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Wisconsi #Departm'nt of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
395292
GENERAL INFORMATION (ATTACH 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:
Hollenbeck, Dave I Richmond Township 026- 1064 - 40-400
CST SM Elev: Insp. BM Elev: BM Description: - �� 3 p� L t3 , Z2.t
TANK INFORMATION VELEVATION DAT
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Z'10 a. Benchmark C'LdrB Q s D
Dosing 001 AR. BM
Aeration Bldg. Sewer - ZD yd
p.� r
/'I •
Holding St/Ht Inlet
qs`8
TANK SET A St/Ht Outlet
CK INFORMATION �'I RS - SO
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic .. I o t ^2 Dt Bottom
Dosing T Header /Man. eL„ 1344 /
Aeration Dist. Pip S ?3.Z0
Holding BOt. System 1 O /
Final Grade (p• }O 9 Jr ,
PUMP /SIPHON INFORMATION 90
Manufac rer Demand St Cover
PM
Model Num r 5
TDH Lift n Loss System Head TDH Ft i
ForceroahT Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length I No. Of nc es PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS -30 j Z
SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Ma f cture�
INFORMATION CHAMBER OR t
Type Of System: n 3 f t UNIT Model Numbe
�rs�rw � ,• �
DISTRIBUTION SYSTEM lso - 664 1 P
Header/Manifold U Distribution x Hole Size x Hole Spacing Vent to Air Intake
ic
Length e Dia Pipe(s) > to/
Length [!ia pacing
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 no Yes FE No A Yes ❑ No
COMMENTS: (include code discrepencies, persons present, etc.) Inspection #1: 9— / 11` ( Inspection #2:
Location: 1448 112th Street Ri hm�0
54_ 17 (NW 1/4 4 21 T30N R18W) NA Lot 4 Parcel No: 21.30.18.321A40
1.) Alt BM Description - _ +p
2.) Bldg sewer length = 3¢
amount of cover r1 'C" I fiv quired? ❑Yes No
Use other side for additional information.
SBD -6710 (R.3/97) Insepctoes Signature Cart. No.
PT:5 31F
Safety and Buildings Division County
201 W. Washington Ave.. P.C. Box 7162 S ��✓Q� ' -- 7 - �j
V sconsin Madison, WI $3707 - 7182 Site Addreas �'►�
De artment of Commerce
S Permit Number
Sane Permit Application 3197-01
In word wJ& Comm 83.21, Win. Adm. Cods. parsonal Wwmadon you provide C) Check if Revision
Mvwy Lan s13, 1 ----•�
1. Appllesltloa Iraikxxaaft - PbM Pdd AD Wor =tioa tints Pla LD Nutaber
Property Owner's Name Puoel Number ( Z (. 30A. f$ 3Z•/
z� o-
Property Owner's MgGkg Address �1 A. Property Location
24
70' IL - V, - s �Z T 36 it It /;f E
City. State zap -, be! Let umber Block Number
2d y G 8ubdWirian Nun ...... CSM Number 1
3F i
U. Type of Btdldit (check an that apply) QCity
i or T - Nwabet of Bedrooms
�Y DweBiag ._.. � j Z]Villepa �
0 PublWCemmer W - Describe Use f l'awrtshtp rrrG.y GL�
❑ State Owned
Neiresi Road
21 k 93• fiS i 7 _
III. Type d Permits (Cheek =Iy one box on lime A (nllmberir4l schum for intern we). Complete line 8 2 spplieable)
A ' 1 Ntw 2 ❑ Repisoemant System 3 ❑Replacement of 6 C Addition to For Courtly rue
seam
Tank Only Existinj system
D. ❑ Chock If sanitary Pouch Pteviousty lsauecl Permit Number Oau issued
IV. Type of Petrmitt (Check W Hutt apply)(nummbering scheme is for internaa we) N-
"JR Non - Pteasurind In.Gtauad t'_0 Mound 47 !Q Sand Filter so G Conattusted Wetland �/
22 G Pressurized In- Ckovad 41 ❑ Holding Tank 49 ❑ Single Pans S 1 Cl DTip Liao
45 0 AtAhde 46 ❑ Aerobic Tt unant Unit 49 ❑ Recirculadal 30 0 Otter �
