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AS BUILT SANITARY SYSTEM REPORT
OWNER ADDRESS
er ells ~Vd
SUBDIVISION / CSM# 7(F LOT # l
SECTION T N-R_ Town of /C- 1.0
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
jp
~a Xiab'Bec~
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
• s
i 1 I
t
BENCHMARK: Ol, 3 ! K(re fai f
ALTERNATE BM:
E Pump nwamnv / HOLDING TANK INFORMATION
Manufacturer: we'0 fPJe4j Liquid capacity: ,100 V`6`$
1
Setback from: Well House ,26 Other
Pump: Manufacturer /`Q'~ 1
~2 Mode"~# Size
Float seperation a+l Gallons/cycle:
Alarm Location p~ A
SOIL ABSORPTION SYSTEM
t ~
Width: Length ,00 Number of trenches
Distance & Direction to nearest prop. line:_ A/7 r 966 ~
Setback from: well: 7/o-0 House
20" 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 d 31
INSPECTOR:
3/93:jt
V isronsin 1epartmentofIndustry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT ST. CROIX
Safety and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION
Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State Pill ft"
HART , JOHN A . & DIANE L . X
CST BM Elev.: In p. BM Elev.: BM Description: Parcel Tax No.:
7' De?-yy? bra:
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic 2ct(1,, Benchmark fv d s /D . 7
Dosing
Aeration Bldg. Sewer OS' 9 9
Holding St/ Ht Inlet 52
TANK SETBACK INFORMATION FTS" Outlet d 7' 'F,'l AS•`~c~`
TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake /J4 . 9 Sal 4'G,3'
Septic y~c E J0 o >jo NA Dt Bottom
Dosing NA Header/ Man. G 5
Aeration NA Dist. Pipe Cj6.a3
Holding Bot. System X5,3/'
PUMP/ SIPHON INFORMATION Final Grade >c~3' ioo,~~'
Manufacturer , /1 Demand
Model Number 9 3 GPM
TDH Lift 3~ Lriction System TDH I~ Ft mead L
Forcemain Length Dia. d Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS .rr )c) ..s' DIMENSIONS
SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING manufacturer:
SETBACK
INFORMATION TypeO - ~/,A-. CHAMBER Model Number.
System: _)")o 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: KINNICKIHNIC. 2g . 28.18W , NW, NE, LOT 4, :45TH ST
1. 7
a
Plan revision required? ❑ Yes E~'No ,
p
Use other side for additional information. ~r:]
SBD-6710(R 05/91) Date In a br'sSignature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
0/7
a
X5"8 ~ -1
e
.
SANITARY PERMIT APPLICATION
COUNTY
In accord with ILHR 83.05, Wis. Adm. Code
a . CkOl X
' STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than ~Cg4
8% x 11 inches in size. ❑ Check if 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 At PROPERTY LOCATION
A P11. 1 F S a'F T LOCK N, R # E (or
PROPERTY OWNER'S MAILING ADDRE LOT #
~a Y
C 5y, STATE ZJP CODE PHONE NUMBER SUBDIVISION NAME OR CSM N M
a a fER
ESAREST ROAD
II. TYPE OF BUILDING: (Check one) El State Owned 0 VI LL AGE : R nwuo
i
El Public ~ 1 or 2 Fam. Dwelling-# of bedrooms Y _FFARCEI AX NUMBER(5)
~y
III. BUILDING USE: (If building type is public, check all that apply)
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
40 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) Repai A) 1. M New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection 5.0
Ex isr of an
System
System System Tank Only 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 0 Seepage Bed P ,Y~Gb a x`21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench; L ~ xj6p f22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION: r71. GALL NS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. L ADING )ATE 5. PERC. RATE 6. SYSTEM ELEV. 7. EFINAL LEVATION GRADE
REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch)
a od !a ao a~~ Feet Feet
VII TANK CAPACITY Prefab. Site Fiber- Exper.
in allons Total # of Manufacturer's Name Concrete Con- Steel glass Plastic App
INFORMATION New xistin Gallons Tanks structed
Tanks Tanks
Septic Tank or Holdin Tank ~y I ~a PAS FEE
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.
Plum er's Name (Print): Plu Signature: (No Stamps) MP/ _ Business Phone Number:
s ~9~~'-sue 2 I °Q
Plumber's Address (Street, City, S e, Zip Code):
IX. COUNTY/DEPARTMENT USE ONLY Issuing Agent Signature o Stamps)
❑ Disapproved S itary Permit Fee IlSurcna ge Feej Water ate Issued
OApproved ❑ Owner Given Initial
Adverse Determination ~1_ 1V
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 ,
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.
ll. 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
8
25
7 _
= 6 20 I
z 15
4
_j ;
g 10
2
5
0 00 10 20 30 40 50 GPM
0 2 4 6 8 10 12 m3/h
CAPACITY
[qGOULDS PUMPS. INC.
se*cA F u,s ww tcwc owe
EfWcdn October, 19&
0 1619E Goulds Pumps. Ina SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE PRINTED IN USA
PAGE OF
PUMP CHAMBER CROSS SECTION ARID SPECIFICATIOWS
VENT CAP
4"r.I. VENT PIPE
w WEATHER PROOF APPROVED LOCKIN
7
JUNCTION BOX MANHOLE COVER W/
25' FROM DOOR. (.1~4rhi11~ )-e4el
WINDOW OR FRESH MIW. I
AIR INTAKE I
GRADE I
I `I"MIN. r
WAIN.
CONDUIT--
- -
I
INLET PROVIDE
. T AIRTIGHT SEAL
I III v
APPROVED JOINT A I III APPROVED JOINTS
W/C.I. PIPE I III W/C.I. PIPE
EXTENDING 3' I i I ALARM EXTENDING 3'
ONTO SOLID 501 L B I I I ONTO SOLID SOIL
I I
I I ON
C I 1
I
CLEV.FT. PUMP-1
` OFF
D
CONCRETE BLOCK
RISER EXIT PERMIITEO Ly F TANK MANUFACTURER HAS SUCH APPROVAL 3gEDp~G
SEPTIC E SPEC.IFICATIOUS
DOSE
TAWAS MANUFACTURER: NUMBER OF DOSES: PER DAy
TANK SIZE: GALLONS DOSE VOLUME
} a .•f.
