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Wisco".i Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT ST. CROIX
V ty and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION
o.:
P VAND6fe: MELVIN ❑ City ❑ Village RTown of: State POMP
Insp. BM Elev.: BM Description: a Parcel Tax No.:
CST BM Elev.:
I I A9500396
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark r~ 8~
Dosing
Aeration Bldg. Sewer
Holding St/ Ht Inlet
TANK SETBACK INFORMATION St/ Ht Outlet
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic NA Dt Bottom
Dosing NA Header/Man.
Aeration NA Dist. Pipe -7 5 ' go y 3
Holding Bot. System g,5 y,
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand
Model Number GPM
TDH Lift Friction System TDH Ft
Forcemain Length ED. H Dist. To well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Liquid Depth
DIMENSIONS 5 S~ :~Z- DIMENSIONS
LEACHING Manufacturer:
SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM
INFORMATION Type O / CHAMBER Model Number:
System?`/1-,~,_,i_ Jj OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) I x Hole Size I x Hole Spacing I Vent To Air Intake
Length Dia- I 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: Eau Galle.6.28.16W, NE, SE, Lot 3, 55th Avenue
D
Plan revision required? ❑ Yes ❑ No
Use other side for additional information.
SBD-6710(R 05/91) Date Inspector's Signature Cert No.
i
Safety and Buildings Division
r~~a~r■~i SANITARY PERMIT APPLICATION Bureau of Building water system:
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
than 8 112 x 11 inches in size,
• See reverse side for instructions for completing this application State Sanitary Permit Number
a~? a~
The information you provide may be used by other government agency programs E] Check if 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 Name Property Location
/Re / i'L ✓t P P ZTl4 SF 1/4, S T Z $ , N, R I6 It (o W
Property Owner's Mailing Address. Lot Number Block Number
Z3 4? Xve-, .3 f!
Cit , State Zip Code Phone Number Subdivision Name or CSM Number
a lc~w; GJ~' _5"V49Z.- (7451 - 037,76
II. TYPE F BUILDING: (check one) ❑ State Owned Nearest Road
Public 1 or 2 Family Dwelling - No. of bedrooms ° Io 'twan e ~ u ~a 1 ~~Nea 5:5- Ale",
III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/ Condo OOg - 1al 7 9e9- '3049
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining
4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash
5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable)
A) 1 [(New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an Tank ----System--------System------------- ______ly_--------------------------------------
B) Existing System E,X A Sanitary Permit was previously issued. Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
1 ISeeppeage 21 E] Mound 30 ❑ Specify Type 41 C] Holding Tank
1 Trench's 22 ❑ In-Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./'n h) o Elevation
~C2G7 37 5 -r --tr. AJ 7 5 . $ 98' 3 Feet Feet
VII. TANK aaallaot
in s Total # of Prefab. Site Fiber- Exper.
INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic APP
New Existing structed
Tanks Tanks
Septic Tank or Holding Tank zoo f Pp 1,t)e- Se -,-S ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber 104';0 000 ❑ ❑ ❑ ❑ ❑
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) MP/MPRSW No.: Business Phone Number:
al P s e 66 ~ 71~-~g4/
Plumber's Address (Street, City, State, Zip Code):
ta, /
IX. COUNTY / DEPARTMENT USE ONLY
ndyl r ate Issued Issuing Agent Signature (No Stamps)
❑ Disapproved Sanitary Permit Fee (Inc rG
rc harge Fee
Approved «
I ❑ Owner Given Initial
1 Adverse Determination l -lfO
X. CONDITIONS OF APPROVAL / REA AL:
SBD-6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Divaion, Owner, Plumber
INSTRUCTIONS 4
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the
Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD-6399) to be submitted to the
county prior to installation
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever
necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of
Wisconsin, Safety and Buildings Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
I_ Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed.
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is public, check all appropriate boxes that apply.
IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested for numbers 1 through 7.
VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and
manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and
holding tanks for this system. Check experimental approval only if tanks received experimental product approval from
DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.P
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 1/2 x 11 inches must be submitted to the county. The plans must
include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic
tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon
tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served;
B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume;
elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section
of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can
effect groundwater-
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
PUPIP CHAMI;:R CRuSS SCCT!OcJ AkjC, c°ECIFICA 10p!S PA f. F
VEUT CAP
4 C.I. VEUT PIPE
WEATHERPROOF APPROVED L7CAIA;G
25' =ROM DOOR. JUNCTION BOX MANHOLE COVER
WINDOW OR FRESH fU.
AIR INTAKE I
GRADE
I
I Y" MIAI.
COkJDUIT
18"MIN.
11~
INLET PROVIDE
AIRTIGHT SEAL I I i I ` '
/ -T
I I wf
APPROVED JOINT A I (I I
W/ c .:r. 101 `I
.2. PI PE I III /C.I. PIPE
EXTEND(fJG 3' W I II EXTEUDIIJG
0►JT0 SOLID SOIL ALARM
8 I II ONTO SOLID S
I (
C I I oU
•I I
ELEV. FT. I
PUMP
OFF
D
COUCRETE DLOGK
RISER EXIT PERMITfEO OIJLH IF TANK MANUFACTURER HAS SUCH APPROVAL
SEPTIC E SPEC.IFI•CATIOUS
DOSE
TALlKS MANUFACTURER:
f'.lLIN1BER OF DOSES: PER DA-'l
TANK SIZE:_ /z7 /p
,G~
AL DAIS 005E VOLUME
ALARM MAIJUFACTUR!<R: f✓ r -C7 INCLUDING 6ACKFL0 W: 4Z i GALLON
MODEL NUM6ER: Al -q CAPACITIES: A=2O'y7UCHE5 OR 7S7 •y
SWITCH TSPE: e r if'- lc Y GAILOU
8= Z INCHES OR'q 7''6L GALLCk
PUMP MAMUFACTURIiR: ~OL., C = 7531NCHES OR12-
MODEL 1`lUM6ER: m GALLOI.
D- 1Z INCHES OR4~5'-Y-GALLOI,
SWITCH TYPE: NOTE: PUMP AMD ALARM ARE TO BE
MINIMUM DISCHARGE RATE JO GPM INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFEREIJCE 6ETWECIJ PUMP OFF AUO DISTRIBUTION PIPE..
+ MIAJIMUM NETWORK SUPPLY PRESSURE _ FEET
/ 2.5 FEET
+ FEET OF FORCE MAIN X F~0rxFRlCT10U FACTOR. ~
_ _ Y 7 7 FEET
TO AL MAMIC. HEAD = 22-2- --2 FEET
IUTERMAL DIMEUSIONI; OF TAIJK: LEKICsTH
' ;WIDTH ,LIQUID DEPTH
31GUE0
: LICEIJSE AJUMBE
R. DATE://-/Y- /D
Submersible Effluent
Performance
Curves Pumps z 4 z
ME ERS FEET
- 90 MODEL 3885
25 ro SIZE 3/a" Solids
WE15H
70
X 20 WE10H
J
-WE07H
15 50
40 WE05H
10 30 WE03M
WE031
5
10 W
0 0
0 10 20 30 40 50 60 70 80 90 100 110 120 GPM
i I i I
0 10 20 30 m'/h
CAPACITY
U GOULDS PU MPS. INC.
SeECA FAILS FEIN 1t7G>X 13148
METERS FEET
120 MODEL 3885
35 SIZE 3/4" Solids
110 WE15H~H-
i
100
30
i
90
25
Q 70
w
x 20
J
H
0
I--
WE"I;
15 50
1
40
10 30
20
5
10
0 0
0 10 20 30 40 50 60 70 80 90 100 110 120 GPM
L _ - - - - - - - - 1-- J
0 10 20 30 M3 /h
CAPACITY
01985 Goulds Pumps. Inc Effective July. 1985
14 ~P 4~~ z 9 i/- /y 9,5 03885
t).D,1LHR in accord with ILHR 83.05. Wis. Adm. Code
......•...,.,,.COUNTY
Attach complete silo plan on paper not less than a 112 x 11 inches in size. Plan must include, but St C r'o ,X
not limited to vertical and horizontal reference point (SM), direction and % of slope, scale or PARCEL I.D. I
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY CWNER: PROPERTY LOCATION
/tic/ V/ .1YX, V<t We- 14fP e y GOVT. LOT IVE 1/4 114,S Z T Z N.R 1'f 1(orj@
PROPERTYONNER-S qLLING ADDRESS LOT R BLOCK SUBO. RAME OR CSM 8
19Z 3 ~ 4 Ave- . / Z4
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OWN NEAREST ROAD
al w: r. GJ, , S"yaoZ (7/5) GSy ~a e' I/e.
