Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
020-1157-40-000
WisccAsin Department of Commerce PRIVATE SEWAGE SYSTEM County St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 5 06286 0 GENERAL INFORMATION State Plan ID No: _ Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name, City Village X Township Parcel Tax No: Lockbaum, Joel I Hudson, Town of 020 - 1157 -40 -000 CST BM Elev: Insp. BM Elev: BM Description: SectionlTown /Range /Map No: (� /OZ t 0 26.29.19.881 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ( Benchmark 5� Al Ak, -- � J,� �, , 3.3 - 3 16 i/vlJitt) i ~ r hv'� / Alt. BM_ / 6& /0D` � Aeration Bldg. Sewer y Holding St/Ht I t 6� 411 .( TANK SETBACK INFORMATION §IIHLOutlet / 7 Gxf X17 - `t 9 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet I / � 3y 7 �� Y r Septic r / DL.aQ#Grn Dosing t 4' Pl ]J� t :r an. 2 -5 l Y 3 r Aeration Holding Bot. System /t>, yv /o, 37 e12- - 7 PUMP /SIPHON INFORMATION Fina_ Ie / t — S V( ? / Manufacturer Demand Cover N GPM p i ( I S SID: VZ Model Number Cev> t� TDH Lift Friction Loss ystem Hea TDH Ft Forcemain Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width t Length o. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/ BLDG WELL LAKE /STREAM , L EACHING ManufacUue INFORMATION CHAMBER O l TY�/To Type f System: / UNI �� / Model Number: Q r/ DISTRIBUTION SYSTEM 3 Header /Manifold - , n Distribution" x Hole Size x Hole Spacing Vent to 'Intake Pipes) / ( i rt I Length Dia Length Dia Spacing__ —` '7 1 �v / 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 Bed /Trench Center S Bed/Trench Edges Topsoil Yes No E] Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:_ / j Lq Inspecticn #2: Location: 719 Meadow Lane Hudson, WI 54016 (SW 1/4 SE 1/4 26 T29N R19W) High Meadows II Lot 21 ` Parcel No: 26.29.19.881 1.) Alt BM Description =1Irf l&& 1� l `W 2.) Bldg sewer length = - amount of cover Plan revision Required? ❑ Yes VNo Use other side for additional information. �� SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. Commerce.WI.90V Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 St. Croix i sco n s i n Madison, Wl 53707 -7162 Sanitary Permit Number (to be filled in by Co.) Hof 50(V z<3 Sanitary Permit Application State Transaction Nwber In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate for go Address (if different than mailing address) unit is required prior to obtaining a sanitary permit. Note: Application forms for state-o WTS 7/� submitted to the Department of Commerce. Personal information you provide may be use d Same J purpo in accordance with the Pr*acy Law s. 15. 1 m Stats. I. App lication Information - Please PyMt4ll Information Property Owner's Name / Parcel # Joel & Teresa Lockbaum Ai i a 9 020 - 1157 -40 -000 Property Owner's Mailing Address r Property Location 1 719 Meadow Lane ST. CROIX COUNTY Govt. Lm ' City, State Zip Code SW '' /,, SE ' /,, Section (circle one) Hudson, W1 54016 715 386 -0724 x 29 N R 19 W II. Type of Building (check all that apply) # ❑ 1 or 2 Family Dwelling - Number of Bedrooms 3 Ad 21 Subdivision Name ock # Hi Mea H ❑ Public/Commercial - Describe Use Na ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Vil of 1� town of Hudson lIf Type of Permit: (Check only on box on line A. Complete tine B if applicable) A. ❑ New System Replacement System ❑ Treatment Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B• ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Before Expiration Owner q 75 7-11 IV. !Xpo of POWTS S stem/Com nent/Device: Check all that appl on- Pressurized In- Ground ❑ Pressurized In- Ground 11 At-Grade ❑ Mound > 24 in. of suitable soil 11 Mound < 24 in. of suitable soil 11 Holding Tank ❑ Oter h Dispersal Component ( [3 Pretreatment Device (explain) V. Dis ersaUTreatment Area Informs ' : 57 Infiltrator W" chambers A 20.0 s .11 EISA / chamber + 3 pair end caps @ 5.8 EISA = 1,157.40 s . 8. Design Flow (gpd)/ I Design Soil Appli persal Area Required (sf) I Dispersal Area Proposed (sp I System Elevation 450 gpd V� 0. in -situ soil V 1 1,1 25.00 s . ft. 1,157.40 s . ft. 93.00 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units q ° New Tacks Existing Tacks f� 70 jC�� s / • 1 U in V r w C�7 f3, Septic or Holding Tank 1,000 1 UII1010 X Filter Canister X F Na - 1 1 Wieser Concrete �;_ X VII. Responsibility Statement- 1, the and reigned, assu responsibility for i pia of the POWT'S sho9hN64ftebed plans. Plumber's Nano (Print) Plumber' Sign MP/MPRS Number Business Phone Number James K. Thompson 30021 715 248 -7767 Plumber's Address (Street, City, State, Zip Code) 340 Paulson Lake Lane, Osceol W1 54020 -5413 VIII. Coon /De artment Use Onl pproved 1 ❑ D' Permit Fee Dagfie C d IssuiZgnt Signature ❑ Reason iat $ f 5 " V ( b VL Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: �� 1. Septic tank, effluent filter and 1l. idteidcpElkGseAlfrpletatsaH dtlilxtlttvantbill '� � #, aervlrJae � maitMaitratl aWloerrraaaal dt mlatovitte N9l ►. ss par mwlapalttent plan provided by plumber. 