ALARM INCLUDING OAC
MANUFACTURER: 7 KFLOW% 171, N GALLONS
✓t r~ d
MODEL NUMBER: 14 CAPACITIES: A=av' a INCHES OR 353, ~ GALLONS
SWITCH TZIPL: &e rc `l I, g -INCHE$ OR ry GALLONS
PUMP MANUFACTURER: GDLI Its C= /D.I ILICHE5OR1_Ls.l_GALLOWS
MODEL NUMBER: -7p9 0- I INCHES ORL71.7 GALLOWS
SWITCH TYPE: -eY('krY MOTE: PUMP AND ALARM ARE TO OE
MINIMUM DISCHARGE RATE a 3 GPM ,,IIoN~STALLED ON SEPARATE CIRCUITS
VERTICAL DIFFERENCE DETWEEIJ PUMP OFF AND JD13TRIBUTION PIPE.. P1) FEET
♦ MINIMUM NETWORK -SUPPLY PRESSURE . . . . . . . . . . . 2.5 FEET
♦ UL MEET OF FORCE MAIN X L' 0 FYofEFRICTIOLI FACTOR.. FEET
TOTAL DtIIJAMIC HEAD = ' 3 FEET
r it N
ILITERAIAL DIMENSIONS OF TANK: LEW&TH.~_;WIDTH ;LIQUID DEPTH
U~ t r
SIGNED:. r} r` " )~~~9 LICENSE NUMBER: DATE:
Witiconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page ) of 3
tabor and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
S_r GRA 1 -
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but
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
-o ff tJ Ol A >N GOVT. LOT NW 114 NE 1/4,S Zq T 2_8 N,R 113 E (o I
PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
\014 S. L-l(3exl-l C-is kh P1~RUS~p CSN
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ®fOWN NEAREST ROAD
~~au l_l.S,wl Sg4-1 (71~ 14 Z,O- So96 V-7-i"x-) cVr-iPjK3jC. )Z~s'm ST.
New Construction Use (d Residential /Number of bedrooms uti'' o w►., ( ) Addit n to existing building
( j Replacement ublic or commercial describe
Code derived daily flow46 vim- ecommended design loading rate o • S bed, gpd/ft2 0 . _G trench, gpolft2
Absorption area requir d, ft2 tt nch, ft 2 Ma)dmum design loading rate 0 . S bed, gpd$ o, b trench, gpd/ft2
Recommended infiltration sation(s) ~1_ q s . 5 It (as referred to site plan benchmark)
Additional design / site considerations T Ct E~ c1A~ S 'p-ecU")-I L►JD tm
Parent material S ► Y oQ rw>,s H Flood plain elevation, ff applicable N, -ft
s system cONVE nONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN F1LL HOLDING TANK
stem ®S ❑U QZS ❑U ®'S ❑U [@S ❑U ®S ❑U ❑S ®U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color motues Texture Structure Consistence Boundary Roots GPD/ft,
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench
KK O-lI vw-tk.31-z- ~S Z'Fs~~c 'M raw ZV~ o o B
cs 1' E O- q O- S
Z 12 -7~j '7. S `'12 3 J Z - s I 1 C s tic m 'F1r
o •-t o. $
Ground 3 Za - Flo • s ti R J y - s 1 c s bn Fv C.S
elev.
ft y 4D.86 V0 4 Q sip
Depth to N~ = ZAh~ ;F' U-.> LL. C3 ta1L1A! C. 5 Cl~ 11 N 4 /V 8 ' I /y r fyr( IC 3 en v
limiting
15 pf~yvpS C ~ Z~S~R lcT~u~~
factor~
Remarks:
Boring #
b-l3 lc_') Li Z 3Iz 1s Z~Sbk rn~►~~ ~w 2uF o.1 0.6
~ Z \3-2Z. ~•S 3lz S ~ ~ cSbk m ~h c.s lv•~ Q.y n.s
3 ZZ-38 ~•S`t2 31y - ~s e sbk ►Mvfr eS o•1 n.8
Ground
elev. t{ 38-SS t0 `tQ sly - S s~ p. S o. b
99-0 ft.
Depth to IQL
limiting
factor
Remarks:''
TName:-Please Print Arthur L. We a re r n 1 -0
egerer Soil Testing & Design Service-P.O. Box 74 Ri r X01 `;t 4022
Signature: Q Z- IF, 3 Date: 5 L6, l4 4 Z CST Number. 576
rA~
PROPERTY OWNER N2T SOIL DESCRIPTION REPORT Page of 'S ,
PARCEL I.D. #
Depth Dominant Color Mottles Structure GPD/ft
Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Consistence Barxfary Roots
Gr. Sz. Sh. Bed Trerh
Z S X12 M U 'Fh J~~ Z U4 0.7 0.8
~w 3
y.z .
1 c stk. rn cs 1 oy a-s
Ground 3 zl-3~ -1-S 42 31y S 1 Cs~k Yhv Fh cs 0•-1 0 8
elev. r
q6.6 ft W't ¢ 516 ' s v S Yv1 a. 6
Depth to
limiting
factor
7 8`1"
Remarks:
Boring #
13 1 o-\~Z \b"LQ 3)z Zug
Z \Z-Z3 -)-S47 3/Z - S 1 1 Csbk v,,, CS l\A o-4 ` ~•S
3 23-40 1.S 4[z 31y I S V c,- Sbk Mv~r. Cs 0.-7
n.8
Ground
elev. y y0A \O Litt SJL M 1 0. 5 ~.6
99-o ft
Depth to
limiting
factor u
?$q
Remarks:
Boring #
\oLAQ 31Z - S 2 5b1-~ W, v~r c~U Zvi-
d,-~ 0.8
5~:~ 2 ~z-ZZ ~.s yt~ 3/Z - s 1 ~ csl~k m~ e.S ) o•y o.s
3 ZZ-39 • S 1 19'- 31y S \ cs bk W\ i
Ground cs O 0.8
elev. y 39-86 t'a 4 2 S '~g b S9 ern 1 O• S 0.6
99.0 ft
Depth to
limiting
faC$6~
Remarks:
Boring #
13
Ground
elev.
ft
Depth to
limiting
facto
Remarks:
SBD-8330(R.05/92)
PLOT PLAN Page 3 of 3
SCALE 1"= 3p '
~3os, az~ v s E 'CD c~~ !'rT L~`ftS T Z S ~ ~IZU F1 S y S 1~, r-t \'rtz ~q .
d
= I~STrt«~c lb o~-r~►~~NE ~\z~ ~~n L~~~~oN ~
n t= Sal S'r~+-, w~~, u ti~w'►B o~= ~F~(~uowt ~ ~
O
s`-LS~1.~1 'Co 8~ w 1"C1i t►v TIiE S u t tYt-g ~ ~ I~.~~1q m
1~S SwN @~ZQW. ~onr~ o~ sys Ct~.~ 9.5.5' o
r
N
-l/y_ tZE hq
'~zMi J
Avg
~ L. ~~-1~t`nu S h-~T~ ~1
r
E- R8 6 tT2 94 °
B.3 - - - - - - s. 5 .
r~u't- ~o i c+1 ~E
Sv ~~3L~ ~2.~q
C~oR 1t.~ \T1 A 1.
