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AS BUILT SANITARY SYSTEM REPORT
OWNER A-7 G ' j °TOWNSHIP /1 �U / N-R 7 W� A� /�
ADDRESS /L / Ay 1Y,,4 ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT -=- LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of I•LRR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
Z L,
B4545
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1t90 DICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used 0�{ ;-�- i62.�7
Elevation of vertical reference point: Q, Proposed slope at site:
SEPTIC TANK: Manufacturer: %LJ� -�� Liquid Capacity: /aye
Number of rings used: _/L�mrtJ Tank manhole cover elevation:
Tank Inlet Elevation:_ Tank Outlet Elevation:
Number of feet from nearest Road: Front,O Side Rear, (V1 �45 feet
From nearest property line Front,OSide,O Rear,® ol feet
lNumber of feet from: well `
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
P CHAFER
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,O Ft.
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: Trench:
Width:
— Length:,/, Number of Lines; Area Built:
Fill depth to top of pipe:
Number of feet from nearest property line: Front, O Side, ( Rear,O Ft .ZL r
Number of feet from well: ,:?7/ ;Z2.._V
Number of feet from building:'
(Include distances on plot plan). t:
SEEP E 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).
HOLDI 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, OFt.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector:
Dated: /Z 1,9 Plumber on job:
License Number:
3/84:mj
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• DEPtRTNfENT 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:
NO%,NW4-,S20,T29N-R17W MXCONVENTIONAL ❑ ALTERATIVE (If assigned)
Town o� Hammond
Q -f-17PQ 14;Q1411111711 12 ❑ Holding Tank El In-Ground Pressure ❑ Mound IVY,WK)1100
A E M 7AD;DRESISOF PERMIT HOLDER: INSPECTION DATE:
KtaLg KnampeAt Route
1, Box 186, Hammond, (U1 54015 (l, QQ-
BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: ST REF.PT.ELEV.:
Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number:
L to J. M ens 6219 St. cuix 119397
SEPTIC TANK/HOLDING TANK:
MANUFACTURER: LIQUID CAPACITY: TANK INLET EL V.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER
W ES ❑NO PROM PROVIDED,
J, U ❑YES L�5'NO
BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF IROAD: Q PROPER Y WELL: BUILDING: VENT TO FRESH
❑YES O ( A❑YES O NEARESTO�♦ �✓ (l LIN ' �d Z AIR Imo __
DOSING CHAMBER:
MANUFACTURER: BEDDING: LIQUID CAPACITY: P PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
❑YES ❑NO ❑YES ❑NO ❑YES ❑NO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF IPROPERTY WELL BUILDING:I VENT TO FRESH
(DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET:
PUMP ON AND OFF) ❑YES ❑NO NEAI
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: L T NO.OF DISTR.PIPE SP ING: COVER INSIDE DIA.: #PITS: LIQUID
BED/TRENCH TRENCH ES: / ��/ MAT RIAL: PIT DEPTH
DIMENSIONS C% (9 '-/
GRAVEL DEPTH FILL DEPTH DI R.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO. R. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH
BELOW PIPES: ABOVE COVER: EL V.INLET: ELEV.END: PIP : FEET FROM LINE: AIR INLET'
1 Z NEAREST-� / / 7< ✓ < ��
MO D SYSTEM:
Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM
slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW
❑YES ❑NO meets the criteria for medium sand. ELEVATIONS MEASURED.
SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS;
❑YES ❑NO ❑YES ❑NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED. MULCHED:
CENTER: EDGES:
❑YES ❑NO ❑YES ❑NO ❑YES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM:
BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER:
TRENCHES:
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING:
ELEVATION AND ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.:
DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO
INFORMATION APPROVED PLANS
❑YES El NO ❑YES ❑NO
COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PR WELL:OPERTY BUILDING:
FEET FROM
❑YES ❑NO ❑YES ❑NO NEAREST
Sketch System on Retain i county file for audit.
Reverse Side. SIGNATURE: TITLE:
SBD-6710(R.06/88) ✓�� Zon'ng Admt,niAt&atwL
SANITARY PERMIT APPLICATION COON
�OILHR In accord with ILHR 83.05,Wis.Adm.Code
STATE SANITARY PERMIT#
173
—Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN LD.NUMBER
8%x 11 inches in size.
