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HomeMy WebLinkAbout032-2042-60-200 3 C; a ~ O a o V h O O - N 0 N p N ~ O) C 0 O ~L p N ~ p N a N C Z .O c LL O ~ x 3 _0 0 3 Cl) v y z a, 3 E 00 z M a co r r I-' (1) C O O z a C w o i z d o U) f- a- O N Z c E -o 0 Cl) N C N Cl) C d N O L p c O O O N C w z m D o N z a 1~ J N O Cc ~ ~ j ~T 0 c N d CL « U O d N O 0' N 00 IL ° d ca U) co E :3 0 L555 °a z • a000 aa CL 2 cn 7 O m to U rn > « 65 N M L O O > a E O E CD v m rn a a ~ w O O C N N C O O 4 O N N V CL O a r C4 cc ~ m ° c v m a) E N U L d a `yam' 4. O N co ~i N 0 a) 2 o) L co - p E. ti E R 0* M E = o E • O O U) <n N O z 5 °'7 r2 Cn VI `y R a o a • a m m r*Q E c c r A 0 a 2' 03 vii 0 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY &BUILDINGS IN~GUSTRY, DIVISION N LABOR BOX HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: KINSH U CIPALITY: LOT NO.: BLK. N SUBDIV SION NPME: C5&14 i 1/ /T N/R ~ (o V, / I Al A2 'rkj COUNTY: O NE 'S/BUYER'S NAME: MAILING ADDRESS: "b USE DATES OBSERVATIONS MADE NO. BEDRMS.: ICOMMECIAL DESCRIPTION: PROFILE DESCRIPTIONS: 1PERCOLATION TESTS: Residence New ❑ Replace 9 7 q/ RATING: S= Site suitable for system U= Site unsuitable for system ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMEND D SYSTEM: (optional) o❑u as ❑u - as ou ❑s au os au~ jj/ If Percolation Tests are NOT required DESIG RATE: If any portion of the tested area is in the Z-V under s. ILHR 83.09(5) (b), indicate: 5 Floodplain, indicate Floodplain elevation: 4d PROFILE DESCRIPTIONS r BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE!-AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) t AZ /04- '3' AAA& 7 ) - aj B- ~ ~9 ~ ,1191, d S B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P- P_ P_ P_ PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all bor' 1h d' y and percent of land slope. SYSTEM ELEVATION Cn FZ )eo;p _ ®c~sh , E 8 i , , i ~ E r , r _ c 0'- I, the undersigned, hereby certify that the soil t is 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 Ip ntl: TESTS WERE COMPLETED ON: AD S: CERTIFICATION UMBER: PHONE NUMBER (optional): CST SIGN UR / ~2 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - F s, I. ~r ef,t;. L A i , CERTIFIE cab ter WII Wd,_ TO THE C}WNE : This s ~ est report is the first step in securing a sanitary perrnit. fl- veri )n of this soil Est in tP=,: i,:lei pry p r t suance. A coo oriv u i s i s t the appr order to it....,, ; y per w. red Prior Parcel 032-2042-60-200 01/27/2005 11:11 AM PAGE 1 OF 1 Alt. Parcel 11.30.19.640A-20 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * MEADER, CHRISTOPHER S & DANA L CHRISTOPHER S & DANA L MEADER 1607 70TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1607 70TH ST SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 8.950 Plat: N/A-NOT AVAILABLE SEC 11 T30N R1 9W PT SW SW BEING LOT 3 OF Block/Condo Bldg: CSM 9/2408 8.95 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 11-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1245/171 WD 07/23/1997 1089/306 WD 07/23/1997 951/137 07/23/1997 949/278 2004 SUMMARY Bill Fair Market Value: Assessed with: 10937 323,700 Valuations: Last Changed: 07/23/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 8.950 77,700 196,800 274,500 NO Totals for 2004: General Property 8.950 77,700 196,800 274,500 Woodland 0.000 0 0 Totals for 2003: General Property 8.950 77,700 196,800 274,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 308 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 t This instrument drafted by Fran