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020-1154-90-000
O v O m N n N O O 7 C 0 U) W CD c CL — 9 (D tp N 0 c c 3 3 I� DI � F m C CD C (D 3 CD 7 N Q 0 N d fD CD p CL =r 7 O � � y Z N N ( N CD (p N 7 CD fl7 CD 7 CD CL CL N 7 O CD CD K 0 fD O o� ° o � 0 f J CD N O O A y � � 01 C C7 CL a a � r o � w N CD OD � � C ..a D. 00 - 7 000g co) N N rn T a a M D1 � M Z co Z D n CD m N N � C 7 CD N C. 7 f� a C 7 CL O O O 3 fN Z G W G c 7 a 3 m 0 0 d � � c C N a N o c CO 7 O O 0 O y O c cn n a m n K � � N A Z n J � M A 2 O G to Z A .Z) Z m J R e ft 2 1 0 O O III N. A A O� Z A . C O A N O H A w ti b ~ pq ;" A � � v ti Parcel #: 020 - 1154 -90 -000 02/04/2005 11:05 AM PAGE 1 OF 1 Alt. Parcel #: 29.29.19.856 020 - TOWN OF HUDSON Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " = Current Owner 105,200 " ERICKSON OIL PRODUCTS ERICKSON OIL PRODUCTS Valuations: PO BOX 408 HUDSON WI 54016 Last Changed: 10/26/2001 Districts: SC = School SP = Special Property Address(es): "= Primary Type Dist # Description " 411 CEDAR LN SC 2611 SCH D OF HUDSON RESIDENTIAL G1 SP 1700 WITC 81,400 Legal Description: Acres: 0.000 Plat: 0148 -CEDAR CREST SEC 29 T29N R19W PT SW SW CEDAR CREST Block/Condo Bldg: 01 LOT 05 LOT 5 BLK 1 & INC 1/18 INTEREST IN OL 1 EXC AS DESC IN QC- 1355/540 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 29- 29N -19W Notes: Parcel History: 0 Date Doc # Vol /Page Type Woodland 09/08/1998 586729 1355/540 QC 0 07/23/1997 908/142 0 07/23/1997 814/162 07/23/1997 800/365 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 48940 105,200 Valuations: Last Changed: 10/26/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 81,400 0 81,400 NO Totals for 2004: General Property 0.000 81,400 0 81,400 Woodland 0.000 0 0 Totals for 2003: General Property 0.000 81,400 0 81,400 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 Form —STC— 104 AS BUILT SANITARY SYSTEM REPORT OWNER w`.�'s ✓✓ TOWNSHIP c5c�..C.� SEC. ~^ T K j N -R :' W ADDRESS Z C >;._v �U, -`pC /� ST. CROIX COUNTY, WISCONSIN SUBDIVISIO c_'Y2� /� LOT J LOT SIZE :' x PLAN VIEW Distances and dimensions to meet requirements of I•I,HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM -�, INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: �lC��).. Proposed slope at site: .� /o � ' • 1r PUMP CHAMBER Manufacturer: Pump Model: Elevation of inlet: Pump off switch elevation: Pump Size Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear, 0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: X Trench: Width: / Length: - S Number of Lines: 9 Area Built: < Fill depth to top of pipe: 7?ZJ Number of feet from nearest property line: Front, O Side, Rear,0 Ft. Number of feet from well: i y r Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Liquid depth: Area Built: Number of pits: Diameter: Liquid Capacity: Pump /Siphon Manufacturer: Bottom of seepage pit elevation: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Bottom of tank elevation: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Number of feet from well: Number of feet from building: Number of feet from nearest road: Front, O Side, O Rear, O Ft. Alarm Manufacturer: DEPARTMENT OF INDUSTRY, LABOR & HUMAN RELATIONS P.O. BOX 7969 MADISON, WI 53707 SW4, SW4,S29,T29N -R19W Town of Hudson INSPECTION REPORT FOR PRIVATE SEWAGE SYSTEMS Nn CONVENTIONAL El ALTERNATIVE ❑ Holding Tank ❑ In- Ground Pressure ❑ Mound SAFETY & BUILDINGS DIVISION BUREAU OF PLUMBING State Plan I.D. Number. III assigned) - V.1 V 1 = n L NAME OF PERMIT HOLDER: Tom Hanson ADDRESS OF PERMIT HOLDER: R.R. Hudson, WI 54016 INSPECTION DATE' - ) -d e Qr3d BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV. Name of Plumber LOCKING COVER PROVIDED MP /MPRSW No.: County: Sanitary Permit Number: William Schumaker /�j� �� 6382 St. Croix 102851 JGrlll. INrY n /nV LV11YV 1 MANUFACTURER Check the texture of the fill material for LIQUID CAPACITY. and furrows thrown upslope: TANK INLET ELE V.. ON REVERSE SIDE. SHOW ELEVA- WARNING LABEL PROVIDED: LOCKING COVER PROVIDED TIONS MEASURED. OYES ONO �df"1e -PITS /�j� �� =TANKOUTLET YES ❑NO ❑YES NO BEDDING. VENT DIA.. VENT MAT L.. 1 NIGH WATER ALARM NUMBER OF FEET FROM ROAD SEEDED Y WELL. BUILDING. VENT TO FRESH (AIR INLET ❑YES El YES ❑NO C ❑YES NEAREST 1 DISTR. PIPE MATERIAL. 1 NUMBER OF O WELL 1 NO BELOW PIPES J OISTIT ABOVECOVER. ELEV IN T EL V FEET FROM PIPES MANUFACTURER BEDDING - . LIQUID CAPACITY PUMP MODEL P MP SPHON MAN WARNINGLABtL LU UU PROVIDED: PROVIDED'. ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONA L. NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LI AIR INLET PUMP ON AND OFF) 1 DYES ONO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENGTH J DIAMI,rER 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 L J WIDTH' • Check the texture of the fill material for LENGTH and furrows thrown upslope: NO. OF ON REVERSE SIDE. SHOW ELEVA- DISTR. PIPE SPACING COVER TIONS MEASURED. OYES ONO INSIDE DIA -PITS SOIL COVER I TEXTURE LlOUIll DEPTH BED /TRENCH DIMENSIONS l � � � ❑YES ❑NQ rRENCrES DEPTH OVER TRENCH /BED t M ERIAL: SEEDED PIT CENTER EDGES. HOLE SIZE El YES ❑NO GRAVEL DEPTH FILL DEPTH PIPE DISTR. PIPE DISTR. PIPE MATERIAL. NO. D R NUMBER OF ❑YES PROPER TV WELL BUILDING VENT T(FFRESH BELOW PIPES J OISTIT ABOVECOVER. ELEV IN T EL V FEET FROM PIPES FEET FROM ❑YES ❑NO LINE / 3(,p ^I I 0 / AI INLL In II OI / 7•//� 1- l NEAREST go J IYI V V IY V J r J I L IYI Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- LENGTH meets the criteria for medium sand. TIONS MEASURED. OYES ONO DIMENSIONS FILL DEPTH ABOVE COVER SOIL COVER I TEXTURE PERMANENT MARKERS ONSERVATION WE Ll5 ❑YES ❑NO ❑YES ❑NQ DEPTH OVER TRENCH /BED DEPTH OVER TRENCH /BED DEPTH OE TOPSOIL SODDED SEEDED MULCHED CENTER EDGES. HOLE SIZE El YES ❑NO [DYES ONO [DYES ❑NO � 1 Sketch System on Reverse Side. DILHR SBD 6710 (R. 01/82' 'YSTEM: PRESSURIZED DISTRIBUTION WIDTH LENGTH BED /TRENCH LATERAL SPACING GRAVEL DEPTH BELOW PIPE DIMENSIONS FILL DEPTH ABOVE COVER TRENCHES: MANIFOLD ELEV. PUMP ELEVATION AND DISTR. PIPE MANIFOLD MATERIAL DISTRIBUTION . PIPE DISTHIBUT ION PIPE MATE HIAI. & MAHKII• INFORMATION HOLE SIZE COMMENTS: PIPES 1 H OLE SPACING. DRILLED CORRECTLY COVER MATERIAL r � 1 Sketch System on Reverse Side. DILHR SBD 6710 (R. 01/82' 'YSTEM: LENGTH NO. OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER TRENCHES: PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO DISTR . PIPE DISTHIBUT ION PIPE MATE HIAI. & MAHKII• ELEV. DIA.. ELEV.. PIPES fSTR A'. H OLE SPACING. DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPRI PLANS ❑YES ❑NO El YES F-1 NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUIL FEET FROM LI NE [ ❑NO ❑YES ❑NO NEARES ILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code —Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. —See reverse side for instructions for completing this application. 