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HomeMy WebLinkAbout032-1013-60-000 o0 M 609� d h O op O C ' � O ' O N a i h � bq s � I I I 1 I N O C z {L C zt O O € rn Al r � 3 E �. U) i = °o I z � € cl a� t U) a 0 o z c d z d c o 0 H r �'� a7 z c 'a O M N .0 O •N a, o IL r I of 0 z z z N z d � E N IL! ig J w N c In 1� j 117 c O N c a m CL I CL z a m d I fn J V E O �� a OO m c O O N N N •� O C I ch VI C G (00 tO H C V n- 0 0 p C � 7 rl N C7 r N b .) O L n W O O O !n = O z C z (n v1 a a • cL d u Iv c c 33 A U iL O U) V Parcel #: 032-1013-60-000 10/06/2005 11:22 AM PAGE 1 OF 1 Alt.Parcel M 5.31.19.76A 032-TOWN OF SOMERSET Current X; ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner WILLIAM W&OPAL HAASE O-HAASE,WILLIAM W&OPAL 324 230TH AVE SOMERSET WI 54025 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *324 230TH AVE SC 4165 SCH D OF OSCEOLA SP 1700 WITC Legal Description: Acres: 26.000 Plat: N/A-NOT AVAILABLE SEC 5 T31 N R1 9W W 26A SE SW Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 05-31N-19W Notes: Parcel History: Date Doc# Vol/Page Type 02/17/2000 618469 1490/507 WD 2005 SUMMARY Bill M Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/09/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 16.000 600 0 600 NO AGRICULTURAL FOREST G5M 9.000 18,000 0 18,000 NO OTHER G7 1.000 15,000 216,100 231,100 NO Totals for 2005: General Property 26.000 33,600 216,100 249,700 Woodland 0.000 0 0 Totals for 2004: General Property 26.000 51,700 216,100 267,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 110 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inl Bottom of tank elevation: Pump off swi h elevation: Gallons per cycle: Alarm Ma facturer: Alarm Switch Type: Numb of feet 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: r Width: Length: Number of Lines: Area Built: Fill epth to top of pipe: . N ber of feet from nearest property line: Front, O Side, O Rear,0 Ft . Number of feet from well: Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Af Size: Number of pits: Diameter: Li/idd he Bottom of seepage pit elevation: ArHas eit p box O or distribution box O been used on any of the above soil absorb ion sytems? (Check one) . HOLD NG TANK Manufacturer: Capacity: Number of ri s used: Elevation of bottom of tank: Elevatio of inlet: Numbe of feet from nearest property line: Front, O Side, O Rear, QFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: 1Z Plumber on job- pe, License Number: \y A 3/84:mj i f Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER (� rl ,�� TOWNSHIP � ��X' SEC. T N-R /9 W ADDRESS �, ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I1HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM \' J I � � II I � I � INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used ell Elevation of vertical reference point: G , Proposed slope at site: SEPTIC TANK: Manufacturer: 106"C-k� 5 _ Liquid Capacity: Number of rings used: U Tank manhole cover elevation: .�B Tank Inlet Elevation: Tank Outlet Elevation: S % Number of feet from nearest Road: FrontO�Side,QRear, O [� feet From nearest property line Front,�Side10 Rear,O feet Number of feet from: well 6, building: ell t (Include this information of the above plot plan) ( 2 reference dimensions to septic tank) SEE REVERSE SIDE DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.Pox 798 BUREAU OF PLUMBING MAOISO,N,WI 53707 WI 'SW�,SW% )M SW-4, CONVENTIONAL RECONNE(O ALTERNATIVE State Plan l.D.Number: (If as Town of Somerset El Holding Tank ❑In-Ground Pressure El Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPE TI N DATE: Wm. Haase Route 1, Box 91C, Somerset, WI 54025 "2-,')L► - 8 7 /.. f C? 