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020-1261-50-000
~ ~, m m ~' ~' ~ < < 7 v c N ~ O N O a , .~. N 7 OD C ~ OD ry ~ ~ N ~ N Q- N N U~ ~ ~ C5 ~ ~ ~ N C N C CD n ~ O O ~ v D CD A i v '~ ~ W o .-. ~~ ca z . o N fD c m a ~ O C ~ 3 ~ m m N Q ~ A _z 0 N "' O o _ o °' ~ O O ~ p ~ fD C m (A N o ~ o- ~ °- a ~ a ~ N n O fl N . I ~" X O j N ~ a ~ `~ fQ ~~ (D -" N n ~ N 7 O F n < . ~ ~ ~ Q 3 c ~ ~_ -, c ... ~ ~ w ~ ~ ~~ m N O ~ Q I ~ ~~ ~ O K,,, O o ~ a ~v+o °c m f 3 ~ ~ ~ ~ 9 r o w ~ O V ~ W (7 N (Q r, ~ v m ~ ~ o. a .. r d o c°\o m w o ~ N N (D O O = c a 'o ~ ~ o_ ~ ~ ~ ~ N N ~ ~ v q ~ m ~ rn m = ~ d •• N N y ~. o . ~ v ~ O ~p y I _= C i O N 7' (D n a v ~ N ~ n• O i `G C 7 rn a ~ ~ a o ~ C •'•' 3 N ~ CD 'd w N n (D m ~ K T C Q i Z 0 ~ ~ c -{ `Z CP 7' ~- -, O fD ~ ~ 'N ~~ (D Q N n 7 p m vDi N w c CD ~ I~ O C s 3 m m m 0 O C 0 v N O m cD C 3 x ~ D ~ -' ~ oa ~ Q ~ Q fD -~ ~ d ~ N N Z O O O fp ~ U. 61 N (D 7 O O O 0 v d x 0 w ~ O fA O O O Q- ~ v, 0 ~ ~ ~ o ~, ~ ~ f ~ c ? ~ n o 3 , ~ ~ ' I ~ C V ~ W ~ • ' ip 0 3 __ -. 3 ~, ,~ xc o ~ (O ~ _ C ~ o N Cw17 N (D ~ N p IV ~ O T ~ ~ ~ ~ 3 p N O p ~ ~ O O O O to y ~ v o m ~ ~ a a •. r ~ o m ~ j a m coo o t7 ~ c to w w ~ 3 .+ .. a ~ ~ 'o ~ ~ ~ :.. O O O o y N N rn 00 d ~ v o m m ~ < ~, !? T m ~ o~ N ~ _ .. a .. D W o a n D n ~ N ~ ~ (D ~ N N ~ 01 ~ CD ~ Q A z @ O C ' ~ ~ f 1 Q 7 _ A (~ ~ Q. ~ ~ Z ~ ~ A -I ~ Z Z7 N O 3 •'•' Z (n m ~ ~ ~ w ~ A T C 7 Q •/* Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s~5.04 (1)(m)). ~~ Permit Holder's N e; ^ City ^ Vi(I@ge,l]_T9wn~of1Sh1 Wolff, Crai;; c~ I.tsa I tiAACQlSU~~ 1O P ~~ i ~tiw tiev.: insp. nm tiev.: (OI•S Z IO(.s2 TANK INFORMATION S• = CST 3~ LEVATION DATA TYPE MANUFACTURER CAPACITY Septic C Dosing Aeration Holding TANK SETBACK INFORMATION. TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic >So ~(~D~ '` 33 NA Dosing NA Aeration NA Hol ~ g 1'UMI' / 511'F1UN INtUKMA I IUN Manufac urer Demand Model Numbe GPM TDH Lift L ~ction stem TDH Ft Forc in Length Dia. Dist. To SOIL ABSORPTION SYSTEM countySt. Croix Sanitary3R~~lo.: State Plan ID No.: Parcel Ta~8loT261-50-000 STATION BS HI FS ELEV. Benchmark _ S7 ~ ~. SZ Bldg. Sewer t`s ~~ St/Ht Inlet Lof/ Q Ht Outlet !. ZS 4~ . IZ' Dt Inlet Dt Bottom -~ Header/Man. (fl.os ~s"=3z Dist. Pipe ~ • 05 ~ S. 37' Bot. System // : ~ , g3 ' Fina[ Grade 5 ~ (o ~D.2~-~ cover S ti BED /TRENCH Width ~ Length No T nches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN 1 • ~~ IMEN I N SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Ma ufact er: ^S~~ l SETBACK INFORMATION TypeO ~ ''~^~• ~`" a^~ ~ ^^~ 5~ ~ ~ }O CHAMBER OR UNIT Mode Number a c System: e , ,,, DISTRIBUTION SYSTEM Header / anifold It Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Ai; Intake length Dia. Spacing ^' ~~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded i Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topfoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: ~ ~/t~~/~ Inspection #2• ~~ Location: 820 Larsen Lane, Hudson, WI 54016 (NW 1/4 SE 1/4 21 T29N R19W) - 2129191267 Prairie Vista 2nd Addition - Lot 28 ati ~~iz l.) Alt BM Description ='~^°-~"~'" i "° SST A~~-~~ • 2.) Bldg sewer length = , c,~~~{.-t~~~ ~- r~c~,~~ -~i~+e~• -amount of cover = Plan revision required. ^ Yes ~ No - ( S Z `~ Use other side for additional information. I Z 2~j f - SBD-6710 (R.3/97) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH (b„P~~-fi Sanitary Permit Application safety & suildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 •T ^~~~n "~i pepertmam of Cameierca Personal information you provide may be used for secondary purposes Madison, W 153707-7302 (Submit completed form to county if not [privacy Law, s. 15.04(i)(m)] state owned. Attach tom lete lens to the coos c onl for the stem on a not less than 8 -1/2 x (1 inches in size. County /'2 State Sani P it Number ' ion to previous application State Plan I. D, Number I. A lication Information -Please Prlnt all Inform Location: Owner Name „~ ~~ P ropaiy Location rr M ~~ ~LI,E! ~ / ~/ l 1/4.JL" 1/4 S~ T~~ N FIyE or W Property Mailing Address r -° ; Lot Numbs Block Numbtx r ~_• City, State Zip Code -•-- TPIm Subdivision Name or CSM Number II. Type of Building: (check one) / O City t or 2 Family Dwelling - No. of Bedrooms :~~ t ~ ~- ~ j ~ j ~ ~ ~ ~ .Town of Public/Commercial (describe use). _~= j ~ O State-0wned GCGI SC? ' uL ~ ~ w S 1 ~ Nearest Road n3 . f ~J 3 6 8 . ~- ~ ~ "~ s ~ Parcel Tax Number(s) ~ ~ a _ III. T e of Permit: Ch one on line A. Cheek box on line B if a licable ~ ! ~ 7. /`l. / (o q) t. New lacement 3. ^ Replacement of 4. 5. 