V. D' ant Area Iatormatf�t O : r ,0
Dss3Sn I low (gpd) Dispersal Aran Dispersal Area Soil Application Percolation Rau Systar t F.tev a i Final Grade
Required Proposed Rats(Gals.lDayslSq.Pt.) (Mitt,tlaeh) Elevation
VL Tanis Imo Capeeity 21 Tsar Number Manufat turar Pmfeb to Steel Fiber Plastic
Gallons Gall= of Tanks ? Concrete Constructed Glass
Now
M16 Tab
tin or Took _ D W `� e- �
Dadee Cdtsraba � _
VII. 8tatetssent- lIr ► wmaa respossdbllitr for *few POWTS showa an the atuaahed
Plumber's Name (rube) Ph Bigaaatn Nu Business phone Number
.7
�+ • t t![ i Gt lt't .s Y Lt/ � r � O�o 7 7 �l S Q - �.�%p� l
Plumber's Addm (S treet. Clw, Mo.: up Code)
d7O
O 1R�IYpptOtiad .'�i!'ChaTse Fee)
(incll:des Ctr aturdwt►ter Date Issued laQAliTI$ Agent Signnhtt'0 (No Stamps) ,
0 Owner Given Initial Adverse • j
�" 2ZS. i
17C. Condltioas at A one for Dina roval � c " LAW -1�
UA
2- 84)
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; a SBD -6398 (R 055 . & a o Pt:A, = c)
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Wisconsin Department of Commerce SOIL AND SITE Ei/ T N; ; _. Page 1 of 3
Division of Safety and Buildings in accord with Comm 831fFl:
Emim me By Design
Attach complete site plan on paper not less than 8% x 11 inches in size. Pla
include, but not limited to: vertical and horizontal reference point (BM), di r l and t I y ; St. C roix
percent slope, scale or dimensions, north arrow, and location and di s to'ri�dareat roa� 'r r Pa" .1+D.# --
APPLICANT INFORMATION - Please print aH >inf+orma B Date
Personal infotmabon you provide may Ge used for secondary purposes (Privacy Law,
1 Property Owner roRerty LMW Fia
Hollenbe& Dave NW kd{ 1/4 S 21 T 30 N,R 18 W
Property Owner's Mailing Addr1W Lot _.� ,B�' ame or CSW
1454 120th St 4 Waldroff
City State Zip Code PhoneNumber [:]City E] Village ®Town Nearest Road
(\tom ►Zi L�1M on LJ ( -S64017 Richmond I 112Th Street
Z New Construction Use: Z Residential/ Number of bedrooms 4 ❑Addition to existing building
Replacement E Public or commercial describe
Code Derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd/ft .8 trench, gpd/ft
Absorption area required 857 bed, ft' 750 trench, ft Maximum design loading rate .7 bed, gpd/ft .8 tr ench, gpd/ft'
Recommended infiltration surface elevation(s) 93.00 & 91.50 ft (as referred to site plan benchmar
Additional design / site consideration
t Parent aterial Lcess Over Glacial Outwash Flood lain elevation, if a livable Na ft
e for system Conventional Mound In - Ground Pressure AT - Grade System in Fill Holding Tank
ble for system N S ❑ U ® S ❑ U ® S ❑ U ®S El EIS ®U ❑ S ® U qr
SOIL DESCRIPTION REPORT tor,
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
Boringff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
1 1 0 -16 10yr3 /2 - sil 2msbk mfr cw 2f .5 .6 • S
2 16 -37 10yr4 /4 - sil 2msbk mfr cw if .5 .6 .57
Ground 3 37 -44 7.5yr4/6 - is 2msbk mvfr cw - .7 • -�
elev
97.40 It 4 44 -94 7.5yr4/6 - gs Osg ml - - .7
Depth to r. S /
limiting ,
factor 43• o
94
Remarks:
2 1 0 -11 10yr3/2 - sil 2msbk mfr cw 2f .5
2 11 -25 10yr4 /4 - sil 2msbk mfr cw if .5
Ground 3 25 -34 7.5yr4/6 - is 2msbk mvfr cw - .7 .8 . �-
elev
95.90 ft 4 34 -94 7.5yr4/6 - gs Osg ml - - .7 .8 ,
Depth to
limiting
factor 3 rf• 8
94
Remarks:
CST Name (Please Print) Signature: Telephone No.