Bleskscek Proj. No. 90-11-191 CERTIFIED SURVEY MAP Located in part of the SA of the SW's of Section 11, T30N, R19W, Town of Somerset, St. Croix County, Wisconsin. W 4- a0 O e N N LEGEND -40 s 00 t9 Aluminum County Section Monument Found o b •11 Iron Rod Found = 0 0 111 x 2411 Iron Pipe Set, weighing 1.68 lbs. per linear foot o e or, 01 L. 4J tv V OWNER ~ N N •i, ~ pptE" c 4_ Mark Fagerland u WI/4 CORNER OF 1215 Second Street:., ` " m N SECTION 11 Hudson, WI 54016 v ~o UNi'i I TED LANDS N NORTH LINE OF THE SWI/4 OF THE SWI/4 N89037'04"W ! N89037'04"W 620.88' f 620.85' NOIOII'35"E SOI011'35of W ~Q 191•.39' 192'.33J TEMPORARY. CUL1-DE-SAC" K L - U O"j ~D~ a (To be removed upon ~j extension of road.) N42041'38_W 4 N U) MI .9 -Acres ( L 66.00 F ~I) I ` 1 ~~I c At D 01 ti~ ) 10.13 Acres U. ZI v iq 9y. 1 ^~1b' I Y/ ` W A, X "APO 01o CSI ~ / `01 A V4'1;0 a,m~ N89028'55"W b~ (::j tJ~~ , 0 a 9 ~6 b P~ \G 79' o a1 LLJ 1 F'I z 2 3t 655. U ~y'1°° 3 W - E-1 ; N a ~O 30 - J `r l JI y c ~ PONO J I ; H o ~c 3 ~o jl • 1y o Q CL I X71 8.95 Acres Ino. R/W a J o z W ZI a P 8.66 Acresl Exc. R/M13 e4 / 2 • N t 1 M 9.84 Acres Inc. R/W10 W 9.41 Acres Exc. R/W a~ a a ~~0 o 19 O l - H H 38 09' 59"E 926.42' in - E 288.79' F 657.63' i - I 1315.45' 9 - 63~i21 _ 0 --989020'48"E 6 _1315.45_ S89°21: 48" E SW CORNER OF~ SOUTH LINE OF THE' SWI/4 I SI/4 CORNER OF SECTION 11 L 160TH AVENUE SECTION II UNPLA I TED LANDS SCALE IN FEET g l A q va 0 200 400 600 ST. CROIX COUNTY WISCONSIN ZONING OFFICE IMNpRNNN■ - M~~N6 ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 540 1 6-771 0 (715) 386-4680 i July 27, 1994 Derrick Construction P.O. Box A New Richmond, Wisconsin 54017 ATTN: Mike RE: Septic Inspection for Steven Schroeer Address: 1607 70th Street, Somerset, Wisconsin Dear Mike: An inspection of the septic system for the above address was conducted on July 13, 19943. This property is located in the SW, of the SW; of Section 11, T30N-R19W, Town of Somerset, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a three (3) bedroom home. Should you have any questions, please feel free to contact this office. S' erely, mes K. Thomps04 Assistant Zoning Administrator mz STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER 5~2 V en 5 C I'1 re `2 Qi~'" ~P/LIGt( L ADDRESS 3l y~- A Lk-e, 7, c{ 1`Cl~ cat ei a r~ . VY\ y\ 5 $ SUBDIVISION SM~ LOT # SECTION_I/_TN-R~W, Town of ~O~ ~S ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTH NG WITHIN FEET OF SYSTEM 1 ~z7/ t g1A "I o 1 i i f INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: rx-p- Zo r ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: WJI~ Liquid Capacity: Setback from: Well House 16 Other Pump: Manufacturer Model# Size Float seperation i Gallons/cycle: Alarm Location, SOIL ABSORPTION SYSTEM Width: Length Number of trmmlius ~ Distance & Direction to nearest prop. line: Lpaw Setback from: well: House Other ELEVATIONS Building Sewer /0?, - ST Inlet; 16Y, ) Z ST outlet PC inlet OJI)q-' PC bottom Pump Off Header/Manifold /,0/,2 Bottom of system Existing Grade C> L Final grade >Iel V/, DATE OF INSTALLATION: 7 PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt t } I+ +Ai,~rs n Barth ~~rt~'u~si~y' 11 a 30,19 PK1RTE %Vk9t S STJ~Oth Aven ounty: Labor and Human Relations INSPECTION REPORT So„ety anif'Huildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No:: 20,9956 Permit Holder's Name: ❑ City ❑ Village IR Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: /G~ off, dc~ / Ar I# TANK INFORMATION _ ELEVATION DATA A9400083 