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HomeMy WebLinkAbout026-1042-70-000 0 :e c00/ tz % k ' k k $ E C s -4 2 } 3 � E \ / O I _ : ƒ w *4 w § � \ CO / « o £ S § § ; ( § ] @ ■ 3 ° 0. 0 2 § k CD � ® � � % ■ � 2 e « > E I � _0 / U) I d / - § § k k � k § \ / § § ) g E m « Cl) : ■ / 0 0 0 § / / $ f3ƒ ■ ■ ■ m ; CD § 7 Q 7 § g ° M ) k § $ E ' \ c 06 7 E ' CL � f / o � M � 14 -0 �. m e ■ � ° k / � i g D E 0 / c ■ k � z 9 � ■ T q --I # E § 2 § F Z 2 � 8 ± ) j E e� } / \ g ƒ % j g ( I � } � � § � 7 0 I m § r ? B a, � DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDING LABOR&HUMAN RELATIONS DIVISION P.O.BOX 7%9 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES&APPLICATION MADISON,WI 53707 State Plan I.D.Number: ACONVENTIONAL ❑ ALTERATIVE (If assigned) ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: 'eA P I A-A) kAMI�2J, VJ — NCH MARK(Permanent ref ronce point)DESCRIBE IF D FERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.: lee ' Na of tuber: MPRSW No.: County: Sanitary Permit Number: k. -� 3z s 15J. / s f SEPTIC ANK/ MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV: WARNING LABEL LOCKING COVER PROVIDED:PROVIDED: PROVIDED: 5 4Pq Y`ff .3 1 . 7z 3I YES ❑NO ❑YES NO BED ING: VENT DIA.: VENT MATL.: HIGH WAT R NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT T FRESH ALARM: FEET FROM LINE: c AIR INLET: fiel YES ❑NO 10YE S O NEAREST--- DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: P PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO E:1 YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF El YES ❑NO NEAREST---011- 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: 4EBiTRENCN WIDTH: LENGTH: NO.OF DISTR.PIPE SPACING: COVER INSIDE DIA.: #PITS: LIQUID �. r TRENCHES: TERIAL: PIT DEPTH: DIMENSIONS Z 1 Aikiao-1.5 GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: N .DI TR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV.INLET: ELEV.END: PIPES: FEET FROM LINE. AIR INLET: j t X-7 BrO Q � Z_ NEAREST— 0 iS SG` 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 I 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 ❑NO NEAREST—♦ Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE TITL . SBD-6710(R.06/88) u W/ D q t Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP �rCc' `fk..- SEC. � T as N-R W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION 1 LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of IIHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 04 -�33 a'C a' �O INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used d,.,,7g 5,5 C� �"S_ Elevation of vertical reference point: Q Proposed slope at site* ^ SEPTIC TANK: Manufacturer: Liquid Capacity: /eperr� / Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: 93 Tank Outlet Elevation: Number of feet from nearest Road.: Front, Side Rear, O �� feet From nearest property line ' Front,0Side10 Rear,0 , gg 0 feet Number of feet from: well r 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/Sip nufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch ele tion: Gallons per cycle: Alarm Manufac rer: Alarm Switch Type: Number o feet from nearest property line: Front,49) O Rear, Ft Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: v Width: 15" Length: aO ' Number of Lines: Z Area Built: ��Q Fill depth to top of pipe: ! Z 