(j New Construction UsePq Residential / Number of bedrooms
j j Replacement ( j Public or commercial describe
Code derived daily flow _00 gpd Recommended design loading rate bed, gpd/ft2= trench, gfd(f?
Absorption area required 750 bed, ft2 3 7:5 trench, 112 , Maximum design loading rate bed, gpd/ft2 trench, gpolft2
Recommended infiltration surface elevation(s) 9 83 X033 It (as referred to site plan benchmark) Z- 5X 5 1e
Additional design / site considerations S S-AeM us : v%5 ! 1 at 2' Gi~ ow roale rerwa ~7k~
Parent material f~ufcr~gs/S Flood plain elevation, if applicable 'AIX ft
S - Suitable for system ODWENT, ,WL D INGROUNDPRESSURE AT-GRADE SYSTEM IN FlLL T HOLD;M TANK
U=unsuitable for system ®S U JAS 9S ❑ U S ❑ U El S J~ U ❑ S U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BwxJay Roots GPD/ft
in. Munsell Qu. Sz. front Color Gr. Sz. Sh. Bed Trerxt
l o 13 3y i✓I tr Mfocs' ml Cw A4 •-7
.8
2 13-Z- ) loY9 ~ 16
-~s m I c •7 • g
Ground 3 2I-35 Cs- '107 ew •`7 - $
1elev.
Zft. N 5-414 p 3 o
/y CS p r. S C t..> ' ~ ' 0
Depth to 5 ~9-5Y /oY~e ~8 Cs s C c o •7 • ff
limiting
r sy-78 /oYA /L c s 7 3 8
>f 1?0 69
7 7?- 90 /e, Yk
i
Remark's: fi~o ~i Za.` 3 ; s a CCmGn4C r. /aC lgt- A Gr w4~ ~%~p a
Boring # S
one, n , t o ~s s c w ~ o , 1 e , 7 j i g
~ 7 i
29-37 InIg 516 S S
C, W
Ground 3 3?-`i~ /oyg CS S h? GW '7
elev. y - A4 q
3 ioyR' ~ VC5 S r~'1 e ~ • 7 1-8
Depth to ~D 3 /DYR y~3 C 5 5 ~~'J 1 G W •7 $
li
miting V C's s / •7 'S
factor
Remarks: _ ee,/>e rt e>eC,a art sckr►'1G
CST Name:-Please Print Phone:
.~Qlc. f. " 10sor- 33?g
Address: -
w Cam, ' $-`/Old
Signature: Date: CST Number.
L. 1,~ i/- iz - 95 -3913
Boling # Horizo Depth Dominant Color Mottles Structure
in. Munsell ' Texture Consistence Barr~ay Roots ~PDift
Qu. Cont Color Gr. Sz. Sh. Bed Trc-rxj
a-~~ /oYR 5~ ones S W g
<<:
Z /-9 ~oy~ `~.3 VCs
s Gcc.7 •7-•8
Ground 3 ~9-9 7•syf x/
elev.
I '
Depth to
`limiting
factor
-Z
Remarks:
Boring #
f
Ground
elev.
Ili
Depth to
limiting
factor
Remark's:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
tt.
Depth to -
Gmiting
factor
Remarks:
13y ~^Gq NCS~/ o~ Ji~mt -[l~Ori1~SOY~ fre sAcA °S 4.0ey"d Gt~G°I^Si Z e~
OCOOrr~ad1E Sco-He- 'cCl dots e a/ers %Y- liDr%ZO►~5.
- aivu aI It: tVALUAI JUN HtPUH I .
DILHR HA t33
-in accord wllh IL 05, Wis Adm. Code
- Maa1K{I'iw~MKWA1I1b1t, - ,
COUNTY
"'Attach;7crrip'-lete site p(Won paper not fess•than S._1%2 x 11 Inches In size. Plan must include, W
S n X
not limited to,~ertical and horizontal reference point (BfA); drecliori and x of slope, scale or PARCEt1.0. I
dimensioned. north arrow. and location and distance to nearest road_ =
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE. >
FROPERTY OWNER: / PROPERTY LOCATION
~f. wf !l /1~1r' r EC Y' GOVT. LOT /✓l' 1/4 ` 114.S T N.R (or) W
PROPERTY OWNEFUS MAILING AD MESS LOT If BLOCK 1 SU80- NAME OR CSM f
o AIX
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD
f'l'- ZY,03
j~ New Construction Use pCJ Residential / Number of bedrooms _
j ] Replacement Public or commercial describe
Code derived daily flow 0 D gpd Recommended design baling rate ° 7 bed, gpd/ft2 tr
erx;h, gpd/ft2
Absorption area required ~5061 bed. ft2 SC)o trench, ft2 ' Maximum design loading rate j bed. gpol(t2 LS- trench, gpd/ft2
Recommended infiltration surface elevation(s) 1 Zd -3 7 It (as referred to site plan benchmark)
Additional design / site considerations
Parent material ~r~f v, s~ n Y° c: Flood plain elevation, if applicable IVW It
S - Suitable for system 00WE (TIWAI Mourn NGIIOLMPRESSURE AT•WDE SYSTEM N FILL HOLD NG TANK
U= Unsuitable fors rem 0 S 13U S❑ U ❑ S OU ❑ S ,o U ❑ S lg u ❑ S (0 U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxiay Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trend-
/.I / o-Z /Dy 311 Al A 27 75-1- F 61W 207 •to
z Z 2 zo /p yR'!y1z 11114 s:/r 9r i.-2, C 56°f /nk1 C w
Ground 3 20 3 /o ~f 6
A/h -Y r z cs1 lilAr C- u> - '
elev.
9s' osfL 3Z-1 goo y c z d S"YR 'Sh s~ 2 ~'s6 rl'1 /✓h AIA
Depth to
limiting
factor
3Z
Remark's:
Boring # ~
/oYR 3// IY 4 01) zfn • s j - G
In 2-4. z 2-Z2- to Ye G /rl .s; I° ZC sL /y~V ,r• e w 2
~<...s c
Ground 3 Z' ~o yl~'`f /V Y -zC 5 !Y1 c GtJ 2
elev. 56 /0 Y, R 4//~ -C z 0/ S- yg Z -JC.50 In AX Ah
Depth to - - -
limiting
(actor -
Remarks:
CST Name:-Please Print' Phone:
Address:
Signature: / jl,/ Dale: CST Numboc
Boring # Hrizo Depth Dominant Color GP
o
Mottles Texture ..,Structure~~ Roats D/its
_ _ in. _ Munsetl Gu. Sz. Cont Color Gr. Sz. Sh. ..Bed /rend
-Z Q
3 /
ZYA
-4 2
i.
13 Z- r Qom~.
- 2-,2T aYk
3 36 Rs
Ground - toyk . G
C Z ~Y c Z r~s/~/
elev.
6T ~~r Ni~J ,V,4
9ZLL$ ft _ i
Depth to
limiting
factor
28~ - -
Remark's:
Boring #
i
Ground
elev.
tt.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
tt.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
K.
Depth to
firr,iting 1
factor
Remarks:
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER 144c/✓i l/av~O►'r' ~P r
MAILING ADDRESS / 9 Z 3✓~
PROPERTY ADDRESS
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE j3Q/(~~~~
PROPERTY LOCATION 1/4, S~ 1/4, Section T N-R_Z/,_W
TOWN OF ST. CROIX COUNTY, WI
G- G? mac.