6. Addition to S stem S stem Tank Onl Existin S em B) Permit Number Date Issued ^ A Sani Permit was reviousl issued IV. Type of POWT System: (Check all that apply) Ton-pnessurized In-ground O Mound ^ Sand Filter ^ Constructed Wetland Pressurized In-ground ^ Holding Tank ^ Single Pass O Drip Line ^ At- de ^ Aerobic Treatment Unit ^ Recirculatin ^ Other: V. Dis ersaUTreatment Area Information: D - N W ~ ~ t ~ Z° t) 1. Design Flow (gpd} 2. Drspersai Mee 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade U Required ~'7~ Proposed 3? Rate (G ft.) - ~~a (MinJinch) ~l. CX~ Elevation 97~5~ VII. Tank Capacity in Total # of anufacturer .Prefab Site Stee! Fiber- Plastic Information Gallons Gallons Tanks Con- Con• glass New Existing Crete strutted Tanks Tanks -- /dUV '/fee R L'iJ ^ ^ ^ ^ . o ^ ^ ^ o VIII. Responsibility Statement I the undersi ed, assume res nsibili for installation of the POWTS shown on the attached lens. Phunbet's Name (print) Plumber's Si lure (no s): MP/MPRS No. Busitress Phone Number 1 ~rn~~ c~~s ~'~~~ ~~ h ~, "~ ~~ r , < - Plumber's Address (Shit, City, State, Zip IX. County/Departm nt Use Onty _, ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Aged Signature (No stamps) ~8(Approved ^ Owner Given Initial Adverse Suro Fee) ~ ~ ~~ Determination o22S• - ~ X. Conditions of Appro V al /R easons for Disapproval: e A p r , 1M,a i r.s~,tr,~ ot~ S~C~a~t~ cc..,5 ~ ~ ~i za~L- C,~ . p `- - ~ }~;en~st.s~a.r' v~t.><.~-N^°x^~n,t^^ ~- ~~L~-r liS ~` sf>~~ c t;. c Y~ ~ r ~t #r ~ I 4. r ' : ~ r . ... b ~, W n • n /~.l QO ~_-_ 1q1~ ~-~~ ~o~o~ ~~ ~lev' ~ d~ MAR ~ ~ sfi~~ IuM? ITV- IuD-~ ~ rv n ~ Sys ~er• ~ I-e~ = ~ y. ~ ~ _-- ----- --~- .... ~~.~...,,e : . ~. f N ~l ~ct~cw 9 7.S~ ~' ~ ~ A' ~ IV _~ ~ ~ ~ ~ ~ c~="' C C•= V E ~ 2 'O ~ C N ~ `+ m ~. ~ ... to x ~ Sri ' ,,, E ~ o : ~; E ~v~~ L, x ~ c~i N N ~ ~. V~ R1 ~ (/1 L.. ~.~ ~ T i ~ ' Wisconsin Department of Commerce Division of Safety and Buildings SO{L EVALUATfON REPORT in accordance with Comm 85, Wis. Adm. Code 1277 page 1 of 3 A.C.E. Sal i£ Site Evaluations Attach complete site plan on paper 't-fix tl inches in sae. Plan must ' County St. Croix include, but not limited to: verti r1eferkgoe point (BM), direction and s~ h r Parcel LD percent slope, scale or dim si arrow, andld~5osvand distance to nearest road. : . 020-1261-50-000 ID#21.29.19.1267 Pl ~. , . ~ rin N~6oh, Date Reviewed By - r Personal iMormatbn yo pr maybe ie ry W~Poses,(P ' y Law, s. 15.04 (1) (m)). ~~ ~~,,~ ~ g ~ `~~~e'" ~"'~"" I '2.0 -2~7fl Property Owner c r ~ ~ Z(~O ' ..- ~ ~~~ r Property Location 19 W 21 29 Craig & Lisa Wolff ~ Govt. Lot N R NW 1/4 SE 1/4 S T Property Owner's Mailing S Cp~N F Ld # Block # Subd. Name Gr CSMI# 820 Larsen Lane 6' rCE i ~ ~~ INGV 28 Prairie Vista 2Nd Addition City ip Code Ph City Village Town Nearest Road Hudson ~a ~ i ~5 0(1 7 ' 386-2568 Hudson Larsen Lane _,J New Construction Use: ~ Residential I Number of bedrooms 3 Gode derived design flow mite 450 GPD ~ Replacement ~ Public or commercial -Describe: Parent material Glacial outwash Flood plain elevation, if applic~le na General commerrts and recommendations : Install trenches using high capacity infiltrators. Install bull run valve to allow re-use of existing hydrolically failed system. New system = < 94 .00'. Boring # `~ Boring Pit > 122" i Ground Surface elev. 100.28 ft. n. Depth to limiting factor Sal Application Rate Horizon Depth Dominant Caor Redox Description Texture Structure Consistence Boundary Roots GP D/ftZ 1 0-12 10yr3/2 None sl 2med.~ dsh as if,lm 0.4 0.6 2 12-20 10yr4/4 None scl 2fsbk mfr gs if 0.4 0.6 3 20-32 10yr4/6 None sl 2msbk mfr as - 0.5 0.9 4 32-95 10yr5/4 None s Osg dl gs - 0.7 1.2 5 95-122 10yr6/4 None s Osg dl - - 0.7 1.2 9 •o~ ~S 3~ -tl• Boring # '~ ~ Boring Pit Ground Surface elev. 100.08 ft. Depth to limiting factor > 120" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Strocture Consistence Boundary Roots GP DIft~ 1 0-8 10yr3/2 None sl 2med.gl dsh as if,im 0.4 0.6 2 8-17 10yr4/4 None sl 2fsbk mfr gs 1f 0.5 p ,R 3 17-28 10yr4/6 None sl 2msbk mfr as - 0.5 0.9 4 28-90 10yr5/4 None s Osg dl gs - 0.7 1.2 5 90-120 10yr6/4 None s Osg dl - - 0.7 /.~ * Effluent #1 = BOD 5> 30 < 220 mglL a d TSS >30 < 1 mglL Effl #2 = BODS < 30 mg/L and TSS <30 mglL CST Name (Please Print) Signat CST Number James K. Thom son 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number Osceola, WI 54020 8/5/00 715-248-7767 property Owner Craig & Lisa Wolff p~ Ip # 020-1261-50-000 Page 2 of 3 Boring # _J Boring ,~ Pit Ground Surface elev. 99.92 ft. Depth to limiting factor > 119" in. Sal Application Rate Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots : *Eff#1 *Eff#2 1 0-8 10yr3/2 None sl 2msbk dsh as if,1m 0.5 0.9 2 8-17 10yr4/4 None scl 2fsbk mfr gs if 0.4 0.6 3 17-28 10yr4/6 None sl 2msbk mfr as - 0.5 0.9 4 28-90, 10yr5/4 None s Osg dl gs - 0.7 1.2 5 90-119 10yr6/4 None s Osg dl - - 0.7 1.2 m o `~ ^ Boring # ---~ Bonng ~ Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 ^ Boring # -~ Boring ~ Pit Ground Surface el~r. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Descripton Texture Structure Consistence Boundary Roots : *Eff#1 *Eff#2 * Effluent #1 = BOD ~ 30 < 220 mglL and TSS >30 < 150 mglL * Effluent #2 = BODS <30 mglL and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. -2 /. 70 • . • Cray 9 ~i LiSec Lcb~{~ Z=d/}dd~ h~SLT,See, ~, T~ • of /,~-alson 5~. • 'Cro;~r ~ ; c.~ 1. . ~ ~ ^ 4 ~ ~ ~ ~ ~ ~~ ~ ~ ~ o ~ ~ a ~: ,~ B ono slope. ~ ^ ,~ ~, 7'0~40~ v ~ {-- -- ^ 8~ Ass~.mc.d o' v: = ~o~.sz`. I y ~. l EX%s~' .so.%a~socpt~~n-reed: S~~~a.le~: =9S!7(v~ EXist'i.~~ /, cd0~/. S~F/ 1~ Ex..'s~'~ oufl~~Yzlcv': ~ 9.06: ~, 3 bdrr-t. O ~~. 8 ~e S ~'ve,xe ~ ~ ~~ pe rx:~•~ ~s.((..~ e C ~e ~l J ~ ~ ~ ~e~'~`~z77 ~j ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the CR b i q d- ~ t S b ~ t ~ ~ residence located at : ~~ , S ~ ; , Sec. ~~, T~N, R~_W, Town of 1nnSay , St. Croix County, Wisconsin. Upon inspection, I certify that I have found the tank and baffles to be in good con it'on, and it appears to be functioning properly. Last time serviced ~ vU Did flow back occur from absorption system? Yes line. A roximate volume or length of time: Construction: Prefab Concrete Manufacturer (if known): Age of Tank (if known): `. (Sign ure) 1~1~~5 (Title) ~ S u~ (Date) No ~ (if no, skip next gallons minutes Steel Other S-c R. i rY. ~ p i~ m-e-eS~ ~~ (Name) Please Print aa~g~y (License Number) Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank, to the best of my knowledge, will conform to the requirements of ILHR 83, Wis. Adm. Code (except for inspection opening over outlet baffl{e~) . Name .~~ ~ Yh VDk 1MQQ ~j~ Signature MP/MPRS as a U ~~ Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: System Design Specifications Sanitary Permit Number ~-~{~~-~ Number of Bedrooms 3 Design Flow -Peak (gpd) Estimated Flow -Average (gpd) ~D Septic Tank Capacity (gal) l7v'O _ `~s t,~ Soil Absorption Component Size (ft2) 3 ~-S ~' a ~~ ~ Type of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow -Peak (gpd) p1~O ~S Maximum Influent Particle Size (in) 1/8 Maximum BODS (mg/L) 220 Maximum TSS (mg/L) 150 Tab le 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a sepfic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank maybe difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 1y OwnedBuyer ST CROIiX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Mailing Address ~~ D ~_Gi. /`~S P n a./1 °- Property Address r~ cc ~„~,~ f ~ ~,,,. (Verification required from Planning Department for new construction) City/State ~,~~ 5~~t) j~(1 Parcel Identification Number ~~D • l~ ~~-~ SQ -ADD Pmperty Location %., ~ '/~, Ste. T N- W, T~v~'n of U ~L, .~ ~1 ..Jl a v f~ / 0 n. ,. ~ Subdivision Lot # ,~~. Certified Survey Map # .Volume .Page # . n. ,. Warranty Deed # :~ C)~ ~~~ .Volume %1.35 .Page # Spec house ^ yes ^ no Lot lines identifiable ^ yes ^ no Imps+oper use and msintensnceof your septic system could result in its premature failure to handle wastes. Proper mainteaanoe consists of pumping out he septic teak every three years or sooner, if needed by a licensed pumper. What you put into the syatbm can affect the Rmetion of the septic tank as a treatment:tags is tho waste disposal system. The property owaex agr~ to submit to St. Croix Zoning Department a certification form, signed by the owner and by a maaterplrrmber, janrrneymanphrmbec; r+estrictedphunber or slicensed pumpatverifyingthat (1) the onsite wastawaterdispa~al ayalem is In pt+oper operating cooditioa and/or (Z) , on and. purnphrg (if necessary), the septic tank is loq ~,;. ~ ' Uwe, the uadersigaed have read the abo ..~ agroe to maintain the private sewage disposal statsdar+ds . set form. hereiq as set by the Deparlma~ ~ ~ ilre D!epartmsat of Natural Resources, State of 11V Cerdficatian stating that ~ septic system has been ~~t,be completed sad returned to the St. Croix County within 30 days of the three year expuatio " ,,<~; j ; :: ;~ ~, . ~ ?~' G td ,`r r G1NNA OF L~GANT DATB ^~~,/ F= O R .RTIFIC!ATinty c?-,^~ I (we) - that all statements on~tlfo~n' are true to the best of my (our) knowledge. I (we) am (sre) the owner(s) of the ~sCribed above y v' of~a~~r~xauty deed recorded in Register of Deeds Oflice. ~~~ ~' ,~ ~ ~ ~~ ~ B-2~ ,:.~ F,~. ,. ~ SI(3NA OF APP ~ ,;. _~» ~~~~ . DATE, .4 ~ ~+~ , j An information that is mis- ~, result in the sanitary permit being rovoked by the Zoning Deprirtmeat. ,~ ,; •* Iaclude with this applleation: a s .deed from the Register of Deeds offico ,„ .. -: a copy of tl~e6ce~tiRed survey map if reference is made in the warranty doed ~` , OOCUMHNT NO. sasses • WARf1ANTY DEED Tn~r v~cc wcrcnvcu -ow wt~nNW Ny u~u STATE BAR OF WISCONSIN FORM 8-!fe! ~,~~ 1038~~~E 351 .....Sam..E.....~iiller.,...a...ai.ngle Rex.so.n ....................._ ........ ................................................................................................................ conveys and warrants to .....Cxaig..Jdal.ff..Jeln$..Ta.i,SB...Jr.....1~~T.R1~.