HomeMy WebLinkAbout042-1018-70-000
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER ~i, IN®r;~
ADDRESS p ~0-S
SUBDIVISION / CSM# Q 6 z 2 LOT # 2
SECTION. 7 T zyN-R_Z
k_W, Town of
PC. II0A-
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW °
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
I
IL- 7
Lj
\ i
33
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
BENCHMARK:!
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING-.TANK INFORMATION
Manufacturer: G!/.{cs Liquid Capacity: 1,2pv A
Setback from: Well House Other
~f/a S'T lwa~
Pump: Manufacturer Zor U Model# 7 Size
Float seperation / Gallons/cycle:DJ
Alarm Location ~ff~,0W7
SOIL ABSORPTION SYSTEM
Width: /Z Length Z Number of trenches
Distance & Direction to nearest prop. line:
Setback from: well: lwf House? Yo' Other
ELEVATIONS
Building Sewer ST Inlet; 04a ~ ST outlet f~. `r2
PC inlet PC bottom ps!3G Pump Off 95! G~
Header/Manifold PY OJ Bottom of system 91e
Existing Grade LDr/<o Final grade g7D
P 3
DATE OF INSTALLATION:
PLUMBER ON JOB:
LICENSE NUMBER:
INSPECTOR: 4~0911_
3/93:jt
pa usov , 29-18 ,13f%WffESAW EaS l~`SSEY DR ounty:
I+I~~rhan a
Safety and Buildings Division INSPECTION REPORT
(ATTACH TO PERMIT) Sanitary Permit No-:
GENERAL INFORMATION
19 524
Permit Rolder's Name: Lj City ❑ Village Town of: State Plan ID No.:
•
. BM-Elev.: -Z BM Descriptio : . , Parcel Tax No.:
n, -70-000.
TANK INFORMATION ELEVATIO DATA A9300178 P j
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic s cow, Benchmark
C', ff~.,~rl. S•3S' `~r
Dosing
Aeration Bldg. Sewer
Holding St/A Inlet .33~ ,a21
TANK SETBACK INFORMATION St?,#ft Outlet 1 -57j r r 7 /179
TANKTO PI-Lr WELL BLDG. Ventto ROAD Dt Inlet r 97 r
Air Intake 7,
Septic O oZ t NA Dt Bottom at 'r 6 r 93. '3 r
i
Dosing y~r ,aft -tf~~ NA Headep~+r /p• Qa.
Aeration NA Dist. Pipe (D. AY Jda. 3/
116,9' d%V.~
Holding Bot. System
PUMP/ S INFORMATION Final Graded
Manufacturer 2a-~ Demand Sdr /d8 SI
Model Number` j' 7 GPM i /0.7~ ~S
TDH Lift Friction System TDH Ft
Forcemain Length Dia. vZ ri Dist. To Well S ~e 'T
•9 y~ d
Cop -f.-
~6 3S~
SOIL ABSORPTION SYSTEM ~`lJrl~~ (m 7,40
BED/TRENCH Width i Length No. Of Trenche PIT Of Pits Inside Dia. Liquid Depth
r DI I N
DIMENSIONS a 12 s
LEACHING anu acturer:
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM
INFORMATION Type Of ose, 1 CHAMBER Moe Nu
System: ~J-, s` OR OR UNIT
DISTRIBUTION SYSTEM
Header Weegek1 ,r Distribution Pipe(s) h Sir x Hole Size x Hole Spacing Vent To Air Intake
i
T
Length ~o Dia. Length Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over N Depth Overnc) n xx Depth Of xx Seeded / Sodded Iched 76 Bed / Trench Center lti ~ Bed / Trenchrdges YO -75 Topsoil Yes [:I
No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)~F ~,rt,•%.~ p C• ~'''L •
,hTION: WARREN 07.29.18. 10A SE, LOT 2 , HENNESSEY DRIVE 1brC j r '"WQhX
6 ~ W"~- -4 ~ ~ .5-T
6~ 9& X'-~Ok //_a . Alit 4410
Z7
Plan revisi req d? ❑
o p
Use other side for addM nal 'nformation. D C-6
SBD-6710 (R 05/91) ~ ~ ~ n~~ D/,~t`e~ Inspector'sSignatur Cert. No.
