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006-1028-90-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 569517 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Anderson, David A. & Susan K. I C Ion, Town of 006-1028-90-000 CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No: /l)c /81�Y! Z C 5 r 13.31.16.195 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER j CA PIj� STATION BS HI FS ELEV. Septic , kc. Benchmark 7.7_5 167 Z 5 /ty% Lew:S ol Dosing / !' Alt. BM r' �� .r • A0,133. 1, G c / Bldg.Sewer +P . ..7 �!�•✓ 4'� lQ�. a Holding St/Ht Inlet �. a5 �, C TANK SETBACK INFORMATION St/Ht outlet //•5 99. 6 TANK TO P/L � WELL BLDG. Ven o S A�i;In •�take ROAD Z �f•� � �, g Septic 96 log J7 >4z ' Z V7 7$•l / Healer/Man. er/Man. - - �► !Z• 71. 3 Ae tion Dist. Pipe � /z-Z 9B •3 Holding Bot.System /�• Final Grade PUMP/SIPHON INFORMATION A A /D•Z /1So- Manufacturer GP and St Cover/' �G /d Model Number TDH Lift Friction Loss System Head H Ft Forcemain Length Dia. Dist.to Well SOIL ABSORPTION SYSTEM /3 Z5 BED/TRENCH Width Length / No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS 7 1 r� SETBACK SYSTEM TO P/L `BLDG t WELL LAKE/STREAM LEACHING Manufacturer: 6-Z INFORMATION 1 i C� ?7 /� CHAMBER OR If Type b A"f 72 ��J G� UNIT Model Number:�� 4 DISTRIBUTION SYSTEM Header/Manif ld I� Distribution x H Size x Hole Spacing Vent to Air Intake Pipe(s) `_ �- Length 6 Dia 4 Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only e� Depth Over / Depth Over xx Depth of xx Seeded/Sodded jxx Mulched Bed/Trench Center BedfTrench Edges Topsoil \ 3 . Yes No Xles No COMMENTS: (Include code discrepencies, persons present,etc.) Inspection#1: / / Inspection#2: / I Location: 2561 215th Ave Deer Park,WI 07(NW 1/4 SE 1/4 13 T31N R16W) 40 acres Lot TwCL^_ Parcel No: 13.31.16.195 1.)Alt BM Description= T ,•� c., 2.)Bldg sewer length= '8 �— 7Z7=— 757 J-5�- k -amount of cover= �� AnatureSc, j v> Plan revision Required? Yes o Use other side for additional informati n SBD-6710(R.3/97) Date Insepctor's Cert.No. 1 � i - c t!- --' ca 65 L Vi N � i r -r } 1 I A7 �p Q County Safety and Buildings Division St. Croix ' 0 201 W.Washington Ave., P.O. Box 7162 a' Madison,W 1 53707-7162 Sanitary Permit Number(to be filled in by Co.) Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(21 Wis.Adm.Code,submission of this form to the appropriate governmental unit fiA is required prior to obtaining a sanitary permit. Note:Application forms for state-owned POWTS are submitted to Project the Department of Safety and Professional Services. Personal information you provide used for secondary Address(if different than mailing address) purpos in accordance with the Privacy Law,s.15.0 1 m,Stats. L Application Information—Ple5ifgrint All Information �- Property Owner's Name Parcel# Dave And Sue Anderson SEP 2 6 2013 00 — 1(5d S - q0•-OC) Property Os Mailing Address Property Location �t I 2125 H 63 ST CROIX COUNTY City,Slat Zip Code Phone Number Goat.Lot Clear lake WI 54005 NW -SE—!/.,iSection_13_ — _ (circle one) IL Type of Building(check all that apply) Lm# T-3 I N; R-16— west XI or 2 Family Dwelling-Number of Bedrooms f r` This proposed system will serve one;�bedroom residential Home. Block Na ❑ City of CSM Number ❑ Village of Z X Town of Cylon Q:�� ce�.�s Li 9�-� EZ�Ia.JS e 111 Type of Permit: (Check July one bog on fine A. Complete fine B if applicable) A. New System Replacement System Treatmenv'Holding Tank Replacement Only ❑ Other Modification to Existing System(explain) X B. 11 Permit Renewal 11 Permit Revision 11 Change of Plumber 11 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV.Type of POWTS stem/Com nent/DeAce: Check all that app b X Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade Mound>24 in.of suitable soil Mound<24 in.of suitable soil Holding Tank ❑Other Dispersal Component(explain) ❑Pretreatment.Device(explain) V.DispersaVTreatment Area Information: sign low(gpd Design Soil Application Rate( f) Dispersal, Re ' ed(sf) Dispersal Area P7&M(sf) System Ele atior 6a) .7 6 3 15-1 650 qoO 97 VL Tank Info Capacity in Total #of Manufac er Gallons Gallons Units ai o a New Tanks Busting Tanks c m p 1 "� 6�e�� ct U in c� L7 ti Septic Tank X 700 2 Lewis Bjork LLC x Lift Tank VIL Responsibility Statement-I,the nude rsi assume for inst tion of the PO'V�TS shown on the attached plans. Plumber's Name(Print) Plumber �tur biP.IviPRS Number Business Phone Number Lewis Bjork 253976 715-231-7375 Plumber's Address(Street,City,State,Zip Code) E7818 County Road E Menomonie WI 54751 VIIHIHI,Coun /De artment Use Only Permit Fee Date Issu d I Si Approved $❑ ven Reason f Denial �/ 5 CU 1 VC Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1. Septic tank,effluent filter and dispersal cell•must all be services I maintained as per management plan provided by plumber. 2.-A setback requirements must be;Inaint'1 64 as per applikable tide f or&141res: t l In-ground soil absorption Index and Title Page Project Name: Dave &Sue Anderson , New In-ground non pressure Owners Name: Dave &Sue Anderson Owner's address: 2125 Hwy 63 Day time Phone: 612-221-7621 (Marlin) Project Address: � o yM�roRo 0_1?0, Legal description: NW X sE'/ 13 31 N16 W O O c FV�<OA� Township and County:Town of Hudson,St. Croix County WI 'yF,lr DSPS Site ID No. : Parcel ID No. CO(p_ iDZ$"- >6- oOC:) Plan Transaction No.: Page 1 Index and Title Page 2 Data entry, Design Criteria and Sizing Designed Pursuant to Page 3 Plan View Cells Following manuals Page 4 Cross View Cells In-ground Absorption Page 5 Overview cells SBD-10705-P(N.01/01) Page 6 Tank Configuration Page 7abc System maintenance specifications/contingency Page Bab Filter specs Page 9 Tuff tight riser systems Page 10 Plot Plan All materials must comply with Page 11 Plot Plan Legend DSPS 384 and installed with the Manufactures specifications Attachments: LB soil report, Warranty deed,Tank service contract, house plan, Designer and installing plumb r: Lewis Bjork License#253976 Signature (Revised 2-24-2014) Page 1-10 Data entry, Design Criteria and Sizing Residential strength waste water<30mi FOG<220MG/L<150MG/L TSS Anticipated effluent for In-ground treatment and dispersal should be Bedroom Home 4 Estimated flow= 400 gpd 400x 1.5= 600gpd design Flow (floor drains will serve finished floor in mechanical room. Design Calculations In situ design loading rate .7 Depth to estimated high water>120 Depth to Bed Rock >120 Cross slope at system 2.5%>level Trench sizing 600gpd/.7 gpd per sq ft=858 sq ft minimum effective area for medium sands. Install EZ-Flow, engineered aggregate in 3' wide cells. 858/5' credit= 172 tinier feet of cell min. Propose 2 cells90'in length. 