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SEE PAGE 43 40
Parcel 032-2003-90-100 11/14/2006 10:21 AM
PAGE 1 OF 1
Alt. Parcel 1.30.19.477B-10 032 - TOWN OF SOMERSET
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner
O - GOSSO, RONALD F & PENNY L
RONALD F & PENNY L GOSSO
1784 82ND ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1799 82ND ST
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 4.300 Plat: N/A-NOT AVAILABLE
SEC 1 T30N R19W NE NW LOT 1 CSM VOL Block/Condo Bldg:
3/893 EXC PT TO HWY PROJECT 1559-08-22
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
01-30N-19W NE NW
Notes: Parcel History:
Date Doc # Vol/Page Type
07/01/2004 767506 2607/394 EZ-U
04/30/2002 677604 1880/395 WD
04/29/2002 677572 1880/233 WD
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/24/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.300 54,500 94,800 149,300 NO
Totals for 2006:
General Property 4.300 54,500 94,800 149,300
Woodland 0.000 0 0
Totals for 2005:
General Property 4.300 54,500 94,800 149,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
FORM N0. 985d
s ►ui~ ~ n n
Iy ~ FILED s
r 979
ST. CROIX COUNTY J21 O' CONNELI ~
It SURVEYOR'S RfCORD R.objw of D••ds
5% Croix Ca"Ity,
V
CERTIFIED SURVEY MAP l
N'I/2 -NW 1/4-SEC. 1,T 30N,R 19W wm
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C/O 8 7 ' -1 S9 e2 • cFN N Ai o
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REVISED NOV. 30,1979 0~y ,oC s 3~0
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CERTIFICATE OF THE TOWN OF S014ERSET oo All to o A
I, do hereby certify that this ss
Certified Survey Map has been i/o '>s0 _
approved by the Town of Somerset [1(, 100'
this day of , 1979. z
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> ; r Q°; - z
Z
ton ' -1 co 10 II 100'
Town Clerk-of Somerset o O
10
N Iw
APPROVED m .4 , Z
OP C
01- .0
DEC 31g7
. o o
W
ST. CROIX COUNTY o w
COMPREHENSIVE PARKS PLANNING N
AND ZONING COMMITTEE O
Z C M X C m D O fn z
M O c•) ~
C -f XA OZ rn r O m-
APPROVAL OF THIS MINOR SUBDIVISION m 3 0~ 0 z O ~
DOES NOT ? z
APr-;,;OVAL - FOR o m
z _
BUILDING SITE OR Q z a) z z
c - m
SEPTIC SY,TEAi. z m X
REFER TO H62.20,
O D r --I M CCDD m
VOL. 3 PAGE 893 z z+ U) cn m Z
SO
D
CERTIFIED SURVEY MAPS D zmi N ALL BEARINGS REFER
ST. CROIX COUNTY, WI. 1-04 J~m g TO THE NORTH LINE OF
co 3 m T THE NW 1/4 OF SEC. 1
o (ASSUMED TO BE
o N 89440'-32" W )
Form - S T C - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER ✓ TOWNSHIP jO/-;I er5ek. Te~_N-R1;,W
ADDRESS ~f 6e k o2 ~T. CROIX COUNTY, WISCONSIN
SUBDIVISION Cam U6 /LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of I•ZKR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
~a
P
t ~
l
oZo
INDICATF~ NORTH ARROW
BENCHMARK: Describe the vertical reference point used
~.7
Elevation of vertical reference point: 1 Proposed slope at site:
SEPTIC TANK: Manufacturer: ~ 0_e, Liquid Capacity:
,-Number of rings used: _ Tank manhole cover elevation: 'J' 6 5
Tank Inlet Elevation: Tank Outlet Elevation: S^ `
Number of feet from nearest Road: Front 10 Side in Rear, O
s~aa feet
From nearest-property line Front.0 Side,O Rear, (D _ 40 feet
Number of feet from: well, building:
(Include this information of the above plot plan)(2 reference dimensions to septic tank)
SEE REVERSE SIDE
PUMP CHAMBER
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. property line:`. Front, O Side, O Rear, O Ft.
'Number of feet from well:
Number of feet from building:_
(Include distances on plot plan).
SOIL ABSORPTION:SYSTEM
Bdd Trench:
i
Width:_ /„Z Length: S .-Number of Lines: ~ Area Built:4!5-~
Fill depth to top of pipe: / 02
I
Number of feet from nearest property line: Front, O Side, O Rear, It. .?Z
Number of feet from well: o 0
N ber of feet from building: 5-
(Include Idiances on plot pllan).
