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HomeMy WebLinkAbout032-2097-10-000 f ti -0 0 p O O a ^ O W ~.a O O C ~ O O ~ N O C l~ O C a) N O O r ° U o o O Y > a) c d x a c `Q N io O 7 'O V .4)+ 76 U CL O N o E -6 CD I- N O '6 'D 0 O i '0 CL Z m- 2 N m $ C: 1L C N "o N O 0 ti U o N 0 D W CL D > O.O i yr n 3 r> , v Z N Z C O Z a C) w v a Co U) I o z d i~ ~ o N I ar Z ~ c N N i, E O O N c- 0 U) 7 • N o o o 0 a) ~ U ~ tt5 m N ~ C C O 4U-- O O ti O Q Q N ~l W Z F- Z m ~I E zzo c ol co ar Q ! N d C " a) a7 v c c m IE E U • rrv o Oa a a a o c N _ LO u-) fA J U c rn rn } co 'o i, J ~ O O Fes, O O N - O O ~2 c~ cc) CD ? 0. -le U '6 m y c~ O y Q to M w O CD CO N N c ~2 a C O Ca O O'. -0 O o o a= L 00 n 0 o H m a~ n. CL a m °o o f s r. o m = E E w N w l C~ o N ` 'O t- L L q= 7 _N N 04 .C N O O cy~ E Y D H H O N U • y~,~' O a N O z N9 (n O w 7 # a y . • CL d 'V N a ~ r..~ E tt~~ N ~1 A 00 aTO m o U-5) V r t ~~s - ~ ~ Q a., L G o l h C - . ueb Lr - ,~&-I ~ pq_-v - a ,~Dc t~.~,~. l Wisconsin Department of Commerce SOIL AND SITE EVALUATION ri ' 0_ d Division of Safety and Buildings Page of Bureau of Integrated Services arn- n ,with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not I s~~t4n 8 Ain es in size.`,IPlan must FPa ty include, but not limited to: vertical and r~ontal rer' t (BM).,direetion and percent slope, scale or dimensions, n rt#ytrrow, and location and distance to nearest road. el I. D. # APPLICANT INFORMATION 7?laase print a1J*Wormation.J iew by. Date Q-1 ~NTY Personal information you provide maybe useoo;CSeconcl ~rj~racy LawT s;'15.04 (1) (m)). eta Property Owner Property Location _ Govt. Lot 1/4 114,S T N,R 1'(or _-5 Z Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# ::z ~ ja city State Zip Code Phone Number El a [I Village Town Nearest Road _ ) _ - New Construction Use: (Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate 7 bed, gpd/f? trench, gpd/ft2 Absorption area required R'Sd' bed, ft2~trench, ft2 Maximum design loading rate . 2 bed, gpd/ft2_LS-trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/site considerations Parent material lhs<~ Yo 3~ .Z Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U= Unsuitable for system S❑ U ® S ❑ U Os ❑ U ® S ❑ u El s ®u ❑ S ® U SOIL DESCRIPTION REPORT Boris # Horizon Depth Dominant Color Mottles Structure GPD/ft2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 7' A Ground elev. Depth to limiting factor Remarks: Boring # / / y Z),AX 1, j .7 .2 Ground i elev./ Depth to limiting factor Z~in. Re arks: CST Name (PI se Pr' t) Signature Telephone No. - / Address Date CST Number SOIL DESCRIPTION REPORT 11~ ZZ Z~ PROPERTY OWNER - Page ~ of PARCEL I.D.# t Boris # Horizon Depth Dominant Color Mottles Structure 2 Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench ~s _2 2 - Ground 11 J9 __w Al //j 112' ft. Depth to limiting factor Remarks: Boring # e - Al /I Ground - .s elev. Depth to limiting factor Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # , ~e. t Z,/ `..j / rSG Ground - elev. Depth to limiting factor > r°G in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD-8330 (R. 07/96) Il / ~~-303 A &ewcl /02 Asa ' © J ~3 If y 5/d '/8 d`wk G A 1 I - I THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB NO. 98-55 y m C~~S BEARINGS ARE REFERENCED TO THE EAST LINE OF THE SE1 /4 OF SECTION a Z ~l CQ~~ 14, ASSUMED TO BEAR N00.09'46"E. 1-71 \ l T~'r \y OA_K_ ~S~qT I y o 37. o C14 •pp?7p; I F~ o G~ \ n n z 'y d N c: co C 1 `Ol tv rn ~ O O 00 (/O c , o cn cn o \ W IIW 00 00 Ir L J oC3m _ O O .O CO ~ o r < `O~i Cs 0-) CD ~ W • (A Cn 0 0) -P c0 D ~A J O v P J i~ cf) D a y 6~.. r 'L n C` C7 t3l m Z 4 p m z jK: ~ O c V OD J ~ _ W , rl7 V co 0 2 rn tx, 4. N fi -P ' = = rn o n -Ti i zz m 2015.26' jG- I N01.17'12"E N01'17'12"E 189.32 N n ' N o w o 0 P N m UN-PLATTED--LAN-DS cn cf) -1 co r mm = W c0 (n rn o s co Oz ~ N m o w • - rn N N_ D 1319.83' 0 o Z 1319.83' N00'09'46"E = N00'09'46"E N m n r r m ~ N LEAST LINE OF THE SE1 /4 55 co x -o z ~c G7 cn O m O r N O ~ 2 FTl -P: c~ co 0 o m z Z~ Z a; -0 ~n O rn Oo D On m ~OZ m 00 `d Z z m -q c c O -z 0 r O z ~ u -i D rn ~ 0 ,p (n :0 N rn („1 0 X X X 0 m n N XXX m-I ~ z c X X X Z 0f* o m ~7 = 0 z ;u 7 z I m 3„9b,60e OON HV39 Ol n3wn SSV Bbl N011AS 'b/13S 3H1 I~/) 30 3NI-I 1SV3 3H1 Ol O3JN383338 38V SONiHV39 I S ~ D I [ i b~ A 3 ce' i , r ly I y ly en Ir- I-I I-I li I 3H1 30 t,/13S 3H1 30 3N1-1 1S3M M„Z2,90.00S A Z£'LZb OS ZLI N O < -vi D i IJ Z U) jr- a01 2 I~ Icy Ir W m v w IC) O N, U) "n wW r - 0 ° w ao m . ° n F ,A I ~ m m ~N !D O A J N N O -n N n C) IL7 02 x Irn I 1 ~ i c%-) C ~ N I` O - m C 3p'ZS to I F- < Z o _ Ui I m d \ Po IL7-I p IIV C) Icy ~ I n m O m Z M„8t~,90,00S N w O w - W m - ,Z9'16~ 3„8t,,90,00N m °o p Z cn o n N r Z OD ` W w r w m o c0 N D O O O 0 I J 0) Z C CD CO C- ID o m C ICS r C) 1-1 T 1> W I m w It\) I~ OD "I ~ IO 10 _ -P I + y U D n LE 61b C) mo N -1 N V) O ,p wo mow 3F-<au wna10 Hmcn oom O m G~ w r G~ P H P- N O 10 " M w m w G w r O Z ntrmCO ','(D~l mmw 100 <n *strn m < F-• m £ O (D F' R n b ti r- (D n F-' m u. 5' Q N nm(DD mNa n Icj H 10( 0~'t n'O ZOD n m n o m tr tD 11 r]'O a n w - c ~r G n 0 r- w m r O r- m G n m Om:mG F-w G0 wG:1 rrtn Z m 11 o nn ~rt(Qn N0(D no w wNwrr G~ D ri F' T7 m :7 w i0 CY I I _ 7 w rt m z D Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of. Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not ss than in size. Plan must include, but St. Croix PARCEL I.D. # not limited to vertical and horizontal refleerence ,11)+ I~ icm#gd % of slope, scale or dimensioned, north arrow, and location an s't to nearest`foed. pending P ~ APPLICANT INFORMATION-PLEA E INT~'LL tffrORMArYi, REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Leroy Urhammer GOVT. LOT SE 1/4 NE 1/4,S 14 T 30 ,N,R 20 fir) W PROPERTY OWNER':S MA!IING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 1501 Scout Camp Rd. 11 na Green acre Country Estates CITY, STATE ZIP CO '/PHONE NUMBER t ❑CITY ❑VILLAGE JgOWN NEAREST ROAD Houston, WI. 5408 -5 Somerset Scout Camp Rd. iN New Construction Use Residential ! Number o bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450gpd Recommended design loading rate • 5 bed, gpd/ft2 •6 trench, gpd/ft2 Absorption area required 900 bed, ft2 750 trench, ft2 Maximum design loading rate • _5 bed, gpd/ft2 - 6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 103.14 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material stream terrace Flood plain elevation, if applicable na ft S = Suitable for system j CONVENTIONAL MOUND 71INC GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ®S ❑ U ~J S ❑ U S ❑ U[3 S ❑ U ❑ S 13 U ❑ S o u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistences Bmixtry Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trends 1 -5 10yr2/2 none 1 2msbk mfr gw 2f .5 .6 2 -20 10yr4/4 none sicl lfsbk mfr gw if .2 .3 Ground 3 0-32 ! )YR$?,t NONE SL CMGR MFR GW na .5 .6 elev. 106.641. 4 2-82 10yr4/6 none S Osg mvfr na na .7 .8 Depth to limiting factor +82" Remarks: Boring # 1 31-5 10yr2/2 none 1 2msbk mfr gw 2m .5 .6 2 -24 10yr4/4 none sil lfsbk mfr gw lm .2 .3 vxLj 3 4-32 7.5ry4/6 none S Osg ml gw na .7 .8 Ground elev. 4 2-84 7.5ry4/6 none 1 fs Osg mvfr na na .5 .6 107.64 ft. Depth to limiting + IV. Remarks: CST Name:-Please Print Gary L. gTeel Phone' 715-246-6200 Address: 1554 200th. Ave., Ne wRichmond, . 54017 9-16-95 cstm 02298 Signature: Date: CST Number: PROPERTY OWNER L. Urhammer SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # pending I GPD/ft Boring # Horizon Depth Dominant Color I Mottles Texture I Structure Consistence Barbary Roots I in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed iTrer& 1 0-7 10yr2/2 none 1 2msbk mfr gw 2m .5 .6 3 v 2 7-27 10yr4/4 none sicl lfsbk mfr gw if .2 j .3 Ground 3 27-86 10yr4/6 none 1 fs Osg mvfr na na .5 .6 1o'?.vi ft. Depth to limiting factor +86" Remarks: Boring # 1 1 0-8 10yr2/2 none 2msbk mfr gw 2m .5 .6 4 2 8-20 10yr4/4 none sil 2msbk mfr gw if .5 !.6 3 20-27 10yr4/4 none scil lfsbk mfr gw if .2 .3 Ground elev. 4 27-80 10yr4/6 none is Osg mvfr na na .7 .8 105. Qty Depth to limiting 0" I --T Remarks: Boring # 1 0-4 10yr2/2 none 1 2msbk mfr cs 2f .5 .6 5 2 4-12 10yr4/3 none sicl 2fpl mfr gw if np .3 3 12-34 10yr4/3 none sicl lfsbk mfr gw if .2 .3 Ground elev. 4 34-8 10yr4/6 none is Osg mvfr na na .7 .8 106.54 ft. Depth to limiting factor +84" Remarks: Boring # Ground elev. j ft. Depth to limiting factor i Remarks: SBD-8330(R.05/92) 1 STEEL'S SOIL SERVICE Gary L. Steel Leroy Urhammer 1554 200th Ave. CSTM2298 SE4NE4 S14-T30N-R20W New Richmond, WI 54017 MPRSW 3254 town of Somerset (715) 246-6200 i lot #11-Green Acre Country estates N 111=409 BM.= top of NW lot stake at el. 100, 20 U Gary L. Steel 9-16-95 c ~ ° I o O N ~'U O M ~ C O I ~ I ^ °o I t +D O c ^ I a x V) N In e N m m LO v N n N Z mY LL 6 N CU N U N d N N N Q 3 m Z y N Z " p (If 1q, Z d d ° a m o I 0 z : d Z d 2 O to F- e- z C N E -2 43) CO CL 0 j Q) a) Cif •ny a - c 2 0 cu 79 c O O o~Q W Z H Z N E z N O L _ A °f I U N O. m .i., Y C CO co co Q O y d 2 N 2 O 1 c - n oa E E C7 = O O O Z ° •ti o a a a g o _ U)) m J U ~ rn ~l CD O N 'o O 'o E I j a -Y 'n CD C5) I ~ co 41 Q U) Q R O N N +d C C E W I- (O~ 0 0 O -O U O O 0 0 0 O m H N N a Q CL 0 o W s. o a~ m` v' E E m V w C) N N 70 I~ - o o N_ N 04 O O N N I- N N Z-0 N a) .r 04 m E v rn a E E L) CY) • L' o U) j a N o Z I cn wI r~ I ~ d ~I' Ea I CL a c c o m ~ 3 :4 0 to U A U a 2 0 v STC - 104- AS BUILT SANITARY SYSTEM REPORT OWNER. ,(3 ~ra-i' Lf ~a v~ ADDRESS SUBDIVISION / CSM# LOT # SECTION / T~N-R (~2W, Town of n7 e~ .tee T ST. CROIX COUNTY, WISCONSIN., PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM IA/ .u t v?' a' INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: as /I~6- ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer:. Liquid Capacity: Setback from: Well,tjbf Dy4'/Qiouse Other Pump: Manufacturer Model# g o? Size. Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop. line: yG ' Setback from: well: House 00 r7- 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 INSTALLATION: ,2,la PLUMBER ON JOB: LICENSE NUMBER: v INSPECTOR: 3/93:jt Wiscontin Department of industry, PRIVATE SEWAGE SYSTEM County ST. CROIX labo,and Haman Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION 259427 PF.LrYli~dp1c C5; a%UDLEY & JANNELL ❑ City ❑ Village il Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA a TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic r Benchmark ~s' (o atl' /d;~)' 66 ~ Dosing .'410 v 29, Aeration Bldg. Sewer Holding St/ Inlet 2/, ?`PI TANK SETBACK INFORMATION Stqf Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet D7~ r Air Intake Septic >!So a s NA Dt Bottom 3 d Dosing NA Headers 22 Aeration NA Dist. Pipe .1_3; Ad ~ 316 r Holding..