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026-1137-12-000
LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF RICHMOND COMPUTER NUMBER 026- 1137 -12 -000 Parcel Number 20.30.18.968 OWNER NAME: First SCOTT L & DIANE R Last SCHAUB PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 1102 148TH AVE SECTION 20 TOWN 30N RANGE 18W 1 /4160 NE 1 /440 NE Line Description Line Description TOTAL ACREAGE 2.190 PLAT GOLFVIEW ACRES 1/39 026/01 LOT12 BLK 01 SEC 20 T30N R1 8W PT NE NE 15 02 GOLFVIEW ACRES LOT 12 16 03 2.190AC 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit f Wi9consi+i Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 420 56 0 GENERAL INFORMATION State TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: New Horizon Homes Inc. I Richmond Township 026- 1137 -12 -000 CST BM Elev: Insp. BM Elev: BM Description: 100- TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic h � � Benchmark ,OS V �r..2 goo, p Dosing \ �1 � Alt. BM 5 - F D V 3 Aeration Bldg. Sewer Holding SUHt Inlet .9 qs 2 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic f�Jb,J / / > Za Dt Bottom Dosing c Q . 3 `l y- c J Aeration Dist. Pipe 10 -j + ot S!g— y, Holding Bot_ System 3-`J of 3 PUMP /SIPHON INFORMATION Final Grade Manufacturer errand St Cover Model Number TDH Lift ion Loss System Head TDH t Forcemain Length Dia. SOIL ABSORPTION SYSTEM j BEDITRENCH Width Length f No. Of T h PIT DIM SIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 1 4 SETBACK SYSTEM TO P/� DG IWELL LAKE /STREAM ACHING Manufa er INFORMATION �r HAMBER O Iuo� Typ f System: - n r 2O r U Model Number: `i r / c+ aC ! '/ of T� DISTRIBUTION SYSTEM Ott Header /Manifold Distribution G x Hole Size x Hole Spacing Ve o Air Intake Length Dia Len th Dia acin SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over / Depth Over xx Depth of eded /Sodded xx Mulched xx Se Bed/Trench Center �- Bed/Trench Edges Topsoil Yes F 1 No Yes No Al COMMENTS: (include code discrepencies persons present, etc.) inspection #1: - / b 3 Inspection #2: 1 i Location: 1102 148th Ave New Richmond, WI 54017 (NE 1/4 NE 1/4 20 T30N R18W) Golf V Acres Lot 12 Parcel No: 20.30.18.968 1.) Alt BM Description = ST , (oY�"� � �A.�i L�nQ 0 Syf 4PN�h//. 2.) Bldg sewer length = j e ' . 9, dA&L 4 " .t4M - amount of cover Plan revision Required? f .�1 Yes No � i � � � �, ,� ,,—�- Use other side for additional information. G _ u P SBD -6710 (R.3/97) Date Insepctor's 'gnature Cert. No. i Safely and Buildings DivWw cm* 201 W. WadhingMn Ave,, P.O. Boa 7082 N VIsconsfn Mme. WI 53707 -7082 Smigsypamit w (to be Co.) Department of Commerce (608) 261 -6546 LLD Sanitary Permit Application s tate � LD- Number In accord VA& Comm 8321, wi& Ad= cod- pu=W iufmmstiou yon provide ---- -- may be nod for secondary purposes ptivsey Law, s15. -- Address (if li8ermt dbaa mailing address) I. Application r brtmattias — please Print All Iaformatioa Ptopaty owner's Name _ / 8 Lot o _ Block # Property owner's Mailing Addteas Location City. State Zip Code Nmaber '' V, y`' Section D LJI�; � J I�, L Sslf� f p� ?Gf II. of $adding (check all that apply) -- T N; R� a 2 Fatmily DweRiog— Number of Bedrooms U � ' N.