SUBDIVISION / V LOT NUMBER 3
CERTIFIED SURVEY MAP 50327ti , VOLUME_, PAGEZ/~ zy LOT NUMBER--
Improper use and maintenance of your septic system could result in its premature failure to handle
wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed
by licensed septic tank pumper. What you put into the system can affect the function of the septic tank
as a treatment stage in the waste disposal system.
St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost
of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County
accepted this program in August of 1980, with the requirement that owners of all new systems agree to
keep their system properly maintained.
The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner
and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1)
the on-site wastewater disposal system is in proper operating condition and (2) after inspection and
pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum.
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.
SIGNED: X Y
DATE:
St. Croix County Zoning Office
Government Center
1101 Carmichael Road 11/93
Hudson, WI 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 Ie l v"')l V0'g a✓er
Location of property AAA 1/4 St, 1/4, Section T Ze N-R /2 W
Township ~au onfl e, Mailing address 19Z,3 60~ Ave .
1~~ /c,! w ; ►ti. , Lam.' , S'S~do ~
S5/r'Ye ~al~tc~~'► S yDDy
Address of site 214-11 ,3
Subdivision name /V /I Lot no.
Other homes on property? Yes No
Previous owner of property A-c A l304~7'-
v
Total size of property
Total size of parcel ~s 9 r"-e5
Date parcel was created /
Are all corners and lot lines identifiable? -Z -Yes No
Is this property being developed for (spec house) ? Yes -1./No
Volume and Page Number Jz q as recorded with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE
NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a
certified survey, if available, would be helpful so as to avoid
delays of the reviewing process. If the deed description
references to a Certified Survey Map, the Certified Survey Map
shall also be required.
PROPERTY OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the
best of my (our) knowledge that I (we) am (are) the owner(s) of the
property described in this information form,. by virtue of a
warranty deed recorded in the office of the County Register of
Deeds as Document No. SZ3823 , 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 of Applicant Co-Applicant
- 15- ~s
Date of Signature Date of Signature
IHIS APACE RESEnYED ,OR RECORDING DATA
DOCUMENT No. WARRAN" DEED
i STATE BAR OF WISCO`:iL'i FORM 2-19132
523823
REGISTEr is OFFICE
n i 7
S1. Co.,
H Arch J. Baker and Merle Baker, hus-and and
R,=rd
i
.
wife
NOV 2 8 1994
.
10:45 n'A't•
. fY ~-'-A
VanderMeer-nd Donna M'I at
conveys and warrants to .Melvin H -1 `~+t+"i.-✓ y
- .Vander-M.e.er,-.-husban.d..and.-.wife.,_..hol.da g-.as............
REyister of Deeds
sur.vimor.ship..marl t.al._prspexty
i
it -
'j
' RETURN TO
- - ,
5t : Croix -Count 'I
the following described real estate in
i State of Wisconsin:
Tax Parcel No........--••--•-•--••-••--••... I
Part of Northeast Quarter of Southeast Quarter (NE 1/4 of SE 1/4),
of Section Six (6), Township Twenty-Eight North (T28N), Range Sixteen
West (R16W), described as follows: Lots Two (2) and Three (3) of
Certified Survey Map filed August 2, 1993 in Vol. 1190, Page 266.' j
I
n
i
This deed is given in fulfillment of that certain agreement between
the above parties, dated August 15, 1993, and recorded in the office a
of the Register of Deeds for St. Croix County, Wisconsin, on
Sept?lnber 8, 1993, in Volume 1033 of Records, at page 130, as
Document No. 505227. i
J
A-
it
This is not homestead property.
~i ~(is not)
Exception to warrateties: Easements and restrictions of records and any
liens or encumbrances created or suffered to be created by the acts f
any defaults of the grantees, their heirs successo s, or assigns. I a
19.94.
Dated this --•---...1676----------- day of 'rLvf!IIL. L~1
(SEAL) - - - - - - (SEAL)
Arch J. Baker
-(SEAL) / -JF ---..(SEAL) t
• . Mer.1.e...$aker
AUTHNNTICATION ACHNOWLBDOMBNT
Signature(s) STATE OF WISCONSIN i
ss. !
- St. Croix
---County.
^uthenticated this ._._____day of___________________________ Pe sonaBy came before me this day of
.~U - YM r 19.9.4.' the above named
- Arch J. Baker and Merle Baker i
- - _ - j
TITLE: MEMBER STATE BAR OF WISCONSIN -
(If not, - -
authorized by 1 706.06, Wis. Stats.) I.,
to kpwn to be the person ...s_...... who executed the
ument an knowledge the same.
THIS INSTRUMENT WAS DRAFTED BY III. _
• .
McCormack .
Thomas__A. _
.
-
i
- a St: Croix
Baldwin WL•54002 - -
f - ~Gotary Public . County, Wis. 4
(Signatures may be authenticated or acknowledged. Both s=S sCoinmiseion -is enL~ state expiration
~I are not necessary.) ~{e: ~c122.1M. _ 19.----..-.) I )
•Namea of pennons signing in any capacity should he typed or printed bellear 11mu¢ evenatures.
WARRANTY DEED STATB 8AS Q iZSCONSIN , Wisconsin Legal Blank Co.. Ina
Foam 4 2- IysE Mdwaukee. Wisconsin
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s FILED
A UG 021993-
JAMES r[ O'CONNELL
50327 This instrument drafted by Fran Bleskacek Proj. No. 88-31-193 Register ofpeedg 3
ti St Croix Co., W1
CERTIFIED SURVEY MAP
Located in part of the NEk of the SEa of section 6, T28N, R16W,
Town of Eau Galle, St. Croix county, Wisconsin.
LEGEND
N
s = - Aluminum County Section Monument
Z 41 N Q - 1" x 24" Iron Pipe Set at Section Corner
Q
(positioned from existing corner ties)
c o 0 0 - 1" x 24" Iron Pipe Set, weighing 1.68 lbs.;✓
per linear foot
9- 00 ac v~
v...,.. -Existing Fenceline
41 N --1 L I
L - Roadway Setback Line <
-0 WI
L • -3/4" Iron Rebar Found
O y (WyI
N N
z UNP' ATT~n I I-I
> - -
L T . S . M I _UNP_L_Ac_V LANvS U)I
M W A L.ANUS 4 . 1;94 E} Corner of
Wj Corner of ~J- 7 - P
I
Sections I Section 6 I =I
55TH AVENUE CI
East-west 1/4 line of Section 6 I NI
S87°59' 4211E 1315.401
220.001 - - 1095.,_401
- M
15
~'I Q r220.0 co 1095.521 I M
CSII w r> R/W S8704211511E 1315.561 -
_
~ -
--I
o r~ N _
v 0 o M House ....................................................................p .
C"i U) ~ rn oI0 2", Shed Garage = CSI
H _
0 ZI
n-I N N O N N M .0
° QI
66 FOOT WIDE ACCESS EASEMENT U; _JI
154,00' 66.04' M FOR LOT 3 _
CSI
Lr'
220.041 N ~Jf
> I IS87042115"El ~ *LOT 2 AREAS M
1.52 Acres Inc. R/W 17.41 Acres Inc. R/W L N F-1
N 66,044 Sq. Ft. 758,510 Sq. Ft. o CD Q1
N JI
co = tZ I
~I 00 I o 1.01 Acres Exc. R/W 16.94 Acres Exc. R/W
C) _ 3 y g 43,864 Sq. Ft. 738,066 Sq. Ft.
0 7-1
00 ur)
U) l Z
y r` W
N
2.49 Ages
108,670'Sq. Ft.
