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HomeMy WebLinkAbout038-1042-45-000 7 0 \ ƒ & g _ R \ o 7 a 0 \ k � m § K E \ t � $ 0 $ E : §2 $ 40 / -� . a2� � } 2i ) a f CD / \ E z ; z 0 z / a § $ IL c � § � \ j Z \ f k e - ƒ E 2 \ e \ 3 2 I 9 (D § -� � ) . o Q ' Ik ] k : .. 2 0 . k f CA L E � � E22 & 7 b 0 a = c co 0 z k k CL b z � > ) � I a a a j \ 2 § k \ ƒ f a \ _ � 2 2 # > n 2 0 / c k 0 0 E o \ C') \ 1 0 § § k § \ U ` / / ) $ r- 42 § § 7 a a a IL ; � r z z 2 , - a \ k o o E E 2 5 g ° e 3 E o z / / / ■ m � ® � " a CL » § k ° § Q 0 a 2 i o ) 2 • Parcel #: 038-1042-45-000 11/30/2006 09:39 AM PAGE 1 OF 1 Alt.Parcel#: 10.31.18.183D 038-TOWN OF STAR PRAIRIE 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-COOK, LAURIE J LAURIE J COOK 1136 OLD MILL RD NEW RICHMOND WI 54017 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description * 1136 OLD MILL RD SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 2.020 Plat: N/A-NOT AVAILABLE SEC 10 T31 R1 8W SW NW 2.02 ACRES LOT 1 Block/Condo Bldg: CSM 7/1977 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 10-31N-18W Notes: Parcel History: Date Doc# Vol/Page Type 11/30/1999 614620 1474/388 QC 07/23/1997 837/436 2006 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.020 32,100 171,600 203,700 NO Totals for 2006: General Property 2.020 32,100 171,600 203,700 Woodland 0.000 0 0 Totals for 2005: General Property 2.020 32,100 171,600 203,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 139 Specials: User Special Code Category Amount I Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 £6LS abed LZ IOA z►°I Z 30 L 133HS NOSM3d NVIN9 AG 031dVM0 1N3v4muSNI SIHJ MS 00'45'19" E 450.00' I I M \O CD p 9 v 3 l N \a UNPLATTX2 U1NQ2 Wcj� V) S 00'45'19" E 872.92' I 839.92' �I d 4- el tn O �I � ;SiAS� OI I I It L W M n PO cj F51 z d .os $ EASE UNE OF THE SW 1/4-NW 1/4 yl�l I sc. w C14 I I foil N 19 W 366.86 oI� I l ko1LO mSI-- w v'� am I �I lz w � of N}Z°Z �I I I i fr\ d On ° WVl WF-O O W Y= I I 0 (n Zd Z 0 Cw> T r a' V l ! ..J O F O W oocW 8NW I I 1 NQ =a paZOU(VZ 80'l0� M ..bb.6Z.[OIS�IIM1 ,�, o �Z �m R Q b/[ _ iI cna wo c°i� cnN° I uj Wj f- - o �`' o I1 CD cn 9 Y/ ` �c�� T E' 2N UMW o ry M � � � ,� I H a o0 S �N �S�tv �of o� l i °= Z cS 00 ONB. / 1` 265.00' Z � i o N 00'26'47" W 298. 0' I l IM M Tool � I ° lol L _ - - - - - - - - - - - - - - — — -- - — — �. #�I.2 -7.j:3- - - - - - - - - - - - -- - --- - - - - - - - - - Z - - �— — �— — 'NISNOOSIM 'A1NnOO XIONO '1S '31HIVMd MV1S 30 NMOI '1S3M 8l 3ONV8 'H180N W dIHSNM01 OL NOLL03S 30 'Vt 1S3MHU80N 3H1 d0 4/L 1SV3H.LnoS 3H1 30 18Vd ONV '4/L LS3MH1MON 3H1 30 *,/L LS3MHInos 3H1 30 18Vd NI 031V0O'1 z c VAT kHAU11 S QHI3ILLUL •33d AdOo dYN AjXa IS a3I!I12133 HYa 1 s T T 900Z/6T/fie OU003U S,UOA3Aung asomq 80A 03AI3338 AWnoo woad'js IM '00 XI0HO .LS S033a .i0 831SI03a HRIYM Ili 133-U.LYH MS 3`JYd LZ '10A SIR z I d3s �..�� �,//�f�.•�.MJ-� � �,�/��%(.9 �,.L'1`-"C".. � L ._ .I i -i �} «r w•N w Q0 �3:98t I CERTIFIED SURVEY MAP N0. Vol 7 Pg. 1977 Located in part of the Southwest Quarter of the Northwest Quarter of Section 10, . Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin. LEGEND . UNPLATTE4_ LANDS 0 =1y4'Oy24"IRON PIPE SET WEIGHING 2.27 LBS. PEAR S89048 21"E 242.06 A ` `` LINEAL FOOT- NORTH SCALE: 1 100' �S 2 1161 21. E LOT 1 0 50' 1001 200' N a, as 006 SQUARE FEET (2.02ACRES) Bearings are referenced to = INELUDING RIGHT-OF-WAY. the East/West Quarter line 41 JI W \ UNP MOBILE 1 to _ _ LATUE Of .Sec. 10-31-18.