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HomeMy WebLinkAbout036-1074-20-010 \ ¥ \ \ § 0 _ c % ) } . d) � � 7 fk0 27tr 5 - -� f /k § 2 f 7o 2 CD k \ C °2 E < co n R § / a ■ ) § (D § E \ © D � ) 2 } � Q } m k i § ) £ 0 ° ° _\ f ) k m c . ; ' � o o a = E . E k k b 0 0 0 \ o B k m u � I / § � � I <� 2 . # ) / � � ■ � f ! ] � £ / % \n - / k \ } } a § \ c = c $ § - ° « CO / % d k \ U) [ 0 2 \ j k 2 � / C � k . { ) ƒ B a J u a A $ J r, 'ARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDING BOR&HUMAN RELATIONS DIVISION .O.BOX X69 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES&APPLICATION MADISON,WI 53707 State Plan I.D.Number: S(V%,SGI%,S30,T31N-R17W ® CONVENTIONAL ❑ ALTERATIVE (If assigned) Town UJ� Sanan ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound it f OLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Steve (.ickenhauzeh I Route 2 New Richmond W1 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: Kim O'CvnneU 3259 St. Ct oix 119388 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO [--]YES ❑NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY I WELL: I BUILDING: VENT TO FRESH ALARM: FEET FROM LINE: AIR INLET: ❑YES ❑NO ❑YES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: P PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: E__1 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---111110- SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: I 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: BED/TRENCH WIDTH: LENGTH: NO.OF DISTR.PIPE SPACING: COVER INSIDE DIA.: #PITS: LIQUID TRENCHES: MATERIAL: PIT DEPTH: DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR.PIPE I 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 LINE: AIR INLET: 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: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO.DISTR. I 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 I ❑YES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE: ❑YES ❑NO ❑YES ❑NO NEAREST— Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TITLE: SBD-6710(R.06/88) Zoning Adminw,6ttf.atatc SANITARY PERMIT APPLICATION COUNTY DILHR _ In accord with ILHR 83.05,Wis.Adm.Code R& STATE SANITARY PERMIT# 119389 —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE �'Q� ❑YES I NO PROPERTY OWNER PROPERTY LOCATION %a '/o, S T� , N, R (or� PROPERTY OWNER'S MAILING ADDRESS LOT NU BER BLOCK NUMBER SUBDIVIS N NAME CI Y,ST TE ZIP CODE PHONE NUMBER CITY NEAR T ROAD,LA E OR LANDMARK VILLAGE: TOWN OR 9 4 II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family OR ❑ Public(Specify): 4- 111. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. El New b.9 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. X Conventional 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. R Seepage Bed b. ❑Seepage 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): 1'� LO 3 Feet ®Private —]Joint ❑ Public VI. TANK CAPACITY Site in alIons Total #of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank ❑ ❑ El L1 Lift Pump Tank/Siphon Chamber ❑ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for instillation of the private sewage system shown on the attached plans. Plumb 's Name(Print): Plue�r' Si nat e o Stamps) MP/MPRSW No.: Business Phone Number: y� 7 u tier's Address(Street,City State, ip C2"m.") Name of De 'gner: VIII. SOIL TEST INFORMATION Cert''ed Soil Tester(CST)N me CST# CST's AQ8RES (Street,City,State,Zip Code) Phone Number: .p" IX. COUNTY/D PARTMENT USE ONLY ❑ Disapproved S nitary Permit Fee Groundwater Date I suing Agent Signature(No Stamps) %Approved ❑ Owner Given Initial 1,% 121,J O� S rcharge Fee p Adverse Determination ��•03 1CJ� O S hI� , ( (�j,•� 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 tanks) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. 1f you have questions concerning your private. sewage syste; �, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-381 5. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description where the systein is to be installed; 11. Type of buiiding 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; Ill. 