ADDITIONAL COMMENTS AND-SKETCH
SANITARY PERMIT NUMBER:
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=L~MH SANITARY PERMIT APPLICATION
couNTY
7In accord with ILHR 83.05, Wis. Adm. Code
STATESANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than ❑a
8% x 11 inches in size. 2', W""I, to p vious application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY OWNS PROPERTY LOCATION
ter! '/a a, S >;c T ,2 , N, R / E (or
PROPERTY OWNER'S (LING ADDRESS LOT # BLOCK #
CITY, STATE ZIP CODE PHONE NUMBER OR CSM NUMBER
O e. OZ3 7
1 OAD
II. TYPE OF BUILDING: (Check one) El State Owned 0 VILLLLAGE : NEAR
-e rive-
❑ Public 1211 or 2 Fam. Dwelling-# of bedroomsL PARCEL TAX NUMBER(b)
Ill. BUILDING USE: (If building type is public, check all that apply)
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
40 Church/School 80 Mobile Home Park 12 ❑ Service Station/Car Wash
50 Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. M New 2.E] Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 Z Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit ssure 43 ❑ Vault Privy
14 ❑ System-In-Fill ~rx "sr
74
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
014e ,z 3, 'Feet `-e ' Feet
VII. TANK CAPACITY Site
in allons Total # of Prefab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Se tic Tank or Holdin Tank =2 F1 I [I Q 0 F]
Lift Pump Tank/Si hon Chamber PDO F1 I L1 El I [I Ej
VIII. RESPONSIBILITY STATEMENT
1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): Plumber's Signature: (No Stam ) frAP/MPRSW No.: Business Phone Number:
I-Plurfiber's Address ( tree , ity, S e, Zip Code):
a Gv s3
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater Date issued Issuing Ag t =51gny
~t G~ `J Surcharge Fee) / S
Approved ❑ Owner Given Initial }fv
Adverse Determination Oo
X. CONDITIONS Of APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety a 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
critc+ria in the Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permi'r Transfer/Renewal Form (SrO) 6149) to be
submitted to the county prior to installation.
5. Ons+te sewage 5y '.~+rrrs must be propv--r.iy maintained. The tank(,) m, --~l oe pt.irii per' ^ ii,en:;ed
pumper whenever necessary, usually every 2 to 3 years.
6. If ycu have questions concerning your onsite sewgige system, contact your local code .adf-,inistrator-or the
State of Wisconsin, Safety & Buildings bivison, 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 :ji.,mber(s) of
where the system is to be installed.
II. Type of building being served. Check only one and complete #f of bedrooms it 1 or 2 Farnil'/ 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 i'ine 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 'n ##1-7
.
VII. Tank information. Fill in the capacity of evey new and/or ex tii ;.3ak, l st the total gall r,:;, :ryumb,=r of
tanks and ^~an>ufacturer's name. Indicate ;prefab or site conszru-eu and !ark matarial. C.)riC,'ete for all
septic pump/siphon and holding tanks f c, his system. Check experime ar ~roval orrl r it links received
exper mental product approval from DILHP
VIII. Responsibility statement. Installing plur*:r,er is to fill in name.. license n?!robe-v with apprcor!3ie prefix (e.g.
MP, e,c.), address and phone number. Plumber must sign application fc;i ill.
IX. Count;//Department Use Only.
X. Count,,r/Department.Use Only.
Compete plans and specif: ,ations not smaller than BYz x 11 inches be ubrnitte-l to thfcounty. The
plans -nust i rciude the fcLIl(rNijig: plct plan, drawr to s_ i° nr vvith boo di,?ens:o -is- 1)cation of
holding tank(s), septic tank(s) or other trea.:rient tams; .n si0mg sc vrs-z~ ei: s; w iter ma n,, ,ater service,
fl siphon x
strearr5 ar lakes; (dump ( sAph.t tank, fistnbuticn o;i ar)s : sterris, ref)isc -me•1t system
areas and the location of 'he building se'r 3) ho,izonita znd vei icc r~'t ;`inn >efe.err- P)oln+s;
C) complete specificaticns for pumps and controls; dose O!ume; eleoati<_, dil erences: ft r(;:,( n loss; pump
performance curve; pump model and pump rnanufacturer; D) cross sect`on of the soil ab73orpt:ion 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 prit.tices which can effect groundwater.
The rnonie,; collected through these surcharges are used for monitor;n , c ro:.-dw'ater, w-cunt -
water coat-trnlnaticri ir~vestitratiuns and. esfaNish:?;Fr,t of standarrl4.
SBD-6398 (R.11/88)
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DAVE FOGERTV PLUMBING
Licensed Perk Tester & Plumber
03233 #3289
Fogerty Heights Road
ROBERTS, WISCONSIN 54023
Phone 749-3656
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1,2
PAGE OF
PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
VEWT CAP
I`C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING
-I. JUNCTION BOX MANHOLE COVER
25' FROM DOOR,
'AIINCOW OR FRESH 12"MIU. I
AIR INTAKE
GRADE I
I '4° MIN.
