HomeMy WebLinkAbout020-1181-20-000
ST. CROIX COUNTY
WISCONSIN
OFFICE
I B M ■ a u ■ ■ u „o.,,d ZONING ST. CROIX COUNTY GOVERNMENT CENTER
SAW , 1101 Carmichael Road
' - Hudson, WI 54016-7710
_ (715) 386-4680
March 28, 1995
First Federal
201 South Second Street
Hudson, Wisconsin 54016
ATTN: Tammy
RE: Septic Inspection for Timothy Bauer
Address: 739 Aldro Road, Hudson, Wisconsin
Dear Tammy:
i
An inspection of the septic system serving the Timothy Bauer
residence located at 739 Aldro Road, Hudson, Wisconsin, was
conducted on February 3, 1995. This property is located in the NWY4
of the SEU of Section 28, T29N-R19W, Lot 40, Cedar Hills Estates
II, Town of Hudson, St. Croix County, Wisconsin. At the time of
the inspection, this septic system was found to be code compliant
for a four (4) bedroom home. If you have any questions with regard
to the above, please do not hesitate in contacting our office.
S rely,
~ -7
J es K. Thompson
Assistant Zoning Administrator
St. Croix County, Wisconsin
mz
's
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER /iti[o~y /
ADDRESS
SUBDIVISION / CSM#,,• LOT Ur,
SECTION o2 T.7-5F N-R W, Town of
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHI G 100 FEET OF SYSTEM
` ° r6 d`c.le7~
10
pro
~aSS'l b 1•~
r~or., 1 r e- bG
INDICATE NORTH ARROtN'
Provide setback and elevation information on reverse of this foam
Provide 2 dimensions to center of septic tanl; ;ianholcl Cc~vel
i
r
BENCHMARK: ~f~ D ~~/Y+'~ Kl'•~c2fc. er°'~.~ar r+QC
ALTERNATE BM: vzil_ /k##07
S PTIC TANK PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: Liquid Capacity: /ode
i
Setback from: Well 85 House Other
Pump: Manufacturer 109- Model# Size
Float seperation Gallons/cycle:
Alarm Location
SOIL ABSORPTION SYSTEM
I
Width: S_ Length S 3 Number of trenches 3
Distance & Direction to nearest prop. line: I jzj Io
Setback from: well: House 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: a - 3- 9S
PLUMBER ON JOB:
LICENSE NUMBER: ~.cfiS
INSPECTOR:
3/93:jt
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Raman Relations INSPECTION REPORT ST. CROIX
Safety and Buildings Division
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.:
Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State PI
BAUER, TIMOTHY X T TT T_ CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Ta
9 4 993 4 3
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark /eo, eel
Dosing
Aeration Bldg. Sewer
Holding St/I)< Inlet
TANK SETBACK INFORMATION St/pnf Outlet
TANK TO P / L WELL BLDG. Airl to ntake ROAD Dt Inlet
rl
Septic NA Dt Bottom i~
r
Dosing NA Header / Man.
Aeration N Dist. Pipe 5 YA
Holding Bot_ System
PUMP/ SIPHON INFORMATION Final Grade
M facturer Demand
Model Number PM
TDH Lift L Iction System TD Ft
aln mead
Length Dia. Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width / Length No. Of renches PIT No. Of Pits Inside Dia. th
DIMENSIONS 53 DIMENSIONS
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHI Man cturer:
SETBACK CHAMBER
INFORMATION Type O rl s-- V i model Number:
System: tre"'ekoc /OIJ. S( A OR UN
DISTRIBUTION SYSTEM
Header / Manifold Distribution Pipe(s) „ x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. Length 5 0 Dia. 7/ Spacing
i
SOIL COVER x Pressure Systems Only xx Mound Or At-rd e ems Only
Depth Over Depth Over xx Depth Of xx Seeded/ So xx Mul d
Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: HUDSON 28.29.19.1141,NW,SE,LOT 40,ALDR.ROD
A
UUU.//
~r77 //V r (G-F E r
Plan revision required? ❑ Yes (j-N6- /
Use other side for additional information.