—See reverse side for instructions for completing this application. [FOR TITION
1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. VARIANCE ❑YES �NO
PR PPERT OWNER PROPERTY LOCATION
S t) T,,`t , N, R E (or(W
PROPERTY OWNER'S MAILI ADDRESS LOT NU ER BLOCK N MBER SUBDIVISION NAME
E 4 �O � V-:V
CITY,STATE ZIP CODE PHONE NUMBER 7 7 CI Y / NEAREST AOAD,LAKE OR LANDMARK
❑ VILLAGE : Uy,^�^^D ! ' L
11. TYPE OF BUILDING OR USE SERVED: Q am- w- V I�^ to(444 -.
Number of Bedrooms if 1 or 2 Family '/ ��n ig"R ❑ Public(Specify):
III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable)
1. a. ❑ New b.xReplacement 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.xConventional b. ❑Alternative C. ❑ Experimental
2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP
In-Fill Tank
V. ABSORPTION SYSTEM INFORMATION: (Check one)
1. a. ❑ Seepage Bed b. gSeepage Trench c. ❑ seepage Pit
2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY:
(Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet):
14161 S Q Feet XPrivate ❑Joint ❑ Public
VI. TANK CAPACITY #of Prefab. Fiber-Site
in allons Total Manufacturer's Name Con- Steel Plastic Exper.
INFORMATION New xisting Gallons Tanks Concrete glass App.
Tanks Tanks structed__0_F0f_EFR__
Septic Tank or Holdin Tank 040 0coo
Lift Pump Tank/Siphon Chamber 1 ❑ El ❑
VII. RESPONSIBILITY STATEMENT
I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans.
Plumber's Name(Print): Plumber's Signature:(No Stamps) P MPRSW No.: Business Phone Number:
k.,4 J7 Mw-/?_<% 44 )?1_o74j4&_" 4,21q 7/5"'G 3 2 5°
Plu er s Address(Street,City fate,Zip Cod Name f Designer:
Vill. SOIL TEST INFORMATION
Certified Soil Tester(CST)Name CST##
l
CST's ADD ESS(Street,City,State,Zip Code) Phone Number:
'Z �JI CC -77106;?'
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved San'ary Permit Fee Groundwater ate Is ing Agent Signature(No Stamps)
Approved ❑ Owner Given Initial ` j�` �j� �fcty�rgg F�\ `A�
(((((( Adverse Determination l!v [�` �IW'[ C�3 Q
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. A new 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 whenever necessary, usually every 2 to 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;
II. 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;
111. 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 ifproject
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 W% 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 Ground _: tc
included the creation of surcharges (fees) for a number of regulated practices which WiSco
can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried I~9S U1
is used in your building is returned to the groundwater through your soil absorption
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)
44124 BOOK 822 Fa G
AND CONTRACT - - -
New Loan #499430-4
STATE BORROWER COUNTY OFFICE NO. LOAN NO.
Wisconsin former H.Jensen St. Croix 036-011 1 4110045
THIS CONTRACT, MADE THIS dn6, day of September , 19 88, between Farm Credit Bank
of St. Paul . , A Federally Chartered Corporation hereinafter referred to as "Seller," whose address is
P.O. Box 199, River Falls, WI 54022 and Kraig K. Krampert, a single person,
hereinafter referred to as "Purchaser," whose address is Hwy. 12, Rural Route, Hammond, Wisconsin ' 54015
WITNESSETH:
1. Seller Agrees:
(a)To sell and convey to Purchaser land in the County of St. Croix , State of Wisconsin
described as: , "
A parcel in thb northeast Quarter Northwest Quarter (NE--114) of Section 20, described
as follows:
Beginning on the centerline of S.T.H. 1112" a distance of 768 feet West of the Northeast
corner of said Northeast Quarter Northwest Quarter (NE4NW4), thence South at a right
angle a distance of 168 feet, thence West at a right angle a distance of 135 feet,
thence South at a right angle a distance of 162 feet, thence West at a right angle
a distance of 407 feet to the West line of-said Northeast Quarter Northwest Quarter
(NE4NWk,), thence North along said West line a distance of 330 feet to the center ,
of said highway, thence East along said highway centerline a distance of 542 feet
to point of beginning.
All in Section 20, Township 29 North, Range 17 West.