1-5-0_ Number of feet from nearest property line: Front, O Side, O Rear,Ft Number of feet from well: ,2 f Number of feet from building: 2. (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one) . HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: Plumber on job: License Number: ��.SW✓'7Z.sSO 3/84:mj • DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDING LABOR&HUMAN RELATIONS DIVISION A.O.BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES&APPLICATION SEMA{}I$0�1,Wi `�3�0;18W State Plan I.D.Number: LLVV�6vV 11 L} 3 (If assigned) Town of Richmond � CONVENTIONAL ALTERATIVE 150th f . ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: James LaPlante Rt . 1 New Richmond WI 54017 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: Gar Steel 3254 t . Croix 119546 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUI CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER P OV ED: PROVIDED: YES ❑NO [I]YES 0 BEDDING: VENT DIA.: NT ATL.: HIGH WATER NUMBER OF ROAD: P_QPERTY WELL: BUILDING: VENT TO FRESH L AIR IN ❑YES NO t ALARM: ❑YES ❑ O NEAREST O­11111" — DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: PROVIDED:LABEL PROVIDED:OVER ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF ❑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 LINSIDE DIA.: #PITS: LIQUID BED/TRENCH r ` TREtir{CHES - MATERIAL: PIT DEPTH: DIMENSIONS d"' V GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR. NUMBER OF ROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPS: ABOV COVER: ELEV.INLET: ELEV.END: ') t PIPES: FEET FROM N AIR I C �— NEAREST� 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 I 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: TRENCHES: DIMENSIONS LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: 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: �FEET UMBER OF PROPERTY WELL: BUILDING: COMMENTS: FROM uNE❑YES ❑NO ❑YES ❑NO EAREST—� Retain in county file for audit. Sketch System on Reverse Side. SIGNATUR _ TITLE: Zoning Administrator SBD-6710(R.06/88) H 0 SANITARY PERMIT APPLICATION In accord with ILHR 83.05,Wis.Adm.Code COUNTY TOIL�- -.�- St. Croix STATE SANjTARY P IT —Attach complete plans(to the county copy only)for the system,on paper not less than 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 I. APPLICANT INFORMATION–PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION James LaPlante SE '/4NW %4,S 14 T 30 , N, R 18 Igor)W PROPERTY OWNER'S MAILING ADDRESS LOT# BLOCK# R.R.#1 n/a n/a CITY,STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER New Richmond, Wi. 54017 715 2403-3908 n/a 11. TYPE OF BUILDING: (Check one) ❑State Owned ❑ VILLAGE: NEAREST ROAD ��11 Richm,ond 150th. Ave. ❑ Public L41 or 2 Fam. Dwelling—#of bedrooms 3 AR AX NU ERO III. BUILDING USE: (If building type is public,check all that apply) 14.30.18.206B 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. WReplacement 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 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ® Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1.GALLONS PER DAY 2.ABSORP.AREA 3.ABSORP.AREA 14. LOADING RATE 5. PERC.RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED(sq.ft.) PROPOSED(sq.ft.) (Gals/day/sq.ft.) (Min./inch) ELEVATION 450 495 500 1.11 1 89.65 Feet 93.59 Feet VII. TANK CAPACITY