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022-1084-30-100
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E I d d I- CL a' eat yaa • ed C. m d d d tt'h~l 3 c E- 0 a ~1 A oL 0U) 0 v)ci NOUST ~FNT_Qf REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INd'USTR,Y, DIVISION LABQR AND PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RELATIONS \ / MADISON, WI 53707 (H63.090) & Chapter 145.045) LOCATION: SECTION: :MUNICIPALITY: NSHI LOT NO.: BLK. N SUBDIVISION NAME: v✓ z~ T~ N/R.~ E (o ►/-~.-~./G COUNTY: WNER' BUYER'S NAME: MAILING ADDRESS: USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PER OLAT19N TESTS: &Residence X New ❑ Replace E~ -8 8 3 RATING: S= Site suitable for system U= Site unsuitable for system ~Ile, CONVENTIONAL: MOUND: IN-GROUND PRESSURE: SYSTEM-IN-FILLHOLDINGT NK: RE MMENDE S ST ptio al) ]S ❑U ®S ❑U , IRS ❑U EIS FA DS U z~><< E If Percolation Tests are NOT required ]DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b),indicate:L.a. I Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK) 13- -7 Z-57 : . v B- PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD1 PERIOD2 PER PER INCH P- i .c , G .1 ..cac~ r v i .4- P_ P- P" ac" °s T P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points_ and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. A . c,' SYSTEM ELEVATION C3 s _ 3 3 . nc~ s.. 3 ~ G ~ I ~ ~ I ~ 3 I AN } I ItN I E ' J INSTRUCTIONS FOR COMPLETING FORM 115 - SBD .6395 To be a complete and accurate soil test, your retsort must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or c.ornmercial project; 1 MAXIMUM number of bedrooms or cornmercia use planned; 4. Is this a new or sr!nt system; 5- Complete th- ty rating boxes. A SITE IS SUITABLE FOR A HOLDING Tf" 'LY IF ALL OTHER SYS- ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use t` ibbrevialions shown here for vvritirig profile descriptions and compl(,t.irig t' plot plan; 7. MA'I A LE'- ISLE diagram accurately locating your test locations. Drawing to seal is ferred. A shy used if desired; sure y,,_.. _..c'tmark and vertical elevation reference point are clearly shown, and an 'rmanent; 0. Cony; fete all e, )ropriate boxes as to dates, names, addresses, flood plain data, percolation test exemp- tion, if approf i4 e; 10. If the inforr ,ch as flood plain, elevation) does not apply, f N.'\. in the approp ate box; 11. Sign the form i lace your curt address and your certification 11 11'_ ar; 12. Make legible ctand distri}, , as required. ALL SOIL TESTS MUST BE FILED tNITH THE LOCAL AUTHOE Y WITHIN 1.,! `)AYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil : air I Textures Other Symbols st - - , r.,,,-r 10") BR - Bedrock cols - CC 1- 10"1 SS - Sandstone car - G(under 3") LS - Limestone *s HGW - High Grau cs S: id perc - Percolatio„ coed s - S_trid W - Weli is rid Bldg _ ~'I sl - Loam v L ian "I _ Bn - .sil am BI - E st - `t Gy C y ~cl - Clay Loam Y Yellow scci - Sandy Cla" 1 R - Red sicl - Silty Clay L__;, mot - Mottles se - Sandy Clay wi with sic - Silty Clay fff - few, fin- t. Ye Clay cc - corn nlt; pt - Peat airn - Many, , rn - Muck d distinct: p - promini 1-I W L - High::. r; Six general soil textut sr ' for liquid waste ciisp _ BM - Benc VRP - Vertica < I(- Point Parcel 022-1084-30-100 04/17/2007 09:26 AM PAGE 1 OF 1 Alt. Parcel 29.28.18.454C 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - CARROLL, THOMAS A & BONNIE J TRST THOMAS A & BONNIE J TRST CARROLL 993 QUARRY RD RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 993 QUARRY RD SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 6.816 Plat: N/A-NOT AVAILABLE SEC 29 T28N R1 8W PT NW NW, PT LOT 3 CSM Block/Condo Bldg: 6/1671;COM NW COR SEC 29 TH N89' E 66.23FT TO POB; TH N 89'E 660.94 FT; TH Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) S 00'W 487.46 FT; TH S 89'W 23.74 29-28N-18W FT;TH N 82'W 345.04 FT; TH N 89'W 291.98 FT; TH N 02'W 163.02 FT; TH N 06' more... Notes: Parcel History: Date Doc # Vol/Page Type 07/12/2002 683970 1926/63 QC 07/23/1997 1198/313 WD 07/23/1997 1093/244 LC 07/23/1997 1032/560 mor 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.816 100,000 336,000 436,000 NO Totals for 2007: General Property 6.816 100,000 336,000 436,000 Woodland 0.000 0 0 Totals for 2006: General Property 6.816 100,000 336,000 436,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 308 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 STC - 104 AS BUILT SANITARY SYSTEM REPORT ' OWNER 7 Di"1 ADDRESS SUBDIVISION / CSM#__~//ys~ `f ~D~ ~jl /lr 7/ LOT # 3 SECTION 2 ! T 2-,~2 N-R W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 4 INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: 13DTrO~'l Si;~2x u!5- Off/ y jjJ~~~ SEPTIC TANK /~'"`a nuruo~.n / ON Manufacturer: Liquid Capacity: /De7O Setback from: Well> goo House Other 'Sd /0 7- LivZ c Pump: Manufacturer Model#Size Float seperation Gallons/cycle: Alarm Location , SOIL ABSORPTION SYSTEM Width: S Length to o Number of trenches - > 2- . 