= tSM Nomba ❑hiblicCAMMcial— Dtacn'beUse b O — i ❑ State owned — Dw=ilw the ❑C ty III. Type of Permit: (Check edy one boa oa line A. Complete line B if appliable) " A A ' New System ❑ Repiwoemeot System ❑ Tiaemntliolding Tank Roplucesuout Only ❑ Odwr Modification to EdWwg Systm B. ❑ Pencil Raw%nd tRavision ❑ Cbmw of ❑ Permit Transfer to New I-W Previous Permit Number and Doe isned Before Phntbw Owner �ZU SS7o �� �s�pv IV. TAP of POW1S Check all that a- Cuouad ❑Mound> 24 io of suitable ail ❑ Mend < 24 in. of aniisbk mil ❑ At -Grade ❑ SsWv Pan Sand Filter ❑ canstrneood wedand ❑ prew ur=od m- Groead ❑ Hokin g Tank ❑ Pe t irmw ❑ Aaobw Treatment Una ❑ R ecinatladng sane Pillar ❑ Sy, Media Hher Cbsmber ODriptne ❑ Gravel -les ' ❑ Other (eaplsin) treatamat Area Iafermatioa: V . Flow ( naafi sail Appuatian �� (sf) A c S D ty VL Tank Info qty in Total Numbs he&b Site Sted Film plastic Gallons Gallons ofilnits w W���� �66 Concaeoe Coasocrrcted Gbtas '''"' , Teaks Taub Septic orlbkSaaTaak x Aw*kTratvw*Unk D.ft VII. =lbility Statement k the respoasil>i ft far installation of the POWTS dhows on the at4ehed pan. Pitunwes Name (Print) Plumbs' M on" Numbs Buaaeas Pbone Numbs � ;r;, Plumbers Address (anon. CSt). statq z� ) VIII. one t Use Od ❑ mupimoved Sanitary Permit Fee (mctudea Gramawatc bate Isnd 8 ) 3 2 3 ❑ owner Giver Reason for Denial I mawr Fee) M Conditions ofApprovo for Disapproval S , I o Cc,JFt�� .� �` j �.o — {o Attssh CG=P eh ptaas (a the Canty only) for the system an paper not lass tlua 8112 = 11 Inches In sin SBD -6398 (R. 08/02) Soil Test and System PLOT PLAN PROJECT Richard Nelson/Scott Schau ADDRESS P.O. Box 10622 White Bear Lake Mn 55110 NE 1/4 NE 1/4s 20 /T 3 N/R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 11/7/02 BEDROOM 3 CONVENTIONAL )00( IN -GR U D PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE ,7 ABSORPTION AREA 684 # of chambers 22 ,BENCHMARK V.R.. Top of Foundatio ASSUME ELEVATION 100 Filter Zabel A -100 ❑ BOREHOLE (DWELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 95.0 Plans Designed Using Conventional Powts 202' Property Line Manual Version 2.0 Vent 180' Property Line >6" Standard Biodiffuser of Cover Leaching Chamber with 3 1. 1 ft2 of Area 6, Long 11 „ 34" Grade at System Elevation 2 -3' X 69' cells with >3' Spacing Vents 10' B -3 T B -2 10' 15' Vents 25' 30' Garage Pro 3 -1 15 ' Bedroom 319' Property Line 30' House 30' 130' 148th Ave Soil Test and System PLOT PLAN PROJECT Richard Nelson/Scott ADPRESSURE ADDRESS P.O. Box 10622 White Bear Lake Mn 55110 NE 1/4 NE 1/4s 20 R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 11 /7/02 BEDROOM 3 CONVENTIONAL )00( IN -GR CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE ,7 ABSORPTION AREA 684 # of chambers 22 BENCHMARK V.R. . Top of Foundatio ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark SYSTEM ELEVATION 95.0 Plans Designed Using Conventional Powts 202' Property Line Manual Version 2.0 Vent 180' Property Line >6" Standard Biodiffuser of Cover Leaching Chamber with 3 1. 1 ft2 of Area 6' Long 11 " 34" Grade at System Elevation 2 -3' X 69' cells with >3' Spacing Vents 10' B -3 T B -2 10' 15' Garage Vents 25' 30' Pro 3 -1 15 ' Bedroom 319' Property Line 30' House 30' 130' 148th Ave 4 s� Wiswin Depam1ment of Commence SOIL EVALUATION REPORT P age Z of 3 Division of Safety and Buildings in accordance with Comm 85, was. /1 Attach complete site plan on paper not less than 812 x 11 irk in e. Pi� E V l A include. but not limited to: vertical and horizontal reference point (BM). and Parcel 1.4 percent slope. scale or dimensions, north arrow, and location and dis to nearest road. V Z&_ // 3 � — 1 Please print all information. °' `D Date Personal hibm wn yam+ PMW8 Mr be &Md fo►:�aery MXPO es (�Sr s. 1 s.oa.(i) (!