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HomeMy WebLinkAbout026-1038-40-000 cn b In z o al 0 (21' S 0l (D H C r rre 1-6 OD U) 0 1-••• x c 0 ) 3 Z -a U. o • HI 0 H m `-, w A C/% Cr) O m r: AD No N. 3 rf '� = _ u) Q O •• .. 4 r U-1 ( hAl`` o o p N • H \ ' z z m ° 0 3 o Cj = to r r c c m CD ?r ? OD W O ` 1 rt AIL H O -0 0 7 7 CD O ...I v p R Q H I o c rD CD 3 O - b to �Ir� r Q 3 i d £ o - Z a SIN o "00 0 m o - tg" �' O w m u. a 45111. 2-I I r,` Z � o j r C. N V OD ' e CD x H 0 c P �, ow 5 o 0 0 0 o z .co rr a z cn -o -I -I 3 CM o I S C u) w v, 7 m ci)F, Fh r v - a o G s No 0 rn O N i i • Parcel #: 026-1038-40-000 02/20/2007 02:33 PM PAGE 1 OF 1 Alt. Parcel#: 12.30.18.177 026-TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN T Creation Date Historical Date Ma p# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): 0=Current Owner, C=Current Co-Owner 0- DERRICK,THOMAS E&JANICE L TRST THOMAS E&JANICE L TRST DERRICK 1412 160TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP= Special Property Address(es): *=Primary Type Dist# Description * 1412 160TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 26.000 Plat: N/A-NOT AVAILABLE SEC 12 T3ON R18W 26AC SW SW EXC CSM Block/Condo Bldg: 7/1820 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 12-30N-18W Notes: Parcel History: Date Doc# Vol/Page Type 11/14/2002 698417 2046/469 WD 07/23/1997 782/11 07/23/1997 763/593 2007 SUMMARY Bill#: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/22/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 50,000 271,300 321,300 NO AGRICULTURAL G4 17.240 2,300 0 2,300 NO UNDEVELOPED G5 7.260 9,800 0 9,800 NO Totals for 2007: General Property 25.500 62,100 271,300 333,400 Woodland 0.000 0 0 Totals for 2006: General Property 25.500 62,100 271,300 333,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 140 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 PUMP CHAMBER j 4 Manufacturer: Liquid pacity: Pump Model: Pump/Sipho. nufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch eleva on: Gallons per cycle: Alarm Manufact -r: Alarm Switch Type: Number of eet from nearest property line: Front, O Side, O Rear Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: ( Width: ,4 Length: 9 Number of Lines: 2-- Area Built: 7 Fill depth to top of pipe: 2 Number of feet from nearest property line: Front, O Side, O Rear,O Fte;?/5 Number of feet from well: 7061e Number of feet from building: "/‘7 e (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either adtop box() or distribution box O been used on any of the above soil absorbtiot sytems? (Check one). HOPING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: v Elevation of inlet: Number of,,feet from nearest property line: Front, O Side, O Rear, OFt. ,/ Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: 0 ELI- ea. Plumber on jobs .411I AY' ' License Number: V\ p n-S -5-c( • 3/84:mj l Form - ST C - 104 AS BUILT SANITARY SYSTEM REPORT • i OWNER -foir ca3 rri TOWNSHIP CPI 0.-kel rr,. 6 SEC. J T 3 0 N-R 18 W ADDRESS 17 .44-1 ST. CROIX COUNTY, WISCONSIN iU :\ Qle rrn-evv c� SUBDIVISION ` LOT 1 ,A LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 4,, (4, CP k •, 5 ft INDICATE NORTH ARROW • BENCHMARK: Describe the vertical reference point used ] g . Elevation of vertical reference point: Air r Proposed slope at site: SEPTIC TANK: Manufacturer: u-D -e-tS Liquid Capacity: /0C9 j. • Number of rings ,used: 1 Tank manhole cover elevation: ) 0 `Z. iTank Inlet Elevation: 'my Tank Outlet Elevation: Number of feet from nearest Road: Front,O Side,ORear, O ;3C.D Z feet From nearest property line