- Bot. System Gam' 3~' 93 PUMP/VRI5WNFORMATION~b:) Final Grade Manufacturer Demand Model Number GPM TDH Lift 5 % Friction j System TDH Ft oss forcemain Length ' Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width r Leng~h_ + No. Of Trenches PIT No. Of Pits Inside Dia. d Depth DIMENSI DIMENSIONS LE nufacturer: SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM INFORMATION System: 17-4 OR OR U UM Mode Number: System: T DISTRIBUTION SYSTEM Header/iaes4d Distribution Pipe(s) x Hole Size x Hole To Air Intake Length Dia- Length _ Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At- de Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil E] Yes ❑ No E] Yes IF No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Somerset.14.30.20W, SE, NE, Lot 11, scout camp Road C6'b1 W t~ CIO 0- Plan revision required? [3-~es ❑ No / q Use other side for additional information. ,2 ,9 S SBD-6710 (R 05/91) Date Inspector's Signatu a Cert. No. t~i~ie+ Bureau ofeutilding Water lSystems ~.■■.F■■, SANITARY PERMIT APPLICATION 20, E. Washi (ding 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 vi x 11 inches in size. 51L. CIY-61 • See reverse side for instructions for completing this application State Sanitary Permit Number s9~ The information you provide may be used by other government agency programs KjAgreck 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 ~c r/,tJ . C a N 5'01i4~ r 1/4,S Al T 3d r N, R 0&4 E (or)6) Property Owner's Mailing Address Lot Nu7_/ Block Number G Ci ty, State Zip Code Phone Number Subdivision Name or CSM Number 7,1 II. TYPE F BUILDING: (check one) ❑ State Owned ❑ city Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms q VII age wn OF C !r'r-G' Q!'' 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 63 a 2 ® ? _ Td - GC2 Q 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. X1 New 2. ❑ Replacement 3. ❑ Replacement of 4- ❑ Reconnection of 5. ❑ Repair of an System System Tank OnlyExisting System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 110 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 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. 1 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation /7/&'O . C 4 9~, ;2- Feet Feet TANK Capacity VII. NFORMATION in gallonTotal # of Manufacturer's Name Prefab. CoSite n- Steel Fiber- Plastic Exper. New Existin Gallons Tanks Concrete structed glass App. Tanks Tanks Septic Tank or Holding Tank Y_ 7tx4,- ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ 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 MPRSW No.: Business Phone Number: r Z 7 !6e G, Qr, h► a ,ui ^ G O ~ .r ~ ~ l Plumber's Address (Street, City, State, Zip Cade : L IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issued Issuing Agent Signature (No Stamps) roved Surcharge Fee) ❑App ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Diva ion, Owner, Plumber INSTRUCTIONS 1- A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. 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.), 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. w Safety o and Building Water Division ~.■`Q-=r■ SANITARY PERMIT APPLICATION Bureau 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. . 1 • See reverse side for instructions for completing this application State sanitary P~erpmi't/Numbe 7 The information you provide may be used by other government agency programs ❑ Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Property Owner Name Property Location 0'-,A1 ! < - 114 114, S T,YU , N, R .24 E (or) W Property Owner's Mailing Address Lot Number Block Number Ca, Ot , State Zip C e Phone Number Sub ivision Name or CSM Number ~C S .2 (Sy 9> ,t CAI 1/'G G urf'r ,5 T . TYPE F BUILDING: (check one) ❑ State Owned ❑ ity Nearest Road Village Public 1 or 2 Family Dwelling - No. of bedrooms Town OF d Sir G VW III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 3 2 -.Zoe o-~ 10 1 Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/ School 8 ❑ Mobile. Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. gNew 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an ------System System ___Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 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 S. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Z Elevation Feet / .62. 1 Feet VII. TANK Ca in g Capacity Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existing strutted . Tanks Tanks Septic Tank or Holding Tank Q d v ® ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATE-MENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: ( tamps P MPRSW NO.: Business Phone Number: Plumber's Address (Street, GS City, Sta e, ip Code): a sv.J IX. C UNTY / DEPARTMENT USE ONLY ❑ Disapproved Sa ltary Permit Fee (IndudesGroundwater ate Issued Issuing A nt Si nature o Stam s) ,W/Approved Surcharge Fee) ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to County. One copy To: Safety & Ruildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4_ Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7- V11. Tank 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.), 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. a e ,ems a ss~C17 r., a c~ r4 et( wscnsnDepartmentoflndustry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with yILH9_83.05, Wis. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than 8 1 11~ 6:hes in size Pkht ,',must include, but not limited to vertical and horizontal reference po ( i j', direction and ofslope,, scale or PARCEL I.D. # , dimensioned, north arrow, and location and dist el nearest road. pending r~71EWED BY DATE APPLICANT INFORMATION-PLEASE PR ALL INFORMATION PROPERTY OWNER: PR Pt TY LOCATION LeRoy Urhammer GOVT. OT SE 1/4 NE 1/4,S 14 T 30 N,R 20 8~br) W PROPERTY OWNERS MAILING ADDRESS LOT BLOCK # SUBD. NAME OR CSM # 1501 Scout Camp Rd. T -S na Green Acre Country Estates CITY, STATE ZIP CODE PHON MBR; CITY ❑VILLAGE IE7OWN NEAREST ROAD Houlton, WI. 54082 (715 549-_t44-7- Somerset Scout Camp Rd. [ il New Construction Use Residential / Number of bedrooms 3 [ ] Addition to existing building ( J Replacement [ ] Public or commercial describe Code derived daily flow 450 9Pd Recommended design loading rate -5 bed, gpd/ft2 -6 trench, gpd/ft2 Absorption area required 900 bed, ft2 750 trench, 112 Maximum design loading rate • 5 bed, gpd/ft2 •6 trench, gpd/ft2 Recommended infiltration surface elevation(s) oricf. =99.2/ alt.=100.0-9t (as referred to site plan benchmark) Additional design / site considerations na Parent material stream terrace Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ®S ❑ U 1g:S ❑ U Z] S❑ U us ❑ U ❑ S Mu ❑ S ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bound3y Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trendl 1 -5 10yr2/2 none 1 lfgr mvfr gw 2m .4 .5 2 -18 10yr4/3 none sil lfsbk mfr gw lm .2 .3 Ground 3 8-66 7.5ry4/4 none 1 fs Osg mvfr na na .5 .6 elev. 102.55ft 4 156-82 5yr4/4 none sl M na na na .4 .5 . Depth to limiting factor +82" Remarks: Boring # 0-8 10yr3/2 none 1 1 fgr mfr gw 2m .4 .5 2 2 18-24 10yr4/3 none scl lfsbk mfr gw if .2 .3 3 24-75 7.5ry4/4 none is osg mvfr na na .5 .6 Ground elev. 4 75-86 5yr4/4 none sl lfgr mfr na na .4 .5 103.5 ft. Depth to limiting factor +86" A Remarks: CST Name:-Please Print Gary L. Steel Phone. 715-246-6200 Address: 1554 200th. Ave.., Ne* Richmo d, WI. 54017 11-2-9 Signature: Date: CST Number: PROPERTY OWNER LeRoy Urhammer SOIL DESCRIPTION REPORT Pago. -?,,of 3 PARCEL I.D. # pending Boring # Horizon Depth Dominant Color I Mottles Texture I Structure Consistence Boundary Roots GPD/ft ( in. Munsell Du. Sz. Cont Color Gr. Sz. Sh. Bed iTrench 1 0-4 10yr2/2 none 1 2mgr mvfr gw m 3 2 4-38 10yr4/3 none sic lfsbk mfr gw if .2 1 .3 ~ i Ground 3 38-9 7.5yr4/4 none 1 fs Osg mvfr na na .5 .6 elev. 103.2 ft. Depth to limiting factor +90" Remarks: Boring # 1 0-' lU r2/2 none 1 2m r mvfr 2m .5 .6 4 2 5-33 10yr4/3 none sic lfsbk mfr gw if .2 .3 3 33-84 7.5ry4/6 none is Osg mvfr na na .7 .8 Ground elev. 102.9 ft. Depth to limiting factor +84" Remarks: Boring # 1 0-5 10yr2/2 none 1 2mgr mvfr gw 2f .5 .6 2 5-24 10yr4/4 none 5 sic lfsbk mfr gw if .2 .3 i:: 3 24-80 7.5yr4/6 none 1 fs Osg mvfr na na .5 .6 Ground elev. 102.55(t. Depth to - limiting + Remarks: Boring # Ground elev. j ft. Depth to limiting factor i Remarks: SBD-8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel LeRoy Urhammer 1554 200th Ave. CSTM2298 SE4NE4 S14-T30N-R20W New Richmond, WI 54017 MPRSW 3254 town of Somerset (715) 246-6200 t lot #11-S-Green Acre Country Estates N 1"=40' BM.= top of SE lot corner survey stake C el. 100' 31` ~070 z,l, 2 S 4z' I3l►~ . Gary L. Steel 11-2-95 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County ca ,u ,c/ e l / ` a ti OWNER/BUYER MAILING ADDRESS zed 03 PROPERTY ADDRESS /s( (location of septic system) Please obtain from the Planning Dept. ,s CITY/STATE PROPERTY LOCATIONS 1/4, 1/4, Section cl T N-R 0'e W TOWN OF Se o ee;,- s ST. CROIX COUNTY, WI SUBDIVISION e- / Q c -e Cog •v t s7- LOT NUMBER CERTIFIED SURVEY MAP, VOLUME , PAGE, , LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost I 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 n returned to the St. Croix County Zoning Officer within 30 days of the three year xpiration date. SIGNED:/ DATE: 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 /a.J.rJe 2 e Location of propertySe!5 114~1/4,Section /,y ,T yo N-RAW Township ~cjnevS e~ Mailing address / col w7~Ga 4-1 Address of site Subdivision name C ~,rJ C2ev e s ~~/o~~,rJf~ A~srLot no. other homes on property? Yes No Previous owner of property - o.-V Llr wn, e r Total size of property 3. e) a-- e--e- "I Total size of parcel eves' Date parcel was created 7 Are all corners and lot lines identifiable? --.1C""-Yes No Is this property being developed for (spec house)? Yes 2C No Volume /!A/'? and Page Number rya 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. i 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. S3G y 7iZ 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. S nature of Applicant Co-Applicant Date of Signature Date of Signature VOL 1156PAGE 140 538123 AFFIDAVIT JAN 3 1996 ' STATE OF WISCONSIN ) 4`45 P ss. COUNTY OF ST. CROIX ) Christopher French and Julie A. French, husband and wife, being duly sworn, states under oath: 1. Christopher French and Julie A. French are the owners of a parcel of land in the SE'/4 of NE'/4 of Section 14, Township 30 North, Range 20 West, St. Croix County, Wisconsin described as Lot 3 of Certified Survey Map filed May 9 1990 in Volume "8", Page 2204as document number 458396, having acquired said parcel from John A. Costello and Anna M. Sonmore Costello, flea Anna M. Sonmore, by warranty deed dated September 13, 1995 and recorded September 20, 1995 in Volume 1140, page 626, as document number 534035. 