�>) ; G+ V'`- 3/ to p 3 Property owner Pro ' i c Govt. Lot ~� »` 1/4 1/4 S T 3 0 N R E Property Ownses Mailing Lot # Block # Subd. Name CSM# City State Zip Code Phone Number O CR ❑ Village own Nearest Road 0 0 1 "�;61_ I v I ( 1 -7 1 1 CA L_ Z l New Construction Lion Use: Residential /Number of bedworns Code derived design flow rate GPD ❑ Replac ernent ❑ P or commercial - Describe: — -- Parent material 0 4 iG+b Flood Plain elevation if applicable /�' �f� ft. Genera comments g and r eorkv Pit Ground surface elev. r R. Depth to g factor in. Sot Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bourdary Roots GPQ fF In. Munsell Cau. Sz. Cont. Color Gr. Sz. Sh. - EflX1 •Eff#2 Boft ®# Boring Pit Ground surface elev. Depth to g facia' in- soft Application Rate Horizon Depth Oon*wd Color Redox Description Texture Structure Consistence Boundary Roots GPD/fi? in. Munsel flu. Sz. Court. Color Gr. Sz. Sh. •Eff#1 'Eff#2 • Eifwrent #1 = SOO > 30 < 720 mgiL and 2M>3D < 150 mg& • Effluent #2 = BCC 1 30 mglL and TSS < 30 rogil- AL1 Signature CST Number Address Data Evaluation Conducted Telephone Number Property Owner Parcel ID # Page of l d ja Boring # ❑ Boring /}� Pit Ground surface elev ft Depth to limiting factor 12 :2— in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture . Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 'Eff#2 ti1'00� i"? F Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munseti Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 'Eff#2 F—I Boring # ❑ p Boring ❑ Ground surface elev. ft Depth to Limiting factor in. Sod Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsed Qu. Sz. Cont Color Gr. Sz. Sh. -Eff#1 'FMM ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 2648777. ssn -sew PLO7100> Safety and Buildings Division County / l Vi sodnsin 201 W. Washington Ave., P.O. Box 7162 Madison, WI 53707 - 7162 Site Address { Department of Commerce // -i 0- U L - f - (0Z, f $ !- Sanitary Permit Application Sanitary permit Number ZD S'� In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑Check if Revision Way be used for Privy Law, s15. 1 m I. Application Information - Please Print All Information State Plan I.D. Number i Property Owner's N Parcel Number S 6 —(( q68 Property Owner's Mailing Address Property Location l U e ti f V Cj �•• " Si : S T N. E City, State Zip Code Pho r t N Block Number bdiv pion Nat CSM Number II. Type of Building (check all that apply) 3 S ]City or 2 Family Dwelling - Number of . ,, ❑V' ge ❑ Public/Commercial - Describe Use o Irip ❑ State Owned 1 �� n ttL' ce,� $ Nearest Road E,pytS .. 2 l x �• cl�s(�[ S 2x M. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B V applicable) A- Hg,4 2 ❑Replacement System 3 ❑ Replacemem of 6 ❑Addition to For County use stem Tank stem B 1 ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. 4 of Permit: (Check all that apply )(numberi ng scheme is for internal use) 4e 26itj k (CX tr a - 0 1 4M - Pressurized In- Ground 210 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Dispersal/Treatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevatio�n Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min.nwh) VI. Tank Info Capacity in Total Number Manufacturer site SkIr Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Dosing Cumber VII. Responsibility Statemen - I, the trade mponsihnity for installation of the POWTS shown on the attached plans. Plumber's ame (Print) Plumber's lure MP/MPRS N ber Business Phone Num � z L J - - Plumber's Address (Street, City, State, VIII. Coup /De artment Use Onl ,Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issu' Agent Signature (No Stamps) Surcharge Fee 11 Owner Given Initial Adverse n q I Determination G.