180' linear feet Total proposed sq ft area 900 sq ft d EZ-F/OW ES/N 600Gallons/dav .7-gallon Per Square foot 50 Square foot each 10 Ez-flow= 17.16 min we propose 18-10' EZ flows Page 2-10 In-ground cell plan view vent Final and original grade 100' 12" Sch 40 pvc pipe 6" Po Bottom of System 97' 90' Page 3-10 Cell Cross Section View Final and original grade 100' vent or watertight cap 4"Sch 40 PVC ► OOL 0(: L Bottom of System 97' 3' 3'min Page 4-10 r Over View cells O O 3' >3' 3' 90' O O 4" 30/34 PVC pipe Page 5-10 LB700 Design Sequence Septic 1400 gallon Existing 1000 gallon Midwest Proposed wiser 750 5" 17- 5 7" Baffle Fitter Page 6 ii POWTS OWNER'S MANUAL AND MANAGEMENT PLAN FILE INFORMATION X 2 systems each side Owner Anderson SYSTEM SPECIFICATIONS Permit# Septic tank capacity 1400gal N/A Design Parameters Septic tank manufacturer Midwest and Weiser N/A Number of Bedrooms 4 Effluent Filter manufacturer Orenco Filter N/A (100gpd/bedroom) Effluent Filter model MDW-FT0822-14BA Number of Commercial Units N/A Pump Tank Capacity Gal X N/A Estimated flow(average) 400 Gal/day Pump Tank manufacturer X N/A Design flow(DWF)estimated x 1.S 600 Gal/day Pump model X N/A Soil Application Rate .7 Gal/day Pretreatment Unit N/A Influent/Effluent Quality(NAr--]) Monthly average Sand/Gravel Filter Peat Filter Fats,Oil and Grease(FOG) 5 30 mg/L Mechanical Aeration Wetland Biochemical Oxygen Demand(BOD5) X220 mg/L Disinfection Other Total Suspended Solids(TSS) 5150 mg/L Manufacturer: Model: Pretreated Effluent Quality Monthly Average Soil Absorption Component Biochemical Oxygen Deman B 5) :530 mg/L X In-Ground(non pressure) In-Ground(pressure) Total Suspended Solids(TSS) s30 mg/L At-Grade Mound Fecal Coliform(Geometric mean) <du/1oom1 Drip-Line Other Maximum Effluent Particle Size 1/8"diameter r--]Dispersal Units—Manufacturer:E2 FLOW Aggregate cell(s) Model: 1203H Calculations: Soil Dispersal (EISA)or DWF= Application Rate= Area Required- (Aggregate Trench Width)_#Units or Total Length of Aggregate Trench(s) 7 858 5 180 linear feet 600 _ _ -J _ Designed:900'dispersal=180 linear ft Design Criteria "Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems"Publication 9.6(SSWMP manual) "ICC Flowtech Mound Component Manual"Version 1.2 "E2 Flow Mound Component Manual"Version 8/20/2007 SBD—10854-P(R.1/12)"At-Grade Component Manual Using Pressure Distribution"Version 2.0 SBD—10705-P(N.01/01)"IN-Ground Soil Absorption Component Manual'Version 2.0 SBD—10691-P(N.01/01)"Mound Component Manual'Version 2.0 SBD—10657-P(R.6/99)"Drip-Line Effluent Disposal Component Manual' SBD—10706-P N.01/01)"Pressure Distribution Component Manual'Version 2.0 Other- Maintenance Monitoring Schedule—Maintenance and Management Service Event Service Frequency Pump/Inspect tank(s),inspect dispersal cell(s),clean filter At least once everV 13 months X 3 years other Inspect pump and pump controls,alarm,pretreatment unit At least once eve 13 months X 3 years other Flush and pressure test laterals At least once every 113 months X 3 years other Start Up and Operation:For new construction,prior to use of the POWTS check treatment tank(s)for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s)removed by a Septage service operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS.The installation of the water-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners,iron removal units,other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note:this does not include laundry waste,showers, dishwashers,ect. This system is designed to handle domestic strength wastewater,however the disposal of food based greases and oils, vegetable/fruit peels and seeds,bones and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system.Other non-biodegradable items such as baby wipes,tampons,sanitary napkins and others of this kind shall not be introduced to the system for they may cause premature failure to the POWTS. INPSPECTIONS AND MAINTENANCE:Inspection shall be made by an individual carrying one of the following license or certifications:master plumber,master plumber restricted sewer,POWTS maintainer or Septage service operator(per attached maintenance schedule).Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware,identify any cracks or leaks,measure the volume of combined sludge and scum and check for any backup or ponding of effluent to the ground surface and test all electrical equipment such as pumps and alarms.Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with effective locking devices to prevent accidental or unauthorized entry to the tanks. When the combination of sludge and scum in the tank exceeds one-third or more of the tank volume,the entire contents of the tank shall be removed by a Septage service operator and disposed of in accordance with chapter NR113,Wisconsin administrative code. The outlet filter(s)shall be inspected and cleaned to remove any accumulated solids according to manufactures specifications.Solids washed from the filter shall be retained in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Alarms should be tested on a regular basis by the home owner. If an alarm sounds,contact an individual licensed to service POWTS,There is normally a 1 day reserve under regular operating conditions,however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. ABANDONMENT:When a POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch.SPPS 383.33 Wisconsin administrative code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed - The contents of all tanks and pits shall be removed and properly disposed of by a Septage service operator - After pumping,all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil,gravel or other inert solid material. Page 7b CONTINGENCY PLAN:If the POWTS fails and cannot be repaired the following measures have been,or must be taken,to provide a code compliant replacement system. = A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system.The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure,lot lines and wells. Failure to protect the replacement area,render it unusable. Replacement systems must comply with the rules in effect at the time of replacement.There are two potential mound sites evaluated for replacement areas. 0 A suitable replacement area is not available due to setback and/or soil limitations.Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following removal of the bio-mat at the infiltrative surface.Reconstructions of such systems must comply with the rules in effect at the time. WARNING:SEPTIC,PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN.DO NOT ENTER A SEPTIC,PUMP OR OTHER TRATMENT TANK UNDER ANY CIRCUMSTANCES.DEATH MAY RESULT.RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MY BE DIFFICULT OR IMPOSSIBLE. COMMENTS: V• tCk Full Service Plumbing Fwailwyw 715-231-7375 11MI011 ` f 00,,Yo4rP►umbing and s04 Page 7c MAY. 4. 2013-'0:53AM --:irst Supply LLC,iv,sium Tct.:6Ue ibf 95AC. 51811 P. 2uuz,0ua - SAFETY AW pugZ Fl6S DMsl0f4 - ryufny►1fl Pratlud Re►iew ��sconsi� rAA9die0P.WNeors61707 iepartment of Commerce aeoHtNeCallum Governor Philip W.Albert,secretary March 28,2002 ORENCO SYSTEMS INC BUSINESS DEVELOPMENT BILL CAGLE 814 AIRWAY AVE SMERUN OR 97479 I Re: Description: SEWAGE TREATMENT APPARATUS Manufacturer ORENCO SYSTEMS INC Product Name: 6"BIOTUBE EFFLUENT FILTER Model Nunter(s): FT0822-14B,FTP0822-148 Product File No: 20020129 The specifications andfor plans for this plumbing product have been reviewed and determined to be in compliance wWA chapters Comm 82 through 84.Wisconsin Administrative Code,and Chapters 145 and 160,Wisconsin Statut". The Department hereby issues an approval based on the Wisconsin Statutes and the Wsconsin Administrative Code. This approval Is valid until the end of Mardi 2007. This approval is conttrge t upon compliance with the following stipulallon(s) • An access opening of sufficient size to allow removal of the filter must be provided over the outlet tee baffle of which this product is installed.This access opening must terminate at or above grade. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter will be necessary. • When this product is installed in an Interior compartment,the discharge connection must be sovent cemented to a single four inch diameter schedule 40 PVC,plastic pipe(ASTM D-2865 or ASTM D-1785)which is solvent cemented to a four inch diameter schedule 40 PVC coupling encased in the interior wail. • The influent holes on the eftluent filler shall be appropriately configured by the manufacturer so that the influent holes are positioned between 65%and 750/6 of the tank's minimum liquid Level_ This shall be coordinated with the manufacturer or manufacturers representatives by submittal of appropriate tank drawings anwor dimensions. • The discharge rate of the fitter must allow sufficient How to prevent the tanks inlet from hecoming submerged. • When this product is installed in an exterior compartrrtertt,the discharge Connection must be solvent cemented to a single four inch diameter Schedule 40(ASTM D-2665 or ASTM"785)or SDR 26(ASTM"34)PVC plastic pipe which extends through the outlet opening of the tank to a point at least three feet beyond the undisturbed ground surrounding the excavation made lot the tank-When the boss stop is required to be removed,vrritten permission must be obtained from the tank manufacturer prior to installation of the product The department is in no way endorsing this product or any advertising,and is not responsible for any situation which may result from its use Sincerely, Michael J.Beckwith,CIPE Plumbing Product Reviewer phone:605-256-6742 fax 608-267-9586 s-mail:mbeckwith@commeMe stste.wi.us SBG te5�{-E(N ta/B7) Fle Par:02042901 V;'Y_ 9_2013F10:60Ph10 pn L i r:t apply NC. 1167 P. _ _ FftX NO. 541 459 2884 01 a N .P a cm ® � Cm n - W ), OD ®r�-Lo) a =- M 9k� - Tuf-Tite Riser System Tuf-Tite makes a full line of Risers and accessories for Pre-Cast applications. Riser Lid-with Molded-in gasket. Available in 12", 16", 20" and 24" diameters. Green Only. Concrete Lid-with handle. Use the Safety Pan to cast your own concrete lids. Safety Lid- May be used in place of concrete lid. Fits 24" Riser Pan only. Black Only. Safety Pan- Safety PanTM available for 16", 20" and 24" Risers. Green Only. 6" Tall Riser- For septic tanks. Stackable in 6" increments. Available in 12", 16", 20" and 24" diameters. F 12" Tall Riser- For septic tanks. Stackable in 12" increments. Available in 20" and 24" diameters. Black Only. Y Tank Adapter Ring- For mounting riser or lid to tank when casting-in is not an option. �g 4 en 10 to N � J � � Q S 1 147 -q m �Ar Vi d- 8 VA �s Izx T o t 3 n � u s Plot Plan Legend 1 4" PVC ASTM D 3034. 42"Min. Cover where snow is not removed. 2 24" inside diameter manhole brought min.4" above surrounding grade. Concrete/ covers chained and locked down. 3 Precast concrete septic tank. 4 Effluent filter location. 5 4" PVC ASTM D3034. 18" Min . cover . Effluent piping or building sewer where tank is within 30'. 6 Precast concrete dose/pump/filter tank. 7 12-2 OF-B Power conductor . 14-2 OF-B alarm circuit conductor. Both wires are UL listed A-2057 8 2" PVC ASTM D-2665 -09 Schedule 40 Pipe Force main. 9 4" PVC ASTM D-2665 -09 Schedule 40 Pipe . Entering and exiting concrete tanks min 10' in length. 10 Carlon All weather pvc junction box. UL listed # A-241 11 treatment/dispersal cell 12 Inspection wells Project Anderson Page FF_Wisconsin Department of commerce - SOIL EVALUATION REPORT page I of 3 Division of Safety and Buildings in accordance with Comm 85,V1fis. Adm. Code county St.Croix Mach comp�eSlCe plan on paper not less than S 1/2 x 11 inches in size.Plan St O Q include,but not limited to:vertical and horizontal reference point(BM),directio Parcel I.D. st }O percent toq�,U elle or dimensions,north arrow,and location and distance road. Dat L Rev' ed by SEp ' Please print all information. ' 3 / Per u provide may be used for secondary purposes(Pti s. .04(1)(m)). +���� Property Location Property Cxnmer 13 T 31 N R 16 E(or) Dave and Sue Anderson Govt.Lot NW 1/4 S 1/4 S Property Owner's Mailing Address Lot# Block# Subd.Name CSM# 2125 Hwy 63 ■ own Nearest Road CAy State Zip Code Phone Number iry ��Ilage 215th Ave. Clear Lake WI 54005 ( ) 3 450 GPD EI lComtruction UseE Residential/Number of bedrooms Code derived d esign flow rate Public or commercial-Describe: ft Par out wash Flood Plain elevation if applicable Ge Install in-gound non-pressure,No deeper than 97'or 36"below surface contours. and s: use.7 Loading Boring 72 P 1 Boring# ❑ Ground surface elev. 100 ft. Depth to limiting factor in. Pit Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 f`Eff#2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 1 0-10 7.5yr3/3 Is lfgr ml cs 2f .7 1.6 grl ml cs if .7 1.6 2 10-24 7.5 r4/4 CO 11 s Osg 1.6 3 24_72 7.5yr5/6 - r cos Osg ml cs - 7 4 72-96 7.5/yr5/6 F3p5yrS/3 Boring 100 76 P2 Boring# in. ID Pit Ground surface elev. ft. Depth to limiting factor Sol Application Rate Roots GPDJtt� Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary *Eif#1 *Eff#2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 1 0-9 7.Syr3/3 Is lfgr ml cs 2f .7 1.6 2 9-25 Ti 4/4 - I grls Osg ml cs if 7 1.6 Os ml cs _ 7 1.6 3 25-76 7.5yr5/6 cos g 4 76-96 7.5yr5/6 F3PSv/r5/3 s Osg - -BO <30 mg/L and TSS<30 mg/L Effhient#1=BODS>30<220 mg/L and TSS>30<150 mg/L E1Bue - CST Number CST Name(Please Print) S�nature� 253976 Lewis Bork uation Cond Telephone Number Date Eval Address 715-231-7375 E7818 County Road E,Menomonie,WI 54751 9-19-13 —M^n_1 R 2 3 Anderson Parcel ID Of Page of Property Owner Fp3] Boring# © e°rin9 98 78 Pit Ground surface elev. ft• Depth to limiting factor in. �� pligtion Rate Horizon Depth Dominant Color Redo,Description Texture Structure Consistence Boundary Roots *Eff#1 Eff#2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. Is 1fgr ml es 2f .7 1.6 1 0-10 7.5yr3/3 es if 7 1 s Osg ml .6 i 2 10-24 7.5 r4/4 - ,7 1.6 3 24-78 7.5yr5/6 - cos Osg ml ' 4 78-96 7.5yr5/6 f3p5y/r5/3 fs - - - ❑ Boring# ]Boring Pit Ground surface elev. ft, Depth to limiting factor in- Sol Ap ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/iF in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 Boring El Boring# ❑ Depth to limiting factor in. Pt Ground surface elev. ft. Sod Application Rate Roots GPD1f Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary `Eff#1 *Eff#2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. > and TSS 30_150 mg/L *Effluent#2=BOD5<30 mg/L and TSS_<30 mg/L `Effluent#1=BODS 30_220 mg/L > < The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format,please contact the department at 608-266-3151 or TTY 608-264-8777. sBO-s 3(TrW(R.o%roo) o a x N � s � N_ -jP, 7' CQ Z of LA ov U ,a j S iV VO 'S R UrG I I i• i rl1 I i li r 4 I l UZI I ..� av a viv vv.ov ran o�. �i u n ��unty riorILcrmnq 'r to-aaw 4,0wo 9/l ST.CROIX COUNTY SEPTIV TANK MAINTENANCE AGREEMENT AND OWNERSMP CERI FICATION FORD! Owner/Buyer T)A J<- `e• S.>{ A tv c�C r S 0 cJ SFp 0-9 Mailing�►tldress Zi Z�. 