91111atlgralsk>r rruNtlsre 2. An setback requirements must be maintained r the system and submit to the County eoly oa paper not iess dun S w x ll Wches is sae SBD -6398 (R. 01/07) Valid thru 01/09 • EXis'�q bi R do e It v. Ale .zctJs Po le .�`oe /s' rucsa�oc.�6au„��r V 119 mea daw Z4.ne /-ot z! I le Swysr s�yy scG. zG T. z 9il, Croix Co r,J/ Pe l. .,E o�w_ /sue / fieEe: ,4// Jot / are >so a n oP�-Z r12" e $ Z d Y S(A rE. 0 fia+►�de car/cs^ Elie = %oi .2tr q� , &bgre-can (lcc.e 98 .x. 0 ' .' �' l�iopoxal d, /cc/% /�it a EJE,ins�td�lc�{ , \ 9G.oS �rc.,cl�cs ooct✓tb ;n ✓Nft 9z ' Can�xt If T-, Q 95.93' 98.0 " /q_o/z 6J� es411-mac. wcadid /A_64r�yAx /al ssc,s Al 46d L P VC be-�i� �o oosc d e�; ✓c� s, cn daly� �°' -d '�-r 4 rr syv-4A- • E t•� b�R d� e /c v Scat /Jo I! a`oe / d Tu'csa�oc.E� b 4 c.a( � �I9 1t12a day Lase, Lot z/, ��X Iffe -& o as Ir ., Swy$r -5eYy Sec, zG tJ /. t1ok: 411 EXJ:Sf��9 00�•+� SYsfsrta.rcq. 0 n oP o SGsry • , S dec.K �0 ma„ Mode elt0 s ion 20 y +die &ce- a� o EsEi , /��ryal� 63 Leo Su 160 c 9GoS p�opoxcl d.s/ocrSu /cc/��ret Iv a"6 / I-' e'trr c./i c 3 Q. e 3 co Ll , • I C lea.., 61.GS �J� ti's -�L . ,Sy s� c ,2 g ' a oc E�cJSfi' al,sioua� ,� o ', ra sse3 �'Mz- a � o�1e�• �oFbscd d / ✓c�Sr'cn d�d� ?4c 2085 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page t of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8%x 11 inches in size. Plan � Coin St. Croix klude, but not limited to: vertical and horizontal reference point (BM), direction percent slope, scale or dimemsions, north snow, and location and distance to Parcel I.D. Please print all information. 020-1 1 7-4 Date Personal rrdomiatiai you provide may be used for second Law. s. 15.04 (1j (m)). S l 7 Property Owner Property Location Joel & Teresa Lockboum Govt trot SW 1/4 SE 1/4 26 T 29 N R 19 W Property Owner's Mailing Add Got Lot # Block # Subd. Name o CSM# 719 Meadow Lane AEG 9 21 High Measows tl City Ste Zi ,C jkope>t�iYer J City l Village 0 Town Nearest Road Hudson I 54016 71 Hudson Meadow Lane New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Id Replacement Public or commercial - Describe: Parent material Glacial Drift Flood plain elevation, if applicable na General comments and recommendations: Site suitable for conventional dispersal cell at 0.4 gpd loading rate. Recommended system elevation to be 93.W. r� I 1 Boling # Boring t i ✓m Pit Ground Surface elev. 98.81 ft. Depth to limiting factor >1 12" in. Soll Application Rate Horizon Depth Dominant Color Redox Description TexGxe Str Consistence Boundary Roots GPD in. Munseil Qu. Sz. Cont Color Gr. Sz. Sh. - Ef1#1 ` ff#2 1 0-25 1 sil ds fm 1 c 0.6 0.8 Oy r3/2 none t 2fsbk cs 2 , 2 25-46 10yr4/3 none sil 2fsbk ds cw 1fm 0.6 0.8 3 46-70 10yr4/4 none gr sl 2msbk mfi ci 1vf,f 0.6 1.0 4 70-112 10yr4/6 & 5/4 none is & s 0 sg df - 1vf 0.4 0.8 H #4 contains 112" - 2" irregular, discontinuous bands 1 /4 6" - 1 " intervals. Loading rate Wuced to re reduced pemtia inky of horizon associated with banding. —� r ) Boring # I Boring 16 Pit Ground Surface elev. 96.20 ft. Depth to limiting factor >92 #1 in. Sot Application Rate Horizon Depth Dominant Color Radon Description Texture Stru Consistence Boundary Roots G in. Munsell Qu. Sz. Coin. Coto Gr. Sz. Sh. -Eff#1 -E 2 1 0-12 10yr3/2 none sil 2%bk ds cw 2fm,1 c 0.6 0.8 2 12 -34 10yr4/4 none gr si 2msbk dsh aw 3vf,2f 0.6 1.0 3 34-92 10yr4/6 none fs 0 sg dl - - 0.4 0.8 contains 1/4" -1" Irregular, discontin s bands 41fs at 6" -12' intervals. Loading rate reduced to reflect reduced permiabil6of horizon associated with banding. - Effluent #1= SOD? 30 < 220 mg/L a TSS >30 < 1 mg/L - E cent #2 = SOD <_30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signat �/ CST Number James K. Thompson o 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Os a, WI 54020 7/1212007 715-248 -7767 pro Owner Joel & Teresa Lockbaum Parcel ID # 020 - 1157 - 40-000 Page 2 of 3 F 1 3 { Boring # J Boring L 1 M Pit Ground Surface elev. 98.06 ft. Depth to limiting