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH 4 =
SANITARY PERMIT NUMBER: '
~ N
N~
in s Cyr', q z"
SANITARY PERMIT APPLICATION
•
In accord with ILHR 83.05, Wis. Adm. Code COUNTY NL . ~ -O`
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than a 117576
8% x 11 inches in size. ❑ Check if revision to previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER PROPERTY LOCATION
J t v►o'~ p IV U) 1/4 S~ 1/4, S -W T a , N, R (Or)
PROPERTY OWNER'S MA ING ADDRESS LOT # BLOCK #
3 (tl M KA -/0 444
CITY, STATE IJ ZIP ' / PHONE NUMBER SUBDIVISION NAME OR C$M~ NUMBER
II. TYPE OF BUILDING: Check one) `P %V'jvl CITY v~Y/v /O NEAREST ROAD
hh~~ ( State Owned VILLAGE : I~/O l7
❑ Public L~1 or 2 Fam. Dwelling-# of bedrooms PARCEL TA~QWN OF:
X NUMBER()
Ill. BUILDING USE: (If building type is public, check all that apply)
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash
50 Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1.1% New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 Repajr of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 S Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 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,EQQ~~ ELEV. 7. FINAL GRADE
~ REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ~Z~ S1 LEVATION
C~ W 7;1 ^3 /o -41 `77 Feet /Feet
VII. TANK CAPACITY Site
in allons Total #of Prefab. Fiber- Exper.
INFORMATION New r=xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holding Tank >
Lift Pump Tank/Si hon Chamber
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume. responsibility for installation of the onsite sewage system shown on the attached plans.
Plum is Name (Print): Plumber' Signature: (No S ps) MP/MPRS~N Business Phone Number:
Plumbe s Address (Street, City, State, Zip Code):
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanry Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No Sta s)
Approved El Owner Given Initial
A0 id A
Surcharge Fee) /1) U Adverse Determination
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
I
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new
criteria in the Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sani';ary Permit Transfer/Renewal Form (SBO 6399) to be
submitted to the county prior to installation.
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the
State of Wisconsin, Safety & Buildings Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be installed.
II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in ##1-7.
VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of
tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all
septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval from DILHR.
Vill. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber muss: sign application form.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than E1% x 11 inches must be submitted to the county. The
plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of
holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system
areas; and the location of the building served; B) horizontal and vertical elevation reference points;
C) complete specifications for pumps and controls; dose volume;. elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater, ground-
water contamination investigations and establishment of :standards.
SBD-6398 (R.11/88)
JOB 0 / h ya y✓
TIMM EXCAVATING SHEET NO. OF Z
Route 1 Box 192 T
WILSON, WISCONSIN 554027 CALCULATED BY DATE a g 7
(715) 772-3214 (715) 386-5443
MPRS #3224 WI MPCA #696 MN CHECKED BY DATE
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TIMM EXCAVATING SHEET NO. OF 2
Route 1 Box 192 r _
WILSON, WISCONSIN 54027 CALCULATED BY-~ DATE
(715) 772-3214 (715) 386-5443 f
MPRS #3224 WI MPCA #696 MN CHECKED BY DATE
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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
DIVISION
I,NDIJSTRY; P.O. BOX 7969
LABOR AND PERCOLATION TESTS (115) MADISON, WI 53707
HUMAN RELATIONS 63.09111 & Chapter 145.045)
L A I ; S, N: TOWNSHI MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME:
ze /T Z R I o w Aso 4 0 cfr~dte f CC S Z~
A
OW ER'S BWNAME: MAIL D R SS:
COUNTY:
S-r RT I S°'~ 14ZZ I~I~~~N ~I s o i 6
C2wx A WtutEcr►a
DATES OBSERVATIONS MADE
USE
NO.B DR COMMER AL DESCR PTION: PROFILE DE R PTIONS: O TESTS:
/
"New ❑ p
Replace 7
Fg~Residence uNK IMAV /4 /917 /~wY
J 66 Sous: ~n.L - E~~ME'~T.
