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HomeMy WebLinkAbout020-1143-10-000 h O °my c 0o a 0 ~ .c I c ° 'D L 01- e4 .0 N U) ° L f0 .C N N "0 L 1 L'' N U_ T CO ~~p N U N N ,its N N E 5 E m Ell, cU .D ` p d m av cN f z L caws c_ E o c° y 4) O a 3 ° y -0-0 Q °c-N M = 35a I z v+ CO W E Z r o z v n z a m 0 O z a c v o fA F- aCi z d M ` N O c (D C 155 c L) 0 Z m z z ° N co O m N m eo E I c w m o I CO D D a Y 0 N m CD CL av ° CL 2 z o •ww, ~aaa h N a g 0 U) rn rn I o N 00 CO w N J U= ~V ! C M M Y 0 U O o v ml c a L ~i v w ayi m a~ 'o d d ~ ~ m I U) in O O N C O w E O O LO CP CIS 0 O d N c c U a 0 O 0 C-4 V o p d o m ooo y ICI N N C .ry 7 C_ N • N w 0) O O M Cc U cc ~ O ~ 2 ! 3: O Z F- ~ ~ to r^ ~ I i+ I C/~ 41 R a r~ it EL V d E ` 'c c Parcel 020-1157-20-000 02/15/2006 10:38 AM PAGE 1 OF 1 Alt. Parcel 17.29.19.879 020 - TOWN OF HUDSON ST. CROIX COUNTY, WISCONSIN Current I X Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - WANG, MARK A & MARY J MARK A & MARY J WANG 947 SHERMAN RD HUDSON WI 54016 = Special Property Address(es): Primary Districts: SC School SP _ ry Type Dist # Description ` 947 SHERMAN RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.002 Plat: 2277-PARK VIEW ESTATES 3RD SEC 17 T29N R19W PT NW SE PARK VIEW Block/Condo Bldg: LOT 85 ESTATES 3RD ADD'N LOT 85 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 908/584 07/23/1997 871/116 2005 SUMMARY Bill Fair Market Value: Assessed with: 92744 236,100 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.002 47,700 193,100 240,800 NO 05 Totals for 2005: II General Property 1.002 47,700 193,100 240,800 Woodland 0.000 0 0 Totals for 2004: General Property 1.002 24,300 168,400 192,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 135 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 ST. CROIX ZONING REPORT NO.: 19437/01 PAGE i ST. CROIX COUNTY REPORT DATE: 3/13/92 COURTHOUSE DATE RECEIVED: 3/11/92 HUDSON, WI 54016 ATTN: THOMAS C. NELSON OWNER: uce 6 Caroline Wang LOCATION: 984 Sherman ane, Hudson COLLECTOR: M. Jenkins DATE COLLECTED: 3-10-92 TIME COLLECTED: 1:45pm SOURCE OF SAMPLE: Outside faucet i DATE ANALYZED:3-11-92 TIME ANALYZED:2:00p® t COLIFORM: 0 /100 ml INTERPRETATION: Bacteriologically SAFE NITRATE-N: 4 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Coliform-$acteria/100 ml Nitrate-Nitrogen, mg/L 14 1~ 00 i!l r sT ~ ~v~~? ti LAB TECHNICIAN: Pam Gane co moo~.\NOEnFNCEN WI Approved Lab No♦ 19 aa a' < Means "LESS THAN" Detectable Level Approved by: 4A ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 4 3/4/921 ST. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse 911 4th Street Hudson, WI 54016 Telephone - (715)386-4680 The St. Croix County Zoning Office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals. Completion of this form is essential so that the property can be located. Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING----------------------------FEE: $ 25.00 X (For nitrates and coliform bacteria) WATER TESTING FEE: $175.00/•~' (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 X2.~ (Determines if system is properly functioning at time of ~y inspection) Property owner ' s name Bruce & Caroline Wang Property owner's address 984 Sherman Lane Legal Description 1/4 of the 1/4 of Section Town of Hudson Lot Number 47 Subdivision Name park07i ACT gcztates FIRE NUMBER 984 LOCK BOX NUMBER NO - T~ 0 g]3QZ 0:20-//V3 Color of house Realty sign by house? YesIf so, list firm: Century 21 Bertelsen-Cudd PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: Jenny Olson Telephone Number 386-8207 REPORT TO BE SENT TO: Jenny Olson Ce Y /06 t Street S Hudson Closing dat 17th. IF ,YOU NEED TO GET INSIDE, PIE6SR, (14T.T. 11 Signature L ' MAKE ARRANGIIKENTS SINCE X, an you. P ST. CROIX COUNTY y w s yyt`. WISCONSIN a { ZONING OFFICE rti C''? ST. CROIX COUNTY COURTHOUSE 1. 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 Mar. 11, 1992 Jenny Olson Century 21 706 19th Street South Hudson, WI 54016 Dear Ms. Olson: An inspection of the septic system on the property of Bruce & Caroline Wang, located at 984 Sherman Lane, Hudson, WI was conducted on March 10, 1992. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. tJ rely, MJenkins s Assistant Zoning Administrator js 'Parcel 020-1143-10-000 01/10/2005 04:47 PM PAGE 1 OF 1 Alt. Parcel 17.29.19.740 020 - TOWN OF HUDSON Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner * BRIAN M HILLMAN HILLMAN, BRIAN M 984 SHERMAN LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 984 SHERMAN LA SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.340 Plat: 2276-PARK VIEW ESTATES 2ND ADD SEC 17 T29N R19W PARK VIEW ESTATES 2ND Block/Condo Bldg: LOT 47 ADD LOT 47 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1073/459 QC 07/23/1997 941/102 07/23/1997 842/220 07/23/1997 825/36 2004 SUMMARY Bill Fair Market Value: Assessed with: 48826 253,200 Valuations: Last Changed: 10/26/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.340 28,300 167,600 195,900 NO Totals for 2004: General Property 1.340 28,300 167,600 195,900 Woodland 0.000 0 0 Totals for 2003: General Property 1.340 28,300 167,600 195,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 207 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ( u~ e ♦ 4ARC1 ! /AQ W AN JTOWNSHIP D5 1 J SEC. ~ T N-RA W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION u ! ~ ftAi CS LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I Q ff ~ 8 6 6e C-3 7S ` Sa' ~ ~ avU ~A1 a INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used GRAUN D NON to ftmo 'I04 Elevation of vertical reference point: CVO, V Proposed slope at site: - SEPTIC TANK: Manufacturer: Liquid Capacity: 00o Number of rings used: Tank manhole cover elevation: , ~a3 qy Tank Inlet Elevation: 101-37 Tank Outlet Elevation: 10041 e ' Number of feet from nearest Road: Front ,(Q~Side 0 Rear, O Q feet ' From nearest-property line Front,O Side,O Rear ,(l feet 1 Number of feet from: well building: 5 (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 nearest. property line: Front, O Side, O Rear, © Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). f kAop- 2 5ho' S'0( SOIL ABSORPTION S STEM 1#0 Q U 9 g, U3 9 V3 17 7 1'-q y. p r ND Bed: Width: ' Lendth: 3l0 Number of Lines:_ Area Built: V Fill depth to top of pipe:, Number of feet from nearest property line: Front,, O Side, O Rear, Pt. Number of feet from well: Number of feet from building.. 5 , (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, 0 Rear, Ft. 0 Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspectblr : Dated: Plumber on job: License Number : 3 0 3/84:mj I)EPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MADISON. WI 53707 State Plan I.D. Number: NE, NW, 17,19W CONVENTIONAL ❑ ALTERATIVE (If assigned) Town of Hudson ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound E PER ADDRESS OF PERMIT HOLDER: INSPECTION A E: Bruce & Caroline Wan' 6herman Lane, Hudson, WI 54016 /Q -X -W 3;4 o ENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: GRIEF. PT. ELEV.: CST REF. PT. ELEV.: (s t S r»`_•4 f /j 1tF? ; Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Richard Hopkins 1059 ST. Croix 119489 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER r I y D o 11013 Or PROVIDED: PROVIDED: ES ❑ NO ❑ YES NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERT WELL: BUILDING: VENT TO FRESH I ALARM: FEET FROM LIN / AIR INLET: ❑ YES NO f / 1 ❑ YES ENO NEAREST J ~Q DOSINGCHAMBER: I MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODE : PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO GALLONS PER CYCLE: PUMP AND CONIs' L O ONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the d p of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction s all cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID I~ TRENC S: TERIAL: PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: . D R. NUMBER OF PROPERTY WELL, BUILDING: VENT TO FRESH BE OW PIPES: ABOVE OVER: L V. INLET: EV. END- PI S. FEET FROM LIN q I AIR INLET: 1 V NEAREST l lO MOUND SYSTEM: 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: ELEVATION AND ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: 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 WELL: BUILDING: COMMENTS: FEET FROM LINE: ❑ YES ❑ NO ❑ YES ❑ NEAREST 4 ! iMW zb Sketch System on Retain in county file for audit. Reverse Side. L6 GNATURE- TITLE: Zoning Administrator SBD-6710 (R. 06/88) ViA~a i ce i- SANITARY PERMIT APPLICATION L"R In accord with ILHR 83.05, Wis. Adm. Code COUNtf. l ~ ra~nwlue,sw,wn~w.v+~ STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than El Q 0? 