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 i3254 St. Croix 92525 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER ry PROVI ED: PROVIDED: J YES ONO DYES NO BEDDING: VENT DIA.: VENT M L.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL BUILDING:IVENTTO-FRESH JALARM. O LI AIR I� FEET FRO NO OYES NO INEAREST oo DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY. PUMP MODEL: PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: OYES ONO ❑YES ❑NO I ❑YES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL- BUILDING.JVENTTOFRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET. PUMP ON AND OFF) DYES ONO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing 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 TRENCHES. MATERIAL: PIT DEPTH. DIMENSIONS GRAVEL DEPTH FILL DEPTH IDISTR.PIPF DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR. NUMBER OF PROPERTY WELL: BUILDING: V NT TO FRESH BELOW PIPES. ABOVE COVER: ELEV.INLET.ELEV,END: PIPES. FEET FROM LINE: AIR INLET. NEAREST--► MOUND SYSTEM: Mound site plowed perpendicular to slope 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- ❑YES ONO meets the criteria for medium sand. TIONS MEASURED. OIL COVER ITEXTURE PERMANENT MARKERS 1.111111VAT ION WELLS DYES ONO DYES 1:1 NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH BE / D DEPTH OF TOPSOIL SODDED. SEEDED MULCHED CENTER. E DGES. DYES 1-1 NO 1:1 YES 1:1 NO DYES 1:1 NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH TRENCHES: LATERAL SPACING GRAVEL DEPTH BELOW PIPF FILL DEPTH ABOVE COVER DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL. NO DISTR. fSTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEV.: ELEV.: DIA.. ELEV.: PIPES AJ EL EVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS DYES El NO El YES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE: DYES 1-1 NO 1:1 YES El NO INEAREST- Sketch System on In In co ty file for audit. Reverse Side. SIGNATURE: 1 TITLE. ,...�,,�.. Zonin Administrator DILHR SBD 6710(R.01/82) g j 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'h x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and..pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form. ----------------------------------------------------------------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Ground Ater included the creation of surcharges (fees) for a number of regulated practices which Wisco in's can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reas.ure is used in your building is returned to the groundwater through your soil absorption o system or the disposal site,used by your holding tank pumper. The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- " t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) - SANITARY PERMIT APPLICATION COUNTY (�I DILHR In accord with ILHR 83.05,Wis.Adm. Code —' "°° '^'^�*°^• STAT S ANITARY 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 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES 2 NO PROPERTY OWNER PROPERTY LOCATION Wm. Haase SW '/4SW '�4, S 5 T31 , N, Rig (or)W PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER ]BLOCKNUMBER SUBDIVISION NAME R.R.ft, Box 91C n/a n CITY,STATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD,LAKE OR LANDMARK Somerset Wi. 54025 n ❑ VILLAGE' 230th.st. II. TYPE OF BUILDING OR USE SERVED: O 901— Id /C3 — 50 tea Number of Bedrooms if 1 or 2 Family OR ❑ Public(Specify): Ill. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable) 1. a. ❑ New b. ❑ Replacement c. ❑ Replacement of d.❑x Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit## Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in##1 and only one in##2) 1. a. O Conventional b. ❑Alternative c. ❑ Experimental 2. a. [:]System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. U seepage Bed b. ❑seepage Trench c. ❑ See a e 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): n/a n/a n/a 94.80 Feet Private ❑Joint ❑ Public VI. TANK CAPACITY Prefab Site in allons Total Manufacturer's Name Con- Steel Plastic Exper. INFORMATION New xisting Gallons T##of . Fiber-anks Concrete glass App. Tanks Tanks strutted Septic Tank or Holding Tank Lift Pump Tank/Siphon Chamber ❑ I ❑ I ❑ ❑ El I ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installati5_)4i of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumber's S' ure:(NySta ps) MP/MPRSW No.: Business Phone Number: Gary L. Steel ^� 3254 - ) 246-6200 Plumber's Address(Street,City,State,Zip C e Name of Designer: VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST## CST's ADDRESS(Street,City,State,Zip Code) Phone Number: IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) Approved ❑ Owner Given Initial I/�,� �SJ�rch�ar�,—Fee Adverse Determination �CSZ1 `►"�ply 10d �� X. COM NTS/REASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, ("spec house"), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of Property WM. W. Haase Location of Property SW SW 14, Section 5 , T 31 N-R 19 W Township Somerset Hailing Address R.R.#l, Box 91C. ,Somerset, Wi. Address of Site —_samP Subdivision Name r/a . Lot Number n/a Previous Owner of Property Werner Haase Total Size of Parcel 240 acres Date Parcel was Created 1-1-79 Are all corners and lot lines identifiable? x Yes No Is this property being developed for resale (spec house) ? Yes x No Volume 58_ and Page Number106 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warranty Deed which includes a Document number, volume and page number, and the Seal of the Register of Deeds. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (We) cen.ti,6y that att s.ta tementa on this 60nm are ,tAue to the beA t o 6 m y knowledge; that I (we) am (cute) the owner(.a) o6 the pnopen ty dens cA i.bedinthiA , in6on.mati,on 6o4m, by vi tue o6 a waAucan,� ed neconded in the 066ice o6 the County RegiAten o6 Deeds as Document No.�g3 ; and that I (We) pneaentCy own a pnopoe ed site bon the d ewaq a di s po.a d yb em (on I (we) have obtained an easement, to nun with the above deac i,bed pnope ty, bon the eon,6tAucti.on o6 said system, and the came has been duty neconded in the 066ice o6 the County Reg-iezeA o6 Deed6, ab Vocament No. ) . SIGNATURE Old OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) 'K DATE DATE SIGNED DATE SIGNED A l •sain;eu2Ts iiay; Molaq pa;uTJd Jo padri; aq pinoys ri;Toedeo Aug uT 2utu2Ts suosiad;o sawe`H (' 6T ` 'a;ep -IeuoT;do ST sassau;Tm Io asn aq L UOT;eJTdxa a;e;s 'IOU ;l) •;uauewiad ST