oo 3L
COWDUIT
18"hIIN. \~C~
IAJI_.FI- PROVIDE I (
AIRTIGHT SEAL I I I V
I III
APPROVEC JOINT A I III APPROVED JOINTS
/C.Z. PIPE I I) I W/C.I. PIPE
EXTENDIW6 3' 1_111 ALARM EXTENDING 3'
)NTO $OLID SC! L. B I I ONTO SOLID SOIL
i I
I I OW
C 'I I
PUMP __J
OFF
D
CONCRETE BLOCK
RISER EXIT PER'MI'TTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL
~5PEC.IFICATIOKJS
rIC AND
TANKS MANUFACTURER: IJUMBER OF DOSES: PER DA.4
TAAIK SIZE: elno GALLONS DOSE VOLUME
ALARM MANUFACTURER' /)Ly INCLUDING BACKFLOW: 3!a GALLONS
MODEL NUMBER-4" ~Zzhlo P CAPACITIES: A= 21_INCHES OR 378 GALLONS
SWITCH TYPE: /4•etlcl N 8= 2 INCHES OR lL GALLOWS
PUMP MANUFACTURER: .ZC'V4Gt C =_._1ZINCHES OR _.Alaile GALLOWS
MODEL NUMBER: 'OLS7 D- ~ INCHES oR GALLONS
SWITCH TYPE: A,.p~ NOTE: PUMP AND ALARM ARE TO BE
PUMP DISCHARGE RATE 2A' GPM INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFERENCE Btl~'WEEAI PUMP OFF AND DISTRIBUTION PIPE.. FEET
+ MINIMUM NETWORK SUPPLY PRESSUR'Tr,E/. . . , . . . . , . . FEET
+ FEET OF FORCE MAIN X _.C~F/portFRICTIOW FACTOR.. FEET
TOTAL OyNAMIC. HEAD = ZZ FEET
ILITERNAL DIMENSIONS OF TANK: LEAlGTH - ;WIDTH .;LIQUID DEPTH y~
SIGtJED: LICEMSE NUMBER: 3~ d9 _ DATE: 7
-117-
T D H RQ 4 !>r 3aoa
V. P•oit s3 IoH a p~
Ef:Z6#
an
N ; . jegwnid9 s3sel wow pesuson
30- TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE
EFFLUENT AND DEWAiERING {
SERIES 53-55-57-59 97 137.139 163 165
M LTRS LTRS LR LTRS 1 LTRS i
28 1.52 i i63 248 394 231 231
EFFLUENTAND DEWATERING 1 305 d129 z,s _ } 300 231 231
j
\ 4,57 72 163 242 227 .1227
f
26 SEWAGE AND DEvarERING 610 104 136 223 1227
7 sz
::1 30 216 .223
\ 9 14 206 220
24- 12.1 24 9 172 . 7 206
\ 15 t:. 125 191
\ L:2 29 57 1 161
22 - \ 34 114
38 _ q 53
MODEL\\ MODEL LolkVaive. 19' 245' zs' 66• 87' 1
20 1 163 \ 165 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE !3
♦ \ SEWAGE AND DEWATERING tl
\ SERIES 267 268 282 284 293 f
18 \ \ T; M d. LTRS L LTRS RS ?A L' LTRS LTRS
t---
\ 1.52 408 386 492 681
a 3.05 227 273 360 598
16- v 4.57 f 76 z, 163 238 !3 511
\T 6.10 m 30 125 t 401
f 7.62 7 288
14 \ 9.14 4 163 Y 292
\ ,067 _ 0:. 227
tl;. 1219 .---+r 174
\ 13.72 . i5 106
12 1524 a' 4s
\ 1 MODEL Lock Valve: 18' 21' 26' 35' 53'
10 1 293
MODELS ` I [
8 137 139-
6 MODEL
284 ~x
4 MODEL MODEL
268 282
MODELS
1 53, 55, MODEL MODEL
57, 59 97 267
10
3 40) 6377) 7 ! 9: 1 t . a i 10 120 130 140 150 160 17"b 80 190
LITERS 80 160 240 320 400 480 560 640 650
FLOW PER MINUTE
3280 Old Millers Lane Manufacturers of... i
Box 16347 ft
Louisville, - Kentucky 40216 jy ~7 S /939
(502) 77878-2731 U.I[/TI' UMP9 /NCE ~
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499883
D
MAY 2 81993' 3
6 APPRMW
O'CONNELL
Register of Deeds ¢ CERTIFIED SURVEY MAP
SL Croix Co., Wi
S PART OF THE NW 1 /4 SE 1 /4 SECT I ON 7 T29N R 18W MAY 21V
V CD WARREN TOWNSHIP ST.CROIX COUNTY WISCONSIN
OWNER: JOHN BOUGHTON ROBERTS, WISCONSIN
I ST. C~;kJ6( 6~'
E I /4 CORNER SECTION 7 :Oflf~l'
EX COUNTY MONUMENT) 1
y SCALE: 1 200'
' 200 100 0 200 400 Parks Caiwwmw
BEARINGS ARE REFERENCED TO THE E-W 1/4 LINE
SECTION 7 AS ASSUMED N89'49' 13"W widdR 304s of
approvat-deft
cv ~I LEGEND: appwv-A1;S rt t0
of I rNA S vdd
66
31 i l • --EXISTING 1 IRON PIPE
L I J --EXISTING 3/4 IRON BAR
l
N '
Z i o CSM VOL_7 P.2090
' NO 1 ° 17'46"E 706.79'
O 66.01'i 607.78' 3.31 -
0 00
J~ _3 21 LOT 2 w l w
V\ LJ
01 WI i 19 I~ ~I M«~, 41r 3
ZI ~
~-z o)
I , (n AREA = 261,819 s.1./B.01 cc. (Total) Ln I Lo
)
W I 225,076 s. 1./5.17 ac. (Net) c
2 Cn i I o J c r' ~yV
" i
00
00 10000 -Z
Z 66.01 604.15, 3 I
S01 ° 19'55"W 703.16'
(SO0°37'00"W Rec.)
