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HomeMy WebLinkAbout032-1023-60-000 O > co z m 0 0 ce) zt z E am 0 z :t D z :!t Ro 0 z U) H E CD CY) N N a cu (D Z (D < N z z co z C.4 C', C14 L CL M r-- -0 ga -6 C In IL m E < U) U) U) z EL 8 0 a.0 0 z IL o CO 0 00 co 0 Cl) cl) 0 0 CD M 47- 8 C> E c 5 to 0 0 'o :3 cl) a. It V < >- CO C*4 O 16 04 (a C E c" N (D O 1.- 0 cc 0 CD :3 c) o r_ 0 -2 c 0 CL cD cD 0 r- -0 �04 0 m 0 c) N 6 — Q I 4 ID -3 C _ S M 75 L r- a) Z • N c!m 0) "00) O "D —2 E -'D , 0 0 3 O zo 2 H rd U) CL 22. >'. L: .2 IL E L) CL L) CL CERTIFIED SURVEY MAP r LOCATED IN PART OF THE NA OF THE NA OF SECTION 9, T31N, R19W, TOWN OF SOMERSET, ST. CROI � r''WISCONSIN. C. M) c •i:, ..�` a '.ri to .may-'r�Q7 NW CORNER SECTION 9 N T31N, R19W a c+ m OWNER sdstk En (D D) Charles Lederer & Kathy Jones-Lederer pIMLQ m �o Rt. 3 Box 36 `t N C River Falls, Wi . 54022 0 a rr H x Cr Z (D (D o N• w w n rn K O (D (D o ►h hfi • to (D °, ° SCALE IN FEET z M Ft rt (D Z rt 0 100 50 0 100 z a z Or. rt z o A'r I O I un — Tatted lands owned b latter �G I rat WEST 473 . 90 jo 440 . 90 ' 00 ir�r ft 33 . 00 I , -- I �+ 6 o o ------e is 33006acres • ft` jEXCLUDING R/W is I0 10) is o i� y 140, 464 sq. ft. ) NJ i}1 of I y irrtt x 3.22 acres ) INCLUDING R/W i� i(n x i� I z io 1 � I � in I� � x i LOT 1 pJ IN rn rn 1 he ( o I° 1n N.. I I I 0 00 1 N o �ri Ir ( rt i Im 33 .00 ' I 440 . 90 ' in EAST 473 . 90 ' II unplatted_lands_owned_by_platter LEGEND St. Croix County Section Corner Monument. 1" x 24" Iron Pipe weighing 1. 68 pounds Wa CORNER per linear foot, set. SECTION 9 this instrument drafted by Douglas Zahler job no. 87-15 1 � 32,' r . PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear, Ft. Q Number of feet from well: Numbers of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: T__ Length: Number of Lines: Area Built: Fill depth to top of pipe: '2 C!) Number of feet from nearest property line: Front, O Side, 0 Rear,O Ft . � Number of feet from well: b 's—cn Number of feet from building: A9 Q / (Include distances on plot plan). H-GCX1 A SEEPAGE PIT ge/ � Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK 1 Manufacturer: Capacity: ! Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: 2- D � Plumber on job: License Number: 3 / ^ 3/84:mj } Form - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER C^ 9L1e' 2 C/2rCfir TOWNSHIP er,5.�J�SEC. _ T,�?/ N-R W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT ---- LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•IHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 1 f l �,3 r 1 � a i -114D!CATE` NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: /,6-m Proposed slope at site: SEPTIC TANK: Manufacturer: /� p -G Liquid Capacity: Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: e Tank Outlet Elevation: 04� L ��✓ 35' Number of feet from nearest Road: Front IQ Side 0 Rear, 0 / feet i From nearest property line Front 10 Side,j�Rear,O feet Number of feet from: well building: (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.BOX 7969 % BUREAU OF PLUMBING MADISON,WI 53707 �I NW,, NWT, S9,T31N—R19W X91 CONVENTIONAL 1:1 ALTERNATIVE State Plan I.D.Number: (if assigned) Town of North Somerset El Holding Tank El In-Ground Pressure El Mound 40th Street NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Charles Lederer Route 3, Box 36, River Falls, WI 54022 11 2_,1/ XS 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: Byron Bird Jr. 3318 St. Croix 96019 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER 1I c PROVIDED: PROVIDED: QtC/ 2 / w�. ❑YES El NO ❑YES ❑NO BEDDING: VENT DIA.: VENT MATL. HIGH WATER NUMBER ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: FEET FROM LINE: IR INLET: ❑YES