1. APPLICANT INFORMATION — PLEA PRINT ALL I NFORMATION. COUNTY C'i ?yi.v STATE SANITARY PERMIT ## le - / STATE PLAN I.D. NUMBER PETITION FOR VARIANCE ❑ YES 2 NO PROPERTY OWNER PROPERTY LOCATION O vi "-,� S(,)' /o ,S"%, S 2 T0 , N, R /q E (or PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME e CITY, STATE ZIP CODE PHONE NUMBER 7n CITY NEAREST ROAD, LAKE OR LANDMARK ❑ VILLAGE: O` II. TYPE OF BUILDING OR USE SERVED: 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) rha 1. a. New b. El Replacement c. ❑ Replacement of d. ❑Reconnection of e. El Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit## Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner /building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in ##1 and only one in ##2) 1. a. ® Conventional b. ❑ Alternative C. ❑ Experimental 2. a. ❑ System b. ❑ Holding c. El Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tan k V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. 9 seepage Bed b. ❑ Seepage Trench c. ❑ Seepage 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): .? lS l 1� �.7 - Feet Private El El VI. TANK INFORMATION CAPACITY in gallons Total Gallons ## of Tanks Manufacturer's Name Prefab. Concrete Site Con- structed Steel Fiber- glass Plastic Exper. App New xisting Tanks Tanks Septic Tank or Holding Tank ❑ El ❑ ❑ ❑ Lift Pump Tank/Siphon Chamber I I 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) P PRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): Nam of Designer: r ,. .2 4 VIII. SOIL TEST INFORMATION Certified Soil Tester (CST) Name CST ## CST's ADDR (S et, City, Sta , Zip Code) Phone Number: 3 _ 2L IX. COUNTY /DEP ARTMENT USE ONLY ❑ Disapproved Sa itary Permit Fee Groundwater Date Issuing Agent Signature (No Stamps) fo Approved ❑Owner Given Initial # a J v Gurcharge Fee b 1 60 I - � $� 7 'T/ I Adverse Determination X. COMMENTS /REASONS FOR DISAPPROVAL: P/O n prude b,, `7 0 M '✓ 0, 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 a i 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 maybe 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 private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608 - 266 - 3813. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description where the system is to be installed: 11. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1 -6; VI. Tank information: Fill in the capacity of every new and /or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift /siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. Responsibility statement: Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County /Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8 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 tanks) 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 Grou included the creation of surcharges (fees) for a number o' regulated practices which Wisci can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that burie is used in yoc r building is returned tc: the groundwater through your soil absorption system or the disposal site used by your holding tank pumper. The monies ;oile.ctee through these surcharges are c-ediked lo the groundwater f,,nd adminis- te -ed by t? ,e - teparrment of Natured R esou.ce These funk a e used for monitor rsg ground- �h. ,;er g, ur;ciwar contaminatic-, ir7 Gs':Jgafictns -ind establishm -nt o standards Grc,.Jndkh•at.. -: s wort``, prc °ec..'ng. � J-F.:98 01,03 da) 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 /contractgr,( "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 I `( \-�) V 'A S \A a V, S O �q Location of Property S(k) f4 S� 1 4, Section c� , T - � - j N - R � W r Township U S o h Mailing Address Nv Subdivision Name �L C�c S+ Lot Number 5 Previous Owner of Property -e h ti V, L Total Size of Parcel } C C-' L -f 3 Date Parcel was Created e c- Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? ✓ Yes No Volume and Page Numbe as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING 1. Warranty Deed 2. Laud._Coatract 3. Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (We) c vLaj y that aU btatementa on thi4 6 onm ar true to the but o6 my (owe) knowee.dge; that 1 (we) am (are) the owner (e) o6 the pnopehty deaeh ibed in thi,6 .in6o4mation jonm, by viAtue o6 a walvcanty deed heconded in the 066.ice o6 the County Reg.isten of Deeda as Document No q� 34 6- - 2 ; and that I (we) pneaent.by own the pnopoaed bite. bon the aewage di6po,6at .6y.6tem (on I (we) have obtained an eu ement, to nun mth the above deaeh ibed p%openty, bon the eonatnueti.on o6 ea.id eSyatem, and the eame has been duty recorded in the 066.ice o the Co"I Regi.6 teA o6 Deed4, a,a Document No.. `) Z 3 1S D- .+ DOCUMENT NO 4.? .152, 7949 PAs 39 j STATE BAR OF WISCONSIN FORM 11 -1982 LAND CONTRACT Individual and Corporate (TO RE USED FOR ALL TRANSACTIONS WHERE OVER $26,000 IS FINANCED AND IN OTHER NON - CONSUMER ACT TRANSACTIONS) Contract by and between ------------------------------------------------------------ ------------- KENALL_ ENTERPRISES, -- INC-=------------------------------------------- --------------------------------------------------------------- --------------------------------- ("Vendor ", whether one or more) and________` liQIA __�(11_�___ SQ�V _ ASV -D__ L 1VDA __--_______ I. L._.. HARSDS I _husba.nll__and-._w�e ... a�.__sury i-r a r -s hi ------------- maritaI _.pr_op.er_ty__ -.._ ( "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, profi fiat $nd other appurtenant interests (all called the "Property"), t . 1.01x In____________________ ___ _ ___ ----------------------------------------- _ County, State of Wisconsin: Lot 5, Block 1, Plat of Cedar Crest in the Town of Hudson, St. Croix County, Wisconsin, and THD "1ST GS0 mFl FJ%JNO DATA ST. CROIX CO., WI Recd for Record Dec ember 21, 19 at 4.00 P M Register of D eds � De ""' .