Subject to existing highways, easements, and rights of way of record.
The above described premises contain 4 acres, more or less.,
hereinafter referred to as"the land,"together with all tenements,hereditatments,improvements,and appurtenances, including any
lighting or plumbing fixtures, shades, venetian blinds, curtain rods, storm windows, storm doors, screens, awnings, and
now on the land, subject to any applicable building and use restrictions and to any easements affecting the.land.
It is expressly understood that the Seller will make no warranty as to the extent of its ownership of minerals,or as to its title thereto.
As used above the word "minerals" shall be construed to mean `oil, natural gas, coal, lignite, and all other minerals."
(b)That the full consideration for the sale of the land to Purchaser is: Fumy—four Mxxr" Six El *W Dollam and 00/100
($44,600.00 ) dollars, of which the sum of Five Thousand Dollars and 00/100
($ 5 j 000.00 )dollars has been paid to Seller prior to the delivery hereof,the receipt of which is hereby acknowledged,
and the additional sum of mArq-nineZtxxwcd six ax&edWUars&00/100 ($ 39,600.00 )dollars,
is to be paid to Seller,with interest from the date of this contract on any art thereof at any time unpaid at the rate of 9.5 percent
per annum while Purchaser is not in default, and at the rate of 11.5 percent per annum,computed upon any sums of principal
or interest not paid when due during the period of any default in payment. Such additional purchase money and interest is to be paid
as follows:
Monthly payments of $369.12 due October 1st, 1988 and monthly thereafter.
(Additional interest may be added to the first installment if the initial period is greater than subsequent periods.) such payments to
be applied first upon interest and the balance on principal. All of the purchase money and interest,however, must be paid in full on
or before September 1St, 1993 anything herein to the contrary notwithstanding.
� .
(c)To execute and deliver to Purchaser or his assigns,upon payment in full of all sums owing hereon,a limited warranty deed conveying
title to the land, subject to abovementioned restrictions, easements and to any then unpaid mortgage or mortgages,but free from all
other encumbrances,except such as may be herein set forth or shall have accrued or attached since the date hereof through the acts
or omissions of persons other than Seller or his assigns.
(d)Seller shall upon closing provide as evidence of title,at Seller's option,either an owner's policy of title insurance or abstract of title
covering the land.The effective date of the policy or certification date of the abstract is to be approximately the date of this contract.
Seller shall have the right to retain possession of such evidence of title during the life of this contract but upon demand shall lend it
to Purchaser upon the pledging of a reasonable security.
2. Purchaser Agrees:
(a)To purchase the land and pay Seller the sum aforesaid, with interest thereon as above provided. '
(b)To use, maintain and occupy the land in accordance with any and all buildings and use restrictions applicable thereto. ,
(c)To keep the land in accordance with all police, sanitary or other regulations imposed by any governmental authority.
(d)To keep and maintain the land and the buildings thereon in as good condition as they are at the date hereof and not to commit waste,
remove or demolish any improvements thereon,or otherwise diminish the value of Seller's security,without the written consent of Seller.
(e)To pay all taxes and special assessments hereafter levied on the land before any penalty for non-payment attaches thereto,and submit
receipts to Seller upon request, as evidence of payment thereof, and also at all times to keep the buildings now or hereafter on the
land insured against loss and damage, in a manner and an amount approved by Seller, and to deliver the policies as issued to Seller
with the premiums fully paid.
@OOK 2 07
hat he has examined the land and is satisfied with the physical condition of any structure thereon, and hereby waives an and
claims on account of any encroachments on the land or on any premises adjacent thereto. Y all
{ (g) To maintain complete and accurate financial books and records for Purchaser's business;and provide annual financial information(balance
sheet, operating statement, or cash flow) in a form prescribed by, or acceptable to Seller.
,.
i.
I Seller and Purchaser Mutually Agree:
(a) That if default is made by Purchaser in the payment of any tax or special assessment or insurance premiums or in the delivery of in-
surance as above provided,Seller may pay such tax,special assessment or premiums or procure such insurance and pay the premiums
therefor,and any amount so paid shall be a further lien on the land payable by Purchaser to Seller forthwith with interest at X1.5
percent per annum. This provision shall be effective only if Paragraph 2 (e) applies.