NO ❑YES NO INEAREST- DOSING CHAMBER: MANUFACTURER. BEDDING: LIQUID CAPACITY. JPLIMP MODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: EYES ❑NO EYES ❑NO OYES El NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMSIER OF PROPERTY WELL. BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FRt1M uNE AIR INLET: PUMP ON AND OFF) ❑YES ❑NO NEAREST': SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing I LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORE the soil is dry enough to continue.) MAIISf' CONVENTIONAL SYSTEM: { WIDTH LENGTH NO.OF DISTR.PIPE SPACING. COVER INSIDE CIA.. #PITS: LIQUID 2pb ,y,T'R //� TRENCHES. MST\ERIA L PIT DEPTH: GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO.DIS t3E l PROPERTY WELL BUILDING: VENT TO FRESH BELOW PIPES. ABOVE COVER E V INLET EL(E�V ENDC< PIPES. I ET FR LIN2 L / AI INLET. G 0.83 Z 72 NEAREST; I /" 2J f20 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- meets the criteria for medium sand. TIONS MEASURED. ❑YES NO SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS DYES [:]NO DYES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED. SEEDED. MULCHED. CENTER. EDGES. DYES 1:1 NO I OYES 1:1 NO DYES 1-1 NO PRESSURIZED DISTRIBUTION SYSTEM: td °WI DT H. LENGTH. NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER: 31 TRENCHES: 41E1MS1�NS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO.DISTR, DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING. ' ELEV.: ELEV.: DIA.. ELEV.: PIPES. DIA.: E 4 f AI%_ 2 � 0 HOLE SIZE HOLE SPACING. DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO APPROVED tY11A If°^y', PLANS ❑YES ENO � ❑YES ❑NO NAlad ° F PROPERTY WELL: BUILDING: COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: IIydY+� .'.. LINE: ❑YES ❑NO ❑YES ❑NO NAi3Eti7 i 77 V �2$ 9Y �f��D Sketch System on 2 /,Rptain in county file for audit. Reverse Side. ` SIGNATUR TITLE: DILHR SBD 6710(R.01/82) `— , Zoning Administrator 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 wastewaterflow ,numb"er of tved- 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; I 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 Grodnd included the creation of surcha-ges (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 reasurB' is used in your building is returned to the groundwater through your soil absorption u ' system or the disposal site used by your holding tank pumper. 0 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- f water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) DIL�HR SANITARY PERMIT APPLICATION COU"TY In accord with ILHR 83.05,Wis.Adm. Code �ro ` �=K"..��... STAT ANITARYPERMIT# �l Dl 2! —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8'/x 11 inches in size. —See reverse side for instructions for completing this application. PETITION ( ' 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES l�l NO PROPERTY OWNER PRO ERTY LOCATION '/a %,S T_7 , N, R E(o PROP RTY OWNER'S MAILING ADDRES ti LOT NUMBER BLOCK NUMBER SUBDIVISION NAME 6 er �- CITY,STATE ZIP CODE PHONE NUMBER CITY yL EAREST R LAKE OR LANDMARK ❑ VILLAGE: P G/ t II. TYPE OF BUILDING OR USE SERVED: Q �Q Number of Bedrooms if 1 or 2 Family OR ❑ Public(Specify): 111. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. W New b.❑ Replacement c. ❑ Replacement of d.❑ Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit## Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in#1 and only one in##2) 1. a. X Conventional b. ❑Alternative c. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. X Seepage Bed b. ❑seepage Trench c. ❑ Seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): / ry �p 6�� b.