Site INFORMATION in a alIons Total #of Manufacturer' Prefab. Fiber- Exper. New istin Gallons Tanks s Name oncrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdina Tank Lift Pump Tank/Siphon Chamber — — -- VIII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installati n of the onsite sewage system shown on the attached plans. Plumber's Name(Print): Plumber's ature:(No Stampdj Stamp 2MWPRSW No.: Business Phone Number: Gary L. Steel 15-24 -6200 Plumber's Address(Street,City,State,Zip C 988 N. Shore dr., New Richmond, Iii. 4017 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved I S ary Per it Fee(Includes Groundwater Surcharge Fee) Pate Issued ssui A en t Signature(No Stamps) Approved ❑ Owner Given Initial S - Adverse D termin tion 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 R 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: 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. 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. Vil. 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. Nmplete 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. S13D4M8(R.11/88) ^ 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 Location of o erty 1/9 � 1/9, Section T Zg W Township ;Cu rv� Mailing address L/V � r Address of site C, Subdivision name i� W 1� Lot number iq Previous owner of property • tiL Total size of parcels Date parcel was created 4� Are all corners and lot lines identifiable? es No Is this property being developed for resale (spec house)? Yes Volume cl�oa and Page Number / as recorded with the Register of Deeds. ------------------------------------------------------------------------------- INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. ------------------=--------------------------------------7--------------------- PROPERTY OWNER CERTIFICATION I(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. ; 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 construc on of said system, and the same has been duly recorded in the Office of the ounty Re ester Deeds, as Document No. ) . c S' nature of Owner Signature of Co-Owner (If Applicable) Date of Signature Date of Signature • DOCUMENT NO. �Vv� IVISCON PAGST ATE BAR FORM 11—1982 THIS SPACE RESERVED FOR RECORDING DATA LAND CONTRACT Individual and Corporate REGISTER'S OFFICE (TO 26,000 IS USED INANCET AND N OTOHE NON-NON-CONSUMER S're CRM CO.* Recd for bbd Pa- nprgb tAby and between, huPhilip M. LaVenture an_d ___ Feb 23, 1988 ------------ - - •--------------------:------- sband and wife,. _as at 11 :0o A ---------:--------------------------survivorship--mar t1_1-- -ro_art --- -- -------- M p- P Y t. ("Vendor", _.-_ whether one or more) and_._.__�s�[I�@�__R ).._a_P 1 auate.and_.EJnl.l�!__l.,__. . La__Plante_,__h-usband_and_..�i_fe,...&s_-surv-i_vor_shi,p_.marital 11 h'9i °f ad .Pr.Qper.tX.:..... ("Purchaser", whether one or more). I ' Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- forinanee ofOlk'cdntract by Purchaser,the following property, together with the rents,profits,fixtures and other appurtenant interests (all called the"Property"), ln------------------ -------------------------------- County, State of Wisconsin: RETURN TO Francis D. Collins E 20 rods of N 24 rods of SE % of NW '/ I Rt. 1 , Box 373 i_ in Section Fourteen (14) , Township Number �-= Star Prairie, WI 54026----____J Thirty (30) North of Range Number Eighteen (18) West: Tax Parcel No- ---------------------------------- including house, barn and approximately three (3) acres as hereinabove described. S I This .....I$..110t_ homestead property. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at -_-___lOCatlOn SpeClf 12d b�! VendOr the sum of ......._.__, $---.3Q a Q0Q._QQ----------------------------------- in the fo owing manner: a at the execution of this Contract; and (b) the balance of $ 2 50U 00 ( ) -----5Qgether'______ _______________________ together wperncentspeTOm date hereof on the balance outstanding from time to time at the rate of-_�Q_..(tenl-_-__--__-_- ' until paid in full, as follows: annum Purchaser to pay to vendor $258.00 per month, on the 1st day of March, 1988, and on the first day of each and every month thereafter for the duration of the contract. Such payment shall include principal and interest; and may be in a lesser amount, at purchaser's option, except that monthly payments shall in no event be less than $245.00 per month. Provided, however, the entire outstanding balance shall be paid in full on or before the------ I St Mar_CJa----------------- 19.91_._ ( the maturity date). day of Following any default in payment, interest shall accrue at the rate of-1-0-----% per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire i principal balance). Purchaser, unless excused by Vendor, agrees to pay pated annual taxes, special assessments, fire and required insurance premiums when amounts sufficient to pay reasonably antici- ms wh e P n du p,ltid(IQI�)�E1�161UE9� � �1t i>f�)EdGI( JVJti( gd4�( X dtitX X$bd��fs�(ibKl(1�#�9�bI�t��]6�l(9Id��6XdfdlelbXX>i�Lx95IF1Q��i.Sfif&FDC I!(�CXIYd(J?,lE�+fdWE�C�ii(�(�tXdfX X�IfE ltXsl�rl®CiEd4t4LI)GlbtfdC) X�6 }{d�s>t gxll06Xsl�K,� fdCc#()QYtI(gxllfXtXfl�ti�C1(dk�61(1 yX�lif()CX#4XAX1KXN*X%XA xXX X>Y+xWX*Ai*%,K-Vs4clxMA*x> except as'hereinafter specified. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any i ' amount may be prepaid without premium or fee upon principal at any time after------March._1------_- 19_$ .._ J(lEaR:)t JtDfdf•1()�US ii�16X [ (y�Xdf XIl6,� 6X)432i1d(D31614I(x1Y XdD(�cX ii In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long j!' as the unpaid balance of principal, and interest (and in such 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 specified above; provided that monthly Payments been made as first s P y payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. �' )B(#1d�1t�Ci�lQire14R1(A�C PI(>�]S; XtI(>�l(Ot�liXtdGlCll(J CD4�CX�XAgX9dD671�4Xb4DC741e�CD11dI(�7t�Q1€i+�Xt3G�id�tX9tD(XdC)Pl(f4i1f_ XW xicaWY4U 1k Purchaser waives presentation of title evidence at this time, with the understanding that vendor shall convey the property by warranty deed upon performance of the contract ct b free of all liens and encumbrances. Vendor agrees not to further th e property and further agrees to bear the cost of future title evidence, by providing an abstract of title updated to within 30 days of March 1 , 1991 , or sooner, if agreed upon in writing !I by th"i��'��sxx�x�s�w�c��caseacx>�>Eiv �ci�lsx�x>f�,c��c Purchaser shall be entitled to take possession of the Property on__--_40.VP__Mb_e_r..a.._.__--_-_ p 7 is *Cross out One. .................. 19_a7.._. 