(b) That during the existence of this contract, any proceeds received from a hazard insurance policy covering the land shall at Seller's
option first be used to repair the damage and restore the property,with the balance of such proceeds,if any,being distributed to Seller
and Purchaser, as their interests may appear.
(c) That no assignment or conveyance by Purchaser shall create any liability whatsoever against Seller until a recordable duplicate thereof
duly witnessed and acknowledged,containing the residence address of the assignee,shall be delivered either personally or by certified
mail to Seller and receipt therefor obtained. Purchaser's liability hereunder shall not be released or affected in any way by delivery
of such assignment, or by Seller's endorsement of receipt or acceptance thereon.
(d) That Purchaser shall have the right to possession of the land from and after the date hereof, unless otherwise herein provided, and '
be entitled to retain possession thereof only so long as there is no default on his part to carrying out the terms and conditions hereof.
If the land is vacant or unimproved,Purchaser shall be deemed to be in contructive possession only,which possessory right shall cease
and terminate after service of a notice of forfeiture of this contract. Erection of signs by Purchaser on vacant or unimproved property
shall not constitute actual possession by him.
(e) That if Purchaser fails to perform this contract or any part thereof,Seller immediately after such default shall have the right to declare
this contract forfeited and void,and retain whatever may have been paid hereon,and all improvements that may have been made upon
the land,together with addtions and accretions thereto,and consider and treat Purchaser as his tenant holding over without permission
and may take immediate possession of the land, and Purchaser and each and every other occupant remove and put out. if service of
a notice of forfeiture is relied upon by Seller to terminate rights hereunder,a notice of intention of forfeit this contract shall have been
served at least fifteen (15)days prior thereto.
(f) That if proceedings are taken to enforce this contract by equitable action, after Purchaser shall have been in default for a period of
forty-five(45)days or more, the entire amount owing hereon shall be due and payable forthwith. Anything herein contained to the
contrary notwithstanding.
(g) That upon commencement or during the pendency of any action of foreclosure of this contract,
of a receiver of the property,including homestead interest,to collect the rents,issues,and profits of the property duing the pendency t
of such action, and such rents, issues, and profits when so collected shall be held and applied as the court shall direct
(h) That time shall be deemed to be of the essence of this contract.
(i) That any declarations,notices or papers necessary or proper to terminate,accelerate or enforce this contract shall be conclusively presumed
to have been served upon Purchaser if such instrument was enclosed in an envelope with postage at the address set forth in the heading of this contract or at the latest other address which may havle been specified by Purchaser and
receipted for in writing by Seller, and such envelope was deposited in the United States government mail..
Q) Purchaser hereby agrees to reimburse Seller when pursued in litigation of all costs and expenses,including reasonable attorney's fees,
of Seller incurred to enforce any remedy hereunder to the extent not prohibited by law,and expenses of title evidence shall be added
to principal and paid by Purchaser, as incurred, and shall be included in any judgment.
4. Other Provisions
(a) "R'd-aax shall not transfer, sell or ccnvey,any legal or
°f �!'� ''s rights under, this equitahle interest in the Pttpet:ty (by �aa;gr><ttxlt
without the Friar written oansertt of v either the l lea9e or in any other y,�ey)
contract is first paid in full cc tie intc�t � is a ledge r c as balance payak�le under turns
under this Oittract solely as secunty for an >a� or assigyrerut of I'ttttf sits
Axd�aser, In the evert of any such transfec,
sale cc OwA125'erm t shall beoarethrx>t Ve don's written oo tt, the entire ct�tardi•ng L03Ianoe payable under this
fib) "ESacluding ti>erefrctn and my due and payahle in full., at V�dor's cpticn without notioe.,,
estates and titles hWetof � and reBervirg to Seller all Mk eral and r%alty rights, iuytet -.g,
to Ja many 22, 1966, if served ar Cf tad by the Federal Lard Bank of St. Paul Friar
cr any, with sucfi a fMegos for irk, a and use of sxfaoe as tray be incidental
necessary e l ld use of � rights. The foregoing exclusions, euooeptim and reservation Xll irr_lude,
but not be lirtrited to, all oil, gas, kdV0aXbcns, coal. and other
in or txtder the �s �winatsoe�er rtatixie lying
' .