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing /ri~ Aeration Bldg. Sewer olding St/ Inlet 6~, TANK SETBACK INFORMATION Stteoutlet 207 d' TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet rl Septic ~j0 k5 NA Dt Bottom Dosing NA Headert ~o3, sl' Aeration Dist. Pipe 7 ~9J ~d3, 3~ Holding Bot. System 4,75 Sls PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand i6~p Model Number PM TDH Lift Fri e DH Ft Fomemaln Length Dia. Dist. To well SOIL ABSORPTION SYSTEM BED/TRENCH width , Length No. Of Trenches No. Of Pits Inside Dia. Liquid Depth DIMENSION D DIMENSI SYSTEM TO P / L BLDG WELL LAKE / STREAM LE NG Manuf SETBACK INFORMATION Type Of 4, CHA umber: System: ( y/ UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) , x Hole Size x Hole Spacing Vent To Air Intake /i Length t_D Dia. Z Length /d/ Dia. Sparing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Sys my hed Depth Over 2O „ Depth Over xx Depth Of xx Seeded /Sodded Bed/ T~erh Center<3 Bed/ Tte"*4 Edges 36 Topsoil ❑ Yes No Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.)~~ 1 4< i .CtC'ATTON : merret. 11 .30.1 9W~. SW SW., T.ot 1, 160th Avenue T 1 Plan revision required? ❑ Yes Lr~`~o > Use other side for additional information. 1-7[e ~ . SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION E:7ZD~ILHO In accord with ILHR 83.05, Wis. Adm. Code 'COUNTY f GrotX STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 8% X 11 inches in size. Check if revisio to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPE TY OWNER PROPERTY LOCATION S ej^ C_ c r o e r 5141 t/4 w /4, s Tad , N, R 19 !Nor) W PROPERTY OWNER'S MAILING ADDRESS LOT BLOCK # e VOY'18 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER IS_T/al G VILLLLAGE : sptMrS~¢~ NEARE STROgD 11. TYP OF BUILDING: (Check one) El State/Owned ❑ IV,r ❑ Public 1 or 2 Fam. Dwellin" of bedroom PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) 03 p~ Oyo? - V,00 1 ❑ Apt/Condo 2 ❑ Assembly Hall 60 Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 80 Mobile Home Park 120 Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. New 2. El Replacement 3. El Replacement of 4.0 Reconnection of 5. El Repair of an O''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 8 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ in-Ground 42 ❑ Pit Privy 13F-]Seepage Pit Pressure 43F-]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./inch) , ELEVATION 4j y So Iaz 1S is y~ v S3.3 /03 Feet / 6 ~!s Feet VII. TANK CAPACITY Site in allons Total of Prefab. Fiber- Exper. INFORMATION New lExisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted F1 Septic Tank or Holdin Tank fQbb 7- Lift Pump Tank/Si hon Chamber F-1 1 [71 . F1 1 11 F1 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 Signatur . o Stamps) t#P/MPRSW No.: Business Phone Number: (cat - - oC.J-eP ' - -~-G.-- X5 63 3 7/S' a ~i/6 -S/fS a, Plumber's Address (Street, City, S~Zip Code): f GcJ t IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sa itary Permit Fee (Includes Groundwater ate Issued Issuing Agent Si e S ) I~O Surcharge Fee) ~n Approved ❑ Owner Given initial u- Adverse Determination 1-- X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, 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 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. a. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% 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 tarks; 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; (Jose 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) Al cl " ?6v\4 W. a5 a Y. 1rnr , 1 P ,off , LA ~ ® ~ Q Y`eSt a;s Sa r d¢ S ~'~k¢. 