N-S l/4 L ME
CSM VOL.3 P_890
vl U~' l NOTES:
U ~
? el; 1. EACH PARCEL SHOWN ON THIS MAP IS SUBJECT TO
.1 ' I I STATE AND COUNTY LAWS, RULES AND REGULATIONS
d (I.E. WETLANDS, MINIMUM LOT SIZE, ACCESS TO
- ~1 PARCEL, ETC.) BEFORE PURCHASING OR DEVELOPING
Q ANY PARCEL CONTACT THE ST. CROIX COUNTY ZONING
3 I p~ I l OFFICE FOR ADVICE.
W I WI 2 A PRIVATE ROAD MAY CREATE A PURCHASER
166' ' I QII RESPONSIBILITY FOR MAINTENANCE AND SNOW REMOVAL.
3. IF REAL PROPERTY TAXES ARE NOT PAID BY THE
ail OWNER OF THE PRIVATE ROAD THEY MAY BE ASSESSED
AGAINST THE LOTS SERVED BY THE PRIVATE ROAD.
<1J I PURSUANT TO ST. CROIX COUNTY SUBDIVISION
REGULATIONS.
I
FiV \
66 l
\ I DRAWN BY:
FREDRICK W. NANNENGA
WI/4 CORNER SECTION 7 DATE:
5/26/93
` o (E)L COUNTY MONUMENT) F I LENAME:
c0 ~ f LENA
CSM I .DWG
Volume 9 Page 2622
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, DIVISION
LABOR AN P.O. BOX 769
HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON W1 3707
(H63.090) & Chapter 145.045)
LOCATION: SECTION: OWNSHIP/MUNICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME:
410 S 4 /T N/ E (ar cda Z
_ , ^*4ew 000NTY: OWNE.R'S MAILING ADDRESS:
USE .41
( DATES OBSERVATIONS MADE
R~~ NO. BEDRMS.: COMMERCIAL DESCRIPTION: V New DESCRIPTIONS: 1PERCOLATION TESTS:
ZF esidence 3 Ur7New ❑Replace
Y
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: STEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional)
CAS ❑u GS au Ce'S au Sc- au Cis ❑u
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS '
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF 90111- WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
V nom. ~fNC > ~SC 9 n s
B- f'f, 7 > o L- 49."' If -~G r/ C! 7 i3H f _4 "q17 15 :;P B- 3 117,9 14 ',3, 11,-ellf
7
B- / d
~C / /S d H/J~ L✓ 4 /r t ' s/
/ C / /+S
B- gy.
C.C
2 PERCOLATION T ST~ w ~
i ` 7 7 7_z >
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE NOTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. P RI D 1 P RI D PER INCH
P-
P_
P-
7,1 v { s y S
P-
57
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1 v, h' u o c
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P
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4
W
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S T C - 100
This application form is to be completed in full and signed by
the owner(s) of the property being developed. Any inadequacies
will only result in delays of the permit issuance. ,Should this
development be intended for resale by owner/contractor,(spec
house), thenla 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, property 1/4 6 1.-_1/4, Section
T_,24LN-R_)_e W
Township t'vV
Mailing address '0
Address of site
Subdivision name___ CSh~ 9,pq,(a. Lot no._.
Z-
other homes on property? yes No
Previous owner of property A2
Total size of parcel (r, 4 ,&I., ~
r
Date parcel-was created I
'Are all corners and lot lines identifiable? 1_--Yes No
Is this property being developed for (spec house)? Yes
Volume_ ~
of D ° and Page Number
' as recorded with the Register
Deeds.
DOCUMENT NO. STATE BAR OF WISCONSIN FORM 11-1f" r,"a swAce wescwveo FOR weeow01NO DATA
LAND CONTRACT
Individual and CorNrato
I' (TO BE USED FOR ALI, TRANSACTIONS WHERE OVER
026.000 IS FINANCED ANT) IN TRANSACTIO HER NON-CONSUlMSIt
Q tt1 act b an between
JOHN H. B'bt~GH ON and' RJTH"E: "SOVGHTOIQ_..
CCy II~-~ 91
DE L R . WEINGAR Eff AND J,UI.'1'H'
whether one or more) and
WEIN i
GAREN husband and wife
~I ("Purchaser", whether one or more).