~~vfl RL~Z►.~rlT6
X99°
lu
o
~ o ~l `dot4 ow C~" RIG14 3/y"
a9•l' orv ~ ►il~kl tD. Rq _ ~~q. PvC Pt
q -z_!83
CST Signature Date Signed Telephone No. CST #
tVisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page I of 3
Labor and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
ST G~ 1 K
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but
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: GROVTE OTY LOCATION
S'o ~ 1 4 NE 1/4,S ?-q T Z8 N,R VB E ( V
NA N it NJ1 A wl
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM #
10114 S. Llae-L •y jq_zht> H P Aossm> C311
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD
\,)t i us w 1 s oZZ (~15) yzb- soq 6 1-ct >J1.3 LC1211vL3 1C Ik- sT,
l~ New Construction Use bd Residential /Number of bedrooms o w N [ ] AcIftn tD existing building
j ]Replacement Public or commercial describe
Code derived daily flow 1 So gpd C~ %b" ecommended design loading rate O- S bed, gpd/ft2 0. 6 trench, gpd/ft2
Absorption area requir '.4 d bed, ft2 "zs~ trench, ft2 Mabmum design loading rate .0- S bed, gpd/ft2 0, b trench, VW
Recommended infiltration s evation(s) L=am q s s it (as referred site plan benchmark)
Adcfitiond design / site conslderdons 7-11% zrpj cWe s _ co -i h LrJb tM
Parent material S N" ,f o v rw^s m Rood plain elevation, 'If applicable iy. • ft
S = Suitable for System CONIMMONAL MOUND MEGROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable for stem ® S O U IRIS[] U WS oU 0S ❑ U [as ❑ U 0S o u
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consisterm Bou day Roots GPD/ft,
in. Munsell Qu. Sz Cont Color Gr. Sz. Sh. Bed rench
O-tZ vz)'A 2 31,z- S Z ~S ~kC )Y+ FM raw Z. V; O.7 B
Z 12=~ -7-S `'1(L 3 J 2 - s 1 C s b12 t~ ~1r CS 1 o. L) o. S
Ground 3 Za -yo ~•3 `7R 31y - s Q. Sbk w~ v cs o.1 o.a
elev.
qg ft L/ yD-88 V0,17- s/io - ~S o s9 M 1 0.5 v.
Depth to 1Je1 = Z,p~► R U-~ t_t, 13~121aIG Ct~ ~PJ i16r 1/Vt `f1tl k S
limiting
factor 15 %t(hJ4Z~ S C T kZeSXSt VC--r) u e)
5 be,
Remarks:
Boring # s Z gbk rn u Qw dlw z u F e 1' o e
~ 0-13 IU~IQ 3lz
Z Z ~3-ZZ ~.S `it? 3/i S) 1 ~5bk m Tv e-- Nui a.y 0.5
3 2.Z-38 7-S`i2 3/y - S 1 CSbk ta►l1 cS o-~ a.8
Ground
elev. 38-85 ~'3 -m 5/ ~ - S p S~j p. g o- 6
q9• o It
Depth to
limiting
factor
'6 S
Remarks:
TNarne:-Please Print Pho
Arthur L. We erer
egerer Soil Testing & Design Service-P.O. Box 74 River I 54022
Signature: p g Z_ r 3 Date: L6, 14 4 z CST Number. 576
PROPERTY OWNER ►'~RT SOIL DESCRIPTION REPORT Page, Of 3
PARCELLD.#
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botndary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed bnch
1 o_~Z ~o`-tQ3lz _ \S S~1t YAQi1- A'. Zv4 0.7 0.5
3
u Z ~-z -zl -i.s y►z ~/z - s) c soh m cs lui o.y 0.5
Ground 3 Zl -3~ -1-S `•f fz 3/y _ S C S bk rn v Fh cS O • a 8
elev.
a6•b ft. y 36-87 1b't¢ 5/(o `Fs v S9 YA o. S o. 6
Depth to
tl -
factor
Remarks:
Boring # \
1 b-lZ \0 Llt 3) -L 1S Z~~b1c rnv`g4- ~~v Zug `c~8
Z tiZ-Z3 "•S`R 3/Z - S C.3dVt wN4b GS ~\A 0.14 4 u•5
'1,S R 31y ~ s 1 o- Sbk woj'F' as. o.~ ~.a
3 .2-3-140 ~
Graxid
elev. 4 yo _ & \047- S /L o -s l o s ta . f.
99-o It.
Depth to
tlmiUrg
Remarks:
Boring # ;
u-ti \S 2~Sblt W~ v~r Au) 2'1~ e.~ c"
S , 2 ~z-ZZ ~•SyQ 31z - S1 lcsbk rim ~S l~~ o•y o.s
3 ZZ-39 S Li V'- 3/y ~S \ CSbk hnv`~ cs o~ `0.8
Ground ;
elev. y 30/-U 10 4P- s/` ~s co s9 ) o•5 0.6
99. b It
Depth to
krtw6ng
factor6 Remarks:
Boring #
U
Ground
elev.
fl
Depth to
UMng
factor
Remarks:
SBD4330(Fi.05M2)
PLOT PLAN Page 3 of 3
SCALE 1"= 30 '
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Date Signed Z Telephone . CST #
Rscon~inpe~rvnentofindusuy, SOIL AND SITE EVALUATION REPORT Page I of 3
labor and Human FtelaLns
Division of Safety 3 Bdkfings 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 P.ARCELLD. #
not limited to vertical and horizontal reference point @K. direction and % of slope, scale or .
dimensioned, north arrow, and location and dstanoe to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PITY LOCATION
h1 ! p\ A U T GOVT. LOT NW 114 NE 1/4,S Zcl T 28 ,N,R 18 E (a 1e
PROPERTY OWNEFr:S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
\914 S. Lj%MT-y ~tukD H1 - PizuPos~ CSF-t
CITY, STATE ZIP CODE PHONE NUMBER QCf TY OVILI AGE 0OWN NEAREST ROAD
~~►~c'lt~-itus,wl s~(t,zZ ('71~yZ6-So96 1~ctuutC~ll.~r.~1C 1oS-T* Sr.
