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HomeMy WebLinkAbout026-1137-11-000 Wisconsin Deoartment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Bu Idin4 Division INSPECTION REPORT Sanitary Permit No: 420447 0 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: 1137 P.C. Collova Builders, Inc. Richmond Township 026-'167 -11 -000 CST BM Elev: Insp. BM Elev: SM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark �� , t��tL 5 Gz3n `�° (03'`� 60 Dosing Alt. BM 5 , '0 �ol.o$ Aeration Bldg. Sewer AS ,ty Holding St/Ht Inlet 6, 4 3 D r 3 qs.� TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic S O 38 . Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bek.S _ 10.10 (3 7� I S 16110 `T PUMP /SIPHON INFORMATION g ewt `JIf.ZD Manufacturer Demand St Cover GPM Model Number TDH Lift F oss System Head DH Ft Forcemain ILex6th Dia. Dist. SOIL A SORPTION SYSTEM BEDITRENCH Width f Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS `$. 664 SETBACK SYSTEM TO P/L B WELL LAKE /STREAM LEACHING Manufa re INFORMATION Type Of System: CHAMBER OR l.� . � � t —� yZ UNIT Model I umb I' DISTRIBUTION SYSTEM 421L,) \ J Header /Manifold Distribution x Hole Size Ix Hole Spacing Vent to Air Intake Pipe(s) Length N� Dia Len Dia cing 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 To Al Yes � No [� Yes '� No 6>"^ E:N,T 4 (�� ludo cod �iscre cie pgrspns pr sent, eta �ispection #1:��1v_✓ 0 ? /�Z" Inspection #2: Location: 1106 148th Avenue New Richmond, WI 54017 (NW NEE 1/ 18W) G If View Lot 11 Par 7 1.) Alt BM Description = P A �!� �►0 a4.� 110 2.) Bldg sewer length - amount of cover ree Plan revision Required? of Yes No 0 V_�— CJ U of er side foqVditioijal ,infotion. •__ S 67 / / S�tlt 't �s r�"� t_e 1 P/L Insepctor'sSignature • � Cert.. m S RA tP-, �Ol l- ` +!�( �V�l M� S e v At r lit 4&! • S . r Safety anaJinildings Division W 201 W. Washington Ave.. P.O. Box 7162 Gip l� , iseonsin Madison. WI 53707 - 7162 Sine A dress Department of Commerce ) td /- 0s — g& 0G d✓E✓ Sanitary Permit App 'cation Sanitary Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal info 1S rms ' 1 vide L(ZO ma be used for Privacy Law, . m if Revision I. Application Information - Please Print All Information i. ED Plan I.D. Number Property Ow'ner's Name � / ;; s 2 1 Number Cl U 4 X 00 24 — 1- —1 — am 76 Property Owner's Mailing Address ZON/ OFF �1Er /Pro Location City, State Zip Code Phone Number t Block Number Subdhj[i&Xame CSM Number 3 11. II. Type of Building (check all that apply) ❑City Family Dwelling - Number of Bedrooms ❑Village ❑ Public/Commercial - Describe Use A owmhip ❑ State Owned Ne4rest R III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. �� EF 1 Re placementSystem 3 11 Replacement of 6 ❑ Addition to For Coumy use Tank Only stem B. ❑ Chock if Sanitary Permit Previously Issued Permit Number Dane Issued IV. of Permit: (Check all that apply)(numbering scheme is for internal use) - top n - Pressurized In -Ground 210 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 21 Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Dispersalffreatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate olystem, Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) Elevation b VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanis Talcs Septic or Holding Tank Dosing Chamber VII. Responsibility Statement- I, the rmdersigued, a responsibility for installation of the POWTS sh own on the attached plans. Plumber's Name (Print) Phumber's S' MP/MPRS Number Business Phone Number n- 7 