~, ........husband-.an,d..~zifa,-.as...sutYivor.ship..ma~i tal....... ..---....prnp~iY ............................................................- .-.-................. ... ~. 'te~c'd for Reoad OCT 41993 R[tURN TO the followin described real estate m $.Cs.....L'.Q .X.......--•--...County, ~- ------- ---- -I Q ............ C State of W iseonsin : o'~ ~ + ~~ ~O ~ ' '/~ -Opp 'Paz Parcel o :.............................. mot 28, Plat of Prairie Vista Second Addition in the Town of Hudson rR.lr'~~ E Ei~ This ......-...is--:riD.t.... homestead property. XS>-el~ (is not) Exception to warranties: Existing highways, easements and rights of way of record. _ ~ a., ~. ~.oN,},ur--• .................. 18..43 ~~ t tD w Gp ~ ~p ~ 00 O G w e+ ~ ~ ,~. y n s rQ 0 0 • ~ ~ !r A ! A er -~+• ~ r0 0 ~ ~ • • ~ '.~ ~- N p m p ~• r~ ,w a..~ a ~ ~ SA' ~,,\ .,w' G,~•r ~ . ~ ~ ~ !f O A OD M -~ Q .~ y ; .. ..d ,a,~ R .~"" /~ r.. ~~ ti. 4../•:: ~~. N N0' 01~ 27i1w 1!137.80' i H O ~~ C -~ ~> S r .~ 0 ~O ~~rn ~ ~ ~~ ~ ~ 4 ; ~ A=f -~ .~.~ / N O 0 ~~ ~O N N o N `0 ~~ Pi it A N M y A A r M "' A A rr K ~ k ~ rw A C.~ ~rr ~-~+a r oC ir N -'' p' ~ O A ~ Q• ... ~ A r• ~ n . o ~0 pq is A w. ~. Own eA•r~aq•~~A ~~~ ~00~ ~N,,, A a ~ M A c~ w ~•~ ~` ~ °=~ ~•z ~ a ~ r fD ~ OR e7 ~ O• ."r '~ BEARINGS REFERENCED TO THE SOUTH LINE OF THE SE 1/4 OF SECTION 21 ~ ASSUMED S89°23~51~~E WEST LINE OF THE NW I/4 OF THE SE I /4 -7 = I 66~:54~ o k ~ ~ ~A ~ ! ~n,,, .-. to .-. Go ~ W~pW W O , ~.w..•a~o N ~ A n p ~r i M ~s ~A A A A w*"_a vM~ M A v A Vrw° ~ _ww a `~ i N 00° 51~ 27~~W •~ o~ of •~ IN N r 572.86 O t1 ~ dC ~~ 46 „ 743.ss'~~--- N ^ N N C ~~ o~ N P~ O A w K N A A ~ M ~ A A 1~+ r+ o N ~ ~.O N ~~, A ~ ~! M A M 0o A ..i M A .. O N O~ ~ N w .o 4• >m A G M pt A M a A M A A N TN V/ N STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER S ~/ri r/I ~ ~~G''V ...- ADDRESS ~o k 2 ~ Z ~(~ (~W~?~~~^- V~ ' It /~S O ~ i ~ i~~ ~U-~ t SUBDIVISION / CSM# ~~/~/,Q /E ~/ ~ ; ~ LOT # Z~ SECTION z ~ T Z q N-R / W 'Town of ~l r/ ~ *~h ST. CROIX COUNTY, WISCO~SIN~~' ~°r"°2 ~ Cwt "F~~ PLAN VIER SHOW ERYTHING WITHIN 100 FEET OF SYSTEM i ~'~~ Lot xt'Z ~ B.M. 5 ~ ~~ %y,, /O ~ .~-- / Q "-+. er' ' ~ r-,..-- zO ~ - _ o_ AITER , N~~E uo ~, BE°, ~ i ~ ~ <BKdo ~ ! ~ ~ I i , i __ ~ } r 1 ~ . _ _.:30 .a5 °' Ari rc uJay I , 7s' may" mac' 33~ li~ ~ o --- - ---- 9s' N No..~ss w~~ J .~.~'x~o' ~ I `I ~I INDICATE NORTH ARROWI Provide setback and elevation information on reverse of this -form. Provide 2 dimensions to center of septic tank manhole cover. 3 . BENCHMARR: %ef! dF /~' ~~~''~ mn No ~7,( lcT /~'n~- ~'~ = /~V D , ALTERNATE BM: To ~r a F lyduJ t e•.J/t~~~m~ SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: yQ ~~ s ~ v Liquid Capaciay: /DOlJ g~ Setback from: Well 7s ~ House ~3 ~ Other 3y' Dior, 64ia y ~- Pump: Manufacturer - Float separation ~. Alarm Location ,- Model# ~- Size Gallons/cycle: :SOIL ABSORPTION SYSTEM Width: /8 Length ~O ~ Number of trenches Distance & Direction to nearest prop. line: y> ~ A/o.-~~ Setback from: well: QS ~ House 6 ~~ Other _~~' ~~o.n bQ~wc ELES~ATIONS Building Sewer. PC inlet ~- ST Inlet; ~~~d ST outlet g~98 PC bottom ~ Pump Off - Header/Manifold ~,07 Bottom of system /4_ ~ Existing Grade ~- Final grade DATE OF INSTALLATION: PLUMBER ON JOB : ~ -~~ LICENSE NUMBER: M P h 9 ~ ~ INSPECTOR: 3/93:jt ~Cabor ahd Human Relations Safety and Buildings Division . 2 9.19.1 ~ V E ~ ~~ E ~~ T~ SON INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~o~c / ~.nC . ~~~ ~C~ Dosi Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic ' ~ NA Dosi NA Aeration NA Holding PUMP /SIPHON INFORMATION Manufacturer Demand Model Number ~~~~ti TDH Lift Friction Sy Forcemain Length Dia. H Dist. To well SOIL ABSORPTION SYSTEM ELEVATION DATA Aa~~lni77 R'//7~ /~,' STATION BS HI FS ELEV. Benchmark 5,03' ~ /~-~ '~ c~ ~ ~,~r~ 3.ss/ a ,~~' Bldg. Sewer St / Inlet ~' ~ 9~, 3~ ~ St/ Outlet ,GZ' 9~,d~ Dt Inlet t D B om t ot 1 Header.~an. ,/ 9~, 9~ Dist. Pipe , ~ `j ~ Bot. System ~, ~' ~~ ` `~ ~ ra~e .5 , ZS~ , ~~ ~ BED /TRENCH width Length , ~ ~ ~ No. Of Trenches No. Of Pits Inside Dia. Liquid. D_e~pih DIMEN N ~ ~ ~ / DIM r SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEA Manufactury / SETBACK INFORMATION Type O /~~ , ~ ~;,,~ CHAMBER Mode , ` System: ~ea~ ~ ~ OR UNIT DISTRIBUTION SYSTEM Header /~4aA+f®Id ~~ ~ Distribution Pipe(s) ~ ~, ~ ~ ~~ x Hole Size x Hole Spacing Vent To Air Intake Length ~~ ~ Dia. , Spacing Dia. Length SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched ~J Bed/~rewdaCenter ~U ,/~~ Bed!-IrEdges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: HUDSON 21.29.19.1267,NW,SE,LOT 28, CARSON LANE l ~ ,; . ; c.