Dd New Construction Use (kJ Residential / Number of bedrooms wo wN [ I Ad&kn b e*.tirtg WiIdng
[ I Replacwwnt Public or cmmvrdal desaibe
le o. S bed, gp W b Irendt, gpditt2
ettended de* badrtg ra
Code derived daily Aow 1 So gpd ~ =Wldrm
Absorption area reglar o bed, fl2 desgn loafing rate O 5 bed. gPdlft2 0. 6 Irertctt,
Recommended infiltration s) EZ . q 5. S It (as referred to Sit- plan bertdrrtara
Addlionaf deign/ site wMerdlim Tct~, CWE S R 1-1 rteK3 D el)
Parent material S hxj*fs `r o%j rwt\s fi Rood plain elevation,- I applicable N. A • It
S = SufWe for *W CONVeMONAI MOUND IN-GROUND PRESSURE AT GRADE SYMM N FILL HOLDING TAN(
U=Unsuitable for ®S ❑U (ZS ❑U (gS ❑U 0S ❑U IRS ❑U ❑S OU
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Liotles Texture Sere Cars rice Band3y Roots GPO
in. Munsell Qu. Sz. Cora Color Gr. Sz. Sh. sle Bed ranch
I o-LZ to~ttz 3!z - \S Z-Fs1rc t~,vfr dw z.v; 0.'1 J.%
Z 12-7$ -7-S`-S2 3/L - S1 1 C Sb\t M'Fl- GS lvt' o.~ 0.5
o-`1 0.8
Gtolxtd IZR-qt 0 • S `7 R 3j y - S C S ~k w1 v i\• C .S
elev. O S 9 M 1
o-S':u.te
qft LI 4b-88 S.
Dear to = z oN ~ t>, t 1. t3 otitlN G s caw r pJ l~ e ~ I /yr ` M k 5 V- 3 v f
Wing
~5 'OKtW S C T 2t?S~IR LcTty
factor "
Remarks:
Boring #
S Z 3b\rc -M j •-H QC.t.V 2 U i o.l o. B
~ 0-t3 10KQ 31i
Z Ila Z 13-2Z -).S Y2 3/i ` s 1 Cgbk M t.s 1v 4 o•y o.s
3 ZZ-3g ~•SY~ 3/y - ~S 1 C- Sbk 6•MU Fr CS o•-1 o.t3
Gmund
elev. tf 3$-85 ~o `te 5/6 _ S p S-) art t} S 0.6
C
C)9- o It.
Depth ID
lintrig V 1 ~'4cS 3 - S kn- LLJ `3 hl - G ~ W E p i _
factor
$5" 3 - L8 - (o
Remarks-
CST Name:--Please Print Phone:
Arthur L. We erer 715-425-0165
Veg%rer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022
dre
Souibm 4 1, --51414t, 9Z - t Date: s . CST Number:
83 t6, 1.911z 576
PROPERTY OWNER ~`cRT SOIL DESCRIPTION REPORT Page ,Oft
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Structure GP.D/ft
Texture Consistence
In. Roots
man= Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed
3-~Z X17`-4R 31Z - ~S Z ~1t TnV`F~ l~Uu Zvi 0.7 0.g
Z `Z-zl ,.s yQ 312 - .S) c.s~~rc m'fa cs 1%j o.y u.S
Ground 3 -LI 1~ 7 • S `-(2 3/y S C s d1L ►M V ~y, cs o • 7 elev. n. 8
//q8.6 y 36-8~ 14 `t ¢ 5/6 It
v S 9 Y~1 ca. 's ; o. 6
Depth to
limiting-
factor ,
7 ig7 u JJ
Remarks:
Boring #
1 b -<Z \ %3 ,tR 3 ! L \ S Z \~blt m v `g 4- 1x.ki Z u'4 ~ v. 8
z ~Z-z3 ,.s titz adz - s 1 l C.'3 cs lvf o•y o.s
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elev. y yo . & %047- S /L
o s 9 1
99•0I, o• s 6
Depth Io
limiting
fd'C8 u
I
Remarks.
Boring #
v-ti 1v~Q s/L - S 5,0 V% vrn vit caw 2\j I
5 2 12 -Z 7•S `f2 31Z 3
~ asbk r~ f,- cS 1 ~ ~ o • y ; o• s
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elev y 39-86 Ip yQ s/~
99. b ft ~S o S9 1 O• S b• 6
Depth to
limiting
fa'cv
Remarks:
Boring #
. I
i
Ground
elev.
It
Depth iq
limiting
r~
Remarks:
S13D-e330(R.05M2)
PLOT PLAN Page 3 of 3
SCALE 1"= 3C )l
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Yi-CT 4
FILED
L o
SEP 3 01992 -_1 .0 "
Q* _ c two
v
g JAMES O'CONNELL f o n s
u
Register of Deeds ( t • O 1 . V
489265 SL Crop Co., wl x
Cr► r 2 s K
CERTIFIED SURVEY MAP
.J" AND DIANE HART
Fart of the Northwest 1/4 of the Northeast 114 of Section ?9, Township 28 North, Range
18 West, Town of Kinnickinnic, St. Croix County, Wisconsin.
OIndicates l" X 24" iron pipe weighing 1.13 lbs./lin. Ft. set.
OIndicates 1/2" iron bar Found. R() Indicates previously recorded data.
*Indicates 1" iron pipe found.