�pZ Feet J41 Private —1 Joint F-1 Public VI. TANK CAPACITY Site in gallons Total #of Prefab. Fiber- Exper. INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holding Tank C ❑ ❑ Lift Pump Tank/Siphon Chamber ❑ ❑ 11-JILJ Li 1 1-1 VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumb Signature:(No Stamps) MP/MPRSW No.: Business Phone Number: PI er's Address(Street,City,State,Zip Cod Name of igner: r z7 VIII. SOIL EST INFORMATION Certified So Tester(CST Name CST# r CST's DDRESS.(Street,City,State,Zip Code) Phone Number: IX. COLAITY/DEFIARTMENT USE ONLY ❑ Disapproved S nitary Permit Fee Groundwater ate Issui Agent Signature(No Stamps) Approved ❑ Owner Given Initial ' /�O` „la Surge Flee\ may) Adverse Determination / V CJI�-W X. COM ENTS/REASONS FOR DISAPPROVAL: Ian, P�, (3t Qo-oc by SBD-6398(formerly Plb-67)(R.03186) 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 Q erer aR � hones- h_62ver Location of Property W ��_;�q Section q , T 1 N-R W Township yap Vie- Nailing Address 75 (?)(p Rt oec Address of Site rw �o VnerSef Subdivision Name . Lot Number ff Previous Owner of Property r ` t1 be( o Total Size of Parcel Tu Date Parcel was Created De-c_ <:Do , Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes _ ) No Volume _7 Zc and Page Number V(07 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) eenti.6y that att atatements on thi.6 okm cute tAue to the best o6 my (ou,%) knowledge; #hat i (we) am (cute) the ownen(a 1 06 the pnopehty deacti.bed in .thiA Co"6o�unce, lost 'Jour,, by viktue 06 a wa&Adnty deed tecooed in the 066.ice 06 the °ten 06 Vee&as Document No. 0795-5; and that I (we) pneaentty ow the 'posed site bon the aewage di�spoa aya em (on I (we) have obtained an f dA emen t h with r un -cth the above d eiseAe.bed pnopeA,ty, bon the eon.s.tAucti-on 06 aai,d ayatemp dnd the aame ha6 been d4y hecohded in the 066.iee o6 the County Re9iAten o6 Veeda, ab Uoeumen t No. ((C 7(155 ) . 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I i ti 3 uaJ Sou lugs aasugaand laaatp tugs lanoa aql su patlddg pug plaq aq "qs palaalloa os uagm s;goad pug 'sanest 'sluaz gans pug 'uotlag gans so Aauapuad ag1 2utznp Alaadoad aq; so slgozd pus 'sanssi 'sluaz aql ;aalloa o;'lsaaalut pgalsatuoq Sutpnlaui 'Alaadoad 941 so aaetaaaa g so luaus;utoddu aq o4 sJuasuoa zasggaznd ';auz;uoD stg3 so aznsoloazos so uoilag Aug so Sauapuad aq; 2utanp ao luatuaauatuutoa aq1 uodfl •;uaut2pnf Aug ut papnlaut aq llsgs pug 'paaana -ut su 'zasggaand Aq ptud pug ludtautad o; pappu aq llggs aauaptna 0[411 so sasuadxa puu mul Aq pa;lgtgoad IOU 1ua;xa 341 0; (sou ao pcququ aaglagm) aapunaaaq Apautaa Aug aazosua o; paaznaui aopuaA so sags MauzoIju alquuosuaz 2utpn gut sasuadxa us i p s;soa lte pug not;u2.4t1 ut pansznd uagm pus ;t zopuaA uodn 2utputq aq Aluo llugs satpatuaa 2uio2azos*aq; so Aug ;o uolJaala us 'aopuaA so 131101;au zo sluatuaw4s ual;tam ao gzo Aug 211[ ug s [m o •ano s I P q1. 1 N nt ao n t as un 1101 au Auu o Aaua uad a S11tan g ( ) ( ) (•) P J ; p y1 p s;tsoad zo sanssi 's;uaz Auu 3aalloa o; pa;utoddu aantaaaz u angti pug A;aadozd ay; so uoissassod tuoas palaafa zasggaand angq Aim zopuaA (A) pug :lugat tu2tsut st aasg aan o saga ut a g inba .s. q d 3 � l I I a ;t uoi ag g y1 .. 1 a[liJatnb g ui alliJ uo pnolassgJagaJuoO sigJ anotuaa Pug pug 11j Jg�at;aluo0 stgJ aauloap Auut aopuaA (At) zo :soaaagl notlzod Aug zo aotad aaggaznd pigd11n aatlua aql aos mul Ju ans Autu aopuaA (tat) ao '.Aauatatsap Aug aos alcluil aq Itugs zasugaand pug alas lutotpnf lE pa11ot;ans aq llugs Alzadozd aql Juana tlatgm ui 'aapunaaaq anp slunoutu aagJo pug lingsap JO aJup aqJ uO Jaassa ut alua aq Jg uoaaagl lsaaalut gJtm 'aausluq Sutpuumiio aztlua aqJ so JuatuSud llns pug aluipatuun [adutoa o} 1agz1uoO stgl 30 aauuutaosaad atttoads zos ans Sulu zopuaA (tt) ao !