� b/a W. Homes RETURN TO - not t L1 LIML vn".,.vv .+ ASSOCIATION Of EAU CLAME 510 2ND STREET Tax Parcel No ............................. TOGETHER WITH the non - exclusive right to use Outlot 1 as shown on the Plat of Cedar Crest, as a private park f the owners of all lots in Cedar Crest, and the obligations to bear 1 /18th of all expenses associated with said Outlot 1, including real estate taxes thereon and expenses for maintenance and improvement thereof as determined by affirmative votes of the owners of the majority of all Lots of said Plat of Cedar Crest. In the event a homeowners' association or corporation if formed among all owners of all of said Lots for the purposes set forth herein, if is agreed that Purchaser shall automatically be a member thereof, and the articles and by -laws shall supersede the foregoing provisions. This __..15110 --- _____ - - -_ homestead property. (i . .. .. s) (is not) 1511 Coulee Road Purchaser agrees to purchase the Property and to pay to Vendor at Hudson , Wisconsin 54016 - -- - - --- --•------ the sum of $._._1__�QQQ •_ Q_ Q_ ____ _____ __ __ __________________ in the following manner: (a) $ - - 2.4.. _Z5.!.0 Q______-- _______._. -__._. at the execution of this Contract; and (b) the balance of $ . .... 12 ,_1_2_5_,.QQ ..... ........ together with interest from date hereof on the balance outstanding from time to time at the rate of._?_ 1121 .............................. per cent per annum until paid in full, as follows: On December 10, 1988, the balance of $12,125.00, together with accrued interest thereon, shall be due and payable. Provi ed, however, the ent' outstanding balance shall be paid in full on or before the.. tent-- •-- ----• ---. day of er h ,,ll}}'� Dec em 19_9.Ur__ ( the maturity date). Following any default in payment, interest shall accrue at the rate of.__ 12.... % 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 b law. q Y 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 an time q�MXXXXXXXXXXXXXVXXXX§ In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be 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 fnr Pxaminnfinn AmpartU• Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest in it' and to deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, ex- tended coverage perils and sue ' u o `f r hazards as insurable Vendor require, without co- insurance, through insurers approved by Vendor, in the sum of $______________ _________________________ Va U ______ 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_ _________________ ___ ____________________________ --- -- - --- - --- ---- --- --- ---------------------------------------------------------------- ------- -- ---- -- ------- -- ---- -- - ------------- --- -- -- ---- --- --- -•- -- --- - --- -- - --------- ---------- --- -- -- ----- Purchaser agrees that time is of the 96ence and (a) in the event of a default in the payment of any principal or interest which continues for a period of ......... _,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 __.(}(}__ 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.) , _ Dated this --------- -_ -- .tenth December ------- --- - - - --- 1987__.. - -- day of • -- •-- - - - - -- KENALL ENTERPRISES, INC., by: t.e,L - -•--= --- =-- - - --- SEAL) . -- -- . (SEAL) ichard__ L o Ken 1 es_ident HOMAS W . HANSON - -_ (S - -- - l�c� - -- ---- • - - - -- - -- = - --- - • - - - -. AL) ---- (�J'l�.�_l� - -- --- • - -` -- (SEAL) * Doris E. Stafford, Secretary LINDA L. HANSON ------------------------------------------------------------ - - - - -- - - - - -- ------- - - - - -- ------------- - - - - -- --------- -------- -_ - - -- AUTHENTICATION Signature(s) RICHARD L. KENALL , DORI 10 December 87 auth this ........ day of----------- ---- ------ - - - - -- 19 ------ --- Q --------------------------- �- Kristina Ogland Lundeen ACKNOWLEDGMENT .: STATE OF WISCONSIN E. STAFFORD 1 ss• -- - -------- - - - - -- - - -- County. ) Personally came before me this . . . . .. ..........day of ----------- -- ---- -------- ----------- - - - - -- 19-- -..... the above named ------ --- --- --- - - ---- .---------------------------- ---- -- -- -------- -------- - - - - -- STC - 105 SEPTIC TANK MAIN'T'ENANCE AGREEMENT St. Croix County U W N E R /BUYER`�Q ri S _... _l�� , • S "' '�_- - -____ _._ _ _ ROU'T'E /BOX NUMBER C I 'r Y / S'1' ATE PROPERTY L0CA'r10N Sw %a, S�J - �a, Sect iun °�[, T _N, K / / W, Town of — _ c��.Q_ ------ 0 St. Croix county, Subdivision 0,C. C (Z-v3 , Lot number sue. Fire Number V. I P, '�5 t& & — -_- 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 se) tank jLu What you put into the system can affect the function of tike septic tank as a treat- ment stage in the waste disposal system. St..Croix County residents mater a ma xi m um of 60% of the cost of which - was in operation prior to accepted this program in August owners of all ne w systems agree maintained. be eligible to replacement o July 1, 1978. of 1980, with to keep their receivu a grant for f a failing system, St. Croix County the requirement that systems properly 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. I /WE, 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 Depart- ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Off ce within 30 days of the three year expiration date. ( \) 1T S ICNED \\ VVl, I D ATE St. C, - oix County Zoning 'Office P.O. ,►o x 96. Hammo' 'l ;d, WI 54015 715-716-2239 or 715- 425 -8363 Sign, date and return to above address. LABOR AND HUMAN RELATIONS PERCOLATION TESTS (1-163.090) & Chapter 145.0451 I Percolation Tests are NOT required DESIGN RATE: ender s.H63.09(5)(b), indicate: I C b-4 S 13 up- k � Y�A u T ORING IUMBER TOTAL DEPTH D ELEVATION g ON P H T R UNDWATER -IN HARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) r gSERVE ^, .a l k /s I . f3�. s '4Af vew I c �.o ' Ae- Q'.j S/ 67 ' 10, S S . , y S com ?_tcr" Rhe. S /Y - > �0, 33 • AIA . I S, 4,1 ' 4 . ,s, / / 7 ' T *a s, 7, G 7 - 7y 163. - >�/ o ' ' ' 33 'U- aAl 3 N 73 ( ,& 1 J AJP& P j w, & . 3 CS , 1 105.6 - 0 - 1 ' ca Ac _ / -0 '13 , v • /5' C 1.6 10.0 — ht - ��/p ' 's aN'ey. s f ;i/ ,o c�Mp��rEO s /!sr••� ,i� <I H it c A4 /X . o Q.v • 5/ I /l cS PERCOLATION TESTS ?