NE co R. SEc.29, rzeN, R/I w;
N 114 CDR, sec. 29, T YB N, R /B W, /COUNTY SURVEYOR'S mom.I
/COUNTY SURVEYOR'S A/0N./
IJNPLATTED LANDS
N. LINE NW 114 NE 114
' N 87. 14'/8 "E 16//.84'
I /294.90' '
//.02' 1301.92'
' li~~i 1N 87. 14'/8"E 6/7.10 FENCE
~ t 606. Y/' 4
a O 1 3.//8 ACRES h
I b I /31, B21 So. Fr. p h
0 ; L07 *13-059 EXC. RDA 0 R O W N Owner's Address: `
q r /J3, 244 so. Fr. 194 South Liberty Road
Z 1 t
a N a7 • 14 • rs "E 617-50. ^ River Falls, WI 540?2
60 s.34' Phone No.- 1-715-4?6-5096
I N 0 1 2. 917 ACRES b
b 1 /27, 081 so. Fr. d CA
I~ h 1 LOT 2 2.818 ACRES EXC. h W
h a 1 --ROAD R. O. W. e0y 4I
N 4, t 124, 498 So. Fr. t v
Ib I IN 87. 14 /B"E 617.10' r LOT 4
QI)
2.917 A CRES 30.33? ACRES
0 Oti /27, 00? So. Fr. 329, 907 so. FT. < Q
ri 2.054 ACRESEXC. m 30. 4 14 ACRES EXC. ROADS ~I
M
~I~ o N 1 LOT 3 ROAD R.O.W. h /,314,834 SO. FT. Z
O
a s 4 1 124,5Z? SO. FT. N W,
~I (h t 603.68'
,,~g11111!!!6h „
t 0
7. $4' /8"E 6/7-?O ` NON
I.
IN 8
% I / 00 ~
1 ` `J h
• AA URE
E N
"o I S M f W MU cc do
b (CURVE DATA: O
TWad- ICHORD BEARING- S1O•YO'40.5"W .:RIVER FA LS r 44~
kip
I tCHORD D/ST. - 76.07' + w WISC
t h tARC - 76.18' /
RAD/US- /9/.00' ,%8008L 'AND / r tCENTRAL ANGLE- 22 ?8 23" 888l111l1l~~~~,,` t"
'o /Isr TAN. BEAR.- SO/ • O8' J/"E Z
/ I YND TAN. *CAR.- S 2! • 49' 52" W V
/ ' Laurence W. Murphy
H/'6NWAY sErSACx LINE Registered Land Surveyor ?
r-°~ ~Ca a Th~s instrument drafted by Laurence W. Murphy
04 Oated: August 2, 1992
(3 a~ Revised: September 29, 199? W
I
101 [ N48•.Y/'?9"E I. 20' oil
SURVEY MAP FOR JOHN AND DIANE HART:
T 28 N, R 18 W'
R 18 W, NE corner of Section 29,
T 28 N, (County Surveyor's Mon.)
N 114 corner of Section 29,
(County Surveyor's Mon.)
N 87°54'18"E 2611.84' N line NW 114 of NE 1/4
' 1305.9
1294.90'
I p 11.02' 1305.92'
to
I p
11:291 606.21'
I S 87°54'18"W 617.50' F
LOT 1
PARCEL A
I 1 11.962 ACRES ~
3
W p 11.945 ACRES EXC.
ID rl
Iu~ to ROAD R.O.M. to
~
'a ( o W
LOT 2 u, Zga~
N I to Op PPG ~i
- Z g , to
.C ED
4-3 o
3 p~.•
o ao
U) I LOT 3
I ~~GOa g26y W
r
43
L 617.50' a
• z I 13.82' ~I,PQ gyp. 688.66'
603.68' JE G' ~p~
I 11S 87°5'a''18"W 1306.16' 00
0
IP-4 CD°
` 'a tpn Curve Data:
o N Chord Bear. - S 10020140.511W
i ! m Chord Dist. - 76-071
1r PARCEL 8
Radius - 191.00' 18,571 ACRES W
l..__,_., ~...~~1...
18.469 ACRES EXC. ROAD R.O.W.
o
/
z
W z
p to to
C
o~
o
.a
(XI N 48°21'59"E 1.20' S line of NW 114 of NE 1/4 W
to
3
is S 88 03'54??W 1306.29' N 4°c 20'14"E 29.60'
V'
R(S 90°00'00'TW 1305.97' I
N
00 LOT 4 C.S.M,., VOL. 6, PAGE 1754
o n "
Z m All bearings referenced to the North line
to of the Northeast 1140of Section ?9, T 8 N,
ca
' R 18 W, assumed N 87 54118"E
O Indicates 1" x 241+ iron pipe weighing 1.13 lbs./lin. ft. set-
South 114 corner of i e found.
Section 293 T 28 N, Indicates 1" iron p p
R 18 W, (County 0 Indicates 1/2" iron bar found.
Surveyor's Mon.) R() Indicates 1/?'+ iron bar found.
.uccT 1 OF 2
SURVEY MAP FOR JOHN AND DIANE HART: r
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,
being part of Lot 4 of that certified survey map recorded in Vol. 9, Page ?_543, of
St. Croix County Certified Survey Maps, more fully described as follows; Commencing
at.the North 114 corner of said Section 29, the POINT OF BEGINNING, of the parcel to be
herein described; thence N 8705411811E (assumed bearing an the North line of the
Northeast 114 of said Section 29) a distance of 1305.921; thence S 00055152"E 897.71'
on the East line of the Northwest 0114 of the Northeast 114 of said Section 29; thence
S 87054'1811W 688.661; thence N 00 5414311W 631.701; thence S 870'41181fW.617.501; thence
N 00054'4311W 66.01' on the North/South 114 line of said Section 29, to the POINT OF
BEGINNING, containing 11.962 acres, being subject to easement over Westerly portions of
said parcel for town road purposes as now laid and traveled and also being subject to
easements of record.
Parcel B,
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,
being part of Lot 4 of that certified survey map recorded in Vol. 9, Page 2543, of
St. Croix County Certified Survey Maps, more fully described as follows; Commencing
at the North 114 corner of said Section 29, thence N 87054}18"E (assumed bearing on
the North line of the Northeast 114 of said Section 29) a distance of 1305.921; thence
S 00055152"E 697.71' on the East line of the Northwest 114 of the Northeast 114 of
said Section 29, to the POINT OF BEGINNING, of the parcel to be herein described; thence
continue S 0005515?"E 621.221 on said line; thence S 8800315411W 1306.291 (recorded as
S so0001001TW 1305.971) on the South line of the Northwest 114 of the Northeast 114 of
=:.id.Sectioii 2% thence N 0005414311W 617.58' on the North/South 114 line of said Section
29; thence N 87 5411811E 1306.161 to the POINT OF BEGINNING, containing 18.571 acres,
being subject to easement over Westerly portions of said parcel for town-road purposes
as shown on this map and also being subject to easements of record.