6��M.ra&pND CONTRACT—Individual and STA�F.wBAR Old' WISCONSIN Wlarnrialn x.aP.l Z86I--it 'og maog 'ulsuoaslAL Jo aeg a;etg-axeaodioJ pue 180PIAIPUl—JJYtx.ENO[) QNY't -saxn;suS[s xlatp morq p"ul4d to..p3dAJ aq pinogs Allasdea hue ut SgU219 suomad jo samsN, T c. ------------------------------------- z y: 'alup (-Sa13gsaaau IOU axu �uoi3gatd /aI `�� stm Bi t zt[b� - qIog papa{mou{ae ao paleai3uatlne aq Sgu saxnlsu2ts)),Iuousulxad st uotsstuuo0 AJq ,- ------------------- --- atlgnd BasloI -------------------------- ---- r - Y - Sp .a4 As 43i-Avua SHM LN3v4n81SN1 SIHl allies aqI a2palmou3lag pus Iuamnalsut 2uto2aao; 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aopuaA ;t 9921124aoN agI of Allaaatp sluout<fsd gans Aug 93Ieuu Aum aasegoand •Iauxiu o0 still aapun anp uagl slunouxe aqi;o luat uLud Blauttl so4vtu aessgaxna paptnoxd 'Agaaogl paanaas alou Axle aapun ao (xassgaand Bq palusx2 92a24xoux Aug ao; ldaaxa) Iaga4uo0 stql ;o alep aqI uo Alaadoad aqi Isutg2e 2utpus494no a2e2laom euu aapun anp uagm sluatuSud Iig axgut Ilggs aopuaA -aatlou Inogltm uotldo s,xopuaA in `IIn; ut algtAgd pug anp Alalgtpauxuxt atuwaq Ilsgs lasaluo0 stql aapun alquAed aausleq 2utpuelslno aatlua aqI'Iuasum ualltam s,xopuaA Inogltm aaue Banu°a ao ales 'aa;sueal gans Aug ;o Juana agI uj •aasegaand ;o ssaup"cIepul us xo; Bltanoas se Blalos 4aealuo0 still aapun Isaaalut s,xasugaxnd;o 4uauxu2tssa ao 92pold a st paBanuoa ;satalut eqJ ao [ln; ut pled Jsa[; sc lasxluo;I still aapun a 1ge6ed aaualaq Hutpue}slno aqI xaglta ssalun xopuaA ;o luasuoa ualltam aotad aqI Inogltm (Be;b aaglo Aug ut xo asea uxxal-2uol 'uotldo A4 so lasaluo0 stql aapun slg2ta s,aasagoand ;o Bus ;o luamit2tsse Bq) Blaadoad aqI ut asaaalut algaltn.a ao Is2al Bug B2nu°0 10 Ilas 'xa;sugal IOU Ilsgs aassgaand •laaatp Ilugs lanoa aqI sa patldds pus plaq aq [Isgs peloalloo os uagm sltjoxd pus 'sansst 'sina.t gans pus 'uotlos gans ;o Bouapuad aql 2utxnp Blaadoxd agI ;o sltjoad pus 'sansst 'sJuaa eql loalloo of 'Isaaalut pealsauuoq 2utpniout 'Blaadoadl egJ ;o xantaaaa s ;0 luauxlutodde aqI oI sJuasuoo aasegaand 'lasaluop still ;o eansoloaxo; ;o uotlos Bus ;o auapuod agI 2utxnp xo luameouauxuxoa aql uodn •luaux2pnt Aug ut papnlaut aq llggs pus 'paxxna -ut se 'aasegaand Bq Pled pug ludtautxd of pappu aq lings aauaptna alltl ;o sasuadxa pug msl Bq pgltgtgoad IOU Juaixa aqI of (IOU ao palege xaglagm) xapunaxaq Bpamaa Buu.aaao;ua of paxanaut xopuaA ;o sad; sBauaoilg algeuosuax 2utpttlaut sasuadxa pus slsoa Ile pug uotlu$tltl ut pansand uagm pus ;t xopuaA uodn 2utputq aq Bluo Ilugs satpatuax 2uto2aao; aqI ;o Aug 10 uotlaala ue 'xopuaA ;o su0t4013 x0 sluautalals ualltam xo I910 Aug 2u1.pu1dlsgi1mioM-8Aoga (M) a0 (it) (t) aapun uotlos Bug ;o Bauapuad aql 2utxnp slt;oad xo sansst 'sluaa Bun laalloa of palutodds aantaaaa s anuq pug BJxadoxd agI ;o uotssassod moo; palaa[a xassgaan(1 ansq Bgut aopuaA (n) pug :4u1Rat;1u2tsut st xassgaand ;o Isaaalut alggltnba aqI ;t uotlau alltl-lamb s uI allti uo pnolassuloualuo0 stgJ anouxax pus pug ug Is Ia13xluo0 sigl axglaap Bgux xopuaA (AT) xo :;oaxagl uoilaod Aug ao aotad asegaand ptndun axtlua aqI xo; msI in ans Bgux aopuaA Qq) so :Bauatat;ap Bug ao; alqutl aq Ilugs xassgoand pug ales letatpnf lie pauotlang aq Ilggs Blaadoad aql Juana gatgm ut 'aapunaaaq anp siunouuu xaglo pus Iing;ap ;o slap aqI uo Ida;;a ut alga agI Ill uoaxagi lsaaalut t{itm 'aauuluq 2utpuv4sino aatlua aqi;o JuauuMed lln;pug alutpautun Iadmoa of lasaluo0 still ;o aauumao;aad at;taads xo; ans Bgux xopuaA (tt) ao !