-18 assumed as HOME LANDS N89°48'21"W. W J FI W 77,116 SQUARE FEET al 't (1.77 ACRES) EXCLUDING \ EAST LINE OF --11 M RIGHT-OF-WAY. SW 1/4 OF THE j, 0O NW 1/4 OF SEC,10. o DRIVEWAY 1 3 o m FOUND I"IRON PIPE,SET AS z OVERHEAD 1: 1-!O Z POWER LINE I N. RIGHT-OF-WAY COCO C I/4 CORNER BY ARTHUR L. _� . . LINE po0 WEGERER R.L.S. M --N89°48x21"W 330.0( eo bW 1/4 OLD_ _MILLL _ _ROAD _ N LINE M �-- ;� -- N89048'21"W 330.00'- — I �� ^ ( A- TOWN ROAD) S 89°48'21"E 988.38 - _ - EAST 1/4 CORNER 3927.33' „ UNPLATTED LANDS SE�.10-31-18 A I by WEST I/4 CORNER _ _ _ _ _ 24' IRON PIVE SET SEC.10-31-18, A Owner: Lorraine COOk LINE/4 TO BE RECORDED. FOUND 2"IRON Rt, 2 Box 201a PIPE OF PUBLIC RECORD, New Richmond, WI 54017 SURVEYOR'S CERTIFICATE I, Ronald F. Johnson, a Registered Wisconsin Land Surveyor, do hereby certify that I have surveyed and mapped a parcel of land located in the Southwest Quarter of the Northwest Quarter of Section 10, Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin described as follows: Commencing at the West Quarter of said Section 10; thence, on an assumed bearing along the east/west quarter line of, S89 048121"E a distance of 988.38 feet to the point of beginning of the parcel to be described; thence N00°0813411E a distance of 293.71 feet; thence S8904812111E a distance of 242. 06 feet; thence S23°1711511E a distance of 221.16 feet to the east line of said Southwest Quarter of the Northwest Quarter; thence, along last said east line, S00 008134"W a distance of 90.87 feet to the said east/west Quarter line, this being in the center line of an east/west Town Road; thence, along said east/ west Quarter line, N89°4812111W a distance of 330.00 feet to the point of beginning, this being along the center line of said Road. Containing 88,006 square feet (2.02 acres) more or less. Subject to the . Town Road (Old mill Road) along the south 33. 00 feet of the above described parcel. The above described parcel is also subject to all easements, restrictions and covenants of record. I further certify that I have complied with the provisions of Chapter 236.34 of the Wisconsin State Statutes and the subdivision regulations of the Town of StaofiT'r'� St. Croix County in surveying and mapping this parcel. " �y ti Da e Romer ald F. Johrf§6n R.L.S.' 1186 Ron Johnson Land Surveying UUN itri Z �9 P. 0. Box 194 JAMES 0' �,© �eo�'✓' Amezy,. WI 54001_. SeoisterofODeeds� Tele. (715) 268-2601 t' Of Deeds wt a� RONALD F. . JOHNSON APP 8 s-i119G A!4 E!~:Y. 1 N r, Zs w(s. r JUN 0 2 , ��+e<yN ..,...•. �ow`� Vol 7,/rage 1977 ST. c LK . lilt,. This instrument was drafted bv RFJ ` PUMP CHAMBER Manufacturer: Liquid Capacity: q 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, OSide, O Rear,Q Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: Len$th:���= Number- of Lines: Area Built:--�� i/ Fill depth to top of pipe: Number of feet from nearest property line: Front, Side, O Rear,Oit . Number of feet from well: ©� Number of feet from building: .2 (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: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, OFt. Number. of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: Plumber on job: License Number: �� _��' 3/84:mj Form - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ip _D� TOWNSHIP ,�9` ° � A4,dlam SEC. T_ILN,R&W ADDRESS ST. CROIX COUNTY, WISCONSIN AZo / 0/7 SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•LHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM E 4 . CAI , s G >l s f ®v INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used ✓K =/ ��_ FF Elevation of vertical reference point: � 1�fz— Proposed slope at site: SEPTIC TANK: Manufacturer: h2d_-e!S Liquid Capacity: Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,Side