uOTsSTwwo:) AW •sTM 'd;uno0 oilgnd AJBIOrl ('�Jessaoau ;ou aae y;og -pa2palmou3loe Jo pa;eoT;uay;ne aq 6ew saJn;eu2lS) •awes ay; pa2palmounae pus ;uawnJ;sut 2uio2 -aJo; ay; pa;noaxa otim —uosJad ay; aq o; umouii aw o; TTaPun'T T OT-121 I riq pa;;e.Tp gem ;uawnJ;suT slyJ, I � � 1 NIISMOOSIM 30 HVEI 31VILS H3EIW3W :311I1 pawsu anoge ay; ' to Asp sTy; 'aw aJojaq awe:) riljeuosJad ss l� •ri;unoO 81 61 za 1, NTISNOOSIM 30 31VIS }o �Ssp L7 sTy; pa;eoT;uay;ne sa TS 1N3W943�MON)1JV N011VJIIN3 H1f1V i (rld3s) (-Idas) j (Zdas) , (�d�s) �-� i i i C 8L 6T zagmoaa 3o riep �+/ sly3 Palo(] C (•;oaJay ;uawIIT3In3 uT i apew aq o; paap ay;;o uon;noaxa ay; ut utof o; saaJSe pun A;JadoJd ;oafgns ay; ut s;y2tJ pea;sawoy asealaJ o; utaJay sutof uoT;eTaptsuoo algenlen a Jo; JopuaA to asnods ay; ri;JadoJ�l ay; ;o Jaumo ue IOU ;l) •JaseyoJnd pue JopuaA ;O su2Tsse pue siossaoons 'SanT;e;uasaJdaJ lo2al'sJTay ay; ;os;T;auaq ay; o; ainuT pus uodn 2uTpuTq aq Ileys ;oeJ;uoO sTy;;o swJa; IIH •;oanp Iteys ;Jnoo ay; se paTldde pus play aq Ileys pa;oalloo os uayM s;Tjoid pus 'sanssT `s;uaJ Lions pus `uoT;oe Lions ;o rSovapuad ay; 2uTJnp 'rC;JadoJd ay; 3o s;T;oJd pus `sanssT `s;uaJ ay; ;oalloo o; `;saJa;uT pea;sawoy 2UTpnIOUT 'A:padOJd ay; ;O JanTaoaJ s ;O ;uaw;ulodde i ay;o; s;uasuoo aaseyoJnd';oeJ;uoO sTy;;o aJnsoloaao; ;O UOT;oe Aug ;o riouapuad ay; 2UTJnp Jo ;uawaouawwoo ay; uod[l i �� •uta.Tay; papnlouT aq llegs 4uaw2pn[ ;o aseo uT pue 'paJJnOUT se anp awooaq 'ledToutid ay; o; pappe aq Ileys 'saa; s,6auJo;;e algeuoseaJ 2UTpnIOUT 'sasuadxa Ile `IOU Jo pa;ege Jay;aym `Japunaiay ripawaJ Aug aoJo;ua o; s2utpaaooJd legal;o aseo uI •plesaJOls se ;SaJa;uT y;Tm pas.TngSTp os swns ay; Ile ';saJa;UT pue ledTOUtJd pTedun y;TM `aoeJgwa lleqs ssaupa;gapuT ay; pus 'paim000 ;lne;ap yons Aug Uaym awT; ay; Is I anp uaaq pey ledTouud pTedun ;o aloyM ay;;T se Jauaew awes ay; uT ;oeJ;uoo sTy; ;o aJnsoloaJo; Aq Jo 'mel ;e ;Tns a UT algl j -;oalloo aq Ileys ptesaJo;e a;eJ ay;;e s;uawasingstp yons uo ;saJa;ut y;Tm pazTJoq;ne uTaJay se JOpuaA riq pled uaaq aney Jo aq Am gOTyM swns Ile y;Tm Jay;a2O; ;sa.Ta;UT pue ledTouTJd pTedun ay; 'pasToJaxa aq Ileys uoT;do yons aseo UT '.alge6ed pun j anp awooaq aney o; pawaap aq lleqs ledTOUtid pTedun 3o ;unowe aloym ay;'panteM dlssaadxa AgaJay 2UTaq aoT;ou 'aaseyoJnd o; aoT;ou ;noq;Tm Pug JOpuaA ;O uoT;do ay; Is 'Jo '.AJ;ua-aJ ;o ;y2TJ ay; aney aoT;OU ;noy;Tm pus y;tmy;Jo; lleqs JOpuaA pus `.;UawaaJ2e sty; llT;ln; o; Ala;aldwoo amlTe; ay;Jo; sa2ewep pa;eptnbTl se pun sasTwaJd pies ;o le;uai se ri;JadoJd s,JOpuaA UTewaJ o; awes ay; 'pa;Ta;Jo; iapunajaq Jaseyoand riq pTed s;Unowe ay; pus 'pallaoueo ;uawaaa2e sTy; Japun JaseyoJnd �I ay; ;o s;y2tJ Ile 'pua us In ;oeJ;uoo ay; aJeloap 'UOpdo s,JOpuaA ;s 'view JOpuaA uaq; `sAsp nnqq ;o pouad a Jo; I anuT;uoo Ileys ;Ins3ap yons pus `JaseyoJnd to sasTwoJd Jo 's;ueuanoo 'SUOT;Tpuoo ay; ;o riue ;o aoue�ffo;Jad ay; uT Jo 'anp 1; uayM ;saia;uT Jo ledToUTJd Aug ;o ;uawried ay; UT ;lne;ap ;o aseo UT pus aouassa ay; ;o sT awT; ;ey; saaAo JaseyoJnd i i I :;daoxa pue 'JaseyoJnd ;O ;lne;ap To ;oe ay; Aq pa;eaJo saoueJgwnoua Jo •auou suaTl riue ;daoxa 'saoueJgwnoua pun suaT.T Ile ;o Jealo pus aaJ; 'A;JadoJd ay; ;o 'aldwts aa; UT `paa(I 6;usJaeM a 'JaseyoJnd ay; o; JanTlap pue a;noaxa 'puewap uo iTTm JopuaA 'pan;noads anoge Jauuew ay;uT pus sawn; ay; is pawJo;Jad Al1n3 aq lleqs SUOT;TpuOO Ile pun