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032-2050-70-000
ry o °�o' ° I m a a o c 0 CD o E° N U) � V1 N ~ I Oii > N � N r o E o N � a v I O � o 0 �` o"i o I d � v°OE I CD y m o G � Y O @gyp O Y LL GO U O)C 3 oc � I N 01 _ E Q mt rn cu U O M y I � a � •O Z d m F- t4 a m _O w o a�i Z `� Z fn Cl) Y N • tm L GO O S z z o w N Z n d c o E > N U) C G G d n E -° °? �w E ov� rnv� a � E Z • a a a y ►� a a3i C N Z 0) 0 N J V o rn rn o L MO N N — Q LO p p E m c d LO N O LO n v d Q fn m a> y c 0.O C LO °w° aoi c en vd °o V 0 o y T = O O c Q y..i p 2 N CO y Z L Y .0 N N M E E Cl) 4: (D a E H � J o z o �- to .- O � I w V = E ed � V� ' # a SL € • '� a d an d c cc A 0 C : 0 rnc� Parcel #: 032-2050-70-000 10/11/2006 04:31 PM PAGE 1 OF 1 Alt. Parcel#: 14.30.19.688E 032-TOWN OF SOMERSET Current X', ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): 0=Current Owner, C=Current Co-Owner RONALD ANDREW&THERESA MARIE LAUMEYER O-LAUMEYER, RONALD ANDREW&THERESA MARIE 757 150TH AVE NEW RICHMOND WI 54017 Districts: SC=School SP=Special Property Address(es): '=Primary Type Dist# Description SC 5432 SOMERSET SP 8040 BASS LAKE REHAB DIST SP 1700 WITC Legal Description: Acres: 1.000 Plat: N/A-NOT AVAILABLE PRT GOV LOT 1 SEC 14 T30N R 19W FROM SE Block/Condo Bldg: COR SEC 14 GO W 1745.1'TH N 403.5'TH NWLY 145.1'TO POB;TH NWLY 129.5 FT Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) SWLY 144.34'TO SHORE BASS LAKE,TH ALG 14-30N-19W MEANDER LINE 129.2'TH NELY 100.98'TO POB-PER ASS'R/UNDER WATER Notes: Parcel History: Date Doc# Vol/Page Type 08/02/2005 802110 2856/134 QC 01/05/2004 750677 2485/04 WD 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/23/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 16,000 55,900 71,900 NO Totals for 2006: General Property 1.000 16,000 55,900 71,900 Woodland 0.000 0 0 Totals for 2005: General Property 1.000 16,000 55,900 71,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Form " 5 T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER W,4 LeelyOWNSHIP 6���jG=fie Sf=7- SEC. q T I N-R -W ADDRESS 4ZZe� 7-1'5A04—:— ST. CROIX COUNTY, WISCONSIN SUBDIVISION VA LOT &A LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of IIHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM lea 7N f a `7( I G A 131,v INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point usedGiT4/>`� Elevation of vertical reference point: j�' Q.o() Proposed slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: er of rings used: Tank manhole cover eleva Tank Inlet Elevation: Tank Outlet ation: Number of feet from nearest R Fro Side o Rear, O feet From nea property line : Front 10 Side,O Rear, feet Num of feet from: well , building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) nr.sronnr+ n+,rc„ PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: P Size evation of inlet: Bottom of tank elevation: Pum off switch elevation: Gallons per cycle: Alarm ufacturer: Alarm Switch Ty p Number of et from nearest roperty line: Front, t Side, O Rear,0 Ft. Number of feet from well: Numb r of feet from building: (Include dista es on plot plan). SOIL ABSORPTION SYSTEM Bed: Tre ch: Width: Length. Number of Lines: Area Built: Fill depth to top of pipe: Number of feet from neares property ine: Front, O Side, O Rear,0 Pt . Numbe of feet from w 1: Numbe of feet from building: (Include dis ances on plot plan). SEEPAGE PIT Size: Number of pits: Diamet r: Liqui depth: Bottom of seepage pit elevati Ar Built: Has ither a drop box O or distribution box O been used on any of a above soil a sorbtion sytems? (Check one). md ` 5 HOLDING TANK Manufacturer: W Capacity: 0 U LA L Number of rings used: e72— Elevation of bottom of tank: 9Z.0.3 Elevation of inlet: Number of feet from nearest property line: Front, O Side, Rear, O Ft.