•D • 74- SAuj)( fdl), f/S Co "I/4 Cv TEST UMBER _ /— DEPTH IN .i. 0 WATER IN HOLE AFTERSWELLING TEST TIME INTERVAL -MIN. t DROP IN WATER LEVEL-INCHES — 5/ RATE MINUTES PER INCH .a )T PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the horn tal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent and slope. (STEM ELEVATION S ysrJ'A4 To �.� IN L� I — - — B aN �y• fiT� �Q,ry)l lr d X - , i A. 7 _C — 'off. r__' - .,, 1 ; t - r Ste. --- e undersigned, hereby cert %hat the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin iinistrative Code, and that the bate recorded and the location of the tests are correct to the best of my knowledge and belief. .N%O a 16s.ai DIVISION (115) wAlt�` MADISON WI 53707 PROFILE DESCRIPTIONS jpr Zffwo L Feel- .;k OF V" AND .J RELATIONS "' t %T 11 CQUNTY: OWNER' 84 ,T- 001 X "Di C K I ISF Residence I NO.�DRMS.: 1COMMERCIAL 1 /i— Ne � RATING: S- Site suitable for system U - Site unsuitable for systam DATES OBSERVATIONS MADE CON T$: TES w ❑Replace , P c SCss Ca 6 Y � V ONVENTI NAL: 0S ou MOUND: NS ©u IN- GROUND -PR : aS ou - L S Et OLDING TANK: oS ®u RECOMMENDED SYSTEM: (optional) � -�_P� • If Percolation Tests are NOT required DESIGN RATE: �h.� If any portion of the tested area is in the under s.H63.09(5)(b), indicate: LlfIs -F-- Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING NUMBER TOTAL DEPTH IN. ELEVATION PTH TO GR UNDWATER. BSERVED INCHES E H RACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH VED TO BEDROCK IF OBSER (SEE ABBRV ON BACK.) B. 7 9, s ' ;ao.,y �.�. - V A /7. dg�, s f 1, / ,�N r ' 2if'v '/&Wv C$ B -� �o�o' 77.5e' - ? - -- y io ,o' • F�• &- . 5 X67• X� ov d� s 0 C B- 6- P- B- P- ' PERCOLATION TESTS TEST NUMBER DEPTH INCHES WATER IN HOLE AFTERSWELLING TEST TIME INTERVAL -MIN. DROP IN WATER LEVEL-INCHES RATE MINUTES PER INCH I P. P- P- P- P- LOT PLAN: Show locations of percolation tests, soil borings and the'dimensions of suitable soil areas. Indicate scale or distances. Describe what are the horn ontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent f land slope. LIML SYSTEM ELEVATION s ♦r f p °sr lip je 7 T I i I P- - - - -- er/ - ,. or St s _ j ntj s is u '''N i i se REPORT ON r'; , BORINGS AND PERCOLM 'TESTS (115) (1-163.090 napter 145.045) TOWNSHIPIS.•. �f'14tFTY; LOT NO.: BLK. fW R/9 E (0 P UI ry ,vr,m G: K ENA l SAFETY & BUILDINGS DIVISION P.O. BOX 7969 - MADISON, WI 53707 el&pAR - CIPE s T.- C) .a , a . ocd,./of L-e�G` V x q 0 12 „ 4 r , j4v /60 k kA v1 ``� 0, IN O a I b_ N d o m U) CD I 3 Cn CD CD O N � 1 'O C cr CD G1 m O D- CD CD m c m CD CD N m 'V a = D M. CD < O C1 R. CD CA C3 ch .: o 0 -fa S N Ong y — ^�+ N• oZ s N r A � A C y CA 7 ON N O CC 3 =r A CG a C G O g � 3 O N � Cb CD CD F. O o � 0 O CD CD O 0 O C1 C1 cn p l c d c 1 CD n' N ti o co c v O N co r 00 ? � — v CO g c b <_ o a b A O to y C O O O 9 r —' m eo a ( 86 CL d r sa rn m t� rn = c C L ,w Q N A C ? 3 c w O w R 4 cc N 4 4 In CA N o n rr e0 N 7 Z co 2 D a J CD y CD N d C co N CD A Z TT CO) 7 J N a A 3, m � CL z x cn y Z A A G C 7 a it Parcel #: 020 - 1155 -00 -000 02/04/2005 10:51 AM PAGE 1 OF 1 Alt. Parcel #: 29.29.19.857 020 - TOWN OF HUDSON Current ,X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner 104,700 * ERICKSON OIL PRODUCTS ERICKSON OIL PRODUCTS Valuations: PO BOX 408 HUDSON WI 54016 Last Changed: 10/26/2001 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 409 CEDAR LN SC 2611 SCH D OF HUDSON RESIDENTIAL G1 SP 1700 WITC 81,000 Legal Description: Acres: 0.000 Plat: 0148 -CEDAR CREST SEC 29 T29N R19W PT SW SW CEDAR CREST Block/Condo Bldg: 01 LOT 06 LOT 6 BLK 1 & INC 1/18 INTEREST IN OL 1 EXC W 13FT Tract(s): (Sec- Twn -Rng 40 114 160 1/4) 0.000 29- 29N -19W Notes: Parcel History: Woodland Date Doc # Vol /Page Type 0 09/08/1998 586729 1355/540 QC 0 07/23/1997 1151/617 WD 07/23/1997 742/399 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 48941 104,700 Valuations: Last Changed: 10/26/2001 Description Class Acres Land I Total State Reason RESIDENTIAL G1 0.000 81,000 81,000 NO Totals for 2004: General Property 0.000 81,000 0 81,000 Woodland 0.000 0 0 Totals for 2003: General Property 0.000 81,000 0 81,000 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 Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT c I b OWNER �/iQl� �.,ZFF!) TOWNSHIP ��� SEC. 9 T N -R W ADDRESS ZA. ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of 11HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM /4or lJroefl - +y L ;rnt 0-Ps4 . 10 ropos"A Ll i. )- )l J0. Gc� A/c 5 c a l,e 51 CRCIQ.- 1,arle 6A FWA INDICATE NORTH ARROW.I BENCHMARK: Describe the vertical reference point used 3":zo0„ A a 1 #0'005 v�� eI - Elevation of vertical reference point: /00 ' Proposed slope at site: SEPTIC TANK: Manufacturer: tj ; = Liquid Capacity: 1,2 Sd es./, PUMP CHAMBER Manufacturer: Pump Model: Elevation of inlet: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, 0 Side, O Rear, 0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: 9$ E J C v, Trench ` Width: o�{y Length: 35 Number of Lines: Area Built : g5� s, Fill depth to top of pipe: S�,? Number of feet from nearest property line: Front, O Side, O'kear,O Pt Number of feet from well: /00 -f Number of feet from building: 5 7 (Include distances on plot plan). SEEPAGE PIT Size: Liquid depth: Area Built: Number of pits: Diameter: Bottom of seepage pit elevation: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Liquid Capacity: A Pump Size Pump /Siphon Manufacturer: Bottom of tank elevation: Front, O Side, O Rear, 0Ft. M�" D OF INDUSTRY INSPECTION REPORT FOR SAFETY & BUILDING' LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISIOn P.O. BOX 7969 U'A BUREAU OF PLUMBINC MADISON, "1 53707 FILL DEPTH ABOVE COVER E T � W ? IPF v yy `PTCONVENTIONAL ❑ALTERNATIVE State Plan I.D. Number NUM1 ER OF -. FEET FROM NEAREST - -i - ❑ Holding Tank ❑ In- Ground Pressure ❑ Mound (If a .gmd) NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION A E: D Gifford DEPTH OVER TRENCH BED 1013 St. Croix Street, Hudson, WI SOI)OFO BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: ELEV.. SW SW, Section 29,T29N —R19W, Twn.of Hudson, Lot#6, Cedar Crest ] 7PT, Name of Plumber: MP /MPRSW No County. Sanitary Permit Number: Gary Zappa [- NO 3300 St. Croix 79178 SEPTIC TANK / HOLDING TANK: �S ' TANK MANUFACTURER. LENGTH LIQUID CAPACITY INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER FILL DEPTH ABOVE