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036-1042-95-110
a C 0 Q 0 Q 3 O ~ O O 0 fA 0 'J bQ O N N 2 C 0 0 O CO U) O O L N w I', 3 0 C r d O U w o 0 0 75 In O N E m j : L i a m E a 3 7 CD S o ai c cc ya U rn c c o ai oU)~ ° c z 2 ~ z° a 6 7 o~ o ° T 3 m ,o E 3 m C- -00 0 r LL CO CO LL 00 3. c N m c o- E o =o x o r~ :3 00 7 a) •O C N C C O Q a s Q 7 Fn 7 m L U O M O O C E U) o = ° v £ ° ° z a CO a m ao ~ Z C ' o C C7 co O Z d c C ) ou) Z c o o 91 CD N F Z v _0 M O N 7 0 co N (D [~,'~^J N N n N N C •A~ N s L O CL IL co ~►i O ° c o ~ = 0 a) Q o Q Q zmz z z z 16~o N 0 £ C N CL a w o a w V c W f~ n y i N T O W d i m` O ,V G C CL L . O O 'c a a m CO Z LO H H H H F ' o > O O O n m -60 0 0 n a z •N aaaa oaaa a 0 E p N L v v LO LO N J U rn rn z 3 rn co Z N N 0 0 0 N r Z Z a d 0 0 3 c E p o m co F 3 v, aa) 3 o u c: s as _ ~ d Q ~ _ ~ d Q ~ U) Q 04 N C 0 N N C U) Q O p O III ~ O CO N UL, 3 0 U O O m 0 c L03 00- C) y m N U) 0 Oa CL 0 f0 +C~ '6 N V p n -°i c oo oo o c co 0 c m o co c 'J` LO N IL- H ~ a00 o mo ~ N M 00 0oo ai E E E a) o N m o ~ L) • y' O (n N O y -7 M W (O O Z N= Z v v v~ w ~o da a d ~t a a m a w • «t a ar I, ~ ~ c ~ ~ o r`iwV y 0 c a o c ci n. 2 O m v 0 U a v ) DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 ned) D. Number Plan I XXCONVENTIONAL ❑ALTERNATIVE (IStfate assig assigned) .D. ~ Holding Tank El In-Ground Pressure El Mound I - i RECONNECTION NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Ma k Emerson R. R. 3 New Richmond X1 54011 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.. NW SW, Section 18, T31N-R11w, Town a Stanton Name of Plumber-. MP/MPRSW No.. County Sanitary Permit Number: Cat Poweu 1563 St. Choix 69689 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.. TANK OUTLET ELEV. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO ❑YES ❑NO ❑ NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH BEDDING: VENT DIA,: VENT MATL.: HIGH WATER ALARM FEET FROM LINE: AIR INLET: YES ❑NO ❑YES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER JBEDDING. LIQUID CAPACITY 1111111 MODEL. JPUMP/SIPHON MANUFACTURER. WARNING LABEL hPROV COVER PROVIDED: D: ❑YES ❑NO ❑YES ❑NS❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONALNUMBER OF PROPERTY WELLVENTTOFRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET: PUMP ON AND OFF) ❑YES ❑NO NEAREST- P SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing NGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH: NO. OF J DISTR. PIPE SPACING. COVER NSIUE CIA #PITS'. LIQUID BED/TRENCH TRENCHES MATERIAL: PIT DEPTH: DIMENSIONS ~ FOPERTY WELL: BUILDINGVENT TO FRESH L~ .r I„ FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. DISTR. NUMBER O11LR BELOW PIPES ABOVE COVER.. ELEV. INLET ELE V. ENDFEET FROM INE: AIR INLET: NEAREST ► MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. ❑YES ❑NO SOIL COVER. TEXTURE. PERMANENT MARKERS. OBSERVATION WELLS. ❑YES ❑NO ❑YES ONO DEPTH OVER TRENCH;BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED. SEEDED-. MULCHED: CENTER EDGES. ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: NIDTH: LENGTH. NO. OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER. BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR PIPE JMANIFOLD MATERIAL: NO. DISTR. ID ISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.. ELEV. CIA. ELEV. PIPES. DIA.: ELEVATION AND DISTRIBUTION -TOLE SIZE HOLE SPACING. DRILLED CORRECTLY. COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION PLAN: ❑YES ❑NO ❑YES ❑NO WELL: BUILDING: COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY I J FEET FROM LINE: ❑YES ❑NO ❑YES ❑NO NEAREST- Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TITLE: DILHR SBD 6710 (R. 01/82) m Wisconsin APPLICATION FOR SANITARY PERMIT DILHR _COUNTY - inouSy.LRB F (PLB 67) UNIFORM SANITARY PERMIT # nOLISTRM, LIiBOR 6 MUTRn RELFiTIOns 6 9~ ~ 9 -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/2x 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROP RTY OWNER MAI NG ADDRES PROPERTY LOCATION CK-A: il~d 1/ N, R/ ,~(o0&V VIL-~rGE: 1/4, S TOWN OF: LOT N MBER BLOCK UMBER SUBDIVISI N NAME 7EAR7 T ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER TYPE OF BUILDING OR USE SERVED A 1 or 2 Family Number of Bedrooms: ❑ Public (Specify: THIS PERMIT IS FOR A: ❑ New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System X Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. Seepaye Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity ,t t ~X ~1 Lift Pump Tank/Siphon Chamber Holding Tank capacity manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): ❑ Private X Joint ❑ Public 1, the undersigned, hereby assume responsibility for installation o rivate sewage system shown on the attached plans. Na of Plumber rint): Signat r MP/MPRSW No.: Phone Number: -/Z I &2~e I Plum is Address: )j_ Name of Desig r: s COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved ❑ Owner Given Initial ~}d ✓ /Dr ~0 6> ly Approved Adverse Determination Reason for Disapproval: 00, Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 f To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this`is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. APPLICATION FOR SANITARY PERMIT STC - 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 ems- r $ n N S Section , T N-R~ W Location of ro pertt y , r- Township S n 3 Mailing Address/ Address of Site u t~ 3 ifs G~ Subdivision Name Lot Number Previous Owner of Property Total Size of Parcel JCtC r < Date Parcel was Created Are all corners and lot lines identifiable? t~ Yes No Is this property being developed for resale (spec house) ? Yes No Volume and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warranty Deed which includes a Document number, volume and page number, and the Seal of the Register of Deeds. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION I (We) ceAti.by that att statements on thus bonm ane true to the but ob my (ouA) k.nowtedge; that I (we) am ( ahe ) the owner (s) o j the pnapW y de s ch ibed in this inboAmation boAm, by viAtue ob a wa Aant deed neconded in the Obbice ob the County Reg.usten ob Deeds as Document No. ; and that I (We) pnesentty own the proposed site bon the sewage ddsspos system (oA I (we) have obtained an easement, to nun with the above desn.ibed pnopehty, bon the constnucti.on ob said .system, and the same has been duty neconded in the 04jice ob the County RegisteA ob Deedd, as Document No. SIGNATURE OF ~OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) s DATE SIGNED DATE SIGNED DOCUMENT No. WARRANTY PEED f THIS SPACE RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN,, FORM, 2 -1982 REGISTERS OFFICE Mark B. Emerson and Janine Emerson ST4 MIX Coq, WIS: ii ____..husband__and_ wife.__as..joint _ ten-- R~,~ his 4th Y - da of 2 A.D.1985 { I conveys and warrants to --Gerald _ E. Emerson__and Emiline at 12:10 P o.___EmersQ u-sl~ansl---a.Ud___Wi_fe___as_..1o_~nt __t_enAn-t_s__ James O'Connell BOWW of 06Q1 ?i RETURN TO - the following described real estate in S_t~.'__ 1. g CxQa..X County, State of Wisconsin: Tax Parcel No- Lot 1 of`'Certified Survey Map, recorded October 2, 1985 in Volume "6" of Certified Survey Maps, page 1586 as Document No. 405755, located in the Northwest Quarter of the Southwest Quarter (NW4 of SW4) of Section Eighteen (18) Township Thirty-one (31) North of Range Seventeen (17) 1 West. j r is not !I This homestead property. (is) (is not) 1. Exception to warranties: Subject to land contract from Charles J. Ulrich and Victoria L. Ulrich,-husband and wife, to Mark B. Emerson and Janine A. Emerson, husband and wife, dated June 20, 1984, recorded l June 21, 198 l'n Vol. 690, page 629, Bo went No. 394256. Dated this ire day AC~Qt~er-•-------------------------- 19 85--. -----------------------••---------•-------------•---•------(SEAL) (SEAL) ~ Mark B. Emerson i i •---------------------(SEAL) - - (SEAL) * --Jan-ine- A.---Emerson----------------------- - I AUTHENTICATION ACKNOWLEDGMENT Signature (s) Mark B. and Janine A. STATE OF WISCONSIN Em rson SS. - - St. Croix ~a- County. au Cate this __J~_.day of------ &~t:________- 19__6r- Personally came before me this __3rd------- day of October 85__. 19-••• the above named Mark__B.__ Emerson__and__Janine_.A co-t A• N.ee~-dham ----Emerson----- MBER STATE BAR OF WISCONSIN (If not, - authorized by § 706.06 j i , Wis. Stats.) { to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .~eznstxa...--._V_an..D~rk_._&__lIe>adhaw.,---5-•-C-• i New Richmond WI 54017 St_ Croix t Notary Public --------------County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: 2/2IIA-6------------------------------ 19--------•) ! .Names of persons signing in any capacity should be typed or printed below their signatures. I Qhti'1 STATE BAR OF WISCONSIN K'! M,lb,Icmi-,-g 1;•~ I 2 - 1982 Stock No. 13002 z H a STC - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County z d a _ 1 L. .~r r H OWNER/BUYER ROUTE/B-&X tTM$ER Fire Number CITY / S T AT E Ne 4,c) 1 yv e n1 d n S /&Z I P 5 D / ~2_ PROPERTY LOCATION: -14' Section , T_Y/ N. R/_W, Town of S ~cc ~D d1 St. Croix County, Subdivision Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treat- ment 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 systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. H 0 E z I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with H the standards set forth, herein, as set by the Wisconsin Depart- 'b ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED 4 DATE/ - ~S I St. Croix County Zoning Office P.O. Box 98- Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. d O O N L •o 0 C 075 cm 0 O'D C _ O! m N a C U' O v_1 N ~N 'C 'O C C cc O co 'D 0-0 Nmcrn>m ~oN F- m rnv° eo .o ~ c m C t C N+ C 4) 0. E C cc cc tv Lf W D ~m3cimv °ccd.T d V~ c-30cccLiNO ~U) Or OL a~ v Cc ~ c y 0 NM o 0, Q vtma~C mNV o cc 4' Z G cm U 3 U cc fL- N Q N3CoN 0 c V~ ' N p r-.0 0 p a 0) y cc c d O L- 0 O cc cc O D U O a i 0 N j4) _ p Q-N p N p C7 09.0 Cf N Q C cd 4) y~or'•o ~~o cc N ct.» o 0 o c c rn p L c c coi O e0 O N O tm i V t c O t i 0 U O r0„ C 0 N N N L. a co 5 a_ cc c0 _N Y O d 3 0 a CD jr.--0 m~ C O a o Co - 4) C O(D N C fl d Y p 0 c Z Y N o 7 O i W ? cots rna E~ o a C O D U Y y d; 3 O C O i N C O~ cd N m O O EN con v~i~:~ H a: 3 ME C OI J fA C DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR BOX HUMAN REDLATIONS PERCOLATION TESTS (11J) MADISON W 53707 ` (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/M ALITY: LOT N .:BLK. SUBDIVI ION NAME: T-31 N t (or COUNTY: OWNER'S BUYER'S -AME: MAI ING ADDRESS (5-4& 2 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMER IA DESCRIPTION: PROFILE DESCRIPTIONS: ER AT ON TESTS: Residence ❑ New ❑ Replace RATING: S= Site suitable for system U= Site unsuitable for system JU r C07 STI❑U . M®S. IN GR UNDPRESSURE: SYSTEM-I©ILLHO~LD NG®NK: RECOMMENDED SYSTEM: (optional) S DU I-Ij If Percolation Tests are NOT required DESIGN RA E: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: j` PROFILE DESCRIPTIONS ~i BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH I ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 7 7 y D B- a~ B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD I PERIOD 2 PER1003 PER INCH P- P- P- P-_ P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable so I areas. Indicate scat or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show th syf f ce-*vation a all borings and the direction and percent of land slope, k~ SYSTEM ELE"TI N /t 3 + j tN l i Bpo 7;j ~X,66prl'T'ioJ [ i VVVV ~ j( 2 ~m ~ 3 ~ " ~ t - - w~ s , I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and method difi€d 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. NAMF,.