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"), Q{.
in ...............!,TY._t_.. ~lA _Q County. State of Wisconsin: w[TURN TO
Tax Parcel No....
Part of the NW1/4 of SE1/4 of Section 7-29-18 described as
follows: Lot 2 of Certified Survey Map filed May 28, 1993 in
Vol. t19t1, Page 2622.
i!
TOGETHER WITH a 66 foot easement as shown on said Certified
Survey Map.
I
Subject to the terms and conditions of the Roadway Maintenance I~
Agreement recorded in Vol. "984,/1 Page 361, Doc. No. 492505•
jl
is not
This homestead property.
(is) (is not) a.. n~ ...Q... 11
...P.~~.. 77 - • l
Purchaser ~o u chase the Property and to pay to Vendor at direectcts
3 b0 ~6In the fo111g U wigbg~~I~1 ar tr. (a) 0........._-••-••••---••--•-••-•..........
the sum of = x
--2 UU .
at the execution of this Contract; and (b) the balance of =.......-1 , together with interest from date
seven
hereof on the balance outstanding from time to time at the rate of per cent per annum i
until paid in full, as follows:
Commencing July 1, 1993 and on the first day of each and
every month thereafter, equal monthly installments of
principal and interest in the amount of $296.08.
I
Provided, however, the entire outstanding balance, shall be paid in full on or before the...... first........ day of
June---------------- O ( the maturity date).
Following any, default in papfitent, interest shall accrue at the rate of ....7...... % per annum on the entire amount
in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire
principal balance).,
Fali'cd►aseeyn2liese-eaeasei bZ- s"dert'ags'ee•"tsp«!"'a~onth# NeIld" amounts wwtf~ 7s'1 Y-zWWr
i,t-.•sF-111111 SpMamsIft+ fire sntd~re"'irediWsmra11M rrrmtnnrwh+sn~arT6-*!'lflpAlCflRt~ Way TF r,
-oMig2lti~n+~Mlyd~r e4i IIBa1~[-r d-ry-t"l1ETSaNif-f8lr +LRR'br
Bender-green-tw apply-pquitds-ft those
hm s;-wsessmelehr~ad~lnslrra 'w^g!'~e'dsMlrtted'tlliA'mt'v9Ll '1'ttf4d 8t" : INKIIIAIR'•11bt'Nt!'lflumr
uiifess-veheMSe~gal~re'~i3Y'1=w.
Payments shall be applied first to interest on the unpaid balance at the rate specified and thew to principal. Any
amount may be prepaid without premium or fee upon principal at any time
tll~•i'E lR7t~ 1~ Try pr"~9~'b!'>)A'=T''p!!"M!'iwl~'1t'aT ~TSa~Yr' .
In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long
j as the unpaid balance of principal, and interest (and in such cue accruing interest from month to mewth shall be treated
i~ as unpaid principal) is less than the amount that said Indebtedness would ban been had the monthly payments been
made as first specified show; provided that monthly paymenils shag be continued in the event of credit of any proceeds
of insurance or condemnation, the condemned premises being thereafter sweleded herefrem.
Purchaser states that Purchaser to satisfied with the title as shown by the title evidence submitted to Purchaser
for examination etcept: none.
~i
Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall
be retained by Vendor until the full purchase price is paid. day of closing
Purchaser shall be entitled to take possession of the Property on 1!-........
•Cress Out One.
~I LAND CONTRACT-tadMdual and STATE BAR OR WISCONSIN Wisconsin Least Blank CL Ise.
C "VenaM FORK No. 11 - 1982 Kilwaukee. Win.
Purchaser promisew to pay whoa 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• lose or damage occasioned by fire, ex-
tended coverage perils and such onhprahazards as Vendor may require, withouttco-insurance, through insurers approved
by Vendor, in the sum of but Vendor shall not require coverage in an amount more
than the balance owed under this Coatrs~t. 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, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except
any liens or s umbranees cs f Y r
easemenTs rest Ffthtfi ' 1~8-~ : yan6f"` t 9O0rd .....1-f ry-.------•..-..
Purchaser agrees that time is of thrl,tpsence and (a) in the event of a default in the payment of any principal or
interest which continues for a period of days following the specified due date16 (b) in the event of a default in
performance of any other obligation of Purchaser which continues for a period of days following written notice
thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this contract
'hall become immediately due anif 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 these provided by law or is equity. (1) 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 entire outstanding balance, with interest thereon from
the date of default at the rate in effect on such date and other amounts due hereunder (in which event ail amounta previously
paid by Purchaser shall be fonfeited as liquidated damages for failure to fulfill this Contract and as rental for the
Property if purchaser fails to redeem); or (ii) Vendor may sue-for specific performance of this Contract to compel
immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of
default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser
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 deJare 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 insignificant; and (v) Vendor may have Purchaser ejected from possession
of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action
under (i), (ii) or (iv) above.Notwithstanding any oral or written statements or actions of Vendor, an election of any
of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses
including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the
extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in-
curred, and shall be included in any judgment.
Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents
to the appointment of a receiver of the Property, ineludin homestead interest, to collect the rents, issues, and profits of
the Property during the pendency of wish action, and such rents, issues, and profits when so collected shall be held and
,,.,applied as the court shall direct.
Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any
of Purchaser's rights under this Contract or by option, long-term lease or in any other way) without the prior written
consent of Vendor union 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 secured thereby, provided Purchaser
makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to
the Mortgagee if Vendor fails to do so and all payments to 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 finding 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 joimsn to release homestead rights is the subject Property and agrees to join in the execution of the
deed to be made in fulfillment herreo(f..)
ted this
A• day of 19-9.3...
4 . 11001:~
--......(SEAL) •-----~.4.-....__... f/~ SEAL)
« Dell R. ingarten Judith A. Wein lt~n
•
...(SEAL) (SEAL)
lit
ohn H. Boughton Ru h goug
•
AUTZENTIOATION ACKNOWLEDGMUNT
Signature(s) STATE OF WISCONSIN
St. Croix in.
Ju••........................... County.
authenticated this day of i...,19 Personally case before me p 1.~1_-.day of
, is..--.... the above narked
.
' ...1?p~ We .nZal^t_Ql1* Judith
TITLE: MEMBER STATE BAR OF WISCONSIN y~ rt 11_ .hCl__x
(If not . o4iglton-.•-•___
Ftu 'E. Mghfon -
authorized by 1 ?A6.09. Wis. Stets.) -
706.06. me known to be the person .A........ who executed the
f ing instrum and ack ledge the same.
THIS INSTRUMENT WAS DRAFTED BY
Kristina O gland
...............Attorney._ at - haw .Alice ••Joy_• C• n 1s
Notary Public St. Croix- -.County,
1Vie.
(Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration
are not necessary.)
date: Jui3i-..1 19_.93...)
*Noma of laws sieniss is any capacity
Y ity should be typed or printed br,l their oienotureu.
LAlfg COMMACT - hshided sad C«/ae.8s -State gar of wioraaeia, Fora. No. 11 - 1982
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix count
lfl
OWNER/BUYER
ADDRESS:
3/,/, 5FIRE NO:
LOCATION: W") 1/4, 5~ - 1/4, SEC. _T -1) , N-R / C; W,
TOWN OF: t~l/~/C~~✓ ST. CROIX COUNTY
SUBDIVISION: LOT NO. 0-
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 a 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 to
help with the cost of the 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 the St. Croix County
Zoning a certification form, signed by the owner and by a master
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. Certification from will be sent approximately
30 days prior to three year expiration.
. I
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 form must be completed and returned to the St.
Croix County Zoning officer within. 30 days f the three year
expiration date.
SIGNED: / ~64pv
I.
DATE:
f,
r
St. Croix County Zoning office
911 4th St.
Hudson, WI 54016
~r 6Z P
Goa E£ZE~ ssu~t-~
a~4wn~ 't »3~1 ~~►d P
lhliawnld 11110°0] '~.~idt4
ti>
W=
U)
" CERTIFIED SURVEY MAP
ac
o°:_a
9 PART OF THE NW 1/4 SE 1/4 AND NE 1/4 SW 1/4
w SECTION 71 T 29 N, R 18W WARREN TOWNSHIP
~
• ST. CROIX COUNTY WISCONSIN
OWNER, JOHN BOUGHTON ROBERTS, WISCONSIN
UNPLATTED LANDS
11161h LINE
SCALE 1 s 300'
3
n Q 300 ISO 0 300 600
CSM VOL.7 P. 1839
o
m BEARINGS ARE REFRENCED TO THE E-W 1/4 LINE
P06 N01017'33"E 793.46 (Mica. SEC. 7 AS ASSUMED N890491 13"W
N
N 60042'00"E 79&7.5 (Roe)
66
r W s LEGEND
O r. 4 EXISTING 1'/#" IRON BAR
/
LOT 94M o - -SET I" x 24" IRON PIPE
W p min WT. 1.68 LB. PER L. F.
07 8 116.00 U) X- --EXISTING 3/4" IRON BAR
037 OO
674.70 to '1 0 S0083.0011W • -EXISTING I" IRON PIPE
M oleo N01017'46"E-Z 33 µ
i N W
(4 iz SOOD 80 00 47"E 0 AREA
1 N r LOT 2 o WA W (Note: Net Area excludes road R/W)
Q 0 c
ink 2 CO LOT
j o) v; = Total = 309,232 sq. ft./7.10 ac.
1~ 1 300*37'000w R J Net = 281,171 sq. f t. /6.45 ac.
S01019 55 W 670.16 (Moo ,
i N-S 114 LIME I p LOT 2
---?p Total = 261,385 sq. ft./6.00 ac.
CSA/ V04.3 P890 I Net = 224,825 sq. ft./S.16 ac.