(tuaapaz 01 slius zasggaznd st Alaadoad aql aos Mug.' su pug laualuoO stgl Iltstns of aanlpij aos sa vutup paluptnbil su paJtasazos aq Ilugs aasugaand Aq ptud Alsnotnaad slunouir Ilu Juana gatgm ut)zapunaaaq anp slunotug aaglo pug alup gans uo laassa ut a1Ea alp lu 11n73sap so al-ep aqJ utozs uoaaagj lsaaalut tlltm 'aauuluq 2uipuujsjno oa1lua aq; so luatuSud line s,zasggaand uodn pau0tl!puoa aq o1 uo1ldutapaa so AJtnba Aug gltm aansolaaaos Jatzls g2noagl 3tagq Alaadoad 941 aan0301 pug Alaadoad aqJ 111 4130001111 pug 01111 '814.211 s,zasugaand pug 3oualuoO stgl alumtuzal 'uo1ldo stq 1g 'Agar aopuaA (1) :Altnba ut ao mul Aq paptnoad asogl 01 uo1ltppg ui (mul Aq paptnoad suo14g;iut1l Sug 01 Jaafgns) satpatuaa pug slg2tz 2utmollos aqJ angq osle llegs zopuaA pug '(santgm Agazaq aasegaand gatgm) a314ou 4nog1[m pug uotldo s,aopuaA Ju 'llns ut alquSed pug anp Alaluipatutut atuoaaq Iluys lagaluoa ergs zapun aauglgq 2uipuu4s4no aznua gill uato (I!Eul Pat ;tlzaa Aq patt8tu zo St[uuoszad pazanilap) aopuaA .iy 1000041 aatlou ua111am 2ulM011oy' sAgp --- ��so pomad is ao; sanutluoa gatgtA aasugaand so uoTJE2tlgo zaglo Aug so aauutuaoszad ut 11ng;ap is so luaea aq1 ut (q) ao alup anp pat;taeds eq1 2utmollo; sAup••--fig-- so potaad is zos sanu14 uoa gatgm Jsaaalui ao Isdioutad Aug so JuatuAgd aq1 ui 11ngsap g so Juana aq1 ut (g) pug aauassa 8q1 ;o st aut11 4Eg1 saaa2u aasugaand ----•-------------------------------------------------------------------------• ---- ---•-•----•- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------. -----------------------•-----------------------------------....-------...-----.....-•----------...-----...----------•---------------------------------------•------------ ..........................................................6--------------------------------------------------------------------------------------------------------------- :1 C'zasugaznd so 11nusap ao lag aql Aq palgaaa seaugaqutnaua ao suall Aug ldoaxa 'saouszquinoue pug suati jig so agala pug aazs 'Alzadozd eql so 'aldmis aas ui 'paaQ Slugzzgb is zasggaznd gill 01 zaeilap pug alnoexa 'pugtuap uo Ittm aopuaA 'pat;taads aeogli aauugut aq1 til pug satutl aqz 1E patuzo;aad Alln; aq llugs suotltliuoa Ilg pus ptud Alin; aq llEgs sAauout aaglo pug lsaaalui g11es aatzd asggaznd ayJ asga 11t 1gg1 130002E aopuaA •S zacl z 1 o d ay1 211t4aa1jg suot4E[tt2aa pus saaugutpzo sm8t llg gltm .fldtvoa o1 pug 'JagaluoD stgl so uail aq1 of aotzadns suail uioas aaas Alzadozd eq1 Bawl of 'atgdaa pug uo1ltpuoo alggluuual pool ui i.iadozd aqJ 6931 of 'Alaadoad aqJ uo pailttutuoa aq of olmn mo[lu aou a;sgm ltttituoa 01 1011 slvt:uanoa zasgyaand •algtsgas .tllgatuwucar, aq (1 atgdaa so uotlgaolsaa aql stuaap zopuaA aq1 paptnoad 'pa2uump Alzadozd aqJ so atgdaa ao uotluaolsaz of patlddu ay llugs spaaaoad aausansut 12u11vam ut aaa le astmaaglo zopuaA pug zasggaand sealufl •zopuaA puE satugdwoa aaueansut 01 ssol ;o aatJou 3Al2 A1ldutoad llEgs aasugaand •zopuaA gltm paJtsodap aq llegs Alzadozd aq1 Sutzanoa satatlod llu ;o Igut$uo aq1 '2u11tzm ut saaa2u astm.zaglo zopuaA ssalun 'pug Jsaaalut s,aopuaA 8q1 so soeus ut asnEla p.mpuuls agl ,,v4uw llggs satatlod aqy *anp uagm stunituaad eauEansut aqJ Aud llggs aasggaznd •JagzluoD stgl zapun pamo aauglgq aql uuyl azout unoutE uu u[ a2gzan0a aatnbaa ou E s a0 ua n ----------------------- 1 J II g P A J g -------VM--•----$ ;o urns agl ut 'zopuaA Aq panoaddg saaansut g2nozgJ 'aouuznsut-oa JnogjyA 'aatnboa Autu aopuaA sn spauzetl aaglo gans pug sliaad 92uzanoa pepual -xa 'azt3 Aq paummao 92uump ao ssol lsuigSE paansut Alaadoad aq1 uo sluatuaAOZdtut aqJ daa)t ltggs zasggaand 'luatuSud gans 2utmogs sldiaaaa pugtuap uO zopuaA 01 aantlap 01 pug ;i ul lsaaalut s,aopuaA uodn zo Alzadozd aq1 uo patnal