Note: Parcel B 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)
I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that I have surveyed
the above described parcel sccording'to official records and that this map and
description are correct to the best of my knowledge and belief.
• ``~,1~IIIIUIfI~~~h,
%SC o N
LAURENC .
M W MURP
N i FALL J~
_ wlsc.
STC-105
MAINTENANCE AGREEMENT
SEPTIC TANK
St. Croix County
OWNE"UYER
MAUJ NG ADDRESS ! . t
g Dept.
PROPERTY ADDRESS (ration of septic system) Please obtain from the Plannin
CITY/STATE NN R-A-W
h l Gt/ i/4, N F 1/4, Section_
PROPERTY LOCATION= I ST. CROIX COUNTY, WI
n
TOWN OF LOT NUMBER
SUBDIVISION a C} 5V3-
LOT NUMBER
, VOLUME PAGE_~
D SURVEY MAP to handle
CERTIFIE
Improper use and maintenance of your Sepotu~ the stem eptieutank every three years or premature
sooner, fatlure , if needed result in its wastes. Proper maintenance consists a~ Po Pu utto the system can affect the function of the septic tank
by licensed septic tank pumper.. y,
as a treatment stage in the.waste disposal system.
t for a maximum of 60% of the cost
/ be eligible to receive a gran 1978 St. Croix County
St. Croix County residents may which was in operation prior to July 1 ~ stems agree to
of repiaceme /of a failing system, requirement that owners of all new sy
accepted this program in August of 19g0, with the keep their system properly maintained. by the owner
The property a certification form, signed
agrees to submit to St. Croix Zoning
or a licensed pumper verifying that (1)
and (2) after inspection and
ourneyman plumber, restricted plumber
and by a mater plumber, j is proper operating stem
the on-site wastewater
teatedhe°eptic tank is less than 1/3 full of sludge and scum.
pumping (if necessary),
and agree to maintain the private Wisconsin sewage
.
I/We, the undersigned have read the above requirements
disposal system in accordance with the standards set forth, herein, e set by the
tic has been maintained must be completed t~ and returned to the St. Croix
Certification stating that your seP tion date. Zoning officer within 30 days of the three
i
SIGNED:
DATE: yeaz
3 a a
St. Croix County Zoning Office
Government Center 11/93
1101 Carmichael Road
Hudson, Wl 54016
• 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 v !
Location of propert 1/41/4, Section o T d F N-R d'
Township /(!h h 1I~Mailing address
Address of site T -
subdivision name Lot no.
Other homes on property? /Yes No
Previous owner of property /YfM 1'c01/
Total size of property • 7 6~
Total size of parcel 1l~ S 0/0
Date parcel was created YS'
Are all corners and lot lines identifiable? Yes No
Is this property being developed for (spec house)? Yes x No
volume //Q c/ 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 n h ffice of the County Register of
Deeds as Document No. ~U~ 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 p ic~ of the County Register of Deeds as Document No.
S' ature of Applicant Co-Applicant
; s` / 2.
Date of Signature Date of SianaturP
VOL 113W,662
r- - ' =
F vED~ R RQ'4ING 0 oATG
DOCUMENT NO. S E BAR OWISCONSIN RM 11.19 THI PACE Fj A
^ LAND CONTRACT ! /O/~I J y -11le
Individual and Corporate
ca•~~[] 1ITO BE USED FOR ALL TRANSACTIONS WHERE OVE
~ VFiJ~ $250001b FINANCED AND IN OTHER NON-CONSUMER REGI$TER'S•b1r ICE
ACT TRANSACTIONS)
ST. Cft 00 W[I
ft!d fa R~ r~
Contract, by and between..... John..A...Hart..and...Diane._.L. Hart
husband...and..wife...as,.survivorship.Ra ital.property F[--g ~Zg
("Vendor",
whether one or more) and R1CharC1.;T Bluhm an
husba~ld vors h d J111 M Prince, at P P......roPe.....r..X .
a+~.,,t': (~L
ancl.. wi f e...as.. survi marital t
("Purchaser", whether one or more). Rpni.."tpr 21 eels
Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- '~R~
formance of this contract by Purchaser, the following property, together with the TM'S OFFICE
Fccee rents, profits,fixtures and other appurtenant interests (all called the "Property"), eddfor Rbounty, State of Wisconsin: T In ...................Si~......C
9ix.............................~...~... a,L Z2,4 JW~.,i R 1995 Parcel B, C.S.M. recorded in Volume 9Page 2543, - 10:00 A M
as Doc. No. 489265, Register of Deeds office,
-lt44,
St. Croix County, Wisconsin, as shown on Exhibit A Tax
6CF
91sofDeed§
attached hereto and incorporated herein by reference.
~a
(Phis parcel is tobeattached tpso lready owned belCOnto
the South of the described property
sidered as one parcel in accordance with the zoning ordinance of St. Croix Qo
County, Wisconsin. The parcel lying South of the above parcel is Lot 4, C.S N
Vol. 6, Page 1754, Register of Deeds' office, St. Croix County, Wisconsin, alb
B, as shown on Exhibit A, will become a part of this lot.)
• D
III
F :
This i$..Y?Ot..••..:........ homestead property. XFT~~pT'
L~11
(is) (is not)
Purchaser agrees is purchase the Property and to pay to Vendor at such..pla......~..ce .oo as o ge 00ther with inreasonably d
the sum of $ ....5.7.,000..0.0 in the following manner: (a) $ .
i interest from date
at the execution of this Contract; and (b) the balance of $ .s.Q,oO0...Q.0 to
j hereof on the balance outstanding from time to time at the rate of .....................eight............... _ percent per annum
until paid in full, as follows:
Monthly payments shall be paid in the amount of $477.85. Said thehlstpdayeofseaare
ch II
amortized over 15 years, and shall begin 4-1-95 and continue
I~ onthh thereafter.
purchasers agree to take over Vendors responsibilities on
CRP equally: for the year 1995, Vendors and
Vendors, one-half to Purchasers.
