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HomeMy WebLinkAbout020-1230-20-000 \ ¥ 77 % f J ( o E \ � ) � \ \ \ 2 \ § \ L .� w a ¢ a$ k2 � \ ]/ / 7k gEcc Cl) � « � § a W z E co z \ k m / z a m % B z k 2 ) . k k k \ c z NE \ 9 ) [ (D C \ / Q $ z ca z \ .. ) � ƒ '0 � \ / \ \ E ® � S � = a 6D G o c a = - ~ _ 5 5 � 6 ) - t 2 2 2 IL § $ j v � ) \ \ p � 6 2 ° 'n E � a n \ < I ƒ 7 ¢ ' § § Q 2 f \ ; - u 2 k_ \ \ B \ + \ � 3 C) 2 e ) ° J ® Q . 6 � � ' $ CO ] &. @ ) ) ) \ \ k L 2 2 � a . L: a » *WAi E c @ a § k v a 3 v It a Parcel #: 020-1230-20-000 02/04/2005 08:17 AM PAGE 1 OF 1 Alt. Parcel#: 29.29.19.1230 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 * DAVID P GRAVES GRAVES, DAVID P 485 COUNTRY VIEW RD HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *485 COUNTRY VIEW RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.240 Plat: 2421-ROSSING'S COUNTRY VIEW SEC 29 T29N R19W LOT 2 ROSSING'S COUNTRY Block/Condo Bldg: LOT 2 VIEW ADDITION Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-29N-19W Notes: Parcel History: Date Doc# Vol/Page Type 12/01/2003 747907 2465/292 WD 07/30/2003 732908 2339/240 QC 858/39 855/19 2004 SUMMARY Bill M Fair Market Value: Assessed with: 49270 251,400 Valuations: Last Changed: 10/29/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.240 36,200 158,300 194,500 NO Totals for 2004: General Property 3.240 36,200 158,300 194,500 Woodland 0.000 0 0 Totals for 2003: General Property 3.240 36,200 158,300 194,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 132 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 1 Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP tc Se SEC. Z)F_ T z 1 N-R/mil ADDRESS SPX"Z F Z_ ST. CROIX COUNTY, WISCONSIN SUBDIVISION" / w LOT Z LOT SIZE 3 -oZt`f A C oW 5 PLAN VIEW Distances and dimensions to meet requirements of I1HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ,Uarrth 3 @` 3��—� rd o , 0 33 Now a a,- ''op �..� Y_ z y'xz� :j.1gt,0 � b� 3 I INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Too c� F1 0a k wu�ba io. oT Elevation of vertical reference point: `QQD Proposed slope at site: $% "Sl SEPTIC TANK: Manufacturer: Liquid Capacity: /'*00 Number of rings used: / Tank manhole cover elevation: Z.pS" =9t_ j1 �G./7 Ir ' Tank Inlet Elevation: _ ZN% Tank Outlet Elevation: = '7F. S8 i Number of feet from nearest Road.: Front,( Side, Rear, O QO feet From nearest property line ' Front 10Side10 Rear,© �pG feet Number of feet from: well (p 5� building: I -Z (Include this information of the above plot plan) ( 2 reference dimensions to septic tank) SEE REVERSE SIDE j ►.a _ 't i 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,0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: f ycy�7�dyl�/ Trench: Width: Lenfth: 6 Number of Lines: 3 Area Built 4P ;;?7 Fill depth to top of pipe: _ Number of feet from nearest property line: Front, O Side, Rear,0 Ft .'S g' Number of feet from well: 9'S Number of feet from building: S3 .gycQ3.�8 (Include distances on plot plan). -:R A f � SEEPAGE PIT I 4 Size: Number of pits: Uameter: 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, 0Ft. Number of feet from well: Number of ft-et from building: Number of feet f.iom nearest road: Alarm Manufacturer: Inspector: Dated: Plumber can job: License Number: �- 3/84:mj r t -AR7M4 NT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MADISON,WI 53707 El ❑ALTERNATIVE State Plan I.D.Number: SW4iNE4,Sec. 29 ,T29-R19W Town of Hudson ❑ In Tcank_ I I Ground Pressure ❑Mound (If assigned) Country View Rd. Lot 2 �y��J NAME OF PERMIT HOLDER, JADDRESS OF PERMIT HOLDER: INSPECTION DATE. Sam Miller Box 282 H ' BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN. REF.PT.ELEV.: CST REF,PT.ELEV. Name of Plumber: MP/MPRSW No County: Sanitary Permit Number: Dou Strohbeen 5432 St Croix SEPTIC TANK/HOLDING TANK: WARNING MANUFACTURER: LIQUID CAPACITY. TANK INLE2ELEV� ANK OUTL ET ELEV.: ROVIDEDLABEL PROVIDED OV ER ❑YES ❑NO ❑YES ❑NO BEDDING: VENT DIA.'