doc. No. 489265, Register of Deeds office, -.I St. Croix County, Wisconsin. n U C(Q, _Q 12.•[ U Tax Parcel No ~`uev- c, 5%L0 -a ;1 (This parcel is to be attached to property already owned by Purchasers lying to 40 the South of the described property so that the combined parcels will be con- sidered as one arcel in accordance with the zoning or inance o St. Croix I County, Wisconsin. i i l FEE ~ j This 1$...nOt.. homestead ro ert P P Y• Purchaser agrees to purchase the Property and to pay to Vendor at Such... P lace aS reasonabl.y ...........directed . , . . the sum of $ ....57.,.QQQ...QQ in the following manner: (a) $ 7.,QQQ.aQQ at the execution of this Contract; and (b) the balance of $ .5.0.,000....0.0 .together with interest from date i' I~ hereof on the balance outstanding from time to time at the rate of eight........................., per cent per annum li until paid in full, as follows: Monthly payments shall be paid in the amount of $477.85. Said monthly payments are II amorttized over 15 years, and shall begin 4-1-95 and continue on the 1st day of each j Purchaserseagree. to take over Vendors CRP responsibilities on the described parcel; ~ for the year 1995, Vendors and Purchasers shall divide the CRP equally: one-half to I Vendors, one-half to Purchasers. II II Provided, however, the entire outstanding balance shall be paid in full on or before the 1St day of II .....March,.... 2.010................... +9.......... (the maturity date). I i Following any default in payment, interest shall accrue at the rate of .........8 per annum on the entire amount I I in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). i I II I pated annual taxes, special assessments, fire and required insurance premiums when Vendor agrees to apply payments to these obli atio ceive y Vendor, taxes, assessments an g amounts received by the Vendor for payment of e eposited into an escrow fund or trustee account, but shall not bear interest I 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 In the event of any prepayment, this contract shall not be treated as in default with respect to payment so lop 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 pavmenta haan made as first specified ahnva• , :a a aL-1 _ - . - f , a~ 509044 YOL 04 9PAGE .1 50 REGISTER'S OFFICE ST. CROIX CO., WI r. Reed 6 Record PJ OV 161993 ' Ct 1:15 P . M WON &01 Regi of Do" AFFIDAVIT FOR EXISTI The (This language is to be placed on deed) ' shown parcel shown on this document is , r the document being added to Document No.~~ recorded in Vol. the Parcel create one • St• Croix County Register op Deedage~ 5°'- ' Chapter 18 0! the Stand this transaction is thereb s Office to g Sec. 18.05(A)(3 Croix County Land Use Regulations exempt from 4 ) pursuant to This Affidavit to be recorded for the existing parcel being added ~ "FIDAVIT f. State of Wisconsin ) County of St. Croix ) ss. Your affiant, being duly sworn states under oath that: I. He/she is the owne thl -~1/4 or the •~'/_part owner of a parcel of land on the document a_.._I/4, Section -L_ located in No. recorded in Volume T'2-N-R-S-W, shown 4 Rte, St. Croix Re single parcel. gister or Deeds Oflicege~' Document resulting in a srs_ 2 - The above Parcel B: parcel has had added to it That certain parcel of land located in the Section 29, Township ~8 North Range t Town of Ki *OF KioP the Northeast 1/4 of ~t. Wisconsin, more Fully describedasFol follows Town *OF S said Section 290 thence S ° . ' Commencing at the Nora t' Croix County, Northeast 1/4 of said Section 29) Eisttassumed ance bearing on the East ies°pctheer of j to toe POINT OF 6EGINNINO a distance of 685.14'• o thence S S 87 54'18"W 653,p8~ of the parcel to be herein described; thence,contin e•07 OF the Northeast ; thence N OO 5S'52"W 685.14' on the Wrist line of the Northeast 114 OF the 114 of said Section 29-thence N Northeast 114 of said Section 29; theme S 87o54118„E 652,96' on the Nerth line BEGIMIINING, cantaini Y'e8 _ n9 IO.269 acres, being E 685.14' to the POINT OF lilting in`a single parcel. subject 56 t to easement s of record. 3. Croix a addition is a County Land Regulations exem t Pursuant from Chapter 18 of the 4• The purpose of to Section St. addition and f this affidav' 18•05(A)(3)- ' the resultin el is to notify the public of the w VOL1113PA,F564 EXHIBIT A SURVEY MAP FOR JOHN AND DIANE HART: N 114 corner of Section 29, T 28 N, R 18 W, NE corner of Section 29, T 28 N, R 18 W' (County Surveyor's Mon.) (County Surveyor's Mon.) N 87054'18"E 2611.84' N line NW 114 of NE 114 o 11.02' 1294.90' 1305.92 to 1305.92' O 11.29' 606.21' W I S 87054'18"W 617.50' i I LOT 1 0 I m ~ co PARCEL A I ( CO ~ - - - a, I 0 m a 11.962 ACRES c I U , (D 11.945 ACRES EXC. I l oi LOT 2 ROAD R.O.M. n v I U) AS to ~ (D I oo ? PGE 2 D 43 o + N Z tr-' of t LOT 3 i - L I a N Z 113.82' 617.50' AEG 926 I PP A 603.68' NE's N~. 