Front,®Side,ORear,O feet Number of feet from: well .10() , building: c5, I (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE DEPARTMENT OF INDUSTRY, r INSPECTION REPORT FOR SAFETY&BUILDINGS LABO9&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MADISON,WI 53707 SW ,SW ,S12,T30N—R18W CONVENTIONAL ❑ scare Plan I.D.Number: ALTERNATIVE If assigned) Town of Richmond ❑Holding Tank ❑In-Ground Pressure ❑Mound / Country Dam Road 7( 1)Q07 NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTIO DATE: Thomas Derrick Route 1, New Richmond, WI 54017 r-f■5'_8'7 g,3c) 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: Gary L.Steel 3254 St. Croix 92501 SEPTIC TANK/HOLDING TANK: - MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER P`ROIDED: PROVIDED: L ) 0 0 p l 06.2� 9g . q YES Ell NO ❑YES NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERT WELL: BUILDING: VEN TO FRESH ALARM: AIR)tILET: ,�-/ FEET FROM 2 LI v 2- O , [DYES LINO I ❑YES ❑NO .NEAREST > 3 v DOSING CHAMBER: MANUFACTURER. BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: OYES ONO OYES ONO DYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL'. NUMBER OF PROPERTY WELL 'BUILDING. VVENTTO TRESH' • (DIFFERENCE BETWEEN FEET FROM LINE PUMP ON AND OFF) ❑YES ❑NO NEAREST )'- SOIL ABSORPTION SYSTEM.Check the Soil moisture at the depth of plowing r LENGTH: DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH/ LENGTH: NO.OF DISTR.PIPE SPACING: COVER INSIDE DIA. &PITS LIQUID BED/TRENCH 7 $ TRE/P HES: 1 MATERIAL: PIT DEPTH DIMENSIONS i— 4f GRAVEL DEPTH FILL DEPTH DISTR.PI N TR.PIPE IDISTR.PIPE MATERIAL'. NO.DIS NUMBER OF PROPERTY WELL BUILDING: VENT TO FRESH BELOW PIPES. ABOVE COVER: EL LET LE,V,,END: PIPES FEET FROM LINE: AIR INLET. CO"_I 1 II 17.('-5I l?„$S 2 ? 2,7 NEAREST---■ Z 5 0 U y Cv y L t° .5 MOUND SYSTEM: 91V. 80 Mound site plowed perpendicular ttr-bh pe Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS Y MEASURED. r❑ ES ❑NO Sc VOIL COVER f'EXTURE'. PERMANENT MARKERS: OBSERVATION WELLS DYES ❑NO ❑YES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED. SEEDED MULCHED CENTER: EDGES'. OYES ❑NO OYES ONO LIVES LINO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH: NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER. • BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL. NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEV.: ELEV., DIA.: ELEV.: PIPES DIA.: ELEVATION AND DISTRIBUTION HOLE SIZE HOLE SPACING: DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION PLANS. ❑YES NO ❑YES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL BUILDING'. FEET FROM LINE <� j EYES ONO DYES ONO NEAREST _ �,e Oo (-----Lr / ... c .56 . r 6d Sketch System on ,Retain in county file for audit. Reverse Side. SIGNAT �� F•`- TITLE f /l ,e-,_- Zoning Administrator DILHR SBD 6710 IR.01/82) • INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This sanitary permit is valid for two (2) years; ' 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable; 3. All revisions to this permit must be approved by the permit issuing authority. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanitary permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation; 5. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. ProvidE the legal description where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in #1. Complete #2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in #1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. Responsibility statement: Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8'/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form. GROUNDWATER SURCHARGE • On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Groundwater included the creation of surcharges (fees) for a number of regulated practices which Wisco int can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure is used in your building is returned tc the groundwater through your soil absorption system or the disposal site used by your holding tank pumper. The ,ponies collected through these surcharges are credited to the groundwater fund adminis- ®414 ` °tired by Ihe 'department of Natural Resources. These funds are used for monitoring ground- siiessemanni water, groundwater contamination investigations and establishment of standards. Groundwater, its worth protecting. SBD-6398(R.03/86) FbILH11I SAITARY PERMIT APATION yTY In accord with ILHR 83.05,Wis.Adm.Code Clad /k �� -----m-, ST SANITARY PERMIT# —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8'h x 11 inches in size. —See reverse side for instructions for completing this application. PETITION I. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES 1 NO PROPERTY OWNER PROPERTY LOCATION Thomas Derrick ,SW 1/4 SW 1/4, S.2 T30 , N, R18 )E (or)W PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME R.R.#1, New Richmond, Wi . 54017 n/a CITY,STATE ZIP CODE PHONE NUMBER CITY : NEAREST ROAD,LAKE OR LANDMARK O VILLAGE: your pi rhmpnd, Wi 5G.n1 7 (715 V46-6793 *TOWN OF: Richmond County Dam Rd. II. TYPE OF BUILDING OR USE SERVED: ie..e&l,!i /a) ` a 1' — /437=-1/0-0 00 Number of Bedrooms if 1 or 2 Family 3 OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. K New b. I Replacement c. ❑Replacement of d. ❑ Reconnection of e.I I 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. I3Conventional b. ❑Alternative c. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. ❑ Seepage Bed b. ITJ 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): 97.67 Classs 2 750 750 96.63 Feet E Private ❑Joint ❑ Public VI. TANK CAPACITY in gallons Total Site INFORMATION g #of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. New Existing Gallons Tanks Concrete strutted glass App. Tanks Tanks Septic Tank or Holding Tank X 1000 1 Weeks Concrete © _ ❑ ❑ ❑ ❑ ❑ Lift Pump Tank/Siphon Chamber ---- ❑ ❑ ❑ ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT 1,the undersigned,assume responsibility for installa ion of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumber' ignature:(No am s -) Nif(MPRSW No.: Business Phone Number: C. 4 Gary L. Steel L Ci.t ku 3254 (715 ) 246-6200 Plumber's Address(Street,City,State,Zip Code): Name of Designer: 988 N. Shore Dr. New Richmond, Wi. 54017 VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST# Gary L. Steel 2298 CST's ADDRESS(Street,City,State,Zip Code) Phone Number: 988 N. Shore Dr. New Richmond, Wi. 54017 (715 ) 246-6200 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) Effi�rr Approved ❑ Owner Given Initial Surcharge Fee ,`L^ n �j�' �,,,`,, r Adverse Determination �v�'v� 4 Z. DO 1/"/&47 U/r) ` "� ""Li 1 ►'1 c_. 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 APPLICA TION FOR SANITARY PERMIT • . STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,, ("spec house") , then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. :::E1-7\: Owner of Property �5 �g; r.r,,.(1.,A< Location of Property 7,,< ,`*)1/4 11, Section 'I ., , T 3 a N - R t15 W Township Lrv--.- , Mailing Address 0 ‘,V4- I • 1\\)0-1:-.Z) ' E- ' ' \ ... Subdivision Name 0.2.) ( • Lot Number A) i 6- • Previous Owner of Property I"Yq `LA--A0 . Total Size of Parcel _ Date Parcel was Created ! 