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Parcel #: 032-1070-20-000 02i21i2007 02:57 PM
PAGE 1 OF 1
Alt. Parcel#: 25.31.19.346A-1 032-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
O-MCMEEKEN, GRAEME D& LUCIE M
GRAEME D&LUCIE M MCMEEKEN
722 190TH AVE
SOMERSET WI 54025
Districts: SC =School SP=Special Property Address(es): '=Primary
Type Dist# Description '722 SHADY LN
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 6.030 Plat: N/A-NOT AVAILABLE
SEC 25 T31 N R1 9W PT SW SW FORMERLY LOT 1 Block/Condo Bldg:
CSM VOL 3/654 NKA LOT 4 CSM 11/3220 6.03
AC Tract(s): (Sec-Twn-Rng 401/4 1601/4)
25-31N-19W
Notes: Parcel History:
Date Doc# Vol/Page Type
10/01/2003 742056 2425/074 WD
01/03/2000 616305 1481/237 WD
07/23/1997 789/204
07/23/1997 759/399 more
2007 SUMMARY Bill#: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/24/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 6.030 63,100 151,400 214,500 NO
Totals for 2007:
General Property 6.030 63,100 151,400 214,500
Woodland 0.000 0 0
Totals for 2006:
General Property 6.030 63,100 151,400 214,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch#: 136
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: Trench:
/ 1
Width: Length: _ Number of Lines:_ Area Built: /.z
el
Fill depth to top of pipe: .2X
Number of feet from nearest property line: Front, sO Side, Rear,O Pt .1�
Number of feet from well: Q i,
Number of feet from building:
(Include distances on plot plan).
SEEPAGE PIT f / °
Size: Number of pits: Diameter:
i
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 A1111A
Manufacturer: Capacity:
Number of rings used: vation 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 fe6t"firom building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector: /f
Dated: C7% �- Plumber on job: �Lt J�.a
License Number:
N.
3/84:mj
Form - S T C - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP Sow, -, r,-T— SEC. 23- T 2-N-R W
ADDRESS �Q OX 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
Sec S� S.
7SZ�
— - — `,—
too
goGJ�4
9
V
Q
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used
r s, ,' t O? a*6o v �, "a cl'LC
Elevation of vertical reference point: t 00 Proposed slope at site: / 4
SEPTIC TANK: . Manufacturer: W�.f 5 �° Liquid Capacity:
Number of rings used: �i _ Tank manhole cover elevation: p 1 C/j
Tank Inlet Elevation: c) �} , ���- Tank Outlet Elevation: t
i
Number of feet from nearest Road: Front, Side10,Rear, O ?�6 feet'
From nearest property line Front,0 Side 10 Rear,0 feet
Number of feet from: well �, building: 7+/
(Include this information of the above plot plan) ( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
i
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS
LABOR& HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O.BOX 7969 BUREAU OF PLUMBING
MAI?1SUN,NC! 53707
SW%, N,4,S 3707 N—R19W CONVENTIONAL 1:1 ALTERNATIVE State Plan 1.0.Number(if
Town of Somerse t ❑Holding Tank ❑ In Ground Pressure ❑Mound
HWY 3 5
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION ATE-.
Bernell Jansen Route 1, Box 34J, Somerset, WI 54025 .30 q -3—V
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:
Michael E. Wilson 6388 St. Croix 96054
SEPTIC TANK/HOLDING TANK:
MANUFACTURER: LIQUID CAPACITY ' TANK INLET ELEV.. TANK OUT ELEV.: WARNING LABEL LOCKING COVER
h���}�� JJ�� 2 JIFICYIDED. PROVIDED:
VJ �,?,d YES ONO EYES O
BEDDING: VENT DIA.: VENT M L. HIGH WATER NUMBER OF ROAD: PROPERT WELL JBUILDING. VENT RESH
ALARM FEET,FROM LINE AIR 1 LET:
OYES y O ❑YES NO NEAREST
DOSING CHAMBER:
MANUFACTURER BEDDING: LIQUID CAPACITY. PUMP MODEL. PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
❑YES ❑NO E:1 YES ONO DYES ONO
GALLONS PER CYCLE: JPUMP AND CONTROLS OPERATIONAL: NUMBER OF 'PROPERTY WELL BUILDING.I VENT TO FRESH
(DIFFERENCE BETWEEN FEET FROM LINE AIR INLET.
