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030-2012-60-000
08 02:54 PM Parcel #: 030 - 2012 -60 -100 05/01/20 1 OF 1 Alt. Parcel #: 35.30.19.402A -10 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - HERINK, JOHN M & ELAINE H JOHN M & ELAINE H HERINK 1207 BASS LAKE RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 1207 BASS LAKE RD SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 34.370 Plat: N/A -NOT AVAILABLE SEC 35 T30N R19W SW SE EXC P402B AS IN Block/Condo Bldg: 654/215 AND EXC PARCEL 402C ALSO COM SE COR SEC 35;TH W 1320.82';TH W Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 15.86'POB;TH W 332.6';TH N 00 DEG E 35- 30N -19W 1309.5';TH E 332.6';TH S 00 DEG W 1309.5'POB EXC CSM 15/4030 ALSO COM S1/4 more Notes: Parcel History: Date Doc # Vol /Page Type 02/23/2001 639128 1591/05 QC 02/01/2001 637851 1582/236 AFF 01/18/2001 637026 1577/17 WD 07/23/1997 710/198 more 2008 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/24/2008 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 48,000 320,900 368,900 NO AGRICULTURAL G4 20.000 2,700 0 2,700 NO UNDEVELOPED G5 3.370 7,000 0 7,000 NO AGRICULTURAL FOREST G5M 10.000 22,200 0 22,200 NO Totals for 2008: General Property 34.370 79,900 320,900 400,800 Woodland 0.000 0 0 Totals for 2007: General Property 34.370 79,700 301,400 381,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wi * G� sconsin Department of Commerce PRIVATE SEWAGE SYSTEM c " y s Safety" Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) SanitarvPermitNo.: GO Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 370369 Permit Holder's Name: ❑ City ❑ Village n TVwnor State Plan ID No.: Herink, John I St. Joseph Townshi CST BM Elev." Insp. BM Elev.: BM Description: Parcel Tax N- 6 00 11 a 030-2012-60- TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �. Benchmark J1 1 60 D Alt. BM Aera ' Bldg. Sewer Holding / Ht In TANK SETBACK INFORMATION / Ht Outlet TANK TO P / L WELL BLDG. Air l to ntak ROAD Air I Septic > �o' - Z NA Z - -NA Header / Man. Aeration NA Dist. Pipe / Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade y, Man urer errand St cover - 3 " 77.0 Model Num M 0+ 1, 44)6k / � 7 VQ TD Lift Friction S stem TDH t "5 7•P*r/ S� �� Z Forcemain Length Dia. /ao_o SOILA PT ION SYSTEM t = BED TRENCH Width Len t h , No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIME 3 -7_ Z DIMENSION L SETBACK I an a u r: r SYSTEM TO P / L BLDG WELL LAKE / STREAM CH Mi INFORMATION Type Of + / E Moe Num er: s C J 1� — �f> >((�d O S' DISTRIBUTION SYSTEM Header /Manifold /, Distribution Pipe(s) t x Hole Size x Hole Spacing Vent To Air Intake Length �_ Dia. Length 755 Dia. Aa Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded75Qdded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑Yes C] No Mulched ❑ No COMMENTS: (Include code discrepancies, persons present, etc.)_--.- - Inspection #1: Inspection #2: Location: 1207 Bass Lake Road, Hudson, WI 54016 (SW 1/4 SE 1/4 35 T30N R19W) - 35. U 19. 40 Z 1.) Alt BM Description= Y SIP S 5 0 4a e k. 2.) Bldg sewer length= - amount of cover / = >y(2 3 VP 5 %hS ih 3rOf C _ L fi IVVW - Eve' Plan revision required? ❑ Yes No �� Use other side for additional inform tion. SBD -6710 (R.M7) Oa a Inspector's nature Cert. No. X i t c,: t O �O 1 � Z t C?t Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21. Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 �/'"se�nsin Personal information you provide may be used for sec gdtdgD, purposes Madison. WI 53707 - 7301 Department of Commerce (Submit completed form to county if r [Privacy Law, s. 15.04(1) `k,' i _ state owner Attach complete plans (to the count) cop) only) for the s 40f a er not less th it - 1/2 x 11 inches in size. County State Sanitary Permit Number Chec ion to pre us Wplication' ; Plan I. D. Number e,6r 0 I. Application Information - Please Print all Information '.' '") Property Owner Name t* :, Property Location LS Y /ti C I+v 114 SL /4, S 34T 30,N, R/ or W Property Owner's Mailing Address D of Number Block Number City, State Zip Code Phone 1 Subdivision Name or CSM Number 715 ) - 3 9 &g." .15 Z 44e.re? II Type of Building: (check one) ❑ City 1 or 2 Family Dwelling —No. of Bedrooms: l ❑ Village ❑ Public /Commercial (describe use): P7rown of ❑ State -owned i j/ l wtoth III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest oa A) 1. J81 New System 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Number(s) System Tank Onh Existing System 6;5 6— 26 (p0 — oe�0 B) Permit Number Date Issued 18 A Sanitary Permit was previously issued 3703 6 1 7 /O — 31— Zv0 IV. Type of POWT System: (Check all that apply) 3 5 - , '3,0 . t Cl . 