8% x 11 inches in size. c eck i revilonoto previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROP RTY OWNER PROPERTY LOQATION A0 I C '/a, S Tk q N, R E (or W a PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # ShegmAm L+ A ~ ~ n ~ i V Aglyjt C1 W,, S ATE ZIP CODE / NE BER SUBDIVISLQN NAME Oft CSM NUMBE 11f~ '(.r c, o PHO W S YS ~p II. TYPE OF BUILDING: (Check one) CITY C~ NEART ROAD ❑ State Owned ❑ VILLAGE : ~ AN N s e ~m ❑ Public Q 1 or 2 Fam. Dwelling-# of bedrooms PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 60 Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ 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. [&lew 2. ❑ Replacement 3.E1 Replacement of 4.0 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 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 430 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.) PRO OSED sq. ft.) (Gals s . ft.) (Min./in ) ELEVATION y~ o IS < 97.) Feet o . Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. Con- INFORMATION New P-xisting Gallons Tanks Manufacturer's Name Concrete st ucted Steel glass Plastic App Ta ks Tanks Septic Tank or Holdin Tank j_~ ( i! O M I L-1 I I I Lift Pump Tank/Si hon Chamber Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage Sys shown on the attached plans. Plumber's Name (Print): Plu is Signature: ( Stamps) MP/MPRSW No.: Business Phone Number: d k~ ~s 0,5 15 ? 9o ao Plumber's Address (Strt3at, Ci S te, Zi C N-1,11C_ _ ud P1 MO)J UA 5C., - S, Y61 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved s ry Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) « Surcharge Fee) Approved ❑ Owner Given Initial Adverse Determination jZ?0-?7 ~4e~ l 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 T, INSTRUCTIONS J 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'f 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-6398 (R.11/88) t L a 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 Bruce and Caroline Wang Location of property NE 1/4 NW 1/4, Section 17 , T 29 N-R 19 W Township Hudson Mailing address Sherman Lane I Address of site Subdivision name Parkview Estates Lot number 47 Previous owner of property Darell Wert Total size of parcel 1.34 acres Date parcel was created January 16, 1978 Are all corners and lot lines identifiable? X Yes No Is this property being developed for resale (spec house)? Yes X No Volume 825 and Page Number 36 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. PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. 442210 ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, an the same has been duly recorded in the Office of a Cou y Register if D ds as Document No. 442210 Signature of Owner Signature of Co-Owner (If Applicable) Date Sig ature Date of Signature I~~ .00A 0 DOCUMENT NO. STATE BAR OF WIPCC IN "M d 1982 THIS SPACE RESERVED FOR RECORDING DATA LAND CONTRACT Individual and Corporate OBE USED FOR ALL TRANSACTIONS WHERE OVER ~M2jo 525,000 IS FINAN CED AND IN OTHER NON-CONSUMER ACT TRANSACTIONS) REGISTER'S OFFICE Contract, by and between Darrel E. Wert and Beverly A. Wert, $T. CROIX CO., WI husband and wife Recd for Record (~yendor", OCT 131988 whether one or more) and Bruce rig a rY Caroline ang, husband and wife- as survivors ip marital pri-ope-fty of 11 00 A.M ("Purchaser", whether one or more). V Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- Register of Dee& formance of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant Interests (all called the "Property"), in St. Croix County, State of Wisconsin: RETURN TO (fain & Gwin 430 Second St., Hudson, WI i Lot 47, Second Addition Parkview Estates Tax Parcel No. I This is not homestead property. (Is) ps not) Purchaser agrees to purchase the Property and to pay to Vendor at fir residence j the sum of $12, 000 00 in the following manner: (a) $ 1,000.00 at the execution of this Contract; and (b) the balance of $ 11000-00 together with Interest from date hereof on the balance outstanding from time to time at the rate of- eight (8) per cent per annum until paid in full, as follows: One thousand dollars ($1,000.00) principal and interest one ybar fi-cm the date of this contract, and a like sum on the principal and interest annually thereafter. Provided, however, the entire outstanding balance shall be paid In full on or before the saire day of ft- :)hplr 19_99_( the maturity date). Following any default In payment, Interest shall accrue at the rate of 10 per annum on the entire amount j in default (which shall include, without limitation, delinquent Interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused b Vendor, a agrees to pay monthly to pated annual taxes, special assessments, fire and required Insurance premiums r when udue. Tol the extents received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and Insurance will be deposited Into an escrow fund or trustee account, but shall not bear Interest unless otherwise required by law. i Payments shall be applied first to Interest, on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time after October 19_MP) ~talStEtitC In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and Interest (and in such case accruing Interest from month to month shall be treated as unpaid principal) is less than the amount that said Indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be countinued in the event of credit of any proceeds of Insurance or condemnation, the condemned premises being thereafter excluded herefrom. ?er'fi~Fir ~fd8$~ES~Plc Vendor agrees to furnish an up to date abstract of title showing good title whenever requested by the Vendee 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 November 1 19 88 'Cross Out One. LAND CONTRACT-Individual and STATE BAR OF WISCONSIN NTF 2278 Corporate FORM No. 11 - 1982 Nelco Forms, P.O. Box 1075, Green Bay, W154305-1075 Purchaser promises tv pay when due aft0PLesmss994weJ ivied on the Property or upon Vendor's interest In it and to deliver to Vendor on demand receipts showing such payment. 1. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, ex- I Mad coverage perils and such other hazards as Vendor may require, without co-Insurance, through insurers approved f , v Vendor, In the sum oIX _ but Vendor shall not require coverage in an amount more r U than:the balance owed- niJ~r`lthis 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 i 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 a 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 (lens superior to the Ilen 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 s shall be fully performed at the tunes and In the manner above specified, Vendor will on demand, execute and deliver to f1 the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except fri any Ilens or encumbrances created by the act or default of Purchaser.: t~ - Purchaser agrees that time is of the AN and (a) in the event of a default in the payment of any principal or interest which continues for a period of___AN -_-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 nulled by certified mall), then the entire outstanding balance under this contract shall becorne immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby waives), and Vendor shalt also have the following rights and reinedles (subject to any limitations provided by law) In addition to those provided by law or In equity: (I1) 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 rrdemption to he 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 forfeited as liquidated damages for failure to fulfill this Contract and as rental for Il)e 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 outslandng 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 rliall he liable for any deficlenry; 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 poss?ssion of the Property and have a receiver appoinlod to collect any rents, issues or profits during the pendency of any action under (t), (tt) or (iv) shnwi, Nnhvithstanding