(prir 0: TESTS WERE COMPLETED ON: C '1~ Z - CERTIFICATION NUMBER: PHONE NUM ER(optional): CST SIGNATU E: id one copy to Local Authority, Property Owner and Soil Tester. - OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - SRD - 61395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2 The rase section must clearly indicate whether this is a =silence or commercial project; 1 MAXIMUM n,.rn-!. -r of bedrooms or commercial use in d; 4. Is this a new :ement system; 5. Complete tk y rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYS RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use t ` eviations shown here for writing profile descriptions and completing the plot plan; 7. 1AKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A _ ate sheet: may be used if desired; s : your benchmark and vertical elevation reference point are clearly shown, and a rrmanent; 9. C _ all appropriate boxes as to dates, names, addresses, flood plain data, per exemp- tie r oriate; 10. If the i ' i (such as flood plain, elevation) does not apply, place N.A. ir, tl .~a box; 11. Sinn the << r, a,,d place your current address and your certification number; 12. Make iegi' le copies and distribute as rerluired, ALL SOIL TESTS MUST BE F ILD WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Sol S `es and Textures Other Symbols st Sk'ne (over 10") BR - Bedrock cob - Cobble (3 - 10") SS - Sandstone gr - Gravel (under 3") LS - Limesto *s - Sand HGW - High t , cs - Coarse Sand Perc Perco'. med s - Medium Santa W - WWII fs Fine Sand Bldg - Br Is Loamy Sand > - C,Than 4sl - dy Loam l - L an *1-L Bn- l" ~sil - , L_arrm BI - I si - ; Gy - G *cl - Clay Loam Y - Y `ow scl - dly Clay Loarn R sicl - Si Clay Loam mot - i ties sc clay w, 1 sic _ fff - few, finr, `e - CC; comMI: Pt mm Many, rr m d - distinci p - prominer HWL - High wa avel, Si•x _general soil textures stir for liquid waste disposal BM - Bench VRP Vertic I TO THE OWNER: T 3I,} A'17A S/or ~ 1 A' 1fS 7s / f>S~ ~ I I I S~ I 9. . Parcel 036-1042-95-110 01/25/2007 03:25 PM PAGE 1 OF 1 Alt. Parcel 18.31.17.270A-10 036 - TOWN OF STANTON Current _XST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner 0 - VANG, CHING CHING VANG 2141 HWY 65 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 2141 HWY 65 SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 10.190 Plat: N/A-NOT AVAILABLE SEC 18 T31N R1 7W PT NW SW LOT 1 C.S.M. Block/Condo Bldg: 8/2127 10.19AC (ADD'L HISTORY 866/487) EXC PT/HWY PROJ 8936-06-21 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 18-31 N-1 7W Notes: Parcel History: Date Doc # Vol/Page Type 05/19/2003 721908 2245/141 WD 1158/355 WD 1078/490 WD 1017/345 QC 2006 SUMMARY Bill Fair Market Value: Assessed with: 166651 223,600 Valuations: Last Changed: 05/05/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.190 27,000 161,200 188,200 NO Totals for 2006: General Property 10.190 27,000 161,200 188,200 Woodland 0.000 0 0 Totals for 2005: General Property 10.190 27,000 161,200 188,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 123 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 30 H co U) [A 3c ,n to to H CT1 m ~rl:c m M0 n c~ ~H+ p < O O o a z h z unn2latted_lands 7d z r 0 C 0~0 O ~4 O WEST LINE - SW 17T.N. 1165" rn l rnm rn NOO-11-431-E 979.431 z w 979.50' 00 h w J(A IOU o :o 0 0 o cn - w >C r N z I X - ~ ~ 00 Oh O t,n N r w cn I O H --I En CD 14 rn 01z nO1z z a czi 1 r w~oLo° ° x F-' rn r r to ~u tn w a O ul - H 1-1 En ~4 z w L M r 0) H r N w y ror 487.36' x W W W 00 H d Icat rn S02009' 22"W z r C d H 1(+ co r En c~ a z a ~r ~yM p 7D w °v N 493.64' N ~ y I~i N S00033143"W u o '4 1 ~ '=1 z o N x x C"") p H m C m 7 N z ' ° ~CIOj unplatted lands z \ r y O m T rn r d - w M A7 O ' 711 7 n k : o h i O r m y BEARINGS ARE REFERENCED TO THE WEST LINE J~ OF THE SW '1/4 ASSUMED TO BEAR N00033' 43"E . ~ J + v 1 U1 H t11 u) h A N C-) H H ° ~ °z H o x co ~u y H O w z 1 r lJ N V G 00 O rri rr Z~1h nJ► h7 N m x1 z z> t" t- r m H w t+7 C~ d 2 H En tcl n x En a C% -4 1-4 H z c~ 14 ~ - 0? LS - S9 'ou qof Jai49Z sel6noO 6q pe4juip 4u9mnj4sut st41 h 09 0 0£ 09 09 = „T 1333 NI 11VOS 43TJln etJOPIA pue S8I,1e43 mo,14 •0 • Z LiOhS 'tM 'puomyata naN h£i Xo8 £ 'la NOSN3N3 3NINVf 3 mHvw d3NMO '3u£hl££o00N ,1e9q o3 pamnsse h/1 MS ay} 40 auT1 ;sah ay; o; paaua,iala,i SOUT iea8 '13S 1003 HV3NI1/S81 89'1 0 9NIH MM 3dId NONI uhZ X ui Q0931 (sat; ,,01 J0ASn,lnS 44uno3 SOS) N 81 uo1}aaS Jou,loo MS ~a}}eId 'Iq aun-------------- P o _ S ue - P I Pa34eIdu n +00'0Z£ '98Z 31'hS1ISo£8S J + I a+ ~i , a 1 "Cl I NI CI s+ M/8 9NIO0 13X3 (S9,10e S£•I) 33 'bs 8L9'8S ci W M/H 9NIanlONI (sa,lae OS'I) •44 •bs Z9h'S9 All 'O1 u) _ Wii_ ZN I O N ~t M ~D I .t M V R' O uP .'t I"! d t a Ij i^ IA M I trf N O+N 00 O O 1 O y . to N 1 t/) C T 101 N O 1££ 1££ i38'98Z 19 9 +00'0Z£ ~fenani,l k1jeflol MutsIso£ 8N P 191'££ uommoa IM 6•, ~a33etd';I9-PauMO-s-pUei p044eidun `Nosana I I ~ $ O M LOb~~ C ah N30VHAN M Q P~ '3 N311V (sat3 X03 Jo+tan,InS A4uno3 aaS) ~i*Pj6 9 00 ~a81ooot;aaS h/i M 'NISN03SIM 'A1NA03 XIOd3 '1S 'NO1NVIS 30 NM01 'ML18 'NI£1 '81 NOI133S A h/1 MS 3H1 d0 h/T MN Hi 30 Md NI 031VO01 ddW Ahus a3IJIA33 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER V ieS5 e- ADDRESS e<S SUBDIVISION / CSM# LOT # SECTION T~N-R~ W, Town of Jam/ Ae ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM X40 hr l r r / COl G ~ INDICATE NORTH ARROW i ~ I Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. 