501t,S 00~ A
RATING: S- Site suitable for system U- Site unsuitable for system
- -
IN-GPO NDPRESSUR : S STEM-)N-FILLHOLDINGANK: RECOMMENDED SYSrEM:(o tional)
M
NVENT N L: UND: S ❑U ❑S
MS ❑U ~S ~U ❑S ~ V~►~,-fo~lAL K
If Percolation Tests are NOT required DESI N RATE: If any portion of the tesled area a in I111
lunders.H63.09(51(b), indicate: Floodplain, indicate Floodplain elevation: A
C- , PROFILE DESCRIPTIONS
BORING TOTAL P H T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTHW ELEVATION QgSERVED E I HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B I 11,47 84.49 o > //.41 /Z"test S~~ `'+~ys~t6 ►2o~lr$k S
-B- Z 83 4O NC 9.8 3 'a"aLsm 34" & Si C )t o"$R'q S ;4 it
B-3 ,i--7 90.SO j > o"ALSL-gWge,NS~~~~ ~Z"$erJS~G
11 LsCrs S k.,N I Z " 4r R MS46,R
B- 7. 3 J'5' NoN k >'7-33
B- 17.42 2.15 IVtlfv~~ > ~2.4Z i''Gcs~TS a /►IS ¢L,e g6 8e.-, , es,{- C7 R,
B- I7 •A2 97,31 onl > /'2.4Z S"&sc-rs 3c"~ $ NMs 74'eQyMs ~e-Mal0Se ~s
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE EST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER I AFTER SWELLING INTERVAL-MIN. P RI D 1 PERIOD 2 _ PERIOD . PER INCH
P_ _ 2.3Z 32 3 >2 ~3
P- S ,oZ r4ejr- 91. oz
P_ 9 > Z 2
P_, IEV&T10 AT
P-
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PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM E EVATION -46=$6 f pfv1Y=A65 g~
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SCALE
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1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code, and that the date recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME print : TESTS WERE COMPLETED ON:
AktqLy J60 r(sorv Pb!S,cl4 SokNI YiN& INL MAY J~ /987_
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional):
40-7 sccoN n S-r 54 o 14 34 'zi 4
n S fir` CST SI ATURE:
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DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
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. AVTQMAT.ICAIY VACATED w1r►1 SECTION 28
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ADUS
.DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
aNDUSTRY; DIVISION
H
HUMAN AND RELATIONS PERCOLATION TESTS (115) MADISOP.O. BOX 7969
N WI 53707
HUMA
(ILHR 83.09(1) & Chapter 145)
•
L CA; 10`x'. ' SE~C~TI N:T-,9 u ~f~ r (o W TOWNSHI/~Ib''Y• LO NO.:BLK-NO.: SUBDIVISION NAME.
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COUNT : O ER'S BUYER'S NAME: MAILING ADDRESS:
S4v1 b
S-7 ~+Rd ,x ,C l.J Ic;U ~ L►'~t ~ RZ I 6dk /4?2 ao&,c~
USE DATES OBSERVATIONS MADE
NO.BEDRMS.: COMMERCIAL DESRIPTION: PR I DESCRIPTIONS: 1PERCOLATION TESTS:
Residence New ❑Replace I M'Ay 1,4t
RATING: S= Site suitable for system U= Site unsuitable for system ROPND-PRESSU
LDI O VSTDU IONAL: MOUN S, ®U IN -G S DU R :SYTEM-IN-FILLHOE] S TANK: RECa ENDED SYSTEM(0IM
If Percolation Tests are NOT required DESIGN ~a RATE: If any portion of the tested area is in the
under s. ILHR 83.09(5) (b), indicate: C'A'S's Floodplain, indicate Floodplain elevation: IV4
L&e_ PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTHtI% ELEVATION OBSERVED S HIGR-EST- TO BEDROCK IF OBSERVED (SEE ABB RV. ON BACK.)
