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HomeMy WebLinkAbout192-1029-95-000 ^1 � +1 P O o v n a ° o C) U) w Cn -+ O P4 z r+ H 1 � N �D N p J H , `3 N 4-1 C. H, ;> P, zl o G O to U CT, 3 n to 0 n CO) 0 s n � � A m o m g m CD CD N rr m w _ 0 w :. ° rn O o m y ° O G rn W N � A N — N Q a (D a 3 ° 1, °' <° c co 00 O a p( FL N a Z ti .» ' CD 7 T. m S � o rn N O /�► N N - Csb O y O M y rl 1 0 0 0 7 p 3 CD n 7 0 O co W 7 O. 0 Sp O O O D 0 !fir 0 C N N a CE D N 06 a (a y y a 1 m (D +W y ° 0 !» 0 p N C7 °' � t c CD N N C (n Z O O y O O O X O co A � 0 c �1 D 0 T M �Y ° z O O 0 a 0 O O? �r 3 to a UD oA D 1 N CD (6 'O C G cr O O I p C) (D m m y a W C1 m = fD < 'm = m c N .. N 0 CD SO 3 °' m 00 N CL m � o D� 0 D CD 0 a !r ° a ? O v v l o ! _ y CD y 3 C <D (D CD CT N C CD C CD cb 1 W O M. y CD Q d o. rn 3 a Z C N (0 ? c6 r ...I U7 O ? Z A Z C O 3 N (A -I W o, W 00 rn n CD fD m � - Z Q m 00 3 0 3 A CD o o ' z a, 0 0 3 U) :3 f! A N Z (D ( A O � 6/ W n y CD CD I f O a N CL J `D z (C2 N Z G -^ Z 0. y O p 0 CD N y Z 7 0 y O 3 0 o CD I N p (D fi 3 a v A O I � r o ' I v o N a p < V fD ' 1 1i CD (D 00 + o a- 3 Parcel #: 192- 1029 -95 -000 12/03/2008 10:20 AM PAGE 1 OF 1 Alt. Parcel #: 36.29.16.300A 192 - VILLAGE OF WOODVILLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - CARLSON, ANDREW & POLLY ANDREW & POLLY CARLSON 590 E BOUNDARY RD WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ` 590 E BOUNDARY RD SC 0231 BALDWIN - WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 9.840 Plat: N/A -NOT AVAILABLE SEC 36 T29N R16W PT OL 69 9.84A LOT 1 OF Block/Condo Bldg: CERT SURVEY MAP IN VOLIII PAGE 798 ORD 668/431 VIL WOODVILLE Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 36- 29N -16W Notes: Parcel History: Date Doc # Vol /Page Type 02/06/2007 844002 WD 07/23/1997 961/62 07/15/1983 386132 668/431 LC 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/29/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.848 60,300 218,400 278,700 NO UNDEVELOPED G5 6.000 3,300 0 3,300 NO Totals for 2008: General Property 9.848 63,600 218,400 282,000 Woodland 0.000 0 0 Totals for 2007: General Property 9.848 63,600 218,400 282,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 08/28/2007 Batch #: 07 -15 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wis,ponsin Department of Commerce PRIVATE SEWAGE SYSTEM County Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 363987 Permit Holder's Name: ❑ City []Village ❑ T6wn of: State Plan ID No.: Grant,_ Kevin & Dana Village of Woodville CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: 010. D se-H -en � - -S 192- 1029 -95 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septicv(,` = tse� Z5� Benchmark 2. ob 1 02-. - do .a IF Dosing Alt. BM �b o Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet q2,$3 ANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic S17 �p �' — NA Dt Bottom Dosing A Header/ Man. Aeration NA Dist. Pipe E tl.loo 90,•0 Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Mn cturer Demand St cover Model Number GPM o t W - �, Z _Ty' TDH Lift L fiction TDH Ft • a- S te, For ain Length Dia. Dist. To Well [ G— ! v. SOIL AB RPTION SYSTEM /5 BENCH I Width , Len No O Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIME `l3• oZ DIM N I N SETBACK SYSTEM TO P/ L BLDG WELL FLAKE/STREAM LEACHING Manufacturer CHAMBER 17�_Ara, (; INFORMATION Type Of model Number: System: > Ito ) 12,o — OR UNIT } DISTRIBUTION SYSTEM Header/Manifold u Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake f Length Dia. I > 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 Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) - 1 Ta Inspection #1: 0 1 / OD Inspection #2: p /I � / G Location: 100 Squirrels Run, Woodville, WI 54028 (SW 1/4 NW 1/4 35 T29N R16W) - 352916300A -Lot 1 1.) Alt BM Description = "` -c- - v- Cb, / a f' 916 oo' 3:-) So / ai 2.) Bldg sewer length = `tCcr� Ali 4`0, C - �� � � -(-tom - }- t►�u2„ , y - amount of / cover _� � �"x� _ ��a i veee ,00 Ss:6�y .ram e 3 e/ r , A' �'l JAI.) �`J I d i ti 5 e lo+ / �— /6c i e� s 0 es. yy Je*J 5 Pl8 rivlslon required? 0 Yes ❑ No Use other side for additional information.' SBD - 6710 (R.3/97) 5a 6m; Dat44 Inspector's Signature Cert. No. j, wr,. � ade� Svi ore-1 d�6e r ;�.:�1 ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: Jt i 1 i i I� i d I i � r I O h Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 i seonsin Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inche in size. County State Sanitary Permit Number ❑ Check if revision to previous application State Plan 1. D. Number (/ / 3113. 1. Application Information - Please Print all Information Location: Property Owner Name Property Location K I — D& �a CD ('a 1/4 1/4, S TQ� ,N, or O Property Owner's Mailing Address Lot Number Block Number 01 A Ae" A Z&4 City, State Zip Code Phone Number / _?8 _ a' I Subdivision Name or CSM Number X11 5 (115 )IloGrt9- 19 ol 11. Type of Building: (c Heck one) ❑ cit9 III Village (� 1 or 2 Family Dwelling - No. of Bedrooms: I ❑ Te�vfref A_ I • Public /Commercial (describe use):_ • State -Owned Nearest Roa wi S R. Parcel Tax Num (s) III. T ype of Permit: (Check only one box on line A. Check box on line B if applicable) A) 1. ❑ New 2. Reg�tent 3. ❑ Replacement of 4. 5. 6. ❑Addition to System System Tank Only Existing System B) Permit Number Date Issued ❑ A Sanitary Permit w as previously issued i � . Type of POWT System: (Check all that apply) ' Non- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland • Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line • At-grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: �rS " / e v 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required �-60 Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation / P VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass S New Existing crete strutted Tanks Tanks 0 7 ❑ ❑ ❑ ❑ r e5er VIII. Responsibility Statement 1, the undersigned, assume responsibility for installation of We POWTS shown on the attached plans Plumber's Name (print) PI er' ignature (nos MP /MPRS No. Business Phone Number Plumber's Address (Street, City, State, ip Co e �� i �� 89 IX. County /Department Usk Only i ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issu' Agent Signature (No stamps) / ip Approved ❑ Owner Given Initial Adverse Surcharge Fee Determination J5 - L - Z S . 00 C Ocl X. ditions of pproval /Reasons for Disapproval: �' Co 77 Sri / le / l o e - vecar��nr� ".rs * 2 o7SPrvefiT'cn / 5 p. GL re ! / YJ Be i^si�al�� GK�Sf�u.