factor >106" in. SO Appt Rate Horizon Depth DominantColor RedoxOescription Texture Structure Consistence Boundary Roots GPOW in. Munsdi Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *EfF#2 1 0-9 10yr312 none sil fill 2fsbk ds cs 2fm,1c 0.0 0.0 2 9 10yr3/2 none ell 2fsbk ds cs 2f,1 me 0.6 0.8 3 27 - 37 10yr4/4 none gr sl 2msbk mfi gw 1fm 0.6 1,0 4 37-42 7.5yr4/4 none gr sd 2msbk dl cw 1 vf,f 0.4 0.6 5 42 -106 10yr4/6 none 0 S9 dl - - 0.5 1.0 q H #4 contains U2 2" irregular, discontinuous bapelif 1 4 ifs at 6" -12" intervals. Loading rate reduced to reflect reduced permiability of horizon It t associated with banding. F 4 ; Boring # Boring , i e Pit Ground Surface a 99.10 ft. Depth to limiting factor >98" in. Sol Appliwation � Horizon Depth Dominant color Reiox Description Texture Stn cture Consistence Bourxlary Roots in. Munsseil Ou. Sz. Cont Color Gr. Sz. Sh. *01101 *Eff#2 1 0-26 10yr3/2 none sil 2%bk ds cs 2fm,1 c 0.6 0.8 2 26.40 10yr4/3 none sil 2fsbk ds cw 1 fm 0.6 0.8 3 40 10yr4/4 none gr sl 2msbk mfi ci 1vf,f 0.6 1.0 4 60 -98 10yr4/6 & 5/4 none %&s 0 sg dl - 1vf 0.4 0,8 H #4 contains 1/2 - 2" irregular, discontinuous bands 10yr3 /4 ifs at 6" -12" intervals. Loading rate reduced to reflect reduced permiability of horizon associated with banding. Boring # Boring Pd Ground Surface elev. ft. Depth to limiting factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Murnsell Qu. Sz. Cont. Colo Gr. Sz. Sh. *Eff#1 *Eff#2 ' Effluent #1= BOD 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent 02 = 900 < 3O mg/L and TSS <_30 mg/L 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. ssit"330 (807ft) A.C.E. SON & Sfe EV8k9M r15 • Soy %eda /uaz,'��%� • EXi'S�wrig8/tde eIt ca/ 0 le ..7'oel� 7'iresa �vE�6au.,,f b e d 719 /flea dad Zane, Let z/, �,tY So'Yy see. zG T. ,29,f. off' /tic dt orb, Se ,E o20 / /s7- sIo -XV tlo&: 4 let /•yes ar >so r6rV7 s SJArrl a-'Cq, a , N M • oPof'Z A' /2 • � � S dfcr �0 ' 910 � 4* sE; VA.P. ��� � x,53 septic zk.,�'' --�` a E.I�i/Yfa.�Cd�l.C�a -'E �' -- + 9G.oS l O roj ooSEdd,Sp.��s�/ce / /a�ta. t : . , - ✓k� ;9x�� ± 77rlc��J tjanc(cS ¢t 3� �G. d dz ,4A,or a� /oca &•on ap w odeVI4 -mss /ca, - /a( ra ssei i . 3 a3 > +1I1 HOnS 111Nn -d 0I s jo 3NI�831N3003 1dI01NNn2i +� S1ol 'dlHS83NMO 0NV NO1 1VXV1 30 S3SOdtind a0� S 1`10 O SIHl SM.L3nM1SNO038 80 0 # ,t0 8 10."1 803 318VI1 38 11VHS 0V0li SIHl Ol b ➢d0ad 1N3�VPOV hloN dIHSNM01 341 83H113N 038tN11Sq M fi 1 SAVM3AIN0 ANV 10n8lSNb038 Ol 0NV SONVONV1 OLL H1,M 3 AVOa000V NI 0380VON 3H1 10n?11SN003t1 A1a3doW 1N30V1'0V .30 Sa3dOl3A3a 3llnin3 01'18nd V Ol 103fBflS ,ttfmcvu SIH.L `d3A3MON SI � 3flVa Ol 0NV . 3 b 10�iddV $I t- ZZ 101 301Aa3S Ol AVM3AIb4 S d Q ,�dNaS3f] AVMOV08 31WWH :310N 1 'O 1 . C:); � 1 � • W , d ' I , I 1 I I g U. �r 1 p p Lij 0/ o H I 13 a' 3 3' °o ` / 2, t cc w o o OD w ; 60 �l b w �uu J L' a x tm. _� c7 4 --Nava a lm Qt W ) ME —_ ..„ m > ®mil Q U OMEN _ v• L1J �ii1r1 a II ��It O z own �- —r.■ roe` L l � z � o U a Li w a e o V Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD- 10705 -P (N.01/01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Sentic Tank Septic tank servicing mechanics comply with Comm. 83.54(1)(e). Septic tank to be located within 150' of service pad, with bottom of tank to be 515' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. 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 filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes 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 individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within and above the system and will promote frost penetration during cold weather months. Cold weather installations (October - March) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BODS, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Effluent flow shall be alternated between dispersal cells on a two -year schedule by use of a diversion valve. Valve to be switched diverting effluent from dispersal cell currently in use to resting cell on a two -year cycle coinciding with septic tank inspection and maintenance. Contineeacy Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248 -7767 or the St Croix County Zoning Department at (715) 3864680. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND � --� / OWNERSHIP CERTIFICATION FORM Owner�r _: oee fe Mailing Address Property Address (Verification required from Planning & Zoning Department for new construction.) City /State Parcel Identification Number OoAO 2 LEGAL DESCRIPTION Property Location 540 t /a , st' t/a , Sec. .4 , T .Z�' N R 13� W, Town of + tJY) Subdivision , i QL✓OU�S Lot # t 2�. Certified Survey Map # �G[ Volume Page # Warranty Deed # (o 9l5_6(09 Volume —,16 Page # 1 1R0 Spec house no Lot lines identifiable es SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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 pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and /or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms SIGNATURE OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map it' reference is made in the warranty deed. (REV. 08/05) STATE - 111 W (UNSIN 1 - 2000 WARRANTY DEED 645s6 Document Number KATHLEEN H. WALSH REGISTER OF DEEDS This Deed made between Jose h J Jackels and ST. CROIX CO., WI Florence Savina, both single persons RECEIVED FOR RECORD Grantor, 05 -16 -2001 10:00 AM and Joel Lockbaum and Teresa Lockbaum husband and WARRANTY DEED wife as survivorship arital ro ert EXEMPT I p P p y CERT COPY FEE: G COPY FEE: Grantee. TRANSFER FEE: 694.50 Grantor, for a valuable consideration, conveys to Grantee the following RECORDING FEE: 10.00 described real estate in St. Croix County, State of PAGES: 1 Wisconsin (the "Property ") (if more space is needed, please attach addendum): Lot 21, High Meadows II, Town of Hudson. Recording Area 706 19TH STREET SOUTH HUDSON, Wl 54016 020- 1157 -40 -000 Parcel Identification Number (PIN) This is homestead property. Together with all appurtenant rights, title and interests. (is) (is not) i Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Roadways, Easements, and Restrictions of Record. Dated this 11th day of ma 2001 * Jose ckels * *Florence Savina AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) ) ss. Signature(s) St Croix County. ) authenticated this day of Personally came before me this _ llth _ day of May the above named Joseph J Jackets and Florence Savina TITLE: MEMBER STATE BAR OF WISCONSIN s who executed (If not, to me known to be the person authorized by §706.06, Wis. Slats.) the fore ing insttumen d acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Kay V. Palm* Palm Mic H Forecki, Attorney No tanf Public tary blic, State of Wisconsin Eau Claire Wisconsin i is permanent. (If not, state expiration date: Si natures ma not neces bt authcnticated or acknowled ed. Both are December 12 2004 *Names of persons signing in any capacity must be typed or printed below their signature. FORM No. 1-2000 WARRANTY DEED STATE BAR OF WISCONSIN ttomcy Michael H Forecki 1830 Brackett Ave, Eau Claire WI 547014627 T43855492FX Phone: (715) 835 -3029 Fax: (715) 8354112 Michael H. Forecki Produced with LpFormO by RE FoansW, LLC 10025 Fifteen Mile Road, Cl ton Township. Michigan 49035, (800) 363-9905 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 residence located at: 50 1 /4, SF 1 /4, Section 2-6 , Town N, Range _ W, Town of rc js riy -, , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of service 7 Did flow back occur from absorption system? Yes No 4-� (if no, skip next line.) Approximate volume or length of time: gallons minutes Capacity: Construction: Prefab Concrete _S teel Other Manufacturer (if known): e ank (if known): /9B� icensed Plumber Signature) (Print Name) 5. (Title) (License Number) MP/MPRS 9 (Dat Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113. Wisconsin Administrative Code) ` E ° , . , ; § .4. . T $i$ U � \ 7 / / 0 \ 1 k § 9 e E g z z \ ® $ ; ! @ ■ F3 CL / 4\ o w § ) $ 3 E E a 8 ® 0 d 2 = / [ E E g a 0 E = c o 2 3 o — �> «' ° � r � ® m >�i « 8 G i o r■ $ CO CO r © g CL § T cm z 000- ' £: I ® § 3 � ■ ■ O ƒ § ( ° g R \ R d =: 2 g 2 / o t 2 \ / / / ƒ �- m 2 « D E . � � � f � _ 1 3 _ f cn ) k / 0 ` = \ 2 § $ / § m . . � E § 7§ § @ co . to 2 $ w CL CLD § CD V £D 7 §o R \�ƒ , §a /q =\ @ It ) . � > ƒ® # f % ( , � k I � < § \ . / o \ n cn x a 0 a a G 1 05/23/2006 09:08 AM m rt E PAGE 1 OF 1 M 0 C) m U) 020 - TOWN OF HUDSON rt ST. CROIX COUNTY, WISCONSIN rt °,�+ � Map # Sales Area Application # Permit # Permit Type �, cn n 1� y 00 0 07 \ rt Owner(s): O = Current Owner, C = Current Co -Owner -, �i d 0 - LOCKBAUM, JOEL & TERESA o� rt r F, x SP = Special Property Address(es): * = Primary W p, * 719 MEADOW LN 00 M 0 H � � ` lll Z C 7 4- 0 (D Acres: 3.950 Plat: 2078 -HIGH MEADOWS II rt II LOT 21 Block/Condo Bldg: LOT 21 U) o p Tract(s): (Sec- Twn -Rng 401/4 1601/4) N 26- 29N -19W rn Parcel History: Date Doc # Vol /Page Type 05/16/2001 645669 1640/490 WD 04/12/2000 621111 1502/125 WD 12/15/1997 569937 12821600 