4 A A XNon- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V Disp ersal/Treatment Area Information: 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gy /sq. ft.) (Min. /inch) e r0, "Z Elevation a 5'� 5141, � . z Z e6 , - 7 VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks / ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ VII Responsibility Statement I, the undersigned, assume res on ibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) Plumber's Signature (nos ps): MP/MP�RS No. Business Phone Number Plumber Address (Street, City, State, Zip Code) �� /JW �' 31 6M a VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) ,;Approved ❑ Owner Given Initial Adverse Surcharge Fee) Determination ZS ?.60� IX. Conditions of Approval /Reasons for Disapproval: n -Y pry 9 �; I s 1�� ".t, s s Std CL A-; -f- S4- . � 6Uy; Ce.o �R"' S t�2C•6" t^. S• SBD -6398 (R. 07/00) • TIMM EXCAVATING JOB of Route I Box 192 SHEET NO. - '7- WILSON, WISCONSIN 54027 CALCULATED BY DATE (715) 772-3214 (715) 386-5443 CHECKED BY DATE MPRS #3224 WI MMA #696 MN SCALE ........... ........... ........... .............. ................. ........... ........... .......... .......... ..... .......... . .. ........ Ile ............... ........... .......... ........... ........... ........... ........... .......... ........... .......... 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ToOnW PrM TOLL FREE 14DD2256W TIMM EXCAVATING Joe_ OF SHEET NO.— Route 1 Box 192 WILSON, WISCONSIN 54027 CALCULATED BY DATE (715) 772-3214 (715) 386-5443 MPRS #3224 WI MPCA #696 IVIN CHECKED BY DATE SCALE . . . . . . . . . . . . . .... . . . . . . . . . . . . . . . . . . .... . . . . . . . .... . . . ......... ..................... ............ . . .... . . . . . . . . .... . . . . . . . ..... . . . . . . ..... . . . . . . ..... . . . . . . .... . . . . . . . .... . . . . . . . . . . . . . ........... ......... .......... ........... ........... .......... ........... ................................... ........... + .......... .. ........ ........... .......... ...... ........... r. ........... .. ........................ ............ . . .......... . ......... ........ .. . ... .. ......... . ...... .... ... ........... ........... ........... ................ ........... ......... . .......... .2 ........... ............... ........... ....................... .......... .......... ........... ........... ........... . ......... ............ . ........... . . ...... ................ ........... . ... ... ........... ........... ........... ...................... .......... ........... ......... ...... ... .......... .......... .......... . . ....... ........... .......... ........... . ......... ................................. .......... ........... ........... ........... ......... ........... ............ ........... ........... ........... .......... ........... ........... ........... ....................... ........... ........... .......... ........... .......... ........... ........... ... ........... ........... . ...... ........... ........... .......... ........... ........... .......... . ..... .......... ...................... ........... ........... ..... ... ... ... ... ..... ... . ....... .......... ... ............ ---------- ........... .......... .. .......... ........... . ........ ........... .. ......... ....................... .................. ........... .... ...... ............... ....... . .......... ........... ....................... ................ ........... . ..... ....... . .......... ........... .......... ........... ........... ........... ..................... ......... ....... .......... .......... .......... .......... ........... .... ........ . .......... ... .. .... ..... .... .. .... ......... ........................ ............. .......... ......... ....... ...... .......... ........ ........ ...... .......... ... .......... ........... ...... ... ................... ---------- ........... .......... ........... ...................... 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PRODUCT 205-1 Inc., Gmtor. Man. 01471. To Order PHONE TOLL FREE 1-800 -225-M ' y " 'ORIGINAL 1220 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. _ Please print all information. �i ?°I 2 ' X06 r �°� 2 Reviewed By pate Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ° ` Z ropey Owner rope oca ion Herink, John Govt. Lot SW 1/4 SE 1/4 S 35 30 N R 19 W - Property Owner's Mailing Address Lot # Block # Subd. Name or CSM 774 CTHW EA City State Zip Code Phone Number Cit ® Village U Town Nearest Road Hudson WI 54016 715 - 386 - 3696 St.Joseph Bass Lake Road IN New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe Parent material sandy / outw Flood plain elevation, if applicable NA General comments and recommendations: install 2 - 27x 68.75' Stipulation 1099 chamber cells (22 shells) @ system elevation of 85.7 F TI Boring # Boring AN Pit Ground Surface elev. 91.2 ft. Depth to limiting factor > 116" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -7 7.5YR 3/2 - sil 2 f sbk mvfr cs 1f /m .5 .8 2 7 -23 7.5YR 4/3 - sil 2 f -m sbk mvfr gs 1 m .5 .8 3 23 -37 10YR 414 - sil 2 m sbk mvfr cs 1 m .5 .8 C I ) 4 37 -53 10YR 4/4 5 sl 2 m sbk dh cs 1 m .5 .9 l� 1 OYR 6/2 l 5 15 )116 7.5YR 4/4 - s 0 sg dl - - .7 1.2 o' Z. s c o `j occa sional r i cos & oc;asionai gi m onzon �6 o ❑ Boring # a Boring Is Pit Ground Surface elev. 91.6 ft. Depth to limiting factor > 114 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -6 7.5YR 3/2 - sil 2 f sbk mvfr cs 1f /m - .5 .8 2 6 -21 7.5YR 4/6 - $l 1 m sbk mfr cs if .4 .6 3 21 -114 7.5YR 3/4,4/4 - s 0 sg ml - 1m .7 1.2 LE very occasional gr in horizon ' Effluent #1 = BOD 30 < 220 mg /L and TS 30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L Name ease Print) i a e: um er Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 1/8/2001 715- 233 -0398 r � r Property Owner Herink, John Parcel ID # Page 2 of 3 FTI g Boring Boring # � Pit Ground Surface elev. 90.9 ft. Depth to limiting factor > 116 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QPDV Effr in. Munsell Qu. Sz. Cont Color Gr, Sz. Sh. 1 0 -6 7.5YR 3/2 - sil 2 f sbk mvfr cs 1f /m .5 .8 2 6 -24 7.5YR 4/3 - sil 2 f -m sbk mvfr gs 1 m .5 .8 3 24 -35 10YR 4/4 - sil 2 m sbk mfr cs 1f .5 .8 4 35 -116 7.5YR 4/4 - s 0 sg dl - - .7 1.2 occasions gr m onion F —I Boring # M Boring 0 Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ❑ Boring # 0 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 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 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- 264 -8777. SBD -8330 (R.07 /00) Certlfied Soil Testing s' Sw -S� - 3S - 3o 1g w rCD RS C-4 t " L Z -4 x(ps - ig" ' 1 s -. w ti� of k -?-4e �: e� �.t �� , ( \ 0 (3 b v.� 1� V� e j�' : 1 •4 �c-- Jt a, 1? gASi . Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21. Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 I *Lo&onsin Personal information you provide may be used for secondary purposes Madison. WI 53707 -730^ Department of Commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if r stat owner h complete plans (to the county cop) only) for the sys er not less than 8 -1/2 x 11 inches in size. County State Sanitary Permit Number ❑ Ch vi iohr i application State Plan 1. D. Number �- CCLO r x 3 �,� / I. Application Infor tion - Please Print all Information o,'v' Location: Property Ow ner Name / /� ,� !