� Number of feet from well: ks ;r O Number of feet from building: �' ly , r Number of feet from nearest road: y��j 917C GUS Alarm Manufacturer: LL 61-7 14 (-14&0Z`'9 �y Inspector: Dated: / Plumber on job: License Number: ✓��(J 5 3/84:ml DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDING LABOR&HUMAN RELATIONS DIVISION P.O.BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES&APPLICATION MADISON,WI 53707 State Plan I.D.Number: SW4-,SEj,S14,T30N-R19w ❑ CONVENTIONAL ❑ ALTERATIVE (11a%igneV2946 town R,7AA a� SGem�se X® Holding Tank ❑ In-Ground Pressure Jbb (J Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION A E: Watten Laumeyen Route 4, New Richmond, W1 54017 5 z/ .,4a BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REf.PT.ELE .: CST REF.PT.ELEV.: Name o Plumber: MP/ RSW No.: County: Sanitary Permit Number: Danavin SchmZtt 3205 St. ctoix 119398 SHOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER / PROVIDED, PROVIDED: 7�4! + L�J'YES ❑NO Ff=]�❑NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH r ALARM: FROM / LINF AIR INLET: ❑YES 0 C_ E2 Y ❑NO NEAREST--- DOSING CHAMBER: MANUFACTURER: I BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: MP 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 deptb,of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire,construction shall c se until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF DISTR.PIPE SP ING: COVER INSIDE DIA.: #PITS: LIQUID TRENCHES: MATERIAL: PIT DEPTH: DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV.INLET: ELEV.END: PIPES: FEET FROM I LINE: AIR INLET: NEAREST MOUND SYSTEM: Mound site plowed perpendicular to Check the texture of th fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make ertain that it ON REVERSE SIDE. SHOW ❑YES ❑NO meets the criteria for medi sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PE ANENT MARKERS: OBSERVATION WELLS; S ❑NO ❑YES ❑NO DEPTH OVER TRENCH/BED I DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: El YES ❑NO 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: DA.: DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS [DYES ❑NO ❑YES ❑NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: ❑YES ❑NO ❑YES ❑NO NEAREST— Sketch System on Ret n in county file for audit. Reverse Side. SIGNA RE: TITLE: SBD-6710(R.06/88) Zaw%ng Adminiz;ftatot =LDMI HFi L SANITARY PERMIT APPLICATION Coy C ©�In accord with ILHR 83.05,Wis.Adm.Code " STATE SANITARY PERMIT## a ' –Attach complete plans(to the county copy only)for the system,on paper not less than SATE PLAN I.D.NUMBER 8%x 11 inches in size. '99 —Qa g � � –See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION–PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES O PROPERTY OWNER PROPERTY LOCATION C 5 to'/a ,F%, S T 0, N, R E (or W PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER �BLOCKhWMBER SUBDIVISION NAME CITY,9TATE ZIP CODE PHONE NUMBER 71 CITY NEAREST ROAD,LAKE OR LANDMARK fC%Y VILLAGE : Q�L� S, II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family 3 OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable) 1. a. ❑ New b.L Replacement c. ❑ Replacement of d. ❑ Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit## Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in##1 and only one in##2) 1. a. ❑Conventional b. ❑Alternative C. ❑ Experimental 2. a. ❑System- b. Holding c.❑ Pit Privy d. 1:1 Vault Privy e. ❑ Mound f. ❑ IGP #n-s=ill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. ❑ See a e Bed b. ❑seepage Trench c. ❑ See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 14. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): Feet El Private ❑Joint 1-1 Public VI. TANK CAPACITY Site in gallons Total ##of Prefab. Fiber- Plastic Exper. Manufacturer's Name Con- Steel INFORMATION New xisting Gallons Tanks Concrete strutted glass App. Tanks Tanks Septic Tank or Holding Tank y 0 i ❑ 0 ❑ Lift Pump Tank/Siphon Chamber I ❑ 1 0 0 ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on_tbe attached plans. Plumber's Name(Print): Plumber' i nature:(No Stamps) M P W No.: Business Phone Number: Cl/,V um er's A dress(Street,CitV,State,Zip Code): Name of Designer: /7- VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST## 6EF ZA&7 CST's ADDRESS(Street,City,State,Zip ode) Phone Number: IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved I sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) Approved ❑ Owner Given Initial f urchar e//Fee go Adverse Determination 1�o�m .