LOT 3
N01018'40"E 66 .2 Meo Total = 256,225 sq. ft./S.88 ac.
66 0i.. I
M I N d"3 !E crr R.e) N Net = 215,636 sq. f t. /4.95 ac.
~o v
aI ~
LOT .7 (f) 33 v
LLJ
49 ' z in I ``%%~~Itt tO~H/f j~''k
o S23 0 4"
CD Z., V
W 1/4 COR. SEC.7 s~~ L FREJP,fCK W.,.N
• (EXISTIN(r COUNTY MONUMENT)
NANhWiv'GA
-190~ 5-1958
~FNNF i 1,":OODBURY i
SSFy . IAN
Rp ~i • 4, o``
/i1/Ilttt
AIIJL
LEGAL DESCRIPTION
A tract I located in the NWI/4 of the SEI/4 and in the
NEI/4 of the.~NI/4, all in Section 7, T29N, R18W, Township of
W a i. 0e~.n Coun,~,y~. of St. Croix, State of Wisconsin, described as
fol lows:
Commencing at the E1/4 Corner of said Section 7, thence
N89049113"W (Assumed Bearing), 1686.68 feet along the East-West
centerline of said Section 7 to the POINT OF BEGINNING;
Thence continuing N89049113"W, 1271.23 feet to the North line of
Hennessey Road;
Thence continuing N89049113"W, 36.02 feet to the centerline of
said Hennessey Road;
Thence S23049137"W, 780.62 feet along said centerline of
Hennessey Road to the centerline of a private road;
Thence S89023100"E, 511.74, feet along the centerline of said
private road;
Thence NOI*18'40"E (RA N00037100"E), 33.00 feet to the West line
of said private road;
Thence continuing NOI*18'40"E (RA NOOo371001,E), 668.26 feet to
said East-West centerline of Section 7;
Thence S89049113"E, 318.52 feet along said East-West centerline
of Section 7;
Thence S0i019155"W,(RA SOO-37100"W), 670.16 feet to the West I.Jtne
of said private road;
Thence continuing SO101 9,55 (RA S00037'00"W), 33.00 feet to
the centerline of said priv:wte road;
Thence S89o23100"E, 434.00 feet along the centerline of said
private road;
Thence SOO93710011W, 83.00 feet'-
,Thence S89023100"E, 333.17 feet, '~~A NOO042100"E, 793.25 feet) to
Thence N01017133"E, 793.46 feet
the POINT OF BEGINNING.
Containing 826,987 sq. ft. or 18.98 ac. including town road right
of way.
Subject to any and all easements, rights of way or conveyances of
record.
Bearings are referred to the East-West one-quarter line as
assummed N8904911311W.
CUL-DE-SAC EASEMENT
This easement located in the NW1/4 of the SE1/4 Section 7,
T29N, R18W, Township of Warren, County of St. Croix, State of
Wisconsin, described as follows:
Commencing at the E1/4 Corner of said Section 7, thence
N8904911311W (Assumed Bearing), 2165.01 feet along the East-West
centerline of said Section 7; Thence SOO01014711E, 80.00 feet to
the center of a 160.00 foot diameter cul-de-sac having a radius
of 80.00 feet and there terminating.
SURVEYORS CERTIFICATE
1, FREDRICK W. NANNENGA, A PPOFFqqIONAL LANED _c'_'!,1V=_v,0.r1 -1i.EGISTERED
IN THE STATE OF WISCONSIN, HEREBY CERTIFIES THAT BY ORDER OF AND
UNDER THE DIRECTION OF JOHN BOUGHTON, OWNER OF THIS PROPERTY,
HAVE i SURVEYED AND MAPPED.,-THE PROPERTY DESCRIBED. THE PLAT SHOWN
ON THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF THE EXTERIOR
BOUNDARIES OF THE SURVEYED LAND AND THAT I HAVE COMPLIED WITH THE
PROVISIONS OF CHAPTER 236.34 OF THE WISCONSIN STATUTES TO THE
BEST 0 F MY KNOWLEDGE AND BELIEF.
0 V .4
FREDRICK W. NANNENGA, A-PLS
7582 CURRELL BLVD. FREDRICK W.
WOODBURY, MN 55125 NANNENGA
September 16, 1988 S-1958
WOODBURY
MN
<1
S U R,
6~ JUp , ~!I r~!a a
1(o
~,....ti,~ ~ a ~ Y~ -6' ti GU Y F"a. r ~ ~ ' c~ l~ S N' ~ c , '1 ~ (c ~ L 1
< ~{14W~N
X11 .