688.66' W N I N i W G2AS 87054' 18"W 1306.16' N I 0 O Ir+ ,mo 0 I F ~o N Curve Data: 0 Chord Bear. - 0 S 1020'40.5"W N / Chord Dist. - 76.07' Radius - 191.00' PARCEL B ~ 18.571 ACRES •i co 18.469 ACRES EXC. ROAD R.O.M. N Z • co -i ^ n v co CD •\i ftl O 3 O Z v m N 48021'59"E 1.20' 3 S line of NW 114 of NE 114 w ~ o S 88 0315411W 1306.29' RCS 90000100"W 1305.971) o 0 N 42 2011411E 29.60' o n LOT 4 C.S.M., VOL. 6, PAGE 1754 I Z co M All bearings referenced to the North line f m of the Northeast 114 of Section 29, T 28 N, R 18 W, assumed N 87054'18"E .rth 114 corner of O Indicates 1" x 24" iron ~tion 2~, T 28 N, pipe weighing 1.13 lbs./lin. ft. set. 18 W, (County • Indicates 1" iron pipe found. 0 Indicates 1/2" iron bar found. ^veyor's Mona) R() Indicates 1/2" iron bar found. auccT nr ` PAGE,TWO - EXHIBIT A VOL ~11PasF565 SURVEY MAP FOR JOHN AND OIANE HART: i Descriptions: r Parcel A, That certain parcel of land located in the 29, Township 28 North Northwest 114 of the Northeast 114 of Section bean , Range 18 West, Town of Kinnickinnic, St. Croix Count g part of Lot 4 of that certified survey map recorded in Vol. 9, Page ?_S43,Wiofonsin, St. Croix County Certified Surve at the North County corner of y Maps, more fully described as Follows; . 114 herein described; thence N said 87aid05411 8Section 29, the POINT OF BEGINNING, of the Commencing Northeast E (assumed bearin on the parcel to be 114 of said Section 29 a 9 North line of the /4istance of 1305.92 on the East line of the Northwest 1 S 8 East line o thence N „ OF the Northeast 114tofnsaid Sectiona29.6thence N 00054'43"W 66.01' 000541 43 W 631.70'; thence S 87054+ ' BEGINNING, containing on the North/South 114 line of said Section 2918to the•POINTtOFnce said 11.962 acres, being subject to easement over Westerly parcel for town road purposes as now laid and traveled and also bein su easements of record. Portions of g b~ect to Parcel B That certain parcel of land located in the 29, Township 28 North Northwest 114 of the Northeast 14 being , Range 18 West, Town of Kinnickinnic / of Section 9 part of Lot 4 of that certified survey , St. Croix County, St ~ . Croix Count map recorded in Vol. 9, page 23 Wiofonsin, County Certified Survey Maps, more fully described at the North 114 corner of said Section as follows the North line of the 29, thence N 87°54'1811E Commencing S 00055'52 Northeast 114 o,f said Section 2g (assumed bearing on said Section 29 , thence E 697.71' on the East line of the Northwest)1/4d ofttheeNortheast9114 of to the PAINT OF BEGINNING continue S 00 S5+ -2'1E 621.221 on said ' OF the parcel to be herein described, • Q ° line; thence 90 00100"W 1305.97') on the South line of thence S 88 03154"W 1306.291 said Section 129 3 thence N 000541h the Northwest 114 of the (Northerecorded as S 617.581 on ast Section 29; thence N 87 54+18"E 1306.16' to the p the North/South 1/4 line of said being subject to easement over Westerl OINT OF BEGINNING, containing 18. be shown on this ma y portions of said 571 acres, p and also being subject to easements ofr record. for town road purposes record. Note: Parcel B is to be attached to lands be recorded as re s adjoining to the South. required by St. Croix Count An affidavit must y stating such. State of Wisconsin) County of Pierce) I, Laurence W, Murphy, Registered Land Surve or the above described parcel accordin g y , re hereby certify that I have surveyed iescription are correct to the bestof0 official records andthat this map and my knowledge and belief, ~ 'LAUREN ~ m r W MURP y S 1 r r ~ r R1V i ~ • WISC. 3, •~J ~i. ~..i A n' S I~ r3OCUMENT No. .TE BAR OF WISCOYSIIv b'ORM 1-19, ' THIS SPACE RESERVED FOR RECORDING DATA 504321 WARRANTY DEED REUISTER'S Ot=1- ICE This Deed, made between .-HQWard .,_Fligene•-.Mr1dS•en........ ST, ~=RO;x CQ., k%'f and Garda Madsen, hu bend-"and--wilie-----•-•---•---•----•........ Recd furRtcord AUG 2 3 1993 _.John A....Har t-._and__ D - qn.p ---_-L_,_--H Grantor' L ~;.t~...hu kand t 30 P.r,t and.wife survivo.rsh p-_mar _ al ~r0perty Grantee, Witnesseth, That the said Grantor, for a valuable consideration...... conveys to Grantee the following described real estate in RETURN To County, State of Wisconsin: Northwest Quarter of Northeast Quarter (NWT of NE=B) of Section Twenty-Nine (29) Township Twenty-Eight (28) North, Range TazParcel No: Eighteen (18) West. F (This deed is given in satisfaction of that Land Contract dated July 1, 19922 recorded July 2 1992, in Vol. 957, Page 5572 as Doc. No. 4854269 Register of Deeds; office, St. Croix County, Wisconsin.) This S llO t homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And..... Howa_rd__ E___u$e_ ne__ Mad e and_.G.al:da.._Madsen............... warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions, and rights of way of record, if any, and will warrant and defend the same. Dated this Oth.............................. day of Ai 9-U,9I-..... 19---93.. (SEAL) 9 ..G•....... "f9 (SEAL) ► _K. wa.rd...Euge->t~.. Madsen.........•....... (SEAL) (SEAL) Garda Madsen AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN so. authenticated this ,1,., „4 erce.--__ County. s o VI I l~ O~ J