1 BENCHMARK: c> Sic ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity :~Q Setback from: Well moo / House Other_ Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length if0 Number of trenches Distance & Direction to nearest prop. line: Setback from: well: ZO / House Other ~ff~.z ~Fr /.7^ S^ ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold 7 Bottom of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt L ~ party rl$d~ 'r; tty7 8.31.17W'PIffATREA&9'9%T9N County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division . (ATTACH TO PERMIT) Sanitar it Poly. GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village X Town of: State Plan o.: Stanton CST BM E v.: , Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9400081 5 a3/9~( TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic C'. ~ Benchmark a r7 0, 66i Dosing Aeration Bldg. Sewer B' Z 93, 3 7 Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet /D 87 TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom i r Dosing NA Header / Man. Aeration Dist. Pipe G3~ 9/ Sy Holding" Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufactutet- Demand j6✓~ 0 ~ Model Number M TDH Lift Friction Sste t L Hyea Forcema' ength Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT f Pits Inside Dia. Liquid Depth DIMENSIONS Q DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING ufacturer: SETBACK INFORMATION TypeO CHAMBER v2 70~ ~ ORUNI el Number: System: DISTRIBUTION SYSTEM Header /Manifold i Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length lb Dia. Length 11E Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Depth Over „ Depth Over r/ xx th Of xx ed / Sodded xx Mu c e Bed /Trench Center s Bed /Trench Edges 412 - -5y Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Stanto .18.31.17' , NW SW, Yighway 65 r' -ZC G' 09-7 Q_W esw Plan revision required? es ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION DILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY Gro i STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than `O ,'1~ 8% x 11 inches in size. ❑ Chec 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 PROPE 4TY LOCATION o CT,~5 e, 610 Y4,Sy/j"" T N,R / ;7E PROPERTY OWNER'S MAILING ADDRESS S ^ LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER c 11. TYPE OF BUILDING: (Check one) F] State Owned VILLLLAGE NEARES OAD N OF ah/off 6 ❑ Public 91 or 2 Fam. Dwellings of bedrooms A u III. BUILDING USE: (If building type is public, check all that apply) © fO lp ,*R 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 80 Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. El New 2. ~ Replacement 3.E] Replacement of 411 Reconnection of 5. ❑ Repair 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 IQA Seepage Bed 21 ❑ Mound 3o ❑ Specify Type 41 ❑ Holding Tank 12 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. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED ( q. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 0 co - Feet Yj~ Feet CAPACITY VII. TANK Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tans Tanks structed Septic Tank or Holdin Tank G,J G Lift Pump Tank/Si hon Chamber Ej F-1 F] F] F] F] VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's a (Print): Plumber's ture: (No Stamps) MP/MPRSW No.: Business Phone Number: Plum er' ddress (Street, City, State, Zip de): r IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sa ' ry Permit Fee (Includes Groundwate Date Issued Issuing Agent a Stam Approved El Owner Given Initial Surcharge Fee) ~?2 rse Adv Determination (,J X. CONDITIONSPROVALIqEASONS FOR DISAPPROVAL: G~ SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety 8 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. 4. Changes in ownership or plumber requires a San tary Permit Transfe,/Rerrewa! For 'n (SBD 6399) to be >ubmilled to the county prior to installation. 5. Orr-site sewaye systems must be properly maintaiixe;a The septic tank{) must be Fu ;sl++sd by a licensed pumper vihenever necessary, usually every 2 to 3 years. 6. If you hPve questions concerning your onsite sewage system, contact your local code adrn-nistrator 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 n ;mber(s) of where the system is to be installed. If. 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 41.7. VII. Tank information. Fill in the capac ty of ev-.3ry new and/or existio.g, i a k, i€ct the total g3"111 )n1s number of tanks and , ianu'acturer's name. Ir dicate prefab or site constructers n-i `ank material. Cornplf:te 'rot all septic, ,:::r:k~!s;p'hon and holding tanks f o, this system. Check exfrc,rirre etal e.pprova cn!, if ranks received expenrrr-. ; product approval from € ILHR. Vill. Respcrosihivity statement installing piurnh,,tr is to fill in name, !ic,eose oolnbe+ with appropriate prefix (e.g. MP, etc.), ?ddress and phone number. Piu giber must sign application foam. IX. County/Department Use Oniy. X. County!r_ ce .artment Use On,y. Cornp;etc pigns and specifications not w.,!..Oer than 81/2 x 11 inches mt;st be submitted to thi f-ounty. The plans rr;r:1-<3 iaiciude the following ,-io! plan, drawn to scale; with coy-;plete dirne c:is lo.7'Eon of holding ls,=; septic tank,~1 yr c.,ioer treatment Larks; buildir~ kat~ is r~;, 4r tea service; SlrNelrTt< .