B- ~csij ~Z iz $ lS S~ ~Sr", Svc' ~R 1vs-IF6•g
B- Z 1&75 g% 3( > B 3 '1611SC.TS 3{9,ow T- r^1 s,K e 40'~ S q ms-F, IP
B- 3 •7.17 9a e5~ pJ0 fJ &N 7S-V6f, /Z"'BRAD Stle
B- 7.33 g5', 5 pI~L ~.~3 /Z~OLSLTS SAS EAWS_FCe
B-S tJn 1-i 'C'_ -
B- 6's /-x.q, gZ.31 rj C IZ•4Z- ''8~5~-cs 3~`sLBrS 24~>S-F~~we ~1'~r4
N'CVT PERCOLATION TESTS
TEST WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER DEPTHS AFTERSWELLING INTERVAL-MIN. PERIOD -PERIOD 2 PERIOD PER INCH
P- 1 '/.:V- 46Nc g3 3~- 3 > Z > Z > < 3
P_ e S z-L Nonl~ Z 3 > > Z > Z < 3
P- 31 > > >Z ~3
P_ ELL4411612 S_
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PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical levation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM E EVATION
CA-
43
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-51
,
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14~L-77
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME (print : TESTS WERE COMPLETED §N:
AD RESS: CERTIFICATION NUMBER: PHONE NUMBER (optional):
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CST SIG RE:
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
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GWTN & WERTHEIlVIER, S.C.
HUGH H. GWMf The Gwin Building 71 1a
ROBERT A. WERTHEWER 43o SECOND STREET PM* 710 -0400
HUGH F. ®WIN P.O. Box 100
HUDSON. WISCONSIN 04010
(W cau.
July 28, 1994
James K. Thompson
St. Croix County Zoning Office
1101 Carmichael Rd.
Hudson, WI 54016
Re: My Clients: Raymond and Cynthia Wichelman
Lot 40, Cedar Hills Estates II
Dear Jim:
Pursuant to our phone conversation on Tuesday, July 19, 1994,
enclosed please find the original Report on Soil Borings and
Percolation Tests which was prepared by Harvey Johnson of Rusch
Surveying, Inc. on May 16, 1987, but was not filed with your
office. Please place this on file. You had indicated to me that
you would still honor this original report as long as the bench
mark used as a reference point was verifiable. My clients informed
me that the bench mark is still present and has been pointed out to
the new buyers, Timothy and Joyce Bauer. I also understand from
our conversation that this report can be transferred to the Bauers.
If there is a fee or form needed to accomplish this, please advise
me and forward the form to me.
Very truly yours,
GWI W TH M S.C.
Hug H. Gwin
HHG/en
cc: Attorney Samuel Cari
Raymond and Cynthia Wichelman
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER F, /n o '
~Gc.tc c-r
MAILING ADDRESS
I
PROPERTY ADDRESS 73q 1j At-_ ~ &/1C5
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE (.LJI S'~ ~o
PROPERTY LOCATION IUUJ 1/49 ST- 1/4, Section T__gp~,N-R / W
TOWN OF / /z,~ ST. CROIX COUNTY, WI
SUBDIVISION &W411_ /41/; As 4-55 ,leS ~ LOT NUMBER
CERTIFIEDSURVEY 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. _ Whait you put into the system can affect the function of the septic tank
as a treatment stage in the waste disposal system.
St. Cro' County residents may be eligible to receive a grant for a maximum of 60% of the cost,
of re cement f a failing system, which was in operation prior to July 1, 1978. St. Croix County
accepted is 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 fo herein, as set by the Wisconsin DNR.
Certification stating that your septic has been maintaine ust e completed and returned to the St. Croix
County Zoning Officer within 30 days of the three ye expir ion dal
SIGNED:
DATE: 2 1 T
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 rr a ~liJGc~tt~~
Location of property LZ 1/4 S 1/4, Section 2,T a9 N-R /5 W
Township 6`- Mailing address
i
Address of site _73gj /clrp J& s 63'1-;01(-
Subdivision name n"I Lot no. y0
Other homes on property? Yes X No
Previous owner of property
Total size of property
Total size of parcel oDoc dz'u;
Date parcel was created
Are all corners and lit lines identifiable? X Yes No
Is this property being developed for (spec house)? Yes No
Volume /D'? Z and Page Number as recorded with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOW N .
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. 5a0(o-70 , 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.
R
Signature f Applicant Co-Applicant
21 ;,W Q!-/
Date of Signature Date of Signature
' ' • DOCUMENT NO STATE: HAR OF'~ti'~.7Ln5 Rpll,-.1982 THIS 9VAit RC~ERVED FOR RECORDING DATA
LAND CONTRACT
Individual and Corporate
~I
520670 1 r0_ BF l SED FOR ALL -lItAN9 v( TTONS WFIF RF ER
(25,000 I F7N 1W ED AND IN OTIll I NON CONSI MF.R _
11
- ACT TR1NSACTION-r--_ 6.-.i J JP t-ICE
ST CRO'x O., W1
RaX[e'
COnti'aCt, by and between E Wichelm-m sore' i R„ 'd for r~: of
Cynthia J. Wichelman, husband and wife, I it~tdl,Ia 1-y li a
hb whether on and ore) aaurvivoD. iumaritalTOTO rtl ter, ' ~G Z 9:45994 A. i
- p x I A
Cry,, a M
- - ("Purchaser", whether one or more).