2-Distance & Direction to nearest prop. line: Setback from: well: House 00 Other / . . M ( ivltiocecav~ l°y. lecs S) ?,-w ELEVATIONS 5' Building Sewer ST Inlet: ~9- T6 ST outlet PC inlet PC bottom / Pump Off Header/Manifold / Bottom of system clst ~ n g Grade 1f 5 Final grade /NLj'T T'O F7.2--7 ' F C DATE OF INSTALLATION: 0 G T-' - ` PLUMBER ON JOB: T~0 IJE e T- LICENSE NUMBER: M P►~ S 33o '7 INSPECTOR: 3/93:jt z y -44 c 1~ m cv, o ~ y IA w N~l Ul I i ~ ~ ~ op o ~ Cl* cn N, om tb -ly o w v~ z ~ Q 7 v d Ro ~ZO^ V4 ?O~ y a m O ~ a W 4 WiscMsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor a Human Relations Safety and Buildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary 6Permit No.: 8662 Permit Holder's Name: ❑ City ❑ Village ~Cj Town o : State Plan ID No.: CARROLL, TOM & BONNIE KINNICKINNIC CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: Ul, TANK INFORMATION EL NATION DATA A9600367 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ~p Benchmark 71 11 Do. Dosing 2 1-1 d V.SV, 07 Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet Vent TANK TO P/ L WELL BLDG. Airito ntake ROAD Dt Inlet ir Septic NA Dt Bottom Dosing NA Header/Man. Aeration NA Dist. Pipe g. G~ Holding Bot. System q q3, 9 s' 95 G/' PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand cg's Model Number GPM rf, TDH Lift Friction System TDH Ft Loss Head Forcemain Lengt Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ' 40' 11Z_ DIMEN 1 N SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Manufacturer: SETBACK INFORMATION TypeO CHAMBER Model Numer: System: 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 xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: KINNICKINNIC.29.28.18W, NW, NW, LOT 3, QUARRY ROAD 012172- 13i~ r C-{~.. Plan revision required? ❑ Yes [►"No Use other side for additional information. I/01 o8 6 a. SBD-6710 (R 05/91) Date sp or ignature Cert. No. ADDITIONAL COMMENTS AND SKETCH a SANITARY PERMIT NUMBER: T a r ~Rr~>o US s~~, ~ r~-,e~ ~c~~• f-- 2' &.L Y L Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water Systems 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 County S.T G,QO i`~ than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number X614407 The information you provide may be used by other government agency programs heck it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Property Owner Nam Propert Location o j d t~,tli~ t~ XD L.. ~j,1 /4 Proper i4, 5 L T 2F , N, R /d E (o W IV &V1 Property Owner's Mailing Address Lot Number Block Number Phone Number Subdivision Name or CSM Number L l G7~ Cit ,State ~/TKs Z l ivt7~ / S yo 2- ( i5) yam-- y Cs~► yl S i y !vo% II. TYPE BUILDING: (check one) ❑ State Owned ❑ ity Nearest Road QA9 ❑ V lane ~Il~/I~ Public or 2 Family Dwelling - No. of bedrooms own of X III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) Z~,-/off/-30-/Oa 1 Apartment/ Condo a 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 ERMIT: (Check only one box on line A. Check box online B, if applicable) A) 1- e 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System 61 B) unitary Permit was previously issued. Permit Number a(p~ Date Issued 0 1/10 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 M-5e'epage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 2.3 43 ❑ Vault Privy 14 ❑ System-In-Fill Z 7i ENq4 S X44- 4- x S 0 / 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) GS 2S Elevation 4 Jro S & 590 .9 ! Feet If. 15 Feet VII. TANK Ca in gallons Total # of r Prefab. Site Fiber- Exper. INFORMATION New Existing Gallons Tanks Manufacturers Name Concrete stCoted Steel glass Plastic App Tanks Tanks Septic Tank or Holding Tank /f!f~ P,' (JO r Lc? ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber G 7__ ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) m+YmPRSW No.: Business Phone Number: 7! - -PO REgl- z(1h)e1GL4, 3307 Plumb (e .5.5 o er's Address (Street, City, State, Zip Code): IX. C LINTY / DEPARTMENT USE ONLY E] Disapproved Sanitary Permit Fee (Includes Groundwater 2Date sue Issuing Ag nt Signature (No am ) KApproved Surcharge Fee) ❑ Owner Given Initial S~p A dverse Determination ( V X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05194) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS C1 - 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, 608-266-3815. 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. 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- V11. Tank infoTlnation. 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. VIIL 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 8 112 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; vrater 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. ~ ST/.vf I eA5 T LOT L . 3 ~P I i yrsTr,~~- l3 I ~EpGACE'+EN T 25 / So 14 TES T r ion S~-e , 3 y~, G 'Oepoer 4 ' ~ S' `f- SysT~~, ~lE v.tT~e mss' /{~X~ ~5 i 11411y reb 4VlfT „ Tb Soy / 1,9 I W 'Doe,, kn r + ~ I I I i SST: ?o~ of 31y„ ; 6r~ /oo, o ' 1 ' - 'YO + q5•i5 ~ s r 13 7 /vo-0 l??~ /o/0 r Fresh Air Inlets And Observation Pipe Approved Vent Cap Minimum 12"Above . Final Gradef 36 -tv 4" Cast Iron qZ Above Pipe - -to Final Grade Vent 'Pipe' Synthelic Covering Min. 2" Aggregali Over Pipe Distribution--,.- Tee Pipe - 0 0 0 0 0 , Aggregate o Pertbroted Pipe Below Beneath Pipe 0 Coupling Terminating At Bottom Of System y5 z Fresh Air Inlets And Observation Pipe Approved Vent Cap Minimum 12" Above Final Grade )57 V ' 36 111, .1 411 Cnst irnn New 5"oiG 7E7S7- / ~7f T° 11.E f a , 1316_. .S=e w&_;e. i4GDE>uf~lJi~-r ° 'f v 40t 1 *6 i A.44 7- 421= Wisconsin Department of Industry, SOIL AND SITE EVALUATION Labor and Human Relations Page of 3 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 :5'7 e-A 40.0 1 X percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. D. # o27- io8y 30 -boo 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 _ p Property Location q ?OM $ ~,PAI 1145 C~}/E~/PoLL Govt. Lot NO 1/4NU-)1/4,S 2 / T if N,R E (o W Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# N Yi 2 2 d ST • 3 CsM y( s1, va/ (&7 City State Zip Code Phone Number Nearest Road S yo 2 z ( -7 IS )yls O 7(p/ ❑ City , ❑ Villae/. ,V41'T n Q~ PRY 2 "New Construction Use: L(d'Residential / Number of bedrooms 3 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 7 O gpd Recommended design loading rate ~ bed, gpd/fe trench, gpd/ft2 Absorption area required _bed, ft2 563 trench, ft 2 gMaximum design loading rate ~ bed, gpd/fl2 trench, gpd/ft2 Recommended infiltration surface elevation(s) S1UL 3 4 5'~ 5 It (as referred to site plan benchmark) Additional design/site considerations Parent material !7 SC V,81J Y %1y.* Ov7w~ Flood plain elevation, if applicable N ft S = Suitable for system Conventional Mound In-Ground Pressure ,AT-Gr de System In Fili Holding Tank U = Unsuitable for system 2.9 E1 U S El U 0 S ❑ U ~ S El U H❑ U ❑ S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots - - Bed Trench r o-I 10YR 31/ s~~ 2.~sb~ sti s 3f .s PI/ 2, to R 2/3 5I I fs6e- S ~s ! f . Z. • 3 Ground Cj ; , s /0 Ye 3 ' qA9 elev. • 1 J Depth to 0 D Yl? S C •S• ' -7 ' g limiting factor ~ In. Remarks: Boring # d-IS /o R 3 SiL 2,4o she d,5,4 G 34 .57 ; 'G 7 Z 115-31 O - 5rL . Z' •3 3 - a - 7 Ground - 7• s s• Q d~ • 7 8 elev. /OO Depth to limiting factor 9~;ln. Remarks: CST Name (Please Print) Signature Telephone No. RoSeRT 7.tl.QRi~InT Wi -39G-8(eS Address Date CST Number PROPERTY OWNER SOIL DESCRIPTION REPORT 'Page 2- of PARCEL 1.D.ff Boring # Horizon Depth Dominant Color Mottles Structure 2 In. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench / - 2.17 /o 2-13 5hle ~S CS 3 -F • S ; • Co Z -3 /o / 3/ GS /4" fwa Ground , s D s . • , ; ` elev. SDI •$-ft' Depth to limiting factor 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. n. Depth to limiting ; factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) x ` 4 X rSTIA f j,PAD~ ScAtE 13,40~'Ae-e A'TS eA5 T <-o T 3 $ _ ~P E yr 5 T/.~G- L - I rE EP GACE,+EN T S~v 99 s / s o /G TES T &0 i N ~W ~ S,ee, i 3 ~ ~eEpo~e r ~ svyy~s 7-z!E:V AEU 46 sue- z,~ ' gti - - 1141fy T610 SD/G ~ ~ r U z5 ~~li STia ~ q r ~ ~a w~' /~D /E 33 i.