Rear, O f� feet From nearest- property li e Front,0 Side 10 Rear,0 U° J feet J � 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 PA).BOX'7969 PRIVATE SEWAGE SYSTEMS DIVISION BUREAU OF PLUMBING MADISON,WI 53707 SEA, NW14, S10,T31N-R18W KXCONVENTIONAL • ❑ALTERNATIVE ISlate Plan I.D.Nu er: Town arf Star Prairie ❑Holding Tank El In-Ground Pressure El Mound (lf assigned) Old Mill Road NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Theo Cook Route 2, Box 200, New Richmond, WI 54017 -// fGU 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: Kim A. O'Connell 3259 St. Croix 99076 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.: WARNING LABEL ILOrKING COVER 1 q ^ n PROVIDED: PROVIDED: q(.P A� e ®' ES ONO OYES ®.NO BEDDING: VENT DIA.: VENT MATL: HIGH WATER NUMBERF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH �LAA�. ALARM. �r l �,j••t_ FEET FI 0 LINE AIR INLET. DYES XrNO 111 !+ ❑YES �1V0 NEAREST `Leo `e-)O pw� 13 DOSING CHAMBER: MANUFACTURER. BEDDING: LIQUID CAPACITY 111.1 MODEL PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVI DEO: DYES ❑NO 10YES ONO ❑YES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBEROF PROPERTY WELL BUILDING:JVENTTOFRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) ❑YES NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing FORCE LENGTH DIAMETER JIMATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: y pup WIDTH. LENGTH. NO.OF DISTR.PIPE SPACING: COVER DIA.. #PITS: LIQUID +f t�Y TRENCHES MATERIAL: [±JINSIDE DEPTH: I�.s1VNr7' GRAVEL DEPTH FILL DEPTH IDISTR,,PIPF DISTR.PIPE DISTR.PIPE MATERIAL: NOCDR, NUMBER':OF PROPERTY WELL: BUILDING: VENT TO FRESH BE LQW 1,P gerO�V E�COVER. ELEV. NLET.ELEV.END: PIP FEET FROM AIR INLET. rte/ d� �lr t73 Q(o,l trJ a1 .1 NEAREST- MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- ❑YES ❑NO meets the criteria for medium sand. TIONS MEASURED. SOIL COY. 'TURF-. JPERMANENT MARKERS. JOBSERVATION WELLS. OYES IEN OYES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED SEEDED. MULCHED: CENTER. EDGES: EYES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH. NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER: 4 �6i"r.p' CH TRENCHES: �II�CN 71�IN MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING. ELEV.: ELEV.: CIA.: ELEV.. PIPES: DIA_: ELEV,ATION AN TIRIAUrt HOLE SIZE HOLE SPACING- DRILLED CORRECTLY. co V R MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS. DYES ONO ❑YES ❑NO COMMENTS: ]PERMANENT MARKERS: OBSERVATION E LS: NUMBER OF' 'PROPERTY WELL: BUILDING: FEET FR£IM LINE: ❑YES ❑NO ❑YES El NEAREST D ; Sketch System on Retain in county file for audit. Reverse Side. SI 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 2 to 3 years; 6. If you have questions concerning your privatt,� sewage syste;p, 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: 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; Ill. 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'/s x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form. ----------------------------_------------------------------------------------------------------------------------------------------------------------------ GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Ground 8t8[ included the creation of Surcharges (fees) for a number of regulated practices which Wiscon�n's ran effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried fe35tift a is used i i yo;1r building is returned to the groundwater through your soil absorption o system or the disposal site used by your holding tank pumper. 