1 S,~ Corvu , ~ o S 4 Ei X03, w ~ io I v~ • 1 n ti ,C~► f p~I abq 3a3 jo 11.~r Sf,'~ a~ g ~ ~ , ~ .i ~ , . ~ ~ , Ir f i, c 1 i ' I ~ - _i i i k • .4' 1 i f ,e n ; ~ rt , R", t . . ~ , CroSS t)n t _Sw-S~JI 73a~9~J w c h wDr i' " x Froth Ali intet► And 0p►ervopon Plpe y Y/M/ MlMmwn 12•Aeeee Met Greee 20. 42e Abe•e pip., 4' Coot Iree TO final Oreea Vent Pipe 14re~ Ity Of Stnlholk t°.utny Lin 2' ApprepNe 0W41 Pipe • OI W levlton Plpe e e o -Teo e AOOtepUe 6e01ee1► Pipe ° Perleretee Plpe 6e1ev o -•C~,plnp TN~nlnotinp At aetlhn 01 t7►Ieet ' ProP 5 t D Pine-1 9r1%cl T.1cjJ Ion 11-lvzirm- ~wlll SOIL FILL DISTRIBUTIOI.I PIPE APPROVED S41JT1{C'TIC COVE 2°0F AGO REOME - MAT9R11%1. oR V OF STRAW, OK MARSH. HAy MEV, OF~_FEE•r_~,, f."•0 Rtz-2t~~ AGGREGATE ~P•Vw 3 3 DISrRIBUTICIM Piet: To bE AT LEAST _ INCHES BELOW ORIGIMAL GRADE ' AUV AT LEAS'TLO IIJCHES BUT {.10 MOKC THAN 42 IUCHES BELOW FINAL GRADE MAXIMUM DaPtH OF EXCAVATIOP F4011 OR16 Nq1, 6RI\DF- WILL BE ' 1vKIMUM 05P r1i O ExcAv INCHES F ATIOM rAO^ 0~I4IVJAL GROVE WILL BE ~ INCHES SIGIJCO: o LIGCLJSC LIUMBEIZ: S6 DATE: yy 9 -9 ~ 110 - DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTi3'~', DIVISION LABOR AND* PERCOLATION TESTS (115) MADISOP.O. BOX N W 5739069 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSH P/MU CIPALITY: LOT NO.: BLK. N SUBDIV SION NAME: /T NlR jq _tj 1 (114 COLIN Y: O NE 'S BUYER'S NAME: MAILING ADDRESS: ~b tL USE DATES OBSERVATIONS MADE Residence NO. BEDRMS.: COMME IAL DESCRIPTION: PR F D R P O S: ATION TESTS: New ❑Replace , 2./ - RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMEND D SYSTEM: (optional) ©s ❑u ©s ❑uT os ❑u ❑s au ❑s ©u ' If Percolation Tests are NOT required DESIG RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: s Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS G BORING TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEX URE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) ,G d B1.2 q19 5- A1411Z 424 r) ? d - B- ' ti p -,G?,~J/~ v~.~,~.JS•"/~o~~ -S'0 GWF~w ~9.gXKS .4iC rls~ 57~~8 E L/ a AISILE "Awe S B T I/ J 9d z z' B- B PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIO 2 P PER INCH P- P _ / 1 / P_ 9 P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all bor' 11h d' y and percent of land slope. - SYSTEM ELEVATION ^ 2~Jc~!/IJ~ - ~i~ osuel~ z , , ; S)i1Cr z _L jIJQ. G? S' 4;__1 Z111- I , dpi✓~S ~ _ ~y SO Se„"~r ~Z . X j~. / 3 I j ,/~fJ. ~ v ~o.~a , L/ p 1Go d,E I, the undersigned, hereby certify that the soil t is 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 (p nt): TESTS WERE COMPLETED ON: 1%, f - /U A ),A AD S: CERTIFICATION NUMBER: PHONE NUMBER (optional): /Z 72 1/_ CST SIGNA UR DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. L~ el.~s DILHR-SBD-6395 (R, 10/83) - OVER - 03/30/94 06:46 3M/CMD 050032 002 1 FILED ji This instrument drafted by Fran elaskmcek Frog, He. 20.11.1 OCT 081~1Q1e~ dRM~ ~ ONrMt L III 4'7396 aamla,w~ URTIFIED SURVEY MAP III r.ocAtcd in part of Lhp SWk (JE the SWh pis vection 11, T30Nt R19W, WTown of 444ytnorset, St.. Croix Cour)ty, wisconsin. it 0 N LEGEND Aluminum County Section Monument Found $ s In Iron Rod Found o le a 2411 Iron Pipe Set, weighing l.aa lbs. per linear foot ,o Roadway Setback line v 2 /OTIt A 75 feet building setback must be a maintained from the edge of pond. L , Y L ~ t ra OWNER 5.14137 ° e Mark fagerlend }?t!)0N. ps ~ WI/ CORNER or 1215 Second Street A SECTION 11 Hudson, M1 64016 ~..«.~••~,w1~~n * dry APPROVED 11 U-JL'LATTE.Q 1. ±"Jvq OCT P 8 1991 » Cr.