~- ~~ ~ ~ Plan re Ion required? ^ Yes ~]~Pd'6~ Use of er side for additional information. ~ ~~ Q3 SBD-6710 (R 05/91) Date ~~ Inspector's Signature Cert. No. ADDITIONAL COMMEDITS AND SKETCH SANITARY PERMIT NUMBER: ~= _ _ SeNITeRY p~R11A1T ODPI lit`eT1iflN - - -- - - - -- ----- - - -- - -- - - - - - - - - In accord with ILHR 83.05, Wis. Adm. Code couNTY ~ ' STATES NITARY PERMIT # ( -Attach complete plans (to the county copy only) for the system, on paper not less than ) ~2~~~ 8'f~ x 11 inches in size. ^ n k revision previous application wee reVerSe Slde for Ir1StrUCt10r1S for Completing thlS application. STATE PLAN I.D. NUMBER I. APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION SA/Y! LEA Lv'/ash'/a,S 2/ TZ ,N,R E(o PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # CITY, ST E ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 11. TYPE OF BUILDING: (Check one CITY ~ NEAREST ROAD ) State Owned ~ VILLAGE ~ 4~3eh L®rso La / , ~-- - , r~ ^ Public ~ 1 or 2 Fam. Dwelling~# of bedrooms -3 PAR EL . U B R( III. BUILDING USE: (If building type is public, check all that apply) Q ~ Q - ~ Z. ~) - ,~~ 1 ^ ApUCondo 2 ^ Assembly Hall 6 ^ Medical Facility/Nursing Home 10 ^ Outdoor Recreational Facility 3 ^ Campground 7 ^ Merchandise: Sales/Repairs 11 ^ RestauranUBar/Dining 4 ^ Church/School 8 ^ Mobile Home Park 12 ^ Service Station/Car Wash 5 ^ Hotel/Motel 9 ^ Office/Factory 13 ^ Other. Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ~ New 2. ^ Replacement 3. ^ Replacement of 4. ^ Reconnection of 5. ^ Repair of an System System Tank Only Existing System Existing System B) ^ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ®Seepage Bed 21 ^ Mound 30 ^ Specify Type 4i ^ Holding Tank 12 ^ Seepage Trench 22 ^ in-Ground 42 ^ Pit Privy 13 ^ Seepage Pit Pressure 43 ^ Vault Privy 14 ^ System-In-FIII VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE u RE©UIRED (sq. ft.) .PROPOSED (sq. ft.j (Gals/day/sq. ft.) (Min./inch).. ELEVATION S~ 9 S 7 ~{ S 7 Z O O.~ -- Od Feet ~,.~ Feet VII. TANK CAPACITY in allons Total # of ' N Prefab. Site C St l Fiber- Pl ti Exper. INFORMATION New xistin Gallons Tanks ame Manufacturer s oncret on- ee glass c as App Tanks Tanks strutted Se tic Tank or Holdin Tank /000 / (,,Jct, ~ rL/ Lift Pum TanWSi hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plum er's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number: ~6cc~ ' ~ S ~ ~~ M~_ S~ 3y 7/s 2 ~7~ 333 , a eu s . Plumbers Address (Street, City, Shat/e, Zip Code)y:~ /^ IX. COUNTY/DEPARTMENT USE ONLY Disapproved Sanitary Permit Fee (incluaea Groundwater Surcharge Fee) a e ~u Issui g Agent Sig re (No Stamps) Approved ^ Owner Given Initial t~j / J~ ~~ Advers Determination ` X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly PIb~7) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 6 1. A 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. 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. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. ff you have questions concerning your onsite sewage system, contact your local code administrator or the - - State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in #1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of -tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for a// septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VI11. 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. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8'h x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and. lakes; pump or siphon tanks; 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; and F) all sizif-g information., , GROUNDWATER-SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. ~ -' SBD-6398 (R.11/88) STC-100 T}pis application dorm is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only rESUlt ~n delays of thg permit issuance. ,should this development be intended for resale by owner/contractor (s ec 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 S~!?7 ~!,' /day- Location of property~l/4 SE 1/4, Section Z / , T ~~N-R ~ 9 Township ~~~o~ M~ail/i~ng address ~o ~C -~z d ~, /TUU'~ sv~ w i S ~I~~ / 4, Address of site _~ZD L~~.,s~_._. ~~-„~ Subdivision name ~%; ~ ~ ~• V; St Lot no. Z9 _ other homes on property? yes,~_ No Previous owner of property ~a7~~; y,~ ~U~~~ fpa~.e Total size of parcel ~. $S fJ-L. ~ bate parcel •was created ~ Z - / ,,f = r/ Are all corners and lot lines identifiable? _ ~ ^yeS No Is this property being developed for (spec house)? X Yes No Volume ~~ and, Page Number 3 ~ as recorded with the Register of Deeds. INCLUDE WITF{ THIS APPLICATION THE FOLLOWING: A WILitRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & TIIE 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 references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify .that all statements on this form are true to the best of my ( our ) knowledge that I ( we ) am ( are ) the owners ) of the property described iri this information form, by virtue of a warranty deed recorded in the office of the County Register :of Deeds as Document No. ~9 29o z , and that I (we ) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction ,of said system, and the same has been duly recor~i~gd in the office of County Register oP c]aAric ~,~ r,,,,,....,,._a. ~ G n ~ ~. _~ ~ i~ ' V•OL, 9p6PAGE 3J DOCUMENT NO. !' STATE B.