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; close 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 gammon y known as the groundwater protection law. This change in statutes was the result of c;ver 2 years of steady negotiation and public debate. The groundwater b it ; r u:`td dater included the creation of surcharges (fees) for a number of regulated practices which 11111&Ct�tECIrS .an effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasufe is used in yo-ir building is returned to the groundwater through your soil a.bsorption o system or the disposal site used by your holding tank pumper. G —he monies : ollected through these surcharges are credited to the groundwater fund adminis- ° ',e.rec_ by the 'Department of Natural R>sources. These funds are used for monitoring ground t ater, gr,ur:away.er contamination investigations and establishment o standards aroundwate , s worth protecting. SBD-6398(R.03/86 Eli /v 13 - APPLICATION FOR SANITARY PERMIT S T C - 100 his application form is to be completed in full and signed by the owner(s) of the roperty 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 C Location of Property (,t� �5r.( �C, Section Jo , T�_N-R W Township Mailing Address Z-7 Address of Site cx�171" Subdivision Name Lot Number Previous Amer of Property )r Total Size of Parcel Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes L/ No Volume 4 and Page Number l-ff-/50 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 i Noel eVLU6y that att etatementh on thi,6 0hm cute tAue to the beet 06 my (ouh) hnowtedge; that I (we) am (ahe) the owneh(e� 06 the phopehty de�scAibed in thie 'n604mati.on 604m, by viAtue 06 a waAAanty deed neeohded in the 066ice o6 the Cc mty RegiA teh. o6 Deedh a,5 Document No. e<vn 14e phopoeed bite 6oh the sewage di�spoe bye em (ohdIt(we)Ihave)obtained an sae ement, to hun with the above dens cA bed phopeh ty, Koh the eon tAuct ion o6 said aya.tem, and the dame ha.a been duty h•eeohded .tn the 066.tee o6 the County Reg-i.e.teA o6 beech, ad Doeme.nt No. ) . SIGN A Op OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) A/✓ /v I DATE SIGNED DATE SIGNED DOCUMENT NO. STATE BAR OF WISCONSIN FORM'11-i982 THIS SPACE RESERVED FOR RECORDING DATA LAND CONTRACT Individual and Corporate (TO BE USED FOR ALL TRANSACTIONS WHERE OVER $25,000 IS FINANCED AND IN OTHER NON-CONSUMER ACT TRANSACTIONS) -S Contract, by and between .George..G St Cro ik- Co tenants--------------------- Id . ................................................................................................ ("Vendor", 44 whether one or more and.... ..Wj.9k%1jja s- . .W" 110AMY. ..4W .Criaty.x... ...huaband.And.-wife...as.._Jc)!:iii"'. J==tS.9------------------------------------------ ("Purchaser", whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance of this contract by Purchaser,the following property,together with the 7�2 0 /SD rents,profits,fixtures and other appurtenant interests (all called the"Property"), in..........................._..--,___$ ............ County, State of Wisconsin: RET 0_� U40 That portion of the Southwest Quarter of the Southwest Quarter (SW4 Of SA) Of Section Thirty (30) , TOWELSUP Thl-rty-One (31) North, Range seventeen (17) Tax Parcel No. .................................. West, more fully described as follows: Beginning at a point which is 114 feet East of the Southwest corner thereof; thence East along the North boundary line of the right-of-way of Highway "64", 86 feet; thence North 160 feet; thence West 86 feet; thence South 160 feet to the point of beginning. This ----------------iS........ homestead property. This is not rental property. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at .1ir9tJ4tjQMj.. NR the sum of s32,500-DD........................................ in the following manner: (a) s.BjDD..DD. ............. .._.._,_...