Plumber's Address (Street, City, State, zip f VIII. Coln /De artment Use Onl Approved ❑ Disammved Sanimry Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse UD t Determination 1X. Conditions of ApprovaMeasons for Disapproval 01-t H / -- - E•o Attach osmpkee plans (to the Cou*y only) for the syatem on paper not tern than SM x 11 lodes i due SBD -6398 (R. 05101) 4 wrsconsin Department of Commerce SOIL EVALUATION REPORT Page of Qvision of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 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. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law. a. 15.04 (1) (m)). Property Owner Property Locatio /d Govt. Lot 1/,W 1/4 Sa T � N R E ) Property s Mailing Address Lot # I Block # Subd Name or CSM# City State ` Zp Code Phone Number ❑ City ❑ Village T Nearest Road Oar ( ) Agf�N Construction Us sidential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or mercial - Describe: Parent material ��?i�e%� Flood'Plain elevation if applicable General comments and recommendations: • F Boring # Boring �) Pit Ground surface elev. ft. Depth to limiting factor vin. Sal Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -Eff#1 I -Eff#2 —12 aZ �� l S S _q 171 Boft # Boring l Pit Ground surface elev /4 ft. Depth to limiting factor ` in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2 r f . 54 M- - 2.� Effluent #1 = BOD > 30 220 mg/L and TSS >A1 150 ' Effluent #2 = BOD 1 30 mg/L and TSS 1 30 mg/L CST lqa rm (Please Print na C Number OZ 4 ni 6 Address Date Evaluation Conducted Telephone Number M Y J , , Property Owner Parcel ID # Page of Ong # ❑ Boring //� //JJ / ,- Pit Ground surface elev. A92- ft . Depth to limiting factorJ in. Soil Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff0Q — — 3 q 0 go lb• F-1 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 Boring ° Boring ❑ Pit Ground surface elev. tt. Depth to limiting factor in. F " • Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/lf in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 - Eff#2 Effluent #1 = BOD, > 30 < 220 nvIL and TSS >3l) < 150 mg/L ' Ef fluent #2 = BOD, < 30 mgA- and TSS 130 mg1L 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. SBD -8330 (B. M) oil Test and S PLOT PLAN PROJECT P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025 NW. 1/4 NE 1/4S 21 /T 0 /R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 22699 DATE 10/31 BEDROOM 3 CONVENTIONAL XXX IN- OUND 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 648 # of chambers 22 ,BENCHMARK V.R.P. T of 2" PID r (60 _0 ASSUME ELEVATION 100' Filter Zabel A -100 REHOLE O WELL sH Same as Benchmark B. SYSTEM ELEVATION 95.0' 111th st. lternate Benchmark is top of Power Box @ 102' 0 ' it 10' Vents Plans Designed Using 40 ' Conventional Powts B -1 Manual Version 2.0 0' 0' 70 ' -3 - '2-3'X 69' Cells with >3' Spacing 40' 30' T B.M. #1 Pro 3 �B -2 Vents Bedroom c �- House a� a 0 a� Vent Q >6„ Standard Infiltrator 00 of Cover Leaching Chamber with 3 1. 1 ft2 of Area 6' Long 12" 34" Grade at System Elevation � P.O. Box 7162 ?Al W. Wasbimgton Ave.. l fiic�nsin Madison, WI 53707 - 7162 Site Address De artment of commerce Sanitary Permit Number Permit A licati �� `f Sanitary you E I VE D K Revision In accord with Comm 83.21. Wis. Adm. Code, peraomt ' � u�d for I aw, s15. 