`^ y � �, Property Loc wn 5 1/ e S 3�5T N, R or Property Owner's Mai ng Address S L 7A VR ber Block Number j 9 �� /��Ci � ®, City , State Zip ode hone jr / Subdivision Name or CSM Number A Lt1Z d / 5 ° F> /t" P �9�� II Type of Building: (check one) t '; y1 1-`` ❑ City 1 or 2 Family Dwelling - No. of B drooms: - -' ❑ Village ❑ Public /Commercial (describe use) Town of ❑ State -owned III Type of Permit: (Check only e b the A. Ch ck box on line B if ap/El ble) Nearest o id A) 1. ONew System 2. D Replacement 3. Replacement of 4. Addition to Parcel Tax Number(s) S stem ank Only Existing System 1 0-31>— Zo 12 — 60 " Goo B) Permit Number Date Issued ❑ A Sanitary Permit was pre viously issued IV. Type of POWT System: (Check all that apply) 14-- IM - ,, Non- pressurized In- ground LHol nd ❑Sand Filter ❑ Constructe Wetland ❑ Pressurized In- ground ' ❑ Single Pass ❑ Drip Line , ( L ❑ At -grade 3 r � n x,7 reatme it D R it lating ❑Other: V Dis ersal/Treatment Area Information: (m v) I � 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Applic tion 5. Percolation Rate 6. System Elevati 7. Final Grade Required Proposed Rate (Gals./ y /sq. ft.) (Min. /inch) ?,'; 2. Elevation VI Tank Capacity in Tot # of anufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gal ns Tanks Con Con glass New Existing crete structed Tanks Tanks rZ�o /2 tj"ks C P ❑ ❑ ❑ ❑ ❑ VII Responsibility State ent I, the undersig assum responsibility for installation of the POWTS shown on the attach plans. Plum 's Name (print) Plumber's Signature (no tamps): MP/MPRS No. Business Phone Number c2 V �f I ��fp5`Z / /�^ — 7 3 Z/ Plumb s Address (Street, Pity, State, Zip Code) , a/ 4 -2 0 kk /01 &a ajz - Z VIII County artment Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued ssuing Agent Signature (No stamps) I, Approved ❑ Owner Given Initial Adverse Suacharge Fee) Determination , tD f 0 - 3 1 - IX. Condit' ns of Approval /Rea for Disapproval: _ d l ) n p U� /)1 t S 0WQ0L L �. � � l w•A, �` ;�-° �.A t f: g,ew�� W"k mtl�� SOIL- 14- CZ � 4 SBD -6398 (R. 07100) (R-coP kro IQ . UI_BnICI & ASSOCIATES CO. - - r 655 O'Neil Road • Hudson, WI 54016 Reg..Veslgners of Fnglneerhrg Syslerns 715 -386 -8185 Private Sewage Consulhnfs PROJECT INDEX PLAN ID # /l l+ DATE Oa OWNER Sb f�N D ! IIhivE 11 ,F-k / PHONE 3Zo ' .36i ADDRESS / CT }/ �!� . /j'fJUSlJ� �(j.s' . .S YD/ Cv LE DESCRIPTION P/N 6 • 2 - 01A . &0 .tea 9-q f / ¢BLS' swr s� r SPc.3s 7 TOWN OF ST J O S �k t._ S T ' 6/to COUNTY CSTM �' �lK/K / 2a �t3 Z S LOCAL AUTHORITY/ SUPERVISION ST• Gt o /' X Zo v PROJECT DESCRIPTION: d 1rL So y lS l v /. 2- 6A1 ( OVV . O ( �t- S C 7" C ONSf� _ ROBERT W. % ULSW HT s 0 16 HUDSON, W1.1 Pg.l INFILTRATOR SIZING WORKSHEET Pg . 2 SYSTEM PLOT PLAN VIEWS Pg.3 CROSS SECTION OF SYSTEM, WITH ELEVATIONS. ��ii „ G 1 I A ,�,���a�`�� Pg . 4 of of $1 it of Pg.5 ZABEL FILTER & MANAGEMENT PLANS. 911ts dpstgn For tngtallatton is based entirel r - y vn measurements, elevations, c landce r-y to of a ns (sir�pnc el;c.) and not' ruit�bi.l.1ty provided by CSTM 2ZU3 7 'lire arcur,c y of. iris srPcs, as repotted, shall remain the sole res sibi or F.he cs•iri. p� lity ` Any use rf Ellis t'bWTS design ty any licensed plumber, of any related unlicensed parties or persona (exca shall not be construed am an assumptio o vatere, l borers) f responsibility by the designer for the 11orkmanahip, conattu res placement, eubsEitution or selection of any components not specified, or any assumptions the plumber are state approved ed that any unspecified components If working under adverse proper, or the effects of poor judgement soils rse damaging weather conditions (wet /frozen ) by any such parties or persons. r 1 �n N -1 � I tit 0 RT it r ° \� Nj n � 7 Q / I � I � ACN '�\7Z�� � � � � � 7r o � • � �,., 0 7iPi9 7qP. -ell p \ � z-�► C � I k o LN b v � o .� -n , , 3 o d �hT og o � I►� oPfro� � PO V � -Z- �� -- Iff__ w '' ' qq ' 5 0 c ItD Cfo SS SEC T1010 0,4� ZlSi�v 6- 31. <V sQ, Fr To Tj 11AP41lep 1160 7' 4141 MIS Iff Tim �i�v, 9y 75 • t g3 L A D �p�►M � to 1 0. (AP �oN f . ( � V % I U1 I P p 1 'I'v I/m , )P/I t-lt rD Cho SS SE cTio .vve�t' w i 31. e S Q, FT , To Ti S T /v.v - l S m 2� IID r � r • 1 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County S - 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. 