� �c�'. >�.yt 77l �� 6 $fj4ilv'ld+t� dOV! GdGt L 1 / 7 -04AAl ....... . ........................ ............................... ............ ....... ............ ........... . ...... .... . ...... ............ ..... ....... ....... .. ............ ..... ....... .. ............. ...... ... ............ .......... .. .... - . .......... I ..I..-- .... I— .......... i * . ..... .. ............ .......... ........ . . ...... ...... ......... ....... .... p .......... .. .. ............ 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JD .......... . ... ... .41_ 7- ......... ............ I I — D u n e , rs) Ko.,v iA.. I0.U1 Ill 6r&vA+ . ...... . .... ............. Clarence Cilotfelty A#A* M '_ lip— I U) I .......... Euviro-Tech Systems & ervices 7/ 7),Qo 6 t?tA N4955 Sunny Hill Rkxid _A 393 ...... Weyer, haeu set W1 54395 IM. A/ .... .... 611 Me- - val i Q C�-l!S T Ohse e iv ry � ro %A vx� ci. Q Jcr 1\ /—e--c;,- c "F" ROM FAX N0. 715 665 2681 Jun. 23 2000 09:01AM P1 w FROM FAX NO. : 715 665 2681 _ t:.- `�" 9:01AM P2 Wisconsin Department of Commorre ,Offs V jrl) SITE EVALUATION Page _ l of Division of Safety and Buildings rn aCCOr th Comm 83.05, Wis. Adm. Code ' Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must Grr[iriad tioil 'restiug C include, but not limited to: vertical and horizontal reference point (B Cou M), direction and y S C.'rolX Percent slope, scale or dimensions, north arrow, and location and distance to nearest road, . 192_IO29 -95 APPLICANT INFORMATION - Please print all information. Parcel 1-0 Personal information you provide may be used for seccnpary purposes (Privacy Law, s. 15.04 (1) (m)). Reviewed By Date Property Owner TLot rty Location Grant, Kevin & D ana SW 1/4 NW 1/4 g 36 T ? N,R 16 W Property Owner's Mailing Address - Block # Subd. Name or CS M# 100 S R V, 3, P 798 C State Ir Code PhoneNumber i I City ' Village " — Town Nearest Road W oodville W1 54 715 -632 -2393 Woodville — ` Squirrels Run _ New Construccfion Use: Residential / Number of bedrooms 4 J � Addition to existing building Replacement ; Public or commercial describe Code Derived daily flow, 600 gpd Recommended design loading rate -4 bed, gpd/ftz • _ trench, gpd /ft Absor 'on area required - - - L 500 bed, ft 1200 trench ft' Maximum design loading rats_:' bed, gpolft? � rench, gpd/ft' Recommended infiltration surface elevation(s) 94 ft (as referred to site plan benchmar Additional desig /site consideration install 2 - 2.7' x 118.75' Sidewinder, Hi- capacity "turtle -shell trenchcs - vcrify nittitnum of 1200 gal septic tank g cdj3ilCilY 1 **+oral_ 1 r irnlp Clig t t material ti11 _ _ Flood lain elevation, if a licable NA ft able for system Conventional { Mound in -Groun Pressure AT -Grade System in Fill Holding Tank uitable for system — u I y S_ u S^ S _: U S U S F U 1 S U Borin Horizon Depth I Dominant Color Mottles Texture Structure Consistent Boundary Roots — GP D(ft' 9# l in. Munsell Qu. Sz. Cont. Color I Gr. Sz Sh. Bed f Trench 1 0 -36 10YR 3/2,4/4 3p 7.SYR 5/8,5/ ail Ground elev _. .�..... 89.4 ft_. Depth to limiting - - factor Remarks: la cks A +4" - avoid this area 2 1 0 -11 7.5YR 3/2 - SI 2 m gr ds cs I f /tn 1 .5 .6 2 ! 1 1.24 7.5YR 3/1 - sl l m abk rnvfr cs if .4 .5 Ground 3 24 -50 7.5YR 414 - $1 2 m sbk nifr cs if 5 6 elev _ 9 A.t f( 4 50 -110 10YR 4/6 - s 0 sg m1 - - .7 .8 Depth to limiting __ r factor _ I Remarks: straUf1 1OYR 414 mcos ' @458 -61, 72 - 79 + 1/2" @ 8 ); stratif I OYR 614 s 99 - 8 9 CST Name (Please Print) Signature: Telephone No. I Icnry F. Grote ` 715- 233 -0398 Address - ' CertLfted S oil Testing E, 4366 353rd Ave., Menomonic,, W1 54751 6 227 2000 274u mber R 1 1127 siscorisin Department of Com SOIL AND SITE EV Page I of 3 Division of Safety and Buildings O accord with Comm 8 , 1 6. bade °\ • Certified Soil Testing Jr Attach complete site plan on paper not less than 8%x 11 inches in size. include, but not limited to: vertical and horizontal reference point (BM), dir and e" ty — St. Croix m percent slope, scale or dimesions, north arrow, and location and dista nearest U1 �t `' P�n7e I.D.# 192 - 1029 -95 APPLICANT INFORMATION - P,'ease print all informati tl -', "s 00 - Personal information you provide may be used for secondary purposes (Privacy La `s. -15.04 (11 (m)) RA Date _ Sr C�Rax Property Owner Property 2: Grant, Kevin & Dana rw}. Lot `*� 1/4 1/4 S 36 T 29 N R 16 W Property Owner's Mailing Address Lo v� i L ' Block # t `` Jti ` ame or CSM# 100 Squirrels Run CSM V. 3, P 798 C_ ity State 7_i Code PhoneNumber E] City Village []Town Nearest Road W oodville WI 5 715 692 - 2393 Woodville Squirrels Run New Construction Use: Residential / Number of bedrooms 4 []Addition to existing building X Replacement [ Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate .4 bed, gpd/ft • trench, gpd /ft Absorption area required 1500 bed, ft- 1200 trench, ft Maximum design loading rate' .4 bed, gpd /ft ' t rench, gpd /ft Recommended infiltration surface elevation(s) 94.0 ft (as referred to site plan benchmar Additional desig I site consideration install 2 - 2.7'x 118.75' Sidewinder, Hi- capacity "turtle -shell trenches - verify minimum of 1200 gal septic tank g s V1 and install ii n rhnmher Parent material tilt 4 Flood lain elevation, if applica NA ft S= Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system ® L U ® S ❑ U ® S ❑ U ® S ❑ U ❑ S ® U ❑ S ® U MIL Dl REPORT Borin # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 9 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0 -36 - 10YR 3%2,4/4 3p 7.5YR 518,51 sil Ground elev 89.4 ft Depth to limiting factor 0" Remarks: lacks A +4" - avoid this area 2 1 0 -11 • 7.5YR 3/2 - sl 2 m gr ds cs I VIM .5 .6 N' 2 11 -24• 7.5YR 3/1 - sl 1 m abk mvfr cs if .4 .5 Ground 3 24 -50. 7.5YR 4/4 - sl 2 m sbk mfr cs if .5 .6 elev 98.1 ft 4 50 -110 10YR 416 - s 0 sg ml - - .7 .8 Depth to limiting factor > 110" Remarks: stratified 10YR 4/4 mcos @ 58 -61, 72 -79 + 1/2" @ 80; stratified 10YR 6/4 s @ 88 -89 CST Name (Please Print) Signature: Telephone No. Henry F. Grote 715- 233 -0398 Address C ertified S oil Testing D to CST Number Ref # I E. 4366 353rd Ave., Menomonie, WI 54751 63/2000 222774 1127 PROPERTY OWNER: Grant, Kevin & Dana SOIL DESCRIPTION REPORT 0 Page 2' 'of 3 ' PARCEL I.D.# 192 - 1029 -95 Certified Soil esti g. f. Depth Dominant Color Mottles Structure GPD /ft Horizon Texture onsistence Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench �r 3 1 0 -3 • 7.5YR 3/2 - sl 2 m gr ds cs 2flm .5 .6 2 3 -7 7.5YR 3/2 - sl 2 f sbk mvfr c f s 1 .5 .6 Ground elev 3 7 - 16 • 7.5YR 4/3 - is 1 m sbk mvfr cs if .7 .8 98.0 ft 4 16 -29• 5YR 4/4 - s 0 sg ml cs - .7 .8 Depth to 5 29 -88 • t OYR 4/6 - s 0 sg ml - - .7 .8 limiting factor >88" Remarks: w some s ra i ie r s 4 1 0 -4 7.5YR 3/2 - sl 2 m gr ds cs HIM .5 .6 2 4 - . 