*S1, cixxx tout y NeRrn LINE OF 11411 sw114 ur THE NWI14 AND "i81WiW&S01~. , - Ne9037'04"w f NBe• 7'04"W vAG Cwt 420.60' 4E0./9' 191 . all TEM FORARY CUL-Ot•mAC (sia OETAIL) N J t N 4t-41 J111, 'We so- to, C51 1.. • S ~ cryl ~'i i N ''Ab • O1 ~1b''V,1 i 1 n <1 N i !~;'I n or W ^ o t, Cpl ~ `tiM1 rrr . b~ m' Na9.24'90°W 4w r A, 114. t~" / Bs9.79 L:JI jf O `aw 4`6 '6. 330.Et' !2/.//' k LLJI I c.; W o; o `~o 3 POND a !I * I tt " a In GL I „ V P7 T p1` If ti ~ t7 • ~ q Y x M M S" 1: `iv _D...~'J• 09'69"[.. ....9f a.4Q......•. 1 a 0 ,as9•YO'4s"E_;•„raL9.4[` rfa9.0014/•[- T BOUT" LINE OF THE 9*0/4 1 sw COR"t of 160TH AVENUE accTIOloN a 1111,01111 CORNER oR SCALE IN FEET VOLUME 9 PAGE 2408 0 200 400 800 SHEET 1 OF 2 SH ET$ ~I tti p E eN l ..a ~S o. 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Ili Gs C Ct6aY$~C p moap~~on A a . ~ o w Cs~ r.c\~ gee ao p o ~c~i a !n n~ 0 o S ll [eq~e Nt S.rc,. ss3e lf~ n c- t r= rb dSonnsb :C • 0 S ~er s a M 6~p.5p Mlrh¢el ~ Aj y cTamcs ~ ~l ~ O ~ t ,v eta! p m >C,ti~ n'. a f y"jerar/u Bo 0~ 70 A.i Y. e w A 3 ~ O~Cn ~ sr R/.¢rd BO cam ; o y p°~ , U s ~ o ~ ~ 0~°0~ t@e%a ed p:rsrscl0. tort ~ F O o a rD rn3 n O~ psoa /and m b K,.~ m o` l no` m q G~~ "app OoAn Mysen a j 7 a m o p m0. OR__ C v' zeonTnnt s V a~ can G y ORBodrrc¢ A~P$a ~~3R . ~ X75 r,0 . n ~ ZORE P ~r N ~ a . Lowrenee m l O ~ cY p, y;~ Ib ~ py1 bQ] Made!/ ,w _a- A O h~ ~ N ~ ~R ~ x ~ 7R 7s H~t,y + H n ~ ~ p o p s n 3c ~n'~' c q of ' a g w p~ e ,•q . D Q M T 0. ~ c ~ A~ +t S ~ ~ Ei.,trsee rh c y ~ \ onilmnde. ~ \ p f 7ho~ sas ~r 0 ~ e~hfGmmn. SEE PAGE 43 £CJ 1500 1600 1700 1800 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER 4~ Ey ill G . S " 170 ECL- MAILING ADDRESS ~J 14Z A"~1~4 Ro at a L46-wt, G4ta A N , M N S S t-41 PROPERTY ADDRESS /(/O°7 -7O L1.1 5_77Z-QQ7 (location of septic system) Please obtain from the Planning Dept. CITY/STATE Gj0 M ~►'l•~7E"(" W t C7 PROPERTY LOCATION SW 1/4, SW 1/4, Section 1 { T N-R 9 W TOWN OF 'JO M 5 ET ST. CROIX COUNTY, WI SUBDIVISION GSM LOT NUMBER 7 CERTIFIED SURVEY MAP , VOLUME , PAGE , LOT NUMBER_ Vocr 0` 4'14 3 `i c 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 a ation date. SIGNED: C, 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 ~n delays of the ormit p issuance. development be intended for resale by owner/contr ctor Should this house), then Ia 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 Location of propertySbV 1/4 SW 1/4, Section T 30 N_R l9 W Township MSEsT' Mailing address GRAN Alw evStZ 1 1007 Address of site ~10 S77 _qftpC Subdivision name ~.S N1 Lot no. Other homes on property? yes X No Previous owner of property Total size of parcel -t- Date parcel *was created 'Are all corners and lot lines identifiable? __;s_,Yes ' No is this property being developed for (spec house)? Yes X No Pe Volume g51 and. Page Number 31 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 & 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. 45-SS-59 , and that I own the proposed site for the sewage disposal system) orreIe(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 County Register of deeds as Document No. S 3 S 4 , Signature of applicant Co-applicant Date of Signature Date of Signature y~1PAGE l~ 'I TNT.. lrACL R[B[RV LD FOR RfCORO1N0 OATH VOL oOGUMENT NO. " STATE BAR OF WISCONSIN FORM 11-1982'; LAND CONTRACT Ividad and Camara Ind to E USED FOR ALL TRANSACTIONS WHERE OVE , ITO B NON-CONSUMER I C Iltli,000 IS FINANCED AND M OTHER 483539 II . • ACT TRANSACTIQN3) REGISTER'S OFFICE Mark A. Fagerland ST.CROIXCO.,W! ReC'd for Record Contract, by and between ("vender", y MAY 10 M2 S............teven whether one or more) and -9 ;f at 8:30 A M ("Purchaser", whether one or more). - V ' Vendor sells and agrees to convey to Purchaser, u upon the prompt and full per- with the I1 0 R~isOF Deeds ! formance of this contract by Purchaser, the following property, together rents, profits, fixtures and other appurtenant interests (all called the a. "Property"), I - - -;i in .............SL ..C~r.aix_................ County, State of Wisconsin: 1 R[TURN TO Part of SWh of SWh of Section 11, Township „ 30 North, Range 19 West, St. Croix County, Wisconsin described as follows: Lot 3 Tax Parcel No of Certified Survey Map filed October 8, 1991 in Vol. "9", Page 2408, Doc. No. 474396. „ n ~ a r' is - _ r ~ 1 III This i3 nOt < homestead property. T . „ 4 - (is)- (is not) w Purchaser agrees to purchase the Property and to pay to Vendor at .....place ..Vandor...dizacta1 r in the following manner: (a) 1.,-50A-D~0......................... the anm of at the execution of this Contract; and (b) the balance of;.... 13*50Q..OII............. together with interest from date annum hereof on the balance outstanding from time to time at the rate of....... 911211t••-•-••••-•--••-••-••-- per cent per until paid in full, as follows: Commencing June 15r 1992 and on the fifteenth day of each and 4i every month thereafter, equal monthly installments of principal I! and interest in the amount of $129.01. ,R _ • . 4~,,. • '15th Provided, however, the enti a outstanding balance shall be paid in full on or before the 1.5th day of r., 19..!7. ( the maturity date). r. r-.. May Following any default in payment, interest shall accrue at the rate of.....:..... % per annum on the entire amount rs in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire. 1 balance). - principal • ' Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due. To the extent recelved.by Vendor, 1. payment of Vendor agrees to apply payments to these obligations into an esrow fund or utrustee account, but shall noto bear interest fazes, assessments and insurance e will be deposited - 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 I - amount may De'prspsid without premium or fee upon principslx at any time am.Xxxxxx' i~ ~~cy6x~o7~iriFxi~3~atoY►xxtK~~f~ In the event of sny prepayment, this contract shall not be treated as in default with respect to payment so long ri as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated ,..,i as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been t .made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds• i1 • , ~r of insurance or condemnation, the .condemned premises being thereafter excluded herefrom. 'a Purcbaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: Land, Contract between Farm Credit Bank of St. Paul and Mark-A. Fagerland dated December:15, 1989, recorded December 27, 1989 inf. Vol. 859", Page 434„ Doc., No. 454469.' ; 71 Purchaser agrees to pay the cost of future title. evidence. If title evidence is in the form of an abstract, it shall of coos ng-• - 1>i. ' be retained by Vendor until the full purchase price is paid.' ~t purchaser shall be entitled to take possession of the Property on....... aaY.-- •CM" Out Om 1 Y-tttt WiLeonLln LeOa; Monk Co. Ira. t FORM N~llrilfe?NSINt.` r, ^ K'Y Jdnvauk@o4 WLa. ar•...~ 4pogi~i.dl1 LAND t;pN1ALACT-iaal.Idnal and s-'+ STATE +yy• ~~.J~1~+~ `fir • _ z ~,,r.. b. . rY' a..