~I
day of
Provided, however, the entire outstanding balance shall be paid in full on or before the ......1St
March.,.... 2.010................... 39.....::... (the maturity date).
Following any default in payment, interest shall accrue at the rate of .........8 .............190 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).
ceive y Vendor,
pated annual taxes, special assessments, fire and required insurance premiums when
Vendor agrees to apply payments to these obligatio 2911 12 amounts received by the Vendor 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 'krt
In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long
nc tl,P unnaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated
i___ L-A f" #h1v nnvmpntx been
Iacono, K ~V~~'~
DOCUMENT NO. STATE BAR OF WISCONSIN FORM 11.1982 THIS SPACE RESERVED FOR RECORDING DATA
LAND CONTRACT
Individual and Corporate
t~U~JO !(TO BE USED FOR ALL TRANSACTIONS WHERE OVER
p (($25,000 1S FINANC
ACT ED AN IN OTHER NON-CONSUMER REGISTERS O'F1 ICE
ST. CROIX Co., VUl
'
Contract, by and between John.-A....Hart..and Dian ....L. Hart Recd for Recv►1
.husband...And..wife-..as... survivorship marital property FEB 7. 19°5
("Vendor",
whether one or more) and Richard T. Bluhm and Jill M. Prince, at 2:15 P. hbd...and..wife...as...surviyorship..marital...property~_
("Purchaser", whether one or more). Register of Deeds 16 Vendor sells and agrees to convey to Purchaser, upon the prompt and full per-
formance of this contract by Purchaser, the following property, together with the
rents, profits, fixtures and other appurtenant interests (all called the "Property"
in ...................5 ......Ci Qi?(..................................................... County, Stake of Wisconsin: RETURN TO
Parcel B, C.S.M. recorded in Volume 9i Page 2543, - as Doc. No. 489265, Register of Deeds office,
St. Croix County, Wisconsin.
Tax Parcel No
(This parcel is to be attached to property already owned by Purchasers lying to 90
the South of the described property so that the combined parcels will be con-
sidered as one parcel in accordance with the zoning ordinance o St. Croix
County, Wisconsin.
I
~FF
o)~
. FEE
I
This ,$..1?.Ot homestead property.
(is) (is not)
I
Purchaser agrees to purchase the Property and to pay to Vendor at SUCr1......laCe.. as...reaSOriably directed
the sum of $ ....5.7.,.00Q...0Q in the following manner: (a) $ ...,000.. 00.......
at the execution of this Contract; and (b) the balance of $ .5Q,000...0.0................................. , together with interest from date
hereof on the balance outstanding from time to time at the rate of ....................eight.................................... per cent per annum I i
until paid in full, as follows:
Monthly payments shall be paid in the amount of $477.85. Said monthly payments are II
amortized over 15 years, and shall begin 4-1-95 and continue on the 1st day of each
Month thereafter. II
Purchasers agree 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.
li
Provided, however, the entire outstanding balance shall be paid in full on or before the ......1St day of
rch.,....2.010......................... . i9......... (the maturity date).
I Following any default in payment, interest shall accrue at the rate of .............076 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
Pumhaser., unless emouged by Vender, agrees te pay FnBnthly te Vender anne ol n & -A _R uffieient te pay r-easen-Albel, _Q0 +3 02
pated annual taxes, special assessments, fire and required insurance premiums when ce>ve y Vendor,
Vendor agrees to apply payments to these obligations amounts received by the Vendor for payment of
taxes, assessments an a eposited into an escrow fund or trustee account, but shall not bear interest
VA-660 rQqA,;r.Qrl hw JAW
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'irrE-.. . (QF;-
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 less than the amount that said indebtedness would have been had the monthly payments been
509044 VOL 1049PAGE 150 ,
REGISTER'S OFFICE
ST. CROIX CO., WI
'J Reed for Record
0OV161993
Ct 1:15 P. M
0
AFF Reghlx ofLD~ .M1
IDAVIT FOR EXISTING PARCEL
(This language is to be placed on deed) '
The
parcel shown on this document is•being added to the parcel
shown on the document recorded in Vol.
_ 9
Document No.~~_, St. Croix County Register of Deedsgoffi et to
create one parcel, and this transaction is thereby
from
Chapter 18 of the St. Croix County Land Use Regulations pursuant exempt
` Sec. 18.05(A)(3).
tto
,
This Affidavit to be recorded for the existing parcel being added
to :
F• F
AFFIDAVIT
State of Wisconsin
ss.
County of St. Croix t
Your affiant, being duly sworn, states under oath that:
I. He/she is the own7/,part owner of a parcel of land located in
the __b_1/4 of the _R 1-- 1/4, Section
on the document recorded in Volum , T'~'_N-R_L8_W, shown -eXq
No.4R~ St. Croix Register of Deeds officeger ting in Documenta
single parcel.
s;
2- The above parcel has had added to it
Parcel 8:
That certain
parcel of land locat'ed in the N-)rtheast'1/4 of the Northeast 1/4 OF
Section 299 Township 28. North, Range IS-West, Town -OF Kinnickinnic, -St. C:1^oix County,
Wisconsin, more Fully described as Follows; Commencing j'
said Section 29, thence S 00°57'OO"F_.(asgumed bearingonathe EastrllnesOFctheer of
Northeast 114 of said Section 29) a distance OF 685.141; thence S 87°54'18"W 653.07', '
to the POINT Q- 6EGINNING, of the parcel to be herein described; thence continue
9 87054118"W 653.08'; thence N 00055152"W 685.14' on the West line of the Northeast 114
OF the Northeost 1/4 of said Section 29; thence N 87°54'18"E 652.961 on the North line
of the Northeast 114 of said Section 29; thence S 00°5612811E 685.141 to the POINT OF
SMINNINING, containing 10.2S9 acres, being } resulting - ~ ' n9 subject to easements of record.
g in a single parcel.
3• The addition is
Croix Count a transfer exempt from Chapter
y Land Regulations 18
Pursuant to Section 18.05 of the St.