. VENT MATL. HIGH WATER NUMBER OF PROPERTY WELL: BUILDING. VENT TO FRESH ALARM LINE.. AIR INLET. FEET FROM ❑YES ONO DYES ❑NO NEAREST DOSING CHAMBER: WARNING MANUFACTURER BEDDING: LIQUID CAPACITY PUMP MODEL PUMP/SIPHON MANUFACTURER PROVIDE D`ABEL PROVIDEDOVER ❑YES ❑NO ❑YES ❑NO ❑YES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPf RATIONAL. NUMBER OF PR OPERTV WELL BUILDING VENT TO FRESH LINE AIR INLET. IDIFFERENCE BETWEEN FEET FROM PUMP ON AND OFF) DYES ONO NEAREST WAR SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: IOUID BED/TRENCH WIDTH LENGTH NO OF DISTR PIPE SPACING COVER PIT JINSIDE DIA #PITS LDEPTH TRENCHES MATERIAL: DIMENSIONS GRAVEL DEPTH FILL DEPTH IDISTI PIPE DISTR.PIPE DISTR.PIPE MATERIAL. NO.DISTR. NUMBER OF PROPERTY WELL BUILDING V NT LE FRESH BELOW PIPES ABOVE COVER ELEV INLF T ELEV.END PIPES FEET FROM LINE. AIR INLET. NEAREST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. ❑YES NO PEHMA NENT MARKERS OBSERVATION WELLS OIL COVER rexruRE ❑YES ❑NO ❑Y E S ENO DEPTH OVER TRENCH BED OEPTH OVER THENCH,BFI) DEPTH OF TOPSOIL SODDED 1:1YES MULCHED CENTER EDGES E]YES ONO ❑NO DYES ONO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH NO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER {BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR,PIPE MANIFOLD MATERIAL NO DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEV. ELEV. DIA. ELEV.: PIPES OI A.: ELEVATION AND DISTRIBUTION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION PLANS ❑YES ❑NO DYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL BUILDING. FEET FROM El YES 0 N DYES ❑NO NEAREST Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TITLE DILHR SBD6710(R.01/82) / t [1rff1LHR' SANITARY PERMIT APPLICATION cou In accord with ILHR 83.05,Wis.Adm.Code STATE SANITARY PERMIT# –Attach complete plans(to the county copy only)for the system,on paper not less than ❑ /� ,& 8%X 11 inches in size. heck f revis on to previous application -See reverse side for instructions for Completing this application. STATE PLAN I.D.NUMBER I. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION .Sa A, L</ t/4 �'/a, S 9 T--2-7 , N, R E(or PROPERTY OWNER'S MAILING ADDRESS LOT# BLOCK# p Zr M­ CITY,ST/ATE I ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 136Y1 W-� Bits �74 I�OS r eect� U� 11. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ❑State Owned VILLAGE. S act ❑ Public 1 or 2 Fam.Dwelling–#of bedrooms PARCEL AX NUM 131=1 ) III. BUILDING USE: (If building type is public,check all that apply) O X0 – Z 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. � New 2. ❑ Replacement 3. ❑ Replacement of 4. [:1 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 X Seepage Bed 21 ❑ Mound 30 El Specify Type 41 El HoldingTank 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) p gELEVATION ySo G V$' O,7Z -3 l l 08 Feet /T-2d Feet VII. TANK CAPACITY Site allons Total #of Con- Steel glass Plastic App Prefab. Fiber- Exper. in INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Tanks Tanks strutted Septic Tank or Holdin Tank Lift Pum Tank/Siphon Chamber VIII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name(Print): �lu