COVER / �7J / � 7 PROVIDED: L PROVIDED G' • (� YES ❑NO DYES ONO BEDDING: VENT DIA.: VENT MATI HIGH WATER NUMBER OF ROAD: P OPEATV WELL. BUILDING. VENT TO FRESH IAIN� YES ❑NO MANIFOLD ALARM C� ❑YES ❑NO FEET FROM NEAREST yr /I LIN x, �� � DOSING CHAMBER: CIA MANUFACTURER BEDDING. PIPES LIQUID CAPACITY MODEL MANUI ACTIIHEH WARNING LABEL LOCKING COVER PROVIDED. PROVIDED. ❑YES ONO [ IMP j P11MP,SIPHIIN ❑YES ❑NO OYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF : PH OPERTY DRILLED WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) OYES ❑NO NEAREST; SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE I I 7, T H TE If MATE HIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until I J DIAMF the soil is dry enough to continue.) MAIN' r0NVFNTInIUAI CVSTFM- BED /TRENCH DIMENSIONS WIDTH J ILENGTH I NO OF THEN' S DISTH PIPE SPACINCV / (/N COVER 1 RIAL F / /. f J- / / .INSIDE PIT: I U'A -PITS LIQUID DEPTH GRAVEL DEPTH - BELOWPIP S FILL DEPTH ABOVE COVER E T � W ? IPF DISTH PIPE ELEV END 4 DISTR. PIPE MATERIAL ,� // { 14/ SIH P P I NUM1 ER OF -. FEET FROM NEAREST - -i - PROPERTY LINE �� % WELL. BUILDING. �6 VENT TO FRESH AIR LET . 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. El YES ON SOIL COVER TEXTURE Pi HMANE NT MAHKE HS OBSERVATION WELLS ❑YES 0 N OYES ONO DEPTH OVER TRENCH BED DEPTH OVER TRENCH BED DEPTH OF TOPSOIL SOI)OFO I MULCHED CENTER EDGES ❑YES, ❑ NO ["U" OYES 0 N [- NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH LATERAL SPACING GRAVEL DEPTH BELOW PIPF FILL DEPTH ABOVE COVER BED /TRENCH TRENCHES DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE M NO DISTH DIS TR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING '. ELEV,. ELEV. CIA ELEV. PIPES DIA ELEVATION AND DISTRIBUTION 'HOLE t. A t . C h. d.Al1Jk T lA A l . SIZE HOLE SPACING DRILLED COHHECI LY COV Eq MAT EHIAL VERTICAL LIFT CORRESPONDS TO APPROVED COM Sketch System on Reverse Side. DILHR SBD 6710 (R. 01/82) YE OBSERVATION WELLS: ❑ YES ❑ PLANS 1 Y ES NO I I PROPERTY WELL: BUIL LINE: wisconsin APPLICATION FOR SANITARY PERMIT ( DILHR C OUNTY (PLB 67) ��� oe PaaTmenT ov UNIFORM SANITARY PERMIT # � InouSTRY.LRBOR6 MLImRn RELFiT10n5 �� f �� — Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'hx 11 inches in size. —See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER (MAILING ADDRESS S 1141 wi /4, S .L , Thy, N, R 1 E (or)OW I TOWN OF: 6ej( ,,1 LOT NUMBER I BLOCK NUMBER I SUBDIVISION NAME INEAREST ROAD, LAKE OR LANDMARK ISTA TYPE OF BUILDING OR USE SERVED 0 I,�S"-�YJ--eDC7 1 or 2 Family Number of Bedrooms: ❑ Public (Specify): THIS PERMIT IS FOR A: X New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. Signature of Issuing Agent: Fee: Date: b 6 O 29 Seepage Bed ❑ Seepage Trench ❑ Seepage Pit Disapproved El Owner Given Initial Adverse Determination ❑ Holding Tank ❑ System -In -Fill ❑ In- Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total Gallons #of Tanks Prefab. Concrete Site Constructed Steel Fiberglass Plastic S Septic Tank Capacity Lift Pump Tank /Siphon Chamber Holding Tank capacity Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In- Ground Pressure Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump /Siphon Chamber Manufacturer: PERCOLATION RATE I ABSORPTION AREA I ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): �? A Z U (Fy(� Private ❑ Joint ❑ Public i, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print): Signature: AMP /MPRSW No.: Phone Number: GA/l 3 Gv (Ar 13 - Plumber' Address: Name of Designer: 0 COUNTY /DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: b 6 O Approved Disapproved El Owner Given Initial Adverse Determination Reason for Alternate course(s) of Action Available: DILHR - $BD -6398 (R. 5/82) DISTRIBUTION: Original to County; One Copy To; Bureau of Plumbing, Owner, Plumber INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67 -T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipes). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. APPLICATION FOR SANITARY PERMIT S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner /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 _° )N`JZI Location of Property 5 - R Township Mailing Address I-Zj &jam Subdivision Name Lot Number 7,41, Previous Owner of Property Total Size of Parcel LZ W.4�? Date Parcel was Create � &� Are all corners and lot lines identifiable? Yes No 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 ONE OF THE FOLLOWI 1. Warranty Deed 2. Land Contract 3'. Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (W e) cext jy that aU statements on this 4o4m are tAue to the b u t o6 my (our) k.nowtedge; that I (we) am (are) the owner. (,$) o6 the pnopen ty deb ch i.bed in thus insonmation 4onm, by vi tue o6 a walucanty deed neconded in the 066ice o6 the County Register o6 Deed,6 as Document No. &Z ; and that I (we) pneeenay own the ptc.oposed site bon the sewage poa� (on I (we) have obtained an easement, to nun with the above deschi.bed pnopeAty, bon the con6tAuction of bai.d sy .6t em, and -the same has been duty neconded in the 066tce o6 Cou}gy RVe "'Y 6 Deedb, as Document No. ) . Section aq T P,9 N - R &--C .. Ai. of DOCUMENT No." STATE BAR OF WISCONSIN FORM 1 - 1982 C/ O WARRANTY DEED Th's Deed, made between _Kenall Enterprises Inc., by RicharJ L. Kenall, President and Loris E. Stafford --------------------------------------------------------------------------------- 1 ec' ary, ---------------------------------------------------------------------------------------------- --------- - - - - -- - -- _- • - - - - -- Grantor, and ....... David P, Gifford and Mary E. Gifford, husband and -------------------------------- wife, -------------------------------------------------- ---- -• - - -- ---------- - - - - -- --- - - - - -- -------------- - - - - -- -- _------- - - - - -- ---- ----------- - - - - -, Grantee, Witnesseth That the said Grantor, for a valuable consideration_ of one dollar and other valuable consideration - -------------------------------------- ------------------ conveys to Grantee the following described real estate in ._St• __CroiX County, State of Wisconsin: THIS SPACE RESERVED F. H RECORDING D/ �y2 399 RE t -- i Lot 6, Block " 1 " , Cedar Crest in the Town of Hudson, St. Croix County, Wisconsin together with an undivided Tax Parcel No: . ............................... 