SEEPAGE PIT
Size: Number of pits: Diameter:
Liquid depth: Bottom of seepage pit elevation:
Area Built:
Has either a drop box or distribution box O been used on any of the above soil
absorbtion sytems? (C eck 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, OVt.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
at Inspector:.
2
Dated: Plumber on job:
License Number:
3/84:mj t
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING
LABOR & HUMAN RELATIONS DIVISION
P.O. BOX 790 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION
MADISON, WI 53707 State Plan I.D. Number:
NEB , NE 4 ,Sec . 1, T 30 - R19 (If assigned)
Town of Somerset CONVENTIONAL El ALTERATIVE
El Holding Tank El In-Ground Pressure El Mound
P H ADDRESS OF PERMIT HOLDER: INSPECTION DATE: .
David Burch Rt.2,Box 250 B, New Richmond, 141
BENCH MARK (Permanent reference point)) DESCRIBE IF DIFFERENT FROM PLAN: / REF. LEy C T F. PT. ELEyr
_5e_cq,-1 kJ " lY L.~ CF~C/ ACC 4 r I~'G~ ~ r~ Q
Name of Plumber: MP/MPRSW No.: Cd ty: Sanitary Permit Number:
Byron Bird Jr. 3318 St. Croix 135447
SEPTIC TANK/
MANUFACTURER: LIQUID CAPACITY: TAN INLET ELEV.: TANK OUTL Et:EV.: WARNING LABEL LOCKING COVER
~ / PROVIDED: PROVDED:
[ k)l . S / ' , lap"7, la 9 YES ❑ NO DYES NO
BEDDING: VE#i DIA.: VENT+MATL.: HIGH WATER ' NUMBER OF ROAD: PROPERT WELL: BUILDING: VENT YO MESH
C. O. C ,P, ALARM: FEET FROM LINE: / N ; AIR INLET:
F-1 YES NO 1 ❑ YES NO NEAREST
DOSING CHAMBER:
MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER
PROVIDED: PROVDED:
El YES ❑ NO ❑ YES E:1 NO ❑ YES ❑ NO
PPERTY WELL: BUILDING: VENT TO FRESH
GALLONS PER CYCLE: MP AND CONTROLS OPERATIONAL: NUMBER OF RO
(DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET:
PUMP ON AND OFF PU ❑ YES ❑ NO NEAREST
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING:
or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN
the soil is dry enough to continue.)
CONVENTIONAL SYSTEM:
WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID
BED/TRENCH
i TRENCHES: MATERIAL: PIT DEPTH:
DIMENSIONS /
GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. ISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH
BELOW PIPES: ABOVE COV EL V. INLET: ELEV. END: PIPES: FEET FROM LINE: ~7 Q AIR INLET:
IE_ 3 ,gQ 99.60 "J NEAREST
MOUND SYSTE '
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/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED:
CENTER: EDGES:
❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO
PRESSURIZED DISTRIBUTION SYSTEM:
BED/TRENCH WIDTH: LENGTH: NO. OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER:
TRENCHES:
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING:
ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.:
ELEVATION AND
DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO
INFORMATION APPROVED PLANS
❑ YES ❑ NO ❑ YES ❑ NO
PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY 1~WELL: BUILDING:
COMMENTS: ; , FEET FROM LINE:
' J ❑ YES ❑ NO ❑ YES ❑ NO NEAREST
14 j _ z, /yyYl,H•~~t-~a-~ ~'>.,t~r^t . ~.GL.tr/
7~ yz~,
I
Sketch System on tain in county file for audit.
Reverse Side. SIGN LIFE: TITLE: 42
SBD-6710 (R. 06/88)
A SANITARY PERMIT APPLICATION COUNTY
In accord with ILHR 83.05, Wis. Adm. Code Cr iX
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than 135-z7 7
8% x 11 inches in size. ❑ Check if revision to previous application
--See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY OWNPROPERTY LOCATION
6~ - /j~p '/a j~~C1/a, S TIC, N, R -d' ~ E (or
uN
c~
PROPERTY OWNER'S MAILING ADDRESS kSUBDIVIS46N T # BLOCK #
CITY, STATE ZIP CODE` PHONE NUMBEROR CSM NUMBER
11. TYPE OF BUILDING: (Check one) 1:1 State Owned VILLLLAGE • NEARES ~A~
v E'er
INQWN.Q 'el
❑ Public ®1 or 2 Fam. Dwelling- # of bedrooms
LT NUMBER(S) 111. BUILDING USE: (If building type is public, check all that apply) e-17-7.8
❑ 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 120 Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Off ice/Factory 13 ❑ 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. ❑ 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 I Seepage Bed 21 ❑ Mound 300 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) ELEVATION
Feet O - Feet
~.7 G /9' Fj off- 171/ .4 5 -5,
VII. TANK CAPACITY Site
in gallons Total # of Prefab. Fiber- Exper.