2. Christopher French and Julie A. French are husband and wife, and have acquired the following described parcel: A parcel of land located in part of the SE'/4 of the NE'/4 of Section 14, T30N, R20W, Town of Somerset, St. Croix County, Wisconsin: being part of Lot 11 of the plat of GREEN ACRE COUNTRY ESTATES; fitt-ther described as follows: Commencing at the SE corner of said Section 14; thence N00°09'46"E, "long the east line of the SE'/4 of said section, 1319.83 feet; thence S89°48' 13"W, along the north line of the SE'/4 of the NE'/4 of said section, 360.30 feet to the southeasterly corner of Lot 7 of said plat; thence NO 1 ° 17' 12"E, along the east line of said plat, 2015.26 feet to the point of beginning, thence continuing NO 1 ° 17' 12"E, along said east line, 189.32 feet to the NE corner of said Lot 11; thence S89°47'58"W, along the north line of said lot, 313.44 feet to the easterly right-of-way of the town road (Oak Ridge Lane); thence SO0°06'48"W, along said right- of-way, 0.36 feet to the point of curvature of a 233.00 foot radius curve, concave northwesterly, whose central angle measures 54°02' 58", whose chord bears S27°08' 17"W and kia,oo `~d. I.~.Roy t~rhamme~' 1 16501 'Scou't camp Troe 1 y voi- 1156PAGE141 measures 211.74 feet; thence southwesterly, along the arc of said curve and said right-of-way, 219.80 feet to the point of tangency; thence S 54°09'46"W, along said right-of-way, 50.00 feet to the point of curvature of a 167.00 foot radius curve, concave easterly, whose central angle measures 70°42'34", whose chord bears S18°48'29"W and measures 193.26 feet; thence southerly, along the arc of said curve and said right-of-way, 206.10 feet to the point of tangency; thence S16°32'48" E, along said right-of-way, 63.67 feet; thence N60'49'1 8'E, 561.76 feet to the point of beginning. 3. The parcel described in paragraph 2 is adjacent to and is added to the parcel described in parcel 1 and the resulting combined parcel is to be considered one parcel. The combining of these parcels is exempt from Chapter 18 of the St. Croix County Land Regulations. Dated this day of 1995. Christopher French Juli A. French ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. ST. CROIX COUNTY ) Personally came before me this ca11)-N day of 1995, Christopher French and Julie A. French to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. d NOTE Notary Public St. Croix County, Wisconsin MwA3HiNaTON COUNTY My commission is permanent, but if not, it my comm. Evown on. 31. fowl • expires: I - This instrument was drafted by Robert F. Wall. [fmc1W3.aoc13gen7rfw 2 t~ 1647" STATE BAR OF WISCONSIN FORM 1 - 1982 - 1111.6 a~ WARRANTY DEED FNOV STER'S ~~9 r C IT CO., ~t~~i Vl' _ PAoE 546 c'd for Pccord DOCUMENT NO. 1 - 1 7 :995 Th is Deed, made between 1:30 P. M reen cre n e ns ne. a `i L off, ~ es s F?ejmtorcl ueds a Wiccnngin Corporation- Grantor, and _ Bradley R Pickard and Jannell Pickard, husband and wife, as survivorship a o o it marital property, , Grantee, THIS SPACE RESERVED FOR RECORDING DATA Witnesseth, That the said Grantor, for a valuable consideration S2 f_. - one dollar and other valuahi,- -onaid raf-inn NAME AND RETURN ADDRESS conveys to Grantee the follovting described real estate in St. Croix F. County, State of Wisconsin: T Nff:ER FEE (Parcel Identification Number) _ DESCRIPTION ON BACK OF THIS DEED This homestead property. (is) (is not) p~, ap Together witlAllae 's* lar tp-h e~erpl ents III a purtenances thereunto belonging; And lUre [i warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except covenants,' easemei_"^ and restrictions of record, if any, as of the date of this deed and will warrant and defend the same. p Dated this j 7 day of ZP5~4. YQ" , 191 Green re Enterpri e, c. (SEAL) (SEAL) . _ B o A. rhammer President (SEAL) ' dzlm ~ I/ (SEAL) . By:,Adele K Urhammer, Secretary AUTHENTICATION ACKNOWLEDGMENT Signature(s)of Leroy A. Urhammer and STATE OF WISCONSIN SL Adele M. Urhammer _ ST. CROIX County. authenti s a f , 199 Personally came before n this day of I , 19 the above named Leroy A 1rh mmer and AdPla M_ Robert F. Wall Urhammer, Uresident an a r ta,-=• TITLE: MEMBER STATE BAR OF WISCONSIN resoecti vet y lt o Gr ian A _rP Enter ise (If not, 7ri . . authorized by §706.06, Wis. Slats.) to me known to be the persona who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Robert F. Wall • Notary Public County. Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date: necessary.) , 19 'Names or persons sienin= in any capacity should be typed or printed below their signatures. WARRANTY DEEQ_. 4- ,.1149PK1547 II Green Acre Enterprise Inc to Bradley R Pickard and Jannell Pickard Description A parcel of land located in part of the SE'/. of the NE'/+ of Section 14, T30N, R20W, Town of Somerset, St. Croix County, Wisconsin: being part of Lot 11 of the plat of GREEN ACRE COUNTRY ESTATES; EXCEPT the following described parcel: Commencing at the SE corner of said Section 14; thence N00°0946"E, along the east line of the SE'/, of said section, 1319.83 feet; thence S89°48' 13"W, along the north line of the SE'/. of the NE'/. of said section, 360.30 feet to the southeasterly corner of Lot 7 of said plat; thence NO 1 ° 17' 12"E, along the east line of said plat, 2015.26 feet to the 2mL of be&ning; thence continuing N01°17' 12"E, along said east line, 189.32 feet to the NE comer of said Lot 11; thence S89°47'58"W, along the north line of said lot, 313.44 feet to the easterly