7.5YR 3/2 - sl 2 f sbk mvfr cs if .5 .6 Ground elev 3 9 -18 . 7.5YR 4/3 - is 1 m sbk mvfr cs if .7 .8 98.0 ft 4 18 -32 . 7.5YR 4/4 - sl 1 m sbk mfr cs - 4 .5 Depth to 5 2-90, 10YR 4/6 - s 0 sg ml - - .7 .8 limiting factor > 90" y Remarks: weaK si structure governs sizing as Mis win proDaDly DC on trencti a ges 5 1 0 -4 7.5YR 3/2 - sl 2 m gr ds cs 2f1m .5 .6 2 4-9- 7.5YR 3/2 - sl 2 f sbk dsh cs lm .5 .6 Ground elev 3 9 -20 - 7.5YR 4/3 - is I m sbk mvfr cs lm .7 .8 97.7 ft 4 20 -32 7.5YR 4/4 - sl 1 m sbk mfr cw if .4 .5 Depth to 5 32-90, l OYR 4/6 - s 0 sg ml - - .7 .8 limiting factor > 90' � Remarks: s ra ► ►e s , sg, m - - ; s a t to mcos - - Sj sa � U O e s Ground elev ' S f / Depth to limiting y .S i facto r - / / a Remarks: a s C� -� /. OP ' �• � , ,. 1� 2ry � h d- U 0. w e� �T�' t�"�•t.'Q � \� 1 o i' (` r` T'U l � a SZ. - �OZ� -�rs �'t'�'( 2'Ly, �• CGS t 1 f c.. +JC. Ct 6. Go OD .� •,. ( &. Ct � r �� ,�, frM f , sX.. �, � y � c � S • to S ¢. � b ti � e�d�. f-y � A +' 0.� �F t� �O y 4 _�� • - •���� - ���„ 13.4. 3 0� s I■ VILLAGE OF 0liii vwwwn June 29, 2000 St. Croix County Zoning Department 1101 Carmichael Road Hudson, WI 54016 To Whom It May Concern: Regarding the system of Kevin Grant at 100 Squirrels Run. The Village of Woodville is not currently providing any sewer utilities to that area, nor has any plans in the near future to provide sewer utility to this specific area. If you have further questions please don't hesitate to contact me during business hours. Sincerely, Cheryl A. nd, CMC /CMTW Clerk Treasurer 102 S. Main Street • P.O. Box 205 Woodville, WI 54028 PHONE (715) 698 -2355 FAX (715) 698 -2697 EMAIL: VWOODVIL @WIN.BRIGHT.NET 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 Vi c residence located at: 1 /, A/tJ U, Sec. 3 Co , T __�q _N, R_& _W, \ W I VA e of L ppju 1 1 e St. Croix County, Wisconsin. Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced Did flow back occur from absorption system? Yes No )C (if no, skip next line. Approximate volume or length of time: / gallons -- _.minutes Capacity: Construction: Prefab Concrete Steel Other Manufacturer (if known) : Age of Tank (if known): ) + OL co- G I o4ldfi (Si ature) (Name) Please Print (Titl ) (License Number) __?lsl /cb (Date) Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank, to the best of my knowledge, will conform to the requirements of ILHR 83, Wis. Adm. Code (exce t for inspection opening over outlet baffle). Name 1 41 - I'AA - C g MP /MPRS ©7 L ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND ` OWNERSHIP CERTIFICATION FORM Owner/Bam KE V► v1 n I- O-^Alk �� s r Mailing Address ► W Property Address (Verification l required from Planning Department for new construction) City /State 0d V I t 1 � � � � Parcel Identification Number LEGAL DESCRIPTION Property Location ' /�, ' /,, Sec. �o T N -R /G> W, 'Tawri of o voLl ' i 1 P Subdivision , Lot # Ce�IedSurvey Ma , Volu me , Page # 7 q9 Warranty Deed # Volume lot . Page # y 3 � Spec house ❑ yes OR no Lot lines identifiable yes ❑ no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix 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. Itwe, 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 Zoning Office within 30 days of th a year expiration date. a a SI ATURE 0 APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pr pe describe bove, by virtue of a warranty deed recorded in Register of Deeds Office. -j / /Y U� SI A F APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed : �_,.._.. n . DOCUMENT NO. STATE BAR OF WISCONSIN FORM 11 -1988 THIS SPACE RESERVED FOR RECORDING DATA LAND CONTRACT y ' Individual and Corporate F , $2b 000 IS U SE D AND N OTHER NON - CONSUMER ACT TRANSACTIONS) 0 668 PACE RfiQJSWa OfftCE Contract, by and between ....f rani ti.. & ._..Wemulund- _a.nd..... ` '� '' ` Patrice Ml-- D4�?na c Rec s_ ..?n and ._ saxlsl. tnr�.fe - ..as-- jm:iut. �d.� f+ sr%mtd lkis ...._ _timant s-------- ----------- •--------- - - - - -- .. ("Vendor ", d6y Of Jul 83 whether one or more) and ...... K- emin - 2.... . rant- - .and_ D ayna.._.T_..... Of ' .Grant husband..and..wi.fz. -as -. }oint.. tenants ............... , ........................... ............................... ( "Purchaser ", whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- M Of formance of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant interests (all called the "Property "), in.. ............ Cz' O 1X .._......_.._..........._,_ -._. County, State of Wisconsin RETURN TO Part of Outlot "69" of Outlot Plat of Village of Woodville, described as follows: Lot l of Certified Survey Map filed May 7, 1979 in Tar Parcel No.... ... .. .................... .... .• Volume "3" of Certified Survey Maps, page 798, as Certified Survey No. 798, Document No. 356679. It is mutually agreed that the Vendor will subordinate the Vendor's interest herein to a bona fide mortgagee; said mortgagee -: lending money for the construction of a residence on the premises. That this sub- ordination will be executed upon the payment of the sum of $1500.00 to be applied to the principal balance then remaining outstanding. It is mutually agreed that upon demand by the purchasers, the sellers shall cause electrical lines to be ruin into the above mentioned property. Buyer is responsible for the cost of his own transformer and concrete pad. is not This ........................ homestead property. (is) (is not) thei residence Purchaser agrees to purchase the Property and to pay to Vendor at ............................ ............................... }� the sum of $. 2_r QQ_ a. QQ .... ............................... in the following manner: (a) $.. 30{.. QQ .................. - .-- .•- . ------ jI at the execution of this Contract; and (b) the balance of $12 .,.20.0...00 .................. together with interest from date hereof on the balance outstanding from time to time at the rate of ......... .......... ................ per cent per annum j until paid in full, as follows: Monthly payments of $100.00 commencing thirty days from the date of 1� closing and on the same day of each month thereafter until paid in full. Provided, however, the entire outstanding balance shall be paid in full on or before the ......... day of -" ._..._..1 19........ ( the maturity date). Following any default in payment, interest shall accrue at the rate of ._"'..... % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire i principal balance) . i! — PtTfZh�> leF, �ZiI�88- esa+ acedby.- V" err apgse¢s.ta_pa34*W%tbi3L.ta.V"&& �r+wlAte- sa�ieiont�� pay- r�eaawWy�ontiai -- "! .DSt&d_ silo! isLa�x�r��ASC�ctueutc ,.firaand.requiretlinsux sac] ielidue. So.the�cteutrreeeixed.bzYendnr« YETidOZ. SgLCgS. 1m- ski- }x►ts.tatllase.obligatiaas w1� a „ � Suclismeunts- rrrBiued- hy�1�VAndar.for taxes; assessrneTftan+ ineut nee- w*Hbe- 4epowted- inte-e n- eserew-+n nd- er- brastlee�Iecex�r�- i)el!- elea &- na�be�ir►1ese�et►- � Zi>' i' 1�� "3E1i��629L�'TcgIIlTeii'by78�v. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any I amount may be prepaid without premium or fee upon principal at any there - sway -be- see" propa�eteab'- ef- P: insipa}- wibhe�rg- pern�aeieire�iteudorr ... . 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 for examination except None j I ii I I v Purchaser agrees to pay the cost of future title evidence. if title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitle to take possession of the Property on ...... ........ dAte ... hereaf................ 1X X...... *Cross Out One. MGMdLr Comprry Iy7 STATE BAR OF WISCONSIN Stock No. 13011 FORM No. 11 — 1982 VOL 669 FAG, 432 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 such other hazards as Vendor may require, without co-insurance, through insurers approved by Vendor, in the sum of $ft ill -•1n9Wr9Lb1Je-- VaI.V(Dut 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: .. Norte------------------------------ - - - - -- . .................•__......__..............-•---.....--•---••--•-••-•....._......... .....•-- .........- •- --- -- -- ---• •--•--....._......._.... ...•- •-- -•••--._......-•-••-... ..............•---........._.._._.....---.............._....._......_..................... .._........--- _..._••- ....._... _.......•- ••---....... _•---••.._..---- ....._.... .................................•-•----..........._.... .-----••-••- --- ........- • --• -•• •--................----...-•----._._......_....._. ....._•-- •-•-- ._..._...____..._ ................•-------------------...----•------------------•----•---••-----------..... .........--- --- --•---•--- - --•-• •----...._.._..... ....-- ----•- ••-••-•- ----•- - -•-• 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 ... 3D.. days following the specified due dat 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 Purchase' — 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 equtiable 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 coley 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 immediatly 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 roperty' and agrees to join in the execution of the deed to be made in. fulfillment hereof.) Datedthis ........... ............ 12. , ...... . ......... y of � ............................ ... - - - -- ..._....._(SEAL)?!.! (SEAL) A.... werrilunC1 ... . • ...KeV.in..J.. ---- _ - - - -- .__Gxi ” ..... (SEAL) Patrice M. Dohnalek f Day a J. Grant ,> ------•..........•-•..........-•------ • .. ......................... ....-_...---...............................----.......--•--------- AUTHENTICATION AC$NOWLBDGMENT Signature(s) ............................................................. STATE OF WISCONSIN ss. , ...................................•----•--...... ....._............._........... --- - St, - - - - C roix ............ County . .. ------- ------ • . authenticated this ........ day of ..................... 19 ...... Personal] came before me this .... l.Z.... day of ................•--•...........---.._............ .....••---- ••---- ...__...._..._ �- '"I..... , 19.Q.3.. the above named .- Bxetit._A... [fie .rnlund «-- - - - - -- Dohnalek, • Kevin - �... xan . nd,., TITLE: MEMBER STATE BAR OF WISCONSIN Da na J. Grant .y • ... ....................::.V� Y•� '� ................. ... ••-- •..................• -• -- (If not, ._......... J' to me known to be the person ... g .. wh(tMdh th �� authorized by § 706.06, Wis. Stata.) foregoing ins m t d ck 1 . 1 qmo _J THIS INSTRUMENT WAS DRAFTED BY _.... ..... .. .. ROBERT. G_ :...�n • - - - --- ---------- • -• - -- n ;F dor Attorney at Law_. Std, Croax� t . ........... . ................................. Notary Public ........... :::�....0 (Signatures may be authenticated or acknowledged. Both My Commission is permanen ( If not, 'state „expiratfon ^ � are not necessary.) �� *Names of persons signing in any capacity should be typed or printed date' ........................... •-- •-- ••-••- •--- ••--- •• - -.... below their signatures. V / CERTIFIED SURVEY MAP 798 Part of the Southwest 1/4 of the Northwest 1/4 of Section 36, Town 29 North, Range 16 West, Village of Woodville, County of St. Croix, State of Wisconsin, described in Volume 3 of Certified Survey Maps, page ?98 as Certified Survey Number 798 356679 ANPLATTED LANDS g 33.07` N 86 22' 15'W 1304.28` 8 350.00` 954.28' �D D 2 � g co o s W `- O O _ LOT 2 :C: 9 .84 T ACRESt 1.9 : ACRES �� �� N N Q .0 ;D •O 0 �I O EXIS HOUSE Z ....� 0 (D 0 . r rn m 00 rn .Z �r 0 C •z W m . CD I 0 0 �• ti 8 �0 0 14/ 39 3 ,, LOT 3 • I p�` o `�s ly 10.91 ACRES* A) 0 I S89 ° WN z 0 100.00' 0 o N89 °55`02 " LOT 4 w °- I 5.92 ACRES ° r*i (9 s ; 5 > 411 7$9.65' 510.00' S 89 29' 44' E 1299.65 C/) 33.Od , .. UJ ...... TED • _ . ,LA.NDS, :0 RADIUS CHORD ARC CURVE NO . LOT NO. LENGTH LENGTH LENGTH CHORD BEARING CENTRAL ANGLE TANGENT BEARING :m 1 - 2 1 177.34 157.36 163.04 N.63 44 "E. 52 N. 89 55' 02" E. 3 - 4 60.00 66.00 307.1 S.5 5 3 E. 293 N. 19u 23 31" W. :D 1 90.43 102.42 N.29 "E. 97 0 48'26" :n 2 80.55 88.32 S.59 0 25 1 08 "E. 84 3 60.00 98.97 116.37 S.38 "V"J. 111 0 07'38" 5 - 6 4 243.34 215.93 223.72 S.63 "W. 52U40'34 S. 37 14' 28" W. .�`� ,GIN /. ` A _a �� BEARING REFERANCE TO y THE WEST LINE NW 1/4 nos S LEGEND SEC 36. T 29N R 16W ID Ron ' • 3/4 "x 30' IRON ROD ASSUMED , BEARING N 00 04 58 W 5-130 WEIGHING L502 LB /LF SCALE 1" 200' C awmVk VA �� • RR SPIKE 0 100 200 400 ,�����sURd� Volt;rre 3 Pale 798 SHEET 1 of 3 v Wisconsin Department of Commerce �R�GI IL AND SITF,,,EVALUATIO Page I of 3 Division of Safety and Buildings rd with Com ' 83.05, W A Cbde' +Iti Certified Soil Testing Attach complete site plan on paper not less than 8% x 11 inches in size Ian rims `E \�It'a Eu ty include, but not limited to: vertical and horizontal reference point (BM), iron and St. Croix percent slope, scale or dimemsions, north arrow, and location and dist GOB(to nearest road. 10% � I I.D.