ber's Signature:(No Stamps) AMP/MPRSW No.: Business Phone Number: Cl0Uq .77ro �1 � Och r ""1 � - 5 � � � `� 7 47 - 33 Plumber's Address(Street,City,State,Zip Code): IX. COUNTY/DEPARTMENT USE ONLY Disapproved Sanitary Permit Fee(includes Groundwater Issuing Agent Signature(No Stamps) ���yyy Surcharge Fee) �q Approved ❑ Owner Given initial QO !U /Advers e De rminati n X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(formerly Plb�7)(R.11/88) DISTRIBUTION: Original to County,One Copy To:Safety&Buildings Division,Owner,Plumber INSTRUCTIONS _ ' 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Ons to 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 Stag. of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. 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. 111. 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 i nformation. 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-6398(R.1'I/88) i APPLICATION FOR SANITARY PERMIT S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), 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 Sm M lh;bLr7 Location of property X1/9 A[ 114, Section , T _N-R�'© TownshipGt Mailing address Boxo H4 LUG •rc&J . Address of site eluoy'1I,. v t Subdivision name R&S's �o� .,7`✓�r IJ C' -W Lot number Z_ Previous owner of property a r /'e s`'- F . QosS r`A Total size of parcel Go'r ' Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house)?-,/-Yes No Volume Viand Page Number S O 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. �713 Z Z '4 p ; 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, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. S ature of Owner Signature of Co-Owner (If Applicable) /6 ' / 0 ' T Date of Signature Date of Signature F64 PP4 DOCUMENT NO. STATE BAR OF WISCONSIN FORM 11-1 Is SPACE RES:RvED FOR RECORDING DATA • _ . LAND CONTRACT REGi�TER'S Cir�=10E InehMaal and Corperate s l► (TO BE USED FOR ALI, TRANSACTIONS WHERE. OVER 43230 0-% ,410 IS FINANCED AND IN OTHER NON-CONSUMER ST. CRoix CO., W1 ACT TRANSACTIONS) tto P:icord COIItraet, b) and between and.............. Noyeu0r_.1L 12A ..RuI2Y..-R .LNY.>-.a single woman ........... 01 1:25 P M ................................................................................................ ("Vendor", whether one or more) snd..Sa%.);....I1.111 .C.............................................. Rogisfor of Deods .................................................... .................... ..................................... .. .......................................................... ("Purchaser", whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance of this contract by Purchaser,the following property,together with the rents,profits,fixtures and other appurtenant interests (all called the"Property"), in...... C....G?CQ »............................................ County, State of Wisconsin: RETURN To West one-half of Northeast Quarter (14'-114E0 except the east 8 rods, and the Northwest Quarter of Southeast Quarter (NW!ZSE1&), except Tax Parcel No. .................................. the south 6 rods, all in Section 29, T29N, 19W. FEE T'RANS� This is_.not.. -. homestead property. ( (is not) 208 8th St., Hudson, WI Purchaser agrees to purchase the Property and to pay to Vendor at ............................................................. the sum of;.256,-150,00.................................... in the following manner: (a) ;. Qe.Q00,-QO............................. at the execution of this Contract; and (b) the balance of ;23fi,-150.00.................I together