~ i 30 136, SeT . of ,,j/y t/)o, ~o Rr-VAT/o,vS - 8 r 17 /Oo•v 5 (2 /nA/) Wisconsin Departmgntof Industry, PRIVATE SEWAGE SYSTEM County: Labbrand'HumanRelations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: PeOr~mi#•H~oLdgr~s , WO S A & BONNIE El City El Village C] Town of: State Plan 91e4 CST BM Elev.: Insp. BM Elev.: BM Description: X Parcel Tax No.: - A9600083 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosi ng Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet Vent TANKTO P/L WELL BLDG. A irIto ntake ROAD Dt Inlet Air Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction Syesatem TDH Ft Loss Forcemain Length Dia. FFii Dist. To Wen SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION TypeO Model Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold I Distribution Pipe(s) I x Hole Size I x Hole Spacing I 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 xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: KINNICKINNIC, 29.28.18W, QUARRY RD Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert No SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY ST-40" APAees/ ` 5f3 0 6""7 /"`m.- STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than El 8% x 11 inches in size. ~i v~ Check. r v io p vious ap ication -See reverse side for instructions for completing this application. STATE PAN I.D. NUMBER Z~ 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S e10 PROPERTY OWNER PROPERTY LOCATION -rk oM A5 A • CA R RO u 3 B OaIJ i E 4*hll 140j..UGHAli, S2- q T2$ , N, RV 9 E (or W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # N 8/'ZZ /d CITY, STATE ZIP CODE PHONE NUMBER 7/5 SUBDIVISION NAME OR CSM NUMBER c5m ! 5'~ y V ? J iveR A11-3 Syo .2-)- 1(-'/15- L AGE NEAREST ROAD II. TYPE OF BUILDING: (Check one) F-1 State Owned ❑ CITY /~l Nnri lei~✓.viG Qfl.}j~Rj 3 OWN OF ❑ Public LJ 1 or 2 Fam. Dwelling-# of bedrooms - PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) p Z - /U 7 3 Q - 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 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 in line A. Check line B if applicable) A) 1. [J New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 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 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill 2. 7'R~iJail,S . cif 'JC, (y f t VI. ABSORPTION SYSTEM INFORMATION: ?316 ?7.0 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 q. ft.) (Gals/day/sq. ft.) (Min./inc) ~ ELEVATION dW - F Feet 9~• Feet CAPACITY VII. TANK in allons Total of Prefab. Site Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank f / LC7/v Lift Pump Tank/Si hon Chamber El ' F-1 F-I F-1 Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No tamps) 4M2,/MPRSW No.: Business Phone Number: lZm5e r U1 be [6A7__ 3307 7~S ~Sl - 318 Plumber's Address (Street, City, State, Zip Code): cps D' vie; e e o. v1~Sa✓ X 15. .s y01 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Surcharge Fee) Groundwater ate Issued Is ing Agent Signature (No Stamps) Igo JT~Iy/ Approved ❑ Owner Given Initial, Adverse Determination 0-,Aof X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS I j 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, 60B-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. 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'f 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 sewerm; :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 perfcirmance 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. - GROUNbWATER 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) ' Fresh Air Inlets And Observation Pipe Approved Vent Cap Minimum 12" Above Final Grade F q 7. 0 _ 4" Cast Iron 3& Above Pipe Vent 'Pipe' 'to Final Grade ' [I H Amt i~t, fJ~`1) k Synthetic Covering min. 2" Aggregate Over Pipe , Distribution Z-72 9 PuG Tee pipe 0 0 0 0 0 Co " Aggregate o PertOrated Pipe Below Beneath Pipe 0 Coupling Terminating At Bottom Of System w Sys r~~-t y 3, o Fresh Air Inlets And Observation Pipe Approved Vent Cap Minimum 12" Above Final Grade yam. o ' Above Pipe 4" Cast Iron 3&4" SEPTIc SycTEM M N PLDT LAM \ ~ r fovwp. rufCAPWRIS WOOD HuZ, MARk-D f (Oo0 Phi-) Sc g : ( ~f 6W 30 E(t v, - 9a.~y • _ /3AC~ Pr7s 1 Fouvp, Su,pvs!-Yoe'S l f go' f~ O pQo p as > 0A ~-v cv ~ l 1 oN .E'r1s 1- Lo T- L sLp tic 6-1EvAT (oJ" /00, 0 p/ro~as~1~ i 4~ 5b 3 3 EDl2M . 