# t � Z 6 192- 1029 -95 APPLICANT INFORMATION - Please print all informa .0U S Ct►,�x 't Personal information you provide may be used for secondary purposes (Privacy La m7 .04 (1) (m)�?GE��t!tfk Rem iewed By Date Property Owner r L ion . , Grant, Kevin & Dana t �M NW 1/4 S 36 T 29 N 16 W Property Owner's Mailing Address Lot # I 7ubd. Name or CSM# 100 Squirrels Run 1 CSM V. 3, P 798 C_ ity State Zi Code PhoneNumber El City �f Village ❑Town Nearest Road W oodville W1 54028 715 692 - 2393 W oodville I Squirrels Run New Construction Use: Z Residential / Number of bedrooms 4 []Addition to existing building t irteervenf ' [] Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate -4 bed, gpd /ft • trench, gpolft Absorption area required 1500 bed, W 1200 trench, ft Maximum design loading rate -7 bed, gpd /ft • t rench, gpolft Recommended infiltration surface elevation(s) 94 .0 ft (as referred to site plan benchmar install 2 - 27 x 118.75' Sidewinder, Hi- capacity "turtle -shell trenches - verify minimum of 1200 gal septic tank Additional design / site consideration capar.*W and install pump chamber Parent material till Flood plain elevation, if a licable NA ft S= Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system ® El ® S U Z S U ® S❑ U El ®U S X U ,90 11-11- MCRIPTIUN MUM Horizon Depth Dominant Color Mottles Texture Structure Consistent Boundary Roots GPD /ft2 Boring# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0 -36 10YR 3/2,4/4 3p 7.5YR 5/8,5/ sit Ground elev 89.4 ft Depth to limiting factor 0" Remarks: lacks A + 4" - avoid this area 2 1 0 -11 7.5YR 3/2 - sl 2 m gr ds cs lf/m .5 .6 2 11 -24 7.5YR 3/1 - sl 1 m abk mvfr cs if .4 .5 Ground 3 24 -50 7.5YR 4/4 - sl 2 m sbk mfr cs 1 f .5 .6 elev 98.1 ft 4 50 -110 10YR 4/6 - s 0 sg ml - - .7 .8 Depth to limiting factor > 110" Remarks: stratified IQYR 4/4 mcos @ 58 -61, 72 -79 + 1 /2" @ 80; stratified IOYR 6/4 s @ 88 -89 CST Name (Please Print) Signature: Telephone No. Henry F. Grote 715- 233 -0398 Address C ertified Soil Testing Dat CST Number Ref # E. 4366 353rd Ave., Menomonie, WI 54751 6/372000 222774 1127 PROPERTY OWNER: Grant, Kevin & Dana SOIL DESCRIPTION REPORT Page 2 of / 3 'PARCEL 1.134 192- 1029 -95 Certified Soil e1 sting Horizon Depth Dominant Color Mottles Tex #ure Structure onsistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0 -3 7.5YR 3/2 - sl 2 m gr ds cs 2f1m .5 .6 2 3 -7 7.5YR 3/2 - sl ° 2 f sbk mvfr cs if .5 .6 Ground elev 3 7 -16 7.5YR 413 - is I m sbk mvfr cs if .7 .8 98.0 ft 4 16 -29 SYR 4/4 - s 0 sg ml cs - .7 .8 Depth to 5 29 -88 10YR 4/6 - s 0 sg ml - - .7 .8 limiting factor > 88^ Remarks: `, some strati 77 T r 414 s 4 1 0 -4 7.5YR 312 - sl 2 m gr ds cs 2f1m .5 .6 !q 2 4 -9 7.5YR 3/2 - sl 2 f sbk mvfr cs if .5 .6 Ground elev 3 9 -18 7.5YR 4/3 - is I m sbk mvfr cs If .7 .8 98.0 ft 4 18 -32 7.5YR 4/4 - sl 1 m sbk mfr cs - 4 .5 Depth to 5 32 -90 l OYR 4/6 - s 0 sg ml - - 7 8 limiting factor > 90. Remarks: weaK sl structure governs si as Mis will proba Se on f7encri Eager 5 1 0 -4 7.5YR 3/2 - sl 2 m gr ds cs 2f1m .5 .6 2 4 -9 7.5YR 3/2 - sl 2 f sbk dsh cs lm .5 .6 Ground elev 3 9 -20 7.5YR 4/3 - Is 1 msbk mvfr cs lm .7 .8 97.7 ft 4 20 -32 7.5YR 4/4 - sl 1 m sbk mfr cw I f .4 .5 Depth to 5 32 -90 10YR 4/6 - s 0 sg ml - - 7 B limiting factor > 90' Remarks: s ra i ie IS kU, sg, m ; s ra i ie m - Ground elev Depth to limiting factor Remarks: r � ��+ 2� v ; M d- � a. w o.. �tt -+•�,� 1� 1 o C \� l v� 1 }"'l�� � �.�.: � �*t � � _ wro-c zZZ -a•� 1 L � at L 6• Y � OD R SN S Y L4 "�� C�.'v -Z�,. 3 0� 3 INDUS I Y , OF ti KEPOR 1 ON SOIL BORINGS AND rt r " DIViS101 INDUS 1 AWR AND PERCOLATION TESTS ( S.o U BOX i�M N RELATIONS MADISON, W! 5370 310 ice' A TU7V / ' � W U iCIPALiTY: OT NO. NO1: SU60lVISION NAME: '/4'. t 4 ..S / �..' N�R �� tort. /.rJ Q c�.- +/1,•• i t. L c z rj t? r. !COUNTY: . MAIL110 A515 "A 4-11 f use V,' w .�. :µ .•y • {_.: 1 fc If>i11�MAOR+ < . RResidence ew}1leplap r ', RATING: f4� 8Ns sattsble� 't3r'Eitia � '�171labts�Mr tVstenn " Y ICQN VE , NTION AL V A K itE NbEU SYSTEJN• tiotgi 1 -us o Ov 10 S ou I os 1f Percolation Testy ar! Iii ' • ; If srry portion of the lot is in Ike under s.H63:09lS1IW� I; 'w;,,,� F'loo b >il dplatn, lndieseDi elewtlon: PROFILE DE8CI;iPTiUNS �00A NG A 1. N PTA' NUMBER EM N IN. f CK If OBSERVE { t"sE ABBRV. ON 841; ! l Al' fly +.� g- ,�, •. _ Bry � �� j �'' Hsi+ ' s � I � B.• 1 f t w ` r ! /. C y• ,yX #< ..Y }�. t'/+• : S � 3c 79 r B_ .,,,,.«.+a,.+ std 'ss:+Gi6�1iH�...4'.....W. ,:w'��01�11 "��:b7$ •:.. ax. ry::. a: r., n.+.._..«,•.,.•..... awt, �i ':ss,s►iit+sri�:�aw.c2iwr.,.. -.,�.: T DEPTff WAf . iHOI.E -i •R i RUTES NUMBER IN ES kP9 W 1L fiVG iN . �- .avtbilN, 9 t CH IN P. �/ � P- P PLAN VIEW: Show looeft d? �Ioroetation tatim, iollt l6tfrlivt and the dimerulons of suitable soil areas. indicate sods tar distaiw"' , 0asaribe whet ors tie ho zontat and vertical elevation n4rance ooinu and thaw their location on the plot plan. Show the surface elevation at all - bodtw and the direction and peroe of land slop. SYSTEM ELEVATi�N _7- , 04 F 11 At Ab PL �{ ' fi •' } j � � 1, the undersiDnsd,.bsraby lssvtiYl►,lltat the wil l hstt.��orw art #ItL form awry tbade by W* M soowd with the prondtMee:rr+sd+ddt t+�f�d In the Msm Admimistrative Code, ". 4 tlet# : obnded an4tt, on •pf tho teat:l,areoofraig to the ban nf:nw ltnowladp w d'13 srt, _ • ' �' . +y, �. =. . I N A E print i z - - caw. IF. 1 X ADDRESS. F ..t±';� , r r+ ,., r M x 1a ," "". ' (.lei'`' s 6 ^, °•� d k ' W I PI M 9 r ' .OWntf �4t11- II Tester. Attt ..� trr9etl of urr► }sege�reoertl► !��'� r n n0• O1 af- l.+oc�sl f►vrltY DISTRIBUTION: gi f:b9s''B • DILMRSOD-G395 IN. 03/8U Form- STC- 104 r AS BUILT SANITARY SYSTEM REPORT OWNER _ )(4V C✓1 RAr1`t __ TOWNSHIP W dyd✓.' (/P_ SEC. 3 T _aN -R W ADDRESS WO G r1 d ,� G ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H 63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM e 0KSL _ I I i � � I � r i 1 7� INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used /ip 's X Elevation of vertical reference point: Proposed slope at site: f SEPTIC TANK: Mz.nufacturer: od e Liquid Capacity: 12 +I Numbpr.of rings used: - Tank manhole cover elevation: Tank Inlet Ilevation: Tank Outlet Elevation: Numbe of fEet from nearest Road: Front,O Side,O Rear, J— feet From nearest property line Front 1 0 Side,O Rear, O (g feet Numbe: of feet from: well building: 2 0 , (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE i PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump /Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, 0 Side, U Rear, 0 Ft. Number of feet from well: Number of feet from building: (Include cUstances on plot plan). SOIL ABSORBTION SYSTEM Bed: Trench: Width: �� Length: Number of Lines: Built: 2 Fill depth to top of pipe: 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). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box 0 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 pf. inlet: Number of feet from nearest property 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: Inspector: VL Dated: Plumber on job: 1,44 License Number: J P 90 7 2 ,, 3/84:mj I Wisconsin Department of fndustry, PLB -1 ' INSPECTION REPORT Labor &Human Rel Safety & Buildings Divis1on Bureau of Plumbing Name of remises Date an I.D. o: dI Street cit c ounty Sanitary P ermit r sw, ►)w S 3 o T-;�iw R IGLAJ W(XU tom. SJ '(40k as er Plumber & Firm Name Aaaress 1F'VF_ 410 V�CtF w ourneyman Plumber Address Owner Address EV14J ARAN y SEPTIC I oo A _. D iscussed with Slyhature { )See Attached. DILHR -SBD -6192 (8.10/82) Signature - of D n- 5 i a e ecia is Owner Inspector Local Inspector Plumber or Responsi 1 e Party _ DEPARTMF_NT OF INDUSTRY INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 796 BUREAU OF PLUMBING MADISON, WI' 53707 ` • MCONVENTIONAL ❑ALTERNATIVE I State Plan I.D. Number: El Holding Tank ❑ In- Ground Pressure El Mound It assigned) NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Kevin Grant Woodville, WI 6 -11 / ,? � 3 Q b BENCH MARK (Permanent irefereno6poin ESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV .. SW NW, Sectio 3b t D T29N -R16W, Lot #1, Village of Woodville Name of Plumber: MP /MPRSW No County: Sanitary Permit Number: Stephen Aaby 5184 St. Croix 49462 SEPTIC TANK /HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.'. I WARNINGLABEL LOCK( G VER t + Q P DED: PRO �- �!•� / �� • VO YES ONO YES ONO 77 BEDDING: VENT DIA.: VEN: HIGH WATER NUMBIr I OI4` ROAD: PROPERTY WELL BUILDING: VENT TO FRESH ALARM: BEET FROM . LINE: �) D AIR INLET: OYES ONO ❑YES ONO NEAREST &_0 r— DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY PUMP MODEL. UMP /SIPHON MANUFACTURER . WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ONO O YES ONO ❑YES ONO GALLONS PER CYCLE: PUMP AN OLS OP MAER of PROPERTY WELL BUILDING VENT TO FRESH .30 (DIFFERENCE BETWEE FR(?M LINE' AIR INLET` PUMP ON AND OFF) y O AiESI 1 '.� SOIL ABSORPTION SYSTEM. Check the soil moisture a de of plowln L NGTH DIAMETER MATERIAL AND MARKING or excavation. ( If soil can be rolled into a wire, const ction sh II cease un MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: s WIDTH: LENGTH NO.OF DISTR. PIPE SPACING. COVER INSIDE DIA.: *P(TS . LIQUID 2. TRENCHES: M ALi DEPTH. A GRAVEL DEPTH FILL DEPTH jDiSTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. 7R. OF .PROPERTY WELL: BUILDING: V NT TO FRESH BELOW PIPES] ABOV COVER: ELEV. INLET ELEV. END. + PIPES .., LI AIR IN_ T 't s L • t N �3 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- DYES El NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE " ERMAN NT MARKERS OBSERVATION WELLS OYES ❑ DYES LINO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH /BED DEPTH OF TOPSOIL. SODDED SEEDED. MULCHED: CENTER. EDGES - . DYES N S ❑NO OYES ONO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH: NO.OF LATERAL SPACING JGRAVIELDEPTH BE PIPF FILL DEPTH ABOVE COVER. TRENCHES. MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERf L - . NO DI TR. C' ST PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV ELEV CIA, : ELEV, PIPES: OIA.: `HOLE SIZE HOLE SPACING. DRILLED CORRECTLY. COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES ONO I ❑YES ONO COMMENTS r✓l PERMANENT MARKERS: OBSERVATION WELLS: No t Op PROPERTY 10F ERTY WELL: LDING. B f ( FEET 'FROM + 2 - 3 c ❑YES ❑ NO ❑ YES NO lSIEI#RESF FBI t � fq can ke Co v e1 w ctA. 6L Tk UAL ZAkl)IL Z" th d S if J ,51 Sketch System on IC� S (� Retain n ' plI nty file for audit. Reverse Side. >/� Z SIGNATURE: TITLE: DILHR SBD 6710 (R. 01/82) ' R wlsConsln APPLICATION FOR SANIT RY PERMIT t IA 1 L H R 1 C 3� Croix C OUNTY �O DERRRTRIEnT OF (�`� 6/ ) UNIFORM SANITARY PERMIT # InOUSTR V, LRBOR & HUmgn RELRTIOnS — Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, m paper not less than 8' /2x 11 inches in size. —See reverse side for instructions for completing this application. PLEASE PRIN PROPERTY OWNER MAILING ADDRE i rr ?- e PROPERTY LOCATION CITY: y 14 S,T4 , , N, R (or LOT NUMBER I BLOCK NUMBER I SUBDIVISION NAME NEAREST ROA LAKE OR LANDMARK STATE PLAN I.D. NUMBER 'CA ST I f ! I�t a J Il 1Z t•'t TYPE OF BUILDING OR USE SERVED y < 1 or 2 Family Number of Bedrooms: Tj Public (Specif : THIS PERMIT IS FOR A: 59 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. Seepage Bed ❑ Seepage Trench ❑ Seepage it ❑ Holding Tank ❑ System-In-Fill ❑ In- Ground Pressure ❑ Vault Pr y ❑ 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 C ndi ions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete C strutted Septic Tank Capacity X Lift Pump Tank /Siphon Chamber Holding Tank capacity Manufacturer: v f IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound In- Ground Pressure Total #of Prefab. ite Steel Fiberglass Plastic Gallons Tanks Concrete on rutted Septic Tank Capacity Lift Pump /Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA W E I ivate SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): ❑Joint ❑Public I, the undersigned, hereby assume responsibility for installation of the private sewage syste sh wn on the attached plans. Name of Plumber (Print): Signature: MP /MPRSW No.: Phone Number: ell Plumbers Address: am of Designer: COUNTY /DEPARTMENT USE ONL Signature of Issuing Agent: Fee: Date: ❑ Disapproved 00 / pL ❑ Owner Given Initial p76 Q J A ro d Adverse Determination Reason for Disapproval: Alternate course(s) of Action Available: DILHR -SBD -6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbi , O ner, 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 pipe(s). 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. Y 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 b owner /contractAr,( "s P Y ec P 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 J4Yly�q • T; G,eilo Location of Property OVW �4 SM( Section .3 ( T 2_L N - R � W Township L:Q li/ZLHG,C ©F WOODY11-46 Mailing Address Subdivision Name QQgN7 - 4 V—rRNLUn► Q S4416DIY /Si0A/ Lot Number OiVE Previous Owner of Property 6QFiY7 Wee Y4-UW,0 Total Size of Parcel .gees Date Parcel was Created 19V4 y 7, l9 Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume 15 and Page Number 79£3 as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING 1. Warranty Deed 2. Land Contract 3. Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the the Certified Survey Map shall also be required. --------------------------------------------- PROPERTY OWNER CERTIFICATION I (We) eeAti6y that a.Qt statements on th,v6 6o/Lm ane t.ue to the but os my (oun) hnowtedge; that I (we) am (a4e) theW o the pn.openty dac in .thin .inbonmati,on 6onm, by vi tue of a eco4ded in the Oj6ice of the County Register o6 Deeds ass Document No. Jq&6Z Z and that I (we) pnesentey own the proposed site don the sewage di,6po s b ystem (on I (we) have obtained an easement, to nun with the above danibed pnopehty, joa the con o� said 4 y s.t em, and the same has been duty recorded in the O ��i ce o� the County Reg-ilsten o6 Deeds, as Document No. .SS 166 79 ) . SIGNATU E OF OWNER SIGNA URE U CO -OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED 1 •vi uai and Cor Ind orate , Individual P (TO BE USED FOR ALL TRANSACTIONS WHERE OVER $26,000 IS FINANCED TRANSACTIONS) NON - CONSUMER ` �6 f'A�E r RWAS AU OFHCE ST: CW11 Co.., WZ, Contract, by and between .... Dr.w t -Ao ..ftJ: nIund..and...... Patrice., = DQ i ��, s__- u; band..snsl.w�.fe..as..jnint. Recd. fi6r iRt)co:� fibs 15 .i.'taxi tS ........................................ ........... •-- ......._......... ( ", day O a A � .1 9. whether one or more) and ...... Ke.vin.s7..... Grant. - _and._ Dayna..1•...... of S. Grant.,_ .hushan.d..and..sai.f�..as_. }o3.nt .- tenants....- •-- • - - - - -- .•'' ---------------------------- ............................ ( "Purchaser ", whether one or more). y Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- MIM N 04WI formance of this contract by Purchaser, the following property, together with the rents, profits, fixtures and,other appurtenant interests (all called the "Property "), St. CrO'1X ......- •• -. - -. Count State of Wisconsin: in ...................... ....--- ............., Y, acsuaN ro ......---- Part of Outlot "69" of Outlot Plat of Village of Woodville, described as follows: Lot l of Certified Survey Map filed May 7, 1979 in Tax Parcel No . ............................... Volume 11 3" of Certified Survey Maps, page 798, as Certified Survey No. 798, Document No. 356679. it is mutually agreed that the Vendor will subordinate the Vendor's interest herein to a bona fide mortgagee; said mortgagee lending money for the construction of a residence on the premises. That this sub- ordination will be executed upon the payment of the sum of $1500.00 to be applied to the principal balance then remaining outstanding. It is mutually agreed that upon demand by the purchasers, the sellers shall cause electrical lines to be run into the above mentioned property. Buyer is responsible for the cost of his own transformer and concrete pad. This ..•.1S not . homestead property. r (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at ....... the];2_; KA:R .. ..................... . ... . . .. the sum of $_ 12_ i. SQQ. S. QQ .................................... in the following manner: (a) ................................ at the execution of this Contract; and (b) the balance of s 12 _,_2Q.Q..0.Q .................. together with interest from date hereof on the balance outstanding from time to time at the rate of ................... ................ per cent per annum until paid in full, as follows: Monthly payments of $100.00 commencing thirty days from the date of (� closing and on the same day of each month thereafter until paid in full. y r- • Provided, however, the entire outstanding balance shall be paid in full on or before the.......~ .:.............. day of -__-_ - -_ ...... 19 ........ ( the maturity date). I Following any default in payment, interest shall accrue at the rate of - % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance) . PtiTf•�li�geF,'Ut�111ss�- e�oWSed by- ilander tc► day- als>itbl3�.to..uoadoF •wawlaia.sw£tiai�t.te. pt>ry.roace�x+Vly. er+tiei- - . nata:< LaIwLU113:► xos,- s�wok�l• accoacanoutr ,.Sira�n�Lr rat ee_prerui w]tet>_due Tv.thr�cteat ree+eixecl.b,� Yrndur- �I 3TPJUlu..a ce�ltP- APP -1�y ts- to.these..ohligztinns�rLesLdua_ Sue} iameuntareceiyecl .hir��Y.endar�or °� t•af. �I 'usesrWMMnirent1 -rots free- will- be- depasite44 star- alr- eserow- fi+snc�•es�- bre�stee -aece> - tretb- elwtl -n®tr -lea i�tierea�- 'Dine - AT-6 risrwis9'gcgaired Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any ' I amount may be prepaid without premium or fee upon principal at any timelvfter -.-77 ' :: "-" --i -mow i { there- •ttttrr -be- tee - prepay+ my+ b- af- pris ieip�- �ribhrxib- pe�+►resien- ei -i4•n 1 In the event of any prepayment, this contract shall not be treated ns 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 for examination except None I it f� Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall 1, 1 i be retained by Vendor until the full purchase price is paid. Purchaser shall be entitle to take possession of the Property on ............. .. ............... 19C X...... •Cro3p Out One. N.GMdt.rCarorMtMl STATE BAR OF WISCONSIN Stock No. 1 301 .w..a. FORM No. 1.1 - 1982 Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest iq 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 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. I ; 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. A Vendor, agrees that in case the purchase price with interest and other moneys snail 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: ...None ............... ••••••••••• -• •• ...._....•-•• .........................................................................•••--....................._......................__._ ._...............--- ..........• ........................................................................•••--•..............--••--........................................ ..........._.___._........_.... ................••...............................................-•-••-•-•••--••-•....._........._..._......._..........._..............-• .__- •••-- ..._................_. ........................._..._..........._............._..,_...•-••-•--••-•--..._._..._....._._...._....•••••-....................-- ._._....................,_..... 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 ... 3D.. 