63 Property Addreta 21 (Vafloa don mquked from Plawbg&Zfftn&-DcpuwxW fbr new copsttuctioa) city/sWe Z-A-1*0W Parcel Identiffcadon Numba 66(( LJ D=lU�iflN Property Loution AV_% Si: Sac. l 3 ,�' 3( ��l � w,Tom of Subdivision Plat: --- Lot 0 CertMad Survey Map# .Volume =Page# Wanwq Deed#� �lQ (before 2007)Volu= Pnge#--3 �9 . S hmw 'Ya 4510/ Lot Ime wmdfl" "9� rno S'S MM 1+IAIIV?Ii FAMM AND QJMA CER=CATION [ntproper use and ofyouirsopfic system cid reaait m its pramatr i➢riture to i t Proper maim consists of pumphi s out the eapde to*every dune Yom or coon,weeded,by a llvaead pumper. Wbet you put late the system clan of ct dte iluacdon of rite s tank as a treaunent sup in tie waste dispoaai symmi n. Owrw mamtanance responat'biihtea are in l+Connn.$3.3i}and in C9tai>tar 12-at.trroix County Satu'tary Ordinance. r*puffy tswiairt Wm to submit to St.VmU Cmiy Flambl&7.WMI ant a mdftu'raet ro m.'sill by aloe owtrer and try-a amts pkntbar.J=m w ptmvbcr.resnfiC ptum!>or err a tkvmcd purer vaifyins ttrat t t I tart tm-sttm wasteww dopcisai rpm a fn pmW opcmftg comM rt tmdfor t 3 f-alter i gxvtirom and pumping of nectsmyt,ft saptk tank is Los than t!3 full of Ajdga. Ywe.the wed beve mad tbs above mpmomm ar esrae to=wsk alts privem wmp divasal wittem vritb The �,tsec , as eet by the Mast of soup the ofil.Resaut State+sf vv Cerdtiawtaoa y*w sapt a sy bm beaa walauked==be completed and reamud to dw S.Cra&C4=dy PistxJag# Depment wld&30 dep aftbe d eee year espiradw date. Uwe certify that all statements on this fcnm are true to the but of a a*w loaowledze. Ywe an twe the ownerW of the properly described above.by virtue of a warnaq deed recorded In Ralster of Deeds MO. Nn liar of bed ✓/ t.ua�a r, 11 c �ia?fL3 SIGNATURE OF APPLSCANTM DATE ***Any baf oration that is m toad may result in du sanigny pennit bring revoked by the P'lanWa$&Zodm Departmaim;** laolude with this appiked=a mmrdW wama*deed how the Reglaw*Mee&Oitsee and a WPY of the m6fi l survey map if rePerettee is nWe in the warranty deed. (REV.i 05) /a;oq _ State Bar of Wisconsin Form 2- 1982 t�9Jsi�. V1'ARRANTY DEED Tf y DOCUMENT NO. VOL /MOPACE165 REGISTEFrS OFFICE �I ST CROIX CO.,WI Stanley S._Fouks� & single man.----_ -_-_—__ I Ret:'d for Recott; - -- - ---- -- ----— -- �� S EP 17 1996 1� . conveys and warrants to David_ A_. Anderson and_Sunan K. —.. li at 10:00 S A. M Andersonz husband and wfet-tis- marital_pr with rights of survivorshi p I 18eg1star-of Hassle S '} THIS SPACE RESERVED FOR RECORDING OAT, !` NAME AND RETURN ADDRESS 1 --------- ---- ---------------- _-- -- — II REINSTRA & VAN DYK, S.C. ___--___-_-------- _.----- ----__-- ------ 1201 South Knowles Avenue 'I the following described real estate in . Croix_____—____ +�New Richmond, Wisconsin 54017 it County.State of Wisconsin: Ii I I ! 1. The Southeast Quarter of the Southeast Quarter I (SE* of SEk), EXCEPT the South Sixteen (16) rods See Attached Sheet ___ II i; of the East Ten (10) rods thereof; the Nort (Parcel Identification Number) 0 Half of the Southeast Quarter (NJ of SE 11 , EXG�E li y --une-cing on Lhe North iine of said North of the Southeast Quarter (N} of SEJ) at the intersection of the centerline of the Town Road and the centerline of �r i U.S. "6311; thence West along the centerline of the Town Road, 420 feet; thence�.��5 � South, 325 feet; thence East, 494 feet to the centerline of U.S. "63"; thence ' Northerly along said centerline to the Point of Beginning; that parcel%of land l , Iying �j East of U.S. Highway 1'63" in the Southeast Quarter of the Northeast Quarter (SEJ of 'i `j NE;), containing approximately 5} acres. SUBJECT to all easements and restrictions f' of record. ALL located in Section Thirteen (13), Township Thirty-one (31) North, ii Range Sixteen (16) West. -- 2. The South Half of the Northwest I! ,I Quarter (S} of NWT); the North Half of the Southwest Quarter (N} of SWJ); the Southwest Quarter of the Northeast Quarter !j (SW} of NEJ); the Northwest Quarter of the Southeast Quarter (NW* of SE}), SUBJECT I to all existing highways and easements of record. ALL located in Section Eighteen (18), Township Thirty-one (31) North, Range Fifteen (15) West. CONTINUED ON ATTACHED SHEET. it This--. is not homestead property. , .R %— R (is not) t IIException w warranties: Subject *o all easements, restrictions and covens s of record. I IIDated this _. _ day of September _ ig 96 t i' (SEAL) I li _ ---.- -- (SEAL) __Stanley"S. Fouks --- ;f - -- -(SEAL) --- - --- (SEAL) * * I 4y tl I� i AUTHENTICATION ACKNOWLEDGMENT Signature(s) 3t1te_r��, Fouks STATE OF WISCONSIN } - County. j authentic t d this _ // �dr�ay of a& 19 .1k- --Personally came before me this __ -. day of ,f W.. 19__.__ the above named a� VanY -.---- - ---- ------------ ----- III TITLE: MEMBER STATE BAR OF WISCONSIN -— Of not. --- --- - '--- - -- ---------_ _ - authorized by§706.06,Wis.Stats.) tome known to be the person ___.- who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY REINSTRA & VAN DYK, S.C. _- 201 South Kndwles Avenue New Richmond, WI 54017 Notary Public rounty Wk (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If nut, stale expiration data: necessary.) 19 ) \ame•u!per..^r..r¢nurr m.vra..racaY.houlal i,v tai v i..r pnnt•-a holr-,Ihrr,.r r:r nrr.•. VIATF RAR i:F WIS(ONSIN W,;c;:n5:n L.-q:lt Btank C:. Inr F'(7Ry1 Vn.:—19N2 M:iwirrk rr Wye VOL ?non PACE`�6� LEGAL DESCRIPTION CONTINUED: 3. That part of the Southeast Quarter of the Northeast Quarter (SEj of NEI), Section Thirteen (13), Township Thirty-one (31) North, Range Sixteen (16) West, lying East of U.S. Highway "63". This conveyance is given in satisfaction of that certain land contract between above parties dated December 21, 1990 and recorded January 24, 1991 in volume 891 on page 433 as Document No. 465923 Parcel Identification Numbers: 006-1028-70; 006-1028-90; 006-1029-10; 014-1039-10; 014-1039-60; 014-1038-30; 014-1038-80; 014-1038-90; 014-1038-95 and 006-1027-60 D 3 qeA ( GIVII ML_b4'! b'W/_A� 16 4- 0- kit /2 7's E/Z( tt'�� I-/ �f by A. State Bar"r Wisconsin nv""z-- xwwz WARRANTY DEED ' ���� V DOCUMENT NO. �0U�K�VOL n�� PACE o ' - - -------- - o ii REGISTEKS OFFICE o�����z-/�._�e��n"_/����su��_uu��__-_�_-___--_�-_--_--_- --- - -- -------- """,°,"""u =^,,"","to -pmuId _at.xsmn_ An(Ler DR. husband and_wife __ ; �=°" '`= |' � � �°===-'---------------------- �! �� --- ---'--�'------------- ----'-- -_-__-_'__-'___�__' THIS SPACE RESERVED FOR RECORDING CI,T' [ ____--------------------_- -___--_-_____---__�-_--- ( '-NAME AND RETURN^""""°" Y . -----------------------'---��� \� 201 uo*ru Knowles °.=""= the following described real estate in 0-lew Richmond, Wisconsin 54017 County,State of Wisconsin: 1. The Southeast Quarter of the Southeast Quarter (SEk of SE0 , EXCEPT the South Sixteen (16) rods __5qe A.Tt_ag�h -sl of the East Ten (10) rods thereof; the North (Parcel Identification Number) (NJ of SEI) , EXCEPT Half of the Southeast Quarter 4 . utiltautti,cing on zhe North iine of said North Half of the Southeast Quarter (NJ of SEJ) q.t the Intersection of the centerlIne of the Town Road and the centerlIne of U.S. "63"; thence West along the centerline of the Town Road, 420 feet; thence South, 325 feet; thence East, 494 feet to the centerlIne of U.S. "63"; thence Northerly along said centerline to the Point of Beginning; that parcel of land lying East of U.S. Highway "63" In the Southeast Quarter of the Northeast Quarter (SEJ of and restrictions . of r=""^"' ALL ^~^a^~. In ~~^^^.. _'---_-- `-- ' Township_ ' |i Range Sixteen (z*) e=ot' � |i z' The South aazc of the Northwest Quarter (a6 of NWJ) : the North Half of the Southwest Quarter (NJ of SWf); the Southwest quarter of the mnztue'�kat Quarter (ewJ of moJ) ; the Northwest Quarter of the Southeast Quarter (Nwi of oE0 ' anaJooT | to all existing h1ehwaye and easements of record. ALL located In Section o��u�eeo ' (zo) ^ zovpzauin Thirty-one (31) North, Range Fifteen (zs) West' oOmrzmnoo ON ATTACHED oaEEr' This Is ���""�=«v'«n"'^x. </w (i»""`) Exception mwarranties: Subject to all easements, restrictions aou �ovo�-'X1 of record. � Dated this ___'_'-__--___'__ _____ a^vm September ---. /v'9A_ (SEAL) (SEAL) ~_ �� ~______.