030 0/2 . / _D , a percent slope, scale or dimensions, north arrow, and location and distance to nearest road. cIi Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner A ,�• Property Location t 9 / /I/�� ��/V'` Govt. Lot SW 1/4 S 1/4 S 35 T30 N R/ E (o W Property Owner's Mailing Address LoBlock # Subd. Name or CSM# cry Rp • E ,- a � •�s City State Zip Code Phone Number ❑ City ❑ Village 21own Nearest Road h`v�soN ter. syo�� c 7�s 3� 9G ST• S oSE PGt r 0 . � ; New Construction Use: Residential / Number of bedrooms Code derived design flow rate t!P as GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material 7�1�.Q Q ako S Flood Plain elevation if applicable ft. General comments OU T`Gtlr} and recommendations: Boring # E] Boring G —Pit Ground surface elev. / �• �� ft. Depth to limiting factor 94Y / in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz.�Cont. Color Gr. Sz. Sh. 'Eff#1 I - Eff#2 �- /0 loy)e 2 /3 S/L Z -F SW 2. io • t3 16Y SQL / s)' 3LM /0 S/V s D. ,c . 7 1- ZS &4 © Boring # ❑Boring F yn �' / Pit Ground v. y ft. Depth to limiting factor ` in. Soil Application Rate Horizon Depth Dominant Color Redox Description FTexture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 VAI z 42 •� goy s ,e a S - z 0-50 7••S R Dr S dX cs . ? 1 • Z .16 S j Effluent #1 = BOD > 30 _ and TSS >30 _< 150 mg /L VEffluent #2 = BO _ mg /L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number 120 2413 g i qj- Z Z 4F - 75 Address Date Evaluation Conducted Telephone Number Dc� • �f y� pis• 3�G •�i� s Ulbricht & Associates Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis. 54016 0 R N A L �f i;yks • �e • � Property Owner Parcel ID # v,3o , IN z Z Page of 3 3 ❑ Boring # Boring /'019./o . W-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 /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 OA lobe 313 - (Ave It b .35 io yR YAK t licsive dX k at 3 3s.5o 7•s i2 f S. O, eT — .7 (. Z. Boring # Boring / „/� • / V ' n K Pit Ground surface elev. [JV / ft. Depth to limiting factor 7 � in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 `Eff#2 o •/d 10Y A ' 31 3 Si L Z s e S -r y io • t A, S - . z .3 �•Sy — s, D • s 4 .7 1-2- n 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 /ftz 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 It 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. SBD -8330 (R.6/00) �U s O �" / y � • - ._...___ _ cep , ._. • � —• O i — 1 d I i II ._ I I II I c - 0 m I D � 7:1 a;- Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the arameters of Comm 83 and 84 and the conditions of approval b the department, agent, p PP Y p 9 or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis, Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number Number of Bedrooms Design Flow - Peak (gpd) Estimated Flow - Average (gpd) Septic Tank Capacity (gal) rz---(J 6 Soil Absorption Component Size (ft Dd s4 - Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) z Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years M Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the seDtic tank and outlet filter shall be assessed at least once every 3 years by inspection. T ou let filter s hall be cleaned. as necessary to ensuL pr per operation. The filter cartridge s be removed d unless provisions are made to retain so i s m the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. , The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 I • ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND LI T OWNERSHIP CERTIFICATION FORM Owner/Buyer JU r' in, y — & ' 1 Z ' tic �✓ Mailing Address `7 AL Property Address aO (Verification required from Planning Department for new construction) 2 g City /Stat UJ� Parcel Identification Number 6 30 - zo J Z- - 40 - 4 LEGAL DESCRIPTION Property Location S U` %4, S C ' /4, Sec. 3 T_,3o N -R /1 Town of Subdivisio dl Z % 14 cc ✓ Lot # Certified Surve M p # , Volume , Page # �l �k� # S6'79 y9 , Volume 473 Page # y2 Spec house ❑ yes no Lot lines identifiable A yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification fonts, signed by the owner and by a master plumber, j ourneyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, he ' as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating yo septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days the a year xpiration date. C9 J SI OF APPLICANT