-___,,,-_._-•-,•,,, at the execution of this Contract; and (b) the balance of.:$_2.9AJQJQ-,AQ................... together with interest from date hereof on the balance outstanding from time to time at the rate of....... until paid in fun, as follows: :tMA19)------------------- per cent per annum The sum Of TWO Hundred Eighty-Five and No/100 ($285.00) Dollars on the first day of each month commencing October 5, 1985, with interest at the rate set forth above being first deducted from each payment and the balance applied on principal. Provided, however, the entire outstanding balance shall be paid in full on or before the...3 .............. day of S-ePJ;Mlb-----------------o------- 1995---- ( the maturity date). Following any default in payment, interest shall accrue at the rate of.....12.-% per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to Pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due.To the extent received-by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time after.04tA_9Lt.qjqqLin -M In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: NONE Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, It shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on.date..QLCIMAM.........................4K 'Cross Out One. LAND CONTRACT—Individual and STATF BAR OF WISCONSIN Wisconsin Lecal Blank Co. Inc. Corporate FORIVI No. 11—1982 Milwaukee. Wis. r Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest • in it and to deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, ex- tended coverage perils and such other hazards as Vendor may require, without co-insurance, through insurers approved by Vendor,'in the dom _f-+i11 -insurable-value., but Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writs , the original of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of los o insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall ec applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible. Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except: ................................................ - --------------------•-----•-----•••......._........--•--••••---••----••---•-•-•----•--•--••--•-•---...--------------------•------------•---------- ---------------------------------------••----------...----------.....-----•-•-• .-------------- - - - -._.._...----------------- .Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of -_00_.._days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of A-9 days following written notice thereof by Vendor (delivered personally or mailed by certified mail),then the entire outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and without notice. (which Purchaser.hereby waives), and Vendor.shall also have the following rights and remedies (subject to any limitations provided bylaw) in addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this Contract and Purchaser's rights, title and interest in the Property and recover the Property back through strict foreclosure with `any equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder(in which event all amounts previously paid by Purchaser shall be forefeited as liquidated damages for failure,to fulfill this Contract and as rental for the Property if purchaser fails to redeem); or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchases shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet-title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (ii) or (iv) above.Notwithstanding any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in- curred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract• Purchaser consents to the appointment,of;a„receiver of the Property, including homestead interest,to collect the rents, ssues,and profits of the Property during the pendency of such action, and such rents, issues, and profits when so collected shall be held and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchasers rights under this Contract or by option, long-term lease or in any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is&'pledge or..assignment of.Purchaser's interest:under this.Contract solely ss security for an,indebtedness of Pnrchirsi!r:7m the i'04A'of any such tranbfbr; sale or conveyance without'Vendor's written consmtt,:the entire outstanding balance payable under-this Contract shall become immediately due and pdt1ble`"in full,'at'Vendor's option without notice., Vendor shall make all payments when due under any mortgage outstanding against the Property on.the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment-of the amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on . this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof.) Dated is ----•--•--------•---- --•----�---�------------ day of ---S ?tHiiber............................................... ----•• -----..