C\j I N
1O 2 ~ ~
802.15' CURVE
i5' 1 1023.78' Arcs. 09 S850571
S8 S85°3°09'10"w
6099.581 S83009' O W Radius- 6099.58' Tangent In.
Q w Tangent
Central Angles S64 33 4'27"W
~ w
° Chord Bearing
Chord 299.06'
"
11
94
W o NTERSTA~E o
r"U • s • - _ East Bound Lane o
Centerline of E ° o
N N O
e N N
0
_ Y
O O
S J
OWNER
~~f v •y~ ,i D Arch J. Baker
- Pp'` U Ii g 2171 55th Avenue
}3 4 Baldwin WI 54002
X, 0
SCALE IN FEET 'f es
VOLUME ~9 PAGE' 2662 SE Corner of
6 100 200 400 Section 6
004 111017 Qo 899
o /a1y 9 0 8
51.4-6 rza-l✓ Rio, 2W A'u s~ °o 'z~°- ~d a s~39e 00y / 1 91, 6 FILM)
yk2 asp w./ &"if g 0440, A UG 4 ti 1993ra 2
/,,0-da 4~ 0 at, g JAMES O'CONNELL
5032 r6 This instrument drafted by Fran Bleskacek Proj. No. 88-31-193 RegiWerofDeeds 3
L St Croix Co,, Wf
CERTIFIED SURVEY MAP v'
Located in part of the NE4 of the SEa of Section 6, T28N, R16W,
Town of Eau Galle, St. Croix County, Wisconsin.
LEGEND
NW
- r
Aluminum County Section Monument
o
14
O 4, Q - 111 x 2411 Iron Pipe Set at Section Corner s
.{J a • .
o N _ (positioned from existing corner ties)
W rn 11 11 ~Al"Is
7
0 0 0 - 1 x 24 Iron Pipe Set, weighing 1.68 lbs./ C „ w per linear foot
l
v:- ~ X - E
xisting Fenceline
- Roadway Setback Line
• -3/411 Iron Rebar Found UJI
tv o .4' r~ r•. ` W1
r_ 39 W
I I L V I 1 /•1 T 1 l^ I I T T r`
N y I . S. UNPLa I 1 LAN ~I
an w ro LatiVs - 1
- -
W} Corner of V 4 7 1 1 9,4 E} Corner of =I
Section 6 55TH AVENUE Section 6
I OI
East-west 1/4 line of Section 6 NII
NI
S8705914211E 1315.401 --J- __1 I_
220-00, - - --41 n95,401
M
P=tj
e
- 220 1095.521
NI - R/W S8704211511E 1315.561- I 1
--I a
--1 O f` v o..o House N
O .-1 U) l
oIN 0Shed ~Garage c CSI
N
o ll
lD~-►I 66 FOOT ACCESS EASEMENT <n _JI
_JI
54,00' 66. FO T 3 - o -
[]I
220.041 I *LOT 2 AREAS ' tD a
IS8704211511E v' " M lJJI
1.52 Acres Inc. R/W 17.41 Acres Inc. R/W C° I--I
66,044 Sq. Ft. 758,510 Sq. Ft. o c Q I
- Co
J I
1.01 Acres Exc. R/ 16.94 Acres Exc. R/W C ~1
c 3 43,864 Sq. Ft. 738,066 Sq. Ft. 1-4 11
Ln 4j
7 1
~I Z N
W
2.49 Acrest . ,
108,670 Sq. Ft.
I (D
C`I o N
tl1
F--( 802.151 (D 2 02
, CURVE LI - O
01 4 ' 221.63' S83009' 1011W 1023.78 1 Arc. 299-091, 85057 1 4411W
ent In.
nW
-Ji w Radius- AO gle 8 2048' 3411 11 l angent Out S83009110
4 w - Centra Bearing- S84033127 W
Chord 1
299.06 4 it
° Chord.
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9
W NTERSTAT
U • s ' - - r last Bound lane c N
41
_ Centerline of Ea CD °
O O
6 N N O
~ N
C ✓
O O
O
M ~ OWNER
r•t O
g = Arch
2171 55th Avenue
Baldwin, WI 54002
0
SCALE IN FEET 9 ~
VOLUME *9 r PAGES 2662 SE Corner of i
6 100 200 400 Section 6 /
V
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Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT ST. CROIX
Saf,?ty and Buildings Division
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.:
Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.:
VANDERMEER, MELVIN QA
'Pau r-alle
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
TANK INFORMATION ELEVATIO TA
TYPE MANUFACTURER CAPACITY STATIO BS HI FS ELEV.
Septic B ch k
Dosing
Aeration . Sewer
Holding St/Ht nlet
TANK SETBACK INFORMATION t Outlet
TANK TO PI L WELL BLDG. Vent ROA Inlet
Air In fa W
Septic NA Qi*?Otto!N
Dosing N He r / Man.
Aeration Di pe
Holding A- j ot. Syste
PUMP / SIPHON IN RM N X T_ Final
Manufacturer D nd
Model Number PM
TDH Lift Friction System 'NIFt
Loss mead
Forcemain 1 1 Length Dia. dwell
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No- Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSION DIMENSIONS
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
SETBACK CHAMBER
INFORMATION TypeO Moe Number:
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: Eau Ga11e.6.28.16W, NE, SE, Lot 3, 55th Avenue
Plan revision required? ❑ Yes ❑ No
Use other side for additional information.
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
1r
t
{f- #X
A
z.
y
*t
I,
I
~~L R SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code COUNTY ^
V /f O
-Attach complete plans (to the county copy only) for the system, on paper not less than STATE SANITARY PERMIT
8% x 11 inches in size. o'l1 7
See reverse side for instructions for completing this application. El Check if revision to previous application
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. STATE a LAN I.D. NUMBER'
PROPERTY OWNER / 3 ' L1
PROPERTY LOCATION
/U%a SL'/a, S 41, T N, R (or W
PROPERTY OWNER'S MAILING ADDR SS LOT # BLOCK #
/9z 3 f
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
a l a~Lv:r-~ GJ : 510OZ 5 4$ 386
11. TYPE OF BUILDING: (Check one) 11 State Owned CITY n NEAREST ROAD
R TOWN VILLAGE :~u ( Q
❑ ~S vim,
Public ®1 or 2 Fam. Dwelling-# of bedrooms PARCEL NUMBER(S)
Ili. BUILDING USE: (If building type is public, check all that ap /6/ _ 90 SOU
1 ❑ Apt/Condo
2 ❑ Assembly Hall _ 6 ❑ Medi /Nursing Home 0 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merc a les/Repair 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ M o Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 El 1. / 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in ' heck ' if a li ble)
A) 1. New 2. ❑ Replace Replaceme 4 Dot
nnection of 5. ❑ Repair of an
System Sy to Tank Only i
n
g System Existing System
B) ❑ A Sanitary P 1 a 'Aue Permit Date Issued
V. TYPE OF SYSTEM: (C one)
Non-Pressurized Dist Pressurized Di I uti xperime. ntal Other
11 ❑ Seepage Bed 21 M 30 ❑ Specify Type 41 El Holding Tank
12 ❑ Seepage Trench round
13 ❑ Seepage Pit ressure 42 ❑ Pit Privy
14 ❑ System-In-Fill 43 ❑ Vault Privy
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 12. ABSORP. AREA 3. ABSORP. AREA 14. LOADING RATE 5. PERC. RATE
REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch 6. SYSTEM ELEV. 7. FINAL GRADE
.p® r1 ELEVATION
VII. TANK 0 C~~ ITY ~ / 9/-,37Feet ~ 7 Feet
INFORMATION in allons Total # of Manufacturer' Prefab. oSite
n Fiber-
New istin Gallons Tanks Manufacturer's Name Con- Steel Expp.
oncret glass Plastic A
Tanks Tanks Structed pp.
Septic tic Tank or Holdin Tank Z 0 ZOO
Lift Pump Tank/Si hon Chamber 000 - 000
VIII. RESPONSIBILITY STATEMENT
Al, e undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
ber's Name (Print): Plumber's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number:
O a-.3378
ber's Address (Street, City, State, Zip Code},
IX. COUNTY/DEPARTMENT USE ONLY
Disapproved Sanitary Permit Fee (Includes Groundwater a e ssue Issuing Agent Si
Approved ❑ Owner Given Initial Surcharge Fee)
Adverse D termin tin ~ -9 X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Pib-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS R,
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 requ'res 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 in Iled.
11. Type of building being serv d. eck only one and co pl e # of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building typ lic, check all appro t s that apply.