~lt U^ WISCOIvrSIN FORA 11-1982 LAND CONTRACT lndividuat end Corporotn ~~~~~~ I~('r0 IIE USF:U FOP. ALL TRANSACTIONS WHFRF. OVEK ~I>:T•i,000 15 F'INANC'ED AND IN UTIIE2 NON-CONSU NER .\CT TKANSACTfONS) 1`- Contract by and between Verlyn__ E_,___Benoy__ and_______::____ ~ _____Catherine:~,___Benoy1___husband__and _ wi_fe_,___________________ _ _ ----••------°-------------•---•--------------•-•-----------•----- •----------•-•------ ("Vendor", whether one or more) and...SdIll__E.__Miller-_______________________________________ -----°•-----•-•----•------.-.-••---------------••-------- ("Purchaser", whether one or more). Vendor sells and agrees to convey to Purchaser, upoi: the prompt and full per- formance of tl.is contract by Purchaser, the following property, together with the rents, profits, fixbires and other appurtenant interests (all called the "Property"), in_.__.___`S__}e_e...C~Q1zG ............................•.---•--... County, State of Wisconsin: Lots 27 and 28, Prairie Vista Second Addition, being part of Nw 1/4 SE 1/4 and SW 1/4 SE 1/4, Section 21, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin. THIS SPACE RESERVED FOR RECORDING DATA ~ ~ RES~~~~'~ (a~~l~E _ `~T. ~tQi~ ~0., WI . Reed for Record oEe x ~ ~ss2 ~ 12:30 F M a fte9bNr of Deed= ~' , . RETURN TO i Tax Parcel No ................................... ~q o ~..~-°- This ....__1S_._nO.t...___._ homestead property. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at 766__MeddOW__ Dr1Ve~__Hl1dSOri,r~ W the sum of $__3~.,_UDO~O_Q***_*_*_*___*__*__*.***__.._. in the following manner: (a) $__3.,.QQ.~a00******_*...... _ - -- at the execution of this Contract; and b the balance of * * * * * *, 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: This contract shall not accrue interest unless it is in default. The entire balance is due in full two years from the date of this contract. Purchaser may obtain a warranty deed in partial satisfaction of the contract upon payment of the following: Lot 27 - $15,000.00, Lot 28 - $1',000.00. Provided, however, the entire outstanding balance shall be paid in full on or before the._____.15th ____ day of __..A~Cemb_er__________________ 194.4.._ (the maturity date). Following any default in payment, interest shall accrue at the rate oP ._._._.__.. % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of fazes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise req~ire3 by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time after_______________________________ 19____.___ (OR) there may be ro prepayment of principal without permission of Vendor.• In the event o4 any prepayment, this contract shall not be treated as .n 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 Dave been had the monthly payments been made as first specified above; provided that monthly payments shsll be continued in the event of credit oP any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that iurchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: Purchaser shall not be deemed to be committing waste by building a building upon any of those lots. Any building must, however, be located within the boundaries of each lot. Purchaser agrees to pay the coat 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..ClOS1n.Cj._da~E..Df_..th1S_..Ct)11~La~t •croa. o°t oR•. o ' 986Pa~~ 34 ~ Purchaser promises to pay when due all taxes and assessments levied on the Pruperty or upon Vendor's interest •iri 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 occaaicned by flrcQez~- tended coverage perils and such other hazards as Vendor may r<xluire, wahout co-insurance. through insurers app -..--, but Vend _ shall not re uire covers a in an amount more by Vendor, in the sum of ;-_--.---N/A---------------------- than the balance owed under this Contract. Purchaser shall pay the insurance prem:utna when ue. The policies shall contain the standard clause in favor of Lhe Vendor's interest and, unless Vendor otherwise agrees in writing, the original of all policies covering the Property steal! be deposited with Vendor. Purchaser shall promptly give nonce of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writrng, insursr.ce proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the reatorg'.ion 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. ezecute 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 or encumbrances created by the act or detault of Purchaser, and except: •----••----••---•••-••••••'- Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any