pTed ATind aq lleqs sAauow Jay;O pue ;saJa;UT y;TM aoTJd aseyoJnd ay; aseo UT ;ey; SaaJ2e JOpuaA i •AliadOld ay; 2uT;3a;;8 sUOT;eIn2aJ pus saoUeuTpio 'smel Ile y;Tm Aldwoo t o; pue ';oeJ;UOO STy; 3O uaTl ay; o; JoTJadns sUaTI woJ3 aaJ; ri;JadOJd ay; daaJl o; 'JTedaJ pus UOT;tpuOO algajueua;pool LIT A;JadoJd ay; daay o; 'AliadoJd ay; uo pa;;Twwoo aq o; a;sem molle Jou a;sem ;TwwOO o; IOU s;Ueuanoo JaseyoJnd algTSBaj AIIsoTwouooa aq o;JTedaJ Jo uoT;eao;saJ ay; swaap JOpuaA ay;paptnOJd 'pa2ewep ri:padoJd ay;;o nedaJ JO UOT;eJO;SaJ o; paTldde aq lleqs spaaooJd aouainsUT '2UT;TJM uT aaJ2e aSTA%jay;o JopuaA pus JaseyoJnd ssalun •lopuaA pue satuedwoo aoumnsUT o; ssOI JO aoT;OU an12 6l;dwoJd lleqs JaseyoJnd JopuaA y;TM pa;Tsodap aq pegs A;JadoJd ay; 2uT -JanOO sanoTlod Ile }O ICU12TIO ay; '2UT4TJm UT SaaJ2s aSTMJay;o JOpuaA ssalun 'pus ;saJa;uT s,JOpuaA ay;;O JOne; uT asnelo pJepae;S aq; uTe;uoo lleqs SaTOT.lod aq L *anp uayM swntwaJd aoueJnSUT ay;And Ileys JaseyoJnd •;oeJ;uoO sty;Japun pamo aoueleq ay; uey; aJow ;unowe us uT 02eJanOO aJTnbaJ IOU lleqs JopuaA ;nq ' anTPA 9Tge-msuF TTr9 $ ;o wns ay; uT 'JOpuaA 6q panOJdde sJaJnSUT y2noJy; 'aouainSUT-OO ;noy;Tm 'aJTnbaJ Sew JopuaA se spJezey Jay;o yons pus slTJad a28JanO3 papua;xa 'aiij riq pauotse000 a2ewep Jo ssol ;sute2e paJnsut A:padoJd ay; uo S;UawanOJdwT ay; daaJl lleqs JaseyoJnd •;uawried yons 2uTmoys s;dtaoaJ puewap uO JOpuaA o;JanTlap o; pue ;T uT ;SaJa;uT s,JOpuaA uodn Jo ri;JadOld ay;uo patnal s;aawssasse pue saxE; IIe anp uayM tied o; sasTwoJd JaseyoJnd _ DOCUMENT NO. STATE BAR OF WISCONSIN—FORM 11 R AA LAND CONTRACT—Individual and Corporate 35 3 6 9 5 .va'. �/ Fti�E�, lJ THIS SPACE RESERVED FOR RECORDING DATA Werner Haase RLGIb'flERS OFhI .E CONTRACT, by and between , a widower, ST. CROIX CO., WIS. ("Vendor", Rec'd. for Ra=d this _5th_ whether one or more) and William W Haase and Opal H Haase, day of Dec. A.D. 1978 �f husband and wife, as joint tenants, dI 9:00 A M. ("Purchaser", whether one or more). ---- • Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- 1 !' formance of this contract by Purchaser, the following property, together with the i I� rents,profits, fixtures�nd other appurtenant interests (all called the "Property"), ' in County, State of Wisconsin: RETURN TO Eric J. Lundell, Box 157 New Richmond, WI 54017 I l E, E! Tax Key No. s'i i I �I see attached sheet for legal description I I! { Subject to recorded easements, reservations, and rights of way. II F l e I 1 � This is homestead property. (is) (is not) I Purchaser agrees to purchase the Property, and to pay to Vendor at his residence ! the sum of $ $72,000.00 in the following manner: $ $ 0.00 i r at the execution of this Contract, and the balance of $ $7L000.00 together with interest from date hereof on such portions as remain from time to time unpaid, at the rate of 6 % per cent per annum, until paid in full, as follows: There shall be monthly installment payments of principal and interest of $450.00 per () month, commencing on January 1, 1979, and payable each imn.th thereafter for a period I! i of ten ears from the date of this land contract. An p Y y principal and interest remaining unpaid ten years from this date shall be paid to Vendor in one balloon payment. I If I, Ill. Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor payments sufficient reasonably to anticipate the payment of taxes, special assessments,fire and required insurance premiums. 