1 m Plan LD. Nuxn of L Application information Please ase Print All information S E P � /� 1 A Property owners Name Number r cRolxcuun OZ(O C� Location property owner's Mailing Address 4 5f S� 3 0 N. R l� T % O . Zip Phone Number _Block Number City. State ' ion Name CSM Number II. Type of Bates' g (� alt that apply) 3 ✓ 01 � 0C�' 2 Family Dweing ll - Number of Bedrooms OVtllage 0 PublidComtmerciat - Desert'be Use j k.19.nship Neatest Reed ❑state owed Z VAOPL� �X lcel' t✓� Permit: (Check only one on Une A (numbering for C�lplete line B if spplicable) For ComoR7 me 2 ❑ Replace SY� Replacement Of 6 ❑ T Issued B. 0 Check if Sanitary Pbmtit Previously Issued Number • Check an that appty)(aoumtberlog e is for ternat use) 4-/t Of Permit. { �• so Welland Gk bar �� 210 Mound Sand Filter ❑ ?resstuiud In Ground 410 Holding Tank Smgle Pass 51 Drip Lille 45 0 At -Crca� "0 Aembic Treatment U - 49 00" V. AMA D � Am il App on Percolation Rate Dew Flow csM � � GaIs./Days/S9- ) / T b 4 Wr Prefab Soeei Fiber Plastic VL Tank info m Tent r Glass re cations of Z A — 16Z coated New Exicomg LG% TanYs Tantcs Septic or Holdio= TU& - D DosinL Clmeba' WI for installation of the POW M shown on the attached plawl. VII. b1�ty Stateanent i, the rIp/Mp12S Number Business Phone Number Phunber's Name phtmber's Address (S ,State. ) tete (No Samps) /De Sanitary Permit Fee rtnchtdes Groundwater Daee.Issued Sips Approved 0 Disapproval Surcharge Fee) 00 Given Initial Adverse 1 S • DwrtninlitiOn ❑owner � ��/` for Disa proval N'+Qy (- e[ev (p t La jav Sur C? r9 La)L• l i%. CondiGlons of ApProvaUReasons r n �- mti a tg- r to s y c� v,�f � Pl CIP ,��L(Q,c���l wk►^ P ! fir �' ��,C/ca� ,,�1 I L sot less than 8112 a 11 lather size ,► co as4) fer tLe s7st«s «. paper eayk„. f l SBD- 6390ORR — 05101) y r Y '1 �� rr f .i ilk r PL 7 1 2 LAN PROJECT P.C. Collova Bldrs. Inc. RESS P.O. Box 489 Somerset Wi 54025 NW 1/4 NE 1/4s 21 /T 30 /R W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9 BEDROOM 3 CONVENTIONAL XXX IN-GROU66 CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 648 # of chambers 22 BENCHMARK V.R.P. Top of 1" Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE (D WELL "H.R.P. Same as Benchmark B.M. #1 SYSTEM ELEVATION 95.0 AL Property Line 0 ' 1�� 40' B.M. #2 10' Vents 40' Plans Designed Using B -1 Conventional Powts Manual Ve 2.0 0 ' 80' -3 2 -3' X 69' Cell th >3' Spacing 40 30' Pro 3 B -2 Vents Bedroom House ` u 0 a) Vent Q >6„ Standard Infiltrator 00 of Cover Leaching Chamber with 3 1. 1 ft2 of Area 6' Long 12" Grade at System Elevation 34 11 1 �� i �, _. ���" �. � � ���t�. '� r` '��, r � � � � ,,�, � .; .. 3/R LAN PROJECT P.C. Collova Bldr Inc. RESS P.O. Box 489 Somerset Wi 54025 NW 1/4 NE 1/4s 21 /T 30 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9 /26/02 BEDROOM 3 CONVENTIONAL XXX IN-GROLf CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 648 # of chambers 22 BENCHMARK V.R.P. Top of 1" Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark AL B.M. #1 SYSTEM ELEVATION 95.0 Property Line 0 ' 40' B.M. #2 10' Vents 0 , Plans Designed Usin B -1 Conventional Pow Manual Versi 0 ' 80' -3 2 -3' X 69' Cells w' >3' Spacing 40 ` T Pro 3 B -2 Vents Bedroom House a� • o • a� Vent Q >6 „ Standard Infiltrator 00 of Cover Leaching Chamber with 3 1. 1 ft2 of Area 6' Long 12" Grade at System Elevation 3 4" a ,� M. .� °. ^' . _ f,r .,� ���� Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of • Division rlsofety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 81n size. Plan must S4 • C r Ul include, but not limited to: vertical and horizontal it pdiAY(BN�T; direction and parcel I.D. percent slope, scale or dimensions north Rnd a and distance, to nearest road. Peas@ Reviewed by Date Personal information you provide may u . 