��_�_____ -------------__-_-___'- _(SEAL) (SEAL) ! AUTHENTICATION ACKm«»vmLEcx«a»mEnvT ! |' ' or�TEorvv�CowuIw �. sw=^"�*) =. ----'� ----- ------------- ______-_____- _ c"""* ' - his. �c�� ------- Personally___=_"_=_"_v_"m_==°,^_is _ o"'", . 'p- `^"ab"°""°m"* U ----~- -____''_-_-_-__�'-------' ------------- ^ rrrLc. MEMBER STATE BAR urWISCONSIN ___ _ _ ----- --- - -------'------ - (n""t, _-_- _ __'_--______-_ _'_-__ ----------' - ' - -- ---------- - - authorized^,0rov^a Wis.nm*.) `"""known °^"the person -' --- °^"""ec""«`^" n"=:""w/"*,"="",""u""^"~,/"ou°m"=m" ,*.o INSTRUMENT w^a DRAFTED a. nozmmrRA m VAN mrK, S.C. - 201 ao"uz Knowles Avenue ~ - New Richmond, wz 54017 N"u,, r"mu s".^.r. vv- (Signatures may be "",hen,""^a or acknowledged. nwo are not mr c"mm/e."" is n",m"=".. /n n"'. state ""p'ra^"" «''»' � "`ce=",'.` /v ` ."," ~,^rr"^n�;,°/^v"~,p ,""~"~^_..", � a m 8°c$ o °mWo m me m W T m N N IX •O ��1 a`� �' m X yr+ W 35 c m = o a n96 y Em-- at' `w� ' K o v m W LL UJ a a a a a . m � m U K W C ,yak 3 rr r V1 r- r4' r- r ` ,w s 'M S51PKE433 " •>�/^J-I&AWNT.. No... ,�_STATE BAR OF WISCONSIN FORA 11`•1982 Ti1tb BI%A:E RKGCRYC. roR gE.=OAtJ,AG DATA L AND...sON*T A11T iadzrt3.aa{ :w!td 44orppr�t� (TO i3& ltsI--U FOR AL.i TRtkZ45&O-TIMS •"° vzr r, , Q"� - �- t� v . U.tt, !� f`:4.:+*REL AP.'U IN OTHER NON-CONSUMER ����3���{A] �<,<itr_Ci.k °�. •L` ACT TRANPACrtob[Sr C = ST. C ROIX Co., i JI Recd for Record �iOT1tlfl.Ct. by and hetweea __St:c'�Ille�_,S.__�bt:]�5�--1-51Y1t7T3.E'----„ man, • JAN 2 4 ini ---------- -- -------------------------------------- ("Vendor", 2:I5 Pqq t e�her orlA or mare) and.Dav3 c1 A. I1C1E1SClti arlu€ 21 K- ............. .__ OlJ And=rSCn.t.�•ttiat�anr3 ,c>_nri 1�7.].t�--sSt ILYSl�_t.ct.a__}31 s���1T.-_?a?.tI3-__ �'- i{ggi;ter elf A�,�„(s-~� 1. 1 ..P-f__aLrYiV_QrSkliP._-_..__.__ ("Purchaser", whether one or more). Vendor sells and agrees to convey to Purct aser, upon the prompt and full per- tormance of this contract by Pur--I •:.ser, the following property,together with the rents,,profits.,fixtures and other appurtenant interests (a:l ralled the"Property"), in------St.-__Croix._....... ............................_...... CODU-.Y; State of Wisconsin: Itsrula<+ ro c mot`., c..ut'1was t- ua1'Cter (SEi Of 1.. The Sots tYi2�,=.t T TTC= v,_ .�.� ,� —- S.EJ) , EXCEVP she South Sixteen (16) rods of the Ea.=t Ten (10) rods thereof; the North Halt of the Southeast -_ Quarter (N} of SEJ) , EY-CrPT ccsllencing oil the North line ref"said North Half of the SOuttiieast Quarter (NJ Tax Parcel No. ...... ........................... of SEJ) at the intersection cif the centerline of the Town R,-..)ad and th-3 centerline of U.S. "63"; thence West along the centerline of the Town Road., 420 feet; thence Scrt,th- 325 feet; thence East, 44-4 feet to the centerline of U.S. "63"; thence Northerly alon g said ce*teri ine tt uG r. -_:n of that parcel of land lying East of U.S. Highway "63" In the Southeast. Quarter of the Northeast Quarter (Sei of NEI) , containing approximately 5j acres_ SUBJECT -to all easements and resta:ict.ions of ' _Co_rrl< (1.31 , Township Thirty-one (31) North, Range Sixteen (16) West. :2. The South Half of the Northwest. Quarter (Sq of I`WA) ; the North Half of the Scutl-west Quarter (W. of S 1j) the Sou4hwest. Quarter of the Northeast Quarter (SWa of wi) ; the Northwest Quarter of the Southeast Quarter (NW'3 of SEJ) . SLW3 DC ' tr all existing highways and ease v--nts of rec--rd. AL• 1 c�-cated in Section Eighteen 118) , Township Thirty-one (31) North., Range Fifteen (15) 1Rest. This _--........J.S...... homestead property. *if*CArltII1:1PC3. k7e1CFiJ (is) (is not) ( Purchaser a fees to purchase ti:e Property and to pity to Vendor at _a_.pjage t e deSi nested the suxn of$_225'00.OG in the f�tlowin• ma finer: (u) $ �.,004 , ..... ................... _.... 7{ at.the execution of this Contract; and (b) the bairtnc,, of $.-��Q!4.��2.. ....... ..... together with interest from Ante hereof on the balance outstanding from t;me to time at the rate of..eight (8%) --....-.. -.--.-.-, r eat pc annum j until.paid in full, as follows: Interest only payma:zts cormeixcing February Y; to j continue on the lst clay of each month thereafter. Principal, in the amount of $10,000.00 shall be payer-bee an or before )aeeoajm r 31, coo nencing in 1991, and to continue on each Decea ber it of this contract. ' Provided, however, the entire outstwiding haiance shall he imicl in full on or before the _3lJt .-.-,-_ day of VeePmt er,.__2aaQ._____.....1}4=— _. ( the maturity d;%te). Following any default in payment, interest hull ucoruo at the rate n ----�V°�-�r�rirrmxmon the entire amount in default (which shall Include, witho111: limitation, delirtrtuent ir.terv�t and, uporr aceeierntiort or muturity, the entire principal balance). Pur .haler, un}ess excused by Vendor, agrees to pay mont6iy to VCtidur• sllio=_lnts sufficient to ),:ty rca30Y1Rbl5• antici- pated armual taxes:, special ns.'es.srnents, fire rtnd required imiur;—-- 1 -.ell +- To t.}u,extt•tit receivedby Vendor, -Vendor agrees to uppiy payrnet," t ;?;li_eliens when due. Juoit amounts reenived by the endor for paynwi,t of taxes; nsxessrati3Os and insurance <villybe deposited into an a;:crow fund or trustee account, but snail not l:r°t znt-.r t unless otherwise requires} by lac,•. Paymeni. shall be applied first to ;nierest on the unpaid balance at the rule apecifr.d anti Lher to principal. Any amount may he prepaid without pretiiiuril - frc , prine111a1 at aliv time �124c7�?�.XX�X}dY.}d>XSdD'cpK•7�IC}ifT:7�SG:Y*.[�t9CtpJil::h;[b[�a➢cb«S8T-vri3G'::XH$_�?*�I-?!' _ .. Tn tvie event of an;: prep!!}-mint, this contract ;-huii not. 1— trc.:,.c ' in defrl-I. ..-itli r"rw;ct to pa}-neeta so long; as the unpaid balance of principal, anti rntere:;t trued in uci. ..... ;:cc•r•.7+n,- inror:•<t Fr,nn month to month shall be treated as :_n,•eid nrincinatl is less that, ,.l:a a- .,..t t::at" __ , -dehtednr•a w,mid i:;Lve l,een had the nr.,tithly parrnents been made as rirsL ayes.,!ed ;:1:^•:0: '>"Aod t].nl monthic^r,acrnt-nti - ,:ai c - c-•:tthi3,d i1: the event of credit . of tsnranr"e J:r cond\mo.:tie,n. the conclernnerl premi=es being thcrea,,ter exciuri%d Pu-ch•tser stttas that Purchn.,•r is satielied with the titie a- .;�nwn by :1— idence &III , loci t7. Purchaser for examination except: Nr�nr •ktye�- 2'17at Da—t- of t:.t:k',. S0 u't l':EciF-t- •�i:.i.-l i'i"1-'t' rJL 1.17G' NQY't':C St. t.l_ll•>t t:EY (Sly`; (il. iSi'.i) , S cc•..1. Tf irt_een (1-3) T( anslt Lto ili.ic* _ ,r.. t ;vte �` -y-' 7^-, i-) ::J?-ui ^.-1n-a� '� n (16) 'J7:!st, l u. F`,,.,.:Vic,_- .-_rc^: f}..- , ,at t, r„ :re tai,• _ ulenee. ti lii.ie r.,. t-t,�- .,. .... .. .... �r .tn .u,_.:r,c: -- hr. 1 •i,:.