bATE O ERTMCATION I (w certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the operty escribed above, by virtue of a warranty deed recorded in Register of Deeds Office. SIG A OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: . a stamped warranty deed from the Register of Deeds office �a copy of the certified survey map if reference is made in the warranty deed POWTS (landowner) is reponsible for proper operation and maintenance of this system. Regular periodic inspections and servicing is necessary for the safe healthy operation of this system. The owner is required by code to submit all necessary maintenance /inspection reports to the controlling authorities. SPECIFIC CONTACT AGENTS * Governmental authority/ inspectors: �N (T * Licensed installer, responsible for providing an operation/ maintenance "Users" manual: -T�NM ��� zs • y o / * Licensed service / inspection agent other than installer: D-13 0 * Electrician, for pump, electric controls, wiring units: IMPORTANT OWNER MAINTENANCE REQUIREMENTS 1. Winter traffic (sledding, shoveting, etc.) across the mound area shall not be permitted, or frost can /will penetrate into the cell, freezing up the system. Discontinuos use in the winter (a vacaction trip, resulting in no water use) can also lead to freeze ups. 2. Water conservation needs to be exercised! Or system can be hydrolically overloaded and destroyed. This system was designed for a maximum wastewater flow of /_,� gals. daily. 3. POWTS are not designed to accomodate wastes from a garbage disposal unit, or any other unnatural sources of waste. Any introduction of such waste materials will overload and destroy this system. 4. If a power outage occurs, or a pump fails, it may result in a temporary overload of effluent being pumped into the cell, which may adversely impact the cell (leakkge). It is recommended that a licensed pumper empty the dosing tank, allowing the pump to return to dosing the correct amounts. Consult your installer immediately for advice. 5. Neglect of the vegetative cover (the cells insulation & erosion preventive) can lead to failure. Compaction or heavy traffic also can destroy t he system. It IS NECESSARY TO REGULARLY WATER THE VEGETATION OVER A SYSTEM!! Effluent in the system beneath IS NOT sufficient alone tO maintain a grass cover. 6. Periodic inspections by the owner, or his agents, is necessary. Inspection pipes and ports have been incorporated into the system: on the mound basal area (effluent level inspection pipes), cleanout terminals on the pressurized laterals, at each tip - for flushing and cleaning the laterals out. The filter system in the tanks (via a locked above ground cover /manhole). Only a licensed properly qualibied person should be performing this work which involves health & severe safety risks. Evidence of effluent ponding in the system's treatment cell shall also be regularly inspected. Pg. 6 of 6 - Mound System Management,P,lan Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L• BOD5, 150 mg /L TSS, and 30 mg /L FOG. Influent flow may #� not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R. 6/99)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. i Questions on the operation or maintenance of this system should be directed to your county zoning or health inspector. SEE REVERSE SIDE Pg.6 FOR MAINTENANCE REQUIREMENTS SPECIFIC TO THIS SITE, DESIGN, AND COMPONENTS - r pg. n or u Mound System Management,P,lan Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. T rating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet fi r s hall be cleaned as necessary t o e ensure proper o n. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that 011 the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound . shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L, BOD5, 150 mg /L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R. 6/99)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. i Questions on the operation or maintenance of this system should be directed to your county zoning or health inspector. SEE REVERSE SIDE Pg.6 FOR MAINTENANCE REQUIREMENTS SPECIFIC TO THIS SITE, DESIGN, AND COMPONENTS DOCUMENT NO STATE BAR OF aSl1Y F M ll — TWO tPACt RtttRV[O FOR RetORDINO DATA 3 LAND CONTRACT IRlfii�ad .wd Ca•Per.t. ITO BR USED FOR ALL TRANSAt TIONki WHERE OVER $SS.WQ 18 PINANI'ED AND IN OTHER NON•CONSUYLR ACT TRANSACTIONS) Reuben W. Jacobson RSOILTWS OFFICE CiOIItTACt, by and between ....