(l0 At�] X. COMMENTS/REASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This 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. Anew permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 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. Private sewage systems must be properly maintained.The septic tank(s) should be pumped by a licensed pumper,wheriever`r1.ece9sary1 usuafty)every 2 tb 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 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 where the system is to be installed; 11. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; - VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. 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. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8'/2 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; dosing or pumping chambers; 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. ------------------------------------------------------------------------------------------------------------------------------------------------------------ GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Ground4[ included the creation of surcharges (fees) for a number of regulated practices which Wisco rrt`S can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried Teas,u is used in your building is returned to the groundwater through your soil absorption o - system or the disposal site used by your holding tank pumper. The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) ST. CROIX COUNTY WISCONSIN ZONING OFFICE 796-2239 (HAMMOND) 425-8363(RIVER FALLS) =- - HAMMOND, WI 54015 August 24, 1987 I Division of Safety and Buildings Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Wally Laumeyer property, located at the W4 of the SE14 of Section 14, T30N-R19W, Town of Somerset, St. Croix County, revealed that their is a groundwater restriction within 6 inches of the surface of the ground. I feel this should be more than sufficient and, therefore, would not require a soil tester's EH115 form. Should you have any questions, please feel free to contact this office. Sincerely, o Thomas C. Nelson Zoning Administrator TCN:rmc APPLICATION FOR DEVELOPMENT OF FLOOD PLAIN DEPARTI"U:NT OP INDUSTRY, LABOR & HUMAN RELATION - When the installation of a new, replacement or expanded private sewage disposal system is proposed for a flood plain area, this form must be completed and submitted to the Department of Industry, Labor b Human Relations along with Plans and other necessary aata. OWNER'S NAME�� _ DATE 10 30 - S`7 ADDRESS t"j, ;R.l e.0 M OJU ADDRESS OF BUILDING OR LOCATION OF PROPERTY IQ SW �/y- 5)F-11V SEC 14, T30U, R A w c+.� 1ST AVM, O•Z. A41LC- 0)= `)5 LEGAL DESCRIPTION TOWNSHIP c)P1 COUNTY ST. C.Z.11X Is this system new replacement V' expanded Is area: In regional floodway? yes no _� not determined In regional fringe flood area? yes _� no not determined Contiguous to ground higher than any of the above? ves no ✓ %liat is the established regional flood elevation? Are flood plain maps published and available or determined bv_ the Department of Natural Resources? _ Has or will permission be granted for the following: A Fill required for building? yes no Building permit? yes no Sewage disposal system (sanitary permit)? yes ,i no Action taken locally by Comments regard ' development (zoning administrator, board of appeals, etc.) : Favorable Unfavorable Special Recommeindations - 1. Setback bnom eentetUne 42 beet with the buUding extending an additi,onat 18 Beet. 2. ng gna e ZhaU be 70—"e no mane than Z. 5 6eet a ave a 4- Old AtAt1rtuap � h-afl ho homoyorl jaAi.nh -'o 11P-W yon.1�"hllcti.7n� S no �-�N Hy�.CCP.