~• '.y,,..v ~.r• : -r ~NC~9•'w,Tlri,d 2 "NA ••0. itL•,. -1 _ '-ti. L,tiy . - < . ' ..5 $ 'x ,t•.. _ • r J 1 . • VOL 951PAGE 138 • Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest in it and to deliver to Vendor on demand receipts showing such payment. ' 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 may require, without co-insurance, through insurers approved by Vendor, in the sum of j.....D14 but Vendor shall not require coverage in an amount more - than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original + of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to i insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration 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 and 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 7 the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except i F ' any liens or encumbrances created by the act or default of Purchaser, and except: j easents,t_._restrictions .and rights-of-way of record, if_.anx_. _ 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 A.0... days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of.AQ.. 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) Vendor may, at his option, terminate this Contract and Purchaser's rights, title and interest in the Property and recover the Property bat • through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding balnnce, 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 i paid by Purchaser shall be 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 i 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 remove this Contract as a cloud on title in a quiet-title action if the equitable interest of Purchaser is Fsignifkant; 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 finder (fi) 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 Vendor incurred to enforceany 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, 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 ar 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 1 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 immediatelydue and payable in full, at Vendor's option without notice. 3 Vendor shall make au payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under a..y note secured thereby, provided Purchaser ? makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to Y 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 Purchaser. All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the '1 deed to be made in fulflllment~ a qo, ) D day of . ....Ma.....................------... ~i!h L%....... (SEAL).'.... (SEAL) Mark A. Fagerland a Stevan C. Schroeer i .........(SEAL) :................................................................(SEAL) Y; AUTHENTICATION ' ACKNOWLEDGMENT e a d x , Signature(s) MAX'.15.................. STATE OF WISCONSIN ~i Steven c. schroeer se. . ..................County. authenticated this 1G J...day of----- MAY 19._.9A Personally came before me this .............:..day o ` 19 . the above named . 111!;;~~L .ina_-Ogl•and---:.: - • n TITLE: MEMBER STATE BAR OF WISCONSIN .;f (If not....................... - ° • authorized by 1706.06. is. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the. same.. , THIS INSTRUMENT WAS DRAFTED BV~ .~l.. Kristina Ogland• • ...Attbfn fir.. x _ r..:....t 1- C. , Wis. s - ' Notary Public Couptration ' ' (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) -7 , date : 19 ) 'Names of persons signing in any capacity should be typed or, printed below their signatures. , r.LNt• I'flN'1'N a~"T'_t..a,.~a...~ ...t r-....-. a, w-_ _i s•.~.,~~r.__.v. ~ ~