and saved dvxe&w. It s and all tviralty interests as to oil, gas arr3 other trarterals prndnad
y understood that the Seller will make no ti,arranty as to the extant
A y individual p cetorerals,t themselves as to t be o tag reto o
corporations with their charters in full force and effect. y corporate parties hereto represent themselves to be existing
The pronouns and relative words herein used are written in the masculine and singular. If, however, more than one person joins in
the execution hereof as Seller or Purchaser, or either party be of the feminine sex or a corporation, such words shall be read as if
written in plural, feminine or neuter, respectively. The covenants d is herei
n shall
respective all bind the heirs,devisees,
Pe parties. successors and assigns of the
g
x •
b
3r .V ._ r
, ;.. BOOK �p- PA,"•►208
e ht
"h as k PRESENCE OF:
Kraig K. Kr pert Purchaser
(L.S.)
Purchaser
ST, CROIX Me WI
Re.erd for Record The WAXiMathk of Saint Paul
S�'P o 8 By:
1988
at 8:30 A M Thomas E. Hass, Director of Acq. Propo of the
c� w- N."16 Tide
a,�/G/�//, Northwest Wisconsin
Register of Deeds Federal Land Bank Association of
Acting as Attorney-in-fact for The xwa&waint of Saint Paul
or:
Production Credit Association of
By. •G�a......•:`�: t
STATE O WISCONSIN U •�•• v'`-•':
F
r t J
as.
ST. CROIX t ��
COUNTY OF
September l9 88
day of _before me appeared `v
On this •^
that Kraig k. Kra
to me known to be the person(s) described in and who executed the foregoing instrument and acknowledged ttert
above free act and d
executed the same as O
My Commission expires 7-23-89-' f
Not ry Public I Janet R. Bock
Pierce Wisconsin
___Goanty State
STATE OF WISCONSIN
Sf C,,olx as.
COUNTY OF 4W
The foregoing instrument was acknowledged before me on pa
of the Federal Land •'
by Thomas E. Hass, Director ofAcguired PrsopertY �.
Farm Credit." c'-....:
Bank of�ai l pl.
of Northwest Wisconsin as attorney in fact on be if of The 1 }_
L1 � v
My commission expires 2-11-1990 LOU The
O
Notary Public , arY •i`r
�o
Pierce Wisconsin"'
County State
STATE OF
ss.
COUNTY OF
The foregoing instrument was acknowledged before me on pate
of the Production Credit Association of
by � Titb
on behalf of said corporation.
My commission expires Notary Public
County State
Drafted By:
D. Olson for FCS
P.0 Box 199
River Falls, WI 54022
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 r
a
Location of property •�V� 1/9 1/9, Section �_, T � N-R_a
W
Township Z>
Mailing address >
Address of site / C / �� /' , y/oAZ'D , /S'
Subdivision name ICJ
Lot number
Previous owner of property
Total size of parcel :
Date parcel was created
Are all corners and lot lines identifiable? 4-- Yes No
Is this property being developed for resale (spec house)? Yes _�N0
Volume -_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 war,r��ff�� 3 deed recorded in the Office of
the County Register of Deeds as Document Nor �' ' `' ; 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. r�27
Signatu of wner Signature of Co-Owner (If Applicable)
Date of Signature Date of Signature
STC - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER ►CA C7 , ki Pe.(,T
ROUTE/BOX NUMBER 0 x ,0 FIRE NO.
CITY/STATE_ �/�/vt/�'�d/YD kll-r ZIP s
PROPERTY LOCATION: ALE_1/4 N W 1/4, Section to , T N, R�W,
Town of b+ . St. Croix County,
Subdivision 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.