� --�� — ' ' ( /1 �/ 02r IX. _ C'ndIq�rovaUReasons for Efsapproval � CA Qe at r S Attach pkte plans (to the County ody) for the sys mt ex paper not test than SW x 11 inehes In dze SBD -6398 (R. 05101) 44-" OT PL PROJECT Richa Walsson/Scott Schaub ADD 18 .O. Box 1 9/2 White Bear Lake Mn 55110 NE 1/4 NE I /4S 20 /T 30 NUR 18 w TO1' :,mond COUNTY ST. CROIX 11/7/02 3 BEDROOM MPRS Shaun Bird 226900 CONVENTIONAL )= IN- GROUND P SS E CONVEN'1'1(),\,kl, LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LILT TANK Slit. DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE ,7 ABSORPTION AREA 684 # of chambers 22 IL BENCHMARK V.R.P. Top of Survey Iron = * ASSt'NIF F1,I;VATIO 1 Filter Zabel A -100 ❑ BOREHOLE 1D WELL 1 H.R.P. Same as Benchmark SYS 'M ELEVA i 95.0 B.M. #1 Plans Designed Using Conventional Powts 202' Property Line Manual Version 2.0 80' 180' Property Line m` �''� •�. = C t . 0 S Vents B -2 B.M. #2 0% Slope B -3 70' �^ 2 -3' X 69' cells with >3' Spacing 35 Vents B -1 30' ST 25 319' Property Line 1 Vent Standard Biodiffuser Leaching Chamber 0. ` `, with 31.1 ft2 of Area 34" Grade at System Elevation 148th Ave N QAIJ OT PL PROJECT RichaFd_Ua"n/Scott Schaub ADDRE .O. Box 11 2 White Bear Lake Mn 55110 NE 1/4 NE 1/4s 20 /T 30 N/R 18 W TON' ,(pond COUNTY ST. CROIX MPRS Shaun Bird 226900 It , ; 3; 11 /7/02 BEDROOM 3 CONVENTIONAL )= IN- GROUND P SS E CONVEN'1'10N;V. LI(:T HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LI1 TANK SIZI' DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE ,7 A13SORPTION AREA 684 # of chambers 22 , BENCHMARK V.R.P. Top of Survey Iron * ASSI'.NII' FLEVATIO 100 Filter ZabelA -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark sYS M ELEVn'. 95.0 B.M. #1 Plans Designed Using Conventional Powts 202' Property Line Manual Version 2.0 80' 180' Property Line WL °''� = 9' .qS� Vents B -2 B.M. #2 0% Slope B -3 70' 2 -3' X 69' cells with >3' Spacing 3 Vents x . r1 B -1 30' S•r 25 319' Property Line — 1 Vent Standard Biodiffuser Leaching Chamber ° i '* with 31.1 ft2 of Area 6' Long. l 1" 34 „ Grade at System Elevation 148th Ave of 3 Wisoons(n Department of Commerce SOIL EVALUATION REPORT Page I Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County S4 . C rod Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. —_ 7 R ad by Data Please print all i ' 11 Personal information you provide maybe used for second txirppoe�(Privacy , • s. 1 Properly Owner ,, h , , _d Gov r r Property Location R lv h e SO _ > t 2 t l� W 1/4 ,v� I /4 S Z/ T d N R/ E (or Property Owner's Mailing Address - .t ?• Lot # ? Blo& # Subd. Name or CSW Gql( v'kew Acres State Zip Code . Numn a • wry Q City / ❑ Village (,Town Nearest Road ® New Construction Use: ® Residential / Number " Code derived design flow rate 4 5 o /U80 GPD rop ❑ Replacement ❑ Public or commercial t-Desti Parent material O ( L�.s 0 5 Ll Flood Plain elevation if applicable 'e / f4 h• General comments S y `'f'` e I - d • 9G • a a and recommendations: 41-1. Oleo • 9& -00 F1 Boring F Boring # ® Pit Ground surface elev. /1> ft Depth to limiting factor ( U $ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 L 'Effta 6-1b ) 6 r31 z S i l k vy r C- 5 v - J 8 2 l0- l0 y ly -' ' rn bk rf �r c- S _ ti 3 rn� — � cvE' g -. F11 Boring # Boring ® pit Ground surface elev. 9 .30 ft Depth to limiting factor 1 D �f in. Soli A Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 o- I Z — �5 2 n- l V� 5 - 8 2 - Z (NY- i c l 2- rnsb k c5 `- `•-1 3 _4 10 (-y ILo � m 1 — — - 7 ` Effluent #1 = BOD > 30 _< 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) S' ature CST Number Aeaonn Sch ker• �_ _ 253 3OR Address Date Evaluation Conducted Telephone Number Property Owner N e 150r1 Parcel ID # Page 2 of 3 F3] Pit Ground surface elev. Boring # E] Boring 99. S I d ft. Depth to Knifing factor 1 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure tuure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I 0-12 ib z 2 0 7 _ 2 41 tf — S ' � � k n - L( 3 3Z - 1 I Z- I y 1 rn s D - Sq rr I `f 7 ❑ Boring # E] Boring ❑ pit Ground surface elev. ft Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Lure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring F-1 Boring # Ground surface elev. ft Depth to limiting factor in. El Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont Cola Gr. Sz. Sh. 