---• ..................... ........... .... .•----.....----- $T. G1!CUC CO., VVLS. -------------------- ------- ••-- •••• -•- Rac'd. f_r � . t• ;s 21 a t ("Vendor" - - - -- wbther o more and_... J'6hti 1�1." ITeririlt aril! day of_- Sept A.D. 19 83 Elaine t vd. 11 = , hus�iarid• arid•urife - _� join-E•• •• • • ..... ..... . . . ... 4:2 P -- .___ ...... __i .............................................................. . .................................. O) , M. �l1dl1� ....................................................... ( "Purchaser", whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- bibtar o/ t formanc+ of this contract by Purchaser, the following property, together with the rents, rofittsitflx ,tpres and other appurtenant Interests (all called the "Property"), in ...... ...... .. ............................................ .......... ••CrUlX ......_._. County, State of Wisconsin: RITURN To The SW 1/4 of SE 1/4 of Section 35 -30-19 e)cept a parcel described as follows: Conven. -ing at the SE corner of said Section 35; '1lh ence Tax Parcel No--- --- ------ - - - ----- West along the South line of such Section 35, 1320.82 fr .�-t; thence continuing West along the South line of said Section 35, 15.86 feet m the POINT OF BI: 3DNING of said parcel; thence oontinuing West slang the South line of said h Section 35, 332.6 feet; thence North 00 32' 17 "E 1309.5 feet; thence East 332.6 feet; thence South 00* 32' 17" W 1309.5 feet to the POINT OF BE)GGINIdING, containing 10 acres. This IS NOT - homestead property. (is) (is not) reel to Hudson, Wisconsin Purchaser agrees purchase the Property and to a to Vendor at _.__ __ ..................................... _ _________________ P Y pay the sum of $.4a.- QQQ._QQ....................................... in the following manner: (a) $S.QQQ- 00................................ at the execution of this Contract; and (b) the balance of $_ ___ ______ ______ _______________________ together with interest from date hereof on the balance outstanding from time to time at the rate of___________ _________________________ ______ per cent per annum until paid in full, an follows: $15,000.00 on January 20, 1984; and the balance of $25,000.00 with interest from January 20, 1984 at 9.5% per annum, payable in monthly installrrents of $372.78 payable on the 20th day of each month commencing February 20, 1984. Provided, however, the entire outstanding balance shal! be paid in full on or before the..20th ---- ------------ day of _ £epteriher - -------------------- 19.91... ( the maturity date). Following any default in payment, interest shall accrue at the rate of % per annum on the entire amount in default (which shall include, without limitation. delinquent interest and, upon acceleration or maturity, the entire 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..- JanuaYV_.20- )c= In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of !redit 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: 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 beentit'ed to take possession of the P:ooerty on .. Seatenber. -- -------------------------- 1y83 eC,a Out One. LAND CONTRACT — individual And STATF RAR OF WISCON31\ .. i9PUn an T-eal R:.nk Ca 1". G.rporat. FOR It Nu. It — 1981 VOL 673 Fri • Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interMt in it and to deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Pruperty insured against- foss or damage occasioned by dew OK- ` tended coverage perils and such other hazards as Vendor may require, without co-insurance, through insurers approved by Vendor, in the sum of $ ....................... . ...., tjut Vendor snag not require coverage in an amount sate than the balance owed under this Contract. Purchaser shall pay the insurance prennums when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writin4, the