0 The ;-ponies collected through these surcharges are credited to the groundwater fund adminis- t-vred by the epartment of Natural RF„sources. These funds are used for I on;toring ground- t ,:ater, grour•awater contamination investigations and establishm ant of standards. Groundwvate-, s-'s worth protecting. SBD-6398(RM/86) l SANITARY PERMIT APPLICATION IT In accord with ILHR 83.05,Wis.Adm.Code ��v� X©IL`HR STAASAN�ARY PERMIT# MONO-Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.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 '/a %, S T , N, R Ig E (or F(ROR'E'RT—Y OWNEi5KAIlLNG�ADDRESS LOT NU BER I BLOCK MBER SUBDIVIS N NAME CI ,STAT ZIP CODE PHONE NUMB R 7n CITY NEAREST ROAD,LA E LANDMARK TOWN 0 / VILLAGE: 11. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family OR ❑ Public(Specify): /y/ 111. 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.El 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. ® seepage Bed b. ❑seepage Trench c. ❑ See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): r�1 3 Feet El ❑ Public VI. TANK CAPACITY Site in ga ons Total #of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass App Tanks Tanks strutted Septic Tank or Holding Tank IM& — ❑ El I El El I El Li El I El Lift Pump Tank/Siphon Chamber VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installati n of the private sewage system shown on the attached plans. Plum is Na a(Print): Plumbe s ' natur No ps+ M,�ccP,,/MPRSW No.: Business Phone Number: r Cd Plum er'r's Address(Street,City,State,Zi Code): - Name of Des i ner: J , / VIII. SOIL TEST INFORMATION Cer71ln d oil Tes r(CST)N e CST# AJ'AM11 0g) CST' ADDR S (Street,City,State,Zip ode) Phone Number: IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) IN Approved El owner Given Initial ur`c�ha�rge Fee 7 Adverse Determination ��� ` X. C MENTS/REASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber t A APPLICATION FOR SANITARY PERMIT ' S T C - 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/contractgx, ("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 Location of Property S� ' /V(.J , Section Zc> T _j/ N - R l8` .W Township Mailing Address /1 Subdivision Name -Lot Number Previous Owner of Property .���£ P y �+`02z 692 45.— Total Size of Parcel 12 E_E Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes _ No Volume SAS and Page Number .26S"L as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 1. Warranty Deed 2. Land Contract 3. Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - PROPFRTV OWNER CERTIFICATION 1 (We) eeAtjby that aU statement6 on thin bonm aaAe t.ue to the best ob my (ouA) knowledge; .hat I (we) am (ane). -the.owneA.(s) ob the pnopenty desehibed in .th,i,6 inbonmati,on Sonm, by vi tue ob a warftanxy d neconded in the Obbice ob the County Regimen. ob Deeds as Document No. ' C, and that 1 (we) pnes entty ou!n .the, pno pos ed .6 to bon the s euiag e pY6-at a yd tem (on I (we) have obtained an ea.6emerit, to %uqr 'With the above ducA bed paopen ty, bon the con6 Auatc.ok ob aaid system,; and the same ha6 been duty neconded in the Obbiee ob the Cou.n-;:y Reg.iiteA ob Deeda, a.6 Document No. I . SIGNATURE OF OI EAR SIGNATURE OF CO-OWNER (IF APPLICABLE) DAT SIGNED DATE SIGNED 75 7R 1T AM LAND N wt t P k'j s \ � - / `••� THIS sPRC!' at t:DY ST.CROIX CO., V(ft6. Elmer Cook a/k/a Elmer G. 1% .bt and between __—_ -----__--- f►dr.fior Rttacr� 1hn__-_ aarraine_._�ook_aLkl_a �oraic�e__C2ok- •'uric A.D. 19_ L4S1�tfl_ ("Vendor". .__a0iin ._ f3: O '• .