any oral or written statements or actions of Vendor, an election of arly of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expensr,3 Including reasonable attorney's 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 incelvor of the Property, Including horestead interest, to collect the rents, Issues, and profits of the Property during the Oendency 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 haiance payphle. under thin C=ontract 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 Vendor and Purchaser. (It 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.) Dat this 12 day otrl- t-jp _ 19-$1l_. ~r (SEAL) / (SEAL) Dh(rrel E. t Bruce A. Wang (SEAL) (SEAL) Beverly A. We, Mary Caroline Wang AUTHENTICATION ACKNOWLEDGMENT Signature(s) Darrel E. Wert, Beverly A Wert, STATE OF WISCONSIN as. Bruce A. Wang and Mary Camline Wang County. authenticated this-U_day of toter tgtl>~ Personally came before me this day of 1 , 19 the above named Hugh F. Gwin TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person who executed the authorized by § 706.06, Wis. Slats.) foregoing Instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Atty. Hugh F. Gwin Hudson, Wiswnsin Notary Public County, Wis. My Commission is permanent. (If not, state expiration (Signatures may be authenticated or acknowledged. Both date: are not necessary.) 19 ) 'Names of persons signing In any capacity shoud be typed or printed below their signatures. NTF 2278A State Bar of Wisconsin LAND CONTRACT-Individual and Corporate Form No. 11-1982 Nelco Forn13, P.O. Box 1075. Green Bay, WI 54305-1075 y STC - 105 r H SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County 0 ,-3 OWNER/BUYER Bruce and Caroline Wang ROUTE/BOX NUMBER Fire Number CITY/STATE Hudson. Wisconsin ZIP 54016 YRU1'Elt'1'Y LOCATION: NE 14, _9_14, Sec t ion__17 T 2g J1, RI_W, Town of Hudson St. Croix County, Subdivision Parkview Estates Lot number 47 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 L m her. What you put into the system can affect the function of the Svhtic tank as a treat- ment stage in the waste disposal system. SL. Croix County residents may be eligible Lu 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 thoir systems properly maintained.- The pruperLy 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. Ho I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x the-standards set forth, herein, as set by the Wisconsin Depart- ment-of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED DATE / St. Croix Cjunty Zoning Office P.O. fox 98 Hammond, WT 54015 715-7S16-2239 or 715-425-8363 Sign date and return to above address. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR P.O. BOX HUMAN RELATIONS PERCOLATION TESTS (115) MADISON WI 53707 (H63.0911) & Chapter 145.045) O SECTION: Y: OT NO.: BLK. NO.: S DIVISION NAME: ►1, 0 '/N0/ 1 /T;f N/R19 &(o jx~ 7 ark 404) ~ A~s COUNTY: OWYER-SIBUYERIS : G-s:r ot e iv (,s o Or IIlvd4o1v ith s . USE DATES OB ERVATIONS MADE CO DESCRIPTION] ST : esidenceew ❑Replace Q G `9 F~& 1 -7 1 RATING: S- Site suitable for system U- Site unsuitable for system O a / [CO -CWTIONAU -PRESSUR YSTEM V S 0~ Mims ~U 11 E:r ' I I. -GOS QU OS X10 V L IHOLIDI Q SGoK: RECOMd~ 7 7IOt..cT pA'1 do 1 If Percolation Tests are NOT required r ESIGN RAjE If any portion of the tested area is in the a under s.H83.09(fift), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DER H T R U D ATER-IN HES C ARACTER O SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTIfsW. ELEVATION DF EST. HI T TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- ~ e?S' /01.f~~ oru- > B- Z. 9i 0~/ 1. • 75'0//, DY 7s' n GS f G. H2 6^ /sJs / ,~`d/ ."'4, , 47'At IS B- 3 ' 7 7f /%/7 ->71 /7 Zi GS y; 53' ' ' B- 'f, 3~ wo, 7f ~ ./7 s.', , s'8.r3~, , 4, 3 cs~ .v , e X , PERCOLATION TESTS TEST DEPTH W"WATER IN HOLE TEST TIME DROP WATER V L-INCHES RATE MINUTES NUMBER AFTER SELLING INTERVAL-MIN: PERIOD PER OD2 PER INCH P. j 3 P. t S 13 t 6 <.3 7 _ E- Z P. PLOT 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. SYSTEM ELEVATION 97ol'7 ~On4 1 1 I 0 1 70 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 