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 (inwhicheventall amounts previously aid by Purchaser shall be forefeited as liquidated damages for failure to fulfill this Contract and as rental for the roperty 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 equtiable 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 soley 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 immediatly 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 'v d efault without waivi an other. subs or prior default of Purchaser. subse Ven r y wal a any d E' Y q All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and assi s 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 Xroperty ' and agrees to join in the execution of the deed to be made in fulfillment hereof.) Datedthis ....................../ ... y of ........ ............... ............................... �� /:�I•! .................... .. �. .... (SEAL) .................(SEAL) . Bre. A .e. .Il..�ex �u}1S►.. • ...KeV?, Gr ............................. .......... ........(SEAL) I ' `_lC z✓ G. G' Q/..:_ ���1. .:..e��i'L�j�t�.Q'�G��G(- �.EAL) �,�"'�'r"i••• Patrice M. Dohnalek • Day a J. Grant • . ............................... . .................... ..... ...... .............. , ................... ............................... AUTHUNTICATION ACBNOWLFDGMBNT Signature(s) ............................. ............................... STATE OF WISCONSIN Be. ! ................ ............. ............................... . ..... ....... ....St.•, Crox............ County. 1. L authenticated this ........day of ........................... 19...... Personally came before me this •.. .... day of •• u -I. ....._.., 19.$ 3 .. the above named ............................ ...................... # x..., A�_ _[�oxnlund•.�atric�..M....�.... h D ek Kev' �• �^! ..... on1 n.. Da �. G • a� t .. .q W aw TITLE: MEMBER STATE BAR OF W If not, authorized by § .06 ... ...................................... : , a 906. Wts. ••• S � wh dcu th ' to. me known to be the person .. .. Z q ex �d , � , t F ' foregoing ins m t d THIS INSTRUMENT WAS DRAFTEE BY x �� ( .............. __ _, ..4. 'T �J tf ...... G, MUM........... ............. Cr I�• ' .L .!....� ?7.tr J'E'de �.: ti . ne aw Std. Croix t w'a: Attor , •Y Notar P Y ( Signatures may be authenticated or acknowledged. Both My Commission is permanent ( If not, statQ „expjsatfon no are not necessary) date: ......................P...`. ........... ..., shames of persons alining in any capacity should be typed or printed ”' below their signatures. H z STC - 105 r y SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County d y OWNER /BUYER / /�Y /�✓ .3 � ROUTE /BOX NUMBER Fire Number C I T Y / S T A T E t0, tgy, td /, 2 I P - 02 7 PROPERTY LOCATION: /Y'Y k, .SLY _''-i„ Section .moo `I'_4y N, R A _W, Town of 60 000°/44G , St. Croix County, Subdivision ,Ak1V7 - r Lut number J Improper use and maintenance of your septic systeat 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 su ptic tank pu 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 m be eligible to receive a grant for a ma x im um 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 a ll new systems agree to keep their systems properly matntained.�� The property owner agrees to submit to St. Croix Comity 'honing 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. H 0 I /WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- ro ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of'the three year expiration date. SIGNED DATE Zy- St. Croix ( Zoning Office P.O. iox 913 tlammaad, Wl'` 54015 715 - 706 -2239 or 715 -425 -8363 Sign., date and return to above address. REALTOR* 715 - 65`x'3871 Woodville Wl sc. 54028 715- 698 -2534 Three beautiful wooded buildin Village of Woodville. Special attractions ln this outlot in the exclusive include : in and location 1 3 g School parcels :private / mile from Viking eollTngSeills, yards all for secluded livin :neighbors within 300 g with the securit :ground and 800 ft. villag e- All electrical and telephone wires are = under- maintained cul -de -sac make driveway shorter. Lot # 1. $15,000.00 3 • 16,500.00 4 - 1 2,500.00 2 5 _. ... _. .......................... Z �u' �o w �+ 'Cat / . � o _ .C. o �' a ? • ty fi t W o L___7 n' -,t;a v MoN S 0 J r I' W d C, 4 O P _ a . 78'9•aa o � v3 r _ ..., �,, ' 4 s U�4 { DEPARTMENT OF INGS OR REPORT ON SOIL B AND SAFETY & BUILDINGS INDUSTRY, 17 R 11 DIVISION LAB ANa PERCOLATION TESTS ( 115) P.O. B 7969 HUMAN' RELATIONS MADISON, WI 53707 LOCATION: SECTION: TOWNSHIP /MUNICIPALITY: OT NO.' LK NO.: SUBDIVISION NAME: <'° ✓ ai $ /�, . It 41 or W s' �' c "° c f. t w EQUNTY; OWNERS UY R'S N M£: MAILING ADDRESS: j' sr ` ✓ d { ae +9 r * f r� eas/ . 111 Cvd dt p '3 . / :3' _ CO DATES OBSERVATIONS MADE A ff DES IQ [PROFILE DESCRIPTIORS: PERCOLATION TESTS: �jResidence X J' , duew ❑Replace r.. - RATING: S- Site suitable for system U= Site unsuitable for system N 00j���G[ R OUNDRRESS U Q S DU L OLDI G TANK: RECOMMENDED SYSTEM:(optiona If Percolation Tests are NOT required DESIGN RATE: If any portion of the lot is in the j under s.H63.09(5) Ibl, indicate: fioodpfain,'rndirate Floodpl inelevation: 1 PROFILE PESCRIP"T�E4NS " "- , r AL R UND ATER- INCHES A AC ER ® S IL WITH T t ESS, COLOR, TEXTURE, AND DEPTH tN; ELEVATION OBSE ED TO BEDROCK IF OBSERVED SE .A$BRV, ON BACK.) p � PERCOLATION TESTS i DEPTH WATER IN HOLE TEST TIME N V - '' RAT MINUTES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. PER INCH # P- r / , :, P x. *'.' -Pl, AN VIEW: Show locations of percolation . tests, soil borings and the dimensions of suitable soil areas. Indicate Kate or distances , Describe what am the hori 'zontef and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all b6nnps and, the direction_ percent { of land slop. it t SYSTE ELEVATION � 2 / ' h• -. -' .__ 4 -p !f F'ff Ste. '..�'� 4 . _ t .. _ -. ..w. as ' S 2 ._ ...,p q .. J4.. t..,.... ,.... _. }. ..;_._ _"._ l.µ.._,.�....._ f f r 3 ....._ t '.y .. I 4. tN �j { ,the under's*wd, hereby comfy tfiat ;the soil tests reportsd pn this farts. wef+Il- �eleda by rely "id "Scoord lg!th s prop dom methods specified in the Wisconsin­: ,s A►dmimistrativa Code, end that the data recorded and the iocatiotl oYthe tests earl ►ect to tine bast of my knledge. ow and belief: ,.i A Pr nt , ATE WE L>tt EO ON* R i� , iCAfi BER: E Num optiottal): i1TRf8U71IOM: flrypnal -b Deal; Authority, 2nd pair Bureau of Ffulribing 3rd ~PrnFar Qwrier;+�tlt p % , fit 104R (N. 03/811) } t - �� r wsU T so 10 �zao G S &p'f ►� tr�nK J 1 xr S /TX • S F' 0 4� 6 , I p S � ♦ -� 1 I �1s 4710 sFA-vg iok p��� H o ST- r w. i panl ra � y S' � -k Kc a G� K,� o l r'h� s �� o r �u�'� ���_ 3�- �3Rl.�l "►�, i T T _ __ i 4 �, . "' - � �4 • �:: _; "a _ � . :: �t ,. . �� .. ,