�d.ng this �5 pee i.a e. exception Mt. Laum yetc an any 4utuAe ownetc d haU not hold the towns h,ip on E-o—unzy ttabte Wot an y gutuAe Zfamage. b. Con,==Zon and coopeAZTton WZth the a e above have been 4ottowe d. Signatures: County Representativ Department of Ural Resources Department of Indt15trv, Labor S }iuman Ref ��=�� �� . ������ �u ���������n Department OfIOdUStry �8�OF8O� HU�O8O ��G�8tiOOS � . � PRIVATE SEWAGE PLAN APPROVAL SAFETY m BUILDINGS DIVISION Office of Division Codes and Application 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 DONAUIN SCHMITT Owner: WALTER LAUMEYER ROUTE 2 80K 295A ROUTE 4 SOMERSET, WI 54025 NEW RICHMOND, WI 54017 RE: Plan Number: Date Approved/ December 13, 1988 Gallons Per Day: 450 Date Received: December 12, 1999 Project Name: LAUMEYER, WALTER Location: SW,SE^ 14'30, 19W Town of SOMERSET County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements . This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved' . This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must he corrected. All permits required by the city, village' township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit in obtained, it will expire the day the initial sanitary permit expireo . The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plane have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: — NEW -HOLDING 'TANK Inquiries concerning this approval may be made by calling (608) 200-3937. Sincerely, i Z2,�� Section of Private Sewage Division of Safety and Buildings PPP012/0009n/ 3 cc: WALTER LAUMEYER Private Sewage Consultant County SSWMP Plumbing Consultant | __ Owner Plumber —Environmental Health _ _ � e000423 <n.08/88 � _ _ BOOK _ PF''; 9t This for recording data Document No. HOLDING TANK AGREEMEN5T��'S OFFICE Agreement Date This agreement is made between the CROIX CO•, WI cd fer R�_I Holding Tanks)Owners)County or Local Governmental Unit ��00 AY 2 7 of 1:00 I�P_�. O�M��f (Called Municipals below) g holdin We acknowledge that application is being made for the installation of(a) V tank(s)on the following property,(Provide legal land description:) Roglster of Deeds IU, "i3C) l V I_ .3�`3 it Return To of or that continued use of the existing premises requires that a holding tank be installed on the other type property foethewageose of prop aser containment under sewage. Also, the property cannot now be served by a municipal sewer. Ch. ILHR 83,Wis.Adm.Code,or Ch.145,Slats. S7— C,12.Q`X to issue a sanitary permit for the above described property, As an inducement to the County of we agree to the following: 1. Owner agrees properly p conform se t Ced inprresponseto orders�i sued by the mun municipality to relating or bate holding tanks. If the nuisance as described rin fails and holding tank 146.14, Slats. the municipality may enter upon the property and service the tank or cause t0 have the tank serviced and charge the owner y placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s.66.60.Slats. 2. Owner agrees to pay all manner aas to prevent or abate any municipality for inspection,pumping, or health hazard caused byathe holding tank!sThe municipality ciipal'ry shall notify the holding tank. such a the owner of hnr c 30)days.ttheshall ownerr specifically agr owner e swithin thatta l o the)costs from nd charges date may be placed on the tax the roll asr special not assess- ment costs within thirty( ) for the abatement of a nuisance,and the tax shall be collected as provided by law. 3. The owner;except as provided by s. file (30)(do)f htetcontrractor he owner's'registration a with is the municipality pal'ity and with lthe c�ounty.The owner have the holding tank serviced and to the a copy further agrees to file a copy of any changes to the service contract or a copy of a new service contract with the municipality and the county within ten(10)business days from the date of change to the service contract. 4. The report accord with s. with a (a) 2.. Wis. Adm. Codelfor he servicing on who semiannual basis.thIn munic pa selnof registration under report _ s. 146.20(3) (d),Slats.,the owner shall submit the report to the municipality and the county. 