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 January 1, 1979 oaaboh= it In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal,and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: Wane. I Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. date of closing Purchaser shall be entitle to take possession of the Property on , 19 *Cross Out One. (To Be Used in Non-Consumer Act Transactions) .. A" LAND CONTRACT—Individual and Corporate—STATE BAR OF WISCONSIN, FORM NO. 11-1977 r<e. ai,v'*v�rstr"srrtf"oiitlii�4if"anti w 'houi noi2ca v e opt ono ' 60 n d or a"M w 1 t h ou no t ice to Purchaser, notice -L- -vnressly waived the whole amount of unpaid principal shall be deemed to have become due and payable; i- 4" •,--aid principal and interest together with all sums which may be or have bee +P aforesaid shall be collect- ible in a • i sum von. 58 F,r4^f" : W2 of NW4 of Section 8-31-19; SFI of SW4 of Section 5-31-19; part of the SE4 of SW4 of, Section 5-31-19, described as follows: COMWncing at a point 7 chains W of 1/4 Section Corner of said Section 5; thence W 13 chains; thence N 20 chains; thence E 13 chains; thence S 20 chains to the point of beginning; 5�4 of SE4 of Section 6-31-19, EXCEPT that part ofsa of rich lies Win Krogman Road and further EXCEPT that part which lies W of the N - S line from the junction of the Town Road and Krogman Road N to the N line of the S2 of S2 of Section 6-31-19; and further EXCEPT that part of said SF-14, of SF,;-4 described as follows: feet W of SE corner of said SE 4 of SE 4i the m-lenc pp 80erods an goad; thence Wly on Town Road to junction of the Town Road and Kro gma thence N on N - S line from .said junction to the N line of � Road; Section 6-31-19; thence E to point of beginning. °f of ii 4. --- " Tax Key No. i :G N H ' a STC - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z d a H Wm. W. Haase rn ROUTE/BOX NUMBER R.R.#1 Box 91C Fire Number CITY/STATE Somerset, Wi. ZIP 54025 PROPERTY LOCATION : SW 14 SW 14, Section 5 , T 31 N , R 19 W , Town of Somerset , St . Croix County , Subdivision , Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes . Proper maintenance con- sists of pumping out the septic tank every three years or sooner , if needed , by a licensed septic tank pumper . What you put into I 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 . Ho F I/WE, the undersigned,, have read the above requirements and agree N to maintain the private sewage disposal system in accordance with x H the standards set forth, herein , as set by the Wisconsin Depart- 10 ment of Natural Resources . Certification form must be completed and returned to the St . Croix County Zoning Office within 30 days of the three year expiration date . SICNEDi/✓�f/ DATE Z 7-- 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 - 6396 To be a complete and accurate soil test,your report must incl>ri(le: I. Complete legal description; 2. The use section rs'rust clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4, Is this a nevs, or replacernent system; S. C;oniplete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; d. 