sluautssassg pug saxvl i1g anp uagm And 01 sasituozd aasggaznd goCnwco7t ,lr DOCUMENT NO. ��j jZ&�Vf W THIS SPACE RESERVED FOR RECORDING DATA STATE BAR SIN R 11-1982 LAND CONTRACT Individual and Corporate (TO BE USED FOR ALL TRANSACTIONS WHERE OVER L/( $25,000 IS FINANCED AND IN OTHER NON-CONSUMER ACT TRANSACTIONS) I I SchiefelC_boein, kkt and. Schief-].ben and Donna M Su m erfield ST CROIX C:o.DWI& i ----------------------------------------------------------------------------------------------- ("Vendor", ay of ecd A.D.21�h8S ' whether one or more) and____________________ _ _ _ _ x_.............. _ _ ___.�--------------r__3_:._..__ _-.- __.___. __.. .._.. . A. -�7ones-Lederer.,__husband and wife as 3olrlt tenants Charles A Lederer and Kath ____ ______ ________ ("Purchaser", whether one or more). t 10:45 A AL 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"), St Croix in--------------------------------------------------------------------_--- -----.--__._-----_.__---_--- County, State of Wisconsin: RETURN TO C3fn17n & �w1i Box I7 6 � Hudson, WI 54016 i Tax Parcel No- -------------- ------------------- II ' Northwest Quarter of the Northwest Quarter of Section Nine, Township Thirty-one North, i Range Nineteen West (NW]4- NW;4, Sec. 9, T31N, R19W) i TRANSFER i This _____is not_______________________ homestead property. j (is) (is not) Purchaser agrees to purchase the Property and to wherever designated g P P Y Pay to Vendor at ................ ------- the sum of $.21.10-010-.10-0--------------------------------------- in the following manner: (a) $__5000..00_............................. at the execution of this Contract; and (b) the balance of $__19_,QQQtQQ-------_----__-, together with interest from date hereof on the balance outstanding from time to time at the rate of....... 9n._UQW).................. per cent per annum I until paid in full, as follows: I! $3,600.00 on November 1, 1986 and on November 1 of each year until 1992 with the final t of all remainin principal and interest due in full on payment g P 1� November 1, 1993. Provided, however, the entire outstanding balance shall be paid in full on or before the--------- irst day of NQ_VeWber-------------- 1993••_ ( the maturity date). Following any default in payment, interest shall accrue at the rate of.--IQ-----% 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_-fir------------ 19--85.- I&W �>�'L8�$2lHLX�XB18�f80�8f{ZOCQAt�IL?��b8MrL1�9ZlOY1 �7T�Xfh1['�" � 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: No exception 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. Purchaser shall be entitled to take possession of the Property on..........this_.date----------------------------- 19.85___. *Cross Out One. LAND CONTRACT—Individual and STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc. Corporate - FORM No.11—1982 Milwaukee, Wis. z H a ST C - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z d a OWNER/BUYER ChaCICS Ledexr } . � Zederev r� ROUTE/BOX NUMBER TAT l �t� 3�Q Fire Number CITY/STATE t Jey- AILS �1 ZIP 02 2 PROPERTY LOCATION : , PLO Section T 31 N , R ( W, Town of 0rnQC( Se-I 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 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 I/WE, the undersigned , have read the above requirements and agree to maintain the private sewage disposal system in accordance with H the standards set forth , herein , as set by the Wisconsin Depart- ro ment of Natural Resources . Certification form must be completed and returned to the St . Croix County Zoning Office within 30 days of the three year expiration date . SIGNED DATE 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 . 