5. This agreement will remain in effect only until the local governmental unit responsible for the regulation of private Adm. system addtifies that the property is served by either a municipal sewer or a soil absorption system that complies with Ch.ILHR 83,W agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 6. This agreement shall a bin agreement shall be the heirs by the reg see rof deeds rin a manne�wh which will permtrthe elxstenc'e ofthe agreement the register of deeds a 9 to be determined by reference to the property where the holding tank is installed. Owner(s)Name(s)(Print) I ts)S' (s) Subscribed and sworn to before me on this date. C e tary Public ) Municipal Official Name(Print) Municipal Official Signature My commission expires: f [ _ I NOTARY PUBLIC STATE/0rj f I3A0A _ MY COMMISSION EXP. FE8.20.1992: Municipal official Title(Print) I BOND SBO-6123(R.10/85) This instrument was drafted by the State of Wisconsin Department of Industry.Labor and Human Relations,Bureau of PMnmbiny^ HOLDING TANK SERVICING CONTRACT Contract Date This contract is made between the — Holding Tank Owner(s)Name(s) and I Pum er's Name �CLL"Ci� ;LILULI u�tS'� IY We acknowledge the installation of(a)holding tank(s)on the following property: (Provide legal description:) Q W I 14-VS 'EZ.f C wxj T-Sl PLC-L G LSIM 2. OF _ --. y 1. The owner agrees to file a copy of this contract with the local governmental unit hereinafter called the"municipality",which has signed the pumping agreement required in Ch. ILHR 83.18(4)(b),Wis.Adm.Code and with the County of SZ . C R(31 X 2. The owner agrees to have the holding tank(s)serviced by the pumper and guarantees to permit the pumper to have access and tc enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the all-weather access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tank(s)as mutually agreed upon by the owner and pumper. 3. The pumper agrees to submit to the municipality which has signed the pumping agreement required by s. ILHR 83.18(4) (b),Wis. Adm. Code,and to the county, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agrees to include the following in the semiannual report: a. The name and address of the person responsible for servicing the holding tank; r t b. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed; d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; f. The volumes in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in eff ect until the owner or pumper terminates this contract. In the event of a change in this contract. the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with the municipality and the County named above within ten(10)business days from the date of change to this service contract. Owner(s)Name(s)(Print) I Owne 's Signature(s) I � Subscribed and sworn to before me on this date: I I I I 04-Pumper's Name(Print) _ Pumper's Signature Notary ubh. /iJ. �_ 1 '° I ,? �L�`•r My Comm issio expir s: umper's Registration Number SBD-7574(N.11/85) This instrument was drafted by the State of Wisconsin Department of Industry,Labor and Human Relations,Bureau of Plumbing. • r 6),9-g � /'�PRsw�3zv s SEP 0 7 1988 OFFICE OF DIVISION ST. CROIX COUNTY WISCONSIN ",e ZONING OFFICE 798-2239(HAMMOND) ;T 425-8383(RIVER FALLS) HAMMOND, WI 54015 Nr _ August 24, 1987 Division of Safety and Buildings Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Wally Laumeyer property, located at the SW1-4 of the SE14 of Section 14, T30N-R19W, Town of Somerset, St. Croix County, revealed that their is a groundwater restriction within 6 inches of the surface of the ground. I feel this should be more than sufficient and, therefore, would not require a soil tester's EH115 form. Should you have any questions, please feel free to contact this office. Sincerely, Irc- Thomas C. Nelson Zoning Administrator TCN:rmc w fit. 1 rn b�6` � r\� •,�1. �? �.� J V � � � �v 7c ORWE rn � N E yo ? n oral n .•4rso vt o,4C*Wa ~ IS P! NM re 94 0 s•i �s go 0 CA W3 Jr • " ..t to is •• 14 %r;,fd " _. C. C Cl > . . _ 7• i r+ pl • H H ►•� A s b O " wt v lob i soi `ss r.s• 10• •1 �y v w .+ • s �N as • d !~O M• i 96 iN .4 a 09•• O V O • r '• » i• CO all o 1 4 • : T ` n c _ := o `+ Pr w ff�11I'iii 3 M M C-7 S n !9 Tay .+ •A M r.O = � 1< w O r...! • 41 7 ♦ 's 4 O is n O' 3 <► 9 es CAI " 7 � f � � M c •� \� S C6 PO.04 n ►.r V � zw O A ' H z N H a STC - 105 r r a H SEPTIC TANK MAINTENANCE AGREEMENT �+ St . Croix County z d n a OWNER/BUYER /�J,4L%EA ZA64121" of ROUTE/BOX NUMBE 7r V, Fire Number .CITY/STATE %�� �(�/Cf�/%O�//� �/` - ZIP PROPERTY LOCATION: ) 4, {jam 14, Section, T 30 N, R—Z?