Thomas C. Nelson 715- 246 -2454
Address Environmental By Design Date CST Number Ref #
1432 120th Street, New Richmond, WI 54017 01/25/2000 227387 290
PROPERTY OWNER: Hollenbeik SOIL DESCRIPTION REPORT ® Page 2 of 3
PARCEL I.D.# Environmental By Desi
Depth Dominant Color Mottles Structure G1 Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh, onsistence Boundary Roots
Bed I T
3 1 0 -12 10yr3/2 - sil 2msbk mfr cw 2f .5 .6 f
2 12 -43 10yr4/4 - sil 2msbk mfr cw if .5 .6 , s
Ground
elev y3 -51 `7,5 r�)1. - IS 1. r)s6W rnvFr e- w 7 .8
95.54 ft y 51 - 7- Syr yl% - s Os rVI — — . 7 •8 . �-
Depth to S
limiting
factor t/
95 0 • (o T
Remarks:
4 1 0 -13 10yr3/2 - sil 2msbk mfr cw 2f .5 .6
2 13 -32 10yr4/4 - sil 2msbk mfr cw if .5 .6 .s
Ground
elev 3 31 -316 1, S yr Yh- - 1 S 1 M s WK m of r L Q — ,1 .8 ' 96.35 ft y 3figg - 7.5y r y/ - S Osq MI — 17 .8
-1
Depth to
limiting
factor
98
Remarks:
5 1 0 -11 10yr3/2 - sil 2msbk mfr cw 2f .5 .6 . r
2 11 -36 10yr4 /4 - sil 2msbk mfr cw if . 5 .6 .,!�
Ground
ele 3 34-96 7,5 ry),�. .8 1
93.55 ft
Depth to
limiting
factor
96
Remarks:
Ground
elev
Depth to
limiting
factor
Remarks:
1HViPOMAfMTAL �Y Pf5i6M
1432 12& STREET, NEW RICHMOND, WISCONSIN
115-24&2454
Teen Nelsm
Cerfified Sol Testa 2-M 1cwtemd Switum SRM U
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Tom Kelso
ire /{ell�'d�7c.'!f het CSC 7cJ,�/ U, A' '6A 1 meda"
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POWTS OWNER'S MANUAL ar MANAGEMENI PLAN rage of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner ,pie (to" -er t Q Septic Tank Capacity ai ❑ NA
Permit # Septic Tank Manufacturer ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer � 13 NA
Number of Bedrooms DNA. Effluent Filter Model � — ioti ❑ NA
Number of Commercial Units (RNA Pump Tank Capacity gal NA
Estimated flow (average) gal /day Pump Tank Manufacturer XNA
Design flow (peak), (Estimated X 1.5) (ate gal /day Pump Manufacturer GtNA
Soil Application Rate p .+ gal /day /ft Pump Model KNA
Influent/Effluent Quality Monthly average* Pretreatment Unit .ZNA
❑ Sand /Gravel Filter ❑ Peat Filter
Fats, Oil 8t Grease (FOG) :530 mg/L ❑ Mechanical Aeration ❑ Wetland
Biochemical Oxygen Demand (BODs) :5220 mg /L ❑ Disinfection ❑ Other:
Total Suspended Solids ( TSS) x150 mg /L Manufacturer
Pretreated Effluent Quality ' ❑ NA Monthly average* * Dispersal Cell(s)
Biochemical Oxygen Demand (BODs) 530 mg/L lAjn (gravity) ❑ In (pressurized)
Total Suspended Solids (TSS) _ <30 mg/L ❑ At -grade ❑ Mound
Fecal Coilform (geometric mean) :510 cfu /100mi 1 ❑ Drip -line ❑ Other:
Maximum Effluent Particle Size A inch diameter * Values typical for domestic (non - commercial) wastewater and septic
tank effluent.