WD 07/23/1997 769/502 more 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.950 61,800 228,400 290,200 NO Totals for 2006: General Property 3.950 61,800 228,400 290,200 Woodland 0.000 0 0 Totals for 2005: General Property 3.950 61,800 228,400 290,200 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r -- Form -STC- 104 AS BUILT SANITARY SYSTEM REPORT OWNER �q SC_L, t L TOWNSHIP j� _ram. SEC. .2 G T W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION } �� LOT 2 r LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM c3 N X \ -4 �^} 12 �n r Nc era vf� r t7) , INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference oint used P To.rJ l LrOti a Elevation of vertical reference point: to Proposed slope at site: .S;) PUMP CHAMBER Manufacturer: Liquid Capacity: s Pump Model: Pump /Siphon nufac rer: Pump Size Elevation of inlet: ttom f tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property ine: Front, Side, O Rear, Ft. Number of feet fro w 1: Number of feet from buildin (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: —r— p' Width: / Z Leng r th: Zo Number of Lines: Z Area Built: --3y o Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, 0 Rear,0 Pt . 6'0 Number of feet from well: / - J0 i Number of feet from building: 1 50 (Include distances on plot plan). SEEPAGE PIT Size: Number of fits: Diameter: Liquid depth: Bot om of seepage pit elevation: Area Built: Has either a drop box O or dis ibu ion box O been used on any of the above soil absorbtion sytems? (Check one) HOLDING TANK / Manufacturer: Capacity: Number of rings used: E evation of bottom of tank: Elevation of inlet: Number of feet from nearest, roper y -line: Front, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: DEPARTMENT OF INDUSTRY INSPECTION REPORT FOR P S & B �Oo`6 UIL INGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING M4aISD M/�.Q.I'dONr.lpll -63707 26,29,19W 93CONVENTIONAL ❑ALTERNATIVE state I lan I D. Number: Lot 21 High Meadows II ❑Holding Tank ❑ In- Ground Pressure ❑Mound Of Town of Hudson NAME OF PERMIT HOLDER: J ADDRESS OF PERMIT HOLDER: INSPECTION DATE: 0 ��// Dave Schwertel Route 1, Box 142D, Hudson, WI 54016 '° " 5 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 88475 SEPTIC TANK /HOLDING TANK: MANUFACTURER: _ LIOUID CAPACITY: TANK INLET ELEV.: I TANKO U TLET ELEV.: IWARraL ABEL LOCKING COVER P: PROVIDED: 4 1 ' t a ,),p� 7 YES ❑NO DYES BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY BUILDING: IVEN(TO FRESH ALARM FEET FROM LIME AIR LET DYES 0 c 1 DYES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY. PUMP MODEL: PUMP /SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: DYES ❑NO 1:1 YES El NO DYES NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY IWELL BUILDING. VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) ❑YES ONO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing I LENGTH J OIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: I LEN PITS 7H J NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA. S LIQUID BED /TRENCH TRENCHES: 11 \ MATERIAL: PIT DEPTH DIMENSIONS] GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. TR. NUMBER OF I PROPERTY WELL. BUILDING: V NT TO FRESH BELOW PIPES: ABOVE COVER: ELEV. INLE ELEV. END: PIPES. UNE: AIR INLET. ^ FEET FROM 1 t �} ( a— q (p pt o� NEAREST - -► MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. ❑YES NO OIL COVER I TEXTURE P ERMANENT MARKERS OBSERVATION WE ILLS ❑YES ❑NO ❑YES 1:1 NO DEPTH OVER TRENCH /BED DEPTH OVER TRENCH /BED DEPTH OF TOPSOIL. SODDED SEEDED MULCHED CENTER: EDGES. 1:1 YES 0 N ❑YES ❑NO DYES ONO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH. NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER. BED /TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV.: ELEV.: DIA.: ELEV.: PIPES DIA.: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING: DRILLED CORRECTLY COVER MATERIAL PLAN SCAL LIFT CORRESPONDS TO APPROVED DYES ❑NO ❑YES ❑NO COMMENTS: PERMANENT MARKERS: j OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: / FEET FROM LINE: ❑YES ❑ DYES ❑NO NEAREST � " I I / 5 'I '� - 7 Sketch System on Retain in county file for audit. Reverse Side. O RE: TITLE. DILHR SBD 6710 (R. 01/82) C Zoning Administrator C� Thomas C, Nelson SANITARY PERMIT APPLICATION COUNTY 'DILHR n accord with ILHR 83.05, Wis. Adm. Code Sr. S . C,-Cl "K, �° ----�- STATE SANITARY PERMIT # Y8 1 ys '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 IN NO PROPERTY OWNER PROPERTY LOCATION D t/4 w C L SLj '/a 1 %, S T , N, R pj E (or PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER I BLOCK NUMBER SUBDIVISION NAME 1 13 L.v --2-1 A - c 4 s�► � TL CITY, STATE ZIP CODE PHONE NUMBER CITY NEAREST LAKE OR LANDMARK C..l 1 0 / ` VILLAGE : p TOWN II. TYPE OF BUILDING OR USE SERVED: d 00 — cif � 4/O�CII� Number of Bedrooms if 1 or 2 Family OR ❑ Public (Specify): /✓/, III. PURPOSE OF APPLICATION: (Check only one in ##1. Check ## 2,3 or 4, if applicable) 1. a. ® New b. ❑ Replacement c. ❑ Replacement of d. ❑ Reconnection of e. ❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit ## Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner /building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in ##1 and only one in ##2) 1. a. Rconventional 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. 9 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): .Z 9 X /S_ � Feet Private ❑Joint ❑Public VI. TANK CAPACITY ## of Prefab. Fiber- Site in allons Total Manufacturer's Name Con- Steel Plastic Exper. INFORMATION New xisting Gallons Tanks Concrete structed glass App. Tanks Tanks - Septic Tank or Holding Tank 000 Li Lift Pump Tank/Siphon Chamber ❑ 1 0 ❑ El El 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) /MPRSW No.: Business Phone Number: i Plumber's Address (Street, City, State, Zip Code): Name of Designer: ecf 13,3V 47 d0 I VIII. SOIL TEST INFORMATION Certified Soil Tester (CST) Name CST # 9 3 V rev CST's ADDRESS (Street, City, 9tate, Zip Code) Phone Number: � 1 q -S L r+� p IX. COUNTY /DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater r�a e �� Issuing Agent Signature (No Stamps) Approved ❑ Owner Given Initial Surcharge Fee Adverse Determination X. COMMENTS /REASONS FOR DISAPPROVAL: SBD -6398 (formerly Plb -67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber 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 privat sewage syste i, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 508- 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; II. Type of building or use served: 1` 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 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 °ank(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 ,w;ater included the creation of surcharges (flees) for a number of regulated practices which WiscoriSEwi ° can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reas4e is used in your building is returned tc the groundwater through your soil absorption u system or the disposal site used by your holding tank pumper. 0 T!)e momes collected through these surcharges are credited to the groundwater fund adminis- ° l red by 'lie Department of Natural Resources. These funds are used for monitoring ground - f v grour,dwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD -6398 (8.03/86) • APPLICATION FOR SANITARY PERMIT STC -100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner /contractor, ( "spec house "), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of Property j)8:Q a Location of Property ' ', Section , T c�- N R ' J Township ©t� Mailing Address Address of Site Rz"r (�-C�� � Gf Q1 L�7 Subdivision Name Lot Number Previous Owner of Property N Total Size of- Parcel .9� Date Parcel was Create E ( 8 [ Are all corners and lot lines identifiable? Yes No rr�� Is this property being developed for resale (spec house) ? Yes No Volume and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING A Warranty Deed which includes a Document number volume and page number and the Seal of the Register of Deeds In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPFRTy OWNER CERTIFICATIO I (We) cexa6y that att statements on this 6onm ane tAue to the best o6 my (oun) knowledge; that I (we) am (ahe) the ownen(b) ob the pnopWy descA bed in zh.i,a in6onmation Sokm, by vi4tue ob a waA anty deed tecokded in the 066ice o6 the County Reg.i 6ten o6 Deeds" Document No. 1-1 MA ; and that I (We) pu s entty own the pnopoa ed site bon the sewage d i 6 poi ;6 yst ( on I (we) have obtained an easement, to nun with the above ducA bed pnopeAtu. ,Son the conbtAucti.on o4 said I . y- ` - E OtUMENT NO. STATE BAR OF WISCONSIN FORM 11 -1982 THIS SPACE RESERVED FOR RECORDING DATA LAND CONTRACT Individuai and Corporate (TO BE USED FOR ALL TRANSACTIONS WHERE OVER $25,000 IS FINANCED AND IN OTHER NON - CONSUMER ACT TRANSAOTIONSI _ i i ((±± Glenn A. Waxon and Vycella Wax30IItr&Ct, by and between . -• ------------------------- --------- -------------- ------ uDand and wife as joint tenants and each in -- - --- ----------------------------------------------------------------------- -• - - -. their own net --- ( "Vendor ", whether one or more) and----- David- .1„-- S -and.