original of all policies covering the Propert shall be deposited with Vendor. Purchaser shall promptly give notice of logs to insurance companies and Vendor. Mess Purchaser ar:d Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, daaged, provided the Vendor deems the restoration or repair to he 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 iauperior to the lien of this Contract, and to comply with all laws, orreinances and regulations affecting the Property. Vendor agrees that in can 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 bens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except: .-- ..VendoZ.shalI ham........ the ri9ht.of._ yeas. -.tn.P.Mcu;e- .15--- (h.1 -3. Goias ... tims..pe.r- yeiar.I= a .............. peri od. of.-e igti,-- yeass..f=.date_hQ.rEv.f. said right of ingress and.e9=3and..takin9.. of trees shall. only apply bo .the_ West .20. acres . of -. the. ak_oM..desCribed pxoperW._.- ......... - - - -- -• - -' . _1 . ............... .... ....... -_ _. .................... Purchaser agrees that time is of the essence and (a) in the event of a default in the payment cf any principal or interest which continues for a period of 120.... 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 120.... days following written notice thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding baiance 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 pa %ru•nt of the entire outstanding bal'.ence, ccith interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously paid by Purchaser shall be forefeited as liquidated damages for failure to fulfill this Contract and a.; rental for the Property if purchaser Nils 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 in 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) ibove.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 erforceany remedy hereunder (whether abated or nct) 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 foreclose re of this Contract urchasrr consence to the appointment of a receiver of the Property, including homestead interest, tc collect the rents, issues, aid 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 Ve -dor unless either the outstanding balance payable under this Contract is first pail in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security foe an indeLtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable tender 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 nacments so made by Purchaser shall be consid payment. made on this Contract. Vendor may waive any default without w;;iving any other subsequent or prior default 'f 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 ,,r Vendor for a valuable consideration joins herein to release homestead rights in the subject Property agrees to join in the execution of the deed to be made in fulfillment hereof.) I)ated this 20 t 1 i .--- ..._ -- day of September _ 79 83 i Ruben W. Jacob __ - - -_ . - .. M. Herink. _. (SEAL) Elaine H. H. Herink AUTHENTICATION ACKNOWLEDGMENT Signature(s) _.l4?l,1bcn - - W - - Jacobson, STATE OF WISCONSIN - --- - -- --- JChn M. Herink and Elaine H. fie-rink sa ' � County. authen cated ti -29 o /f_Se�t --- -- $3 ---- - -- Personally came before me this .___._ -- - - -- day of r char ds - - - - - -- - 1`� the above named F ------ ------- - -- --- ------ - - - - -- _ ......_ TITLE:.1IF IT13i :R STATE BAR OF WIS, ......... . _- ...... ---- ---- - .. ........ ( (' not, authorized b }' 706.04, Wis. Stets.) not, - ------- ---..__ -. - -- _ ...._.... to me known to he the person _ __. who executed the foregoing instrument and acknowledge the same. T 41 iVS; RI -P;i WAS DRAFTED BY I C. A. Richards _.._ RICHARDS, DTtM - - & HARRIS P, O. Sox 151, . H• - 54016 Nota-y Public . -... _ _ County, Wis. X411, Lv T 1 (tii,natnres m..v he authenticated or ackn,1%%ie;l ctl. L','h My Commission is permanent. (if not, state expiration ;,re not flt'Pr•cJaP1'.l ) u�� date: ... ........ _ - - - - 19.... .... . eN;vms f enlnK in any capacity should h. ...; ; : anted below their signatures. V e 'T ACT — 1.dl,ldual an e = State nor of Wiseonols, t'erin No. it r– IBiJ