- f f. ear acre air store)and lbbert J. Coop. _Theodore J._ Cook M. ,dead Gary L,_-Cook, as tenants nmmmon_ __-- dairies ct ont:ell M6iid("Purchaser", whether one or more). r V406s ONUS and agrees to convey to Purchaser, upon the prompt and full per- fps of this contract by Purchaser• the following property, together with the R tlttst�>)) fls.f5stsres asd other appurtenant interests (all called the "Property"), M ' sC. Croix county, State of Wisconsin: "Tt$Mi ro - ' 'e:AOetv►tlt one-half of the Northwest quarter tie l ortb rest quarter (S1% of NWIt of NWlt) ' 6t--*0C p Tin (10) , except that part thereof to Glenn Severson in that deed recorded - n t!M St. Croix County Register of Deeds office QQl !I �ilrbfr 22, 1978 in Volume 585 of Records Tax Key No on 3501 .Sgs#�wrst quarter of the Northwest quarter (SWh of NWh) ' it Tan (10) , except the following parcels: r ! 2. Comeming at the So thwest corner thereof; thence Worth 436 feet; then�Ce East 500 feet; thence x South 436 feet; thence West 500 feet to the point of beginning £` '! 2. voe>�etlacing at the ddutheast corner of said 40; thence Worth along the Eastl line 660 feet; thence West 330 } feett thence South 160 feet to the South line of said � t' 401 thence East' 3301feet along the South line of said 40 to the point of beginning. ' is not homestead property. (CONTINUED ON ATTACHED SHEET) on not) such lace as ma be designated ► to parch the Property. and to pay to Vendor at __P _-_-----Y— -- — fM101Maf T"SOe0O0.0O -- — in the to:iowing manner. S )�O,.OQ -- -- r el,lMf sfalsCi ty i t of this Contract, and the balance of $ 140,000 00 together with interest from date t mpo pa such ponumina as remain from time to time unpaid, at the rate of _ $_ice_ _ _. _Per cent per annum, unfit paid i�drlt,ass.Isifaws� a . � 1, last Thousand and No/100 ($10,000.00) Dollars plus interest on 7. Jtuttt 30, 1979. ZMlettty lhousand and No/100 ($20,000.00) Dollars on ,?uric 30, 1980 # and annt;tally thereafter with interest at the rate set forth above being first deducted from each payment and the balance applied on r principal until the said principal balance is paid in full. °i Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor payments sufficiet.t reasonably to anticipate the payment of taxes,special assessments,fire and required insurance premiums To the extent received by Vendor.Vendor. agrees to apply payments to these obligations when due. Such am ,unts received bt the Vendor for payment of taxes, u assessments and 'insurance will be deposits-d into an escrow fund or tr". ,t- account, but shall not bear interest urtiess a" otherwise required by ;d-.v. P.:yiaents shall be applied first ro interest on the unpaid halarce ;,t th- rate SPecifitd and then to principal Aw1►80osat_ �aay.na�,apa 4ras►ir��.Lr�Ptia fsiso�►ai�'«y'airaw ------------_______r may be no prepayment of principal without permission of Vendor In the event ref any prepayment, this contract shall not be treated as in default with respect to payment so long as the f unpaid balance of principal,and interest (and in such case accruing interest from month to month shall be treated as unpaid peiactpal) is less than the amount that said indebtedness would have been had the monthly pavments been made as first specified above, provided that monthly payments shall be continued in the event of crt dit of any proceeds of insurance or ii eondeonation, the condemned premises being thereafter excluded her,-from l Purchaser states that Purchaser is satisfied with the title as Shown by the title evidence submitted to Purchaser for, examination except Vendor shall furnish a complete abstract of title to the premises at least 30 days prior to the ultimate date of closing of this Land Contract. ••.:r,tai�aaar�+saa,�l.;ry least�Li+iiiw.