—W, Town of �j�jL/,'1�j' , St . Croix County, Subdivision Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes . Proper maintenance con- sists of pumping out the septic tank every three years or sooner , if needed , by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St . Croix. County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1 , 1978 . St . Croix County accepted this program in August of 1980, with the requirement that owners of all new _systems agree to keep their systems properly maintained . The property owner agrees to submit to St . Croix County Zoning a certification form, signed by the owner and by a master plumber , journeyman plumber , restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary) , the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. .� 0 E I/WE, the undersigned , have read the above requirements and agree z Cn to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- b ment of Natural Resources . Certification form must be completed and returned to the St . Croix County Zoning Offkpe within 30 days of the three year expiration date. SIGNED _ Z,(ad�� DATE St . Croix County Zoning Office P.O. Box 98, Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. 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 _ ALT Z 2 L 4c,,,e�/4z/ Location of Property 0 1% Section I y , T N-R 9 W Township !tailing Address 332 V 7W G%i /FLU /1 Alc��,- �i Sf✓, SU7 5� Address of Site ILL IL Subdivision Base Lot Number Previous Amer of Property F%JCL �iAi Total Size of Parcel Date Parcel was Created -7 Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes _A- No Volume 3 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 refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION 1 We) cVW 6y that dt t statements on this oh.m ane tAue to the but o6 my (ouh) hncwtedge; that 1 (we) am (she) .the ownen(sf 06 the pnopeh.ty duni.bed in .this .in6ohmatl.on 6o", by viAtue o6 a waAAanty d eod hecoAded in the 066.ice o6 the Cc tntyy Reg ' eh o6 Veedsas Document No. pA 1�7; and that i (We) pnesentfy sun the p1toposed bite bon the sews a dla os sys em (oh 1 (we) have obtained an eu.dtnent, to nun with the above deAcni,bed pnopehty, 6oh the eonatAucaon o6 eaid eys tem, and the carne ha.e been duty n.ecohded .tn the 066.ice o6 the County RegiA teA o6 Veedd, ae Poewnent No. 266,26 _ Vl✓k�r SIGNATURE Oh OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED WARRANTY DEED—John,Tens ney. Form 168 ....! H...n.c.r.ca.r.........uuo.............. tiz. ton 230.45 Wiwomin btatutes �lhiS �n�>ent�tr>e, Made this........?8 1h..........day,of..........Ja-ly. : .. ... _ , A. D_ 19 61 l etween..... v&1yn..B_aeb�►.,.also..known..a s...A...,�lve lyn-',EBabe .- a tV idow and unmarried ... ......... ..... .......................:.. ... ....... . .... __..... part y of the Arst part, and _'aalte.r...J.._.Laume.yer:..and -Joanne...J..-.Lsumayer,husband-_-and-wife ., as joint tenants, parties of the second part, 1 W i t n e s s e t h, That the said part..:.y...... .....of the first part, for and in consideration of the sum of ii One Dollar and other ,good, and .valuable_.-oon.s.iderstion..._ An hand paid by the said parties of the second part, the receipt whereof is hereby confessed J! and acknowledged, ha.s_.. -. given, granted, bargained, sold, remised, released, aliened, conveyed and confirmed, and by these presents do .as.- give, grant, hat-gain, sell, remise, release, alien, convey and confirm unto the said parties I of the second part, in joint tenancy, the survivor of them, his or her heirs and assigns forever, the following described real estate, situated in the County of - fit... . Oros and State of Wisconsip, to-wit: �. j b part of Gov. ,,Ot 1, Section 14, '2ownshiif 30 Jprth,itange 19 rest in St.::roi Uounty, ';Visconsin,further described as follows: From the �EL Uorner of said t Neetion 14,go west a distance of 1745.1 feet,thenoe due i;orth a distance of 403.5 feet , thenoe i:orth 52 de;reae 28 minutes test a distance of 214.6 feet '! to point of beginning for parcels to be conveyed herein;thance .orth 52 degrees 