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032-2064-30-025
o 0 %) c 0 0 (D 0 Z LL c ce) Z L.0 E 4j 0 Z V CL 4) 0 m c 0 0 z :t fn fn z (D z E Cl) hw N CL (D Ac co O 0 (D Z m z z C*4 8) LO CL m 2 c (0 co 0 0 0 IL .01 co CO CND U) 4) >1 Ca C*4 < fA U) U) E u Z cw) .2 A= w N 6 C5 am 0 0 0 Zoe CL 0 00 C* 0 U) J CO a) ch z CD ZZ Z "0 co o tr_ 0 0 F4 N LO E (L LO U) OD Ln 0 to w c E 04 LO Il- TO 0 :1 0 25 c, A 0 (L 0 (5 C5 i (D C C 0 0 Q 0 7 N a cf) N z z c A O co 0 4) N 0 z o m 0 fn 0) o 12 u) C4 4) IL • CL e L: IL E C ciao to) • " Parcel #: 032-2064-30-025 02/06/2007 04:30 PM PAGE 1 OF 1 Alt. Parcel#: 18.30.19.754C-10 032-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 CAROL A MENK 0-MENK, CAROL A PO BOX 266 SOMERSET WI 54025 Districts: SC=School SP=Special Property Address(es): •=Primary Type Dist# Description `358 150TH AVE SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 9.615 Plat: 4654-CSM 18-4654 032-03 SEC 18 T30N R19W PT SW SE CSM 18-4654 Block/Condo Bldg: LOT 03 LOT 3(9.615AC)FKA LOT 3 OF CSM 6/1577 FKA PART OF LOT 1 CSM 5/1439 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 18-30N-19W SW SE Notes: Parcel History: Date Doc# Vol/Page Type 03/08/2005 789157 2761/512 QC 03/08/2005 789154 2761/505 TI 11/19/2003 746997 18/4654 CSM 10/06/2003 742720 2429/448 TI M0re... 2007 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 9.615 81,000 133,200 214,200 NO Totals for 2007: General Property 9.615 81,000 133,200 214,200 Woodland 0.000 0 0 Totals for 2006: General Property 9.615 81,000 133,200 214,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 502 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 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,0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: X Trench: Width: `t,L Length: Number of Lines: Area Built: 1 C5 Fill depth to top of pipe: [ �� Number of feet from nearest property line: Front, iO Side, Rear,0 Ft . Number of feet from well: �J o Number of feet from building: 'O ~ (Include distances on plot plan). SEEPAGE PIT 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 Manufacturer: Capacity: anu 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: e7 Plumber on job: License Number: ��' 3C� 3/84:mj -A Form - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER P TOWNSHIP S ;1 SEC. T-3<--) N-R/9 W ADDRESS ?S � ST. CROIX COUNTY, WISCONSIN SUBDIVISION 3 LOT — LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I1HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM C► �.7 6i 7 1 INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used To Elevation of vertical reference point: ,� Proposed slope at site: SEPTIC TANK: Manufact�i 'er: Liquid Capacity: ,,/67Z37c� Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,(;;�)Side,0 Rear, 0 / feet From nearest property line Front,oSide,�Rear,O J feet Number of feet from: well J-20 building: 0�6 / (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 LQBf3R$i HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969. BUREAU OF PLUMBING MADISON,WI 53707 SW4,SE4,S18,T30N-R19W MCONVENTIONAL ❑ALTERNATIVE (ItfassPlan lo.Number: Lot N. 3 Holding Tank ❑In-Ground Pressure ❑Mound Town of Somerset NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Terry G. Menk Route 2, Box 275B, Somerset, WI 54025 �') : 30 5-A I-X 7 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 92543 SEPTIC TANK/HOLDING TANK: MANUFACTURER: L CAPACITY: Pd_K INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER T(yo p ED: PROVIDED (�� l�/ YES ❑NO DYES 90 BEDDING: I VENT DIA.: IVEVTMAT .: HIGH WA ER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VEN TO FRES / ALARM: FEET FROM LINFj!1 �/ IAIR ❑YES NO v ❑YES ❑NO NEAREST `(YJ� J V DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY. PUMP