'Pee('" T pev Ro+~ Ole ,vim w io~o ~.Q. J ,P.e cis T L3 3 . 70. \ s 5 32'x70 71D o_ Pt=pIACEMLNT Pi q So. Lor Fresh Air Inlets And Observation Pipe ( Approved Vent Cap Minimum 12" Above Final Grade F r1it/isf~ED 9iPi¢1~~ q 7, 0 ' 4" Cast Iron 3& Above Pipe Vent Pipe' -to Final Grade q;'-" H Amt iH V~t~ ' Synthetic Covering Min. 2" Aggregate Over Pipe Distribution Z1s9 PuG - Tee pipe 0 0 0 0 0 (v Aggregate 0 Perfbrated Pipe Below Beneath Pipe 0 Coupling Terminating At Bottom Of System Sys r~~ y 3, o Fresh Air Inlets And Observation Pipe Approved Vent Cap Minimum 12" Above Final Grade 3G Above Pipe _ Cast Iron d SEPTic SysTEM M N PLo-- LAM rI Co,J ERST c.oT L Id woo D HUB, HAlek-FD " flow plh;.J SCALD 30 N-G-cv I Elev,= .2. IT RAceAoQ Pi-,r y Ppopa&w 406`11, So' f~a~ CIAJ T' LOT- L SL1- r!G /DO.O p/la~as~1~ Q3' 5b •3 3 EpR/~t . P~ElAS T pelf go V, / f}'Dt-tE S iTEo~ sew adj-, 1/0 D3 - • s (7YJiald,CST~!v ~-cl «S T .~,vc . J ~ ~ ~ Y. 70 n vA-) D Pt=pIACE EAtENT gy L, So. z e f 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 5 T G R O X 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 Tho,04 5 ,4 rOR G 11 Govt. Lot Nw 114 NR1 1/4,S 2 y T,), N,R /g E (or)( Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# N8/27- 1015 1~/ City State Zip Code Phone Number L! Nearest Road UEie 54t022 ( 1-15 )71,s--T,I/ ❑ City ❑ Village Er"Town G~// iQ~Qy Ap, 9lNew Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: &Z,e = N0 T lP~LD-u,-1 E,v f~ &-y Code derived daily flow 7 5 '40 gpd / Recommended design loading rate !AM bed, gpd/ft2 trench, gpd/fl2 Absorption area required N~ bed, ft2 ~[L~3 trench, ft2 Maximum design loading r@te e*R bed, gpd/ftz - ~ trench, gpd/ft2 Recommended infiltration surface elevation(s) SEA t 3 ft (as referred to site plan benchmark) Additional design/site considerations ~6TF.~~1~" ~E ~sFCEh~.vTEi1< Gt/i/~ ~~QU%,l~E DU v~ SyST~ Parent material _~7 ~UQQ~D S S9ND~/ GUj~tJil~j Flood plain elevation, if applicable ~a ft S = Suitable for system Conventional Mown In -Ground Pressure AT-Grsde System Fill Holding Tank U = Unsuitable for system L s❑ U 53S ❑ U 1 ❑ U ruJ ss ❑ U ❑ U ❑ S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench / ©-13 io YR 311 - S/ //N s 11fe S 3 f , 7 ? Z - j0 y 313 /s of s t f . 7 ,d S Ground 3 3 /0 .11p o - /:5 0,4 4" ~l•C~ ~ ♦ 7 10,e ft elev. tot V ft. d-k Depth to limiting factor 7 in. Remarks: Boring # i2 /p y 3~~ k~~ T" $ /~r1 SG.t` irn flfi~ s 3-f ; , s 2 Z 11-2-3 /0 3 - w~T sl /f s n», vfie cw , y ; , s Ground - l s , Q , ,,,S O~ JL i - ~ 8 elev. Depth to limiting factor f5_1n. Remarks: CST Name (Please Print) Signature Telephone No. R©(3la Rr ?AL13k ►c47- 38(0-81 X -S Address Date CST Number PROPERTY OWNER 70'&f 6'"f PRO (I SOIL DESCRIPTION REPORT Page z of 3 PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Structure 2 Texture Consistence Boundary Roots in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench o_/(" ,e y 3~ war- 15 /fs6~ OW s .2, r . s : , c Z _ /0 YY? 3 k, Ar / of 3f` , S 6 Ground w 6 elev. "X> / 3 J~ /►N G' y , . s eft. - 7,5 Depth to limiting factor ~ in. T7 Remarks: Boring # / '23 /O 2-11 °le I G 5~ Z"F' s6lr f~ S .17'x' , ~v 2- -3 /o R3 3 2f5bk 3 - /a 3 ' s -F ur - , s Ground , .S I ~O ,✓yYJ 5 elev. -l ; I y Win. ' Depth to •tJ S UD Lw S'* limiting factor ~in. Remarks: f ~j/ II~E~ y APES ~`'IO U,u D 0 Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # / o/G /D p(e l~/ 4,Pf,lM'~ l ~~tr► S l~ - 311 Is V"o *h v cS 2 , 7',I -3 X_ /age SY* e-Al Ground Y1 -19. , 5 S Ss 7 8 elev. Depth to limiting factor 7L- Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) IN d N N r Co,J E 5 T T . WOOD HuZ. NARkL--D FrOOO prAiZ sCAL I = 30 prT:5 /oo,d ' p~o~as~v 43~ 3 (3 EO!?M . I~-D~-tE S i TE' ad, o,e --yam- x ---~-----,c_--_-__ ~ ___X_-. ~y lot 133 7o r--~ -r- • 54° ` 3z'x70 ~ 70' VVAJ ~ ` G5 oil L' 50 . L e f STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County / OWNER/BUYER 007 MAILING ADDRESS N of PROPERTY ADDRESS If 3 Q ~~yz Flf S ~a z 2~ (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION 1/4, ,l q 1/4, Section T 2-9 N-R 49 V ~N%G TOWN OF ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIEDSURVEY MAP VOLUME , PAGE 16 71, LOT NUMBER 3 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 needeO 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. 