* * Values typical for pretreated wastewater.
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every 3 ❑months years) (Maximum 3 yrs. )
Pump out contents of tank(s) When combined sludge and scum equals one -third (%s) of tank volume
Inspect dispersal cell(s) At least once every 3 ❑ months ZLyear(s) (Maximum 3 yrs.)
Clean effluent filter At least once every ut (S)
Inspect pump, pump controls ex. At least once every ❑ months ❑ year(s) 'E4NA
Flush laterals and pressure test At least once every ❑ months ❑ year(s) ANA
Other: At least once every ❑ months ❑ year(s) 42 NA
Other: At least once every ❑ months ❑ year(s) &t NA
MAINTENANCE INSTRUCTIONS
inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Mast
Plumber, Master Plumber Restricted Sewer; POINTS Inspector; POINTS Maintainer; Septage Servicing Operator. Tank inspection
must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure tl
volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal
cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on
the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate
notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one -third (Ys) or more of the tank volume, the entire
contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wiscom
Administrative Code.
The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatement components, and any other
maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POINTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
START UP AND OPERATION
For new construction, prior to use of the POINTS check treatment tank(s) for the presence of painting products or other chemic
that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the conter
of rha ran4(s) ramovPd b i tentage servicing opera prior to use.
Page ,_of.
, system start up shall not occur when soil condlUvns are frozen at the Infiltrative surface.
During power outages pump tanks may fill above normal hlghwater levels. When power is restored the excess wastewater will be
discharged to the dispersal cell(s) In one large dose, overloading the cells) and may result In the backup or surface discharge of
effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring
power to the effluent pump or contact a Plumber or POWTS Maintalner to assist In manually operating the pump controls to
restore ncrmal levels within the pump t.:nk.
Do not drive or park vehicles over tanks and dispersal coils. Do not drive or park over, or otherwise dlswrb or compact, the area
within 15 feet down slope of any mound or at-trade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat;
foundation draln trump pump) water; fruit and vegetable peelings; gasolne; grease; herbicides; meat scraps; medications; oil;
painting croducu: pesticides; sanitary navkins: tamoonsi and water softener brine.
ASANDONEMENT
When the POWTS fails and /or is pemlanently taken out of service the following steps shall be taken to Insure that the system is
properly and safely abandoned In compliance with ch. Comm 83.33, Wisconsin Administrative Code:
• All piping to tanks and plts shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly dlspos*d of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with
soil, gravel or another Inert solid material.
CONTINGENCY PLAN
If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
replacement system:
IR A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption
system. The replacement area should be protected from disturbance and compaction and should not be Infringed upon by
required setbacks from existing and proposed strucwre, lot (Ines and wells. Failure to protect the replacement area will
result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems rnust
comply with the rules In effect at that time.
O A suitable replacement area Is not available due to setback and /or soil limitations. Barring advances in POWTS technology
a holding tank may be Installed as a last resort to replace the failed POWTS.
The site has not been evaluated to Identify a suitable replacement area. Upon failure of the POWTS a soil and site
evaluation must be performed to locate a suitable replacement area. If no replacement area Is available a holding tank may
be Installed as a last resort to replace the failed POWTS.
O Mound and at-grade soil absorption systems may be reconstructed In place following removal of the biomat at the
Infiltrative surface. Reconstructlons of such systems must.comply with the rules In effect at that time.
< < WARNING> >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT
OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES.
DEATH MAY RESULT, RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY RE DIFFICULT OR
IMP(1CCIR1 i.