IV. Type of permit. Check only one Complete Ii it is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate bo nding on
VI. Absorption system informatio vide a ir>~rmati req ed
VII. Tank information. Fill in the c :vecl/ne d/or dxistNi g t lis a total gallons, number of
tanks and manufacturer's name. I d refab ite construct t material. Complete for all
septic, pump/siphon and holding t c t ' Sy Check ex nt ov I only if tanks received
experimental product approval from ~~~IIIII >
VIII. Responsibility statement. Installing plum r ' ill in n license n r riat, prefix (e.g.
MP, etc.), address and phone number. Plum Sig cation for
3
IX. County/Department Use Only.
X. County/Department Use Only. a
Complete plans and specifications not smaller than 8' x inches s fu mitted to the county. The
plans must include the following: A) plot: plan, drawn to scale or with c mensions, location of
holding tank(s), septic tank(s) or other treatment tanks; building sewers; well water mains/water r
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption y. 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)
v
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
August 30, 1993 201 East Washington Avenue
P. 0. Box 7969
Madison WI 53707
BOLDTS PLUMBING
820 MAIN ST
BALDWIN WI 54002
RE: PLAN S93-02437 FEE RECEIVED: 180.00
VANDER MEER, MELVIN
NE,SE,6,28,16W - LOT2
TOWN OF EAU GALLE COUNTY OF ST CROIX
MOUND SYSTEM
The Department has reviewed the above-referenced submittal.
Conditional approval is hereby granted for the system plan submittal. All
noted items must be corrected. The review and approval of the system is based
on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin
Administrative Code, and is contingent upon compliance with any stipulations
shown on the plans. This system has not been reviewed for the code
requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin
Administrative Code.
This plan submittal approval will expire two years from the approval date, or
if a sanitary permit is obtained, plan approval will expire on the day the
initial sanitary permit expires. The licensed plumber responsible for this
installation shall keep one set of plans with the Department's stamp of
approval at the construction site. The installer shall notify the appropriate
inspector when inspections can be made.
All permits required by the city, village, township or county shall be
obtained prior to installation.
Inquiries should be directed to me at -the number listed below. Please refer
to the plan number shown above.
Sinc r ly,
Peter E. fag
Plan Reviewer
Section of Private Sewage
(608) 266-2889
SBD-7887 i R. 01/91
/11 e-1v I07' Z-- Page / Of
Straw, Marsh Hay, Or
Synthetic Covering
Distribution Pipe
edium Sand
611 Topsoil H. F G
1 D.
U " 3J E
N
U' i Y
3 Q$ % Slope
L S W Bed Of Z"- 2 %2 Force Main Plowed
0: Aggregate Layer
Z) cr .Z 1V U (6" Below Pipe)
Q , W D .O Ft.
0 'j, Cross Section Of A Mound System Using 75 Ft.
o y E
9 A Bed For The Absorption Area F ' Ft.
a G /-0 Ft.
A Ft. H /,5 Ft.
Signed: af' u B loo Ft.
License Number: ~IP7K /O Ft.
Date: L /10 Ft. j 'Y Ft. S93-02437
Alternate Position I /(j Ft. ~ of
Force Main W 7 Ft.
-r -
r
Observation Pipe
I" B K
0
W ---•I Force ain
Distribution Bed Of 2'- 2
Pipe Aggregate
I s
Observation Pipe Permanent Markers
Plan View Of Mound Using A Bed For The Absorption Area
Page-Z--Of-.Y-
Distribution Pipe Detail For A Four Lateral Network
End Cap
Alternate Posin 0 h
Force Main N V`~G
5 ~
OF ~
~QN owl t ~ ~~E P
PVC Force Main
PVC Distribution Pipe
P
Holes Equally Spaced
PVC Manifold Pipe On Bottom
X
S
X~ 2
* Last Hole Should Be Next To End Cap
*
y P ~g Ft. 0 CID
S ..3 Ft.
X Inches
'
Y Z ~ Inches
Signed: f1/
Hole Diameter Inch
License Number: 61~~ ?
Lateral Diameter Inch(es)
Date: 7- Z ~ -93 Manifold Diameter Z Inches
Force Main Diameter 3 Inches
N Holes Per Pipe /3
Invert Elevation Of Laterals 95,87 Ft.
PA r. F % F
PUtAP CHA/A,B_R CROSS SEr-!OIJ AJ.1G °ECIFICA T IORI
VEKIT CAP
Y"C. I. VE1JT PIPE frT WEATHERPROOF APPROVED LDCAIMG
Z5' P -Rom DOOR. JUUCTIOM BOX MAWHOLE COVER
WIIJCOW OR FRESH 12"MIU.
AIR INTAKE I
GRADE
I
I Y" MIIJ.
I ~ I E" /":1IJ.
COIJDUIT--
Ib"1"11A1.
WLET PROVIDE I -
~PG~S AIRTIGHT SEAL I i I
w r APPROVED JOINT I I I I 1.
APPROVED J
W/C.I. PIPE ~CJ`" I III W/C.I. PIPE
01
EXTENDIWCs 3' n ~)th I II ALARM EXTEWDIWG
OkITO SOLID SOIL d V 1 I II ONTO SOLID S
c Q ~J • I I o1J .
ELEV. g4'S7 FT 0 I
PUMP
OFF
COWCRETE BLOCK
RISER EXIT PERMITTED OIJLy IF TALIK MAWUFACTURER HAS SUCH APPROVAL
SEPTIC f SPEC.IFICATIOUS
DOSE
TAIJKS MAIJUFACTURER: ~el_ KS f'JUMBER OF DOSES: PER DAB
TAWK SIZE: GALLOWS DOSE VOLUME
ALARM /MAUUFACTURER: s~1 ~Pr+ ,^U INCLUDIKJG 6ACXFLOW: ~77• 2_6
GALLO►
MOOr6L WUM6EK: CAPACITIES: A- Z9'6I 11JCNE5 OR 558'118 GALLOI:
SWITCH TYPE:_ Z i of G LAY_y g . 2, INCHES OR 31 *7 GALLCK
PUMP MANUFACTURER: _ rpti
C =q 391AJLHES OR/7 ' 17 GALLOI. _ v
MODEL MUMDEK* l,(,)Z-D 3 /4-7 D- 12- INCHES OR2Z6 A/? GALLOA h"
SWITCH TYPE; 141e,- c 01-y MOTE.
PUMP AMD ALARM ARE TO BE v~
MINIMUM DISCHARGE RATE 6n'~Y GPM INSTALLED ON SEPARATE CIRCUITS Q
VERTICAL DIFFERENCE 6ETWEEU PUMP OFF AWD DISTRII,UTIOIJ PIPE.. 9 FEET RECEIVED ~
+ MIIL11,,MUM NETWORK SUPPLY PRESSURE " . . , 2.5 FEET
+ FEET OF FORCE MAIN X X08 F/p~rtFK1CT10Al (ACTOR. '7 5 FEET AUG Z O 179a
TOTAL 0y1JAMIC. HEAD ~Z•%
. r E E T SAFETY A SLOGS. DIV.
IUTERWAL DIMEWSIOWS OF TANK: LE.UCsTH 5,3
;WIDTH 0 -;LIQUID DEPTH ~
LICEOSE AJUMBER: l9 DATE: -17-93
l
.d.S' 1P ' n 2
ss r
/1'Je%,n l~n~r /deer Submersible, Effluent
Performance
Curves Pumps a~
METERS FEET
90
MODEL 3885
25 80 SIZE 3/4" Solids
WE15H
a 70
Z 20 WE10H
J
F 60
-WE07H
15 ~
~ r
WEOSH
40
10 WE03M
30
20 WE03L
5
10
0 0
0 10 20 30 40 50 66 70 80 90 100 110 120 GPM
I 1 I
0 10 20 30 rrr3/h
CAPACITY
[qGOULDS PUMPS. INC.