>• r :r•r11 I,r„-n i..i;••J i„ ;,r . •,..: ,,- �'. :"s cl:li t.1 Its r.1".. Ito It ,)f WIC'. tt`:i1Y "- .. , �... :s:,` -.• MA 434 all. Purchaser va,c)inis" to Pray t- -ill taxes. and lete► on thelPrcrp,my .jr upon irardred%; a.,, it and W deliver Lo V ndqr un rer!;_ .,t',rvlveq�. u "jt_ G-11-or "a V.a:ndzr :ray glr� _n• by Vendor, in, the aim, ••f *full- ixt� vwu' %:*enij..' silall ritit te-,tioraq C"verin in Un Wu Gunt Mores• than the lwalance .. ed tinder Ellis Ce.,,traot. Purchru4ser shall uniy tilt. i,,suraliCn pritkoa-ais when due. 'File rj'-J;eies shall conUlan Ue standard """::icy i$: favor ui tile , a ug _ -n wTtang. of Ii policies covering the Prupertv i= ij,sur.iiev oj_ f' U` _, j j.d V&jjj-!' be applied to reslorut;an or repair of the llrop,:rty dawaged, provided ti-e- Vendor alff-sli-i the m4wraxiart or rejazir too Le economically feasible. Purchaser covcnants not W commit waste nor allow witste to be comoliLte4 on t1ne Property, L keep the e j?rupervy it 0 k e !7, -n!rart' and --Cp itzpez-.- ,-:- _ .. r�_ ,,Od —.a;r, kai!Q1, the P. .��- W..49juply with all law,,i.. ordinaraca= find. iregulatiOns affeeLing the Prop*cti. Vendor agrees tkaLL in case the puvctiaae price WiLl, interest bn.1 *Lhijr he fully pa""I and all C�'Ilcliziar�= .1 te W shall be fully times at the and in thi- manner shove spe-cofi-ii, V ndor w �! iL on dm-IP d. execute and deliver the Purchaser, a Warrf-sity Deed, in fee Aiml.le, of the Prol—i-t-•, irc-c- and clear of all liens and encumbrances. except any liens or encumbrances created by the act or default of Purewaser. and except: eaSeUleni:S ZlnCk.reSr-r'cr_jCns of record. .......... --------- ........ ...... ------ ------I-------------------------- -------------- --------------- ------- --- --- -------------- -I--------- ------ ......... ..... ..•. PurchuRer agrees till.t time is Of the essence and (a) in tlie eviifa of a defe%Jl_ in the pay-r-cent 01 any principal or interest which continues for a period of 60-...._days following the spei_-ificd Likau dh!L- or ibi in the irVc-Y,L of gi tjctiult in performance of anx oLlier obligation of Puruhntur w)-.i,l,. f ,, 1!�._.ri_d -.ny, wr�tt�Ln notice - . dAyj; ,Gl]Gw iait),Eh;� Uris l,itztnnding balance under this contract tZki-c.-of):�y Vendor (40ivvrvd c)-n:filed by atified 1 _n tiie ent jj.�,tice Eta foil Purchl:aser nereby shall become inimediutely due laid paiYuhis, in full, at Vendor's ol-64" "n.j w,tj,0L 1'�'A Eo llrll%:dCLl 6.V ILAW) ill waives), and Vendor shall niso hove EhP foiio%v,nv rights and 4-o Und may at his ker.711INjilive thils Contract addition to those provided by law or in cquit�v: (i) Vendor me. . . - . . �,; - right,, title rind intqry,t in tbc� Propert-Y anal rtocoVcr Lne vroperty w_,' through stricL foreciost- r llurcnasar-s tuA pavinent al. Oztln CC. tr�m reden,otion to be MK? n t L ;it the rut.[ its effort on Aucl. data pr��!vioutly he dulo of defaul 1,L and other aid by Purchaser shall he am liquidated darnagi.-s for failurt- to, fulfill iiAs Contract nv,.t as arc-a-atut for LhCr property if purclialsor fail-; to redeem); or (ii) Vendor imt.y �,lue fill- 41w6fie pt-r-fortitunce of this Contract 10 Compel .-,a noi .......# -a-the ti...,.,.tot li-- —if.h —.1,t 11L.-,nn tt Eito ratz• ill e4f's "r, ""' -i"' of Ac fst slit. lln-i • ila, f.ym—nU. 'hie )iort,natinr, in which evOnt- LhC Property slirdl Ile jjUCjjojllL-d at JUdIC1111 S.Iale ana l'urelinser shall be liable for all►, deficiency,. or (M) Vendor "Ifty stic of j;j%v for ti— t-titirc- ainpaiica jjurrhtl w'it-c- or arty pOrt;0" thereof; or (iv) Vendor 11,111Y dZ-clare, this Contract at -,Ail el-0 mid retw-v,.- this (")Wlqi�taaloud can tille in a iluic-L-01.1v f Purchaser is ins;--ni ficlint-� and (y) i',trchaser m!'iecUA from wls�V_Mion action if tile equaatllc interemt o of tan'. actiol's of the Property ' - a rteiver appointed to collect "FIN' rents. or proM dur.na the ley end have nbwe.Not wit hstntio ing n,- al Pr written� s1:.temerats of V ndor, an election of tiny tinder (i), (if) or (iv) Uf the foregointr remedies shni, only be lainding u1non Vender 11 it-)') including reasonable attorneys fees of Vendor ineurred to enforce itza.v ra-Iiied'v herctia,,livr (whether elated or not.) to 01L '&Wt'ant curmld,nuz and shall be included in any judgment. Upon the commencement or during the pendency of unN, action of forecioloreeif this Contract, Purchaser cone'anus to the appointment of a receiver of the Property, including homestead interest, toollect, the rent-x, ilalirs, and P.`roflts Of the Property during the pendency of such action, and such rent?, issue , lariat prohA when so col!ec!ed shall be held And applied as the Court shall direct. Purclinser shall not transfer, sell or convey :,*IIN- jegnI or L,uitabln inierest. if the Property 0)y aFrigninctll. of nny rights under this 4"ontrAet ov�h�. option, lonsr-term lease or in 'llny �.hcr w.xy) wit.how. the prior written M Purchaser's i a.;-- (,Lx#M i.4 f;l�,sL 1,3.1i: ill 1'011 02- 111�� ""C""', consprit of Vendor unless either the pa.'r.6;" i convoyed is $a piedge or imirnrnent of Pin-chaser's interest under thin C,-i,9 r9ket 001(1.1 1',,r In iziiJ034edn of Purchaser. in tlnevcnt f an: tic, trw,mror, -a), or ennvevonev he if Vondor_s rxittel emieill ti—C"010 nuistuiidin balance payable under this; Contract. shall 1,econle iinznvdi.xljI%'dl'0 and payaihlp in Nil, at Vevidor' clittion withom notice Vendor shall make all payinents Nvlien due under jilly inortgage the Property on tile cinte of this (7.oYAt_racI, (exec-pt for nny mortgage granted bv Purchaser) or under nny note •-i-curvil OierchN. prO vided Purchnser makes tamely ptivnient of the arnoviniq then due u;i(l�,r this c7o:jtraet. Ilurrhaser ninyrilak'. 'ny sm'), pklylllenta directly to the Mort�Pgce i'. Vendor fails to (10 -2:0 And nll I'llyment",a cn ninde by i'urclia,,er lltitll ill- eonaiaorod mall" this Contract. Vender ni waive nny -nt or pv.r .1.4nall, or•ny All terms of this Contract shall -be lihicUittr upon -and inure to the henclits of the heirs, legal representatives. successors and julsig-ris of Vendor and Purchaser. (it not :ran owner of the Propprt; the Klinuse of Vendor for a volunhIc consideration Joins herein to relvase, homestead rights in the n-abject Property and irzr"s to join in tile execution or tl'e' deed to be made in fulfillment heroor.) Decenk,--r 90 Dialed this 21st I!.A I.) .A I,) Stanl.e S. U)ouks David A. And-rson t�F.A I ? S Z A 1. g ti 3n K. _kndrs. on A U T 11 E N T I C A T 10 N ACKVOW 1,EDGMENT r` Stanie_-y c. . Foul<S, ciiN t;IN David A. Aridcrsori and Susan K. Hendrik W. Van DyX TITI I" 1z • % ; l i: '.1, ", 'A ---------------------- lnstrz�*i, Van FVk & NceC1117rl, '-;.C- ni Parcel #: 006-1028-90-000 03/04/2014 09:14 AM PAGE 1 OF 1 Alt. Parcel M 13.31.16.195 006-TOWN OF CYLON Current 1X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner O-ANDERSON, DAVID A&SUSAN K DAVID A&SUSAN K ANDERSON 2125 HWY 63 DEER PARK WI 54007 Property Address(es): `=Primary *2561 215TH AVE Districts: SC=School SP=Special Type Dist# Description SC 1127 SCH DIST OF CLEAR LAKE SP 8020 UPPER WILLOW REHAB DIST Notes: SP 1700 WITC Legal Description: Acres: 40.000 SEC 13 T31 N R1 6W 40A NW SE Parcel History: Date Doc# Vol/Page Type 07/23/1997 2000/365 WD 07/23/1997 891/433 07/23/1997 891/432 Plat: *=Primary Tract: (S-T-R 40%160%) Block/Condo Bldg: *N/A-NOT AVAILABLE 13-31 N-16W 2013 SUMMARY Bill M Fair Market Value: Assessed with: 225370 Use Value Assessment Valuations: Last Changed: 08/24/2012 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 40.000 3,600 0 3,600 NO Totals for 2013: General Property 40.000 3,600 0 3,600 Woodland 0.000 0 0 Totals for 2012: General Property 40.000 3,600 0 3,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/1712001 Batch M PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 5%8G59 v0L 13 lPa1.',E043 This space reserved for recording data WISCONSIN DEPARTMENT OF AGRICULTURE, TRADE&CONSUMER PROTECTION 2811 Agriculture Drive,PO Box 8911 ��, Madison,WI 53708-8911 - 'arr(Ctr CROIX C9_,via l�i'd xof!'