PUMP ON AND OFF) El YES ❑NO NEAREST
SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of lowin LENGTH JDIAMETER MATERIAL 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:
WIDT _ 1 NO.OF DISTR.PIPE SPACING. COVER INSIDE DIA. #PITS. LIQUID
BEDIT3EH TRENCHES MA RIAL PIT DEPTH-
' [aIMEPISiONS
GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR NUMBER OF PROPERTY WELL BUILDING: VENT TO FRESH
BELOW PIP S ABOVE COyt'R Z EL V IN�.€T ELEV.ENO PIPES LINE AIR L T FEET FROM 0
1 .629 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-
meets the criteria for medium sand. TIONS MEASURED.
OYES 1:1 NO
SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS t
OYES ❑NO YES ❑NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH'BED DEPTH OF TOPSOIL. SODDED. SEEDED. MULCHED.
CENTER EDGES.
OYES 1:1 NO OYES ONO DYES ONO
PRESSURIZED DISTRIBUTION SYSTEM:
-.WIDTH. LENGTH. NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER:
° flfTfNOhI TRENCHES:
,.5E31ML"-USIONS
MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: INOISTR.DISTR. D PIPE DISTRIBUTION PIPE MATERIAL&MARKING.
ELEV.. ELEV.. DIA,-. ELEV.: PIPES. DIA.:
LEV/4 ION AND
,' FhITIflI�I '_
FOR�,✓<e*�10 a HOLE SIZE HOLE SPACING. DRILLED CORRECTLY COVER MATERIAL- PLANS.
CAL LIFT CORRESPONDS TO APPROVED
❑YES ❑NO DYES ❑NO
COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING:
FEE=T FROM LINE:
❑YES ❑NO [:]YES ❑NO NEAREST
II e >
/�
Sketch System on '�V t Retain in county file for audit.
Reverse Side.
SIGNATURE: - TITLE.
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. 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 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:
1. Property owner's name and mailing address. Provide the legal description where the system is to be
installed;
11. 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;
111. 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
commoniy known as the groundwater protection law. This change in statutes was the
°esuit of !giver 2 years of steady negotiation and public debate. The groundwater bill
Groundwater
Stir
i= clu_ied the creation of surcharges (fees) for a number of regulated practices which Wisa3 in
4,an effect group water. The surcharg.- took effect on July 1, 1984. All of the water that burie:f t 3auC
used in your building.is returned to the groundwater through your soil absorption o i
system or the disposal site used by your holding tank pumper.
6
The r;nonies Collected through these surcharges are credited to the groundwater fund adminis-
tered by the Department of Natural Resources. These funds are used for r7or0orirg ground- t
�,,ater, groundwater contamination irs•*estigations and establishment of standards. Groundwater,
it's worth protecting.
SBD-6398(8.03/86)
SANITARY PERMIT APPLICATION COUNTY
ILHR In accord with ILHR 83.05,Wis.Adm. Code
El:
ST TE SANITARY PERMIT#
—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 [9NO
PROPERTY OWNER PROPERTY LOCATION
-e^" c,j '/a �✓ '/a, S 2� T,3 N, R / E (or)dD
PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME
CITY,STATE Z � PHONENUMBER ❑ VILLAGE: NEAREST AKE OR LANDMARK
SiLTOWN
II. TYPE OF BUILDING OR USE SERVED: to ' Q _ 10 40 070
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. 5�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.jaconventional b. ❑Alternative c. ❑ Experimental
2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP
In-Fill Tan k
V. ABSORPTION SYSTEM INFORMATION: (Check one)
1. a. 0-seepage Bed b. ❑seepage Trench C. ❑ See a e Pit
2. PERCOLATION RATE 3. ABSORPTION AREA 14. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY:
(Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet):
y 1/ .4a 6 0 5,0,q2_ Feet Private ❑Joint ❑ Public
VI. TANK CAPACITY Site Fiber- Exp
Manufacturer
in allons Total ##of Prefab. .
INFORMATION New xisting Gallons Tanks 's Name Concrete strructed Steel glass Plastic App.