�+11��wdeawi.�Ji.�i�wwdea�-iw«rNtw4ows•+E•aa�atreM►�t re►�wsd i►�+wMMrsw til�Mrefiril•M+oM+w��►,+�i1� Pun h.of -.hall be er'itle to rake possession of the Property on May -30. e cress,01ut fine (To Be Used in Non-Consulter Act 7` ■!rte rrWTf�f'T (,�, tHI:..Ir F • -T tip Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's"tnf x and to deliver to Vendor on desaind receipts showing such payment. " t , Purchaser shall keep the impr:,vements on the Property insi •ed against loss or damage occasioned by fire,'ex Coverage perils uttdrsuch other hazards as Vendor may require, without co-insurance, Ihrough insurers. apprnved bt in the sum— W- jll insurable. Va R-0, but Vendor shall not require coverage in an amoL tit ^„ r than the bdfaliCg owed under this Contract. Purchaser shall paytheinsurance premiums when due. The policies sha;! n! ;n ! ndat •:4&V clause in favor of the Vendor's interest and, unless Vendor ofherwist• agrees. to writ n!• thr• or;,•,rt<,; ! :oter- ing the Property shall be deposited with Vendor. purchaser sh:,II prompt!t givi notice of loss to iri>.ur,r, and r Vendot. Unless Purchase: and Vendor otherwise agree to writing,, !nsur,imt proceed h.,!1 be .,p{• ,d t t: t:,t tot of repair of the Property damaged, provided the Vendor deews the it••:tur.dton or tep.+tr to be econnnitr,,l! Purchaser covenants not to commit waste nor otlow w.isle to b rattled on the ptopertt, It, k,•, 1• the property in good tenantable condition ind repair• rte keep the pr.yive Ire•,• !r„n n. •i.;,t•rt­ !ht- lien of 'ht, (",mtr:ict, ana to comply with all laws, ordinances and regulat ions „If t•,t i n v the Pr,it,( r•.. Vendor agrees that in case the purch.ise prtt, with :n • r .,•r h •r fu'.l, u' ;.7(1 all t urtdtnart5:: a shall be fully performed at the times and tit the rrne,r`• .- .,!,,,•.,• :c e, !tit ! t,i ;: , t nr,. ,. ,•t tite ;+n droner to the °a t' a Purchaser. a Warranty Deed, in fee simple, it !h, I'r� ' t!�, •o•, ,•!;i 't• , r,? I" t ..,t„rat es. ext ept ant liens or encumbrances created by the act or drt:,ult of pun h.ts,•t. ,r municipal zoning ordinances ! ,•� <;• Purchaser agrees that tint(- is .,! the ,,ti,t•n(e .,n ; n: ; n!orest when. A+ due, or in the performance of am of ;he t.)ndinon,. 11 conttaiiii,:” ` a for a period of 60 do\- then \'end„! c•.,,. .,! \• ,. rithts of the Purchaser under this agreement ram v11-1 'h, I ..r c, ,, 7 •l, re.M,itin Vendor's property a., rental of said pre,;ns, , .trio and Vendor shall rcrthwith and without no,it t• t ”h,, tiel , \ h,r Ai"t.,ut notice to Purchaser, notice being hereby e•xprc. !' w.,. 1 !h, 1' ! c 1-tome due j C and payable: in case su(h option shall Le --x,-t, r, l ; ;r i i 'A.'!" r which may be or have been paid by Vendor as herein .,uth ,.v, ! Ai•, n d h.ul hecollect- ihle in a suit at law, or by foreclusurt ,.! hi. , •n! +: ;., ; :p,,l h,,r been due k r' at the time when any such default occutrcd •ind •hr t', ,: •ind .,,lrr.s! all.the #! sums so disbursed with interest a, :do i i I-- � .kht!hvr abated or not, all expenses, includir, .,u ",red. and in ' case of judgment shall be ru !udcd Upon the commencement or durin;; th, ; r-it-ti,v • any a. , C •ta;., t I',urcha,er cor.ents to the appointment of a receiver of the Pr„ptriv i,:.ut:•,; I:,,mc-!„r' .:!t•,I. lr.! ''m !,nt,, woes. and profits of th*t Property, during the pendency ut such i,itun, and -,i,h iv,o, �-t 1 11t, a•t,t I•t,,tit, .