1 /18th interest in and the non - exclusive right to use Outlot 1 as shown on the Plat of Cedar Crest as a private park for the owners of all Lots in Cedar Crest, and the oblitation to bear 1 /18th of all expenses associated with said outlot 1, including real estate taxes thereon and all expenses for maintenance and improvement thereon, as determined by the affirmative votes of the owners of a majority of all Lots of said Plat of Cedar Crest. This interest in outlot 1 is appurtenant to ownership of the above - referenced Lot and cannot be removed or separated from it whether included as part of the description of subsequent conveyances or not. In the event a homeowners' association or corporation is formed among all owners of all of said Lots for the purposes set forth herein, it is agreed that the grantee (or Purchaser) shall automatically be a member thereof, and that the articles and by -laws thereof shall supercede the foregoing provisions. This ___ -_ iS_ nOt_____._,__ homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And_ Kenall En te rises Inc._ b Richard - L, Kenall,-- President and -Doris F. Stafford warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances exce t p Secretary easements, covenants and restrictions of record, if any and will warrant and defend the same. Dated this day of t 8E - -------------- - - - - -- 19_ � Kenall Enterprises Inc. ---- • ------ • ------ • -- • ----- • - • --- ----------------------------- - - - - - -- (SEAL) By = - - -- �,� .�l��i"�'--- - r. _...F�a4C...r-- � --------------- (SEAL) chard- L. -- ICenall Prey vent-- - - - -•. -------------------- (SEAL ) By: % = 19f (SEAL) * * Doris E. Stafford ecretary AUTHENTICATION Signatures) ,0q"6.A? cf L. lee' ----------- - ---------------------------------------- ���• --------------------------- 'LC� - - - --- Orr ��j -- - - ------- - - - - -- =- ------ - - - - -- authenticated this .... day of ---- 1 ----- - - - - -- --------------------- - - - - -- - - - - - --------------------------------------- TITLE: MEMBER STATE. 'RAT? nV WT 4Z0n *T0T ACKNOWLEDGMENT STATE OF WISCONSIN S - --- t. Croix - � ss. - --------- - - - -- -------- - - - - -- County. Personall y came before me this ____ ___ ______ ___day of ---------- - - - - -- 19.86 the above named Richard L. Kenall, President and Doris --------------- - - ------ - - -- E. Stafford Sec - • , reta ry -- o-- - - Kenall -------------- _____ - z O Z LLJ ♦+— az a l7 N a" • J I W +naNf f ' 1 ° ill At- { ti �W V i N 2 �.;0 SaNV 1J311V 1dN(I i O N •n ry aMl 00 °n MS to awls is °� 2t ♦16 3 ,6C ,II pi) f, I N oo Y9 hive Q V vn a 1 t 1 b S S Y ,`ji • cam U. \ Ar V vn on ` V O w. Y • 1 - _ .�G(M O i ws•{ m r. f wr• . _ J. '40 i` � �4 9i. M b 9 i b♦ s >i.'. S 1 S N may hi ' 40 — 0 8 901 M. - •OC v •O OBL a . 1 Mf. 0 �` w � d . � � NI n ry 2 « : -.. q. •. f: V 1 \ ` ! :� « . Z in 9 1 • Z i 1 092 p < • • • 6G• '10u H '�' J r - aa�• oG -. W , . 191 M 6G .II "•00 H .. � ._l_�_ _ �F -C W . A Q,0004 tN]wlSY3 Jt bOG _ 3.1vHtlwQ • ` .o•_. r - • V ,� Z Z 1 W Z { • \ y O « n r 01 fo A�' Z . i 00 0 0 O w W w 1 , f` i w � o ♦ � :,... ♦ � r 1 { M O o y • Z' � . _ ' IMA �OOfl ,i/ 071 I�`!b _ y ,.� ,,., � . ' • i 319Ma 1641 01 0 )19) I O M Q'1'OJI b, 131/H3t ' �Z g1► M,11- ,00-.00 N • ♦ i a - - ot its 10 " My /O aw/l loam n •o O .00006 m ,11 '.00 ♦00 STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/ BUYER l,D ,ROUTE /BOX NU BER T�"f � �K ftu� Fire Number .CITY /STATE oo (&A's . ZIP� PROPERTY LOCATION:x, SectionA., Town of Subdivisio Q ����5T_ T N, R W, St. Croix County, Lot number_. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a. licensed septic tank pumper What you piit into the system can affect the function of the septic tank as a treat - ment stage in the waste disposal system. St. Croix.County residents may a maximum of 60% of the cost of which was in operation prior to accepted this program in August owners of all new systems agree maintained. be eligible to replacement o July 1, 1978. of 1980, with to keep their receive a grant for f a failing system, St. Croix County the requirement that systems properly 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 plumbe 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. I /WE, 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 Depart- ment of Natural Resources. Certification form must be completed and returned to the St. Croix County ZoniW Office w' 30 days of the three year expiration date. SIGNED DATE St. Croix County Zoning Office P.O.`Box 981. Hammond, WI 54015 715 - 796 -2239 or 715- 425 -8363 Sign,, date and return to above address. a / CD 7 K M n o. 2 0 � \ 7 $ o 0 k32m to 0 3 a 0 \7 3 —c 0 /�/ m CD ■ c 0 0 w22 B ■ \/j amo m ECD SD 0 .� a ch 20 \E� 0 a� - 4 k / a �� !h D2§ a \ 0 \ *�� « $ E 7 c c o 0 m ' X SDg � C o w (n ;r J\27-o� § 0 @ X M ■ ■ # CD � En o $ 7 % Ja� w C q ■ = 0 C- c c cn o ]oK0 c 7 a K = c " q E a 0 o a �CO mc -% cr C7 o A ofƒ /ƒ %E (DoK 0 _ a rr :3 _ ■ — f o \ ® ■.®w$ C £ 0 �Ra 0 $ 2 c _ \ /%Gg\ =2o §qE ■ ■ 2 a o a c 0 » ■ f ® ■ ■ — w 0a m'R o m�cF U) cr0 ■0a3E� ¢" \0 § c-0 a 0 o cr � cc ¥ o 0 7 o§ 0 ® ( c @ =E_n o & & _ ° 0 k$ :3o 2 a o CD 0 Z m O Z CA Z > Z D � � Cl) m S m G) m � ■ V � ® � f . z I P kJ§ ... '�r L1 i�� �v,^� t DZC,f2 �� .G,� ,�lLt�7 •�l+P�b '�° Q.w�,.�a6'�r �ww-c fir Q ,,,,� �,� � � o- ..� -+•�.a . 7Z 404 ,l. _3, .44rk 7 y" � � ,pi,�G ,c a�e� -•mac, 0 S'- A 8(o •M ` �r PROPOSE!) M/ttL ' $0 L 7 — ,&/O/L7N / /WAE&V LsivE I P� POStO I PAOPOSen TucKUNOER I OrTtVE WAY L or PitvPosE6 ,� ALT, AF- =oE,acF- oe J ASO GAL. ScPT1C TAn,K I `�lapL �o' ys' ' p LrAr OF ,� I WEST I RoPkRT% Lx vz TmA -CaT AAL _ 6 L 6 3 {�I LAST PAPAMTY /� /vorF = I 1 AREA To !3E - vlEnlf SraCK Su13 - Cur A, AV G, aF 5! S' A NO HOAX 2007ALLY /.S I &I-I wD X=nrs OF PAoOvJEO 13 €/0 bt 50'47 /1 P2oPEZT% L2 - P o 7 T �9 SE GT1DIV nQTEC , DA,,r Lzr Fa Lio tiF-w S XS7E A7 Town► of / /taron/ ST C/O-zx Cb. CUL- ov - S AC EDGE OF S /Jou L� Drre Borrcr► NO SCALE 9,,X = o< SE Lor CoA jzo. TAON PSA ELev. _ /oo,00 / ASR ZVLE /V"o ORJ MVA /APE ScaL 7ES7SnIG BY POaSIZT UL.