'Eff#1 'Ef1#2 ' Effluent #1 = SOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = B013 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. sari -M30 OL07r00) property owner N e ISon Parcel ID # Page 2 of 3 3 Boring # ❑ Boring © Pit Ground surface elev. 9 " 7 -> 6 ft Depth to limiting factor Z in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Str Consistence r 1an Roots- GPD/f F in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'ER#1 'E� ( o-IZ D Z -- 51 Z k m ) �� S 3 3Z - f IZ- 41 mS D S m 1 — -- /. Z Boring # ❑ Boring F ❑ Pit Ground surface elev. ft Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'EH#2 F Boring Pit # Boring ❑ Ground surface elev. ft Depth m limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff #1 'Eff#2 ' Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 2648777. sari- M3OOLO7M) a PAGE 3 OF 3 NAME ti e �� LOT# 12- LEGAL DESCRIPTIONNw ' /4NW /. S 2 i T,3o,N,R I g E (or)V1 SCALE: I BM 1 ELEVATION 100 .6 BM I DESCRIPTION BM 2 ELEVATION c 7 �• 9S s eG - Z BM 2 DESCRIPTION p o J T eO 62, 0 e SYSTEM ELEVATION 96. 0 a ALTERNATE ELEVATION &- D o CONTOUR ELEVATION ,Uo - Voet 4 N o slops /y'�'*'. Ave- ■ st � • SIGNATURE /l� /-� �� DATE Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger fitter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. if system fails, determine cause of failure, use altemate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715- 246 -4516 St. Croix County Zoning 715- 386 -4680 Pumper Tom Mondor 715 - 246 -5148 Shaun Bird #226900\ .................... ....... ........... ....... .............. ......... ...... .......................................... ... ......................................... ST CROIN . A S 'PTIC 3 - 4T T TANK MAINITEN'ANCE AGFIE.M.Ff AND .1111 CERITIMCATIOINI FORM 016.513.1%,J SG 4 ig Prop.: 15 Adl�1 _14 (Ventimion required train Planning Department for new construction) .._._ C, i t y/.5't a t e, 1 Ideniffication N umb, .r .1VLC :4 V4. Sec, T3u N.-R. /1 TuWa of Prop-� J ;a i,; I n �V Iv,,v ............. ....... V0 Cer1l)''ied 8uv-.?.y Map p4g Vc sncc louse s S L] no Lot lines idontifiaj, Laapro Dtt' I. Re and maintenatice of your septic system could result in its premature lai lure to handle wastes. Proper consis. of puzapb! . , . out the septic tank every three years or sooner, if nec dad by a iieensedoumpty. what you put: into tt 1.o system Cal). aj 7::ct the ion Of the septic tank as a treatment stage in the waste disposal system The pm:!1!::°1Y owner agrees to submit to SL Croix Zoning Depalruent a certification fortz, sig g ned by *_ o wner..avd by a maste. -. olumbr,:, i ut:mayum Plimbor, statrictedplunibcr or a hucased.pumper verifying that (1) the vu -site Wastewaterdispos*4i. Mtom is in w a per op ig condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 &11 of"; ; Mudge. I/we. is undei:si vi. have read; the above requirements and agree to maintain the private sewage disposal system with tht �,49 adards set foria, set by the Uepartnent of Corr=.erce and the'Depaxtmcnt of Nattazl kesoiLrcea, State of 'Wisconsin. Cer,' iratidn statiog1that yotir