Tanks Tanks
Septic Tank or Holding Tank A �✓r�' ti
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) JOMPRSW No.: =24r- Number:
�!► G✓� r ate. �-✓ �� 8'� 6 7--i D
Plumber's Address(Street,City,State,Zip Code): Name of Designer:
VIII. SOIL TEST INFORMATION
Certified Soil Tester(CST)Name CST#
1-7 • C C. f.✓,'Cf
CST's ADDRESS(Street,City,State,Zip Code) Phone Number:
IX. COUNTY/DEPARTMENT USE ONO
❑ pproved S nitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps)
Su harge Fee
Approved Given Initial f �.y„). �� �
Adverse Determination l� /
X. COMMENTS/REASONS FOR DISAPPROVAL:
jCj_K CL0 F4.Z 9-ecl b j h rt r ,,j- (,S' �Kl kL r►..S
SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber
V. Form - S T C 100
w ,
Owner of Property �C ti `s y, T;Q/u—s6'/V
Location of Property_= �4 SVV/ , Section A5- ,T ,3/ N Rj
JW
Township_
Mailing Address /Lt2aTE / dox-34 -J-
Subdivision Name
Lot Number
Previous Owner of Property if
Total Size of Parcel l�
Date Parcel Was Created
Are all corners identifiable? _Yes No
Include with this application one of the following :
. Certified Survey Map
. Deed
. Land Contract , or
. Other legal Document which describes the property
PROPERTY OWNER CERTIFICATION I
I (We) certify that all statements on this form are true to the best of my (our)
knowledge;that I (we) am (are) the owner(s) of the property described in this
information form, by virtue of a warranty d ecor in the Office of the
County Register of Deeds as Document No. _ ;and that I (we)
presently own the proposed site for the sewage disposal system (or I (we) have
obtained an casement, to run with the above described property, for the
construction of said system, and the same has been duly recorded in the Office
of the County Register of Deeds, as Document No. ),
tGNATURE OF OWNER SIGNAT*EO CO�( A LE)
PA TE StQNEp DATE SIGNED
DOCUMENT NJ. STATE BAR OF N 1 -1982 THIS SPACE RESERVED FOR RECORDING DATA
LAND CONTRACT
Individual and Corparrate
5,000 USED FINANCED TRANSACTIONS D OER ON-CONSUMER
ACTTRANSACTION )
ST, CROIX CO., WI&
Contract,by and between Richard T. Breault ReecL for Record fhb 7th
(,'Vendor', day of N o.,, v A.D, 986
whether one or more)and Bernell S. Jansen and Kathleen M. 8:30 A
Jansen, husband and wife as joint tenants
("Purchaser",whether one or more).
Vendor sells and agrees to convey to.Purchaser, upon the prompt and full per-
formance of this contract by Purchaser, the following property, together with the
rents, profits, fixtures and other appurtenant Interests (all called the "Property"),
in St. Croix County,State of Wisconsin: —
---
RETURNTO
i - Tax Parcel No.
I!
1I Part of Southwest
II Quarter of Southwest Quarter (SA of SW's) of Section
Twenty Five (25), Township Thirty-One (31) North, Range Nineteen (19) I
West, described as follows: Certified Survey Map filed August 8, 1978,
I in Volume 11311, page 654, and more fully described as follows : Commencing
at the Southwest corner of said Section Twenty Five (25); thence South
j89°301 East 902.50 feet to a point and this being the point of beginning
of this survey; thence North 0 301 East 626.10 feet to a point; thence
South 89°301 East 417.50 feet to 0 a point; thence South 0°301 West 626.10
feet to a point; thence North 89 301 West 417.50 feet to the point of
beginning.
11"SM
I� This is not homestead property. $
(Is) (is not)
ii Purchaser agrees to purchase the Property and to pay to Vendor at a designated p 1 ac a FED ,
II the sum of$ 11,000.00 In the following manner: (a)i 5,000.00
at the execution of this Contract;and (b)the balance of 16.0001,00 ,together with Interest from date
hereof on the balance outstanding from time to time at the rate of per cent per annum
until paid In full,as follows:
Monthly payments of not less than $50.00 to be applied to interest only,
with the entire principal balance plus $25.00 due and payable on February
Ii 15, 1988.
i
I
�I
J
Provided,however,the entire outstanding balance shall be paid In full on or before the 15th day of
ii I
February ,19_$$_(the maturity date).