pr~nc~p or interest which continues for a period of -_N~Adays 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 ot.......... days following written notice thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under thin 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 following rights and remedies (subject to any limitations provided by law) in addition to those provided Dy law or in egnity: (i) Vendor may, at his option, terminate this Contract and Purcuasero'f rights, title and interest in the Property and recover the Property back through 4trict foreclosure with any ey y redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from Lhe date of default at the rate in effect on such date andotheramountaduehereunder(~nwhicheventall amounts Previously paid by Purchaser shall be forefeited as lignidated damages for failure to fulfill this Contract and ss 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 outstanding balance, with interest thereon at the rate in etfect 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 (iii) Vendor may sue at la~v for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contractasscloud on title in a qu~eLtitle action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession 04 the Property and have a receiver appointed to collect any rents, isst:es or profits during the pendency of any action under (i), (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 attorneys fees of Vendor incurred to erdorce 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 ary action of foreclosure oP this Contracts purchaser consents to the appointment of a receiver of Lhe Property, including ho~.lestead interest, to collect the tents, issues, and proflts 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) wahout 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 Sn 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 fails to do so and all pa}~ments so made by Purchaser shall be rnnsidered 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 rtes heirs, legal representatives. successors and assigns of Vendor and Purchaser. (If not an owner of the Property the apotu~e of Vendor for a valuable consideration joins herein to release homestead rights in the subject Proparty and agrees to joie in rtes execution of the deed to be made in fulfillment hereof.) ~j Dated this ----------~--~?-----------•------------------- day of ----D~ Gtr--~~"''-~----------.-.-..-..------......___.• 19_-••. ~,,,,, I ``c~"="-~!--~ .--•------------••-------------(SEAL . --.Sam--E,---Miller--•---------------------------- --------------------•----------•-----•--•------------••----------- (SEAL AIITAgNTICATION ----t!- - ---~'--• - --- •------•--..(SEAL) a~~ ) --~~~!~-`~-.~.-!~4E Y ------.(SEAL) Catherine A. -Benny -. ---.-•---------- Signatnre(s) -----•--•-------••------••---°•--••------••---------------- authenticated this __._....day of--------------------------- 19._.. TITLE: MEMBER STATE BAR OF WISCONSIN (If not, -•---------------•-•°----•-----------•°-----°--•--------- authorized by $ 706.06, Wis. Stars.) THIS INSTRUMENT WAS DRAFTED BY Robert F. Wall --WAS..--&-• -Nj~)r1yFs~------------------•----------•--....-----•---- 522 Second Street - x~la-so~~--w~-----~o-16------------------------------------- (Signatures may be authenticated or acknowledged. Bot. ACHNOWLgD(}MSNT STATE OF WISCONSIN ss. ---..St...•CY_Q1X••_--__-...COnnty. (T Personally came before me this .___. ~ ~.--day ci ----.~-~~(„~r~-r~-~-:--------, 19..92_ the above named ~am..):~~..Miller,...Ysrlyn. E-~..8enn~-.._.._ ---cad...Cath~r~le---A~--Berlsag--------------•----•---- -------------------- -- -.. 1.~--- (~ ..----•• ~~ ~•~••• ~• ~ _ who executed the to me kno ~•s~T++9V-- -- ' ~e the acme. foregoi 'rant >?fed. ~d a . ~,d ~Rl.>< , • ~ . . ._. .n ........................ •--------- - ~ 1- ~' •ti e, Notary P :trti ~` My Com ,-i~Fe~~r _r.. !~ ~'_..-County, Wis. not, state expiration ,~ 3 ~ li. 0 0 S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER_~/i11~ GYI'~Ia-/' ADDRESS t`~O Y~2 8`~ ~ FIRE NUMBER~- CITY/STATE_~GcQsorr w 7 ZIP_SYa~ PROPERTY LOCATION:~1/4,S ~ 1/4, SECTION Z ~ , TAN- /9 W TOWN OF~~'3or~ , St. Croix County, ' SUBDIVISION ~~ ~ ; t. /J,` S ~~. , LOT NUMBER L ~ . Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists 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 treatment 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 system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification 'form, signed by the owner and by a mater plumber, journeyman. plumber, restricted plumber or a licensed pumper verifying that (1)• the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/~~e, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be -completed and returned to the St. Croix Co. Zoning Ofgicer within ~0 days of the three year expiration date. SIGNED: . DATE • _ ~1- Z -Z - ~ ~ St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 ' Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT ~ ~ Page 1 of 3 " •Uor a Human Relations fllGision :Safety 8~ Buildings ....r ...:a~. nun nn nc \A/:,. A.J.... n,.,a,. ... .. ............... .