INFORMATION New lExistin Gallons Tanks Manufacturer's Name oncret Con- Steel glass Plastic App
Tanks Tanks structed -77
'0,e W75~
Septic Tank or Holdin Tank e
LiftPum 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): I / Plumber's Signature: (No Stamps). MP/MPRSW No.: Business Phone Number:
Plume Address (Street, City, State, Zip Code):
,ate ,>°co
IX. C UNTY/DEPARTMENT USE ONLY 'loll
❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued issuing Agent Signature (No Stamps)
/
Approved El Owner Given Initial Surcharge Fee)
I -
Adverse Determin ti n
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R.11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS - ti
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 Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
submitted to the county prior to installation.
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the
State of Wisconsin, Safety & Buildings Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be installed.
II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in ##1-7.
VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of
tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all
septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval from DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application form.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The
plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of
holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system
areas; and the location of the building served; B) horizontal and vertical elevation reference points;
C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater, ground-
water contamination investigations and establishment of standards.
SBD-8398 (R.11/88)
r
APPLICATIONFOR SANITARY PERMIT
STC-100
This application form is to be completed in full and signed by the ovner(s) of
the property being developed. Any inadequacies will only result in delays of
the permit issuance. Should this development be intended lot resale by
owner/contcactoc,(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.
---------------------------------------------RR----------------------------------
Owner of property RoAri to ll urn~H
Location of property =NN O- /4, Section
Township :S O'Ale fs C+
Maliing address
Address of site $ s+
•ubdlvision name .
Lot number
Previous owner of property Se,k e. e r S- a+,/ev V. I' Mary
a; ; es
Total sire of parcel S.0
9
Date parcel was created 1 a /3/-7
Ace all corners and lot lines Identifiable? X_Yes o
Is this property being developed for resale (,spec house)? as PO
Volume and Page Number .'39 3 as recorded with the Register of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DRID which includes a DOCUMENT NUMBER, VOLUME AND PAGZ NVNBRR, and
the SEAL or THE REGISTER OF DEEDS. In addition, a cettlfled 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 Cectifled Survey
Map shall also be required.
PROPERTY OWNER CERTIFICATION
l(We) cettify that all statements on this form are true to the best of my (out)
knowledge; that I (we) am (are) the ownerts) of the ptopetty described In
this lnlocmation form, by virtue of a warranty deed o dad in the Office of
the County Register of Deeds as Document No.,sIer~ s and that I (we)
presently own the proposed alto for the sewage disposal system tot I two) have
obtained an easement, to run with the above described property, got the
consttuctlon of sald system, and the same has be dyl s cdad In the Office
of the County Register of Deeds, as Document No. ~
e gnatuce of Owner Signature of co-Owner (If Applicable)
3~ loo 3 / :5'/90
Data of Signature Date of Signature
I
DOCUMENT NO. STATE BAR OF WISCONSIN FORM 11-1982 THIS SPACE RESERVED FOR RECORDING DATA i
LAND CONTRACT
• 456890 Individual and Corporate
r► (TO BE USED FOR ALL LL TRANSACTIONS WHERE OVER '
$25,000 IS FINANCED AND IN OTHER NON-CONSUMER
-._----.-----_AC_T. TRANSACTIONS) T
-
fry. ~I B;G TAJE.2 i'
REGISTER'S OFFICE
Contract' b and between Allan E.- $le~...... r as to an undivided ST. CROIX CO., W1
one-half--- interest• and Stanle V. Hale and Ma R@C'd for Record
Hale, husband arxJ wife
as joint-tenants,-as-tQ an-undiyde~efialf-interest ("Vendor", ,
. e j
whether one or more) and _ avid _ff d Qr Burch' and Bonnie K . at
61990 M
9: 5 0 A.
Our__Cb_,..busballd..and.w fe,.__as...sur_xiv_ar_s.hit2..ijdr_ittiI
ro ert
(Purch ex , whether one or more). C~~w
agrees Vendor sells and to convey to Purchaser' upon the prompt and full per- hbr Of Cn* j
formance of this contract by Purchaser, the following property, together with the
rents, profits, fixtures and other appurtenant interests (all called the "Property"),
in Cr01 X County, State of Wisconsin: RET ETURN - TO - Ed i na Realty
505 S. Knowles Ave.
Part of the North One-half (N'/2) of the Northwest New Richmond, WI 54017---_
Quarter (NW'/•), Section One (1), Township Thirty
(30) North, Range Nineteen (19) West, described Tax Parcel No..__Q32-2QQ3-90
as follows:
Lot 1 of Certified Survey Map filed December 3, 1979, in Volume 113", page 893
of Certified Survey Maps, as Document No. 361545. it
I
,.Ri+a++ I I
This i S not -homestead property.