with interest from date hereof on the balance outstanding from time to time at the rate of.nine..49X1l....................... per cent per annum until paid in full, as follows: Interest to January 11, 1988 shall be limited to $1,320.29. $80,000.00 plus interest on the unpaid balance on January 11, 1988. $50,000.00 plus interest on the unpaid balance on January 11, 1989. $50,000.00 plus interest on the unpaid balance on January 11, 1990. $56,150.00 plus interest on the unpaid balance on January 11, 1991. The above payments shall be made in addition to any payments made for the conveyance of lots until the total price is paid in full. All payments shall be by 2 checks, one to each Vendor for 11 of the full amount. A )pot.�,,%l�ase Aggemtfnt h 3 R been sbi l�dpo� .tl}i� dateb 11th soul c , nwe�er, a en Ire ou s an In balance a e at In u on or efore the...................... ... day of ....,7A.[.uary...................... 19._91_. ( the maturity date). Following any default in payment, interest shall accrue at the rate of 1Q.......% per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). lavurebeserr,unless excused by Vender,egrees to pay monthly to Vendor amounts suffieient to pay rensonahly antici- pated annual taxes,,s,p(+eiwl Nssesaments,Lire Rnd required insurance premiums when due.To the extent received b% Vendor, Vender-agrees-to-a.ppiy payawnts to theme obligations when doer-Such amounts reoeivwi by the Vendor for payment of taxes, ass,easmenta and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest Ilnkee Atha wise required by law.Any amount may be prepaid on principal at any time. 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..............._.............. 19....... (OR) there may be no prepayment of principal without permission of Vendor.*` It-A-11 e In :he 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 he treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been Wade as first specified above; provided that mwrtthly pa3•ments 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 Uurchaevr Is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: i P chaser R•rees to ay the cost of future title evidenc(.. If title evidence is in the form of an abstract, it shall u r [. pay be retained by Vendor until th,r full purchase price is paid. hereof he Purchaser shall beentitleJ to take t.ose,slon of the Property on tdate'_. ... . .. ........ _............. -Cr—, 0,: IIr. I LAND CONTRACT—Indlobual and aT%IC II%R (IF WI9I"41]�4IX w,.,,•- n i,,w.t icank r,,. Ins I Corporate I j <y;PA,[ 50 r pf"t"th„s U1 I,;.y wlien due all taxes find a •,^+n.,ntv levied nn the Property or upon V,rldor's interest 111 ,1 :,r•1 to q•-Ii-o-r to Vender on dumand receipts st.,jwllig such payment, f'•r.cl.•,.lr 11:,11 keep II- unprov,•ments on the Propert; Ions or damage occasioned i.y fire, ex- I. I.r:i&!,• I•rite arad sure. •.tl.er i,azarda :.s Vendtir stay r.•yu,r[•, without co•:r•urance, through insurers approved I,. \e,,, •r, .r l'., f :'u I•: � , i,ut \'Clrfur :•brill not require Coverage in an arrlo:lnt more ti.u, "•d •,o;er U.;s Ionlract. Puic)taser F6al! l,:,y U,e. .n-nranre l,rrntlnna when due. The p•d,cit's shall u:. •In,4.41,! ,lnu•r if] lat'nr of tl.,• l',•ndur'.r 11 tole-,t and, unit ii, \•etrdor (oti.vrwilte agrees in writing. the original :.'I 1„' r,.:,•r1;,;• Ili[ I'nq•.•rtt I::JI he del P.it,d wlti. t'rndor. Purcl.aser shall promptly give r,oU:e of loss UI -I!,mi.^1S :tt,d Vendr,r. hiless Purctia-er ai.d Vendor )tf,ervvise ut'ree in sorting, insurance pruc,•eds •hall t.. t­,,r: mri or rupa:r of ti,e Prnpertc damaged, pr„tided tie Vendor deems the restorutfon or rcpnir to be lint ^:1a wa>le m,r : ' ::I to t„ .