�L.;rol RELIN�:IIS:I*RE*!T OF FARMI-AND PRESERVATION AGrEEMENTQIi MAY 1996 TRANSITION AREA AGREEMENT 12:00 P.�►� AND 19'. � NOTICE OF NO LIEN FILING RELINQUISHMENT Whereas, Stanley S Fouks and Lila M. Fouks is or was the owner of farmland which was subject to a Farmland Preservation Agreement or Transition Area Agreement, No.3379 under Subchapter 11 of Chapter 91,Wisconsin Statutes,which was recorded on March 3. 1983 in volume 660.EAZgL219-22 i in the office of St. Cra'x County Register of Deeds;and Whereas, said Farmland Preservation Agreement or Transition A.-ca Agreement expired Febru=24. 1993;and Whereas, the Department of Agriculture, Trade and Consumer Protection is required to relinquish a Farmland Preservation Agreement or Transition Area Agreement on behalf of the state at the expiration of the term of the agreement; NOW,THEREFORE,the Department of Agriculture,Trade&Consumer Protection in accordance with s.91.19(1), Wis.Stats.,hereby relinquishes the above-cited Farmland Preservation Agreement or Transition Area Agreement on the property as described on attached Exhibit"A"; NOTICE.OF NO LIEN FILING Whereas,s.91.19(13),Wis.Stats.,forbids under certain conditions the filing of a lien to recapture Farmland Preservation tax credits on land relinquished from a Farmland Preservation Agreement or Transition Area Agreement pursuant to s.91.19(1), Wis. Stats.; NOW,THEREFORE,the Department hereby gives notice that a lien will NOT be filed under ss.91.19(7)or 91.19(8), Wis.Stats.,by the Department on the property covered by the above-cited Farmland Preservation Agreement or Transition Area Agreement as described on the attached Exhibit"A"; / Dated at Madison, Wisconsin this, _day of / . 19 C2, Wisconsin Dep tment of Agriculture,Trade&.Consumer Protection By Adam N.Payne,Director Farmland Preservation Program DEPARTMENT ACKNOWLEDGEMENT(Official Use Only) STATE OF WISCONSIN) )SS. COUNTY OF DANE ) This instrument was acknowledged before me on_ 19 by Adam N. Payne as Director of the Farmland Preservation Program for the Department of Atli iculture,Trade and Consumer Protection,acting on behalf of the State of Wisconsin. g�fi �nit V /1 1zi (SEAL) Aotai3p Public,D no, uh tsconsi My Commission expis ✓ �l9gg e4 This document d.-.Rd by the Department of Agriad6+ro,Trade • ljt t and Consumer Prot d..(Revised 994) �z.; _. �..r �• tt'i{:t1 VOL Relinquishment of FPA and Notice of No Lien Filing Stanley S. Fouks and Lila M. Fouks Page I of 1 Exhibit"A" The Best Half of the NS�rtltsast�t�uarte7 of Section Eighteen (18), Township Thirty-one (31), Range Fifteen (13). pAd, alX! ;let part of the Southeast Quarter of the Northeast Quarter lying East of U.S. Hwy. 63 in Section Thirteen (13), Township Thirty-one (31) North of Range Sixteen (16) West; and The South Half of the Northwest Quarter of Section Eighteen (18), Township Thirty-one (31) Korth of Range Fifteen (15) West; The North Half of the Southeast Quarter jt a part of said Northweet of the Southeast Quarter descr a as cosssenF ng at North line and centerline of Hwv. 63, thence West 420 feet, thence South 325 foot, thence East 494 feet, to /v centerlino of Mwy. 63, thence Northerly along centerline to point of beginning; e Southeast Quargor of mix So tlieas - -- Qv , t mm"r-the South 16 rods--a- the Past 10 ra s t ereo •,—Alrumiitioa Thirteen (13), Township Thirty-one (31) North, Range Sixteen (16) est; and C The Northeast / Quarter of the Southwest Quarter, The Northwest Quarter of the Southeast Quarter; and the Northwest Quarter of the §outheast quarter; All in Section Eighteen (18) , Township Thirty-one (31) North, Range Fifteen (15) Best; 120CUMENT NO. STATE 13AR OF WISCONSIN—FORM 2 WAUBLANTY DA= THIS SPACE RTRVID FOR RECORDING DATA B REGISTERS OFFICE This Died......... Lila.M. Fouks. his ...........__ ST.CROIX CO..WIS. .................... .._«_..„....»„.„........._..«» 18 th . ..:..............._..:.« ».._.»...._.._.«« Reed for Record this-- day of—Becemb Gran III,AD.W? 8:30 k M. ............................................ .................................. ............................... .„..«_«»»_»......._,,.......,._.....„„......., t3rantee«.S 1 fora valuable ......I................. RETURN To the following described real estate I,,.. .. ........ r 6'ff •_.._...»_.............. County, State of Wisconsin: TaxKey#..................................... This is homestead property. A parcel,of-latkd located in the North Half of the Southeast Quarter (Nk SEk), - Sectioa 13, Township 31 North, Range 16 West, more particularly described as follows: Commencing for a point of beginning on the North line of the said Nk SEk at �e"* A -centerline of the town road 420 feet, thence South 325 feet; thence East 494 feet to t centerline of U. So 1163”; thence Northerly along said centerline to the point of IT, beginning. *intersection of the centerline of the town road and the centerline of U.S. '163”; thenc West along the 1 Reserving uflito the grantors an easement for ingress and egress across the above ;I II described property. Also reserving unto the grantors the right to obtain water from ;the well situate on the above described premises. srLtt Exception to-warranties: Municipal a6d zoning ordinances and •recorded easements and restrictions of record, if any. Amery, Wisconsin December Executed AL.............................»..«"......................... this ....... day of............„....._................._...._...., 19..72 ED a P 9=011 or ......_..."...(SEAL) St ev-S. Fouks .. .......... (SEAL) Don Paul Novitzke -—------------------- Lila M. Fouks ..».._„„_.........»...... ...................................................................................(SEAL) Elaine Miller .......................................................................(SEAL) Signatures of _.»....".....„»„"»...„..«""............... ....,,,._.......«„................ ................... authenticated this........ .._»-....«...... ..day of......................»« .... ............. ..... «,_.................... . 19_ .......»._.__.................. Title: Member State Bar of Wisconsin or Other Party Authorized under Sec.706.06 viz.................................... . STATE OF WISCONSIN Polk P"ifolly came before me, 13th f December 72 ME IT......».....„..........«.... 19 3 OEV e, ;j A the above named.. and Lila :; I w ........... ............................. _».»_,,,......_... ........ to me known to be the person„.E_who executed the fore instrument and owl ed as e. zlltf COU INSTR JAI Attorney at Law W OFFICES IDUU Pau'l Novitzke, —.81fu Don Pau N 1 -Am 01 The use of witnesses is optional. NOWY Public, ....................P...o..l . ... . ... ...... I NK 492 PAC 97-w (-Pl-o (is) vlilii � .