SB43CA FALLS FEW YOIrtC 131x8
METERS FEET
120 MODEL 3885
35 SIZE 3/4" Solids
110 WE15HH
100
30
90
V
25 80 w'
Q 70
= 20 ,
J 60 M
H y ~
0
15 - 50 WE05HH
V~
40
10 30
2Q
5
10
0 0 Iff
0 10 20 30 40 50 60 70 80 90 100 110 120 GPM
~ 1 I 1
0 10 20 30 m3/h
CAPACITY
01985 Goulds Pumps, Inc. Effective July, 1985
C3885
1 1
"fn a V LHR 83 05.
ccord with
1
3c Wfs dm
4 A Code.
Attec""hjoo"""me~te site ~n on paper ~oClesrtha !fix 1~ a - _ _ _ COUNTY
.notfmdsd.to-eriicala~dFioazordatte`teieocePo~pg inch_eslnsfza. Plan mustndude,but
fly; da-- wri aid X of sto
Point
d~meoaed. Korth arrow, and location and distance 1o.neares~t road. - stele or
APPLICANTINFO-RMATION-PttASE PRINT ALL INFORMATION AEVfEWEOBY
DATE-' .
EROER CWNET~
PROPERTY LOCATION
wi ,
OWNER'S MAILING AO Ri~ G01/T LOT y~ t/4 _,1N,S T N.R W
S LOT BLOCK
I SU80. NAME OR CSM i t«1
~E 21P OOS PHONE NUMBER
❑CITY VILLAGE NEARESv,,. J'. S oDZ t7~s~~8~/- 3 GL3 ~a~,c Gc~ / F r/-
New COnSWdon Use pCJ Residential / Number of bedrooms
j j Replacement (j Public or commercial describe
Code derived daily flow DO gpd Recommended design baring rate ice,
Absorption area required 500 bed. h2 5-00 try, R2 gf~ ' trench, gpd/ft2
Recommended infiltration surface elevations _ a MaAmum design loading rate _bed. 9Pw ~ trench. gpd/ft2
Additional design / site considerations - 3 7' ft (as referred to site plan benchmark)
Parent material U,:: S
C /I
Flood plain elevation. N applicable It
S - Suitable for system 00wa rno M MOUND
U =Unsuitable f« s tem ❑ S 1 U cqS p U (j au ssuaE ~ c®U Sya ~rr Ux L HMPING TANK
k~ ❑ S (oU
SOIL DESCRIPTION REPORT
Boring # Horizo Depth Dominant Color Moft
in. Munsell Qu. Sz. Cunt Col« Texture Structure G P D/f t
Gr. Sz. Sh. COnsisten0eBwx1aY Roots Bed Tn3nct
Z
2-20 /p
s.~r r C S6 ~v{l~ C O 2 •5 ~(a
Ground zO
elev. G G
95 ostl 3Z-yr ~o y~E'
C! z 0/ S:S-,VR S C s! ? y C U-) .Z
Depth to
limiting
ract«
3Z
A;jF
i
Remark's:
Boring # '
'ilk
Z Z-ZZ !cY>eyG
5
Ground /0 Ylk C; Ali n
elev. r rrlVt r C
U-19Z 56 c z 0/ s YR -C Z ~'s m t1
Depth to Ah r I
limiting - - 0
factor
Remarks: I
CST Name:-Please Print'
Adore:::- F= Phone:
~t / lz Dale. CST Number:
...Structure -GPD/ft2
Depth Dominant Color Motes Texture Consistence 8ou~dary Roots"
Boring It Horizo in.. Munsell ()u. Sz. Cont. Color Gr. Sz. Sh. - f3ed (Trent
/oY' C,2 SYR C/~ mS~9 .m T r NA ~ NA
croruid - .3 - 36
elev.
91?1
Depth to
limiting
Remarks:
Boring #
13
Ground
elev.
ft.
Depth to
6mifing
factor
Remarks:
Boring #
Ground
elev.
lL
i
Depth to
fimiling
factor
Remarks:
Boring #
Ground
elev.
ft.
Deplh to
Gmi6ng
factor
Remarks:
Page_c- Of 41
Distribution Pipe Detail For A Four Lateral Network
End Cap
Alternate Position Of
Force Main
% • P
PVC Force Main
PVC Distribution Pipe
P
lt~Holes Equally Spaced
PVC Manifold Pipe On Bottom
X
S X
J
X 2
Last Hole Should Be Next To End Cap
P ~g Ft.
*
Y
Y
S .3 Ft.
X Inches COD
Y Z Inches
Signed: Hole Diameter Inch
License Number: Lateral Diameter Inch(es)
Date: 7` G ' 9 Manifold Diameter Z Inches
.3 Inches
Force Main Diameter
1 Holes Per Pipe /,3
Invert Elevation Of Laterals 95,87 Ft.
?UPAP CHA/^BcR CRG55 SEC'!O:J AMC, °ECIFICA, 101Ic
VEUT CAP
`'C.I. VE:UT PIPE
WEATHERPROOF APPROVED LDCAIMG
25' = 20^1 GOOK, JUNCTIOL) BOX MANHOLE COVER
WWDOW OR FRESH 12"MIU.
AIR INTAKE
GRADE
I
1 41,
I Y" MI U. .
COIJDUIT
INLET PROVIDE I =
T AIRTIGHT SEAL I I
APPROVED JOINT IA I I
W/C.I. PIPE ( I APPROVED J01
I
EXTENDING 3' W/C.I. PIPE
I l l ALARM' EXTEUDIUG
OWTO SOLID SOIL a I II ONTO SOLID S
C I 01.1
I I
ELEV. 04'97 FT.
• PUMP ~ OFF
0
COUCRETE BLOCK
RISER EXIT PERMITTED OIJLy IF TAUK MAUUFACTURER HAS SUCH APPROVAL
SEPTIC E SPECIFI.CATIOUS S93-02437
DOSE
TAUKS MAMUFACTURER: wee KS ~JUMBER OF DOSES: ~
PER OA...
TAWK SIZE: GALLOMS DOSE VOLUME
ALARM MAUUFACTURER: _ -S c ir -fe- INCLUDING 8ACJCFL0W: / 7 71 Gl GALLOn
MOOLL QUM6EK: CAPACITIES: A='29141IIJCHES OR 558'6$
AA GAIL 01:
SWITCH TyPL: C- (A Y- 8. 2., INCHES OR 37'7
/ Q GALICF.
PUMP MAMUFACTURER' 60m,,* C= '•3lIAlCHES OR/7T
MODEL UUMDER: 3 ~~7, GALLON
Du /Z INCHES OR.cLo GALLOk
SWITCH T'JPE; Ale r e--uo- / MOTE: PUMP AUD ALARM ARE TO BE
MINIMUM DISCHARGE RATE ~n'a Y GPM INSTALLED ON 5EPARATE CIRCUITS
VERTICAL DIFFERENCE BETWEEU PUMP OFF AUD DISTRIaUTIOU PIPE.. 9 FEET
+ MeINIIMUM NETWORK SUPPLY PRESSURE . ~ ~ 2.5 FEET
+ _Z0-FEET OF FORCE MAIN X SOS FT
to rtFRICTIOU FACTOR. ' Y~ FEET
TOTAL OyUAMIC. HEAD --FEET
IIJTERUA • L DIMEWSIOAIC OF TAQK: LEh1GTH 2"01
;WIDTH '7'0 ;LIQUID DEPTH
LICENSE HUMBER; RP442 7 DATE: /-Z -92
Performance Submersible, Effluent
Curves Pumps
METERS FEET
90
MODEL 3885
25- 80 SIZE 3/4' Solids
~ wE15H
a 70
20
wE,oH
J
F 60
WE07H
15 50
WE05H ?
40
10 30 WE03M
WE03L
20
5
10
0 0
0 10 20 30 40 50 66 70 80 90 100 110 120 GPM
I i I
0 10 20 30 m'/h
CAPACITY
CgGOULDS PUMPS, INC.