1 .04 (1) (m)). Property Owner P erty Location �+ R t d e c�rh g „ s. �� Lot w 1/41()VJ14 S Z ( T N R ( E (or) WI Property Owner's Mailing Address C4UNry "to # Block # Subd. Name or CSM# 7 ``, tvM/GUFFICE ► G oll = vie Acres t.O. Ibly !,-. — 4P Biar "e I M N 15 State Mutr!b� El City El Village [Town Nearest Road t ( t,5'r' -� ` ch m onci .Sy" ® New Construction Use: [W Residential/ Number of bedrooms 3-A4 Code derived design flow rate 4150/(.080 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material 6 ( U - TO Flood Plain elevation if applicable fL General comments 57y9-rw+ Gf eV. Q � $o and recommendations: S' C) 0S, -s Y ` ❑Boring F- 1 Boring # ® pit Ground surface elev. ?? it Depth to limiting factor 1 10 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ F in. Munsell Qu. Sz. Cont. Color I Gr. Sz. Sh. *Eff#1 *Eff#2 l - l0 r313 S� Z � m y cS S 3 -1/a t6 m5 O m S Boring g Boring F - 2 1 v. q ft Depth to limiting factor 110 in. Ground surface elev 9 Dep 9 pit � Soil P licatron 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 l 0 - I2. t bj tr 3 - - Sid I -Y,Gbk 1 , 4 S -0 Z - N , I D ;r 414 51 I 2tx,.b CS — 2 ` * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent 42 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) ignature CST Number Adorn Schu ker Z533csR Address Date Evaluation Conducted Telephone Number Somerse-4 w , Property Owner N e ISon Parcel ID # Page 2 of 3 [-3—] Boring # E] Boring Pit Ground surface elev. ft. Depth to Igniting factor 115 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 'EM 1 O S' C l V s 3 ( mS 5 I — -- 7 t•2 s 01 ' d� OLD !' L� 1 � ,/ -50:� F-1 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/fF in. Munsell Qu. Sz Cont. Color Gr. Sz. Sh. *Efr#1 *Eff#2 F Boring Boring # Ground surface elev. ft. Depth to limiting factor in. 11 Pit Soil lication Rate Horizon Depth Dominant Color Redox Description Texture SMx;ture 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 = B013 : 5 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. ssD -030 QL07/00) PAGE_ _OF_ NA ME 6 c. 1.5o r\ LOT# ( LEGAL DESCRIPTION ivw 'V44w'�• SZ 1 Tap AR IZ E (or) SCALE: F'= �O BM I ELEVATION /Od • O K 1 BM I DESCRIPTION o 1 rQoh BM 2 ELEVATION BM 2 DESCRIPTION 4,:�,p o 1 z oc. Q,,a-e-- SYSTEM ELEVATION ALTERNATE ELEVATION CONTOUR ELEVATION &�d Bwi r 32 r �� z �o SIoQe J 8 �' .■ 3 -3 6 Ac ` a L' S via P z ■ Z- SIGNATURE SIGNATURE h 2 DATE �� -�-� � � � I 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 filter 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 alternate 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\ i FROM P C COLLOVA BURS, INC PHONE N0. : 715 549 5911 Feb. 01 2001 e7:33AM P1 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owncr/Buyer Mailing Address Property Address l © (0 tt 11 . (Verification required from Planning Department for new construction) City/State 111 �i c lyxcs�,c�Q U-�� Y _ Pacecl Identification Nutnbct• J LEGAL DESCRIPTION O ���� O �&O /13 7 1/ -O O� Property Location luny /,, i '/,, Scc: L T NJ W Town of E , Subdivision C -Xzd - � �i& , J - L ft G r,,,,t C,a a;4" Volume It AV Pa 0,2 Warranty Deed I Volume P-3gc # Spec house ❑ yesXno Lot E-- identiflabICA yes 11 no SYSTEM MAIN'T'ENANCE Impwper use and mainteaancc of your septic system could result is its prematnrafailure to I:audic wastes. Proper znaintcaa= consist x of pumping out the septic tank every thr= years or sooner, if needed by a licem:cd putnper. What you put into the system can affect the