— ...« Kim”Of Persons Signing in any capacity should be typed or printed below their siStiatures. WAJKMAJP”DN� Wificonsin Legial Blank Company Milwaukee.WIS. (:ob 2974,T) STA.TE CAR OF WISCO:ISix i- 6ro',E4"�ftifll'l1< a' {� -PORK! 3 IICaL °�'rE CJ8 Out f L'LAIIM1 DEED t �a_�fl c:� QtCTD rON RCt::DHDIttG pirTA RMS7ER'S .OFFPC-1, ST.0"131 CO.,Wis. = rat &W RK*d • tt► j .-. .Lraom-.7. cliovan a-d EaX ene_Chovan,_ 22-S.dK c ►• U.1b.-alw a- l_usbamd and wi¢e, .a j0J--n_r tanaots j_---- .-___._ _ V- 535 d R,ftccarr,i f'aaS,.Y � f=:w ry.`_•.:.�r ..-_?sasas:cna uxt ----'_,... .. ._.- -------.'_ -'_—__ � - s!`ti f3^°-es�.`.dc�.cr• .'-a�A esaa to _.J�_GT o1.X---C,3y�1S-Sxa of'ice s=ms;n:1_ _ aak 9 N TO €, panel of land located in the North Half (Ni) of the Southeast Quarter (Seh) , Section Thirteen (13) , Township Thirty-one (31) North, Range Sixteen : -_.-- (16) West, more particularly described as follows: Commencing for a point of beginning on the, North plot h stt>ra prap�r.g. line of the said Forth Half (airs) of the Southeast This is. Quarter (SEh) at the intersection of tYe centerline of the Town road and the centerline of U. S. -63 thence West along the centerline of the Town road 420 feet, thence South 325 feet; thence East 494 feet to the center- line of U. S_ -63 thence Northerly along said centerline to the point of Ieginning_ a Reserving unto Grantors an easement for ingress and egress across the remainder of the said Uorth Half (Nh) of he Southeast (quarter (S W�S�ection' existing driveway on the above described remises for access to the Thirteen (l3) , Township Thirty-one (31) North, Range Sixteen (16) Reserving unto Grantors the use of the well on the above described property under the following terms and conditions: ERE 1. Use .Limited to the watering of 35 head of cattle. j 2. Grantors shall pay one-half of the cost of repairs of the well. 0 EXEC (CONTINUED ON REVERSE SIDE) Wisconsin �7'�- April E�tfiglet New f Richmond. thin. day of F. N 1;CjN'E,9 A;�il SEALED [N PRESENCE., OF (SEAL) da Sta_ ev S. Fouks C --- N/A (SEAL) Lila M. Fooks - B _ (SEAL) (SEAL) d Er Stanley S. Fouks and Lila M. FoWcs P outhrnalcaerd albs �'��"..Y.___ day of fi Ike L_ Paulson Title- lKtiK.liX Othct Party Authorized under Sec. 706.06 viz. Notary Public MIKE L PAU SON STATE OF WISCONSIN NOTARY PUBLIC t N/A ss. STATE OF WISCONSIN Courtly. Uyr-OMMISSiON EXPIRES JANUARY 2S,1979 Personally come before me, this.- _ N/A N/A of_ the above named.��._ - _ N/A to me known to br the pecson_—. -he executed the foregoing enstrument and acknowledged the same. N/A This ins%rumeat mau drafted by ROAR, DRILL, NORMAN & 13AKKE New Richmond, Wisconsin 54017 Notary Public N/A __ County, Wis. The use of witnesses is optional. My Commission (Expires)(is) Names of porsons%ignina;in any capacity should be typed ar printed below their sienalures. HC WAa Grasp®. .. QlTiT CLJtSi DEED-STA3 c BAR OF WISCONSIN, FORE/ NO. 3 - 1971 Vor n.f 3. Grantors agree to pay to Grantees the suQn of Five and fio/100 ($5.00) Dollars per month for ,electricity -for the operation of the well and lighting. This Quit C la im deed is given .for the purpose of 11mi-ting th e easement reserved in that deed From Grantors to Grantees dated December 13, 1972, and recorded in the st. Croix County Register Of Deeds office on December 18, 1972, in volume= 492 of Records"_ on Page 627 as Document Rio. 313893.. T`tse actual consideration- paid _,for . the" same is less than One Hundred and No/100 ($100:00) .Dollars. Exception to warranties: Municipal and zoning ordinances and recorded easements ,a-nd .rests-tc.tions of r-ecord,.. if-,.a_rAy ��•3�L� Y'fi.:i'Ur1 Parcel #: 006-1028-80-000 03/04/2014 09:15 AM PAGE 1 OF 1 Alt. Parcel M 13.31.16.194B 006-TOWN OF CYLON Current ❑X ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): 0=Current Owner, C=Current Co-Owner RANDY L&PHYLLIS A TR NESS O-NESS, RANDY L&PHYLLIS A TR 2146 HWY 63 DEER PARK WI 54007 Property Address(es): '=Primary " Districts: SC=School SP=Special 2146 HWY 63 Type Dist# Description SC 1127 SCH DIST OF CLEAR LAKE SP 8020 UPPER WILLOW REHAB DIST Notes: SP 1700 WITC Legal Description: Acres: 3.410 SEC 13 T31 N R16W 3.41A IN NE SE COM INT N LN&CL HWY 63,TH W 420 FT,TH S 325' Parcel History: TH E 494'TO CL HWY 63, NLY ALG CL TO Date Doc# Vol/Page Type POB 08/11/2011 940012 WD 06/27/1988 438820 814/633 WD 10/16/1984 397062 698/228 WD 05/11/1976 332912 537/86 WD Plat: "=Primary Tract: (S-T-R 40%160%) Block/Condo Bldg: *N/A-NOT AVAILABLE 13-31 N-1 6W 2013 SUMMARY Bill M Fair Market Value: Assessed with: 225369 165,000 Valuations: Last Changed: 09/07/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.410 30,000 188,300 218,300 NO Totals for 2013: General Property 3.410 30,000 188,300 218,300 Woodland 0.000 0 0 Totals for 2012: General Property 3.410 30,000 188,300 218,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/1712001 Batch M 512 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 006-1029-20-000 03/04/2014 09:19 AM PAGE 1 OF 1 Alt. Parcel M 13.31.16.197B 006-TOWN OF CYLON Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): 0=Current Owner, C=Current Co-Owner 0-WIENKE, HARLAN J HARLAN J WIENKE 2102 HWY 63 DEER PARK WI 54007 Property Address(es): "=Primary *2102 HWY 63 Districts: SC=School SP=Special Type Dist# Description SC 1127 SCH DIST OF CLEAR LAKE SP 8020 UPPER WILLOW REHAB DIST Notes: SP 1700 WITC Legal Description: Acres: 20.000 SEC 13 T31 N R16W 1A SE SE 1A TO EXTEND 16 RDS N&S FROM THE LINE-10 RDS Parcel History: RUNNING E&W IN THE SE CORNER EXC HWY Date Doc# Vol/Page Type R/W&INC S 1/2 SE SE 02/17/2000 618446 1490/463 WD 07/23/1997 519/250 Plat: *=Primary Tract: (S-T-R 40%160%) Block/Condo Bldg: *N/A-NOT AVAILABLE 13-31N-16W SE SE 2013 SUMMARY Bill M Fair Market Value: Assessed with: 225373 121,300 Valuations: Last Changed: 09/07/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 25,000 126,500 151,500 NO UNDEVELOPED G5 18.000 9,000 0 9,000 NO Totals for 2013: General Property 20.000 34,000 126,500 160,500 Woodland 0.000 0 0 Totals for 2012: General Property 20.000 34,000 126,500 160,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 512 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I . gill Hill Ti 4 ANDERSON RAMBLER 9-19-2015 Hill o� ee VIIII Iu F Z. o0 Ti ANDERSON RAMBLER 9-19-2015 ^ Fl ROOF TRUSSES i 77 : 62 3OX36 30X60-2 I-'n ANDEIR5oN fR,4M5LEfR 9-19-2-013 I I Eff �1E ;I, \ \ JD .......................... � z $ x Ej i 3 AA z g oG [/1 A 3 0 H U 'Y A is O c 4 > a �.® e \ / EE j "M / ..................... ,•'i I `� T ....................... �.R 3 1 / / O I � 1 1 ` Ut 9-5-2013 ANIDER50N RAMBLER, 9-�ZO3 L ;04'-0' n D _ Z �........................... 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U n 1cl r 8'-6" S ....... .•@. ............... g g°s'p FUR � Ems - ,@ �" n ;.•I;: �:s p gso b_ f 16"FUR TRUSSES ;S 16'AT 18'OSSES - j AT 16 O IE �mu�ep 16'-0" i 1T 6" _ o x 7'-0" 5,-0 N O; -- --- i �'" ; ��� gB' •�;c ^o chit° 6 � Zi i m n j 1 Tom" 2'-8„ n n 1T RR TRUSSES AT 18'OC ki n A % � m i Go A ' - 16^FUR TRUSSES AT 16"DC o J ' ........-. ®.... .............. • ......................................... ,4„ D p 28'_0" 31'_0" lr 59'_01. ^�7-1 C m v n ANDER50N RAMBLER 9-9-22003