right-of-way of the town road (Oak Ridge Lane); thence S00°06'48"W, along said right-of-way, 0.36 feet to the point of curvature of a 233.00 foot radius curve, concave northwesterly, whose central angle measures 54°02'58", whose chord bears S27008'17'V and measures 211.74 feet; thence southwesterly, along the are of said curve and said right-of-way, 219.80 feet to the point of tangency; thence S 54°09'46"W, along said right-of-way, 50.00 feet to the point of curvature of a 167.00 foot radius curve, concave easterly, whose central angle measures 70°42'34", whose chord bears S18°48'29"W and measures 193.26 feet; thence southerly, along the arc of said curve and said right-of-way, 206.10 feet to the point of tangency; thence S16°3248"E, along said right-of-way, 63.67 feet; thence N60°49' 18'E, 561.76 feet to the point of beginning. 1 3 L u.'. , is ` . ' I STATE BAR OF WISCONSIN FORM 11 - 198 ( ST. CC's \ CO., w l r I LAND CON'I TACT F s r P. _^A j I •~~)'t f V tndlvWualandCorporate (TO BE USED FOR ALL TRANSACTIONS WHERE OVER S25,000-IS FINANCED AND IN OTHER VON-CONSUMER 1995 -COCUMENT NO. ACT TRANSACTIONS} N OV 1 7 l y t 1:30 P-M . Contract and be 1ween Green Xcre-n erpl•lse, rnc.; . a iseonsit _C=oration _ ("Vendor' g""""-~- 1 ' ,shether one or more) and O r Christopher Frenca and Julie A. French, husband and wife - ("Purchaser", whether one or more). j, 7 > 'Jendor Belli and agrees to cony to Purchaser, upon the prompt and full perfor- mance of this contract 1-y Purchaser, the following property, together with the rents, THIS SPACE RESERVED FOR RECORDIN( DATA ,rofits, fixtures and other appurtenant interests (all called the "Property"), in St. Croix County, State of Wisconsin: NAME AND RETURN ADDRESS TRS X§FER $ (Parcel Identification Number) Description for Green Acre Enterprises, Inc. Land Contract to Christopher French and Julie A. French Attached This homestead property. (is) (is not) 2 Purchaser agrees to purchase the Property and to pay to Vendor at 1501 Scout Camp Trail, HOulton, WI 408 the sum of 5 3 5, 0 0 0. 0 0 in the following manner. (a) $ 2 •0 0 0 .0 0 at the execution of this Contract; and (b) the balance of s 3 3 0 0 0 0 0 * * * * * , together with interest from date hereof on the balance outstanding from time to time at the rate of 7.0% percent per annum until paid in full, as follows: interest shall be paid one year from t.i2 Cla`ce hereof and each year here- after until paid in full. In addition to interest, purchaser shall pay $5,000.00 on principal one year from the date hereof and each year thereafter until paid in full. f Following any default in payment, interest shall accrue at the rate of.LQ. 0% % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably anticipated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee ancount, but shall not bear interest unless otherwise required by law. ` Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon princi,)al at any time.Al*:KXXXXXXXXXXXXXXXNX X hWM r Moi*M"Wg~W 94➢tis~ 9~ADi9t1Rr}iOf ~tlOblvS$ X14)RX7ieli^{~{~XT){700ffi}6ffi1~QXD~XDP~COf~ti9d][9dCCfk~tII'144)tI~7~SC4tlt)]DDp7iDi;AC30J~g08b67~DiSWQ7D~1S~~tilG7CD~ iSIIG96J~Rl~.A~CDd4t94~104d)iL'(GGbC443C]l~7!}Rb4Rt3{344~~a~43{tRt}ChdSCffiQO}b7i~3~. G)C041SSi:~(l~>Ii~~~~S~iR3~603t7IClbd~504d }d1S2IliD(c}dP4'~7fl7401dCQIIS4'3b34][~ 4aXllfd02fl}~'~3~J01~31~8CK0[3dKD5f4¢4t}QpE1~~D~11~}~ D(D[f)tDigd ~4ac~acde4eicacxi ~aat~apcpcoc~i Easanal¢acaex~¢natimea¢JSan~~anc~a~n~ma txt t4eiagc> XxkeK aodKk&benkome Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examinatioy x= x C. 1 - - . •y~..>:k*,i~►+,~~~,tvw.ra,+"(~f,.-~.,n~~lir.,ayr.rkiv~e.ihifii►;e*i7~a?l4rd-a•- Purchaser -grees to pay the cost of future title evidence. If title evidence is in the form ofan abstract, it shall be retained by Vendor until the full purchase price is paid. date of Contrac Purhaser shall be entitled to take possession of the Property on 'Cross Out One. - LAND CONTP ACT-tndiriduat and Cu•purate STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., !ne. FORM No. 11 - 1982 Milwaukee. Wis. : ~.1149;~,s. Purchaser promises to pay when due all taxes and assessments :!vied on:e Ptrn_ttrty or upon Vendor's interest :n it and to deliver to Vendor on demand receipts showing such payment. s Purchaser shall keep the improvements on the Property insured against lot ar damage occasioned by fire, extea.led coverage perils and such other hazards as Vendor may require,7vithout co-insurance, through insoo-a-s approved by Vendor, in tht sum of S but Vendor shall not require coverage in an amount more than the balance ow-3 amber this Contract. Purchaser shall pay the insurance premiums when dt:.. the policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the u original of all policies covering the Property shall be deposited with Vendor. P-n--n-mer shall promptly give notice of loss to insurancq compam,t and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insuraat~ prr=eeds shall be applied to t estoration or repair of the Property damaged, provided the Vendor.deems the restoration or repair to be -concinsnalg feasible. Purchaser covenants not to commit waste nor allow waste to be co w on the Property, to keep the Property in gz, d tenantable condition and repair, to keep the Property free from liens superior to the ties at his Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other -name-*s shall be fully paid and all conditions