%lie% ,o collected ,hall he held and applied as the court shall direct. All terns of this Contract shall be hindoli• up,,•: :ri.t inurt t., till 1•,nett, ! the fit ir,, legal representatives, successors f� and assigns of Vendor and Purchaser i It not an „w nl! f the I,,, periv rile ,j, tj,t of Vendur for a valuable consideration joins herein to release homestead rights to tht• I pr„I er,v an.1 agree, it, loin in the ex,cution of the deed to be made in fulfillment hereof.) Dated this 30th day of May 179 l ' 9 (SEALY.e f, : * Robert J. Cook Elmer Cook a/k/a Elmer G. Cook Theodore J. Cook (SFA1.) a.; Lorraine Cook Gary L. Cook a/k/a Loraine Cook }` AUTHENTICATION ACKNOWLEDGMENT Sri•pahues authentr,ated thty 30th d,,c „r SI A'I'I i+' AISC'ONtiIN h May 1,;79 . - ----� ----- — -----”--- l- ,,,rat•. , �" - — - — _ c �"c _« —._ I't•t. �.tllt• „lint !„'.n, rail• tlu, —_ _day G. E. Norman _ _- --._--- tilt TITLE MFMIIF:R STATE. 13AR OF NISt'()NSIN (If nut._---- ---------- authorized by 706 Of,, K,,. Stats.) This insrnirrt•ni w.r: draft,•rt x ! wl;o executtrd thii-i ` DOAR� DRILL, NORMAN, «. - BAKKE, BELL & SKOW Y., �nt t„"raa„••,I .,n,, ., 'wrnu!e,lge,! the ,.tme 4'� : New Richmond, Wisconsin 54017 _ t (Signatures may be authenticated or acknowledged. Ruth N,';+n Public CoaaAlF. if •R are not necessary.) r 11t Commission is ne•rmanrnl. (If m•t, state M�r�ft The use of witnesses is optional. ” date r�? •Namtsat persons signing in any capacity should be typtd or printed belo� their signatures. t., All said property bc'in,_; :ocated 'r, "-.;wnship Thirty-one (31:# North, Rance 'Eighteen ( 18 ) W-st , _-:c:ud.nr all bleachers, concession stands, iigt,tinc fixt;ir_i and ; ightiay system, - 1 public address system and waterinr: s•:sten located on the s above described premises. k . j: t z H z a r ST C - 105 > a H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z d a OWNER/BUYER /'/iy'6T l' r�," �C ROUTE/BOX NUMBER Fire Number ,, ,� I y ZIP Yom I .CITY/STATETf/,�LtJ PROPERTY LOCATION: SW Section / y T 3 / N , R W, Town of St . Croix County , Subdivision_ All,4 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. E I/WE, the undersigned, have read the above requirements and agree x to maintain the private sewage disposal system in accordance with b the standards set forth, herein, as set by the Wisconsin Depart- 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 ti 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 . INSTRUCTIONS TIONS F i COMPLETING FORM 115 - SET - 6395 To be a complete and accurate soil test,your report mist include: A 1. Complete legal description; 3, The use section must clearly indicate whether this is a residence or commercial project; 1 MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; S. Complete the Suitability rating boxes, A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASEL? ON SOIL CONDITIONS; G. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram aceurately locating your test locations. Drawing to scale is preferred. A separate sheet may be used if desired; £l. Maize sure your benchmark and vertical elevation re,feretice point are clearly shown,and are permanent; 9, Complete all appropriate boxes as to elates, names,addresses, flood plain data, per(solation test exernp- tion, if appropriate; 103 If the iniorrnation (such as flood plain,elevation) does not apply, place N.A. its the appror)riate box; 11. Sign the farm and place your current address and your certification number; 12, ivlake legible: copies and distribute as required, ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION, ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st — Stone: (over 10„) BR — Bedrock Cob _. Cobdle; (3- 10") SS — Srrndrstone gr Gravel (under 3") LS — Lirnestonol `s - bane HC;IV High Grouodvvater cs -.. Coar"'�Sand 1,vau _ Pcrcxalation Fuze N CIi!uni C,-'md }gat _. Vve11 Fine Sim B,€1ij -- Builclircl s Loaniv `irate,-i fsrce4ter Than Sandy Foam �, Lr�;s ;;Fart r Bra Brown =lt L oast; BI Ell;c°k c.i Cilay Loam ,H — S<mcly Clay Loam F- ..... Read sicl — Silty Clay Loam nt a? .... Miottle5 "t, `attly Clay toi±la Silly Clay ffi firer 9 ini F ._. t .