•. r•n •r..' 1 ,.r' I%.e Property, to keep the Pr.{,c::' :r, „ 1 ••r,;,• -. ,,. %drtum 'I'A r air, bl keeis the 1'tu;.[r'; '1,, 'r,tn IIrL. ,lperior to the Ilen or this Contract, and ,!, tt11h all IwAF. ,rdinanc... :urrl r•,rulatintl:i alTect:hg, V.I. Property. \("A"! :I:•rc••r t'.at Ill rase the purchase price with In!,"'r•.t aml oO r moneys ril.all he fully paid and all ennrlitions t,La,i he fully plr1, nocd at U.e :.1•[s i^d In the nuurner almr spec,h, I, \c:r.,r t':::I on deman,'. exr`cute and deliver to ti,[- Purei a •v, a %%arrant} 11rcd. In lie Flmplt. of the Prolwrty, ire[• alA clear o.r all Fciis and encumbrances, except lit... 11.•h. '.. I r,, 1m6rances ercated Ly fire act or defnvlt of l'ur,I,a-er, and exc,I t: exist ing highway. I f..East or West fences encroach oil this. or. adjoining land, warranty will not aPPly to land.. between such fences and true description lines. . ........ I''Ill l .•r :t,.s t11:I1 deli'• is of the e--rhrc :ul,l Ia, in 01 . ..'t of a jc fl,';', Iit the paymentof ao.. pr:nclpal or 11!ue4 for It p.'rind If 50 ..da's f••Ilnv',n,; !�.,� `;,. :!u•d u':c '...lr or IbI in the I•vint of :I defl-At in [ „tl.,r ohlieati„n ni I'un h:,>er •a'lu'i, r„n 1 r I,- •r t .. •! ..60 . dots I olio"inl• it r Ltr 1; .oLre n,l p.'r- .h:di:.•r nlalhd L, c,rt:f:,d n.:r:.. t role•,.c' -i:,wimif ba•awI 're,u r '' • • ••,tr-.ct :,II • , •.r.. 11:'j,1% &.. :lees pw.Oil.• in 1.111. :.t V. .t!— ten„t ice 1v0 Ic!, Purl I.;% }'•reLy. 11 al- L:ItI t1. :. ,u:t,: r t- .,1 i ,.• 1 t•. 111u1!at l,r,t1Je'I b. la'•v 1 in 1.% 1:,« -r in I-1,nt: Iii \',•, . t•.I} .. I 11' : .ate ti 1 ati,1 I'ur•'t.:,_r.r': it, 0, 1'r• l tt. ., I' :,, _,. l r, :n v.'•1: :,fit r,lortt of 1 n I' .,r,' 1 r. I, tier,•,. 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Purctasr•r rnrsents t, t1 a an• 'r.t•• it of a meciver fit t1w III, l,,r 1nc1u,I:r.t ! . . !'+'t tl I. r•^1 d ,rr,fits of thr 1'r„;,ere•, d'rnc: tl.• prndencc of rich :Ir: .,. at:d .'u'. -1. - ..t� :cLen rnllt•r'ed sf.a'l.he�t.eld and 1' lrrl:.err :,11 •„! tr:u,,f.r. -r 11 „1 ­t,%, (•-a! fir , .I,..11, . . r,•t ir, tV I• f.r,.l,.t' t!•t a=`'cnn.r+.. ,r an ' of Pnrcl,tt - riv,,t onder tHi (', .,t I:wt r,r I y t n, 1n1:;•.t,rm I•:. nti,,r v::I: t R•ttiw:. •1',e pr:•r ''r.t,r. ran-••7;1 ,! \'.,,I,Ir u,de`•• el Fr•r t v u!4t%nd; _ !. .. :�r. ,.,ir ,!.. trnrt is fir-' m f':li •r t!'• •t.'r•,st ,., r r . . I -r.�, . !c' •.r a: i1:,i.-tr,•dr, of •nc., ,! I„!.. or a�• _cntent I':rr: ,:,r'. I _• c P,IIr!'a-.•` ' o .111', • il:lr, f t tt'e lnt•• wi!-tnr!It Lr h:Ilanr•• pa•to le ;I..!,r t1 C-,' ',"tr.n t - all L rn, it, I:;•1,..1,1 I fit r :n ..:11. at'Vet,r.! „I..., it tea it I,,,•, /' .I.n,l nl:d: `all 1, -1-Lntc tct. , ,!. c 1, r! I,,,, I! .:In,❑ - fit. •r. t tlr•I• I,,fix, ore tFe date ..f tl. r” a. „c .fit �nr n!.c m„rt°:wfr .rr,ntr•,: h• t'urehaser I ••,r n• t,. ., _ ••I t' ,,1' f•rocnh•d 1':•,ha:er •.1,. \1• .. • 'f'V,r•dnr rails t, d -„ .I, I a'1 .. .., �d• ' •'Ir' r . 1 { •„rr! ..,!r• r•. \"..;! :,c it :.1% default v.'a!,„ut v:.,., r.: ..t1. 1 it ., I, ... ;'l ..( }'�!r1.:I-• . \!' •na r,r }};is ('nrtrarf cl•H'! he 1,'n,'nL ghnn and in.tlrr tr, t4.n 1,,-wfl!s of tl`e )'sirs. lecal repre<entat'^•r-. sr,c„o •.