Following any default In payment, Interest shall accrue at the rate of__ 0 _% 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 anticl-
pated annual taxes, special assessments, fire and required Insurance premiums when due. To the extent received by Vendor,
�i Vendor agrees to apply payments to these obligations when due. Such-amounts received by the Vendor for payment of
II� taxes, assessments and Insurance will be deposited Into an escrow fund or .trustee account, but shall not bear interest
I; 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
iamount may be prepaid without'premium or fee upon principal at any time after.- No_x mbar 4 ,19 Ob (OR)
i In the avant of arty prepayment, this contract ahal: n3: be L*aated 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
rnade as first specified above; provided that monthly payments shall be countinued 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: Easements of record
Judgment taken by Eugene Hermann d/b/a/ Gene's IGA against Leonard Brown, in
Circuit Court, Si. Croix County, dated March 24, 1981, docketed March 24, 1981,
in Volume 11511 Sm. Claims, page 235, as shown at entry No. 104 of said Abstract.
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 November 4 19 86
Cross Out One.
NTF 2278
LAND CONTRACT—Indlvlduai and STATE BAR OF WISCONSIN
Corporals FORM No.11—1982 Nalco Forms,P.O.Box 1075,Green Bay,WI 54305-1075
I
t
Purchaser promises to pay when due all taxes n asses e e levied on to r
Z
in*t and to deliver to Vendor on demand receipts showing such payment.
roped (t1
?.,rcoverage haerllseandtsuchmotheehazards astVe dorpmaylrequie,awithoutico-insuran e, through!insyrgRs app ex
Dss or damage p re uire coverage in an amount more Ttt
shall not q ,
• but Vendor r•�• shat,
c,+ctes
t �,>ndor in the.stjm of$ '0' he insurance premiums when due. Thc. q �
' Contract. Purchaser shall pa t
the balance owed under this g give notice of loss to `
-.miain the t covering the iPropert , shall bendeposited withaVendor. Purchaser shall promptly ir writing, tt�e original
.t f policies
rlsur,,nce companies and Vendor:r of these opertysdamaged eprrovidedethesVendor deems writing'restoration orrtepars to be
be applied to restoration or p
economically feasible.
' chaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property
A terrantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and
ray with all laws,ordinances and regulations affecting the Property. aid and all conditiuns
es that in.1 the purchase price with interest and other muneywillhon demanid, execute and deliver to
r'a re Id
V�r d° � manner above specified, encumbrances, except
he a b
ll be fully performed at the times and i t of the Property, free and clear of all (lens and enc
- ..;ruhaser, a Warranty Deed, in fee simple, Easements of record _.�-
n
created b and except:.....__
,icsorencumbrances Y the act or default of Purchaser, _._._..__ ._-_-.------------
-- - - _- Ir. ti:e event of a defa+!It in the paymeM ur a,+y principal or
'�ettr agl"el.S that time is of the tifkaf�nrt arid (a) i !. t� . Fv_'+t F� uefa. 11 '.
JV �3 Following the spec tied ;,i r,<.1 v ;b)
h ,:n continues for a period ot_._ -_--.- y�
rte of any other obligation of Purchaser which continues for a period of_._30`.deyb f ilrX r+y written
''Vendor (delivered personally or mailed by certified mall, then the entire outstanding b(which under ass contract
immediately due and payable in full,gat Vendors option and without notice (which Purchaser laerebn
an '. Vendor shall also have the following rights and remedies (subject to any Itmltatlons provided u )
those provided
by law or In equity: (I) Vendor may, at his option, terminate this Contra a a.ld Purchaser's Ol
and Interest in the Property and full payment of the entlarek uistanding balance, Withe+nterestthereon equity
:i,-n to be conditioned upon
f default at the rate in effect on such date and other amounts due hereunder (n which event a{I amounts rental for s e
Purchaser shall be forfeited as or (d;iVendor ma sure failure to
specific pelrformance tofcttP s dContraci to for
it ;! Purchaser fails to re ) date of
r:,• J atr' and full payment of hereunder,outswhlch ev balance,
the, Property tellthereon
be eauct auctioned at judicialitsale and Purchaser
other amounts due
,,i o iabve Vendor may declare deficiency; or (111) Vendor may end a at law and emovehthisntCont seta s Id a cl cloud on title or n anqu,etrtitle
l )
! the equitable interest of Purchaser Is Insignificant; and (v) Vendor may have Purchhaser ejected from possession
Property and have a receiver hatandlne any
o collect any written statements orofiactionsl of Vendor. an c electiony of any
n,ti (i). of or Illy)
r,uirlJin r easonabl attorney's fees of Vendo9lncurr Vendor if and oenfo enforce anyeremedy all expenses
extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in-
curred,,,%ndehall be Included in any judgment. action
tlporrtlae commencement during Property,pendency nc of any list,foreclosure ttocollecththe rents, issues,hand profitsnof
lu .hr! appointment of a receiver p
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. assignment of any
Purchaser shall not transfer, sell or convey any legal or equitable Interest In the Property ithout the prior written
of Purchaser's rights under this Contract or by option, long-term tease o�In a; tw�ypaid in full or the interest
consent of Vendor unless either the outstanding balance 8 and ly � ect (t
r,yed is a pledge ur assan� such transfer,asale or conveyance ewltmnouty endur'es wfi'6n ron3ont,fthe an 9
,r.'xser. In the event of y
payable under this Contract shall become immdiately, due and poBYsbd'nguaga��e`8^�o notice.