1 f INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test,your report must include: ' 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; . MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or resalacernent system; S. 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; 0, 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; . Make, sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; S. Complete all appropriate boxes as to dates, names,addresses, flood plain data,_percolation test exemp- tion, it appropriate,= 10 If the information (such as flood plain,elevation)does riot apply, place N.A.in the appropriate box; -11. Sign the for and rslace your current address and your certification number; 12, Make legible copies and distribute as rerluiied, AL.L. 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 - Str~3rw sVotiar 10") BR - Bedrock ,m) - cobbltc t31- 10' SS .... Sandstone tit - Gravel (under 3"? LS - Limestone Satan I-'G - High Grr undvvatei r< - f oarse Sal,'d Pet r: `.arm" e,1 do -- B t r�Idiri+�t Is Loamy Sa%�d GI,e,atf,r hf 'Hi s — <ir7dy Loam < _. Lf�sr Than — [_mina Bi; - Browi Loam BI - Bl ck si — Sill G„ ay ci .— Clay Loam 4 —_ Y 11€4srti `Tandy Clay Loa nn R —_ fled sic Silt,/ C lay Loam €lot S.,ra€y Clay r��` vf'th.Gr_ railtY If3', t;.v,, ii ' a -- C;<1 t;;; -- C'Otrl r+Tr:ri t .,atSS w _ Pi at rsar-a'r — �vlj y, raaF diary in — 1 r1;acE <z ctistince yi p orn itt4l='€1 I t�` — Higi, u� ip vf 3. Six qen " l Soil t.extt? 2S rIace,v atk:l for € °1i.r.lt3 +v'as1:e disposa± 131`0 --° B .ch [vlar'k VHP ._ VI,:ticai FS [fr Poin� I TO THE OWNER ire", Sfn I nS" cnt is the first sli"'.1 in seem inn a 3amlary nermi, The county of the Depa.'Et`1erit i"YY�y re€lUHst t.a,..s.' of This sod ;tar } , ine fit,6d Plw €„ = er€alit issai<a.,rr.= A cornplete set of irlrins for The private s sysieIn i"d a ,periml a olio„ ition must he saihridtted to tyre,; appiopriaie local authority in order to (>)l.r:r; .. r.:'[7niE H e t+a !bull' xr:3r';r,It ill IjSI, be. 0b":miled rind posted pf for to the stia", ()f"my i OnSLfl7C[i(:)n. r DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION INDUSTRY, a P.O.BOX 7969 HUMAN RELATIONS PERCOLATION TESTS (115) MADISON,WI 53707 ✓ (H63.09(1)&Chapter 145.045) LOCATION: SECTION: OWNSHIP/1M44� Y: [OT NO.:BLK.NO.: SUBDIVISION NAME: lt/ 1/ 1 a /T?/ N/R/ E co —A/..W — COUNTY: YER'S NA E: MAILING ADDRESS: r f t 3.. USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIA DESCRIPTION: PROFILE DE CRIPTION LATI N TESTS: �esidence � Q1Vew ❑Replace. O _ �� RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE:IEIS SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional) CAS ❑U El CCU DS ❑U [2U I [;�s D 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: Floodplain,indicate Floodplain elevation: ------------ - PROFILE DESCRIPTIONS , _ BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL-WITH THICKNESS,COLOR,TEXTURE,A D DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B 7,irl F . Xd f > 79 ,©/C • S r B- Z dd 9 L d'if > 86 B- 3 7 .0 > 7-1- e s z ' B- f/ ?, . Sr6 8/ rl I T At i 9' s. B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD P RIOD2 PERIOD 3 PERINCH P- 2 3 P- P- L 2 Z i 4Z2 Zoe_2 P-_ P_ / P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevati J I n e direction and percent of land slope. SYSTEM ELEVATION L. I 1 ,y_ _77 tN E l I ._ ._. __ _ _�! _-------- 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. NAM rmt : TESTS WERE COMPLETED ON: —S5 ADDg�S: CERTIFICATION NUMBER: PHONE NUMBER(optional): ) 23 s � pp CST SIGNATURE: ObPY �ZI L-QS S4011, a--) vs� IL DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — 4-.. l4� y r r k ��i i E �:�; r '? �,^ tl r.; �:; t. 4 g; %�" Y =3 i 'c.i' e \ _ , � v IZA Q ^d/ i J h c y,` v _ u� L > lu IN) AL i