i•de system leas been maintained, must be completed and returned to the St. Croix County Zoning Office 1 lin 30 ;77 SIG a-1Z I - Z "All 11- 5, YN D ATE' ;U 1, (wc):o!,o4 that all t�tatcments on this form are true to the best of my (our) knowledge. I (we) am (arc) the of the p:t..:-)erty i:3d above, b y virtua ofa warranty deed recorded M Register of Dee&r Office Any in:66rf:iation that i:; nos - .represented may result in the sanitary poirnit being revoked by 'he Zoning Depamuea'.' Xthi::,ude wil h '411 applicati-an: a stamped warmnry,4eed from the Register of Deeds office A copy of the certified survey amp if reference is made in the wernartry deed 1 005P `Ilp STATE BAR OF WISCONSIN FORM 11 - 1982 Ej g 1 0 1 3 LAND CONTRACT X ATHLEEH H. WALSH REGISTER OF DEEDS Individual and Corporate ST. CROIX CO. WI ('TO BE USED FOR ALT. TRANSACTIONS WHERE OVER r Document Number 3:5,00015 FINANCED AND IN OTHER NON - CONSUMER RECEIVED FOR RECORD ACT TRANSACTIONS) 06 -05 -2002 9:30 PM CONTRACT, by and between Hillvale Development Limite a LAND CONTRACT Minnesota Limited Liability Partne - -" EXEMPT ; — - - - - - - -- - -- _ REC FEE — TRANS Fes; 13.00 __ _----- _--- -...__ COPY FEE: 252.00 ( "Vendor ", whether one or more) and New Hori zoR,l3emes, file, CERT COPY FEE: - -- — `— - - -- -- PAGES: 2 ( "Purchaser ", whether one or more). Vendor sells and agrees to convey to Recording Area Purchaser, upon the prompt and full performance of this contract by Purchaser, Name and Return Address the fullowing property, together with the rents, profits, fixtures and other KRISTINA OGLAND appurtenant interests (all called the "Property "), in St. Croix ESTREEN & OGLAND o 11t). State of Wisconsin. 304 Locust Hudson, WI 54016 Pt 1060 - 80,026.1063- 95,026 - 1064 -10 and 0 26- 1060 -10 -000 _ (Parcel ldentif ication Number) 1.00 13 and 15, Golfview Acres, St. Croix County, Wisconsin. This is not homestead property. not) Purchaser agrees to purchase the Property and to pay to Vendor at place Vendor directs the sum of $ 84,00 -- n the following manner: (a) $ ,, 0 at the execution of this Contract; and (b) the balance of $ 77,28 ------- -`- - -'- hereof on the balance outstanding from time to time at the together with interest from date rate of _ 10 % percent per annun until paid in full, as follows: Vendor shall release the above lots upon payment as follows: Lot 12 for $28,500.00; Lot 13 for $28,500.00: and I.ot 15 for $27,900.00. The down payment on this Contract shall be a credit to the last lot released, Provided, however, the entire outstanding balance shall be paid in full on or before the 3r day of January , 2003 (the maturity date). —'— - Following any default in payment, interest shall accrue at the rate of IO % per annual 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, V ndor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to princip�all.�A��ny an ,,)unt may he prepaid without premium or fee upon principal at any tinic after day of closing , XXX7([x(;7R1f n the e,cnt of any prepayment, this contract shall not be treated as in default with respect to payment so lot;.; as the unpaid balance of principal, and interest (arid in such case accruing interest from month to month shall be treate as unpaid principal) is less than the armor that said indebtedness would have been had the monthly payments beet made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceed1s 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: First and second mortgage to Builders Mortgage Company, LLC 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 entitled to take possession of the