2. — Z'Z-. .9 C Are all corners and lot lines identifiable? X Yes No Is this property being developed for resale (spec house) ? Yes No Volume 703 and Page Number ‘194_5 as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 1. Warranty Deed 2. Land Contract .e. 3. . Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to. avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the the Certified Survey Map shall also be required. • PROPERTY OWNER CERTIFICATION I (We) cen-tL(y that a t statements on this £oh.m ate txue to the best oli my (out) , knowledge; that I (we) am (ate) the owner(s) ol6 the pnopenty described in this Lnlionmation £onm, by v.L tue ob a watnanty deed neconded in the 0f6..ce oli the County RegLs.tet o li Deeds as Document No. if a eyr5.4; :' ; and that I (we) pnesenttLy own the proposed site £on, the sewage d. p.•aL system (on 1 (we) have obtained an easement, to nun with the above deschibed pnopenty, £on the construction oli said system, and the same has been duty neconded in the Oiliice oti the ou.nty Registers o£ Deeds, Document No. ) . 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's;uaa tans pus 'uollau gans ;o Aauapuad ay; 8ulanp A;aadoad 134; ;o s3lload pug 'sans! 'sluaa ay;;wilco o;'3saaa;u! pua;sawoq 8ulpnpu! 'A;aadoad atl ;o aan!aaaa s ;o ;uaw;ulodda ag3 o; sluasuoa aasugaand 'lau.nuop slit; ;o aansolaaao; ;o uol;as Aug ;o Aauapuad a41 2ulanp ao ;uatuaauawwoa ao uodn •;uatu1pnf Auu u! papnlpul aq l tzgs pug 'paaana -u! su 'aasuyaand Ay mud pus lud!auud u; pappu aq hugs aauapina al;l; ;o sasuadxa pus au' Aq pal!q!goad lou ;ualxa ay; u; (;ou ao pa;13qu aat3agnt) aapunaaaq Apawaa Attu.aaaolua o; paaanaut aopuaA jo saa; snauaon;13 alquuosuaa 8ulpn'aul sasuadxa puu s;soa llu puu uol1132l31' u! pansand uaya puu ;! aopuaA uodn 8ulpulq aq Attu) Hulls salpawaa 8uto8aao; ay; ;o Auu jo uollaala uu 'aopuaA Jo suo!3au ao b•3uawa3u;s uan3lant ao Duo Auu 8u!pu133sgllntpoltl•anoqu (n!) ao (ir) '(i) aapun uollau Auu Jo Aauapuad aq3 8u!anp spl;uad ao sanest 'sluaa Auu 3palloa o; palu!oddu aan!aaaa a ana4 pus A;aadoid aq; ;o uolbsaesud woa; papaafa aasugaand eneq Auw aopuaA (n) pua :l'uual;lu2lsul s! aassyaand ;0 3saaa;u! alqu;lnba at; ;i uollau a13!;-lamb g u! ai3l1 uo pnolagsslasa3uon sly' anowaa pue pua us lu lasa3uop sly; aaspap Asw aopuaA (n!) ao :;oaaaq; uo!1aod Auu au paled asuyaand pledun aanua aq; poi MUI le ans Amu aopuaA (!!!) ao :Aaualanap A1113 130; mull aq wigs aasuyaand pua alga lump!' 3e pauoganu aq awls A3aadoad ay; ;uana 4altnt u! 'aapunaaaq anp slunowe aat3o puu line;ap Jo alup ay; uo voila u! a;ant aq3 3s uoaaag3 3sa.za4u! it 'aauupgq 8ulpuulspno aanua ay;;o luatuAud lin;pus a;scpaww! !adwoa 0; lagaluo3 sign ;o aouuwao;aad a1Jtaads ao; ans Auw aopuaA (!!) ao :(waapaa of s'!u; aasuyaand ;! 4aadoad ay; au; !uluaa su pug lau.nuo3 s!43 win; 0; 0an1!u; .0; saZuwup pa;up!nbll su pa3la;aao; aq lisps aasugaand Aq pied Alsnolnaad slunowu i luluanagalyau!)aapunaaaganps3unows aptly pug apup yaps uo;Jana ut qua at; p z 11nu;ap;o a3ap aq3 'goal uuaaagl 3saaalu! y;la '0auslaq 8ulpuu3s;nu 0a!;ua ay; Jo puattagd Inn; s,aass4aand uodn pauolplpuoa aq o; uolldwapaa jo A;lnba Aug 43!13 aansolaaao; pale's 48no.un Nam' A3aadoad 54; aanoaaa pug Apaadoad alp u! lsaaa;ut pug ai3!3 's;42!a s,aasugaand pus po*a3uon sly; a;sulwaa; 'uol3do sly ;a 'Amu aopuaA (!) :A3inba u!ao eta'Aq papinoad asoy;0;u0!;!pps ut (no' Ay papinoad suolla3!w!l Aug 03 3pafyns) sa!pawaa pug slg21a 8ulnt011o3 1341 ana4 °silt 'lugs aopuaA pue '(sanlea- Agaaaq aasugaand galgnt) aal;ou ;nog31a puu uol;do s,aopuaA 313 ''ln; ul a!quCed pua anp Ala;glpawwl awoaaq lists laua3uu.)s!4;aapun aauuluq 8u!puo;b•3no aanua 1343 too '(Ilsut pal;l;aaa Aq papaw.10 A!luuosaad paaannap) aopuaA Ay;oaaaq; aal;ou ua311aa 8uja01'o; sAsp •()•9 •;o po!aad a ao; sanu!;uoa ga■1a aasugaand ;u uol;u.Nllg0 aay;o Aug jo aauuwao;aad ur lin13;ap a;o loan 1343 ul (q) ao Opp anp pal;!pads aq; 8u!ntollo; sAsp 09 Jo polaad a ao; sanu!;uoa galya lsaaalu! ao psdwulad Aug ;o;uatuAud 1343 u! ;Ingo') u ;o loan aN3 u! (a) pug aauassa 543 ;o s! awn 31343 saaa.0 aass4aand -pap aux";o"-stIOT.O-YX'4sa.'