- Rosati------------- ..Schwertel.,._.busba44 -- and-- wlf- e-- as- - §oint --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 ..................... S t...... C roix .......... ......................... . . . ... County, State of Wisconsin RETURN TO I Lot 21, High Meadows 11 in the Town of Hudson. -- - _- Tax Parcel No ................................... , II i; I i This _is not homestead property. (iii (is not) i Purchaser agrees to purchase the Property and to pay to Vendor at .............................. ............................... the sum of $.$12.L100_00- - - - - -- :-------- - r_ rin the following manner: (a) $__$2 ,4 00_00 - .._...==. = = :__- at the execution of this Contract; and (b) the balance of $..$9�600_DO��•���� -��-• together with interest from date hereof on the balance outstanding from time to time at the rate of .......... 1116..... ................... per cent per annum until paid in full, as follows: II Monthly payments of $133.48 beginning the 10th day of August, 1985 and continuing on the.10th day of each month thereafter. I j Provided, however, the entire outstanding balance shall be paid in full on or before the ....... 10th ... day of .......... Jnly ...................... - 1 193.8... ( the maturity date). Following any default in payment, interest shall accrue at the rate of Al % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any timeXXXXXXXXXXX Ah�c�crxkoca��> lg�akxf��a�C�f��aactc�c >�x�i�rx�aftx�' In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is leas than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments- shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser !or examination except: NnnP Purchaser promises to pay when due all taxes and assessments .ivied on the Property or upon Vendor's interest in it and to deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, ex- tended coverage perils and such other hazards as Vendor may require, without co- insurance, through insurers approved by Vendor, in the sum of $ ............ .....N /.A..... ................, but Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible. Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property In good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except: .... kASememt.s-,...GRV.e.1aarLts --- ... and.. restrictions.. af.. recDrtl.,.. if..s nn y-.................................. ................................ ................... ............ •-----------------------------------------------------------------------------------...........------•----...--------------------------------- •......------ .............. -----•-------------------------•-----------•------...•......------------..........--.-------- •--------- •------ •..... •---.._...--------........---........----------...--- .. .............•--•------.....---•--...-----•----..... .....------------ •----- .... - - -- - - - - -• •-----------------...------------•---------•----------........---------------- Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of ...60... days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of ..bQ... days following written notice thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this Contract and Purchaser's rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously paid by Purchaser shall be forefeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if purchaser fails to redeem) ; or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet -title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (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 enforce:any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in- curred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendency of such action, and such rents, issues, and profits when so collected shall be held and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchaser's rights under this Contract or by option, long -term lease or in any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof.) Datedthis ................................................ day of - -•- -----------•----------------- •- •-- •---- •- • - - - -• ................ 19.85.... ---------- --------------------------------------- -............. - ' ----- (SEAL) ---- .0- - - �-- - - - -.