Property on day of closin XXXXX toss out one. LAND CONTRACT. Individual and State Bar of Wisconsin Corporate Form No. It • 1982 In formation Pmiossionals Com pony. Fond du lac. Wi 800-555-2021 f J 100SP 911 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 tire, ex. . tended coverage perils and such other hazards as Vendor may require, without co- insurance, through insurers approved by Vendor, in the sum of$ N/A , but Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shalt contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original oral] 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 tree from liens superior to the lien of this Contract, and to comply with all taws, 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, it W urranty Deed, in lee simple, ol'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: Easements. restr a nd rights -of -way of record, if - 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 10 days following the specified due date or (b) in the event of a default in performance crony other obligation of Purchaser which continues for a period of 10 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 Purchasers full payment ofthe 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 forfeited 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 or 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 day of _ June 2 002 Hillvale Development Limited New Horizon Homes, lane. — - - -- ( SEAL) �� - �� --� (SEAL) By: Richard Nels n Vendor ' By! J. Kopp, Pres ...Purchaser L) -- - (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) Hillvale Development Limited, a Minnesota STATE. OF WISCONSIN ) Limited Liability Partnership by Richard Nelson; New ) ss. - - -� - . - - - -- - - COUNTY ) authenticated this dal 01 May Cj"Lfiy>,y 2002 Personally came before me this day of — — -- the above named t Kristi O land TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and acknowledge the same. authorized by { 706.06, Wis. Slats.) THIS INSTRUMENT WAS DRAFTED BY — Attorney Krishna Ogland — — — — -- - — — -- - - - -- Notary Public County, Wisconsin . Hudson, W I 54016 - -- - - -- - - - - My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not ) neeessrv.i — - - -- Names of persons signing in any capacity should be typed or printed below their signatures. LAND CONTR.AC'r - Individual and Corporate - State Bar of Wisconsin Form No. 11 - 1982 Informed.. Profestionpls Company, Fond do Lac, Wl 80o- 655 -2021 \ 6 / o �^1) / / 34 L6 \ 89,782 sq.ft. v� / _ ^� / /87,178 sq. 2.06 acres / 2.00 acrE \ - - - - -J /-- - - - - -- - v h co I �3 ^ � C3 I / �A = = = 123.79' � II 7- — 259.00' e " - do N00 41 43 W -- 00 °41'43 "W °p z � N 9 �� -- p'C11�� C1 _ C1 C13� 2 _ — _ S00 °41'43 "E — in M S00 °41'43 614 _ 1 j3 7 33' 33' (— — — — — — — — 373.91' - -- '� -- I N � N I N N 1 0 V ev !� 87,121 sq ��0V N 87,231 sq.ft. ^ ^ 2.00 acre 2.00 acres r 0 i I ' 00 00 00 i -- 100' ---� r aot 100,724 sq.ft. i 100 , N Z N00 ; 2.31 acres V 1 1 N 373.91 33 33' i S03002'59 "E v 'ci 24 041 329.45' I \\ j\ 1 87,172 sq. i ,N West line of the ` I \ 1 1 \ 2.00 acre ro NW 1/4 of Sec. 21 1 \ \ N00 °54'45'�W 1251.31' std �` - - -- East line of the 1 J \ \ \ \n\ ��� ?O• �� N NE 1/4 of Sec. 20. \ \ \\ \O ;I o °a ii,� 95,555 sq.ft. 2.19 acres 0 e ','' ��'d' � ° �8 5 • \ "�� \� '�'� � `�? \ a 80 � \ � 9 • ? 3 P. \ ?o °a MATCH LINE STATEMENT. ` SEE SHEET 2 OF 3 State, County and Township laws, rules and ess to parcel, etc.). Before purchasing or developing office and the appropriate Town Board for advice. ��'�`�" of the St. Croix County Planning, Zoning and t- is