#rv t iak4;ti; pi!rrq; 47i siphooi tank4 distribution boxes; sof, i --zi:, 4:or? ~Yst'ern- -e-d- t i t system .:.>catiori of the bi,i ':ng .we,.~:-,c1; 3) hcrlZUntai ar:f' ,rrt~.;4 YiP,,!Jr .~.f::-`~c-,:{'F• 1;,.inns. C) compiele specifications for pumps and controls; dose volume; elevation difference: ; *r ic, i;;n 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 cr:ation of surcharc;es,(fees) for a number of regulated practices which ran ('1160t giMUndwater. The rrion€es col`ected through these sl-cha ess ea(, f Ft for o i'oe iti j grG` E "I+A' ~to-?r Cir');. ri water contamination irivestigafir_kns and c:statriishrner,. of iar-dards SBD-6398 (R.11/88) 74- I Ali' / 3 ~ ! yb I VIP 36` ~ ~~p e Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of Lapor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY r y Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but r (r, not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCE I.D. # dimensioned, north arrow, and location and distance to nearest road. 036 -10 '13 I0 100 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPER OWNER: PROPERTY LOCATION e SSA v 5 Z GOVT. LOT M U3 1/4~U)1/4,S T31 N,R E (or PROPERTY OWNER':S MAILIN AQQRESS LOT # BLOCK # SUBD. NAME OR CSM # W S, r CITY, STATE ZIP CODE PHONE NUMBER [:]CITY ❑VILLAGE 9TOWN NEAREST F~9Q, i rn n ton ! 7 C7 iS) i&' X07 ArL1 0 Gc7 [ ] yl- New Construction Use [9] Residential / Number of bedrooms [ ] Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow 60 0 gpd Recommended design loading rate 7 bed, gpd/ft2__trench, gpd/ft2 Absorption area required T57 bed, ft2 7.5'V trench, ft2 Maximum design loading rate 2 ed, gpd/ft2_. !51 trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations Parent material 6`~1 4 Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem S ❑ U 5t ❑ U l YS ❑ U IBS ❑ U ❑ S ❑ S Q1 I SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench s-' S•- IN c2 tii~ / <z Ground 6-f -0 5o/ /a elev. y~5 ft. Depth to limiting factor y 7 Remarks: Boring # Ground 42 /yEi6t. I ~ I A. oo, Depth to p , limiting factor Remarks: ST o CST Name:-Please Print Phone: X 7~ v } 1 ~J/~ ~~Jr/ Address: s t0 o Z S G Signature: Dat : CST Number: 22 PROPERTY OWNER c'`-40 -f- &"0 el SOIL DESCRIPTION REPORT Page of PARCEL I.D. # GPD/ft Depth Dominant Color Mottles Texture Structure Consistence Roots Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Boundaq Bed Trench "q /eyX 4i Ground 3 3(-` _ f r !X S elev. y~g's Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # t:4t• Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) LOT PLAN f?,R/ECT~SS ADDRESS _21411 -.1 w 6~~ f ` 1/41/4/, ~/T N/R TOWN ~ 17 o COUNTY MPRS Byron Bird Jr. 3318 DATE - o - bEDROOM? CLASS PERCya CONVENTIONAL IN- ROU RESSURE CONVENTIONAL LIFT__ MOUND- HOLDI G TANK SEPTIC TANK SIZE --e.) LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE ABSORPTION AREA PERC RATE - ~ BED SIZE 1, Benchmark V. R.P. Assu e Elevation 100' Location of Benchmark s~ l ~el^ - M Borehole Q Well Scale = Feet O Perc Hole System Elevation Uent 12 - de TYPAR COVERING 2- 12" 3' 4 6' O 3', 3' O 3' 3' O 3' 16" Sewer Rock 12' 18, 24' yr /Grn c_ ®Y V 4i L~c^- 7-1 Q~ STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County `lo e L, OWNER/BUYER -Te _55 y MAILING ADDRESS PROPERTY ADDRESS S4- e (location of septic system) Please obtain from the Planning Dept. CITY/STATE GJ 1 Ce AWe"L i PROPERTY LOCATION 1/4, 1/4, Section T ' N-R _~_Z W TOWN OF 11 ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUME 04, 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, of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: DATE: - - St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 t S 1 C - 100 This application form is to be completed in full and signed b the oWner(;; ) 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 \It S t Location of property cal/4.54L/ 1/4, Section/ ~ T,1G__N-RZZW Township Mailing address / c /have ~ 3?/0/ Address of site Subdivision name Lot no* Other homes on property? Yes-Y-No Previous owner of property h Total size of parcel !1 c `5 Date parcel was created 1lC Are all corners and lot lines identifiable? _'X Yes No Is this property being developed for (spec house)? Yes No Volume `Land Page Number of Deeds. as recorded. with the Register INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARIZ.A ITY DLED which includes a DOCUMENT NUIWER, VOLUME AND PAGE, NUMB R & THE SEAL or THE REGISTrR OF DEEDS. certified surve In addition, a y, if available; ;would be helpful, so as to avoid delays of the reviewing process. If the deed description referencas to a certified Survey Map, the certifie shall also be re Survey u 9 d ired. Map 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 the property described in this information form the owner(s) of warranty deed recorded i ~ by virtue of in the office of a Decd; th as D the County ocu ment No. ,2 Register of own the proposed sit , and that I presentl we obtained an easement , to run thew above descri b dst r er•ty ( fo r the construction of said system, and the same has been duly records in the office of Count duly No. Q Y Register of deeds as Document Sign Lure o ap~ cant Co-appl cant f Date of Signature Date of Signature S6G4li"7 DOCUMEN I No. STATE BAR OF WISCONSIN FORM 11 - 1982 THIS SPACE RESERVED FOR RECORDING DATA LAND CONTRACT Individual and Corporate TO E USED FOR ,000 IS FINANCED IANDIt N OTHER NNON-CONSUMER ww/►N~~eR/~ 457052 ',i5 ACT TRANSACTIONS) hCGI]7T„ ST. CROIX Co., wi Contract, by and between Mark B. Emerson and Janine A. Reed far Record _ _ Emerson, husband and-wife as 3oint tenants,.............. APR Q 2 990 ("Vendor", tllt 8:00 A M Jesse Voeltz and Karen L__ Voe _tz, whether one or more) and.... - husbaxul. axLd_ ~~---~5_ l__~?ropert,--with----- __of - ("Purchaser", whether one or more). RlgldKOfDel~! Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance of this contract by Purchaser, the following property, together with the rents, profits, "fixtures and other appurtenant interests (all called the "Property"), i County, State of Wisconsin: RE, RN TO in----- S-t.-_C1X X--------- Y SoM 2S~7- , Tax Parcel No- Part of the Northwest Quarter of the Southwest Quarter (NW; of SW4), Section Eighteen (18), Township Thirty-one (31) North, Range Seventeen (17) West described as follows: Lot One (1) of Certified Survey Map, filed in Volume "6" of Certified Survey Maps, page 1586, as Docuunent No. 405755; and Lot One (1) of Certified Survey Map, filed July 24, 1989,.in Volume "8" of Certified Survey Maps, page 2127, as Document No. 449967, SUBJECT to an Easement for ingress and egress for vehicles, pedestrians, and farm equiplnent and machinery over the South 66 feet thereof. This _ . . is . homestead property. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at __a_-ZdCe-_tA__desiC~Ylat2d , m the following manner: (a) - 0.000 the sum of $--OZ~5_00.0.0--------------------------------- 15,500 at the execution of this Contract; and (b) the balance of s---- 77i_O00rM----------------- together with interest from date hereof on the balance outstanding from time to time at the rate of.__iviT1e-.and-Ch7e-ha7 f per cent per annum until paid in full, as follows: Principal and interest shall be payable in monthly installments of $750.00 per month commencing one month from closing and continuing on the same day of each mnth thereafter. Provided, however, the entire outstanding balance shall be paid in full on or before the 28th FebrLiary,.--2000-------------- cl= ( the maturity date). above staged Following any default in payment, interest shall accrue at the rate 01 To'_ _A71HtTP4i 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 antici- pated 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 account, 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 principal at any time after loSiTlg......... 1 19 (OR) ti~,¢rr~-,yuay_b~.ua.~xsapay~aawu~.a~-~riaei{~ai--~wit3zet~~ -ge~~issisr+- a€• •~e~cier.-* In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been 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: Land Contract dated November 21, 1973, recorded November 27, 1973, in Volu -ne "505", page 457, as Document No. 319560; Land Contract dated November 18, 1977, recorded November 21, 1977, in Volume "565", page 60, as Document No. 344851; and Land Contract dated June 20, 1984, recorded June 21, 1984, in Volume "690 page 629, as Document No. 394256. 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. Purchaser shall be entitled to take possession of the Property on.... eveol-_4O?.W__hereDf.................... 19......... *Cross Out One. i LAND CONTRACT - Individual and STATI'. 6AR OF WISCONSIN Wisconsin Legal Blank Co. Inc. FORM No. 11 - 1982 Milwaukee, Wis. Corporate Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest r 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 $__1~,_.?=?11]e__y1s31L1e__, 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 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 the Purchaser, Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except an ,liens or encumbrances created by the act or default of Purchaser, and except: ._munici_oa_1__and_zonirnq...- orainances, easements and restricticns__of record,- and-_as.-otherwise_-sta_te~l_k>`er-ein........ 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 days follow ing the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for it period of 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 back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entir•o outstanding balance, with interest theree from the date of default at the rate in effect on such dateandotheramountsdaehcreunder(inwhicheventall amounts pre oust paid by Purchaser shall be forefeited as liquidated damages for failure to fulfill this Contract and as rental for t' Property if purchaser fails to redeem) ; or (ii) Vendor may sue for specific performance of this Contract to comp immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser 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 its acloud on title in a quiet-title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and have :r receiver appointed to collect any rents, ivsnes or profits during the pendency of any action under (i), (ii) or (iv) ubovc.Notwrthsl.=uuling any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be hinding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vcudor incurred to enforce;ury 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 consentrx 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 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 leas(c or in any other way) without the prior written consent of. Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note seenred thereby, provided Purchaser makes timely payment of the amounts then due under this Co ntr•act. Purchaser may 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 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 deed to be made in fulfillment hereof.),- 7-- 0 - day of - March - - - 199._.. Dated this -Q -----2 (SEAL) _ _ _ 1~ Cle r- - - (SEAL) Mar B. Emerson Jse Voe]ta . - G.ute --(SEAL) (SEAL) J ine A. Emerson * - Karen ._L.Voe tz AUTHENTICATION ACKNOWLEDGMENT Signature (s) STATE OF WISCONSIN ss. St. Croix County. - - authenticated this ________day of___________________________ 19 Personall came before me this 3 ._day of i March 19 90 the above named Mark E. Emerson, Janine A. Emerson, * - Jesse- VoeItz,_--and__Karen__L,--Vloeltz TITLE: MEMBER STATE BAR OF WISCONSIN (If not. authorized by § 706.06, Wis. Stats.) to me known to be the persons-----__%JWxecuted-the foregoing istr rmcand ackno~ Ar, 0 THIS INSTRUMENT WAS DRAFTED BY ~ i~ Relrlstra, Van Dyk & Needham, S.C. _ -___._I ..............T * ^ Y Aftorrie--s at-Law--------- - - - - - a p lU----- ~ New-Ri.clurond,--kdisconsin---- 54017-01.27------ Notary Public -St.- Cro' cou>;~yd wr~s. (Signatures may be authenticated or acknowledged. Both My Commission is perms n f t,tate eiration~ are not necessary.) B L I C ~C------ s•d9 date: _ - - - ~ - ~i c° r 0 P. • 0 N1S" •:~umr•s of 1-molla civning' in :,ny c:,pscity ch1iuld L,.• Ly~n•I ,r UrinU•rl fu•Inw t.hrtif n4'~ui:iu....i i1A, Ilffff.f~~ (Vol 44996'7 CERTIFIED SURVEY MAP Located in part of the NW{ of the SWi of Section 18, T31N, R17W, Town of Stanton, St. Croix County, Wisconsin. R! LEGEND FILED 2 111 iron pipe found. JUL 2 419890- JAMES O'CONNELL 3 G Section corner - no monument found but ties were found (see county surveyor) Pag61w otD800 St Croix Co., WI Q -A existing fenceline ~ 0 111 x 2411 Iron Pipe Set, weighing 1.68 lbs. per linear foot OWNER AREA Nark E Janine Emerson 456,314 sq. ft. (10.48 acres) INCLUDING ROAD R/W Rt. 3 box 134 403,191 sq. ft. (9.26 acres) EXCLUDING ROAD R/W New Richmond, Wi. 54017 SCALE IN FEET MMMMM" 200 100 o zoo unplatted-lands 66' S8901612411E 607.831 N 14 .1 1 V WJ corner _ M ao CD M 18-31-17 c -33.001 574.83' rt north line of the SWI ° N r 7 O °O C r • t0 W w B 7 N w 0 fD d O 7 _ C W 4-- I'o rt rt. O m = O I LU rt 7 m W existing house O w° 1" w Cp Ir 4- E outbuildings s I W I N O rl~ M CE - W ' W Q I1 0 o _ T a Common 33.16' 1 " w ti rt - N O Drive i~ N83°51'5411 320. 1 Q rt 00 Q m m o • 0 - F' N O O I N C S. M. I rt ' 6_ O N W O a y r PG. 1586 144.97' I . rt F Cn - N89°03' 2211W r7n eS83051r54'IE 320.00 I N ~ ' o 33.16 i 286.84' s ° ° LOT 1 pb~ esq. cn w ALLEN C 4 Iia+ w r _ I rt d'a r'7 NYH CEC A CJ1 - - I rt A ' - ~ I D. Q 0 ! ~ N i d v~ r W oo co a l~p~p~ C2 CD 'cl NO N8900914511W 418.151 '~q t SLJ `I % 33.001 Access Easement cn 0&$d56 ® 416.31' _ It - e' N89009145"W 449.311 61 /SRO Y unplatted lands .1 U L 2 4 1989 ST. cw SW corner- this instrument was drafted by Douglas Zahler job no. 84-22-189 18-31-17 VOLUME 8 PAGE 2127 CERTIFIED SURVEY MAP LOCATED IN PART OF THE NW 1/4 OF THE SW 1/4 OF SECTION 18, T31N, R17W, TOWN OF STANTON, ST. CROIX COUNTY, WISCONSIN. W 1/4 corner 741 41,E25TITZtoo#0 Section 18 0IV S (See County Surveyor for ties) N y ALLEN C. II ° NYHAGEN 4- N $-'1407 ~ ~ O LO CD MUDSON, r _ 1N1 swo). unplatted lands '~Id~q •r'"v - ----owned pl ----atter ♦ U RJ common N X11/11 ~ r6l 6' 83°51'541IW I 320.00 ~ ' 6 driv eway 286.84'. 33' 33' APPROVED z LOT 1 N ly ACT 02 1985 M O I• p O p c°„ w io ST. CROIX COUNTY Cp^pMENSIVE PARKS PIANNINO N o I rt r cn' . r cn fD 1ai W - AND ZONING COMMITTEE o co E i~ i w n F I r - W I N r 65,462 sq. ft. (1.50 acres) INCLUDING R/W 58,678 sq. ft. (1.35 acres) EXCLUDING R/W ;o Ia Im I Cr I~ I Ic I ~ I r1 I r1- 3 1 3.151 ~f / I J S83° 5115411E 286.841 320.00 1 unplatted-lands_ oned_by platter F1 L E D OCT 2 1985 W corner O' C'ONNRL (A S Section 18 **91116r Of De"d, N (See County Surveyor for ties) y~ylm LEGEND 6' ~ e ~ O 111 x 241' IRON PIPE WEIGHING 1.68 LBS/LINEAR FOOT SET. Bearings referenced to the west line of the SW 1/4 OWNER assumed to bear N00033143"E. MARK C JANINE EMERSON RT. 3 Box 134 New Richmond, Wi. 54017 L . C . from Charles and Victoria Ulrich SCALE IN FEET 1" = 60' 60 30 0 60 Volume 6 Page 1586 This instrument drafted by Douglas Zahler job no. 85 - 57 DOCUMENT NO. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2-1982 516'726 f1nd Vol 09 Jesse Voeltz, a single person, bc fur l;t.r_!r7 - - - MAY 17 1994 - 8:30 A. conveys and warrants to C N. Chang ap.. Sue Vang . husband - ' ) s - V .and-Wi-fe,........ Ry`°•.S'ieW of L`-"6Zjj RETURN TO PCBT 1_...... PO BOX 87 the - - followi - real est-- --e-s.t----- River Falls, WI 540 ng described ate in .......S.t...-CXO.1X ......................County, State of Wisconsin: Tax Parcel No: Part of the Northwest Quarter of the Southwest Quarter (NWk of SWk), Section Eighteen (18), Township Thirty-one (31) North,Range Seventeen (17) West described as follows: Lot One (1) of Certified Survey Map, filed in Volume "6" of Certified Survey Maps, page 1586, as Document No. 405755; and Lot One (1) of Certified Survey Map, filed July 24, 1989, in Volume "8" of Certified Survey Maps, page 2127, as Document No. 449967. This 1S_..y_-------_ homestead property. (is) ~Fa70GOi Exception to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this - ~ day of . - -May- - _ - 19..94... 9- ----------(SEAL) (SEAL) (SEAL) - (SEAL) * AUTHENTICATION ACKNOWLEDGMENT Signature(s) J esse Voe1tZ STATE OF WISCONSIN s. ---------------County. authentiea` ecl this V._.....iiay i~f..