•p-utr".5.-umaav aatteli!pa 0""au•[L102-"". pue- T-ed-ro-rurnu•" :;daaxa pus 'aasatpand Jo ;ins;ap ao lay 043 Aq pa38aap eaausagwnaua ao wall Aug ;daaxa 'saauuagwnaua pug suet' II8 ;o aeaip pus aaaj 'A3aadoad 1343 Jo 'aidwls ao; ul 'paaa A3usaasb a 'aassyaand aq; o; aanllap pus a3npara 'puewap uo Ulm aopuaA 'pagloads anoge aauustu ay; ul pus sawn ay; ;y pauuo;aad A!!n; aq hays suolnlpuoe Hu pus prod A!ln; aq pets SAauow aa43o pus 3saaa3u! g;la DNA asuyaand 1343 8885 u! ;843 saaaes aopuaA •Alaad°ad 043 iunaags suot3glnItaa pus saauuulpao 's'bei li$ 43113 Aldtuoo 03 puu '3a13a;uo0 sly; Jo up!' 043 0; aolaadns sua!' w0aj aad; A;aadoad aq3 daaz! o; 'aladaa pug uomPuoe alga;usua; pooe u! Apaadoad ay; daazl 03 'A3aadoad 134; uo papalwwoa ay o3 a3ssm Atolls aou avant ;!wwoa o3 30u slusuanoa aasuyaand •aiglsue; Allgalwouoaa ay 0; aladaa ao u0l3sao3saa 134; swaap aopuaA 1343 papinoad 'palutu13p Alaadoad 043 ;o aladaa ao uol3gao;saa 03 parldde ay rift; spaaaoad aauuaneu! '2ut;lant u! aaa8e aslntaag3o aopuaA puu aasu4aand ssalun •aopuaA pus salusdwoa aauUansul 03 .;sal Jo pal;°u anr8 Al3dwoad pegs aasuyaand •aopuaA twat pa;!sodap aq Buys A;aadoad ag3 8uuanoa salaljod Ili ;o IauIBlao 043 ':tulpua u! saaalls as!maag3o aopuaA ssalun 'pug ;sway! s,aopuOA ay; Jo eons; uf asnylp paspus3s aq3 ululuoa huts salallud ally •anp ua4nt swnlwaad aausanstt! 043 Slid !lugs aasugaand latz.z u03 sly; aapun panto aauslyg ay; us43 aa0w lunoutu uu ul a1uaanoa aalnbaa ;ou 'lags aopuaA anp ' N ¢ ;o tuns 1343 ul 'aopuaA Aq panoaddu soaansut Omuta 'aoueansu!-05 ;no43rnt 'aalnbia Amu aopuaA su spaezut aay�o gens pus slued a813aanoa papua; -xa 'apt Aq pauoisuaeo a8uwsp a° no' ;sulu8a paansu! A;aadoad 043 uo sluawanoadw! 1343 daazl 'lugs aassyaand •luatuAad tons 8ulntogs s3dtaaaa pugwap uo aopuaA o3 aanllap o; pus 3! u! Isaaa3u! s,aopuaA uodn ao A;aadoad aq3 uo pain' s3uawssassa pus sore; j!s anp ua4a Asti o3 eas!woad .iassyoand STATE BAR OF WISCONSIN FORM 11 I THIS SPAL6 RESERVED ON neCORDING DATA DOCUMENT NO. 76Z,/ LAND CONTRACT S9 c QQ�� Individual and Corporate aQJ V (TO 5,00111 IS FINANCED,AND n IN OTHER f -074:2..86 ACT TRANSACTIONS) _ 01:410e M rn COntraet by and between John H. Murray and - Katherine 4drray, his wife ("Vendor", whether one or more) and Thomas E. Derrick ("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 rents,profits,fixtures and other appurtenant interests (all called the"Property"), in St, Croix County, State of Wisconsin: RETURN TO Tax Parcel No. The Southwest Quarter of the Southwest Quarter (SW: of SW4) , Section Twelve (12) , Township Thirty (30) North, Range Eighteen (18) West. This is not homestead property. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at .a..place..to..be..-de.signa ted., 10 000. 00 the sum of $ 48�.QQQ..A_Q in the f38, 000 manner: (a) $ r at the execution of this Contract; and (b) the balance of $ ,together with interest from date I hereof on the balance outstanding from time to time at the rate of Nine (9 ) per cent per annum !I until paid in full, as follows: The first payment, in the amount of $9, 600. 