&SGNT Is„,tsN (S IA F- = 9� CF-DA& L.vniE fi - - = 1 13ox Pia. /.z�ra �a� AQov� Fzt Oa Aog L=ca"Lre D ATE 2 i ;' Adov-0 PrPE 7O )i,,.L Gtwr - 17, i SP J1AY O SYAMY41M. C DvAILTjW& &nc- T#x1yu -izD,a ) &,ox Il Cro.rT � VE" / 4 TEE EVATZDIV Eo I. /3orrorn P.A. Sc¢ L I°� IJcaGnE6A ° l EnFvRro��d /1PE �L�low TEST 9S oo F /3Er./EATI,I /'1 o �— CoH AU.vv(, T i, AT )20 7 10 F SYTTEA "4PA WUtl TD DE'ARTMENT OF INDUSTRV, LABOR AND HUMAN RELATIONS e' opy REPORT ON SOIL BORINGS AND S AFETY &BUILDINGS DIVISION PERCOLATION TESTS (115) P.O. BOX 7969 MADISON, WI 53707 (1-163.090) & Chapter 145.045) P'w- / '0 f �L ai 99 #J �/4 f SECTION: z y /T2 N /R/ f (o TOWNSHIP WUPTOAl xNew ❑Replace NO.: I L OT BLK. NO.: cF� SUBDI VISION NAME: c.PES 7 COUNTY: sr- 15 OW B Y S AME: X b a. Jff F IEwh - vrxaop M AILING ADDRES �,, ZS l'ov /.u W. yvora.,� CtJ is . USE Residence NO. B OR : r OMMERCIAL DESCRIPTIO xNew ❑Replace OLDING TANK: EIS DU RECOMMENDED SYSTEM:(optional) C o rUe j s��as A EST. HIG HE r � * P�£ sCA04t' )f 10 RATING: S- Site suitable for s stem U- Site unsuitable for system DATES OBSERVATIONS MADE R A ESTS: ay Z 7 - P/, L 7- ONVENT A r ZS ❑U MOUND: EIS IN -GROUN E: S S N -FILL ZS OLDING TANK: EIS DU RECOMMENDED SYSTEM:(optional) C o rUe j s��as 4 So// If cot d ,PE-t AFeA CO� [ If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.1163.09(5)(b), indicate: e I S Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING NUMBER TOTAL DEPTH IN. ELEVATION DEPTH TO gROUP DWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) OBSERVED EST. HIG HE g. l p /0/ 3 rN Nil,�'Aj0 ill , ?.iT ' aru pF.uSE ce,l �}CIre S / i 7 / Z , 2 urf B_ ET /AJ P_ 5 r JL 7. yG ' P,,0 N,4 7Q,0. Z STjP�IT �+�hEO TiJN e r . B -Z • 13•5 16-2 SG • y Es iN s 7, . #rf e*,4, /. o ' �/ . S/ /.d ' T�� c • yy ?1'// to 4„ m ' s„ . &W— f ..+0 7' B- 3. 1 r *V -OEAlk. /D. 3 3 GDP ST,e&.? 1FAr v C ' r. • B- ,3 /� # / S y�� ",014 .3 F � �'' ss ';V s • Xo . SY, .75 - ,W-) CS - 11.2- i p . y s ' s 7,: 047FD a/e` S'./ i1ivEO �,✓ mss P_ 17 o PERCOLATION TESTS TEST NUMBER DEPTH INCHES WATER IN HOLE AFT RSWELLING TEST TIME INTERVAL -MIN. DROP IN WATER LEVEL - INCHES RATE MINUTES PER INCH PE RIOD P RI D2 PERIOD 3 P- ' ` Z 7 40,0-t o S ET /AJ P_ e s S 705 . P - _ '� ��Tr i1ivEO �,✓ mss P_ 17 o -1 /•v 07f J4_/ , P_ i/ / 06- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. * - T SYSTEM ELEVATION �' 7 — t , - 0 s'et et i ow L ,�o E •- �� - ,f'o v- _ y5 S:I e ao .roil- ovfticri�u 4✓-- i o C) fir% .4,* D ViV b O /.eCc T %0AJ hi Adst n' I 1 I ( CIE of iaJ Dov eil .S; d _ r�. 1 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY &BUILDINGS INDUSTRY, INCHES E HE DIVISION LABOR AN L PERCOLATION TESTS ( 115 ) P. °• B OX 7969 HUMAN RELATIONS (1-163.090) & Chapter 145.045) 1 / MADISON, WI 53707 f LOC ATIO sw 1� 11 2 /T21 N /R /f E I -) TOWNSHIP/ f� Y: OT NO.: JBLK- NO.: SUBDIVISION NAME: cE�,� cOrr rT- COUNTY: OWNERS S NAME: LIN U ADD ff ES cf O�L'e� .�£�v f/� P x'j - 1/6F GV o,J 4; . USE fi1�rt-,, No. B : COMMERCIAL R TI O I�lResidence 'j A/ f New ❑Replace DATES OBSERVATIONS MADE S: STS: j,_' 11/f// Z7 — p P- .e/ CO RATING: S- Site suitable for system U- Site unsuitable for stem IC ONVE UND: �7 ElU I MO 0 S ZU IIV -GROUN ST N -FILL ©S ❑U EIS ❑U I OLDING TANK: RECOMMENDED SYSTEM:(optional) EIS ©U I If Percolation Tests are NOT required under s.H63.09(5)(b), indicate: DESIGN RATE: C S 2_ if any portion of the tested area is in the Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS P- BORING NUMBER TOTAL DEPTH IN, ELEVATION P H T R UNDWATER- O BSERVED INCHES E HE CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- /f Q /oL •(vZ �l�S i ' . f • �,3' 1�(!Qo. S/, 3. i 3 ' ?•w �s z .o ' s f 01064 reo ar► Me rL S ' �t � � ( 0gx /j S/ B- ys' �•o" of. y,. r N .4r& ^41, �Qy OMr Cs srAfr- . d/ 50 A! j �S ' 1.S" cif Qv . f�f� iJ�►�1 :Y-� /• ,s' Lf Q�J • S `!r /� ' N N P- B- P- B- P- PERCOLATION TESTS TEST NUMBER DEPTH INCHES WATER IN HOLE AFTERSWELLING TEST TIME INTERVAL -MIN. DROP IN WATER LEVEL-INCHES RATE MINUTES PER INCH PERIOD 1 ERIOD 2 PERIOD 3 P- P- P- P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 1 �o I r 1 L i i M : 0 o• z - Q. J W• H H J. a z W. s64 v 9_' W _ 3 0 /, 3 - m 30� i ti _ D (D a U o: ; - w 11 O O z ~ 3 v� r` o , o "' ° N o' O O ~ _ (D N 6 O w Q A. RESTRICTION ON JOO'BUILDINGS z 1/4 V 47.00 � 291.71 315 00' 25. o Z - - - - - - -- — _ S 86 1NSTALLAJION OF SOIL 7 08 � -0 9 E ABSORPTION SYSTEMS p � - - - f - - - - - -- - 340.00'- _ _ _ 283.64' — — FOR SEPTIC TANK 47 o in 46 0 EFFLUENT DISPOSAL. c ti ,o% U :... N z T 0 o- 7 E5 n 65.0 1.18 A 7 A. n h 9" W .b 1.03 A. OUTLOT I S M _z /43 32. J H N wl ' 3 65' O O 0 O rn N w v 3 w 2 h u- 0 3 w O w 2 J h U) Q w N d' cn C z. J w o to I' _ Q � J o a' O z. D V N 1.24 A. O OD O O O OWNED BY THE STATI 93 Q NOTE 40 54 } 4''26_ - - - - -- 204 27' - - GREEN BRIER R TO THE EXISTII��'� ALL BI REFER WEST SW 1/4 T29N (ASSUP N 00` LE 0- 0 - I NC ALL THI ME SE s64 v 9_' W _ 3 0 /, 3 - m 30� i ti _ D (D a O 0 9• F _ ' ; - w 11 O O z ~ 3 v� r` o , o "' ° N o' O O ~ _ (D N 6 O w 1.08 A. RESTRICTION ON JOO'BUILDINGS z TLOT I. TO PROHIBIT Q o� O G ERECTION OF FOR HUMAN o Z 56.00' HABITATION AND THE — _ S 86 1NSTALLAJION OF SOIL 7 08 � -0 9 E ABSORPTION SYSTEMS _ _ _ 283.64' — — FOR SEPTIC TANK 33' 47'0 0 EFFLUENT DISPOSAL. c o� 18.00' p -0 0 �n j :... 4700' z T 0 o- (D z2sa 65.0 5 S 8 -59= 4 9" W .b 1.03 A. OUTLOT I 0 0 65' 65' 0 PRIVATE N M E o OPEN SPACE 08' 2. 1 5 5 A Of o_ 49' �4 N 3 ,N 3 � ,O DRAINAGE 2 RETENTIO w _ UI s -� -� AREA 10, I u- O -' O •- —13 0' ' O 0 4 _a 3 0 1.08 A. EASEMENT W Z a q 08.00 38" W 4'1 o 204.00' _z /43 32. J H N wl ' 3 65' O O 0 O rn N w v 3 w 2 h u- 0 3 w O w 2 J h U) Q w N d' cn C z. J w o to I' _ Q � J o a' O z. D V N 1.24 A. O OD O O O OWNED BY THE STATI 93 Q NOTE 40 54 } 4''26_ - - - - -- 204 27' - - GREEN BRIER R TO THE EXISTII��'� ALL BI REFER WEST SW 1/4 T29N (ASSUP N 00` LE 0- 0 - I NC ALL THI ME SE 0 1 �N�NNNNM �r r /07 9� J SEPTIC INSPECTI01F7.j_FfA Z 30TEST REQUEST FORM Please specify desired test(s) & remit appropriate fee with application. Outside water lines are often turned off during winter months, making access to the home necessary. Please make arrangements with this office to insure that entry can be gained. ❑ Water (VOC's) $185.00 ❑ Septic $50.00 Water (Nitrate & Bacteria) 5.00 ❑ Nitrate & Bacteria retest $15.00 Owner: CR&45K W nZ YRD WeyS Requested by: s g-fn Address: aus rr: Address: Z I P I ZIP Telephone W: ( sgto -8LN/ exf. -Z51 Telephone W: ( ) Property address (Fire W & Street) : 4IJ aOAr2 kVAIE Location: ;, ,, Sec. , T N, R W, Town of ds�soc/ Realty firm: Lock Box Combo: Closing Date: 0240- / l54 - g0 - 00,0 99. 