(SEAL) ..t(�....11�?. `QK!! ......(SEAL) d George Gxegerc, n.--...-- even J. Wickenhauser r ,.. ............... ............ . ---�y-� -�C-l- - ...................(SEAL) -•- -.. _ _.. :..1.h.J t�--- -- - (JXd--- :Q•SEAL) • .. .............................................................. Sty Wickenhauser ...... , AIITBENTICATION' ACHNOWLEDGME Signature(a) :-G-@-C .-_rP..�e.______ t-._..... STATE OF WISCONSIN Y90A Meta Gerson, Steven J. Wickenhauser -•- ss. •-arid--Cristy-if:-- ......---- Wzc�cuser--------------- .._.._Cou .._.....---•------------------ authenticated this ._.`}_Aa of...SeP! r__... 1985-. Personally came befo me this ________________day of Ia _°-_ _ ..... -y ........... ...•--••---•-------- ., 19....... the above named 2t .P, n .............................. .............................................- ................................ .........................................••- ............................. ............................----................. TITLE: MEMBER STATE BAR OF WISCONSIN .......................... ....------------------------------------------------ (If not, .. ... authorized by-� 706.06.-Wis.-Stats.) •..............•--•-- ....................................................... to me known a the person ------------ who executed the foregoing in ment and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY ' 7 LAW VPr IC1 ....•...... 150 West First Stxeet ...... ....................................................................... I`]eW-Ri ndr-4a.....,54417-•-••------------------------- Not y Public ............................---=-=........County, Wis. (Signatures may be authenticated or acknowledged. Both M Commission is permanent. (If not, state expiration are not necessary.) ate: *Names of persons signing in any capacity should be typed or printed below their signatures. H • z rn ' a STC - 105 r r a H SEPTIC TANK MAINTENANCE AGREEMENT Ho St . Croix County z f a OWNER/BUYERS ROUTE/BOX NUMBER /C. - 0?, `�Of Fire Number a��s CITY/STATE !Pl.CJ �Yl (�rL� _ �,(�/ ZIP ©l PROPERTY LOCATION : SrtJ 35, 5(x) 14, Section T. 31 _N , R W, Town of § a*1 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 li 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 to maintain the private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart- 10 ment of Natural Resources . Certification form must be completed and returned to the St . Croix County Zoning Office within 30 days of the three year expiration date . SIGNED , �� t T DATE 10 l VO p O Q 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 . DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS INDUSTRY, DIVISION . LABOR AND PERCOLATION TESTS ( P.O. BOX 7969 115 HUMAN RELATIONS. ` ) MADISON,WI 53707 (H63.090)& Chapter 145.045) LOCATION: E I N: TOWNSHI6ff3WLITY: OT NO.:BEE NO.: SUBDIVISION NAME: SW 1/4SO/ 30 /T31 N/R17,L.r)W Stanton rn/a COUNTY: OWNER'S BUYER'S NAME: MAILIN ADDRESS: St. Croix Steve Wickenhauser R.R.#2 New Richmond, USE DATES OBSERVATIONS MADE NO.BEDRMS : COMM R AL DESCRIPTIO PROF DESCRIPTIONS: A ON TESTS: Residence ;'; 3 ". . ri�a ❑New ( teplace 5-10-88 5-10-8$ RATING:S-Site suitable for system U=Site unsuitable for system NUNAS VEN I I NAL; MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:Ioptional) 0U EJ S Z1V E�IS ❑U I ❑S "EjU I ❑S)GU conventional 18x36 L Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the der s,H63.09(5)(b),indicate: ri�a Floodplain,indicate Floodplain elevation: n1a decimal' PROFILE DESCRIPTIONS page 20 BxC2 BORING TOTAL PTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPT}i7�D� ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) B- 1 7.59 97.86 none >7.59 .75bl.1. 1.00bn.sil. 1.67bn.s.l. 4.17bn.c.s. B- 2 7.50 97.65 none >7.50 .75b1.1. 