FALLS Ww Now nae
METERS FEET
120 MODEL 3885
35 110 WE15HH SIZE 3/4" Solids
30 100
90
25
Q 70
Z 20
60
O
h
- 50 WEO5HH
15 VI[
40
10 30
2Q
5
10
0 0
0 10 20 30 40 50 60 70 80 90 100 110 120 GPM
0 10 20 30 m'/h
CAPACITY
01965 Goulds Pumps. Inc.
Effective July. 1985
C3885
- ~ I_ 1 I I I_ I ~
TA r
L. -
i
t
t
I
t k
0
- -
j
f
r
i
J -r
I
1. X
0
I
~i
I t
44-
j Ina6cord with-'11.14R
3 0$ Wis. Adm Code t
Plain on paAertwt l` o~ssthan I x l l:incheslnai=s.-Ptanjwst:inytude; but- t~ --~^7i!i i. X `r
~ not fimite+d.to ~ect'ica! arid-fior7zontat ieterence- .
ned, th arrow and loca Pint h!t}~'ecjwn ar~d 1G of slope, scale or PARCELIA t 3 .
dimensio wi
Gon end dstanos to dearest road__..
_ _ _ GATE-°.
APPLICANTiNFOAMATION-PLEASE PRINT ALL INFO RR(ATION REVIEWE08Y
PRI1 TYONNER _ r >
/ PROPERTYLOCATION
yvi > Ely GOVT LOT 1/4
R:'S MAIUNG AMR A/~ T 7 .R
YCINNE
ESS S b y jr(a) W
LOTS/ !M!! . NAME OR CSM t
(XT1: STATE 21P CODE PHONE NUMBER
Q(de.- J l ~ ❑CtTY 3VIt.IAGE tvfrOWN NEAAESTROAO
S'' ODL (7/S)~gy- GL3 - ~ct~c Gc~ / F ~~'r/~vG ,
F w Construction Use Residential / Number of bedrooms
placement Public or commercial descrtbe
derived d* now
DO gpd R~ design baring rate bed
tr trench. gpolft2
Absorption afea required 50o bed, tr2 SOD • 9P
-----T- . (t~ MaAnum design loading (ate_,, Y/ bed, gp&jt2 : $ trench, gPP
Recommended InfUtiation surface elevadm(s) Z Z• 3 7
Additional design / site considerations it (as referred to site plan benchmark)
ou7~ A
Parent material ski , C
Flood plain elevation, N applicable It
S: Suitable for system 0-aWGmoNAL MOUND PRESSURE ATIWOE SYSTEM N L HOLDING TANK
U = Unsuitable fa tern S [3 U S ❑ U ❑®.U i
❑S ,®'U ❑S ,19U ❑S foU
SOIL DESCRIPTION REPORT
Boring # Horizo Depth Dominant Color Mottles Structure
in. Munsetl Qu. Sz. ConL Color Texture Gr. Sz. Sh. Consl n ~ ' Roots G P D/f t
/ o. /p y 3 / Z Bed Tmnd-
zi2o /O 5.,/r9r Z C S
2- '
• 5 Ground /oelev. ~ C Z 5 L
IV2 v1111h
9s 0Stt 3Z-~ /,0>,R
'
y G e z A/ s"y~ 5~8 s 21f:5A :5
Depth to
limiting
factor ,
3Z
i
Remark's:
Soring #
12~yT ow 2-"~
s /G s~
Z-ZZ ~CSb
2- j) V~,r C,W Z .5 ,G
Ground /o yfr G 1vh > J
elev. ZY-il
9SOIL
~8 56 /D C tS7L
Depth to
limiting C
Wor I,/
Remarks: I Q
CST Name:-Please Print' r _
J G/ ~e C u SO?'L
.:s: Phone:
Ada ~zo / ~
SgnaUxe. •n `~T ,C ~a ~U '.10:'~ `j41 n/1~~ -
Date: CST Numtet:
Depth Dominant Color Mott{es Structure Consistence Roots _GP p!t 12
Boring # Horizon _ Texture Gr. Sz. Sh. ew-day
"Be$ 7ronc
- - in. Munsetl Ou. Sz. Cont. Color
IV 1 C k'2
• '
Ground" .3 - 36 /OY' C 2 SYR s C~~t Z mSkK Iv/1 41,4
2' 1
elev.
92.
n
Wth to
Irrifing
facto - -
28
Remark's:
Boring #
Ground
elev.
iL
Depth to
limiting
factor
Remarks:
Boring #
rr
k
Ground
elev.
tL
i
Depth to
limiting
[actor
Remarks:
Boring #
j~ fifi
f Y~.
aw.. .
Ground
elev.
fL
Depth to
limiting
factor
Remarks:
e /v lot
Page / Of
t Straw, Marsh Hay, Or
Synthetic Covering
Distribution Pipe
Medium Sand
6" Topsoil - H = -
F
3 E D
Y
% Slope
Bed Of '12'-?- :2 (Force Main Plowed
Aggregate Layer
(6" Below Pipe)
D /0 Ft.
Cross Section Of A Mound System Using E Ft.
A Bed For The Absorption Area F S Ft.
G /-D Ft.
A 5 Ft. H Ft.
Signed:
B loo Ft.
License Number: ~If-~G17~ K /O Ft.
Date: / - J L /10 Ft.
J q Ft.
Alternate Position of I /0 Ft. S93-02437.
Force Main W 2- Ft.
L
Observation Pipe
8 K
A I - - -
W ~a Force Main
Distribution 8ed Of 2
Pipe 2 . 2
I Aggregate
Observation Pipe Permanent Markers
Plan View Of Mound Using A Bed For The Absorption Area
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER /1/1c:-- ( r e V-
MAILING ADDRESS 19
PROPERTY ADDRESS ~el 3 (location of septic system) Please obtain from the Planning Dept.
CITY/STATE
PROPERTY LOCATION 1/4, 1/4, Section T Z? N-R ~4W
TOWN OF z~ n
ST. CROIX COUNTY, WI
SUBDIVISION LOT NUMBER 3
CERTIFIED SURVEY MAP , VOLUME PAGE 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 needed
by licensed septic tank pumper. What you put into the system can affect the function of the septic tank
as a treatment stage in the waste disposal system.
St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost
of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County
accepted this program in August of 1980, with the requirement that owners of all new systems agree to
keep their system properly maintained.
The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner
and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1)
the, on-site wastewater disposal system is in proper operating condition and (2) after inspection and
pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum.
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 expirattipion__ date.
SIGNED: ~~27t~ e i
DATE: l9l
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
S T C - 100
This application form is to be completed in full and signed by the
owner(s) of the property being developed. Any inadequacies will
only result in delays of the permit issuance. Should this
development be intended for resale by owner/ contractor, (spec
house), then a second form should be retained and completed when
the property is sold and submitted to this office with the
appropriate deed recording.
owner of property /V1 e /Vi 4 1161 we Y' /y/eey-'
Location of property LG 1/4 Sr 1/4, Section 6 T ZY N-R A~ W
Township Z~ " r-1- Mailingaddress / ~z 3 ~i ~e•
Address of site 2-16-3
~1~S-✓e • ~G? psL,c>e r~
Subdivision name A Lot no.
Other homes on property? Yes No
Previous owner of property 14ec~ Ba e- Y'
Total size of property 3 XG,- -
Total size of parcel Xr
Date parcel was created
Are all corners and lot lines identifiable? Yes No
Is this property being developed for (spec house) ? Yes Z No
Volume and Page Number as recorded with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE
NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a
certified survey, if available, would be helpful so as to avoid
delays of the reviewing process. If the deed description
references to a Certified Survey Map, the Certified Survey Map
shall also be required.
PROPERTY OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the
best of my (our) knowledge that I (we) am (are) the owner(s) of the
property described in this information form,. by virtue of a
warranty deed recorded in the office of the County Register of
Deeds as Document No. , and that I (we) presently
own the proposed site for the sewage disposal system or I (we)
obtained an easement, to run the above described property, for the
construction of said system, and the same has been duly recorded in
the office of the County Register of Deeds as Document No.