MODEL. )TIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO ❑YES FIND DYES ❑NO GALLONS PER CYCLE: PUMP AND CONTROL E ATI NAL NUMBER OF PROPERTY WELL BUILDING:IVENTTOIHI--5"R INLET (DIFFERENCE BETWEEN FEET FROM LINE PUMP ON AND OFF) ❑YES ❑N NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing i LENGTH D AND MARKING or excavation. (if soil can be rolled into a wire,construction shall cease until FORCE MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH: LENGTH: NO.OF DISTR.PIPE SPACING: COV INSIDE DIA. St PITS LIQUID BED/TRENCH TRENCHES: MA ERIAL: PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPT DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO.DI NUMBER OF PROP TV WELL: BUILDING: V NT TO F9ESH BELOW PIPE // AB ER. ELEV.INLET ELEV.END: PIPE- FEET FROM � AI(T'tN'4FT/ r NEAREST- MOUND <_SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. DYES ONO OIL COVER ITEXTURE PERMANENT MARKERS OBSERVATION WELLS DYES ❑NO OYES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED SEEDED MULCHED CENTER: EDGES. DYES 1-1 NO DYES ONO ❑YES E:1 NO 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 NUISTNIBUTION PIPE MATERIAL&MARKING ELEV.. ELEV.. DIA.-. ELEV. ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL PLANS -1 LIFT CORRESPONDS TO APPROVED ❑YES 0 N DYE S ❑NO COMMENTS: IFERMANENT ARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: ]BUILDING: FEET FROM LINE: - YES ❑NO S ❑NO NEAREST ,0 S � v d 5 Sketch System on Lain in county file for audit. Reverse Side. sw ITITLE Zoning Administrator DILHR SBD 6710(R.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. A](revisions to this permit must.be approved'by the permit issuing authority.A new permit rpay 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 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. Prcaerty 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 AM erences; 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 trill Ground 8te't-- included the creation of surcharges (fees) for a number of regulated practices which Wiscot> E13'S ° can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried re.a Ural 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. .o 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) SANITARY PERMIT APPLICATION COUNTY L'DILHR In accord with ILHR 83.05,Wis.Adm. Code STAUSANITARY PERMI # —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 NO PROPERTY OWNER PROPERTY LOCATION (T, eh, '/a '/4, S T p , N, R / E(or PROPE TY OW R'S MAILING DDRESS LOT NUMBER B SUBDIVISION NAME S CITY, PHONE NUMBER CITY ET OLAKE ` O3 L ND ARf VILLAGE: 7,;0 J ^ t� ! /'�/ II. TYPE OF BUILDING OR USE SERVED: •°� ®cJ�_ .1�lT— Number of Bedrooms if 1 or 2 Family. ��—OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable) 1. a. �'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. gConventional 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. See a e 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): O t��( EN( Private,0 6— Q / � O OF eet Ua`Private ❑Joint ❑ Public VI. TANK CAPACITY Site in allons Total ##of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank e t S PR F-1 Lift Pump Tank/Siphon Chamber ❑ ❑ ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): /� Plumber's Signature:(No Stamps) MP/MPRSW No.: '/ Business Phone Number: r 0 n /gj'/r ;? e- 7/rte' ®26 g:�70C Plumbe Address(Street,City,State,Zip Code): Name of Designer: .