1.33bn.sil. 1.92bn.s.l. 3.50bn.c.s. B- 3 7.75 98.87 none >7.75 1.00bl.l. 1.00bn. sil. 1.92bn.s.l. 3.83bn.c.s. B- B- B- deciaml' PERCOLATION TESTS EST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER pM009C AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD P PER INCH P. 1 3.50 none 3 4 4 4 4 1 p- 2 3.69 none 3 P. none a 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 94.36 pj.� _ ._ .._ ..__ _ _ �.: f I —rz O i I � o �$ i c�k , } 1 k2f _ _ 'LIV, _ Apo V_"CE 1 0. T N -I e ? fi 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 5-10-88 ADDRESS: CERTIFICATION NUMBER: i PHONE NUMBER(optional): 988 N. Shore Dr. , New Richjond, Wi. 5401 7 2298 71 -246-6200 CST SIGN RE: /) DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soi! Tester. DILHR-SBD-6395 (R.021182) — ode ;l`m s LL�8 8 � PAGE OF v S r SS e-'- o n o e S Y s t e Fresh Air Inleic And Obliervation Pipe '^•"--Approved Vent Cop Minimum 12"Above Z Final Grade 20-42"Above Pipe —4"Cast Iron To Final Grade Vent Pipe Marsh Hoy Or Synthetic Covering Mln. 2"Aggregate Distribution Over Pipe P PIP$ 0 0 0 0 0 —Tee Aggrogat Beneath pipe o _Perforated Pipe Below Coupling Terminating At Bottom Of System { Pru�oSe� T'Ir,�.l 11gr�.Cl< � ��eJ•.T 1 on ��/\ / SOIL FILL DISTRIBUTI0"' PIPE , APPROVED $4MPETIC COVER OR 9" OF STRAW ZaOFOGREGAIE —�� OR MARSH HAy 61 6 OF1z-P/2 AGGREGATE ELEV. off% FEAT, DIS-rRIBUTIOU PIPE TU BE AT LEAST IAJCHES BELOW ORIGIWAL GRADE AtJU AT LEASTP-0 IMCHES BUT 1.10 MORE THA1.1 42 INCHES BELOW FINAL GRADE MAXIMUM DEPTH OF EXCAVAT1,00 FX014 0KI&INAL 6KADE WILL BE IIJCHES MINIMUM! ®I:Pr" OF CACAVATicio fRoM 01K►411bgL GRAVE WILL BE 92 INCHES f SIG►JED: � �, LICEUSE DUMBER: DATE : 110 Parcel #: 036-1053-50-000 07/05/2006 10:25 AM PAGE 1 OF 1 Alt. Parcel#: 22.31.17.335 036-TOWN OF STANTON Current FJ 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 GAYLE M WICKENHAUSER O-WICKENHAUSER,GAYLE M 317 N MAIN ST PO STAR PRAIRIE WI 54026 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC I Legal De cription: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 22 T3 N R17W 40A SW SW Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 22-31 N-1 7W Notes: Parcel History: Date Doc# Vol/Page Type 07/2311997 903/588 2006 SUMMARY Bill#: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/02/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 23.000 3,600 0 3,600 NO UNDEVELOPED G5 1.000 500 0 500 NO AGRICULTURAL FOREST G5M 9.000 6,800 0 6,800 NO ENTERED BEFORE'05 CLOSE W8 7.000 12,600 0 12,600 NO Totals for 2006: General Property 33.000 10,900 0 10,900 Woodland 7.000 12,600 12,600 Totals for 2005: General Property 33.000 10,900 0 10,900 Woodland 7.000 12,600 12,600 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 00'0 00'0 00'0 lelol seB.ie40;uenbu1laa soBje40 leloadS s;uawssessV leloadg ;unowV fjoBe;eO epoa leloadS.1asn :s161oads 91,2 :#4o3ea mea uol;eoiji:p93 I, :;unoO wie10 :mpaao /G8110-1 0 0 000'0 puelpooM 00L'99 1, 001,'9Z1, 009'££ 000'06 A:padoJd lejauaE :SOOZ jo;sle3ol 0 0 000'0 PuelpooM 00L'956 OOl'SZl 009'££ 000'01, f4jadoad IWau00 :90OZ jol sle;ol ON 009'£1, 0 009'£1, 000'9 90 SOMd11%I0d 3AIlOfla02id ON 001,'St,1, 001,'SZ1, 000'0Z 0007 1,J WiN3aIS32i uoseea a;e;S Ie;ol anoidwl pue-1 sajoV sseI3 uol;dinsaa £OOZ/90/50 :peBueya;se- :su o Ijsft IBA 0 :y;lnn passassV :enleA;a3IJeW j!eA :#Ilia Atjvwwns 9002 LZ9/5t,5 L661,1£Z/L0 edA1 oBed/IoA #ooa a;ea :tio3s!H leoied :sa;oN ML 1,-N 1,£-ZZ (b/1, 096 w1, 0t, Bu2i-unnl-oos) :(s);oeil 3N 3N Z/1,M NI :Bp1s opuoOploo18 tU4 lOA MO Z 101`d01, ML1,U N1,£1 ZZ 03S 31OVIlVA`d lON-`d/N field 000'01, :saiov :uol;dlaosea leBe-1 011M OOL6 dS 1S1a SVHM:l MOIIIM 2i3ddfl OZ09 dS ONOWHOI2i M3N Z96£ OS 3A`d H10 1,Z 6LLI, « uol;dliosea #;sla edAl tiewud=, :(se)ssaippV A:pedoJd leloadS=dS IooLIOS=OS a3o ima L1,0bS IM(INOM01H M3N 3A`d H10 1,Z 6LL1, NOSIM-1 NMMV4*2 3 12i3BM:I NJ.1121`dW'8 3 12139021 'NOS2idl-O Jl aaum0-oo 3uaaino=0 jeumo juenno=0 :(s)jeumo :ssajppV xel 0 00 edA 1;lw�ad #3!w�ad #uol;eoliddV eejV sales #deW a;ea Ieoljo;slH a;ea uol;eaia NISNOOSIM'.11Nf10O XI02iO'1S FX-1 ;uejjna NO1NViS d0 NMOl-9£0 09Z£'L 1,'l£'ZZ :#laaaed'HIV ' 6 d0 6 3DVd Wd �Z:Z� 90OZi0£i90 000-0£-NU-9£0 :# la3a13d