(maepaa of slts; aasegaand ;t Blaadoad aql xo; Isluax ss pus lagaluo0 still IIt3In; o; aanitu; xo; sa2uuxsp paluptnbtl sn palta;aao; aq Ilugs xassgaand Bq ptsd Blsnotnaad slunoutu l[s Juana gatgm ut)xapunaxaq anp siunouxu aaglo pus alup gans uo Ida;;a ut alua agl Is llnn;ap ;o alap aqI uxox;uoaxagl lsaaalut gltnA 'aauglsq $utpuulsino axtlua aq ;o IuatuAnd lln; s,aasggaxnd uodn pauotitpuoa aq of uotlduxapax ;o Bltnba Aug gl!m axnsolaaxo; Iatals g2noxgl slaeq Bixadoxd aqJ xanoaga pug Blaadoxd aqI ut Isaaalut pus alltl `s4g2ta s,aasegoand pug Iaealuo0 still aleutuxxaJ 'uotldo stq is 'Alum xopuaA (t) :Bltnba ut xo msI Bq paptnoxd asOgl of uotitPPa ut (msl Bq paptn0ad suotlgituxtl Aug of laafgns) satpautaa pug 941121a 2utmollo; aqi angq ogle llegs aopuaA pue '(santem Bgaaaq aassgaand gatgm) aatlou Inogltm pug uotldo s,aopuaA la `Iln; ut alquAud pug anp Blalgtpauuutt aumaaq Ilsgs Jasaluoa still aapun aauuluq 2utpuuisino axtlua eql uagJ'([taut Pat3tlaao Bq papum ao Bllauosxad paxantlap) xopuaA Bq;oaxagl aatlou ualltam Butmollo; sfgp ----05-•;o potaad a ao; sanutluoa gatgm aasggoxnd ;o uotlg2t1go aagio Aug ;o aaumuxo;aed ut lIne;ap s ;o luana aql ut (q) ao alup anp pat;toads aqI Butmollo; sBep•- 09-- ;o potaad 8 xo; sanutluoa gatgm Isaaalut ao Isdtoutad Aug ;o IuamBed aql ut llns;ap a ;0 Juana agI ut (8) pug eauesso aqI ;o st auxtl lsgl saax2s aasagaand -------------------------------------------- ----- •UOTJ 0 SJ1 JP `pted::s�unowe::�.o:_pun4aa::pue_:uoissiosw of p9141-4ua::aq S aa�i� Sand t a . =- • o jo p y jI -- j I E�:qo �.ou uE aessaoaU s t uasuoo ons •u taaay aopuaA aye. off. �I�r3aaaadp oa�d"aaye y e�o o"aXaopeusas�ri l�a�u ea uoo puej se:::_saau�t o -:s�i--- • 1uEB-----p-u--E--- � _ - ---1-t 4uasuoo aye Bulanoes aopuaA Uo pauotJ.ipuoo .... :Iclaaxa pule 'aasagaand ;o llns;ap so Jas eql Bq paaaa saaunaquxttoua ao 'sutl Bun�`jIEOl�ioads t- ldaaxa 'saousagmnoua pun suatl Ile ;o asalo pug aax; `Blaadoad eqJ ;o 'aldutts say ut 'paaQ Blueaxeb s 'xassgaand aql of aentlap pue elnoaxe 'pusutap uo lltm aopuaA 'pagtaads anoge xauusut agI ut pun satuli aql Is pauxxo;xad Blln; aq [lags suolltP s s a l s auouu as o pu IsaraI ur tm oat d ase nand aqI sea ut ngJ saax2s so uan 1 ,L 10 an SE O� vS 01 U 1 E eaE3SpU�� ue I qpo edl AEW aasey,oan `.aaM S U0 R EaaEM 0(� ' Iaadoad aq 2utloa�s's otlel 3a us saoueutpao m I [[s 1.�+ l uuoa oI pug Iasaluoo still ;o uatl aqI of xotxadns uatl mox; sax; Blaadoxd aqI deW)31 oI 'atndaa pus uotltpuoo algnluaual pool ut Blaadoad aqI d993I of 'Blaadoad aqI uo palllmtuoo aq of 91919A M0119 sou alsem Jttuutoa 014 IOU siusuanoa xassgaand aq of atedaa so uotJeaolsax aqI stuaap aopuaA agJ paptnoxd 'pa2euxep Bixadoxd aqI ;o xtedax ao uotl•algtssa; Blluatuxouoaa exolsaa of patlddu aq Ilsgs st aaaoad aausansut '2utltxm ut 99a2e astmxaglo xopuaA pug xassgaand ssolun •aopuaA pug satuedutoo aausansut 04 ssol ;o aatlou ant2 Aptituoxd [legs aasagaand -xopuaA tIltm paltsodop eq Ilsgs Bixadoxd aqJ 2utxanoo satatlod He ;o [sttt8uo aqI '$utltaes ut saax2e eslmaeglo aopuaA ssalun 'pus lsaaalut s,aopuaA agl ;o sons; ut asnsla pxspug1 agl ill luoa Ilsgs satatlod eql anp uagm