� O ot b f h C_ VIII. SOIL TEST INFORMATION Certified Soil Tester Name �� / CST# / CST's ADDRESS(Street,City,State,Zip Code) Phone Number: -.1 IX. COUNTY/DEPARTMENT USE ONLY �j ❑ Disapproved S nitary Permit Fee Groundwater ate Issui Agent Signature(No Stamps) LC!Approved ❑ Owner Given Initial //`` S chargge+Fee I U7 Adverse Determination /6v'(0U J• 4" ' X. MMENTS/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 L z z �° PaO L K 1 E�4 Location of Property SW � Sc.. �, Section , T 3011 N-R _IS - W Township Mailing Address 1 G S- Lot L-&o.,� 3� N10 L 4 I Address of Site bA use: Cj i S C— Subdivision Name : Lot Number 3 Previous Owner of Property t-A*3 ( PtQQ" Total Size of Parcel b dDj--C-Z:6S Date Parcel was Created S r %0T` er —} (qf,5- Are all corners and lot lines identifiable? X Yes No Is this property being developed for resale (spec house) ? Yes No Volume _ (�— and Page Number IS-7 7 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) cenfii.6y that af-t statements on fihi6 6onm ane tAue to the but o6 my (oun) knowledge; that I (we) am (a&e) the owner(.a) o6 the pnopeh ty dens ch i.bed in fih•i.s in 6ohmati,on onm b ViA tue o a waA 6 y 6 arty deed recorded in the 0 6 6.tce o6 the Co ty R e isxen o 6 Veed6 cus Document No. OCpG 1 , and that I (We) pnea ent,2y own the pnopoded site bon the .sewage didpod .6y4 em (on 1 (we) have obtained an easement, to nun with the above dacAi.bed pnopehty, bon the con,6tAuction o6 bai,d dyd.tem, and the eame had been duty neconded in the 066ice o6 the County Reg.i,.e.ten o6 Veedd, ad Voeumenz No. 4(-)t3©d ) ) . SIGNATURE 0 ER / SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED L Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest In it and to deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Property Insured against loss or damage occasioned by fire, ex- tended coverage perils and such other hazards as Vendor may require, without co-insurance, through insurers approved by Vendor,in the sum of$ none-vacant land , Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay he insurance premiums when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible. Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property In good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws,ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to the Purchaser,.a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except any liens orencumbrances created by the act or default of Purchaser,and except: none Purchaser agrees that time is of the a sence and (a) in the event of a default in the payment of any principal or interest which continues for a period ofd-days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of-60 days following written notice thereof by Vendor (delivered personally or mailed by certified mall), then the entire outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby waives), and Vendor shall also have the followln rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equlty: (I� Vendor may, at his option, terminate this Contract and Purchaser's rights, title and Interest in the Property and recover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if Purchaser fails to redeem); or (II) Vendor may sue for specific performance of this Contract to compel Immediate and full payment of the entire outstandng balance, with Interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (ill) Vendor mhy sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet-title action if the equitable interest of Purchaser Is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, Issues or profits during the pendency of any action under (1), (ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses Including reasonable attorney's fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in- curred,and shall be Included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homestead Interest, to collect the rents, issues, and profits of the Property during the pendency of such action, and such rents, Issues, and profits when so collected shall