Vendor shall make all payments when due under any mortgage provided Purchaser
r+is Contract (except for any mortgage granted by Purchaser) or under any noteyaecured thereby, to
makes timely ly Vendor fails to oodo sohanddall paymentssgoAmadetby Purcahsaser shell be consideredppayments made y on
the mortgages
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 %f upon and Inure to the be^efitya of the heirs, legal representatives,
Su..;<:essors and olns the eon o release Vend
and homechas rlgtsn not an subject P the roperty pand agrees tosjoinf in theoexecutlonaofabhe
cc,nsideratio
de.;d to be made In fulfillment hereof.) tg_86_
Dated this
4th day of Nove er
(SEAL)
T (SEAL)
Jansen
Richard T. Breault
Bernell S.
(SEAL)
(SEAL)
Kathleen M. Jansen
ACKNOWLEDGMENT
AUTHENTICATION
STATE OF WISCONSIN
S ,tnaiure(s) ss.
St. CroiX -----County.
_ 19 Personally came before me this.-- )?-----day of
,,uthenticated this day of -- _November __.___-., 19--86 the above named
_ Richard T. Lt --Bernell S.
Jansen an d Kathleen M. Jansen
r ITt.E: MEMBER STATE.BAR OF WISCONSIN -- s who executed the
e knpwn emsb - --
(if not, for I t ont a ", 1wl- me.
authorized by§706.06,Wis.Stats.) t t is
THIS INSTRUMENT WAS DRAFTED BY Dennis Fleischauer
ACORN REALTY INC. St. Croix _-__County,Wis.
245 Main Street Notary Public-. --
Somerset WI 54025 My Commission is Permanent. (If not, state expiration
September 30 __, tfd 90
edge )
.Signatures may be authenticated or acknowledged. Both date ----
a e r+ct necessary.) NTF 2278A
nr ,1 uersons signing!n any capacity shoud n. :�ur p. ed below their slat! ;•res.
is earet Wlr. ;)sin ..ei.E ,J:ti4365-1117)
S ONTRACT--individual and Corporate No.it
H
H
9
J STC - 105 9
SEPTIC TANK MAINTENANCE AGREEMENT Ho
St . Croix County z
d
9
S ti�s N
OWNER/BUYER
ROUTE/BOX NUMBER 26,"-1 34 J Fire Number
CITY/STATE �(,/7f����T �iU�SC'D�S��V ZIPD�.�
PROPERTY LOCATION : _SW SW Section o�-57 , T 31 N , R /9 W,
Town of St . Croix County ,
SubdivisionbQ Sg_&&1V 1.S 10,U , 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
H
three year expiration . - o
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- 'b
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 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 TIONS FOES COMPLETING FORM 115- S D - 6395
To he a complete and accurate sail test,your report must include;
1. Complete legal description;
2. The use section most clearly indicate whether this is a residence or commercial project;
3. MAXIMUM number of bedroorns or commercial use planned;
4. Is this a nev,r or replacement system;
5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL
OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS;
6. PLEASE use the abbreviations shown here for writing profile descriptions an(] completing the plot plan;
I. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A
separate sheet may be used it desired;
8. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent;
0, Comr)Iete all appropriate loxes as to dates,names,addresses, flood plain data, Percolation test exemp-
tion, if appropriate;
10, If the information (such as flood plain,elevation)does not apply, place N.A. in the appropriate box;
11. Sign tilt form and place your current address and your certification number;
12. Make legible copies and distribute as rectuired. ALL SOIL TESTS MUST BE FILED WITH THE
LOCAL AUTHORITY GVITHIN 30 DAYS OF COMPLETION.
ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
Soil Separates and Textures Other Symbols
St - stone" (oaer 10") BR Bedrock
cob Cobble {3- 10") SS -- Sandstone
gi — Gravel (under 3") LS — Limestono
s -- Sand 1-1GW - High Groundwater
c c aise Sand Pero: -- Percolation Fate
rnwd Metficari9 S;rt£i
Fine Smid Bldg BUildinq
r Loam Sand
�' � �- Greater Tfla;n
sl -
Sandy Loam < _ Less Thwi
I — Loam Bn Brown
`sil - Sine Loam BI Blar,rk
si Silt Gy — Gray
cl _. Clay L.oarn Y Y(dlow
st.l Sandy Clay Loarn R Red
sicl Silty Clay Loam mot - "'01 of 11("s
SC, __ Sawldy Claay ;;' :,riI:II
t�;,f3€l4 f ;r3,
t;€;
'-
t�t" .. I �.;°.t €Yar57 -- 1a t'r`r', r�aes53t7rP'1
m Mudd d £g;stlnct
P promine;"3t
HWL -- 1-Ball water iewd,
.. Six Cg£?n t'ral soil -i:exwr"eS Silt facc vvate'
to ligmd Mast£:d;sp(,)sal 13M Bertch f0ark
VRP - Wrtic<al Re'ference Puir,j
TO THE DINER.
his soil test retort is the first.atop ira seething a sanitary permit, The Minty or the Depawrien',r(layrequest
w l ifit-ati'On of Theis soil to t iil till: field w iar to permit issuance, A complete see of plans for tilt privat
arge Ystern and a Pei mit. applicalia')n rnus it Foe stihmstted to the apprcp, local authority i€l carder to
The�ranrt-ji'y p}PTfnn; rnt'=t le Obtained at:d 6,M ',d pi for to'the sl alt at any`.gj"i ;tmcl;oil.
PIARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS
slDUSARY, DIVISION
I�460R AND C P.O. BOX 7969
HILIVAN RELATIONS PERCOLATION TESTS (115) MADISON,WI 53707
(H63.09(1)&Chapter 145.045)
LOCATION: ' SECTION: NSHI MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME:
w /4 / �� /T3 N/R ICE for s AJ Ad
COUNTY: BUYER'S NAME: MAILIN ADDRESS:
DATES OBSERVATIONS MADE
USE
NO.BEDRMS.: COMMER IAL DESCRIPTION: (IPROFILE DES IPTIONS: P R L=11ONTESTS:
New ❑
RATING:S=Site suitable for system U=Site unsuitable for system
r9S ONVE NTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL 10SKA HOLDING TANK:RECOMMENDED SYSTEM:(optional)
EIU IRS DU ®S OU �v t3e g�x 705 DpA
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: I Floodplain,indicate Floodplain elevation:
PR AIL DESCRIPTIONS
=t.e
BORING TOTAL DEPTH TO GROUNDWATER-M�9hIfS CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH
NUMBER DEPTH kN ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.)
B- i 9 ' �1 S, 9 hJ o•+c s 13 t 'f's
B- 2 ISO C1 N L7 /V o Ts ��5� Q�
B- q T's C ow 4L C1
M�
B- S f t 77 19
PERCOLATION TESTS
=t<T"
TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RAPER INCH ES
NUMBER IIMeTTL"5 AFTER SWELLING INTERVAL-MIN. PERIOD( PERIOD2 P ER 10
RP- 1 S �►/fl 3 11114 y
3 3 W t) 9 /8' /� �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 9
_ _T
F-9 ; _ - l �5 y d- o� t
�Vh
-- -
i � �
i 1
1 cb I
T_ t
F 106, ( _y;� _ �►-4(d n
L1
E I
i
I�
3113 v 'o {
L l Rot S� ca Sily u' ec
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.
NAME(print):
ICCERTIFICATION WERE COMPLETED ON:
I'h1c E. w;IL 17-gG
ADDRESS: NUMBER: PHONE NUM
BERIoptional►:
GNATURE:
w�
DISTRIBUTION-Original and one copy to Local Authority,Property Owner and Soil Tester.
DILHR-SBD-6395 (R.02/82) OVER—
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