00, shall ' be payable on December 19, 1987, with payments thereafter semi-annually, in the amount of $4,800.00, commencing June 19, 1988, and continuing on each December 19th and June 19th thereafter, VENDOR agrees to release any parcel as requested by PURCHASER within above described property, provided PURCHASER pays to VENDOR, in addition to the payments described herein, a sum equal to one-half of the fair market value of such parcel. All expense of such partial releases, with the exception of the transfer* Provided however, the entire outstanding balance shall be paid in full on or before the 19th day of December , 19.._91 ( the maturity date). as above stated Following any default in payment, interest shall accrue at the rate dfX/ % 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 c1A.Sing , 19 (OR) there.,may..bs..a ..prepayment-o f.-priaaipul-witiwatr-g(imwieaioa -1/4m dar.' 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 indelitedness 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: **fee, shall be borne by PURCHASER. Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall i be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on even date hereof , 19 *Cross Out One. LAND CONTRACT—Individual and ST.1TI' ItAR (It' WISI'ONNIN Wi+con=in Legal Blank Co. Inc. Corporate FM∎II No. , —1982 Milwaukee, Wis. / 1-+ 1 2 U7 H I > r ST C - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z d . H OWNER/BUYER « 1 Qty, S 2)6"-Y`g" ".? m ROUTE/BOX NUMBER ( �. Fire Number . CITY/STATE C'�IJ�JPi011,M.00.Aia, ZIP p2 Ql PROPERTY LOCATION : 6(A) 1, S 1, Section 1 L., T ,30N , R ew, I Town of i, ,Ai,.., till , St . Croix County , Subdivision f)11141-- Lot number_ &.1/ `, � Improper use and maintenance of your septic system could result in its premature failure to handle wastes . Proper maintenance con- sists of pumping out the septic tank every three years or sooner , if needed , by a licensed septic tank pumper . What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St . Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1 , 1978 . St . Croix County accepted this program in August of 1980 , with the requirement that owners of all new systems agree to keep their systems properly maintained . The property owner agrees to submit to St . Croix County Zoning a certification form, signed by the owner and by a master plumber , journeyman plumber , restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping ( if nec- essary) , the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration . H o I/WE, the undersigned , have read the above requirements and agree m to maintain the private sewage disposal system in accordance with N the standards set forth , herein , as set by the Wisconsin Depart- 'b ment of Natural Resources . Certification fo m must be complete. and returned to the St . Croix County Zo _ office withi 30 d. is of the three year expiration date . SIGNED All 411. Ci _ rl . . DATE `[ 1 / 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 . INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include; 1. Complete leg=al description; • 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4, Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE iS SUITABLE FOR A HOLDING TANK ONLY IF ALL. OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be used if desired; 8, Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all appropriate boxes as to dates, names,addresses, flood plain data, percolar ion test exemp- tion, if appropriate; 10, if the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sidra the form and place your current address and your certification number; 12, Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st _.. Stone over 10` ) BR -- Bedrock cob -- e (3 - 10") SS — Sandstone lr — Gravel (under 3") LS — Limestone -- Sanr+ HGW — High Groundwater cs Coarse d an Pere P ccrhrt rr Rare 3t med a -- Mr;€iiurn Sand W ._. Were f tre Sand B'tlg i ni dit'I, Is — Loamy Snort i Greater 'Thnrr Sandy boron a Less Than -- Learn fan -. Brown `ail _. Sat Loam BI Slack Silt G �r< ksrl Cray Loam Y _ Yellow Sandy Clay f.oerr P Itch sic! — Silty, Clay Loam mot -- fa'nrries sr; Sandy Clay Sar with — Dirty Day fdl r.