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name ; u,t 4vtn_ 5C*uwt p te#Z Na me
Phone 71 S , — 31 Z ( Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL R>;GULATORY AUTHORITY
Name "i nc 5 7 f -, CA0I V ZQ PJ7
Phon• fbon
ST CROIX COUNTY
SBPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Ownanauy« e sic
Mdit Address S `� a o r~ S '� e,.✓ R,'cG, ,� c„� S c1 0 F7
Property Address I 1 a- - -�
(Vetifioation roquked fi m Pkom* Daputant for aew conwucdon)
City/5t w Parcel IdadMa doe Number
GAL Dff fiQa =N
Property Looadon 4 V ;� %. S= 1 1 . Tf�Y-R ,9? W, Town of
Subdivision LOt #
crowed Samay Map # _ G 3 ill . volume page # 9(f
Want# Deed # tK'v y Volume /S / . Page # /a
Spec boric ❑ )ns X no Lot liras Mead la ° Yes ❑ no
= Ia�pooparttseaadof ootddaatlt� rib tobaadlowasta. msiaoeaaaae
eoodso of prmapiap art the septic tokovoytm � ifaoa dby a l000eedpompew What you Pat d3a Oftem
as atfoase &r an of the stpdc tmku. a ft wrtoot smpo is do wtn0adigrostit, system.
Tbe, p.Maty owm Mora to ssbmit tQ 8t t� ZoafaS a oecti8eatiaa tam, sipaed by fa awnec cad icy a
aus0ecgbm> bayyaaap: aotdetedpZaaoberacrliaoneedptmtparvad4 '>agtuat the oaeRs rrrastawater ei�rpeoi
it in
propoc apamdag ocean sadta M aibw hvoctiol sad tba ' tasicb ks t'hm Ira W of dWIPL
>Aw% dic =dombmod Marro and rho above taqdmumb sad spat to nabuia this pdrate sswap dbpoW system wig rho samdat&
set foc4� bnr* ss see by dw Depacboaat dam no met sad trot Dgmb=at of Natorai Reento s; Stato of Wiseo=hL, t
sbthg that � septic system bas bola m kuiwd=nt be mod cad nw od to dye St. 4oix .tmty► Zoning Ofbe within 30
. rho yet d,�te,
1.� %
DAIS
a"Im, (��TII+'IC`TION
I (vc) oec* Set sn $Wemeab an ft form are to to to best of my (oar) imawledge. I (we) am (are) the awn0 :) of
M 114 dommAW abort, by vWn of a warranty deed racor+ded hr � of Deeds Moe.
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8
SIONA'It1RE OF APM:,ICANT DATE
a.. «at AzW idmadw that is nriwropraaatedtaay readt in the aanitaq+.poaait belq maked by the Zoning Depart nmt. s +....
" Iaciude with thk appHeadon: a stamped wunaty deed from the Ramer of Doods of e
a copy of the uditied mmay map if tefat= is nude In the wumaty deed
VOl. 1519n 128
STATE BAR OF WISCONSIN FORM 1 - 198 624SQ5
LAND CONTRACT KATHLEEN H. WALSH
Individual and Corporate REGISTER OF DEEDS
(TO BE USED FOR ALL TRANSACTIONS WHERE OVER ST. CROIX CO., WI
$25,000 IS FINANCED AND IN OTHER NON- CONSUMER
Document Number ACT TRANSACTIONS) I RECEIVED FOR RECORD
06 -14 -2000 9:30 AN
CONTRACT, by and between David J Waldro a Julie A . Waldroff, LAND CONTRACT
husband a nd wif e, _ — — — — EXEMPT N
— - - CERT COPY FEE:
- - COPY FEE:
__ TRANSFER FEE: 78.90
( "Vendor ", whether one or more) and David Hollenbec RECORDING FEE: 12.00
-- - PAGES: 2
( "Purchaser ", whether one or more). Vendor sells and agrees to convey to Recordin Area
Purchaser, upon the prompt and full performance of this contract by Purchaser, Name and Return Address
the following property, together with the rents, profits, fixtures and other K1G3,T1N .
appurtenant interests (all called the "Property "), in St. Croix Zilz Estr e & 0gl n
County, State of Wisconsin: - - - -- P-0. Box 359 glad
Hudson, WI 54016
Pt 026 - 1064 -40
(Parcel Identification Number)
Part ofNW I/4 of S W I/4 of Section 21 -30 -18 described as folio : Lot 4 f Certified Survey Map filed May 16, 2000, i Vo l.
