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HomeMy WebLinkAbout020-1019-00-000 a v ° M O 6 m N ~ ~ I o ~ I 0 N ti µ Q~ h y I I I'. ° z c U. I Q I I 3 Cl) a z N rn z = o £ z N N w a m z c I o I v'° v p z Z I 001 Z d' 2 c O E 72 N N m a) _ ~V 7 Q OVA 00 O m O o CD Q ~ I z m z z N d C • CV N N E N 10 N CL Q.t6 O O AO .2 Lo G G a O O N U) (n U) E Z > > F- F- 3 :w N ~y a = O V ►i c 0 0 0 Z O HIV m w a a a m 3 U) J V 'ou rn rn } to w cn M N e-- -0N o O I O a) E - O O m IL 7 to N to cUi •p _d Q m 7 a~+ O N c i.a O I h E O c c O r\Q o co 3 III `m 0 a a a °o' ° 6 z: y O d c O O N M CO C 7 a) 0 1 a_ C\1 0 0 F- a) Lo • ~a N 7 L I C3 U O Z CL O z U7 O L I w y a CL y a w r`1wy w E r A V IL 0Nv Form- STC-104 AS BUILT SANITARY SYSTEM REPORT 4 OWNER Pekrl-i T r//~ TOWNSHIP o SEC. TN-R 1,7 W r ADDRESS ST. CROIX COUNTY, WISCONSIN 016 LOT / LOT SIZE ors • ON SUBDIVISION PLAN VIEW Distances and dimensions to meet requirements of I•I,HR.83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~r t3 ~ log ( -23 i _ . ~ rte ks row G, fi f rt . lOc~, o ~ o Iv 40 Top oo,~Y l i L - _j Cen r' u Ccc ~e Orl BENCHMARK:. Describe the vertical reference point used Cam,' Elevation of vertical reference point:/&1!94c,, Proposed slope at site: ~-2 SEPTIC TANK: Manufacturer: K S Liquid Capacity: /Dm L~ Number of rings used: Tank manhole cover elevation: 9~ ~3 Tank Inlet Elevation: Tank Outlet Elevation: ~S ! Number of feet from nearest Road: Front, Side0 Rear, O _~D~ feet 'From nearest property line Front, Side 10Rear, O ~ feet Number of feet from: well -Wzl , building: 0 (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER !V Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear, 0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: M, Length: Number of Lines: c~ Area Built: .Fill depth to top of pipe: Number of feet from nearest property line: Front, Oide,&Rear, 0 Ft ~ Number of feet from well: U LJe// Numb er of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: _ Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: - Alarm Manufacturer: Inspector: P. ok Dated: Plumber on job: /7- ---License Number : 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION 'P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MisQ o,,Y(~f H HI'W87cud.s14on C , T 2 9 - R 19 State Plan I.D. Number: owno 11vVONVENTIONAL ❑ ALTERATIVE (Ifassigned) Town' To McCutcheon Rd. ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Perry Phillips 555 Gray St., Hudson, WI .5 1,91 E CST REF. PT. ELEV . BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. 27h Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Dale E. Hudson 6629 St. Croix 149022 SEPTIC TANK/ i~?. MANUFACTURER: r LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTI-LEV.: WARNING LABEL LOCKING COVE / i PROVIDE PROVIDED, 1,c~2 Q ~f u- , f~c✓. S, g51o 8 s ❑ No ❑YES o BEDDING: VLrnT DIA.: V9bd_MATL.: HIGH WATE NUMBER OF ROAD: PROPERTY WELL BUILDING: VENT TO RESH (✓r a , ALARM: FEET FROM LINE: a ~t AIR INLT: C S C/ ❑ YES NEAREST ~Ct? v as ❑ YES N 4 ~ DO IN - MANUFACTURER: BEDDING: LIQUID CAPA MP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES ❑ NO ❑YES ❑ NO ❑YES ❑ NO PUMP AND CONTROLS OPE RATIONAL: N O PROPERTY WELL: BUILDING: VENT TO FRESH GALLONS PER CYCLE: (DIFFERENCE BETWEEN FEET FRO AIR INLET: PUMP ON AND OFF ❑ YES ❑ NO NEAREST 1 ~ SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: FIAL D MARKING: or excavation. (If soil can be rolled into a wire, constructipn s gill cease until MAIN the soil is dry enough to continue.) CONVENTIONAL D SYSTEM ENG : ENO DISTR. PI e SPACING: NG: COVER LI BED/TRENCH TRENCHES: I MATERIAL: DEPTH: DIMENSIONS j` GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. IPE