shall be fully performed at the times and in the manner above specified, Vendor will on demand, exec= amd de'liver to the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except any liens cr emeumbrances created by the act or default of Purchaser, and except: r,Lenan S, rescrietions of rpr-or^l act nf thew hprpnf Purchaser agrees that time is of the essence and (a) in the event of a def:zit;a ibe payment of any principal or interest which continues for a period of days following the specified due crate or (b) in the even[ of a ie&ult in performance of any other obligation of Purchaser which continues for a period of days following written notice tberea%__y Vendor (delivered personally or mailed by certified mail): then the entire outstanding balance under this contract shall become immediaady dsae and payable in full, at Vendor's option and without notice (which Purchaser hereby waives), and Vendor shalt also have the following igba 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, tersa:tiarme this Contract and Purchaser's rights, title and interest in the Property and recover the Property back through strict foreclosure with any egaty of redemption to be conditioned upon Purchaser's full payment of the entire outstanding' glance, with interest thereon from the date of defarat at dic rate in effect on such date and other amounts due hereunder (in which event all amounts previously paid by Purchaser shall be forfeited as tigr~aed damages for failure to fulfill this Contract and as rental for the Property if Purchaser fails to redeem); or (is) Vendor may sue for specific peioramance of this Contract to compel imme ''ate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the dace of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for saty deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any pbrtion thereof; or (iv) Vendor may declare this Contract at = -2d and remove this Contract as a cloud on title in a quiet-title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may bow lurchaser ejected from possession of hhe Property and have a receiver appointed to collect any rents, issues or profits during the pendency of =7 action under (i), (ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor, an ekYtiou of any of the foregoing rea>ed5cit shai: only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor i.wrred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added so principal and paid by PurchLls, as incurred, and shall be included in any jud-menL Upon the commencement or during the pendency of any action of foredosaw of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issaa, maid profits of the Property during the pendancy of such action, and such rents, issues, and profits when so collected shall be held and applied as ie court shall direct Purchaser shall not transfer, sell or convey any legal or equitable interem is d6e Property (by assignment of any of Purchaser's rights under this Contract or by option, long-term lease or in any other way) without the prior grari¢tea consent of Vendor unless either the outstanding balance paynble'under this Contract is first paid in full or the interest conveyed is a pledgee oramdgament of Purchaser's interest wader this Contract solely as security for an indebtedness of Purchaser. In the event of any such transfe , sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contras shall become immediately die gaud payable in full, at Vendor's option without notice. Vendor shall make all payments when doe under any mortgage c utstaadaa~atgaina the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Pmcbei rl makes timely payment of the amounts then due under thiq Contract Purchaser may make any such payments directly to the Mortgagee if Vendor fu7s to do so and all payments so made by Purchaser shall be considered payments made on this Contract Vendor may waive any default without waiving any other subsequeae ar prior default of Purchaser. All terms of this Contract shall be binding upon and inure to the benefice cf rite heirs, legal representatives, successors and assigns of Vendor and Purchaser. (if not an owner of the Property the spouse of Vendor for a vaiwalMe consideration joins herein to release homestead rights in the subject Property and agrees in, join in the execution of the deed ti be made ii fW39ment hereof.) Dated this 7 ✓ day of Gre Acre Ent~Pr rise-, Inc. , O i Zf•~.~sa~t" Z^ (SEAL) T(SEAL) y: Le oy A. Urhammer, Presi ent .Christopher French m r Spi rptatt - j E`S cad- (SEAL) -v Julie A. French AUTHENTICATION ACKNOWLEDGMENT Signature(s)2f Leroy A Urhamm -r and STATE OF WISCONSIN SL Adele M. Urhammer St CrO1X County. authentica i -7-hk des of , 19 i- P'usonally came before me this - ~ 44 day of lJ!2U 2 m A 6e , 192 the abo ' npmabb. ChrsstoAher Frpn h and''~ynl`e_• - Robert F. Wall French TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats.) ma to known to the person S- exgcuttie , nt and a k owled e e same. 41V# . A E THIS INSTRUMENT WAS DRAFTED BV Robert F. Wall `gcery Public - t C CO i 1C County, Wis. ][y commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not , 19 necessary.) L• 'Names of persons signing in any capacity sho,ld be typed or printed below their signatnrcs r IAND CONTRACT - Individual and Corporate - State But of wlsconsrn, Form its, t g - act" 1_~}9PA:_ 13 Description for GreenAcre Enterprise Inc