(is) (is not) II
Purchaser agrees to purchase the Property and to pay to Vendor at Vendor's._mall ing.-449_r%*.*
the sum of $-----11.,5100_00 in the following manner:. (a) $.....1AAA..A
at the execution of this Contract; and (b) the balance of $ ...1Q.s aQ_ QQ together with interest from date
ii
hereof on the balance outstanding from time to time at the rate of......... j.Q per cent per annum ~
until paid in full, as follows:
$100.00, principal and interest, to be paid-on .the:21st
day of April, 1990 and the 21st day of each month until paid in full.*
!
i~
I~ I
Proved, however, the ent'r outstanding balance shall be paid in full on or before the........ _2 lS.t day of
Septem er------------------- 19-~ ( the maturity date).
Following any default in payment, interest shall accrue at the rate of...l0----- % per annum 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... C 1.OS 1 ng• .l XxxxxX X
~()f~yXDldCXiXXI#14~ya63~Q11.>bX)~Fl4~i¢141C)siJi44i~6!(OC~ild~l(,14fUVJ(:1Qdidi;X'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. i
Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser j
for examination except:
I
I
i
j
i
i I
Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall
be retained by Vendor until the full purchase price is paid.
Purchaser shall be entitled to take possession of the Property on.... SAte..Qf... ClQ.~In9 19.......
*Cross Out One.
i
LAND CONTRACT-Individual and STATE. BAR OF WISCONSIN =f t wiseonain -21,.l Blank Co. Inc.
Corporate FORM No. 11 -1981 Milwaukee, Wis.
- ►•.r. cc ~1 n
~Ir SVV pAt:2G10
Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest
i . - 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 ---CO_IAN b lance_ , 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 ai;rees in writing, the original
of all policies covering the Property shall be deposited with Vendor. Purchaser shall l romptly give notice of loss to
insurance companies and Vendor. nless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall
be applied to restoration or repair of the Property damaged, provided the Vendor deems Lite 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 :
._____________recorded easements: restrictions_,_ reservations and righ~s__pf_ws~y--_._____.____-_-_-______
.
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 ...6Q... days following the specified due date or (b) in the event of a default in
performance of any other obligation of Purchaser which con tinues for a period of 60 _ d:. vs following written notice
thereof by Vendor (delivered personally or mailed by certified hail), 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 limitation: provided by law) in
addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this CoI,Li•:•ct and Purchaser's
rights, title and interest in the Property and recover the Property back through strict foreclosti c with any equity of
redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, wi'h 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: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, 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 Purchasers 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 then due 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 Vegor apd. Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable
consideration joins herein to refease,.•homestead rights in the subject Property and agrees to join in the ex tion of the
deed to be made in fulfillment h4re6f.)
Dated this • day of
C'~----.~... (SEAL) ...~-a?^"'!..:... w~ (SEAL)
* .....Oavid:.E. Burch
EAL) l jwv.~,.k:..lSfw►c.' (SEAL)
Stanley...Y,...Hd~.e..l...MdL All e * Bonnie K.- Burch.....
ACKNOWLEDGMENT
Signature (s)Aa E1~ a>? re: iE~4tt0ier . STATE OF W+fi66i~ffpNmi~gpse • ` Vr. `
David E. Burch, Bonnie K. Burch as.
i
a........................ County.
90
~XNX this 26 da
Y of---- Personally came before me Z this - ....day of
ACKNOWLEDGED
a?: 5 191je.. the above named
•
* Alice J. Connors pRY - '
(If not, Notary. Pub-- W u ,
authorized by § 70.06, i
O to me known to be the person who executed the
t?V conuiassion expre CF g4 h
foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED l1 C
Fr~r~C ~ t GQ- D5-IL- A.tty--------------------,..:; - /
836 Jefferson Rd. Nair RidYnurld WI 54017 ~
x Notary Public YW,;t s~1'.... .County, mss. /"/V'
(Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration
are not necessary.) date 1t6R i(kx A"..AUA V .4A- ;~;4A4&r,~yt.)