741 -
Signature of Applicant Co-Applicant
Date of Signature Date of Signature
IT,
io~43Ac ""n
l poc UMENT No. STATE BAR OF WISCONSIN OR 1 - 2 '"`E "[`["Y[D FOR R[CORDINO "aTA
LAND CONTRACT
Indl,ldad and Corporate
(TO BE USED _FOR ALL TRANSACTIONS SERE OVER CED
AND l- 50522'7 1828,000 IS FInANACT TR NSACTIONS)NOWNCONSUMER ) REGISTER'S TC~~C OFFICE
it I ST. CROIX CO.. Nib
Reed ReaoKt
Contract, by and between --_~l,~Ck~._sT.,...]~aktel;.•a)7~~-----------------
°r,e- Bakery husband__and• wife_-----•--------------------•- SEP 8 1993
j ("Vendor",
whether one or more) and.....t"to],Y~I►__~.:.._YdI)S~~X~~~Z._and 4.20 M
Donna M. VanderMegr_c ._husband..and_-wjfe_-t)Qiding..a Uki•r+tr..
survi vo nerital ro rt RApw of beeft
-rsra -------------••--•-----P._._EO-...Y. ("Purchaser", whether one or more).
Vendor sells and agrees to convey to Purchaser, upon the prompt and fall per-
formance of this contragt-by Purchaser, the following property, to& her with the
rents, profits, fixtures and other appurtenant interests (all alled the "Property"), -
St: CIOiX County, State of Wisconsin: RETURN TO
Tax Parcel No.
Part of Northeast Quarter of Southeast Quarter (NEh of SEh),
of Section Six (6), Township Twenty-Eight North (T28N), Range
Sixteen West (R16W), described as follows: Lots Two (2) and
Three (3) of.Certified Survey Map filed August 2, 1993 in Vol. "9",
Page 2662.
,F3~
F
This is not homestead property.
7CE[)C (is not)
.._..Place desi signat••e•d•bY••V•-enaor ,
Purchaser agrees to purchase the Property and to pay to Vendor it a
the an, of $.11-,•3QQk0Q--------------------------------------- in the following manner: (a) (AJ9Q'9...............................
at the execution of this Contract; and (b) the balance of $.7rQQQ:J0.0 together with interest from date
hereof on the balance outstanding from time to time at the rate of- S .-M) per cent per annum
antil paid in full, as follows: Annual payments of $3,500. 00 principal, together
with accrued interest, cowmencing August 15, 1994, and on the same
date of each year thereafter.
Provided, however, the entire outstanding balance shall be paid in full on or before the......... 151)) day of
August 19.._..... ( the maturity date). n/a
Following any default in payment, interest shall accrue at the rate of. % per annum on the entire amount
in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire
principal balance).
>K
imam
] eDdEJLIR~C~07t IMM30C
Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any
amount may be prepaid without premium or fee upon principal at any time after... January-_ 1....... 1994.... V=
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 th-e month payileuts been
made as first specified above; provided that monthly payments shall be continued it `he event of eyed' of arty pruceeda
of insurance or condemnation, the condemned premises being thereafter excluded L._refrom.
Purchaser states that Purchaser is satisfied with the title as. shown by the title evidence submitted to Purchaser
for examination except:
NONE
Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall
be retained by Vendor until the full purchase price is paid.
date of ciosin .XKXXX.
Purchaser shall be entitled to take possession of the Property on
-Cron Out One. -
CONTRACT-Individual and STATE BAR OF WISCONSIN. Wisconsin Legal Blank Co. Ine.
LAND
Corporate FORM No. 11 - 1982 Milwaukee, Wis.
I
4 Vendok to pay all 1993 taxes. Purchaser to pay all real estate taxes when due.
Purchaser promises to pay when due all taxes and asseaaments levied on the Property or upon Vendor's interest
- in it and to deliver to Vendor on demand receipts showing such payment.
ex-
Purchaser shall keep the improvements on the Property insured against long or d+uas8e uc a i~u DD x-
tended coverage perils and such other hazards as Vendor may require. without co-insurance. thro g
by Vendor, in the sum of $._fLLl1AW r_ab1P___Va1Ue•-, but Vendor shall not require coverage in an amount more when i ccoontain the standard clause in favor of the Vendor's nterestla
and, unless Vendor otherwise agrees in writing the original policies shall
C of all policies covering the Property shall be deposited with Vendor. Purchaser shall ompt y promptly nee proceeds shall of lose to
Insurance companies and Vendor. Unless Purchaser and Vendor other the Ven-dor ise agree deems the writing, inurr&Lc or repair shall
provided restorstJon to be
he applied to restoration or repair of the Property damaged,
economically feasible
S~ Purchaser covenants not to commit waste nor allow waste to be committed on the Property. to keep the Property
in good tenantable condition and repair to keep the Property free from liens superior to the lien of this Contract, and
to comply with all laws, ordinances an4 regulations affecting the 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 specified, Vendor will on demand, execute and deliver to
the Purchaser, a Warranty Decd, in fee simple, of the Property, free and clear of all liens and encumbrances, except
any liens or encumbrances created by the act or default of Purchaser, and except:
o;f~ic31:.._.
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 3a-•- days following the specified due date or (b) in the event of a default in Purchaser
cin tin
which
t
for thereof y Vendor n( delivered i peerrsonally or mailed by cert fied m il), then teentiire outstanding balanlce under this notice
shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby
waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in
addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this Contract and Purchaser's
rights, title and interest in the Property and recover the Property bark through strict foreclosure with any equity of
redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from
the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously
paid by Purchaser shall I e forefeited as liquidated damages for failure to fulfill this Contract and as rental for the
Property if purchaser fails to redeem); or (ii) Vendor may sue for specific performance of this Contract to compel
immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of
default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser
,ball be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion
thereof; or (iv) Vendor may declare this Contract at an end and remove this Contractasacloud on title in a quiet-title
ry_ action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession
of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action
` under (i), (ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor an election of any
of the foregoing remedies shall only be binding upon Vendor if and when pursued an litigation and all costs and expenses
including reasonable attorneys fees of Vendor incurred to enforce: any remedy hereunder (whether abated or not) to the
extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as 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, indudin homestead interest, to collect the rents, issues, and profits of
the Property during the pendency of such action, and such rents, issues, and profits when so collected shall be held and
applied as the court shall direct. assignment of any
Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by
of Purchaser's rights under this Contract or by option, long-term lease or in any other way) without the prior written
consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest
conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for an indebtedness of
Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding
balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice.
Vendor shall make all payments when due under any mortgage outstai.ling against the Property on the date of
this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser
makes timely ment of the Mortgagee if Vendor tfailsto do so and all payments so made by Purchaser shall be con side ed payments made on
this Contract.
Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. tativeh
All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal retpres_en
successors and assigns of Vendor and Purchaser. (If not an owner of the Pro$ r ~ >o~n in tndor oattonv of thle
consideration joins herein to release homestead rights in the subject Property
deed to be made in fulfillment hereof.)
3....
Dated this 15th------------•--•-•-•---. day of August. 1199
.
n ter' r ~J 01-14 - ......-.(SEAL)
SEAL)
f{//
. -.-Melvin.-H.- VanderMeer Arch J. Baker__.............._......
, ~)'(.f.-- ~
._4 {-IljQQ,tL(SEAL)
• Donna M. VanderMeer . Merin--Baker----...................................
AUTHENTICATION ACENOWLBDGMBNT
P Donna _M.___VanderMeer....__ STATE OF WISCONSIN
Signature(s) .
ss.
St. Croix ------County.
III
S tl?d S to er 19.-93 Personally came before me t is
suthentica - ._.a day of
ay oi.
-September 19.93-- the.above named
~.1'_ X ..._.Y_:•
Melvin H. _ VanderMeer an
A. mack Arch J. Baker
TITLE - MEMBER STATE BAR OF WISCONSIN =
(If not-
authorized by 4 708.06. Wis. Stata.) to me known to be the person .S_.----_- h ediltg~the,.
foregoing in ment and acknow a e.
THIS INSTRUMENT WAS DRAFTED BY A,^
Thomas A. McCormack
Notary Public County, Wis
Baidwln....... WI 54002 St. Croix
(Sign.. ° atures " may be authenticated or acknowledged. Both My Commission is permanent. (If not, state ezpiration
19.......
are not necessary.) date:
'Names of persons signing in any capacity should be typed or printed below their sign ftaces•, .1
LAND-CONTRACT-Individual and corporate - State Bar of Wisconsin, Forms 19,L 11 ~ 1962 .
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