499883
EILED-
MAY 2 81993► 3
6 JAMES O'CONNEIL APi-R
Register ofDooft 4 CERTIFIED SURVEY MAP
Q SL Croix Co., W1
PART OF THE NW1/4 SE1/4 SECTION 7:T29N R18W my 2,tjn~
y WARREN TOWNSHIP ST.CROIX COUNTY ~ WISCONSIN
OWNER: JOHN BOUGHTON ROBERTS, WISCONSIN
I $T CRW CO UN"'
EI 4 CORNER SECTION 7 *%Npj~
• EX. COUNTY MONUMENT)
SCALE: 1 200' ZaniV 6"d
200 100 0 200 400 Parks Co"w"Now
Tto~
BEARINGS ARE REFERENCED TO THE E-W 1/4 LINE
SECTION 7 AS ASSUMED N89'49' 13"W. w►1V1A1 3 'd`S of
~fOVaf do*
LEGEND: apprOV3l ~'m
N~ 66' M# dt void
31 • --EXISTING 1 " 'IRON PIPE
)K --EXISTING '3/4 IRON BAR
, I
CSM VOL_7 P. 2090
,
,
P.o.e. N01 ° 17146"E 706.79' 6 ~1ttt'•l3tlflift ,
66.01' w
_ Cif, -
00 0 607.78'
33
- 0 00 .0
LOT 2 w w
~i AREA 261,8198.c/s.o/ oc. (roroi) LO
N o + 225,076 &f.15.17 oc. (Not) o I` I r t
a0
00 (5 ' 0) Z
i
e 604.15' 3 J I
S01 ° 19'55"W 703.16'
(SOO°37'00"W Rec.) I
N-S 114 LINE
-
F -
N I
CSM VOL. 3 P. 890
NOTES:
J ; I eJ I. EACH PARCEL SHOWN ON THIS MAP IS SUBJECT TO
' I STATE AND COUNTY LAWS, AULES AND REGULATIONS
' ( I.E. WETLANDS, M I N I MUM SOT S I ZE, ACCESS TO
O O 1 ' PARCEL, ETC.) BEFORE PURCHASING OR DEVELOPING
ANY PARCEL CONTACT THE ST..CROIX COUNTY ZONING
W I i I I OFFICE FOR ADVICE.
I
166' ~ ~ 2 A PRIVATE ROAD MAY CREATE A PURCHASER
RESPONSIBILITY FOR MAINTENANCE AND SNOW REMOVAL.
,
' " I 3. IF REAL PROPERTY TAXES ARE NOT PAID 13Y THE
OWNER OF PI
I 41 I AAGA II NST THEELOTS VSERVEO BDY THEY R!I VABTE ROAED,
`i i I PURSUANT TO ST. CR01X COUNTY SUBDIVISION
REGULATIONS.
I I
O
cv 166' I
\ I DRAWN BY:
~ ~L\ FREDRICK W. NANNENGA
WI/4 CORNER SECTION 7 DATE:
• (EX. COUNTY MONUMENT) 5/26/93
tom F I LENAME:
CSM I. DWG
Volume 9 Page 2622
ON
N
~Y
CERTIFIED SURVEY MAP
o°:~
~»1 PART. OF THE NW 1/4 SE 1/4 AND NE 1/4 SW 1/4
W~s SECTION T, T 29 N, R 18W WARREN TOWNSHIP
• ST. CROIX COUNTY WISCONSIN
OWNER, JOHN BOUGHTON ROBERTS, WISCONSIN
UNPLAT TED LANDS
///6M L/Nf
SCALE 1" = 300'
g CSA/ VOL.? P. 1859 300 130 0 300 goo
~i BEARINGS ARE REFRENCED TO THE E-W 1/4 LINE
POO N0101733"E 793.4 Mao. SEC. 7 AS ASSUMED N99049' WW
N *42 00 [ MIS (Ra) N
N
I W LEGEND
LOT / 0 o ti-- EXISTING 11/i" IRON BAR
M o --SET 1" x 24" IRON PIPE
ui m l WT. 1.68 LB. PER L. F.
0 8 Ilg. H X- --EXISTING 3/4" IRON BAR
674.70 „ 50083? 00 00"W • -EXISTING 1" IRON PIPE
J es ` I N010171 46wE Z 3 33
O M -00•j0.00 "E gg) AREA
`r LOT ? gy o (Notes Net Area excludes road R/W)
Z itI LOT 1
' , Total a 302,232 sq. ft./7.10 ac.
$00.37'00"r (Rec) I Net = 281,171 sq. it. /6.45 ac.
501"19-55-W 670.16 M•a 1 • •
N-S //S LIME 1 p - LOT 2c
apt Total = 261,385 sq. ft./6.00 ac.
~I CSN VAL.3 P890 I Net = 224,825 sq. ft./S.16 ac.
i 1 1 I
h
r 61 ~ ( I V llll 11
g tit 1/
Nn!
Lli
I
/ FREDRICK W.
Ro * = NANNENGA * s
W 1/4 COR. SEC.7 ~ S-1958 s a
r
• (EXISTINQ COUNTY MONUMENT` - WOODBURY
~ ~ •4,,, MN .0% 0 AF,
,
(REV. 9-28-88)5