function of the septic taak as a treatment stage in the waste disposal system The property owner asrets to submit to SL Croix Zoning Department a certification form, signed by tha ownrr. and by a master, plumber, ,jevmeymsn phmxber, zestricted plumber or a Ikensed pumper verifying tlut (l) the on -site wastcwaterdispoaal system is in groper operating condition sadlor (2) after inspection and pumping (if neces;arj), the Septic tank is less than 1/3 full of sludge. Vwc, the uadcrsigned have read the above requirements sad agree to maintain the private sewage disposal system with tie standards set forth, berm, as set by the l cpartmoat of commerce anal the Department of Natural Resources, State of Wiscansia. Certificatioa stating that your septic system has been ma mu ti st be completed and returned to c St. Croix County Zoning Office within 30 days o c year uttioa te. j K 1 S TURE QF APPLICANT DATE OWNER CEATl�ICATIOiY certify that all statcmwu an this form are true to the best of my (cur) knowledge. I (we) am (are) the ownet(s) of tb d about, b irtue of a warranty decd recorded in Rrgistec of Deeds Office. APPLICANT DATE ere * +t Any information that Is mis- represented ma y in the sanity •••�•• Y ry permit being revoked by titc Zoning Dcpartmcnt. 4* Include with this appllealien; s stamped warranty decd from the Register of Deeds oftice a c opy of the certified $Wvcy map if reference is made in the warranty decd 09i24i02 TCB 07:20 FAX 715 386 4887 REGI EEDS � 14002, 7 022 STAT9 OAAOf WISCONSIN FORM t I - 19d2 9 ^.:•, LAND CONTRACT Individ,& xnd Corporal *11 STER O F DE s � TO a US1070A ALL TKAN,SACT IONS WNERS Ov1,1 8T. CROIX Co., V1 il,CD0 IS FINANCED AND tN OTNER NAN.CONSUMIR o0tutttcnt Number ACCT TRANSACTIONp1 RSCBI FOR R &CORD 64 -31 -2002 91-33 AM CONTRACT, by and betwee HtW — vale D6V4Io na nt Limited 1-1 . E 17fK1CT Ck;' Minnesota L imltcd LLskIlity aarsh —' RAMS 23.80 x ..•,, •. ("Verde w r", hether one or more and "r te^ r {�• F. C. C vllsva BuUda tae_ RRT CO r FEEL CIlJt1' COPY C'Purchaser ", whether one or more). Vandor sells and agrcoa to convey to Recordic Area Purchaser, upon rho prompt and full performance of thin contract by Purchaser, None and Return Address the following property, togetltcr with, the rents, profits, fixtures and tither KRISTINA OGLANL) appurcnant Interests (all callod the "Property "), in St. Croix ATTORNEY AT LAW County, State of witeoasin: P.Q. Box 369 HUDSON, W164013 PL 026. 1060.80, 026 - 1063 - 95.026 - logs -l0 and 026.1 060.10. 0 00 (Pnrcul leh ndfastion Numb-gr) Las 8, 11 25, 27, and 34, Gotfview Aeraii, St. Croix County, Wisconsin, This la sot homestead property. ) ( noti Purchaser aggr"s to purchase the Preperty and to pay to Vendor at P41ce Vendor directs the sum ors i66,40D•0o in tho fallowing manner, (a) -5,1105. as the execution o t is on L; an t le a al naa of $ 16l of $u 00,00 _ „- _, together with interest Rom date hereof an the balance outstanding from time to Alma of the rata a ew __9i percent per anntun unfit pall In full, as follOWs Vendor atlas rdoaso the above tots upon p ayment as follows: Lot 8 for $37.90O.COi Lot 9 for S27.9O0.00t LoI 11 far 526,9 &00;, Lot 2; far S26.111KOO Lot 27 for 29,906.00 and Lot 34 for 1126,90100. IsIrreat shalt not accrue until 6 months 400 lha sioshtg afthls CostrieL The lows Payssast on this Centrals shall be a credit faille, tact lot released Provided, however, the entire ountandlng balagee shall be paid in Full on or before tl}e_ loth day of 1003 (the maturity dare). Following any default In payment. Interest shall aeorue at the rate of 46 per annual an the entire amount in default (which shall include, without limitalion. delinquent Interest and, upon acceleration or maturity, the anti :. principal Wanes). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual tax apeeial aaSCaatTkegti, fire and required insurance premiums tvhan due. TO the extent received by Vendor, Vondor agree3 to apply payments to these obligyttone when dun. Such antounq rocoivad by the Vondor for payment of taxes, assessments and Insurance will be deposited Into an oscm%v fund or trustee actioune, but shall not bear Interest untass otherwise required by law. Payments shall be applied first to inturest on the unpaid baianea at the rate spaeiraed and then to princi al. A arttoanl maybe prepaid withou premium or fee upon principal at any lien after do ereluoin - _ xxx�C In the event of an propsyrnant, this Contract shall not bo treated as in default with respect to payment so long as the unpaid balance or priaeip'rl,.and interest (and In such case acceWA$ interest from month to month shall bs trantad ae unpaid peiaoipal) is loss than the armor that sold Indebtedness, wuufJ have been had the monthly payments been mado as first specified above; provided that monthly pa anents shall be continued in the event of credit or any proceeds of Insurance or condemnation• the condemned preehises being thcroafter excluded hecarrom, Pvrohneer states that Purchasor is satisfied with lhu 1111a sts shown 1-;y the title cvldcnce submitted to Purchaser for exartihealion exaept: First mortgage to gulldfrt Mortgage Company, LLC Purthasor agrees to pay the Cost orruturo title evidcrtoe. If till¢ evidenea Is in the form of an abstract. It shall be retained by Vendor until this IUII purchase; pries Is paid. Purchaser shall be entitled to Lake possession of the Property on day of clot, M xxxxx • C out cart. LAND CONTILACT - IadivWi al and Scale enrol wbeoatls Cor porate Farm No. It . Ita2 08/24/02 TU)E 07:21 FAX Y5 1 8 9 7 4 68 77 O 3 REGISTER OF DEEDS 40003 Purahaserpromisas to pay when due all taxes and sssessmsntu levied on the Truverty or upon Vendor's Interest le L mild to deliver to Vendor on demand receipts slowing such payment. Porobegerahall keep the improvements on the Properly insured againgl loan or ag rusite occasioned by lire, ex- landed coverage Perlis and such *shear h aaar ds as Vander may tegalre, without oa-btessr once, through inswws approved by Vendor, in the Stern art N/A but Vendor shut net require •ovotage in as amount more tban the balance owed under thi ontn•t. era acv oho psy the Insurance premium$ when due. Tba policies Shall Contain the standard elausa in favor of rho Vandor•s Interest and, unless Vendor otherwise agrees in writing, the original omit politics covering the Properly shall be daposltcd with Vender, Purchaser shall promptly give notice of loss to Insurance companies and Vendor. Unless Aurehaserand Vendor otherwise agree in writing. Insurance pr000mb Shall be applied to reslonalon or repair of the Properly daimageo, provided the Vander deems the sestoradoa or repair to be ecaastnisolly reasibla. Purchaser covenants not to Commit waste nor allow wino to be eolnmined on the Property, to keep the Property in 59911 tenantable condition and repair, to keep the Property frss from ►lens superior to 1 It■n of title Contract, and .o Comply with all IA Wt, ar dinaa,oes anti r4111 uiatgens affecting the Property. Vendor Agrees that in cut the lourek■ea price with laterest and other moneys shnll be fully paid and all conditions shall be flatly peritarmcd at the times and In the manner above spceinad, Vendor will on demand, mccute and deliver to the Plirohaver, a Warranty Deed. {n rte simple, of the Property. irag and alrlr of 11 I lane and encumbrances, except any liens pr aneumbronees araated by the yet e■r. d•fbnit of Purthuar, and oxe•pu saeteats, restri ttaasand rlShts.af .