DISTR. PIPE MATERIAL: STR. NUMBER OF PROPERTBUILDING: VENT TO FRESH BELOW PIPES: ABOVI~ COVER: ELEV. INLET ELEV. END: PIPES: LINE: AIR INLET: 'I W 4 ,73 / ` FEET FROM ~72 4 / i (/N~ NEAREST~1W v ~c7© MOUND SYSTEM: " .Z'. r' i Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO ❑ YES ❑ NO DEPTH OVER TRENCH/BE EPTH OVER TRENCH/BED DEPTHS OF T IL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO PRESS I, DISTRIBUTION SYSTEM: BE BENCH WIDTH: LENGTH: NO. OF LATERAL SPACING: GRAVEL H BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DI DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: ELEVATION AND DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESP INFORMATION APPROVED PLANS ❑ YES ❑ NO ❑ YES ❑ NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: C MF TS' / FEET FROM LINE: ca l 1. I~~ ❑ YES ❑ NO ❑ YES ❑ NO NEAREST-~ . ,eu ICU '4, 1112 i Retain in county file for audit. Sketch System on Reverse Side. S1GNAT E: / T E c , SBD-6710 (R. 06/88) - SANITARY PERMIT APPLICATION T DILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ~7~j 8% x 11 inches in size. ❑ Check if revis on 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 LL PROPERTY LOCATION J PC-K-- S 13e TN, R / (Or) PROPERTY OWN R'S MAILING ADDREdS LOT # / BLOCK # S3--5 a /,v// CITY, ST9ATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR C UMBER tra'so ~ : S~Ol~ -715 3:7&1>- G 77 II. TYPE OF BUILDING: (Check one) ❑ State Owned E3 VI LL AGE : NEAREST ROAD -l PARCEL TNUMBER(S) El Public 1 or 2 Fam. Dwelling-# of bedrooms wa III. BUILDING USE: (If building type is public, check all that apply) ~7 Z Cj ~9 - 9~ 1 ❑ Apt/Condo 7` 2 ❑ Assembly Hall 60 Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ~ New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 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 Seepage Bed 21 ❑ Mound 30 ❑ 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 (sq. ft.) (Gals/day/sq. ft.) (Min./inch) G p ELEVATION L,(X15 lz// ir7Z ~ ?egy'p `/lFeet 95,0 Feet VII. TANK CAPACITY 7' Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted GO did Septic Tank or Holding Tank s F1 I El F-I Lift Pump Tank/Si hon Chamber Vill. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): ~ CTi n IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved S 'tary Permit Fee (Includes Groundwater a e Issued Issuing A nt Signatur ( o Stam Surcharge Fee) Approved ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber " 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 1 iv - Location of property L.1/4 ^1/4, Section T N-R~W Township Mailing address 5 r 'I dSo L 5~-Dl ~ Address of site Subdivision name Lot number Previous owner of property Total size of parcel km' b Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house)? Yes .N0 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 references to a Certified Survey Map, the Certified Survey Map shall also be required. ---------------------------------------------------------7--------------------- PROPERTY OWNER CERTIFICATION I(3) certify that all statements on this form are true to the best of my (a' ) knowledge; that I we am are the owner(s) of the property described in this information form, by vir ue of a warranty deed recorded in the Office f the County Register of Deeds as Document No. '~`l19 ; and that I We presently own the proposed site for the sewage disposal system (or I ~ have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. 45"1116 atxiz Signatur Owner SignatureWof Co-Owne (If Applicable) Date of Signature Date of Signature S66PASE618 DOCUMENT No. STATE BAR OF WISCONSIN FORM 11-1982 ii THIS SPACE RESERVED FOR RECORDING DATA Q LAND CONTRACT 51aj~~Q Individual and Corporate v (TO BE USED FOR ALL TRANSACTIONS WHERE OVER $25,000 IS FINANCED AND IN OTHER NON.CONSUMER ACT TRANSACTIONS) REGIOTER'S OFFICE IX Contract, by and between Sr. C CRRQIX R CO., WI T.h oma s---W-..