Land Contract to Christopher French and Julie A. French A parcel of land located in part of the SE'/. of the NE`/. of Section 14, T30N, R20W, Town of Somerset, St. Croix County, Wisconsin: being part of Lot 11 of the plat of GREEN ACRE COUNTRY ESTATES; further described as follows: Commencing at the SE corner of said Section 14; thence N00°09'46"E, along the east line of the SE'/. of said section, 1319.83 feet; thence S89°48' 13"W, along the north line of the SE'/. of the NE'/. of said section 360.30 feet to the southeasterly comer of Lot 7 of said plat; thence NO 1 ° 17' 12"E, along the east line of said plat, 2015.26 feet to the point f beginning; thence continuing NO l ° 17' 12'T, along said east line, 189.32 feet to the NE corner of said Lot 11; thence S89°47'58"W, along the north line of said lot, 313.44 feet to the easterly right-of-way of the town road (Oak Ridge Lane); thence S00°06'48"W, along said right-of-way, 0.36 feet to the point of curvature of a 233.00 foot radius curve, concave northwesterly, whose central angle measures 54°02'58", whose chord bears S27°08'17"W and measures 211.74 feet; thence southwesterly, along the arc of said curve and said right-of-way, 219.80 feet to the point of tangency; thence S 54°09'46"W, along said right-of-way, 50.00 feet to the point of curvature of a 167.00 foot radius curve, concave easterly, whose central angle measures 70°42'34", whose chord bears S18°48'29"W and measures 193.26 feet, thence southerly, along the arc of said curve and said right-of-way, 206.10 feet to the point of tangency; thence S16°32'48"E, along said right-of-way, 63.67 feet; thence N60°49' 18"E, 561.76 feet to the point of beginning. 1+ l measures 211.74 feet; thence southwesterly, along the arc of said curve and said right-of-way, 219.80 feet to the point of tangency; thence S 54°09'46"W, along said right-of-way, 50.00 feet to the point of curvature of a 167.00 foot radius curve, concave easterly, whose central angle measures 70°42'34", whose chord bears S18°48'29"W and measures 193.26 feet; thence southerly, along the arc of said curve and said right-of-way, 206.10 feet to the point of tangency; thence S16°32'48"E, along said right-of-way, 63.67 feet; thence N60'49'1 8'T, 561.76 feet to the 2oint of be 'nnin . 3. The parcel described in paragraph 2 is adjacent to and is added to the parcel described in parcel 1, and is exempt from Chapter 18 of the St. Croix County Land Regulations. Dated this 7 day of 1995. Christopher French Julie A. French ACKNOWLEDGMENT ) STATE OF WISCONSIN ss. ST. CROIX COUNTY ) Personally came before me this t day of (/G'►'n 10PC 1995, Christopher French and Julie A. French to me known to be the person(s) who executed theforeaoin4', instrument and acknowledge the same. - Notary Public St. Croix C t • ouuty •'1E MY commission is permanent, aT►► expires: This instrument was drafted by Robert F. Wau. {mod-PS-7dW 2 AFFIDAVIT Si. C"I'm Co., lVi j R__'d'or Pcccrd STATE OF WISCONSIN ) NOV 1 7 1995 ) ss. it 1:30 P.~ COUNTY OF ST. CROIX Christopher French and Julie A. French, husband and wife, being my sworn, states under oath: 1. Christopher French and Julie A. French are the owners A a parcel of land in the SE'/. of NE'/. of Section 14, Township 30 North, Range 20 West, St. Croix County, Wisconsin described as Lot 3 of Certified Survey Map filed May 9,1990 in Volume "8", page" 2204, as document number 458396, having acquired said parcel from John A. Costello and Anna M. Sonmore Costello, tka Anna M. Sonmore, by warranty deed dated September 13, 1995 and recorded September 20, 1995 in Volume 1140, page 626, as document number 534035. 2. Christopher French and Julie A. French are husband and wife, and have acquired the following described parcel: A parcel of land located in part of the SE'/. of the NE'/. of Section 14, T30N, R20W, Town of Somerset, St. Croix County, Wisconsin: being part of Lot 1.1 of the plat of GREEN ACRE COUNTRY ESTATES; further described as follows: Commencing at the SE corner of said Section 14; thence N00°09'46"E, along the east line of the SE/4 of said section, 1319.83 feet; thence S89°48' 13"W, along the north line of the SE'/. of the NE'h of said section, 360.30 feet to the southeasterly comer of Lot 7 of said plat; thence N01 ° 17' 12"E, along the east line of said plat, 2015.26 feet to the point of berg; thence continuing NOl ° 17' 12'$, along said east line, 189.32 feet to the NE comer of said Lot 11; thence S89°47'58"W, along the north line of said lot, 313.44 feet to the easterly right-of-way of the town road (Oak Ridge Lane); thence S06°06'48"W, along said right- of-way, 0.36 feet to the point of curvature of a 233.00 foot radius curve, concave northwesterly, whose central angle measures 54°02'58'', whose chord bears S27°08'17' W and 1 w v~` _ S88'17'56-w CAMP - ROAD gfj, a - 66.03 OW W LERC 1501 HOUL O o O mI 0 0 o O -P n 07 Ea( SU) OD 0 1 a' L `l I ! rn L 1 I 3 we I a w -7 ~4 20 de 00 (J%j Cr S. M. ~ - VOL. 3 P;. 2204 aF - - ()D 33' 33' - - - - c0 N ~ e. ~ 098/35y' ull 1 c,,u,~ N ~zyG aG No pl di 26.75' S89°4758°W 313:44 vi li / N00006 '48"E Th an Ea / I th / pu: ''4L j / se ro ~ ~ W EL = 925.2 EL,~~ /91, 925.2 LOT" 6.04 ACRES 263,203 SO. FT. I l l ri / o N O EL= \ ? _925.2 I _ • N NI 1 O i~ 'DEL o \ 2 In . 11 (0 )3, 3 Z 0 'W - i cr1 ~ I 40) EL= N IC7 i Cn Ate- 932.5 L &T, 10 ITI 10) AEG V► \ 3.00 ACRES 130,727 S0. FT. Rimed \ 01-z Ulm