�_._ .,...., _. .. ... _. Pueohncor agrees that time is of aloe &giants and (a) in the event Ara darat+it In the p■ymeet of any p rinclpai or Interest which contine$s rot a period or days following the specified due data or (b) pl .ha event oi'a default in porfomtance orany other obligation of FURTu — scr watch contlnues The a period of days following written notice theroef by Vendor (delivered personally or mailed by oarlilled mail), then ills entire 9uts� balnn0l under this contract shall became immediately due and payable in full. at Vandorl Cation end without notice (which purchaser horvby waives), and Vendor }hall also have the rollowinji rights and rem edies (sttblect to any limitations provided by law) in addition to those provided by law Or in equity; (I) Vendor may, at hit option, terminate this contract and Purchasers rights, litre and Interesi in the Proge and recover the Property back through strict rorealosure with any equity or redemption to be oonditiantd upon Pttrvhpaerg full payment of the entire uutstandlnA balances with Interest thereon from the date ordeihull al the role ill CffeCt on such dale and *[bar amounle due hereunder (in which avant all amounts previously ; aid by Purchaser shall ba rorlChod as liquidated damages rbr fbllure to rUlt)11 (hit Cont -act and as mental for the Property if purchaser falls to redeere)t or (11) Vendor may sue roe sp0oifia pdr!'ormanoo of this Contract to compei Immediate and full payment Of the entire oaislsntling balance, wish interest thereon at the rata in effect on the date of default and other amounts due Aatbunder. ill which avant the Property shall be auctioned at judicial sale and Purchaser sh a ll be tiable (bf any tie titotey; or (111) Vendor may aUe at law for Elio entire unpaid purchase price or Cry ppoortion tharcoh. or (v) Vendor may d•olare thin Contract at an end and remove this Contract as a clued en tide in a qule {-t41e notion {fthc e ;-rtWblr interest eirpurchaser Is insignfftcaar and (V) VCI%Wr may have Purchaser electeddrom po 601 nlo'. Of the ProP'r 'r• :'� r.••.• ; receiver appointed to collect arty Paine. Issues or prongs during the p•ndenay ofany action r under {i), (t{) 6 µv; . v.. r.. Notwithsanding any oral or written atattmsntm or actions Of Vendor, ern olteden orany of the I orego ag 1e11lcdte1 .hall only at binding upon Vendor if and when pursued In litiaACon and all coats and expenses inclpding ramenabl• attorneys foes of Vendor Incurred to onrcroe any remedy hereunder (whether abated or not) to too ektan( not prohibited by law and cxpcnscs orlitle evidence shall be added to principal and paid by Purchaser, as in- currod. And $hell be Included in any Judgment. Upon the coninicnccment nr during the pendency orany action of foreclosure ofthill Contract. Purchuer consents ? to Ills appointment are r•eoivr ofthe Property, including homestead intcrasl, to collect the renta Issues, and profile of the Property during the pendency ofsttch Sclion, and such rents. Issues and profits when Be collected sholl be held and appiiso as the court shall direct, purchaaershpll