2L7. !9. $5& TO BE COMPLETED BY PROPERTY OWNER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORM* Water sample tap location: Is the dwelling currently occupied? ,k Yes 0 No If vacant, date last occupied: Age of septic system: Septic tank last pumped by: �s AW, Date: 6`8 y(p Previous Owner's Name(s) Emqu Have any of the following been observed? ❑Y N Slow drainage from house. OY N Sewage Back - up into dwelling. OY N Sewage discharge to ground surface or road ditch. OY N Foul odors. Other comments relative to system operation: I certify that the above information is complete and true to the best of my knowledge. OWNERS SIGNATURE: DATE: If-05 1/94 ST. CROIX COUNTY WISCONSIN D �Ctl ZONING OFFICE OIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 SEPTIC INSPECTI01F7.j_FfA Z 30TEST REQUEST FORM Please specify desired test(s) & remit appropriate fee with application. Outside water lines are often turned off during winter months, making access to the home necessary. Please make arrangements with this office to insure that entry can be gained. ❑ Water (VOC's) $185.00 ❑ Septic $50.00 Water (Nitrate & Bacteria) 5.00 ❑ Nitrate & Bacteria retest $15.00 Owner: CR&45K W nZ YRD WeyS Requested by: s g-fn Address: aus rr: Address: Z I P I ZIP Telephone W: ( sgto -8LN/ exf. -Z51 Telephone W: ( ) Property address (Fire W & Street) : 4IJ aOAr2 kVAIE Location: ;, ,, Sec. , T N, R W, Town of ds�soc/ Realty firm: Lock Box Combo: Closing Date: 0240- / l54 - g0 - 00,0 99. 2L7. !9. $5& TO BE COMPLETED BY PROPERTY OWNER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORM* Water sample tap location: Is the dwelling currently occupied? ,k Yes 0 No If vacant, date last occupied: Age of septic system: Septic tank last pumped by: �s AW, Date: 6`8 y(p Previous Owner's Name(s) Emqu Have any of the following been observed? ❑Y N Slow drainage from house. OY N Sewage Back - up into dwelling. OY N Sewage discharge to ground surface or road ditch. OY N Foul odors. Other comments relative to system operation: I certify that the above information is complete and true to the best of my knowledge. OWNERS SIGNATURE: DATE: If-05 1/94 f OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION TO BE COMPLETED BY INSPECTION AGENCY System design & /or permit on file? OYes ONo Soil series per SCS Soil Survey: sheet # Type of soil absorption system ❑Below grd ❑At -Grd ❑Mound Approx. size 'X OGravity ❑Dose ❑Pressurized Ft. OBed OTrench ❑Dry Well ❑Holding Tank OOutfall pipe OBSERVED DEFICIENCIES OOther OUnknown Septic tank Setbacks: ❑House ❑Well ❑Prop. line ❑Other_ Dose tank Setbacks: OHouse ❑Well ❑Prop. line ❑Other_ ❑Locking cover ❑Warning label ❑Pump /Floats ❑Alarm ❑Elec. wiring Soil Absorption System Setbacks: ❑House ❑Well ❑Prop. line ❑Other_ OPonding: ❑Discharge: General comments 0 INSPECTORS SKETCH OF SYSTEM LOCATION Inspector Title COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715= 962 -31 21 800- 962 -5227 FAX - 715- 962 -4030 ST. CROIX COUNTY ZONING OFFICE ST.CROIX CTY GOV.CTR 1101 CARMICHAEL ROAD RMSON, WI 54016 ATTN: THOMAS C. N11SON REPORT NO.*. 24360/01 REPORT DATE*# 8/28/96 DATE RECEIVED'# 8/23/96 N u OWNER*. Erickson Oil Products LOCATION'# 411 Cedar Ln., Hudson COLLECTORI Jim Thompson DATE COLLECTED'# 8 -21 -96 TIME COLLECTED*. 4*.15pm SOURCE OF SAMPLE*. Kitchen tap DATE ANALYZEDW -23-96 TIME ANAL-YZED211200am COLIFORM,MFCCI TNTC /100 ml INTERPRETATION'# Bacteriologically UNSAFE NITRATE -NI 2. ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. CoLiform Bacteria /100 mL Nitrate — Nitrogen, mg/L LAB TECHNICIAN: Pam Gane WI Approved Lab No. 19 < Means "LESS T14AN" Pefecfable Level Approved by*. PAGE 1 P !I RECEIVEO AUG 2 9 1996 ST Cg0(X " COUNTY ZONING OFFICE 2�4- 1 f i °' August 30, 1996 Tom Harper Erickson Oil Products 1231 Industrial Street Hudson, Wisconsin 54016 RE: Water Test Results Dear Mr. Harper: ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 Enclosed please find the results of the water test taken on your property located at 411 Cedar Lane, Hudson, Wisconsin on August 21, 1996. Should you have any questions, please contact this office. Sincerely, Y ames K. Thompson Assistant Zoning Administrator pe Enclosures (2) s Z O I 0 N =� O y d 3 � w o' o 3 rt CD o a CD � 2 y A 2 fD I � � •o 0 m co N M. CL n y 0 N 7 7 I O, p O 0 T n CD rr o 0. CD C O V to w N CD CD N a CL 0 0 m c a to co o to co co co 0000_ N co co V v v M D D m w c N CD a c 7 CL C CL g 3 !�! Z G c CL d o C W N O. N O O ? to 0 � OD b O i� O ( O c '" Q V n CD CL o) �I A Z 0 A Z O Q P cd m co z ch A ,p J L7 O O �1 0 H A �o a O iv O O A b 'O A � dC '� � N � O a � y ID CD CL I Cn z N D 'm c� n - O w I I Z O I I I m � I I I � I O � I C m C m m 7 a =� O y d 3 � w o' o 3 rt CD o a CD � 2 y A 2 fD I � � •o 0 m co N M. CL n y 0 N 7 7 I O, p O 0 T n CD rr o 0. CD C O V to w N CD CD N a CL 0 0 m c a to co o to co co co 0000_ N co co V v v M D D m w c N CD a c 7 CL C CL g 3 !�! Z G c CL d o C W N O. N O O ? to 0 � OD b O i� O ( O c '" Q V n CD CL o) �I A Z 0 A Z O Q P cd m co z ch A ,p J L7 O O �1 0 H A �o a O iv O O A b 'O A � dC '� � N � O a � y r Parcel #: 020 - 1155 -00 -000 02/02/2005 09:10 AM PAGE 1 OF 1 Alt. Parcel #: 29.29.19.857 020 - TOWN OF HUDSON Current ;X! ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner 104,700 * ERICKSON OIL PRODUCTS ERICKSON OIL PRODUCTS Valuations: PO BOX 408 HUDSON WI 54016 Last Changed: 10/26/2001 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 409 CEDAR LN SC 2611 SCH D OF HUDSON RESIDENTIAL G1 SP 1700 WITC 81,000 Legal ription: Acres: 0.000 Plat: 0148 -CEDAR CREST S 29 T29N W PT SW SW CEDAR CREST Block/Condo Bldg: 01 LOT 06 r5OT 6 BLK 1 & IN 1/18 INTEREST IN OL 1 EXC W 13FT Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 0.000 29- 29N -19W 0 Parcel History: Woodland Date Doc # Vol /Page Type 0 09/08/1998 586729 1355/540 QC 0 07/23/1997 1151/617 WD 07/23/1997 742/399 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 48941 104,700 Valuations: Last Changed: 10/26/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 81,000 0 81,000 NO Totals for 2004: General Property 0.000 81,000 0 81,000 Woodland 0.000 0 0 Totals for 2003: General Property 0.000 81,000 0 81,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00