�,°.� fin<, lain( Clay cc common, coarse Peat ra;ln — Many, medium _ Mock cl — distinct P .-- prominent. HUrrL high water level, Six general soil textures su'hace water fur liquid waste disposal EM --- Bench Mark VRP _- Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of pia n, r i � s for the private sewage system and a permit application roust be submitted to the appropriate local authority in order to r,t, _aira <, pumit. The sarrr;r iy permit must Inc- obtainer; and busted prior to the start of .,n,7, construction, ■ DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION LABOWAND PERCOLATION TESTS (115) MADISON WI53707 HUMAN HUMAN RELATIONS (H63.09(1)&Chapter 145.045) LOCATION: SECTION: TOWNS HIP/M Qk@ UY: 'LOT NO.:BLK.NO. SUBDIVISION NAME: r 1A 511/4 12 /150 N/R 181 (or)W Richmond n/a n/a , n/a COUNTY:, . OWNER'SIBUYER'S NAME: MAILING ADDRESS: St. Croix Thomas Derrick R.R.#1, New Richmond, Wi. 54017 USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: (-lx Residence 3 n/a ®New ❑Replace 4-8-87 n/a RATING:S=Site suitable for system U=Site unsuitable for system , CONVENTIONAL: MOUND: IN-GROUND-PRESSURE:SYSTEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional) © S ❑U 7S ❑U EIS ❑U ❑S ©U ❑S ©U conventional If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b),indicate: class 2 Floodplain,indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 28 JSB BORING TOTq�,ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTH# OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) B- 1 6.58 101.17 none >6.58 .58b1.1. .75bn:sit. 5.25 bn.s.l. B_ 2 6.92 101.38 none >6.92 .92b1.1. 1.42bn.sil. 4.58bn.s.1. B. 3 6.50 100.13 none >6.50 .67b1.1. 1.08bn.sil. 4.75 bn.s.l. B- 4 6.42 96.90 none >6.42 .50b1.s.1.5.92bn. s.l. B- 5 6.33 97.12 none >6.33 .58 bl.s.l. 5.75bn.s.l. B- , PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD3 _ PER INCH P- P- , P- P see design LaLe 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. upper trench=97.67 lower trench=96.63 SYSTEM ELEVATION 9' c- i V _ FT F- _' i . ;,_ _,-__- __ jet ) _ 1 7 j� ( 1 1 ,... ._ i :� j . .".1 __ ' -.__ i_._. _4_ .—.., ,I I it _lio if I INA,v Errilet'-‘,:1<fr!„.*-11._La?! 1 _17,7„..i_ i 7 7717,s ii,, 4.4 4. ,:_t ___,L1, 1 I ! _ E ' --j---4 __ �-,. - _ I- } _ I r- 1 _ . .' _1 _,,4. J. „I\SI, ..' ,,i: ,,4 .1..., 1 _4 L. _ ' i— 11 --I I n 1 1 1 ! I I i ; 3 i i M_ , 4- . 3 i Tem I � I c , i 1 j i i E-- ..__'_ .1 1' 1 i L.._ I i .. I a_ a _ 3_�1' 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 4-8-87 ADDRESS: CERTI FICATION NUMBER: PHONE NUMBER(optional): 988 N. Shore Dr. , New Richmond, Wi. 54017 2298 215/246-6200 CST SIG •T%-E: �1 � .� , C DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — , . ' • '74-h r.---71';', 7-":7 7(:).: -177 / / .• , .c-- :'(.A_,)/A-(' •, ,_-)- tx_)* ,-C: /,:- 7/-1- ( X) -Th k.(i__. 4---6 '1"-- to ) V' - —-- 25 N762);) I ---— A 1 N ' 9 71 C i V) i \> 43' 6 c 3 _7 A i'20`1) 9 q' / / / . ,---,_-- 5; A /-9,6 re, I,I ,,, --,-/c; / ..j: 1) 7 1:9, /21_, 7 ---- E i / . / • ,,-,...c ,,.., (,,,•)/-224.,,,,,7 L,, /6, c)C5 // . ..-1,_.../ 1