-. .u rke--------------------------------------------------------- ("Vendor", APR V UM whether one or more) and------.Piwrr.~t-. , L~..P.h ill-i p -.3nLl...Nanr- *8 :~30/ A. huabad.._arad--aaif$_.as__mar=it..a1----------- .....a r_mi_vo_nship...p- opLerty--- ("Purchaser", whether one or more). ~ OfD~da 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"), in t_..__Cxto_Lx------------------------------ County, State of Wisconsin: RETURN To ~i Tax Parcel No. The NV/4 of NE% of Section 14,-29-19 EXCEPT Certified Survey Map in Volume 11411, page 1079 and EXCEPT the East 2 rods thereof. I~ F This is not homestead property. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at ....place V e n d o r di r e c t s the sum of 21 , 500-- in the following manner: (a) 4 , 300, 00 at the execution of this Contract; and (b) the balance of $ _.._17-;_200 : 00......_..-_. together with interest from date hereof on the balance outstanding from time to time at the rate of----------- ten---- per cent per annum until paid in full, as follows : Commencing April 31, 1990 and on the thirtieth day of each and every month thereafter, equal monthly installments of principal and interest' in the amount of $150.00. Provided, however, the entire outstanding balance shall be paid in full on or before the....--..31st day of ____Ma--------------------------------- - 19_.93_ ( the maturity, date). Following any default in g y payment, interest snail 'accrue at the rate of.__.12_ % per annum on the entire amount ; in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire i! principal balance). II i 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 cx-xxxxlCxxxXXx-*J*-cxx>(&R)>c ~thexec:aa~ac tCeca~cncpro~pa~Cnaeln~:a>3c ~sc~pxlxaabixavtxpextan`ssiox ~o& ifi>e~sdonat"x 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: . ii it ii 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. ' i Purchaser shall be entitled to take possession of the Property on------._ day P LE c l o s i ng 19 i' 'Cross Out One. LAND CONTRACT- Individual and S Fi BAR O iIB NSIN Wisconsin Legal Blank Co. Inc. Corporate - IA g No. 1, (9E2 Milwaukee, Wis. r, 866PAGE619 Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest in it and to deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, ex- tended coverage perils and such other hazards as Vendor may require, without co-insurance, through insurers approved by Vendor, in the sum of n/a 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 si,ui: 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 encumbrances created by the act or default of Purchaser, and except: easements~__ restrictions and--rights-of-way___of __record_,____ f___~ _y_x____•._.-__-•---_-_-_ 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 60.- days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of days following written notice thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this contract j shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser her 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 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 all amounts previously paid by Purchaser shall be forefeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if purchaser fails to redeem) ; or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet-title action if the equitable interest of Purchaser is 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,uny remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in- curred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendency of such action., and such rents, issues, and profits when so collected shall be held and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchaser's rights under this Contract or by option, long-term lease or in any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become 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-than-clue under-this Contract.