stunttuaxd aouuxnsut aqI And Ilags aasegaand -Ianaluoo stql aapun pamo aausleq aqI uugi aaow Iunouxg un ut 928aan00 aambaa IOU Ilegs xopuaA Inq '--------------------------------------r-----$ ;o urns aqI ut 'aopuaA Bq fit)•t)OO �� panoxdde saaansut g2noxgl 'aausansut-oo Inogltm 'axtnbax Bnux xopuaA Be spxazaq xoglulo gagnJs pus sjltxad a2axganoa pepuaJ xa 'axtj Bq pauoiseaaoa dSOa�sO� � ���` �ia� aa° 6agI0� a aEo�dahaS UBWSIS2SSEsg UE �aXE �SEd jjEys aopu n �Ey� �duatuBad gans 2utms sI tad x4pu p txo xopuaA of xantlappol pus It ut Jseaalut s,aOpuaA uodn ao Blaadoxd a ; uo ,patnal sluacussassu pug saxsl Ile anp uagm tu And of sastoad aaseg d aan �f+7V;39tld�(�� ';A' A STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/6e'tL ,�6-S 14 ROUTE/BOX NUMBER FIRE NO. CITY/STATE ,,I / ,w . ZIP �S`4�/� / 7 PROPERTY LOCATION: SE 1/4 IV 1/4, Section T30 N, R_B W, Town of rr�o�� , St. Croix County, Subdivision 4 , Lot No. . Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a LICENSED SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant 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. SIGN D, TE - —l� St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 r (715) 386-4680 Sign, Date, and Return to above address DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS 'INDUSTRY-, DIVISION LABDR HLA -A N RELATIONS AND PERCOLATION TESTS (115) MADISON WI 53707 HU�'A (1-163.090)& Chapter 145.045) LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: SE ��N � 14 /T 30 N/!Rl 1r) Richmond n/a n/a n/a COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: St. Croix James LaPlante R.R.#l, New Richmond, Wi. 54017 USE DATES OBSERVATIONS MADE NO,BE5FW7ERCIAL DESCRIPTION: (PROFILE DESCRIPTIONS: PERCOLATION TESTS: esidence 3 n/a ❑New )&Replace 7-15-89 17-15-89 RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional) ®S ❑U �S ❑U s ❑U ❑S i2U ❑S GaU conventional I If Percolation Tests are NOT required DESIGN RATE: I if any y portion of the tested area is in the under s.H63.09(5)(b),indicate: n/a Floodplain, indicate Floodplain elevation: n/S Decimal' PROFILE DESCRIPTIONS a 36 JsB BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,ESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH= OBSERVED EST.HI HEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 1 7.25 93.59 noen >6.75 .75bl.1. 1.00bn.sil. 2.00bn.c.s. .83bn.c.gr.2.67bm/ S. B- 2 1 6.42 92.40 none >6.42 .92bl.1. 1.33bn.sil. 1.67bn.c.s. 2.50bn.c.s.&gr. B- 3 7.32 93.70 none >7.32 .83bl.1. .83bn.sil. 3.33 bn.c.s&gr. 2.33bn.f.s. B- B- B- decimal' PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P- 1 3.94 none 3 5 P- 2 2.75 none 3 6 6 P- 3 4.05 none 3 4 3% 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 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 89.65 } I — r d- t E nom'(`T p0 :,gym..�k i .. I ;!©0, tN I i I " ? S/ 1 E v t � ( r € r 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. NAME(print): TESTS WERE COMPLETED ON: Gary L. Steel ADDRESS: CERTIFICAT 0 UM ER: PHONE NUMBER(optional): 988 N. Shore Dr., Nedw Richmond, Wi. 54017 2298 1715-246-6200 CST SIGNA E: DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. ILHR-SBD-6395 (R.02/82) —OVER— 5 y INSTRUCTIONS FOR COMPLETING FORM 115 - SRC - 6395 To be a complete and accurate soil test,your report must include: 1. Complete legal description; 2_ The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use Planned; 4. Is this a new or replacement syster ; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; b. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be used if desired; R. Make sure your benchmark and vertical elevaticn reference point are clearly shown,and are permanent; P. Complete all appropriate boxes as to dates, names,addresses,flood plain data, percolation test exemp- tion, if appropriate; 15. if the information (such as flood plain,elevation)does riot apply, place N,A,in the appropriate box; 11. Sigrr the form and fslace your Current address and your certification number; 12. Male lenil)le Copies and distribute as required. ALL SOIL TESTS MUST BE FILED VVITH THE LOCAL AUTHORITY Vt'VITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stoner (over 10") BR - Bedrock coin - Cobble (3- 10") SS - Sandstone ar Gravel (under 3") LS Limestone "s Sand HGW - High Groundwater cs - course Send Pere Percolation Kate reed s - Medium Sand W Wall fs ._ Fine Sa nd Bldg - Building Is Loamy Sand > - G mater Than s; -- Sandy Loarn < Less Than 'I - Loam B Biovvr #sil -- Silt Loam Bl Black si - Silt G Gray *cl _._ Clay Loam y - {rliow sc! - Sandy Clay Loarn R - Reel s cl - Silty Clay Loarn not - Mottles sc Sandy Clay w/ -- with sic - Silty Clay fff - few, line,faint Clay CC - cornrraon; coarse lit Peat nim - Marry, mr�'diunl fig - Muck d distinct p - promirrent HVVL High water level, Six general soil textures surface eater for liquid waste disposal BM Bench Mark VRP - Vertical Wferenco Point TO THE OWNER: This o'l test report is the first stern in securing a sanitary perrrait�The county car#le Depart;nent may request Ler.i icatron of this sod test in dip field pricer, to permit. istuane.e. A complete set of plans for the private sewage systeon and ra permit application must be suP>m tted .o the Ml roPriate local au011106ty in order to 001""W a Derrrait. Tlae sanitary permit mus!_ Ise obtained and pos',ed pf mr to the start of rMy COnStructi€3n. James LaPlante SE4NW4 S14 T30N R18W Richmond township 0 i tPes �5 'q t/ �2�� u�►' , 7/5 � i „�'' !o Say to© � / It'4A ems• �� ��aC � AGaStee 988 N. Shore Dr. New Richmond, Wi. 54017 Parcel #: 026-1042-70-000 02/09/2007 09:50 AM PAGE 1OF1 Alt. Parcel#: 14.30.18.206B 026-TOWN OF RICHMOND Current X ST. CROIX COUNTY,WISCONSIN 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-LAPLANTE,JAMES R&EMILY L JAMES R&EMILY L LAPLANTE 1343 157TH AVE NEW RICHMOND WI 54017 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description * 1343 157TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 3.000 Plat: N/A-NOT AVAILABLE SEC 14 T30N R18W 3A COM NE COR SE NW,TH Block/Condo Bldg: W 20 RDS, S 24 RDS, E 20 RDS,TH N TO BEG Tract(s): (Sec-Twn-Rng 401/4 1601/4) 14-30N-18W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 891/340 07/23/1997 840/04, 07/23/1997 816/108 2007 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/19/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 45,000 93,700 138,700 NO Totals for 2007: General Property 3.000 45,000 93,700 138,700 Woodland 0.000 0 0 I Totals for 2006: General Property 3.000 45,000 93,700 138,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 137 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00