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 saprrrate sheet may be used if desired; 3e Make sure,your benchr ark and vertical elevation reference point are clearly shown,and are permanent; . Complete all appmpriatp boxes as to dates, names,addresses, flood plain data, percolation test exemp- tion, i,appropi late; dCl. it f3t3 information (such as flood plain,elevation)does riot apply, Oace N.A.in the appropriate box: d d, 'Si der the for rn and place your current address and your certification nurnber; 12. ME,Le 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 Tesetures Ether Symbols st - Stom. laver 10"i BR Bedrock Coo COL)bl (3- 10") SS Sandstone gi ._ Gravel' (under d" ) LS — Limestone s — Sand NGW High Gromidwater r,, C o r�se S.ir,c:I l ur c Pc'(4 lab a Rare= t7-i('it E te: liom Sind },i is - Fine,S,,m d Bldq Bii,ldinq Lolaroy Sand ;+. _. Greater�Th''r; Sl - &wdy L'oafn _ Less Thai: 1 - Loam B - Brown Coy - r_z, `'r` ,. -- '3rit y Ciay Loam R � ;�,'43 slCl — Silty (,lay I_i3i:i4 flrvi:SL� V, — S dv Clay W", vv is Si'zy Clzty fit fcv line, faint `,4 _ Cdi�,y ;c r°e�r�trni�rs t rrCa:-r � P rm'n - Many, rediur ;,,rck n. p - proinin nt H L. High wafter level', 'F Six general soil t.extrrt-es surface water for huilid waste disposal BM - Beach Mark VRP -- Vertical' Reference Point a. TO THE OWNER: This soil test report is thk> first step in socL1CiiM a flariitrary permit. The county or the Dept<rtrnen2 1113y reeluest v rjficadon of this soil 's :?.) he tie'l d p!`iol :o $.)k:'.r'rnit 4;3SL3';f?C£;. A ct'Yt1"ri:3lcTi:? sot of pl,,'[i for the plivate r syslen'e wed a Lerri-ril ipplicati)rl must be SUhnlitted to the appropriate local authohty in order to I�tat,r t=r.nit_ the sallitaw/ r�-rrrrir_ rousl be oblaiiied and poMd pa torto tht�start of ar,u c,�astruction T OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUS TR Y Y,, INDUS DIVISION 76,LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (H63.09(1)&Chapter 145.045) LOCATION: SECTION: T—oWNSH I P/M99XXPRUPqQC LOT NO.:BLK.NO.: SUBDIVISION NAME: SW ��CW 1/4 5 /T31 N/119 I (-,)W Somerset n/a n/a n/a COUNTY: OWNER'S BtN6FCAME: MAILING ADDRESS: St. Croiy Wm. Haase R.R.#1 Box 91C Somerset Wi. 54017 USE DATES OBSERVATIONS MADE NO.BEDRPR- COMMERCIAL DESCRIPTION: t gk (PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence 3 n/a ❑New ��}} Il 4-2$_$7 n/a RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional) ®S ❑U ®S ❑U ©S ❑U ❑S ]U ❑S CU conventional If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b),indicate: n/a Floodplain,indicate Floodplain elevation: n/a PROFILE DESCRIPTIONS page 1 SaC2 BORIN DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST.HIGH E T TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 1 8.84 94.75 none >8.84 2.42bn.s.1. 2.17 bn.s.sil. 4.25bn.c.s. B- B- B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERT D2 PER PERINCH P- P- P- P-_ P_ PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori. zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION n/a exsisting system 94.80 �_(t _ ___ I([!I l 7 v j LSt tN f r l i _... - -------- __ ` i F . a i i i 1,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME(print): TESTS WERE COMPLETED ON: Gary L. Steel 4-28-87 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): 998 N- Sbori- T�r- Nw Richmond 54017 229& /07 7J 5446-6200 1, CSTSF GNAT DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — WM. W. Haase SW4SW4 S.5-T31N.-R19W. Somerset, Township I? Oct, /Z' —44 2/0 Gary. L. Steel 988 N. Shore Dr. New Richmnond, wi. 54017 MPRSW 3254