4. The Purpose of this affidavit is to (A)(3).
f addition and the resulting parcel. Y the public of the
4d~tti
V0L 1113Pb,f564
A 10 EXHIBIT A
SURVEY MAP FOR JOHN AND DIANE HART:
NE corner of Section 29, T 28 N, R 1B W+
N 1/4 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 1/4
1294.90' 1305.92
I 111'..29911 11.02' 1305.92'
I to
606.21'
N I S 87054'18"W 617.50'
LOT 1 °
I I F
w
I I~_ p PARCEL A F
m o 11.962 ACRES
w I a n
11.945 ACRES EXC.
.C. I m 3 M
0 ROAD R.O.M.
r, I
° LOT 2 c
n I cn ul AS
0°
t f'7 I ° Q P ('l 43
0 Z 0,
U) I LOT 3 EO ZN
L I 617.50' P~GOa 4L w
z ( 13.82' Mo'P NO• A 688.66' N
603.68' NEB !n
0
N I ~A-1 S 87054'18"W 1306.16' Ln
• ~O~
I w GE °0
N
I~ m p
co
o Ln Curve Data:
'o N Chord Bear. - S 10020140.511W
N Chord Dist. - 76.07'
/ Radius - 191.00' PARCEL 8 n.
18.571 ACRES W1
p
~ 18.469 ACRES EXC. ROAD R.O.M. N Z
Ln
N,
n
CD to
nj
O z
C
14 Ln ..j
N 48021'59"E 1.20' S line of NW 114 of NE 1/4 W
a
S 88003'5411W 1306.29'
V
Q R(S 90000'00"W 1305.97') N 42 20'1411E 29.60'
0
p n LOT 4 C.S.N., VOL. 6, PAGE 1754
Z All bearings referenced to the North line
m of the Northeast 114 of Section 29, T 28 N,
p
R 18 W, assumed N 87054'18"E
South 114 corner of O Indicates 1" x 24" iron pipe weighing 1.13 lbs./lin. ft. set.
Section 29, T 28 N, * Indicates 1" iron pipe found.
R 18 W, (County 0 Indicates 1/2" iron bar found.
Surveyor's Mona) R() Indicates 1/2" iron bar found.
SHEET •1 OF 2
' PAGE TWO - EXHIBIT A
VOL 1113PA,F565
+SURVEY MAP FOR JOHN AND DIANE HART:
i
i
Oescriptions:
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,
being part of Lot 4 of that certified survey map recorded in Vol. 9, Page 2543, of
St. Croix County Certified Survey Maps, more fully described as follows; Commencing
at. the North 114 corner of said Section 29, the POINT OF BEGINNING, of the parcel to be
herein described; thence N 87054'18"E (assumed bearing on the North line of the
Northeast 114 of~said Section 29) a distance of 1305.921; thence S 00055'52"E 697.71'
on the East line of the Northwest 114 of the Northeast 114 of said Section 29; thence
S 87054'18"W 688.661; thence N 00054'43"W 631.701; thence S 870-4}18"W 617.50'; thence
N 00054'43"W 66.01' on the North/South 114 line of said Section 29, to the POINT OF
BEGINNING, containing 11.962 acres, being subject to easement over Westerly portions of
said parcel for town road purposes as now laid and traveled and also being subject to
easements of record.
Parcel e,
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,
being part of Lot 4 of that certified survey map recorded in Vol. 9, Page 2543, of
St. Croix County Certified Survey Maps, more fully described as follows; Commencing
at the North 114 corner of said Section 29, thence N 87054'18"E (assumed bearing on
the North line of the Northeast 114 of said Section 29) a distance of 1305.921; thence
S 00055'52"E 697.71' on the East line of the Northwest 114 of the Northeast 1/4 of i~
said Section 29, to the POINT OF BEGINNING, of the parcel to be herein described; thence
continue S 0005515?"E 621.22' on said line; thence S 88003'54"W 1306.29' (recorded as
S 90000'00"W 1305.971) on the South line of the Northwest 1/6 of the Northeast 114 of
said Section 2% thence N 00054'43"W 617.58' on the North/South 114 line of said Section
29; thence N 87 5411811E 1306.16' to the POINT OF BEGINNING, containing 18.571 acres,
being subject to easement over Westerly portions of said parcel for town road purposes
as shown on this map and also being subject to easements of record.
Note: Parcel B 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)
I, Laurence W, Murphy, Registered Land Surveyor, do hereby certify that I have surveyed
the above described parcel according to official records and that this map and
description are correct to the best of my knowledge and belief.
I
`.O IV
*
LAUREN s
m W MURP Y
41 -
=
•
S 1
RIV S,; J~ •
• •
WISC. ° •Q %
'WSJ
~'~i, L A N O
i•, II II i
I r Il
boc"U.t ENT NO. ATE BAR OF WISCOY'SIN h`JRM 1 - 19' THIS SPACE RESERVED FOR RECORDING DATA
i
WARRANTY DEED
504321 REGi,'&Ti:WS GF -iCE
Val
S7. C OA Co., tI'l
This Deed, made between .-H.9Ward...E.upne...Mads.eri........ iieC'q for Rvcarq
and.. Garda___Madsen.,___husbanc~,•end.xife-------_ AUG 2 3 1993
, Grantor, ^u% 1:730 P •r,
and. ..John A. Hart__•and..Diane__•L_.___Ha._t,__.husbe.nd.......... C'
.-and _wif.e- as...survivorship..magi.ta_l__.p> o.pex. t-y
F :er c„ spa
Grantee,
Witnesseth, That the said Grantor, for a valuable consideration......
RETURN TO
conveys to Grantee the following described real estate in S.t,....Gnaix.......
County, State of Wisconsin:
Northwest Quarter of Northeast Quarter
(NWk of NE=B) of Section Twenty - Nine (29), Tax Parcel No:
Township Twenty-Eight (28) North, Range
Eighteen (18) West.
s F
EFE
(This deed is given in satisfaction of that Land Contract dated
July 1, 1992, recorded July 21 1992, in Vol. 957, Page 557, as Doc.
No. 485426, Register of Deeds office, St. Croix County, Wisconsin.)
This ....._1S---n'qt-_------ homestead property.
(is) (is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
And..... Howard...Eugene._ Madsen...and__G.azda.._Madge-n-------..---•-------•---------------•---._........--....----
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 ZOtYl day of --•----•-•-••p'_IIgUS.t.......--•...---•.........-•-•-••••-••-•, 19...93..
.........................................•----.......(SEAL)...G.r....:............(SEAL)
k _H_ ward__-Eugene..Madsen-----.••.........
(SEAL)._(&j6X • (SEAL)
.G•-a-rda Madsen
.
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN
ss.
...Fie r .c e .................County.
J