________MaY._________, 15_..94 Personally came before me this ................clay of 19 the above named Kristina O gland ITLE: MEMBER STATE BAR OF WISCONSIN (If not . authorized b y § 706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY ...---------lC.ristna-0giand ttOrney_ at LaW Notary Public ----------------------CountyWis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: --------------------------------------•----19------ ) 'Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED _ STATE BAR OF WTCrnMgTT Wisconsin I.Pnal Rlank (`.n Inr ST. CROIX COUNTY WISCONSIN ZONING OFFICE R I N I a a U N N ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Y - - - Hudson, WI 540 1 6-771 0 (715) 386-4680 May 23, 1994 Mr. Byron Bird 896 68th Ave. Amery, WI 54001 RE: Jesse Voeltz septic installation / Permit #208959 Dear Byron: Last week I mailed you a letter and later discussed the Voeltz septic system installation with you over the telephone. I informed you that the system has been installed on an adjacent parcel, which is also owned by Mr. Voeltz, and the steps necessary to correct this situation. Wisconsin Administrative Code ILHR 83.03(1) states in part "The use of a common system or a system on a different parcel than the structure will be subject to the same plan review procedures as for systems serving public buildings" meaning that state plan review is necessary. I have discussed this with LeRoy Jansky. He informed me that it is DILHR's policy not to uphold the above referenced code requirement so long as both parcels are owned by the same party. Accordingly, state approved plans will not be needed when you submitted the revised plot plan that we need. I will be contacting the new property owners to let them know of the need for an easement for the system on the adjoining parcel. If you have any questions or concerns which I can answer for you, pl ))feel free to contact me at this office. Sincer ky, GyLt J es Thompson / ssistant Zoning Administrator cc: Jesse Voeltz Chong N. Chang Gary Baillargeon C-21 LeRoy Jansky file V-94-35 (C(DPY ST. CROIX COUNTY f WISCONSIN - i U P O N ZONING OFFICE x e - ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road ~1 ~ _ - • _ - Hudson, WI 54016-7710 (715) 386-4680 May 17, 1994 Mr. Byron Bird 896 68th Ave. Amery, WI 54001 RE: Jesse Voeltz septic installation / Permit #208959 Dear Byron: While completing the inspection report for the Voeltz septic system, I discovered a problem with the installation. The system has been installed on an adjacent parcel, which is also owned by Mr. Voeltz. As you are aware, Wisconsin Administrative Code does not allow the house and septic system to be located on separate parcels even if under the same ownership. I see two ways to proceed to rectify this situation: 1) The first is to have an easement recorded which will allow the septic system to remain where it is. If this is done, state plan approval and a revised plot plan will need to be submitted to our office as a revision after the fact. 2) The second option would be to remove the system just installed and relocate it to the same parcel on which the house is located. This will require a new soil evaluation and sanitary permit. I would appreciate your cooperation in correcting this problem as soon as possible. I know that the property has just been sold and I am sure that the new owners will want to get this rectified as soon as possible. If you have any questions or concerns which I can answer for you, p e feel free to contact me at this office. Since el , J es K. h mps3 Assistant Zoning Administrator cc: Jesse Voeltz Chong N. Chang Gary Baillargeon C-21 file V-94-35 cc (a D " f( Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of Lahr and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY r Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but " r D t not limited to vertical and horizontal reference point (BM), direction and /o of slope, scale or PARCE ID.# dimensioned, north arrow, and location and distance to nearest road. 1'5 -10L; U APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVI DATE PROPER OWNER: PROPERTY LOCATION ,cam U ° ' GOVT. LOT 1/4~(1J 1/41S I T3 N,R E (or W PROPERTY OWNER':S MAILING JDRESS LOT BLOCK# SUBD. N OR C # CITY, STATE ZIP CODE PHONE NUM ER 11CITY ❑VILLAGE EFOW N yAR ST ~qp New Construction Use [XJ Residential / Number of bedrooms ( J Addition to e sting building Replacement ( ] Public or commercial describe Code derived daily flow 6Q 0 gpd Recommended design loading rate 7 bed, gpd/ft2_ trench, gpd/ft2 Absorption area required T6-;2 bed, ft2 '7519 trench, ft2 Maximum design loading rate , Z_bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations Parent material "2~-.'{ h Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL I HOLDING TANK U = Unsuitable fors stem S ❑ U ~ ❑ U ~ ❑ U XS ❑ U ❑ S 5C 1 ; ❑ S SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. Bed TrBt& Ground zo e ly elev. fly ft. _ Depth to limiting factor 1,1. 7 Remarks: Boring # Ground gl~y. ~5ft. Depth to limiting factor Remarks: CST Name:-Please Print Phone: Address: ~Q Cf 64)1 Signature: Date: CST Number: PROPERTY OWNER e' SOIL DESCRIPTION REPORT Page of PARCEL LD,# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer>ch Ground 3~- v n.- /mar h1S /~l d ZZ elev. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to !inviting Rernarks- lit-Ile , 3(r I ~~a tis ~ 1b yb I yo r a4 I ?6` i