be held and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable Interest in the Property (by assignment of any of Purchaser's rights under this Contract or by option, long-term lease or In any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable In full, at Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor falls to do so and all payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms of this Contract shall be binding upon and Inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights In the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof,) / - Dated this day of MA (�-C�-------/ . 19 - -ik= - � (SEAL) �L(SEAL) • Terry G. nk Janice E. Caruth t� �-/• (SEAL) (SEAL) • GUTAL Carol A. Menk ------------ AUTHENTICATION ACKNOWLEDGMENT Signature(s)— STATE OF WISCONSIN ss. — St. Croix _—_County. authenticated this day of _-_ ,19--_ Personally came before me this. p—p !Y�&_ day of _ 19-SY-the above named -- Carol ruth Terr G. Menk Janice E._Ca------�------y------------ _A. Menk _...-------.._...--------- ---- --.-------------- TITLE: MEMBER STATE BAR OF WISCONSIN _ —_—_— (If not,- tom no to the person 3 who executed the authorized by§706.06,Wis.Stats.) f goi t3a1;31t31 t Mme. •i Notary Public THIS INSTRUMENT WAS DRAFTED BY Acorn Realty nenni s El Pi qrhgi IPr - 245 Main St. Notary Public. St. Croix County,Wis. Somerset Wi. 54025 My Commission is permanent. (If not, state expiration (Signatures may be authenticated or acknowledged. Both date: Oct. 5 11986 .) are not necessary.) NTF 227eA 'Names of persona signing in any capacity shoud be typed or printed below their signatures. State Bar of Wisconsin LAND CONTRACT-Individual and Corporate Form No.11-1982 Nelco Forms.P.O.Box 1075,Green Bay,WI 54305-1075 i DOCUMENT NO. STATE BAR OF WISCONSIN FORM 11 -1982 I THIS SPACE RESERVED FOR RECORDING DATA II LAND CONTRACT Indlvldualand Corporate SYBE USED FOR ALL WHERE OVER S,000IS FINANCED AND IN OTHIER NON-CONSUMER ACT TRANSACTIONS) Contract,by and between Janice E. Caruth, an unmarried woman w hether one or more)and Terry G. Menk and Carol A. Menk,("Vendor", hosbbnd and wife as Joint tenants I !I ( Purchaser",whether one or mop.). i Vendor sells an •.- d agrees to convey to Purchaser, upon the prompt and full pr I Ii 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. Crnix County,State of Wisconsin: -------------.----------.---- -------.. ..RETURN TO -------------- --------- Tax Parcel No. A parcel located in the SW$ of the SE; of Sec 18 , T30N , R19W , I Town of Somerset , St Croix Co . , Wisconsin described as follows : Lot 3 of CSM recorded September 6 , 1985 in Vol 6 , page 1577 , as Document No 400001 . I This is not homestead property. (kWX ps not) Purchaser agrees to purchase the Property and to pay to Vendor at a designated place the sum of$ 18,000.00 in the following manner: (a)$_4.000 at the execution of(his Contract;and (b)the balance of$—L4-,01710_fly .--together with interest from date• !� hereof on the balance outstanding from time to time at the rate of l 1% j tPn and{--on -- al f) per cent per annum until paid in full,as follows: li Monthlv payments of not less than $130.00 to be applied first to inter:?st , then to principal, with the entire principal balance due and payable two (2) years from the date of closing; buyer may prepay the land contract in any amount at any time without I� penalty. Upon a prepayment within the first year seller agrees to discount the remain, ing principal balance of said contract ten percent (10%). Provided,however,the entire outstanding balance shall be paid In full on or before the Sixteenth day of September , 19.$.1 (the maturity date). Following any default in payment, Interest shall accrue at the rate of 107 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, 1! Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of I; taxes, assessments and insurance will be deposited Into an escrow fund or trustee account, but shall not bear Interest unless otherwise required by law. II 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 1 6 SCp_t emb P i� 19 R 5 (0R) i Tie OEM iZ02P_TLC2WMMatoEoil I?l?Casagalya fit ntlupeL aIshia(Liit_\tt M4 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 countlnued In the event of credit of any proceeds it of insurance or condemnation,the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: none Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price Is paid. Purchaser shall be entitled to take possession of the Property on 16 September ,19 85 *Cross out One. NTF 2278 LAND CONTRACT—individual and STATE BAR OF WISCONSIN Corporate FORM No.11 —1982 Nelco Forms,P.O.Box 1075,Green Bay,WI 54305-1075 MID, CERTIFIED SURVEY MAP Located in the SW 1/4 of the S3;1/4 of Section 18, T 30N, R k9W' Town of Somerset, St. Croix County, Wisconsin , Surv. y -,f4j' Jan Caruth 1 10 44, f. Z, hitetail Rd. iouiton',"vii ., r; l UNPLATTEDalps 8 5'37" 72.7 DETAIL. .$6' ;,348.!7 ; 9193.RD' NO SCALE ~ 20.30' NOTE: LOTS 1 a 2 ARE +� $ FROM THAT ,3•M FOUND ' n IN VOL. b ?A gg'-iail»,� _. ,. .., M1 I .. �.. ��. •�• Ili tl1� z°I N 41 # • *!I �1 cv 1., 1 r 40. m I .Ni � a1 Z �y p W $ Itll p W (�� F- HI LOT 4 ui � LOT 3 v '' ,v `' �, CL Lt( + 436800 Sa FT. . 46+211¢ Sa FT. • • al O O I O - O Z N N BEARINGS REFERENCED TO THAT CS.M. IN VOL. 5 PAGE 1439 O e: POINT OF BEOINNINO 331 .28' t 348.87' 293. 9' Arrt,9 611 N e9 27'22,w 973,42' T o IiO4.11M S I/4 CORNER SECTION 18^ a`. GARNER blt"gTIQf. 13 T30N, RISW T30N, 1110W UNPLATTE� LANpS .,. «..r. ._ _.. SCALE IN FEET l%200' LEGEND ' . 0 200 400 • 1" IRON PIPE FOUND C I"X24" ROUND IRON PIPE WEIGHING 1.68 LBS./LIN FT. SET COUNTY SECTION CORNER DERNT39N CAP 4as•aao H y r ST C - 105 r a SEPTIC TANK MAINTENANCE AGREEMENT . o St . Croix County z d a OWNER/BUYER ri ROUTE/BOX NUMBER ZWT-P- -' ��. ��� Fire Number CITY/STATE Sm4Q4z_&' ', L-L)t�'�°-' ZIP PROPERTY LOCATION :,&,�. _14, _SE�__�4, Section-IT _, T _2,8N , R _W, Town of 0 Kk4ZS t'.1 , St . Croix County , Subdivision , Lot number_. ' I 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 f[ 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 H the standards set forth , herein , as set by the Wisconsin Depart- 'b ment of Natural Resources . Certification form mist 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 715-796-223SI or 715-425-8363 Sign , date and return to above address . s NO I � O �, ��I — — -- - - - - - -� N ; � �� � I �n F � � I NO �; n of � I I R I a D I Z .Z �_ w I ° I I Z CA nZ 6 �Z � I I ° �• � I I r- s . � � tl m L I I r I o— I s � I E I I CA I I I I m I II _ o _ IIp ° , C3 r- Nw - - pJ I Ck I . Y I 4 • , a I 1O ' L J � I _ CD I I I II N I p :d 1 � M►'taiS .2•.i �� u� �o — } ! 9 ♦ r N D i� I to— io cO 3 e+ � dY � to9 � 4 ��i � � $off •� a Y f � � J _ •- � °•_ a0 � s cY \ •�Z Q, ci h r Ilb 3 �+ moo Q L 4go N OIL +� Da4 ? N N of V, ' \ i f I O ., _• u. II '1 /T =O� ? atN I dd \ \� \�� N� coo ci of Y I a r to a v u d � W ul N a a D 3 'to OC i r O00 O � L M .9L � t� g � V -440 7 Tj 00 r Q' Lip ' I a N '� W d N ► O all Z fn fd ui 0 to td o 2�• � otn o m bOp�1 0,-Lvd 90�cw)}I DQ��Jl4 001'r )^ „£$x.4. 8[. o b ,.♦i�lq",:fF 'o'b ��+ g � � �'� Q' 4 e 3v a f INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 5395 3 ` To be a complete and accurate soil test,your report must include: 1. Cols-iplete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3e 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 OWTHER 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 sepal ate sheet may be. used if desired; B- Make sure your benchmark and vertical elevation reference point are clearly shown,arid are permanent; . 