<w S°x g tf ral :,oil textures Ica i;qurd waste disposal BM gmch Marlr tr RP V rtical Riufierenco Pain TO THE OWNER: This - _ test rt tae tt is tlac, first step in sricuring a sanitary permit.The citunty or thee Department rrtay rertuest e is of th;5 soil t(''1-t in t le field piior to perrraii issu atrce. A corm lete set of plans (or the private ,r ±emu �?rsr rt d a ptr t t 11lolicalion must he suhn'titted to thte rrialrrt ta,i<,tt; local auilacarity ire ordrar In oblo-rs a pertn't. The"'.,nits y E . rnnii rnusf be€�l.vstrP"re;f at)(] p t.,-d lar ioP to flat; tart of any c lstrractiort, DEPAHTMEN'f OF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS DIVISION INDUSTRY, P.O.BOX 7969 LABOR AN6 PERCOLATION TESTS (115) MADISON,WI 53707 HUMAN RELATIONS (H63.09(1)&Chapter 145.045) Eng, TOWNSHIP/ML*+W+P�Af.-ITY: LOT O.:BLKr.: SUBDIV SION NAME: E (or AME: MAI G ADD�S: _DATES OBSERVATIO S MADE USE mzgx R ONS: P R A ION TESTS: NO.BEDRMS.: COMMER AL DESCRIPTION: esidence ®New ❑Replace-- F RATING:S=Site suitable for system U=Site unsuitable for system - CONVENTIONAL: MOUND: IN-GROUND PRESSURE: SYSTEM-IN-FILL HOLDING TANK:RECOMMENDE S ST :.optional) �s ❑u rZs ❑u os ❑u asIZu Os u Luncle�rs.F[63 lation Tests are NOT require DESIGN RATE: If any portion of the tested area is in the .09(51(b 1,indicate: Floodplain,indicate Floodplain elevation: All PROFILE DESCRIPTIONS ,oAd BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH t16, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- } B7 A B- B- 99J 7 / - B- PERCOLATION TESTS DROP IN WATER LEVEL-INCHES RATE MINUTES TEST DEPTH WATER IN HOLE TEST TIME PER INCH NUMBER INGNE-6- AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 P R P P-3 P- P-_ P- P­ PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the polYolan. Show the s evation at all borings and the direction and rcent of land slope. SYSTEM ELEVATION -TT^1 _ �, t E S 1 �7 � ► � � l E E ? - i € F t i I � /aim �� m. ... .............�....-.-_..-(......._..�..,....,.,_�. ....� 9 ( M F y 3 IT tN 0, 1,the undersigned,hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. TESTS WERE COMPLETED ON: NAME r' t►: r` CERTIFICATION MBER: PHONE NUMBER(opti�al): ADD CST SIGN TUR / DISTRIBUTION: Original and nne copy to Local Authority,Prwe1 ty Owner and Soil Tester. DILH,�-S6'1-6305 0-02/82) oo -'Xz,0 zi _-- 990 RAI ow �s� • PAGE OF CrUSS S �c � 1on Ot Zei3 S Step-y Y � v, Fro6h Air InIS16 And Observation Pipe Approved Vent Cap 1// Minimum 12"ADOV• 44) �! Flnot Grade 20-42"Above Pipe _4"Cod Iron To Final Grads Vent Pipe Mash Hoy Or Syttthetk Covering Min. 2"Aggregate Over Pipe Distribution PIQ* 0 0 0 0 0 --Tee 6"Aggregate Beneath Pipe ° Perforated Pipe Below o —Coupling Terminating At Bottom Of System pose 1D Ptnkl grit < � f \\�\\\�j�\\�/ SOIL`FILL DISTRIBUTIOf•.1 PIPE APPROVED S4kTHETIC COVER ° MATERII�I OR 9" OF STRAW 2"0FAGGRE4.A1f< -- OR MARSH HAY �,/ (o OF 12-2i/2 AGGREGATE ELEV. OF;�FEET—e_ b .•�\`%� DIS-rRIgUTiOM PIPE TO BE AT LEAST 0218 INCHES BELOW ORIGIIJAL GRADE AMU AT LEAST20 INCHES BUT 1.10 MORE THAf.1 42 IAICHES BELOW FINAL GRADE MAXIMUM ®EQr1i OF EXCRVAT100 FROM fit 16WAL CXADF- WILL BE INCHES MINIMUM ®Eprit OF EXCAVATION fKoM_ 01> 16INAL GRAPE WILL BE INCHES SIGIJED: i LICEUSE AJUMBER: DATE : . 110