- (SEAL) DAVID J. SCHWERTEL GLENN A. WAXON ---- ---- - - ---- •---------------------------------------- . ...... ••------ • - - - -- --------- •--- •-------- •• - - -- -------------- .............................. --• ..................... (SEAL) /j ... z2��...._.._(SEAL) SUSAN SCHWERTEL VYCELLA WAXON * + A .................... -----------'-._.-...-.... ......................................... AUTHENTICATION ACKNOWLEDGMENT , Signature (a) ... le=..A... Trlakan.- and.Xydella..... STATE OF WISCONSIN ss. - - -Way Dn ..... St. Croix ---- --- ----- •--- --. •-------- ---- ------County. authenticated this ........day of ........................... 19 ....... Personally came before me this ................day of ........ ... 19.8.5.... the above named , I Y A- ♦ r �•►Rr�� 4 �T�`.,�w, ...rrww•w +� � • F C, H N t .6 �z�J f: •. i�•'r'• r 7FrM ob , a I ', �.G 0 � F aG t {.,• .� t ,� � ss ., tl IT A � T F 1 r- �a�� NS " (� g 1'i ^• ��'' 1 40 w Iq `0 �° 'a •v -� r 3� �fji /.�1' '• � ; �- �*...rry► .lF,.rr.•t ',^ ti `' :f er � r / /�1� • F p � F \• '�.'� ..:. ,, � r a �. � 1 ACRES � � �` '1 • � ' �' it.40 WA �sA� �� F a ` •+. �� t y STC - 105 r y H SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County c 9 OWNER /BUYER ROUTE /BOX NUMBER C) IC 1 Fire Number CITY/STATE �tt��S�� C _ ZIP PROPERTY LOCATION : - 5W �4, I 4 Section cX> 'I ;L/ N, R W, Town of St. Croix County, :,uba_Lv:tsau<< �{C�/� ��� -` 0t number T� I Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con - sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic t 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 nib be eligible to receive a grant for a ma x i mum of 60% of the cost of replacement of a failing system, which was in operation prior. to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. ^ ' The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on -site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. F I /WE, the undersigned, have read the above requirements and agree u to maintain the private sewage disposal systein in accordance with a r the standards set forth, herein, as set by the Wisconsin Depart- n meet 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. SICNED DATE_ 2� 7 St. C - 1:oix County Zoning Office P.O. jiox K. Hammond, WI 54015 715-71)6-2239 or 715 -425 -8363 Sign, date and return to above address. IND R Y E, OF REPORT ON SOIL BORINGS AND SAFETY &BUILDINGS INDUSTY, DIVISION P.O. BOX 7969 LABOR AND PERCOLATION TESTS (115 MADISON WI 53707 HUMAN RELATIONS (1463.09(1) & Chapter 146.046) LOC ATION: S TOWNSHIP MWWRAW Y: OT N0.:8LK. NQ: SUBDIVISION NAME: S i / /Tz9 N /R/9 E tor► - - 'lUo��4 z I 14I64 MEAUAWS _ff COUNTY: OWNE AM • -SYO! USE DATES OBSERVATIONS MADE r O ST 3 gNew ❑Replace I ,[SL �jp/ L- LS RX BuQKNAkNT RATING: S• Site suitable for system U Site unsuitable for system ONV N M ND: IN- GR(SlN3 I - FILL LDING TA RECOMMENDED YSTEM:loptional► 1 S CCU S 1U — S ❑U ❑ S U ,� ❑N �CE PA 4C 1� �Conl SENT / O�IA L) if Pe,cotetfon Tests are NOT required DESIGN RATE: If any portion of the tested area is In the J under s.H63.09(blibl, Indicate: MASS Floodplain, indicate Floodplain elevation: rJ q VT PROFILE DESCRIPTIONS ElCRING At L`Ev /i �� EPTH A —INCNE A , R 1 1 H IC N SS7OLOFi, TEXTURE, AND DEPTH NLMABEN DEPTH let V , r,t r r-- TO 8E RO IF O0,QE -RVEO !SE AB®FIV. ON BACK,) B- 1 7.1 / 10/ . 47- > 7 / � - o•a' R SL o.d - 3•Z $n 4,Ng S46k ' 3.2 7• f vit."s 41, Co$ �1oN N � n -/•9 $0-% SL w 6R •S th S't uP, B `L 7.E 49.98 NON 7. 6 & - 7.b 6r,ru 5 w ewCOB �tbt2 B- 3 t,•3� 94, Z9 No-',t: 76.3 0 -Z.3 $r•SL 2.3--6.3'r'S Cab *Gt: Con1►+,4hj B. 4 G .�� 99 3 `t ?7'.o �5 4 GR Ew 6•S - 7.o C 1Z 4� T Cow. B L�EC • Fr PERCOLATION TESTS T EST DEPTH WATER IN HOLF TES TIME RATE MINUTES NUMBER INCH" AFTER SWELLING INTERVAL-MIN. PER INCH ELdV- / ,00.5 3 I Ar z ZA P• .4' , -.� r 4 I Z7 P- P- P- PLOT PLA Sho locations of percolation tesu, orings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal� and ve lcel a motion reference points and show the n on the plot plan. Show the surface etevation at all borings and the direction and percent of land lope. ,o SYS M L NATION 90 ;0 i _ fifi Da , 1 � ( ( I t � 1 '�iri J4tf � • /1�ixsvd • i L r�r Z I- i Mz.uelf O uro 11 ! nisei/ to B' ! t • tvvlt`af �Irr' 2 r;04 A ILT Aiz t%c// rep .} i , 1 � � � I ? II t . R • PLiQ,CEM� � l�l� � � � ` ,t 4�Ar+n whx i+ .. - �— r /g'.- I x of�"] .{ 1. �, +� ..� r .. MAtt.t: _ fl*tSY Nt ak { , /c I 9 �Qk Eaz u.11:�fJ- i I e c a E J R ,PP 1 � y Z f ail .0 q O N ci �t- w 0 O .r Q n O n q � r r JI- tj c 1 ► ti N T sq In ,p :t 0 0 � 1 h Q b