° wt* LINDA.R. THOMPaON >
•Naines of persons signing in any capacity should be typed or printed below their signatures. NOTARY PUBLIC - MINNESOTA l~ RAMSEY COUNTY
LAND CONTRACT - Individual and Corporate - State Bar of Wisconsin, Form No. 11 - 1982 RM.~~77; Y My Commission E&pireS June 23, 1991
S.TC - 105
- m
SEPTIC TANK MAINTENANCE AGREEMENT P)
St. Croix County
OWNER/ BUYER 3,,v J o A i e 2 c H w
0
ROUTE/ BOX NUMBER Fire Number
d
CITY/ STATE 6 Co--3 , n ZIP ~ y ~ ~ `1 M
PROPERTY LOCATION : • IV a16, Lu) k, Section 1 T _30N, R_ 12_W,
Town of ' S oer5~~ 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 "se tic tank um er. What you put into
the system can a ect the .unction o t e-septic.tank as a treat-
ment stage in the waste disposal system.
St. Croix County residents'maY be eligible to recieve a grant for
a maximum of 60% of the cost.of replacement-of a failing system,
wh cNi 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 County Zoning a
certification form, signed by the owner and by a mater 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
I/WE, the undersigned have read the above requirements and agree o
to maintain the private sewage disposal system in accordance with
the standards set forth, herein, as set by the Wisconsin Depart-
ment of Natural Resources, Certification form must be completed b
and returned to the St. Croix County Zoning Office within 30 days
of the three year expiration date.
SIGNED e
DATE, 3~as' /90
St. Croix County Zoning Office
911 4th St.
Hudson, WI 54016,
386-4680
Sign, date and return to the above address.
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY DIVISION
LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 7969
HUMAN RELATIONS
N WI 53707
(ILHR 83.09(1) & Chapter 145)
LOCATION: WNSHIP/ ~N IP~ ITY~ ~ ILOT NO.• LK. NO.: SG SO►IV~ISrIOvA
14 / I /T oN/ E(o
COUYTY: , ` MAILING ADDRESS:
15 T. 6"" GCtJ/ O o2 Q ►
USE DATES OBSERVATIONS MAD
NO. BEDRMS.: COMMERCIAL T
25FIesidence Wew ❑Replace 74 _4;x3_0
RATING: S- Site suitable for system U- Site unsuitable for system d Q . -C e 47'
ONVEN AL: MOUND: IN-GROUND-PRESSURE: - -FILL OLDING TAN : RECOMMENDED SYSTEM:loptionall
71S OU CCU tLJi~ OU D EIS St
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: t/
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH R UNDWATER-INCHES CHARACTER O SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN. ELEVATION -OBSERVED EST. AIGHES TO BEDR CK IF OBSERVED (SEE ABBRV. ON BACK.)
B- l o ,4 "'ga sjj~- -Xa -;qw dy 007 14
B- 47"
B- ~rf -17qteU.
B-
PERCOLATION TESTS
t
TEST DEPTH WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RAT MINUTES
NUMBER NO-PM' AFTERSWELLING INTERVAL-MIN. _PFRIQ1931 PER INCH
P. 1-27 Q 0%,C-
P- L
P-
P-
Pp - d
P-
PLOT PLAN: Show locations of percollition tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM EVATION G,
1 _T
o_ - c
A X I-
_ b / TN
01
' ax t fix/ w
f~ -
7
- 6-
i
Sz
1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in th tsconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
i
NAME print
TESTS WERE COMPLETED ON: -
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional).
~d 15;~ er G~/ - DDS 7 7/S~?d~"7b'~
CST SIGN RE:
t
DISTRIBUTION: Original and one copy to Local Authority. Property Owner and Soil Tester.
DI LHR.SBD4395'(R. 10/83)
nVFR
FLUT PLAN
/ J
,PROJECT ADDRESS ~ z~ c p'~J~c~ j•~d/'
57
1/4I-1/4/.S / /T,r N/Rl~ W TOWN ~~~,-mot COUNTY
MPRS Byron Bird Jr. 3318 DATE
BEDkOO ~CLASS PERC' CONVENTIONAL, IN-GROUN RESSURE
CONVENTIDNAL LIFT&MOUND_ HOLDI G TANK
SEPTIC TANK SIZE LIFT TANK SIZE
( DOSE TANK SIZE HOLDING TANK SIZE
ABSORPTION AREA PERC RATE BED SIZE /v2.~'oz r
► Benchmark V.R.P. Assume Elevation 100'
Location of Benchmark '95 -
* H.R.P. --5f~e-e-Ig
0 Borehole (Dwell _ Scale = Feet
0 Perc Hole System Elevation g
Uent
12"
Grade
TYPAR COVERING
2"
12" 3- 4 s- 4O 3,
Sewer Rock
6" 1.2'