14, page 3851, Doc. No. 6231 12.
TOGETHER WITH an easement over Outlot I of said Certified Survey Map.
This is no t homestead property.
(}6) (is not)
Purchaser agrees to purchase the Property and to pay to Vendor at place Ven dor directs
the sum . 26,250.00 in the following manner. (a) $ 3b�06_ -
at the execution of this Contract; and (b) the balance of $ 24,250.00 ,together with interest from date
hereof on the balance outstanding from time to time at the rate of 8.75 a
/o percent per annum
until paid in full, as follows: Commencing on the 9th day of June, 2000, and on the 9th day of each and every month thereafter, equal
monthly installments of principal and interest in the amount of $289.00.
Provided, however, the entire outstanding balance shall be paid in full on or before the 9th day of
June , 200 3_ (the maturity date). --
Following any default in payment, interest shall accrue at the rate of % 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,
Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of
taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest
unless otherwise required by law.
Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any
amount may be prepaid without premium or fee upon principal at any time after day ofclos (OR)
there may be no prepayment of principal without permission of Vendor.*
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 armor 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
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 closing.
' Cross out one.
LAND CONTRACT - Individual and State Bar of Wisconsin
Corporate Form No. 11 - 1982
Information Professionals Company. Fond du Lac, WI 900 -555 -2021
VOL 1519PiGf129
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 S N/A _ , but Vendor shall not require coverage in an amount more
than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall
contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original
of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to
insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall
be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be
economically feasible.
Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property
in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and
to comply with all laws, ordinances and regulations affecting the Property.
Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions
shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to
the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except
any liens or encumbrances created by the act or default of Purchaser, and except: Easements, re strictions and
rights- of re cord , if any.
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 40 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 30 days following written notice
thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this contract
shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby
waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in
addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this contract and Purchaser's
rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of
redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from
the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously
paid by Purchaser shall be 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 ifthe 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 ofany
of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses
including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the
extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in-
curred, and shall be included in any judgment.
Upon the commencement or during the pendency of any action of foreclosure of this Contract. Purchaser consents
to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of
the Property during the pendency of such action, and such rents, issues and profits when so collected shall be held and
applied as the court shall direct.
Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any
of Purchaser's rights under this Contract or by option, long -term lease or in any other way) without the prior written
consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest
conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for an indebtedness of
Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding
balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice.
Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of
this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser
makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to
the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on
this Contract.
Vendor may waive any default without waiving any other subsequent or prior default of Purchaser.
All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives,
successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable
consideration joins herein to release homestead rights in the subject Property and agrees to - join in the execution of the
deed to be made in fulfillment hereof.)
i.pated this A�—day of June 1000 --
�Lut�V _(SEAL) 0, �V (SEAL)
• avid J. Wa ldroff • David Hollenbe _ _
Vendor c
_ _ Purchaser
'��'` _(SEAL) (SEAL)
+ +. ul' ieA.Wald _Vendor •— — .- Purchaser
AUTHENTICATION ACKNOWLEDGMENT
` +ighmicr v (s) David J. Wald and Julie A. Waldr STATE OF WISCONSIN )
- ) ss.
• fi and' and w ife; and David Hollenbeck COUNTY )
s0' , '_ _
C Personally came before me this _ day of
l�tAli d �� day of June 2000
r _ the above named
T1TLE�'Mv MBER 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 0 706.06, Wis. Slats.)
THIS INSTRUMENT WAS DRAFTED BY
Attorney Kristine Ogland Notary Public County, Wisconsin
Hudson, WI 54016 My Commission is permanent. (if not, state expiration date:
(Signatures may be authenticated or acknowledged. Both are not )
necessary.)
Names of persons signing in any capacity should be typed or printed below their signatures.
LAND CONTRACT- Individual and Corporate- Stele Bar of Wisconsin Form No. I1- 1987 Information Professionals Company. Fond du Lac. WI 800 - 655 -2021
623112
g THIS INSTRUMENT DRAFTED BY EDWIN FLANUM JOB NO. 00-13 DATE: 3 -13 -00
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