26 minutes tiiast along the aouth line of the mown Road a distance of �I ' 59.7 fedt, thenee mouth 27 degrees 46 minutes ,!est a distance of 144.x,4 feat, thence aouth 71 degrees 47 ininutes Last on a woandor line on the shore of i�aills Lake a dietanoa of 69.2 feat,thence LJorth 23 degrees 24 minutes Oast a dist•)nce of 123.1 feat to point of beginning, toga Cher with all land lying �! botwoen said meander line and 1�a.ss waka ,also the following tr4ct of land boizg a pt3i•t of Gov. Lot l,Seotion 14, ovnship ;;0 ..orth,i ange 19 'r1ost,6t.Uroix it s� Uounty,,;iseonsin,l',u thar described as follows: from the Loutheast Corner of t, stii.d Section 14 , x: dua 'west a distance of 1745.1 feet,tha tdue north a c :-t^neo of 403.5 fr et, thence 1lorth 52 degrees 28 ininute�/a�hstnnoe of 145.x! :foot to i)oint of,of beginning for onrool to be conveyed horein; thenoe forth j! �I 52 dac'reos 28 minutes ,jest a distance of e9.o feet along the south ling of the Gov„n road thence L50uth 23 degrees 24 minutes .,est a distanea of 123.1 feet, thence South 71 da�7rees 47 minutes mast on a mana.der line on' the shore of -ass Lake a distance of 60.0 feet, thenoe .forth 27 degrees 53 rainutes Last a distance of 100.913 foot to point of beginning,together with all land lying bat`raen said meander line and Base Lake. Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise' appertaining; and all the estate, right, title, interest, claim or demand whatsoever, of the said part y of the first part, either in law or equity, either in possession or expectancy of, in and to the above bargained premises, and, their hereditaments and appurtenances. To Have and to Hold the said premises as above described with the hercilitaments and appurtenances, unto the said parties of the second part, as joint tenants, and to the survivor of them, his or her heirs and assigns FOREVER. And the said_. •. :.yalyn beebe ,. also known as .. Uvalyn iseebe, a 10*idon • .._.end _un:narr.ied.. ._ . ._ ._ for .hb ree if, her heirs, executors and administrators, do.as covenant, grant, bargain, and agree to and with the said parties of the second part, the survivor of them, his or her heirs and assigns, that at the time of the ensealing and delivery of these presents.....she....j,g...__... .. .__.._well seized of the premises above described,.as of a good• sure, perfect, absolute and indefeasible estate of inheritance in the law, in fee simple, and that the same are free and clear from all incumbrances whatever, ... _... 'k ii . ...... ..............._....... _ _ _ _ _ __ ...... .. ... .. ...... _...... .. ............_. .. . ....-.-....- ..... ........ ._. .._._ ... . .. ..... . ... j and that the above bargained premises in the quiet and peaceable possession of the said parties of the second part, the survivor of them, his or her heirs and assigns, against all and every person or persons lawfully claiming the whole or any part thereof, .._.e-he..... ......._will forever WARRANT AND DEFEND.` In Witness Whereof, the said part._y.......of the first part ha.S ......hereunto set....hA.r.......hand......and seal..... { this......:: $.: ........day of............Jli1y..................... ........, A. D., 19.....61, , SIGNED AND SEALED IN PRESENCE OF t' 6 be ,A• riVB], 6 ob j�..0 .. ... .. (SEAL) •!” A - •• ..r r 4 e 4�M�111�r< iF Z.e.!.... .^+If!4,7.�i.�a t r�•,x 3 L r.r f:� i, h f r� «+e� '., "3e ��{. �r �Sr .... .......• .. •. .......... •. S. .. .....a.e...\ f , ,� a xYYw.• `�;•• ..k'k4�.4'�} � +....^v t`Y, � '^. q�� '�. ..{ .*F�:� �n"^�•�� �;: 7 y�. MOM 1,innesofa State of W � ss. I ... ...... ..-.halrl.eo.y----- ----- --------County. � Personally came before me, this.. .... day of .. A. D., 19 61 w �) �.va1 n Beebe also known as c;vel �f ieebe , a .. ido�s� 'I i the above named. - Y-- --.._.. ... .. ... . . ........ ....- .. _. . _. y i' and unmarried _.. ...___- i to me known to be the person.. ..- who executed the foregoing instrument and acknowledged the samc. inn Notary Public,.-. COUnty, 1',iS. My commission expires_ April 2nd 1. - f �I �i I i l a i i i o O U u N z w`o Q ~ o � i rya / O p� \i 3 s 0