Vendor sells and agrees to convey to Purchaser, upon the prompt and fill! per- firivster of Deeds
formanee of this contract by Purchaser, the following property, together with the
rents, profits, fixtures and other appurtenant interests (all called the "Property"),
it in_ -_-..St....CX1QiX-. County, State of Wisconsin: R
Gwir? & Wertheimer, S.C.
430 Second St. P. O. Box 106
}-udso~n_W1 54016
Tax Parcel No. 020711617207000_-.-
il
I it
Wt 40, Cedar Hills Estates II in the Town of Hudson, St. Croix County,
Wisconsin.
TOMHF.R PTIIH AND SUBJECTI TO any other easements, covenants, reservations or
restrictions of record, if anv, but this shall not be deemed to extend any such j
other recorded enclmmbrances beyond the term established by law therefor.
^ll~~ 00
This is -Wt- homestead property.
( (is not)
Trunk UU,.._-.--..--..-- Hudson WI
Purchaser agrees to purchase the Property and to pay to Vendor at 426 Coun~
A-
the sum of $-._----_37_,.000-,00-------------------------------- in the following manner: (a) $_._7000.00._---------------------------
at the execution of this Contract; and (b) the balance of $_30,.000..00-.---__--_-...._., together with interest from date
hereof on the balance outstanding from time to time at the rate of------ _.-0 per cent per annum
until paid in full, as follows:
Nbnthly payments of principal and interest of $400.00 comrencing September 25, 1994
and continuing thereafter on the 25th day of each month until August 25, 1996; at
which time the entire unpaid balance shall be due and payable.
25
Provided, however, the entir outstanding balance shall be paid in full on or before the_ day of
19 ( the maturity date).
li
Following any default in payment, interest shall accrue at the rate of A-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).
~
it
Purchaser, i2niesarxeasrd•-by-W-ndvr,-agrees to pay monthly to ierrdorazrromrtt~strltir`Yrtt-te pawreasorra~a~ antiei-
poked annual taxes, special assessments, fire and required insurance premiums when due. 'Pa-theexient-rereive&+b -Mender, j
Vt40'r-agrees-bo-Lrr4Y- a-yMht:rtrto---hestob+igatmrrs-when-dzr •-gnctr-==m-rtsreceived- try- tim-VenlorforpaymmTt-ut l
tare, n ses-Man*s and_inauza ice-will b4depesitecL into-a -eFSrw~ l s ~swstee-aceoal l~ tall soS-beer -iateresA-- ;I
i ypj-e~.s_QIl1P~u:ism-regi>•ir~erl-1~}i-la;v- ;
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
blsrn-rrreY b~ rro ~repaylxtr+t-o~pri~teipn~ wrt~+etrt-ger 3siofr-e€-Wel+4er4--
In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long
II as the unpaid balance of princip;~,l, and interest (and in such case accruing interest from month to month shall be treated
as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been
made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds
of insurance or condemnation, the condemned premises being thereafter excluded herefrom.
Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser
for examination except: no exceoCionS.
li
i
i
I
I
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.
.j Purchaser shall be entitled to take pos;esiion of the Property on _--date of ClOS1nR 19
- - .
-Cr-, Out One.
~ I
LAND CONTRACT --Individual and STATE BAR OF WISCONSIN Wise,csin Legal Blank Co. Inc. I_I
Corporate FORM No. 11 - 198"_ 1d+ly' wkee, Wis.