~.....,.,..,,,, ...,,..,v.....,.,..v COUNTY /~ ~T ~"'~ I ~ Attach complete site plan on paper not less than 8 1/2 x 11 inches in size Plan must include but , . not limited to vertical and horizontal reference point (f3M), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: ~~Q, M ~"'~ 1 L L~ {~ PROPERTY LOCATION GOVT. LOT /~ ~ 1/4 ~ 1/4,S Z1 T Z~ ,N,R !t g E (or) W PROPERTY OWNER':S pp~~ILING ADDRE~s T~ ~S,R Ax 1~~~ LOT Z~ BLOCK # SUBD. ME OR CSM # -4~ ~,~ ~ '1friSrK1 CITY, STATE ZIP CODE PHONE NUMBER ^CITY V LLAGE OWN NEAREST ROAD„ L ( ) u~sc~,,J CT uu ['New Construction Use [ ] Residential / Number of bedrooms [ [Addition to existing building j) Replacement [ ] Public or commercial describe Code derived daily flow ~ gpd Recommended design loading rate d •7 bed, gpd/ft2 O g trench, gpd/ft2 Absorption area required6g~ bed, it2~ trench, ft2 Maximum design loading rate ~~7 bed, gpd/ft2 O~~ trench, gpd/ft2 Recommended infiltration surface elevation(s) S\UC1 ft (as referred to site plan benchmark) Additional design /site considerations Parent material Flood plain elevation, if applicable ft S =Suitable for system U =Unsuitable fors stem VENTIONAL ~S ^ U MOUND ~S ^ U IN-GROUND PRESSURE CAS ^ U BADE C~'S ^ U Y TEM IN FILL ~S ^ U HOLDING ~~, ,K ^ S ~U SOIL DESCRIPTION REPORT Boring # S:i;::: ^i:;:$ii}iiv G i~i:: j~ :+.ii k ~ :: ~tiG'•:iii: i:; '~i~ Ground elev. /~_3ft. Depth to limiting f ctor ~.~~ Boring # ~~ ~ ~:4 ti:t hQ~:;.w Ground elev. ~~ ft. Depth to limiting f ctor ~ ~.25 H i Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/ft or zon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. ry Bed Trends -~ ~oy~ 3 1 - ~ ~ 56 ~ c ~ d.9 os g s-iog i~y~ ~- 4- `_ s ~ 1 47 og Remarks: Q Q- Z /ode / ~ L 1 n~ Sb) rr, ~ Z, p . ~ O.S g r~-3 ~ /o ~ -- S, C s6 r~r ~. ~ a ~ 0.6 Remarks: Name:-Please Print ress: ~~~Sd,N e ` N ~~~ ~ Phone: l ~~~ 1 / Date: 'L 40 ~~ 34~ 4 PROPEATY4WNER~ ~~ ~ICi.~I° SOIL DESCRIPTION REPORT Page? of 3 4 . PARCELI.D:# ~ ~~ ~f-R.A~R~~ YlS`/l4 Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed Trends ~ -~~? i y~~ ~- `_ s ~, J 0 c~~ o Remarks: -t 3 /aye 3 1 -~ L 1 ,~ s~~ m ~. ~ ©~- ' p.S 13-3c> ion ~3 -- S~ L ,~ sbK ~,-~ ~ 1 0 ~ 0.6 ->>~ y~.4 ~- `~ ~ ~ M1 ~ 0.7:0 Remarks: f~-3 3 ~ ~-L ~ rh S1~Y f'r'-~r C ~ a.SD.6 Remarks: Remarks: SBD-8330(8.05/92) ,... ' ~, L A Qs ~: N LaN~" r !~ N~ ~~~ ,~ 'i :\ ~ ~ ,, ~ \,~ ,, ,; ~. .; C 3 O ° ^ ~/ ' r~ ~" ~ W 4 ~ ~. ~ ~ r r~ ~ i._ ~t ~ ~ ~ ~ ~ ~ ~ 2 ~ \ 4 N ~' ~ ~ ' ~ U ~ \ V a t D 4 ~ ~ 1 ~ ~~ / ~ t V) ~ ` ~ . // l `'~ ~ Cr ,~~ ~r 15~ `~ t - ; J ~-~k ~ t~ ~o ~ ~c~~ ~ ~ ~ ~ G~~~ ~S~M r ~ N t~ -, ~ °a ~ ~ - ' c~ 1 ~/'~ 4 J r r; ~ :, ~ ~ ~ ~\ ~ t~ o H ~ ., l ! ~ ~' ~_ 2 J M 1 ,~ ~_ ~ ,A ~- A Q W ` a ~~ A ~ a W ~ ~ n ~ ~ ~ 1 o 1 .J Y u ~ O < ~ ~W I / v Z ~ Q ms v 1, 1 ;~ r ~o\ ~a ~~ ! ~ ;T J ~ \ ~O ,~ 9I ~ I .~ ~ _ ro _ N! __ ~ - ., .- I~_ ~ r ~ ~ ~ ` as ~ e~~ I ~ti __ _ -, I ~ ,_ - I - - ~ --- ---I M i ~ i wf 1.. g ~ ~ i ~' ~ ? 4+ ~ ~ ' ~~ 2 w ~_ s ~~ d ¢ ? S 1 N W s 'o _..-__. ____.___,T- J W h ~ 4 d° S ~ t ~y w a h~ 1= -' M J ~; ~~ i~ 1~ F\ s~ M n ~~ J 'sQ ! J f~ S ~ ~O~v,w x~~vi~l a Q~ ` ~ Z O C3 ~1 d' (~ ~ O td. w ~~ 0.. _ ~ O W a °-' z ~ ~ ~~ ~- ~ ZQ X V o~ ~r r r o A~ R~ z M i .o i T~ '~ ~- w 0. a co r- 2 O V w a z ~ ~ -;~ ~ j I r°q ~. ~ I ~ d ~ I I j t~ ~ j I z ~~ ~ ~ a ~ - ~ ~ I I o I I a { ~ w - io i ~ i ,~ ~ a ~ I ~ j ~ ~ z ~ I j w U a R I r ~ I z ~ , ~~ I ~ ~_ I i ~ _~,. F-~ :~ M w a Q. a~ tK O ~ z a Q ~=- U W (~ w a. 0 w m c~ z 0 • ~~". CRC@?~ 'CC~~Jt~T~' W~SCt~I~~~h[ PLANNING & DEVELOPMENT PLANNING SOLID WASTE REAL PROPERTY ZONING 715-386-4674 715-386-4623 715-386-4677 715-386-4680 September 27, 1993 TO: First Federal Bank 2000 Crest View Drive Hudson, WI 54016 FROM: St. Croix County Zoning RE: Sam Milleer septic installation: 820 Larson Lane., Hudson, WI 54016, Subdivision - Prairie Vista, Lot #28, known as the NW ;, SE;, Sec. 21, T29N-R19W, Town of Hudson, St. Croix Co., WI. St. Croix Co. Zoning Department personnel inspected the installation of the septic system which is to serve the dwelling located at the above described property. The inspection was conducted on Sept. 10, 1993 and revealed that the newly constructed portion of the system was designed and installed in accordance with all local and state requirements. Enclosed is a copy of the inspection report for your use. Should you have any questions, please feel free to contact this office. S~cerely, James K. Thompson Assistant Zoning Administrator js ST. CROIX COUNTY GOVERNMENT CENTER • 1 101 CARMICHAEL ROAD • HUDSON, WI 54016