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 expiration date. p-n-~ SIGNED: DATE: St. Croix County Zoning Office r4rM r,n Government.. Center.... 1101 Carmichael Road ~ 1-ludson, 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. y? S Ryee' Owner of property /j 130~c1•v%- C iea Location of property AIW 1/4 A1~0 1/4,.Section 2-~ T z? N-R 49 WD Township 1L11*A1 c'1Cffi'41W1 G Mailing address )V b! 2,2- /O/ Ri i Ut,~;e 19~4//S : Y4149.2- 2 Address of site q13 A ley / / /JF~IS SL1C3 Z Subdivision name e~ ~(Jaff} 7 'llel, 6 -7 / Lot no. 3 Other homes on property? Yes b,-' No Previous owner of property -DAN-) LI.yJ4Ct o Total size of property Total size of parcel ,46V,5 Date parcel was created i Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes A-~/No Volume Af-3 and Page Number 2WV 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 ffice of the County Register of Deeds as Document No. 2Q 7 , 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. Signature f Applicant Co-Applicant Date of Signature Dat of Signature 414023 CERTIFIED SURVEY MAP DANIEL J. LINEHAN Part of the Northwest 1/4 of the Northwest 1/4 of Section 29, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. ~ ~ IO NW CO R. SEC. 29,T28N.RISW, ~t~CD (,PKNAIL IN CONCRETE) UNPLATTED LANDS N 'LINE NW I/4 7' 68 JUL 2 7 N89.13'28"E 1053.43' R(EAST) R(N88.30'S8"E) -141 MAS ON GONNU r6 987.20 _ 8 tee,, LOT 3 e a Crobm Cowie W i 28" KINNIC E/RN/C 99.OOa Wei RI 4J I 9.070 ACRES - E _ 0 , „ 395,072 S0. FT. `F- I ~xrc N02•II 04 W 166.78 R(N02 33'34 W) S, 0 VI o. m W oZ 1'86.31'31" 1 W 4 W ` 3o O~Bj MEANDER LINE 0 3 N06.20'47"E 101.12R(NO5.58117"E) 0, W ` ~9? F W W z O I?1 • N 1 a 2810 9" 0 37708 7 It 0 JNPLATTEDI 0 m _ I7 E W o Q a 2d x O p At DS ? a N 44 g I • FUTUREC.S.M. N02 11'04"W 163.02' R(N02.33'34"W) O UNPLATTED IL .OZ 3e, 0 a W m 0 LANDS „ W H I I 9N•89.2 12 4'52"W 291.96' \e~ z ml ¢ % PROPERTY N82,. ~ N 89°13'34"E 2 W NEST LINE L6 I 22 I4nw 23.74 o~ m W o NW I/4 I 343.0 q~ ao 3 u w N W C H I N O F W m 8 O W 3 W Z °o ~ m C.S.M. VOL.2, I to 3 W PAGE 556 UN PLATTED ti M LOT4:,. 0 - z I -LANDS M a s z co a 6.328 ACRES Iv • 275,652 SQ.FT. c g a m u' -m W W NET a 6.055 ACRES 1' O m y J O 263,760 SQ.FT. 40o y K J 0 a a Q N R( I INDICATES PREVIOUSLY RECORDED DATA O 0 SCALE 1"• 200 z J 190.1.,9 . WI/4 COR. SEC.29,T28N,R18W, N0► 6°~•~ / 06 (COUNTY SURVEYOR'S MON.) MN89•33'12"E 349.97' ,x'3 ----S-W 13' 34 W 330__00 _ ---MOVED UNPLATTED LANDS C 66' TOWN ROAD 0 100 200 400 600 JUL 02 1986 ST. CROIX COUNTY • Indicates 11' iron pipe found COMFOHMNYI ►Aacs KU414INQ o Indicates 1"x24" iron pipe weighing 1.13 lbs./lin. ft. set. ANC MINING COMAdrrn State of Wisconsin) NOTE: LOTS I AND2 DESCRIBED ON SHEET I County of Pierce) LOTS 3 AND 4 DESCRIBED ON SHEET2 . nx1G~:3F~,F4fi ADDITIONAL TERMS LAND CONTRACT BETWEEN THE DANIEL J. LINEHAN TRUST AND THOMAS A. CARROLL AND BONNIE J. CARROLL Seller reserves the right to mortgage or remortgage this property and Buyer agrees to subordinate Buyer's interest if requ redi by such loans Lender. The aggregate outstanding balance o fused the outstanding accrued interest, shall not at any time ent on such er0s 1 balance of this Land Contract and the e Sell t of this la d contract. loans shall not be in excess of the paym a ents (including Buyer shall have the option of making irectly to any mortgage principal, interest, taxes and insurance) delinquent in or lien holder in the event that atto lber cshall redited oagainst Buyer's any payments, such payments if liability under this Land Contract. Seller shall notify Buyer such delinquency occurs. Buyer understands that upon its due date, the remaining balance under this Land Contract will be fully due and payable and Buyer is solely responsible for obtaining financing. 1 • _~~~~r~~~~ TNIL f/ACE A[5[RVLD FOR RECORDING DATA DOC4JMcHT ONO. ~ STATE BAR OF WISCONSIN FORM 11- 3988 ll LAND CONTRACT ii ladhidad and Corporate I C~C~ (TO BE USED FOR ALL TRANSACTIONS WHERE OVER! _ 5r•+©`79~ $25.000 IS FINANCED TRANSACTIONS) NON-CONSUMER i REGISYER'S OFFICE - - - 1 M pOIX CO.