_ - "'"',~!?et"~'w,s~=.. ~ ~k7rti~~~ '*;+'~~.•:~:z-ARiiT3ilMiYIP~'=.~WPMF"'XtYit'9
py}'!.. ':Kv" ~ . 5.`... _ Y:~~c.'~4-".i '?~'41~:.16.~'.tYw .~.v?~+..,rt-1~5}. .t'~eY.iiro B.n s.':t:~e?..~.w+an+m.~•-
voL10,9 PA,;Fr5- 7
Purchaser promises to pary when due ~M taxes and assessment; levied on the Pruperty or upon Vendor's interest
in it and to deliver to Vendor on demutA receipts showing such pa;nient.
Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, ex-
tended coverage perils and such other hazards as Vendor rnay- require, without co-insurance, through insurers approved
A V3Can.z 137Kj but Vendor shall not require coverage in an amount more
by Verdor, in the sum of $_N/
than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall
contain the stardard clause in favor of the Vendor's interest and, unless A otherwise agrees in writing, the original
of all policies covering the Property shall be deposited with Vendor. chaser shall promptly give notice of loss to
insurance companies and Vendor. Unless Purchaser and Vendor other.ctse agree in writing, insurar.-e proceeds shall
be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoro :icn or repair to be
economically feasible.
Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property
in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and
to comply with all laws, ordinances ar:d regulations affecting the Property.
Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions
shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to
the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except
any liens or encumbrances created by the act or default of Purchaser, and except: ..eXCept1011$I------------------
- -
-
- -
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 contiraes for a period of .3Q----- days following the specified due date 9r (b) in the event of a default in
performance of any other obligation of Purchaser which continues for a period of ..30---- days following written notice
thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this contract
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) Veno •r may, at his option, terminate this Contract and Purchaser's
rights, title and interest in the Property and recover the Property back 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 anrountsduehereunder (inwhich event all amounts previously
paid by Purchaser shall be forefeited as liqui fated 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 c.' 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
shall 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 rem^ve this Contract as a cloud on title in a quiet-title
action if the equitable interest of Purchaser is insignificant; and (v) Vendor n:ay have Purchaser ejected from possession
of the Property and have a receiver appointed to collect any rents, issuf•s 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 in litigation and all costs and expenses
including reasonable attorneys fees of Vendo: 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 appointmeut of a receiver of the Property, including 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.
Purchaser shall not transfer, sell or convey any legal or equitable interest in the 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 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 inlmediatelydue and payable in full, at Vendor's option without notice.
Vendor shall make all payments wl-en due under any mortgage outstanding 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 payment of the amounts then due under this Contract. Purchaser ma_ make any such payments directly to
the Mortgagee if Vendor fails 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 subsequent or prior default of Pnrchaser.
All terms of this Contract shall be binding upon and inure to th,e benefits of the heirs, legal representatives,
successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable
consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the
deed to be made in fulfillment hereof.)
Dated this z7~- day of AUguS 1994-...
......(SEAL)
~nd E. WichelffIran Timothy..-_-..Bauer
\ -
.(SEAL) - C~` (SEAL)
Cynthia J Wicheln-an ycGe A. Bauer
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) -Raylmnd..E,_Wichebn n--and STATE OF WISCONSIN
C~nth' Wichelman Sa-
St. Croix
_County. Cautntic th' AL1CjLLGt_-__-_. 19__-94 Personally came before me this _..eL.o?__^..day of
--------N49uSt 19.94--- the above named
Hugh . Owin Titrothji__D.___Bauer._aild__Joyce A. Bauerf
TITLE: MEMBER STATE BAR OF WISCONSIN t1tYSt5a13d and wife y
(If not, - - - NlS-- o,
authorized by § 706.06, Wis. Stats.) ~t-3 k c ri t 2 : per n g _ who executed the C
U tf r~i6g~i .)ru?r a ck/nry-edgl the same. •3
THIS INSTRUMENT WAS DRAFTED BY I • -µ.v
- -
Atty-.- Hugh._H. Chin---- St - Ilk-
r ~--t - - - . St.,, Hudson,. "?1_5016- - - "Ngtr•y. RA a f. -ro county, Wis.
~
(Signatures may be authenticated or acknowledged. Both My-1Comn$i,ion is permanent. (If not, state expiration
are not necessary.) date:':..-
l/ ':ianres of persons signing in any ca;.acity should be tlped or primes blow thP'r eignnt,rr
-'7 LAND CONTRACT-Individvnl and Corpornte-State Bar of Wi+-Ir,. Form No. I~-•1933