-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.) 3 1st day of ._.__...March *x 1990 Dated this - 1----- (SEAL) - - - - - - (SEAL) * Thomas W. Burke er J. P illips * --------(SEAL) -U[-""=='-=-•- - . ••-------(SEAL) * Nancy . Phillips AUTHENTICATION ACKNOWLEDGMENT Signature (s) __Thomas W_ Burke 1 ..Perry STATE OF WISCONSIN J_ Phillips, Nancy E. Phillips - - - - 31 s - --County. authent' ated this ~h 19.90 Personally came before me this day of /~.r' !'Lf GC ~G~i~'LG~ 'C GG~r't 19-------- the above named * Kristine Ogland Lundeen - TITLE: MEMBER STATE BAR OF WISCONSIN (If not- - authorized b by § 706.06, Wis. State.) to me known to be the person who executed the foregoing instrument and acknowledge the same. cy THIS INSTRUMENT WAS DRAFTED BY Kristine O g l a n d Lundeen - Attrrrn,15-y---8t•--Lerw---------------------------------------- Notary Public County' Wis. (Signatures may be authenticated or acknowledged,, Both - My Commission is permanent. (If not, state expiration are not necessary.) date---------------------------------------------------------- ls--------•) *Names of persons signing in any capacity should be.typed or prig, Wfbelgw, i ifr~fgnatures. LAND CONTRACT - Individual and Corporate - State Bar ofn Wiieonain, Fo`rrii'3do: 11-1982 H a S T C- 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT Ho St. Croix County z t7 _ a OWNER/BUYER ~r~ll Iy(~VL(',U ~r~-KJS c'~ ROUTE/BOX NUMBER '~~av ~j Fire Number CITY/STATE zip J4010 PROPERTY LOCATION:_LL.j4,Section, T L T N, R~W, Town of St. Croix County, Subdivision- kla Lot number A/ /f+ 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 pum er. 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. y 0 I/WE; the undersigned, have read the above requirements and agree N to maintain,.the.private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- v 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. ~ O SICNEI 4_1 11) A'rr__ 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. 4t . DUSTR WOEPART-MENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS IFl'DUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RECATION MADISON, WI 53707 i ~(H63.09(1) & Chapter 145.045) L0't1l / LOCATIO SECTIO TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: ~ //T19 N/R/9 E (or vpso~ _27 14 COUNTY: - OWNER'S/BUYER S NAME: s/ MAILING ADDRESS: 22 pis. 5`5yo Z / USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence J N~ - New ❑Replace /Z -83 12-Q3 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: TIS ND: IN-GROUND-PRESSURE:SYSTEM-1 N-FILLHOLDING TANK:RECOMMENDEDSYSTEM: (optional) do /,!-S"10 S ❑U ❑U ~xJ S ❑u ❑ S ©u ❑ S DU evan noa~rl If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the 7k.- //V s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: iN FT, PROFILE DESCRIPTIONS crCs ,50 BORING TOTAL DEPTH TO GROUNDWATER CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- >/1.0 'y Sl-, A?'13,v.<s'4, f '0 .4s w/ ~Z D l~ C, 7f ',Ba-6 y . 