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 not apply, place N,A,in the appropriate box; 11, Sian 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 Sail Separates and Textures Other Symbols s - Stone (ewer 10") BR - Bedrock roll _._ Cobble (3- 10") SS - Sandstone car Caravel (under 3") LS - Limestone *s - Sand HGW - High Groursdwater -s Coarse Sand Few - Percolation Rate reed s (`Tedium Sand W tN"II fs - Fire Sand Bldg - Building Is - Loarny Sand > -- Greater Than psi Sanely Loam < Less Than - Loaril Bn Brovvn �sil - Silt Loann Bi - Black s; _._ Sill Gy ( ray 'cI - Clay Loan) Y -- Yellow scl Sandy Clay Loam R - ;sec# sicl Silty Clay Loans mot Mottles s€- Sandy Clay w/ uvodI sic - Silty Clay ff-i few, fine,faint *e Clay cc -- cornmon,coarse pt Poat rnm - Many, rnedium m - Muck d - distinct p -- prominent HWL - High water level, w Six general soil textures surface water for liquid waste disposal 6M - Bench Mark VRP Vertical Reference Point TO THE OWNER: This soil test report is the first step ill seccrring a sanitary perrrrit. The county or the Department may request V, :=`:lt!ol'l of tills soil test in t:he', field fluor to permit: issuance, A complete sot of olai—iy fcr the private ge= systsMn &1d a perrnil applicati on must be su:rtritted tcl the appropriate local aulhorkY ill order to n)lair; , seers =.it. The sa ns`tary Ixrern-,it must be obtained and posted pi ior to the start sat any cursstruction- DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, G DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN'RE LATIONS (H63.09(1)&Chapter 145.045) LOCATION:S SECTION:T3 p �/ y/ TOWNSHI IP LITY: LOT NO.:BL�K. NAME: CO N OWNER' BUYER'S NAME: MAILINP ADDRESS: / l,� Cliff r ` 607 . USE DATES OBSERVATIONS MADE NO.BEDRMS:ICOMMER IA DESCRIPTION: PROFIL DES RIPTIONS: �R O I NTESTS: Residence � New ❑Replace. RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN-GR ND-PRESSURE: SffK:RECO MENDED SYSTEM:(optional) ❑U R ❑U ❑U ❑ ❑ � 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: S � Q Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS 33 LV BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER &EgLN I�- ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) T; oar � ���-� 7 lL74 B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER MCF11 S AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P- P- P- P-_ P- P-- .► PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indic t�e` le o(`a4" '!� es. Descr hat are the horn zontal and vertical elevation reference points and show their location on the plot plan. Show the surface eleva I' t all� wlrgs and the "r ction and percent of land slope. 1f�O�✓6�/t .�ry�o�j ��,z 3 5 SYSTEM ELEVATION 40 w&v 4-v - E ` \ -�- s a , - TN I i d , 41 � 3 9 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: ��-€ 11--/'o - 8 5 AD DR S: I CERTIFICATION NUMBER: PHONE NUMBER(optional): CST SIGNA r DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — 1 PLOT PLAN PROJECT y'� GADDRESS ainc r5��� lJ,,V- 1145E 1144f,6 /T -40 N/R/f W 00NTY MPRS Byron Bird Jr. 3318 DATE - 8' BEDROOM CLASS PERC vP- CONVENTIONAL IN-GROU PRESSURE CONVENT NAL LIFT_MOUND_HOLDING TANK SEPTIC TANK SIZE ZLIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE ABSORPTION AREA 6 © PERC RATE <3 a BED SIZE -1,-2 X 40 IL Benchmark V.R.P. Assume Elevation 100' Location of Benchmark * H.R.P. SF �arrl ,i ® jr°ro . L �J_�— � �i^• roc — 1:3 Borehole Q Well Scale -}-- = Feet O Perc Hole System Elevation fff4$� TYPAR COVERING 2" 12" 3' Q 6' Q 3' 3 1 6" Sewer Rock 12' 7-re c J Lb e-1 4 e co e v, T b� � 5- o � or, 0 ,,R B� Y� �+r a 5 pro qy4