-A a=±ions of Vender and P-t,'••hncer. t 1 f not nn nwrer n` tl,e Pr,;•I•rty the srru•e ••r Vendor for a vall;nWe c••n�id�nr r, 'nine F.erein to relr'a'e licnw-toad ricl'ts in the s'Ib;eN. Property ar.d agrees to ?sir in the executinn of the deed rn t;, n„le in felfillment hernnf.I 16th ! November 1:• 87 4 •.:.. orregS) E. Rossini; Sa. Jill�r t�ZT::\l.t .i Ruby Oiley AUTHENTICATION ACKNOWLEDG:►it Ni* all parties I ,• 1 to ...._,•tf III_%-wood R\C ,II' \1'! ,'fINrlN John 1). llo•:v,'o"d, lie ,.t;,•,'I!, t,ari irr.r Hudson .\f 1 t\'• , ” It�, 1 1 ,,,,�,1 n,•1 , ,r r...r err - �t,.,r Ilnr .,1 R.•.r,.:r, I,•r,n �,• II - I f STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ROUTE/BOX NUMBER .o,rZ� 2_ FIRE NO.�-- CITY/STATE u/S&'1 /� ZIP S`:1(61'ro PROPERTY LOCATION:SW 1/4 /y 1/4, Section T ­25 N, R Town of R4 drSorl , St. Croix County, Subdivision S:n.; 1..,,."t,,� Y�cw , Lot No. . TT Improper use and maintenance of your septic s'ys'tem could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a LICENSED SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 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 verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department 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 nt 4L, DATE �/ D St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address l DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115 P.O. BOX 7969 ) HUMAN RELATIONS \ / MADISON,WI 53707 (H63.090)&Chapter 145.045) LOCATION: SE I N- TOWNSHIP LOT NO.:BLK.NO.: SUBDIVISION NAME: '/a '/ Z°I /T-n N/R i0 (or O o aso y Z eoss,,-J�,s A COUNTY: OWNER'S 13ti'F!•R`S-WA : M A I L I N G ADD-R� �S: n ST C�Ix �A M LLL iQ k6 C r• 'DODO K TC6 A D USE DATES OBSERVATIONS MADE NO.B DRMS,: COMM ERCI AL RIPTION: PROFILE DESCRIPTIONS: A I N ESTS: Residence U IrV� — XNew ❑ I Replace Sr<�T. Z& /9 0 jcJcr So��s i ,� PAwL 66 Sx, &9 K.+1a121�'r RATING:S-Site suitable for system U-Site u�n`suitable for system COW\1STLlu IMOUND:12 J ❑u IN-GROUND-PRESSURE:QU . :US [:]U-FILLHO[:IS jA91K:RE(2O),jAN `S0IT'EA:t(optior}�I) � If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b),indicate: �LA -S I Floodplain,indicate Floodplain elevation: rt PROFILE DESCRIPTIONS BORINGI TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER IDEPTH ro,, ELEVATION OBSERVED EST.HIGH E TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 1 X17 qS. 7 njo-iiA > 7.4Z I JgLSL i S SL 39 e its 3D' �IeNCS�Ca B- z 9 1s 97.43 nld •7 S sLTS iz'' Graz �4�"f3�e sgo��e�s�G>e -(oa LAyn+�t of B- 3 .33 q x.65 No.•jlc > .33 Z., Q 1^')s 60"' Q N Cs�L iz so�� �l av�► 8»�N B- 101,4./ tqoN IE > 9.l'1 .•9 ms- 4z B- &-7 4a 97 Nary > &7e, �3rg�s�Y �S' sL 9"BIeN r►S ZE3"'$��,csy G� B- �` PERCOLATION TESTS TEST QJEPTH , WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER IIZMIES AFTERSWELLING INTERVAL-MIN. p R PERIOD PER INCH P- ( 4 10 k t>r4v 9r..&0 > Z L 3 P_ Z 43 Nowr. 47.43 > Z > Z > 2 < 3 P. `� 7.6 N a.) > 2 > Z > c 3 P-. P- A-T p-c- 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 _ ___ ___, i --r _ .f. _ ,-4 /n v. tH Wr- i 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 data recorded and the location of the tests are correct to the best of my knowledge and belief. AME(print): TESTS WERE COMPLETED ON: 4- Avhy Joy 1�()bCf� 5�►,�� ln►G, c-:r 2 ��89 DDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): 07 SlScav>Ia 5. u Esau ;40 A4 3®6- 4 o,6 4 CST SIGN T RE: RIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. -SBD-6395 (R.02/82) -OVER - s�zr�� i��¢✓ /SoSsr c fr� �rp. w LJ 2 B. M. 5 toy o B+oek a� N �erNcr o�$.s.rMOM'f' `C/ r it/1 P4 3,z Bof a. S Lt- k �0,) 8o'ttow F.1v.= 91,oa� 332.10 Tz A(tar pat� aL o z ry A H.M. Ho' N i v N` 9 P w w z8' �I I I i I i ,P3 1+ OL F • r � •�� �'at• c a IN N �' 7b 0 I, (A 1^ L C ' r►'p s t tr -1' I r• . ,`fJ• A ;1- eve •