r-
SIGNED
DATE G
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
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS
INDUS I" DIVISION
HUMAN RELATIONS PERCOLATION TESTS (115) MADISON WI 53707
(H63.09(1)&Chapter 145.045)
LOCATION: SECTION: N MUNICIPALL TY: LOT NO.:BLK.NO.: SUBDIVISION NAME:
x" '/+4/1)/ /T�9 N/ E ( ) ----
COUNTY OW BUYE 'S NAME: M I ING ADDRESS: l�/
USE DATES OBSERVATIONS MADE
NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE ESCR PT ONS: A 10 TESTS:
Residence � _ ❑New ®Replace �?' �
RATING:S=Site suitable for system U=Site unsuitable for system
ONVENTIONAL: MOUND: IN-GROUND-PRESSURE:S STEM-IN-FILLHOLDING TANK:RECOMMEND D SYSTEM:(optional)
�S ❑U ®S ❑U [RS ❑U NS ❑U ❑S ®U �ps
If Percolation Tests are NOT required DESIGN RATE: LF' loodplain,any portion of the tested area is in the
under s.H63.09(5)(b),indicate: indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH
NUMBER DEPTH IN. ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
ZI d �1. Aev s i� 1'00 11, e)s i 13.5t)4 It04Osre'
B- JO13 2d3, P. Q ri I 5'D b 11 Si T Y.<o en cr
B- 3 p D Z 5 6,grse S d Gr
B-
B-
B-
PERCOLATION TESTS
TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERT D 1 PERIOD 2 P PER INCH
P- �► D t l
P-
P- - C2 /
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 sho)/v ;heir location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope. ?Y�KCi) P fIP a 1�S?�eM jeL'. oe
SYSTEM ELEVATION '
_ _.i__�
t
lr- �
I P
_ f 6
__ -
{
I l PI ice, 1
t p
T
3 ,
_ _ I I
- — 1 �
s
E ,
Bi
1,the undersigned,hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME( � TESTS WERE OMPL TED ON:
ADD ESS: CERTIF TI N UMBER: PHONE NUMBER(optional):
CST S TUBE:
DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester.
DILHR-SBD-6395 (R.02/82) —OVER —
L
i s
* v .
INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395
To be a coanplete and accurate soil test,your repoa't must iriciUde;
1. Complete legal description;
Z. The use section must clearly indicate whether this is a residence or commercial project;
1 MAXIMUM number of bedrooms or cominercia! use planned;
4. Is this a new or replacement system;
a� Complete the suitability rating boxes. A SITE 13 SUITABLE FOR A HOLDING TANK ONLY'IF ALL
OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS;
d. PLEASE rise the abbreviations shown here for vvi-icing profile descriptions and completing the plot plan;
T. MAKE A LEGIBLE diagram accurately locating your test Locations. Drawing to scale is preferred. A
separate sheet may be used if desired;
B. Make sure your benchmark and vertical elevation reference point are clearly shown,and are pet roanent;
9. Complete all appropriate boxes as to dates,narnes,addresses, flood ;Main data, percolation test exemp-
tion, if-appropriate;
10. If the information (such as flood plain,elevation) does riot apply, place N.A. in the appropr;ate box;
11. Sign the form and p1<ace your current address and your certification number;
13. Make legible copies and distribute as recluised. ALL SOIL TESTS MUST BE FILED WITH THE
LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION.
ABBREVIATIONS FOR CERTIFIED SOIL. TESTERS
Soil Separates and Textures Other Symbols
st --- ,tc:`m (over 10"j BR - Bedrock
cols — Cot,t)ly (3- 10"') SS Sandstone
ar _ Gravel (trrxl-r 3") LS — Linwr tono
Sand E-1C;kill — Hi ;h Growldvvatei
C ...E., S I!ld pi=rc P rcolatiorr Rale
rt e.,' s - % ;adirzra) Sand V'v' — V=;.iii
I and Bldc;
_:I'm v `sand j - GrrtAf,trThan
Ser!dy I,,,ram 1 _.- Lees 1"i'}an
Silt Loam b - 13;=ck
si .. Sl 11 Cy Gat"; ,.
Lo'w- Y -- Yul€ovv
,c:i ` a°�d z'("Jay Loam R — Ro-:d
,;y s'{ Lo<aT rilCt k7c kl
4 t {
t-1 - t lnm - [vl"i
in Muck d — .l 'tlw t
Six r3er1( i; ",'wl k!Xtur:=s sur"ace
tE,a 1€r1 id vrast€r disposal RM .._ B .c,h l;a4 s,
1
TO THE OWNER:
This soil test report is tfre first step in Securing£a sanitary permit. The county or the Department may request
yea=fir, t .rra of this soil test it) tine field prior to permit issuance, A complete set of plans for the private
srvv,age syslen'a and a permit application must be suf'm)hted to the apprr.,priate local author Fy in order to
btairr a seer nit:. The ni ,.ta<ry taerrraii mast be obCai aed Arad posted prior to tn( start of any cmrasNLictiora.
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