* W1 Daniel..J. Linehan..Trust, I Ree'df(w1W.,.old Contract, by and between r-- it Daniel J. Linehan, Trusteel_Jeffrey M._McCardle, Alternate i AUG 3 0 1994 - P.. - ("Vendor", ' Trustee h._with•full._ ower_of_sale_an encum 4~ 8.3 -I ~ - "''"""e""ac" Thomas ACarroll and t~ bra lkfilS# one or more) and U ( orship eK„! M Bonnie J. Carroll~,_ husband,_and, wife__as_.suryiy marital ro ert "Purchaser", whether one or more). ' - - p-- -P-• • -x- i R~stlydDMOs Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- it formance of this contract by Purchaser, the following property, together with the I y rents, profits, fixtures and other appui:enant interests (all called the "Property"), in........ C a._;411C County, State of W18C°IIBiII: RETURN To Keith Rodli PO Box 138 River Falls, WI 54022 I I Part of the Northwest 1/4 of the Northwest 1/4 Tax Parcel No of Section 29, Township 28 North, Range 18 West, .j Town of Kinnickinnic, St. Croix County, Wisconsin, being part of Lot 3 of the Certified Survey Map recorded in Vol. 6, Page 1671, of St. Croix County the Northwe t corner of said Section e29, ithence follows: Commencing at N89°13'28"E (assumed bearing on the North line of the Northwest 1/4 of said section 29) a distance of 66.23' (recorded as East) , to the Point of of the parcel to be herein described; thence N89 13'28"East Beginning, ij I~ 660.941, (recorded as East) on said North line of the Northwest 1/4 of said Section 29; thence S00°12'40"W 487.46'; thence S890 1313411W 23.74 ; i N06°2014711E 101 12' 0 (recorded j thence N82°22' 14"W 345 N02o33t 34"W) N89 thence2 J 163.02' (recorded as 11 166 as N as N 05058117"E) ; Thence N0 6.816r acres ,d bei gOsubjectWto OF BEGINNING?°lc nta ni g .76 to the POINT easements of record. This I.4.not. homestead property. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at h.place_ a$_ Vgn3or.. rgguires i the sum of 58._QQQ..QQ--------------------------------- in the following manner: (a) ;_.34x000.00 l t the execution of this Contract; and (b) the balance of ;.-24.QQQAQ------------------- together with interest ent per annum ;i hereof on the balance outstanding from time to time at the rate of__S~Y~A__(.71...................... p until paid in full, as follows: Quarterly payments of $1,732.9, commencing on October 1, 1994 and continuing i on January_1, April 1, July 1, and October 1 of each year thereafter. II i! Provided, however, the entire outstanding balance shall be paid in full on or before the------ 1St-............. day of i~ luly-----•- 19.4$ (the maturity date). t I I I >~1S@~(1t>~ • i Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- p" annual taxes, special assessments, fire and required 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, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest it 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 19.9..° ( ) ii li amount may be prepaid without premium principal at any time after Au$~*Jt--26 tdsexscclmcna~ ~g7{aQ~(SOF.' II In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long th to month hall be jj as the unpaid balance of principal, than and am0unttth(and in such case accruing intere from at sad indebtedness would have been hadnthe month yspayments been ted as unpaid principal) is less first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds made as of insurance or condemnation, the condemned premises being thereafter excluded herefrom. l Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser j for examination tikW: i See attached for additional terms. ~ I 4 ` gutchagar promises to pay when due all fazes and y~eats levied on the Property or upon Vendor's interest • is it and to delivar to Vendor on demand receipts showing such Payment. gf~ 3txaci~~wnt~daalk~k mcikh~c ; ~RA~ ~c~'k x]R cRk& . t~edxa~~~~n~dxisbcx ~sx ~ xarx~axrarasc ~ISP~ic4X~]! -r~ xS~Ali):]tiQitx'RQ►1t>Pt~c9~[KIl~'><VA DC~! bxx 7dzxbbxxm Kxk:SXXRX~GlC7LC7CYY--" C]L)i3i'- .a++++--- c x7~'rix~~~><Mfo7'~x>aE~txbo . #€]t s4ESCl Y rt to kee the Property Purchaser covenants not commit waste nor allow arwaste e ty f~ to fromm. liens superior toptheeli n of this Contract, and in good tenantable condition and d repair to keep the Property - to comply with all laws, ordinances and regulations affectins tore Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above ed'Vendor owill f an demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of the Prof free and any liens or encumbrances created by the act or default of F*rdssser, and except : . Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of .._AQ._ days following the specified due date or (b, in !"Is event of a default in oY Q-_- days following written notice performance of any other obligation of Purchaser which comb ash for a period thereof by Vendor (delivered personally or mailed by certified mail), then the mire o stands (which Punder this contract hereby shall become immediately due and payable in full, at Vendoes oytio and b without to any limitations provided se law) in waives), and Vendor shall also have the following rights and remembes opstuion, terminate this Contract and Purchaser's addition to those provided by law or in equity: (i) Vendor may, at kis back through strict foreclosure with any equity of rights, title and interest in the Property and recover the property redemption to be conditioned upon Purchasers full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect on such date and otheramoants. ats.due hereunder sunder (in which eve tall mo ruts previousl the fulfill this Contract as for aid by Purchaser shall be forefe` ed as liquidated damages fic performance of this Contract to compel Property if purcl.aser fails to redrxm) ; or (ii) Vendor may with mtspeci thereon at the rate in effect on the date el immediate and full payment of the entire outstanding balanc% shall be auctioned at judicial sale and Purchaser default and other amounts due hereunder, in which event the Property shall be liable for any deficiency" or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion as a cloud title in thereof; or (iv) Vendor may declare this Contract at an end and remove this Vendor Contract have Purchaser ejected from quiet-ti le possesson action if the equitable interest of Purchaser is insignificant; and ( ) Ven or prof its during the pendency of any action of the Property and have a receiver appointed to collect any rents. issues P under (i), (ii) or (iv? above. Notwithstanding any oral or writ2m statements or actions of Vendor, an election of any all costs of the foregoing remedies shall only be binding upon Vendor if ant when pursued nderga(whether tion an abated or not) fpenses including reasonable attorneys fees of Vendor incurred to eniorceaay remedy he the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, ab in- curred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including fievoestead interest, to collect the rents, issues, and profits of . the Property during the pendency of such action, and each rents. lessee, and profits when so collected shall be held and applied as the court shall direct interest in the Property (by assignment of any Purchaser shall not transfer, sell or convey any legal or equitable o1 Purchaser's rights under this Contract or by option, long-terse lease or in any other way) without the prior written consent of Vendor unless either the outstanding balance payable order this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under kin Contract solely as seonst ,f the an indebtedn ding entire outsta Purchaser. In the event of any such transfer, sale or conveyance without Vendor's balance payable under this Contract shall become immediatelydne and payable in full, at to dor''s option without notice. of Vendor shall make all payments when due under any mortgage an outstanding note secured thereby, provided Purchaser this Contract (except for any mortgage granted by Purchaser) make direct th do so and all payments so node by Purchaserashalll be conside ed payments m de on makes timely e Mortgagee if Vendor tfailsamounts this Contract. t or prior default of Purchaser. Vendor may waive any default without waiving any other sobsequn - All terms of this Contract shall be binding upon and iznu~e 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 join herein to release homestead rights in the subject Property and agrees to join in the execution of the deed to be made 1,i fulfillment hereof.) - Dated t 26th-• . day of _ Auguss; - 1_9.94 DAME J. IN By.. -..........-(3EAL) --(SEAL) ~a~rall. SEAL) _ AL) - - - Bonnie J. Carroll e M. McCardle, Alternate Trustee AUTHENTICATION ACKNOWLEDGMENT Signature(s) Dan - . _ L " STATE OF WISCONSIN as. Tt►Qm _ A,._.~al l~Q1.1__alld._aunje__~I..__~azznll"r4-e ...County. - - authenticated this _2_ay of. Aggu , 19.9-IL Personally came before me this -_.2--6-- day of - a 19I..L f- the above named . / s Reith- ROdli TITLE: MEMBER STATE BAR OF WISCONSIN If not, a- authorized by § 706.06, Wis. Stats.) to me known to be the person qh+o <<,ezea~ the ,i foaegoing instrument and ackn let llh shmC 0