the Wisconsin Administrative Code, end that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME pr n t TESTS C PLETED ON: CERT F A N NUMBER: PHDIE NUMBER (optional): G. w , 5Yd Doi ~ 8t 6ssi CST SIG T DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. L DILHR-SBO.8395 (R. 02/82) - OVER - B. L• 6 7 P L. OT N 0 SS ..S E C T I C~ 1\I N A M E 1Z ~tCA z I wu ANC NAME N ~a P s L 0 C AT ION..? ~ r z . reW ~ ~ p ~ ~ . L I C _E N S_E =/tr 0~ q N0041-1 /t0 ( r N P : It ;Nok AJjAILWI.1ofs, Jells A ~ BM G2our i Next- --o ARP, ~nltf" fR ik No ft SW CoKo v SlA kc ~L%IUU•V fRar~ S~pfi c S~ f~"er~ 0= RdRQIrUjt S'I"QS ' r ~ ~'~r~~ ~~vla a i~e s ~ N~~'e We I) I~ •~pizf~ft~ -f'l~r~,1 ~0 t rco~►~ skei c. S Se k (q j 0 411 o 7 0- So' BY r--r- I P r - ys Bj , ' ' ' ys ~ 18 x 35 0 , , Den • x. AArr . BS s~ 130r u d E- 5 bN 0 FRESH X11:..INLETS AND OBSERvATIou PIim C 11O.S S . SECTION . 1 Approved Vent Cap Minimum 12" Above Final Grade_ 4" Cast Iron Above Pipe Vent Pipe To Final Grade - Marsh Hay Or Synthetic Covering min. 2" Aggregl i l Over Pipe 1V- l~ Distribut- ioTee Pipe 9`l. I-~ Aggregate _ Perforated Pipe Below l Dencath Pipe Coupling Terminating At Q~I10 r~ Rotl--om of System R. B.L. 67 PLOT AN1 I:0S5 SE C;TI~~I\I s NAME tZ ~ P12 ',w N.c NAME N? 14 N L OC A 10 N._.. 1a~ rep EA4, L I.C_E N S E =ff oS q o2fi 1 ILO') Ne. I; NO A d~ Ater3t '!oz's, W Q I lj h1 Gr~our►<j Nex ' ~'o A2t, ~p tt tIZ JAA,,,, 100 SW CoR0erz S1'Akc z C=too, v fKor~ Syli c 0 = QeRQl~o~q S i~c s r, = P~rzc j,vl a S i ~'e s' N~~e We 11 if &JINIC12 thrv» . ~t ~ICGr+1 SC~1'IG ~y s~P,,, (qj ! • Q- 0 C O 0 7 Q w L ?a v 500 T ys - ~j, ys~ i8x 35 - ORD 7d E - Su vH O FRESEI 11'il?-INL"I:TS~AND OBSERVATION PIVE C1Tn,SS. SECTION - Approved Vent Cap ~h Gltl~ Minimum 12 Above Final Grade. q -7 Y 411 Cast Iron Above Pipe Vent Pipe To Final Gradc* - Marsh ttay Or Synthetic Covering Min. 2" Aggreg4I-il Over Pipe Distribution - I F- Tee Pipe x~- 9~1.1-~ y Aggregate _ Perforated Pipe Below l 13cncath Pipe Coul•)). i.ng Terminating At a0110 ln Bottom of System • 6Q d DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION INDUSTRY, LABOR AND PERCOLATION TESTS (115) MADISO W BOX 53707 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: SECTION: Y: OT NO.: BLK. NO.: S DIVISION NAME: fu k) 1/400/ 1 /T;? N/R 19 ~l0 7 .)-A &4 too COUNTY: C,-.:r v G e l,Niv MAILINU ADDRESS' 6S o 3-5064k k6 Or, llod4e1v USE Q DATES OBSERVATIONS MADE '7 COMME T O STS: It& esidence RWw ❑Replace ell 0 / RATING: S- Site suitable for system U- Site unsuitable for system O 'YSTFM O NV S )NAL: IM UNDS. 1--lu IN G S Qu V -ML IOLDI D VG j K: RECOM1 ScT ; do 1 A L . [ ou (0;4 H Percolation Tests are NOT required DESIGN RAjE: If any portion of the tested area is in the ,r f under t.H83.091511b1, indicate: Floodplain, Indicate Fioodplain elevation: A PROFILE DESCRIPTIONS BORING AL P H AT -IN HES CHARACTER O SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER EPTI~. ELEVATION OBSE V D EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- . S ,r /•Op hlS~~ r~ ..SUMS 7-71 i p e i • 7S'd/~ OY •r 7s" n Cs T - G. X12 Q^ /mss ► /~,S`d//.Sg ~3n f•47'At S, /,17;!ZiC-V9 ; 3.T3' B- 3 7 7f /%/7 , • 7S B- ►f, 33 71r, > B- PE''RCOLATION TESTS TEST DEPTH L"WATERINHOLE TEST TIME DROP AT LEVEL-INCHES RATE MINUTES NUMBER AFTERS ELLING INTERVAL-MIN. PERIOD:r p Ri PER INCH P- Z 3 P. 2 S 11 2 L < 3 P. Z P- P- . P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the horl- zontai 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 ELEVATION 9701-7 f b _ 9/N,. 01 l ~L; ;nab a C I i _ 9~ I 01 Ir o , d ! i , 00 70 50f 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 the Wisconsin Administrative Code, and that the date recorded and the location of the teats are correct to the beet of my knowledge and belief. NAME pr n ~ TESTS LETED ON: 857 CERT F A N NUMBER: PHO E NUMBER (optional): l c, w ; 5yd ► Dad gt 6~~i CST SIG T L ~ DISTRIBUTION: Original end one copy to Local Authority, Property Owner and Soil Tester. DILHA-SBD-6395 (R. 02/82) - OVER - N iF ••l A W 1 I n i..Yt'O1. _ .1, j t ~ 1 C`~.i yOt X: =fil -101 1 4. 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