not Imnsfer, sell erconvoy any legal or oqullabic Interest in the property (by assianmonl ofany of purchaser's rights under thin Contra= at by option, long-term lease or in any other way) without the prior written consent of Vander unlass either the outstanding balance payable udder this Conlraot Is Brat paid in full or the interest oonveyed is a pledl}e or afsignmetn of Pur•hasar's interest undcrthi■ Conteeet solel ea security for an indobcedness of Purchaser. In the event of any such truns(kr. sale or conveyance without Vendors written Consent, the sitting outstanding .balance payable under tills Ceatraat shall become Immediately due and pnynble in roll. at Vendors option without notice. vendor snail matte all payments when due under any mongagc outstanding against Ilia Property on the date of ibfa Contract (exempt for any mortgage grrinllid by Pur,haser) or under any note scoured tharaby, provided Purchaser makes timely payment oftlte amounts then due under this C6MACL Purchaser may tttnke any such payments directly to the Mdrtgagee i Vendor iails to do sc and all payments so made by Purchaser shall be considered payments made on this Contract. Vendor !1a4 waive any dersult without waiving any char cubsaqusnl or prior chotuli of Purchaser. All terms ol'lhis Contract shtfi be binding upon and Inure to ilia banents of the heirs, legal representatives, successor's and asai of Yandor and Purchaser. (If not an owner or the Froperty the spoiise or Vendor for a valuable consideration Jairtm heroin to release horncatcxd rights in cite ru ty�t Property arno sgreos to Jolo in the execution arch• deed to be mad In A10 1 1mont hereoe) Dated this -= any of Aprl1 ". 3002 P. IiiNvs .� List' 1� �,� WC r- r o �_ W ALJ � r SEAL) Cf;rtl Nit Vendor $, President PueCll�tr -- _ _($CAL) (SEAL) Vendar t ,.. •, __ Purchaser AUTRi:NTICATION A CKHOWLEDG M ENT Signature(s) Hitivale Development Limited a Minnesota STATE OF WISCONSIN 1 Limned Llabl6ty Pertnasal , b Rkb•rd NaLaat P. fr ) SL �^�q�� _ COUNTY ) s w 1) of April , 200, dm Pgreonally items before the this day or t he above Harried ER S'( DAR OF WISCONSIN ;•`?'; ('.I', q� ,• to rot known to W the porson(s) who executed the foregoing >ritlr - Instrument and acknowledge the unit. � y WI a. sESI� ) :,',,i • ..MS INSTRUMW WAS 4RAMD by ' AROr i Krlitlea Oillimad - Hudson,Wl 54016 NI; Public County, Wisconsin My Commission is permanent. (If not, stair expiration dale: • .. (Signatures may be suthcntk:ated or acknowledged. Both err not neoofsary.) -- ) Names of pstsont sl6mrg io tsy,apaei(y shtwld ba typed or pruned lictow ibdr signOUres, LAND CONMACr• 1"ItviJr.l ►all pe,ry,.l.. tl.ae $.r trN'a,ew.te ir�an Mh I { • lees. Inrermt4at O.Mua4Ma amnyeny, Feria W ►w, VA aog.s -0,it 1,938 sq.ft. Z 2.00 acres _ I 2. acres I► i � I I v I/ 3 S' 9 cb C / 8 \� \ 89,782 sq.ft. 2 / / �� , - -` 2.08 acres L- UJ I CI ; C 12 II oo co_ _ 2 59.00 , _ — _ r N00 ° 41 '43 "W 0 00 i) N00 041'43 Z ") — — C100 C11� — — C12— ST. S00 °41'43 "E'er _ _ — — _ S \ — -- 33' 33' C14 123.79' � I C-4 C'4 I IN n► N '' 1 3 '� w l 8 87, sq.ft. N 2.00 acres � = ' =- CO 00 100, v ioo -- c°'o d' 0) I 100,724 sq.ft. I N z 2.31 acres h I I N � I 33' 33' S03002'59 "E v \ `I 329.45' I \ I\ 8 .N West line of the (o NW 1/4 of Sec. 21 - �? n �\ N00 °54'45 "W 1251.3 6 �\ \ \ 1% �, '2�st�SO.S �� - - -- East line of the `iy ^ t��, • ?�, 6; o NE 1/4 of Sec. 20. 95,555 s .ft. 00 ao o r � 2.19 acres � 9 ��O > > 9 c,2� 9 62,, 6 C V � Q C-- o o MA N OF 3 STATEMEN T 2 OTICE SEE SHEE