6 7 - ti. y B- Z y / ' /7 ' 13,v' L, f '/~,v, L, . G 7 ' 8.tl S~-Wi d~ GEC', ` ?.4,v c 4()'13,v-6y, S1, /-A? LY-RAJ. L, .e3'0,0-A0-SL, B-3 y 0 55`65 > 0 '/d' SG w 6L- ^ 67 ' Ti4a Mlig-fa CS' ' /f SiL .7jr'/QN. Si'i, /.f ' G1ICA3- B- y e-s q'3.O y ' S" ' -0w 4t :7f B-,~' 12 9~?36 >/a C~ ya' l3,v.S':/, ~u. s~ G~, ~1s' 7' r4AJ B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER ',v. T. AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P_ D lJfi~ / C " Am mx Z P- 3. P__ D /tiED / ^1 ;Uu o~ F E-P-L-1- 2 S T PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. /.307 .om o,--- 13ED eiC(w,47-/Dv SYSTEM ELEVATION //J.04t4., Uti2T• iPEF P_ ,gr 3 1 t E 1 N E I t I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the drcl~►~ry; the I~~~ of the tests are correct to the best of my knowledge and belief. NAME (print): - ii TESTS WERE COMPLETED ON: wdlmS1'Ti" 1171 " o M = /1 -403 ADDRESS: RT. CERTIFICATION NUMBER: PHONE NUMBER (optional): f S =o Z 3,? / 611111 ma CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R, 02/82) - OVER - REPORT" ON SOIL BORIN&S ~ PERCOLATION TE-513 ll 13o4 Poor p1.AM PROTECT' r. D. ~7KI30ieht 1)A TE t z - f3 c c'u t Qw . //Up S-16Al T U)-,j HOME`ITE TESTING ~ of CO. 5,1- X o- R T . 3, O'NEiL ROAD BOB ULl;RjC. AUUSONr WIS...._ 54018 CST SS 02 31,02- C ~i PROPOSED esoose mosr Jir 2-.i Fr QA MD~!£ ~o•~ ,g,cc r",£sT .vE,45. PRo POSF w ELL MUST Li E- 50 rT dip MORE"` FiPOrt AtG TEST AAPE'/¢S, • = QAt~fj~OE PiTs Q c EXIMIA1 e, L r4l- = PEG /DC TfD.v = MAIP ,CA o 54o0,L Bowe5 yoe;z . B 'rD~ o f ~ - M V~i~1Tl CAL ,PEfr,?t:vcE- Papa 7" koL) Zoct LEGS N D 411th 1%dAl 0,0 t10,r. APE` Pr ~a o. o FT VtQt•~~~' j' ~ oaf gt^ p ~n1 pii RE i3f 3I / 1- AP* r x ~ 13 A z. /3 y, C I Comu ® Each Office Is Independently Owned And Operated INDIANHEAD REALTY, INC. presents REALTOR HOMESITS TESTING CO. RT.3, WHIM ROAD NORTH LIRE OF dUDSON_ WS• 5406 THE NE I/4, SEC ►4 •~I NE CORNER SEC. 14, T29N, now, LoWrY. MOWMENT 1 I S890 41'08"Ili 394.93' S89041'08"W ?28.00' I s / 330.89 I ° ~ ~ry fr LAW 7 8 or. THE NE -NE LOT 3 °o c9 I I8 5.005 ACRES TO 40 LINES tJ ~C `aJt °"c 4.6.54 A " TO R.O.W. . 1~`/ F~ 1 y r I N89°41'08"E 593 550.32 'n 4 I ~O-f 44 q MCA I - 13 LOT 2 : r 3 li e~ 6.221 ACRES TO 40 LIRE ^ O ♦ n I l e s r a .alN: u 3.778 ACRES TO R.O.W. a, h0 N f f O I` y O CAI I I S89*41b8"W 391.•40' 330.03 Z• 1 ~ ~ flu LOT I NOTE: LOT , 5t IIO~D I f$I w 6.630 ACRES TO 40 LINES DRIVEWAY ACCESS I/X 3.761 ACRES TO R.O.W. a TO BE FROM TANNEY in LANE. I • . CA E =200' I I J N89~38'ol"E 0100 200 400 4 _ N 89 49 . MC _ CUTCHEOIy ROAD ~E TOWN ROAD SOUTH Lwt o s 1" X 24" IRON PIPE WEIGHING OF THE NE - NE L0 LBS/LINEAL FOOT SET 605-284N Two six acre lots, One Twenty one acre lot. These lots have perc. tests on them, they are perfect for an earth-sheltered type home, Located in Hudson Township, St. Croix County; Section 14, on the corner of McCutcheon Road and Tanney Lane. Lot # 2, $12,000, Lot # 11 $120000. Lot # 4, $21,000., This 21 acre lot has not been perked. 346 South Knowles New Richmond, Wisconsin 54017 (7151246-2129 K 1 . REPORT ON SOIL SoklN&S PERCOLATION TESTS IBS: Poor PLAM PRo-XEc i D. To,A, /3 vR~E A • PAR DA r A/vD"-J TW.AJ I•IOMESITE TESTING CO. G, piX • RT. 3, O'NEIL ROAD BOB ULL'k1G".1 RUIDSON, WIS...... 54016 C57 SS'•02 Y Z. N Z~ I c 36 7-7 •PRo past p w, LL M Vyr we FT ' tiofF' Ffom At 4 ref7- .1 77 l3,gc,yoE /~iT 0 ELL S W =EXIST/aJ 6- 'v A X = ~EQG /OCgT/f - tJ EQED o S~rDll L ~E " HAu~ ff 9 ~ . E ~3otE's t Mow ;z 8 M VFRtic,►~ knCrA "Ir . P61107- T°P re-v f7. FVo.Af LE GE N p ~/EV~row y~r ~PE~ Pt. io d. 0 'Fr : _ S.~ NoRAu JA Vtej /fit )or- N ~ b r i EP 3liq" 1-~PC N ~ i3l AP* 13 S 1164J T- r L ' 1 J e1 . 1 /rlc CNfC~e'o~ ~p~ yrs~~ Irla'~ O 31 ~ E, M• /00 ,0 BZ- 93.9y~ gy 93 Oyu ~,,;,-gory sys~em ~s A - 9836 139 1/0"x GZ • S Beal , 1 /~o~ rid C u/C/J ~'rorr~ /7,30, ~e . s t/,•f y ~ 3S m M ~ 100 a M 4 0 Its C Z O" v _a m ; Sec. S p40'OO"t a `v' Fr~dr~G Co✓cr MQ/Ir~ m~~P?6a-j Y P PVC 27 417 r • n 9 • ~a ~NO1 F T~rQrJ►~ B/Y -t" Pa. P,,Pe r'~P ~2 9 GS>' ..~r~/3