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HomeMy WebLinkAbout040-1279-00-000 (2) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 399435 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal informat+on pu prcvide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village x Township Parcel Tax No: Cook, Charles Troy Township 040- 1279 -00 -000 CST BM Elev: Insp. BM Elev: IBM Desc Z 19.37.9 v l f ly,_ C 6� TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration V Bldg. Sewer (e, 6, 3 2„ Holding St/Ht Inlet elf 93 2 ," 1 1 TANK SETBACK INFORMATION St/Ht Outlet - TANK TO P,L W LL BLDG. V nt to Air Intake ROAD Dt Inlet Septic / i f Dt Bottom //1 , Dosing r Header /Man. g•� 93n,s Aeration ipe Holding rot. ystem I Final Grade Z9 -3S PUMP /SIPHON INFORMATION 08 933. Manufacturer Demand St Cover 1 7 93 � -a Model Nu bar TDH Lift Friction Loss System Head T Ft For ain Length SOIL ABSORPTION SYSTEM S 44 rs —Iteh — 36 BEDITRENCH Width Length No. Of Trenches PIT DIMENS NS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS '.3 'I�" SETBACK SYSTEM TO ✓ P/L BLDG WE L LAKE /STREAM Manuf�r: INFORMATION H tl"J I' Tyf System: t Model Number. DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent it Intake / , ( U A Pipe(s) �1' h ? ..r —� Length lX Dia Length I Dia Spacing J N SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over OjAaljoepth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil (� Yes 10 No Yes No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: / / OZ Inspection #2: Location: 388 Cedar Court Hudson, WI 54016 (NW 1/4 NW 1/416 N R19W) E GLE BLUFF L I Parcel No: 16.28.19.1562 1.) Alt BM Description= .ST' 66 f s 2.) Bldg sewer length - amount of cover =' Plan revision Required? ❑ Yes No t' � Use ether side for additional informa / 6 2 Date Insepctoes Sig ture Cert. No. SBD -6710 (R.3197) e a� C1 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 NVII seonsin Personal information you provide may be used for secondan purposes Madison. Wl 53707 -730^ Department of Commerce (Submit completed form to county if r [Privacy Law, s. 15.04(1 state owner Attach com lete plans (to the county copy only) fortKe er than 8 -1/2 x 11 inches in size. County State Sanita Permit Number oxtiNkrrievision o prevfoi$s Pa t cation State Plan I. D. Number .1 I I. Application Information - Please Print all Information - Location: Property Owner Name Property Location ' S(,<.X/4Ife-r/4. S / A or Property Owner's Mailing Add Lot Number Block Number City, State Zip Code Phone Number Subdivision Name or CSM Number II Type of Building: (check one) ❑ City ,gf- 1 or 2 Family Dwelling — No. of Bedrooms: �� °� pP. f ��"s "~'`d ❑ Village • Public /Commercial (describe use): fikTown of • State -owned III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road A) 1. AKNew System 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Number(s) /6_ Z r?- SQL System Tank Only Existing System G — B) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) fiE Won-pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade Aerobic Treatment Unit ❑ Recirculating ❑ Othe�� _ V Dispersal/Treat Area Info rmation : 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals./ ay /sq. ft.) (Min. /inch) Elevation s/3 -53/ ✓ l -- s `�3�- �✓ VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks ` �W ❑ ❑ ❑ ❑ (k ❑ ❑ ❑ ❑ VII Responsibility Statement 1, the undersigred, assume res on ibility for installation of the POWTS shown on the attached plans. Plumb&es Name (print) Plumber's r no s MP/MPRS No. Business Phone Number Plumber's Address (Street, City, State, Zip ode) VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) �$ Approved ❑ Owner Given Initial Adverse Surcharge Fee) _ Determination ` ZZJ� ©v 1 20 IX. Conditions of Approval /Reasons for Disapproval: 1. Effluent filter to be installed and maintained per manufacturer's recommendations. SBD -6398 (R. 07/00) PROPEI�IY OW11�; � CoOx� Gh1tQLLa5 C � � _ �! • t 04 C� r w <OT �9 � - SCLi PRtJPp�K QW1:' CoOx� Ghf+RtF3 7 p Lftr' OA Ai d5aw cps MEOW& O "AVAA 'gQo.p g3 f.4Q' g DE Q�3.0 Z► g ,�45z.Ry' E � $3a 9J3 30 a w �9 : 9� r !L4 f f Lo ao a IL • �y i i , f U') U) .0 to LO Ln to LO Lr) In to V) j r�Q Lr) Lr V) u) U �7 C;7 N kn N •. r` r- P - C" N �� NN N O N Cv NN L NOC7 M CO CO Cp r CO C:7 ;•J r r M LL' N O L!•) C\ C) O to - CO W M U) 0 J N C-: U O N co Cl) r` Q B 0 a Ln >n Ln Ln Ln Lr! L )n n Ln in L,") v) n L.') Ln Ln Ln Ln p� L ,. 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Z m rJ -ry C to 'vi rn cn A CD m M O W oMMr -o•r y acc ta c c °N �_ o 't CD C) C-) 30 S L)OOCV O U cpr� Ov 7 47MM Od cr :n M rJ N O Lt) y C7 i� L L cD Oi OJ h y C c0 o a) C\ r� yL N cNO m oc O Ln r Q) N C0 Cl) d CO Q) `I . L r r N L � CD CD H = C Y C V G e O LL.. U) C O !) 6. O01t` :n U) C CVL?O)tiLnM J U N O? CA r- LC") r) J {> N t') tr r~ u': �) J U r) -� V o C5 C r O O O O C7 C r- O C� C7 cS C , O C) O O C7 O r O O C N pJ r d, C1 m 1 M CL C C 0 C La o 70 v l0 r r` N �- m r r- t0 )A Nt c7 N R + CO Ln d; C7 N C A w N to W d' M N W Ln -4 N7 �a 00000a J CDCOOOOO r0.' 0000c J� 000aoo O�p U) 0�4 in m r n N N U l �. i � I -- l- - - - - -- r Ol- s 4 i 1 c . 2- CIO i Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of Division of Safety.and Buildings in accordance with Comm 85, Wis. Adm. Code County ST 612 011( Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must Include, but not limited lo: 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 R 'awed by Date Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 1 Property Owner Property Location t CHA►ZtE-S 5• 'C00Y­ Gevt t /QW 1/4 1/4 S I(o T Z S N R 19 OW W Property Owner's Mailing Address Lot # Block # SLibd. Name or CSM# I NO -A S.0 g -DEGM ST N E su l TE 1013 30 - GAGL_E 8 U_-t.Fr City State Zip Code Phone Number ❑ City ❑ Village EI Town Nearest Road LA1fA"- . AAA I -'S5 449 (7(o3) 757 -75(A - rRoY I New Construction Use: R Residential / Number of bedrooms y Code derived design flow rate ❑ Replacement ❑ Public or commercial - Describe: Parent material 5A b5 0K)T-- Flood Plain elevation if applicable fl• fC� rr't General comments 2 T i2 NGN i=5 ELI and recommendations: S \4 6T>,.j& IE� WI t tW g2—q, O �� 1 21)013 ST CROI Boring # Boring ZONING O FICE Pit Ground surface elev. _ 34.Ob ft. Depth to limiting factor 7 Q� in. �: i ❑ t .y/ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. rE C f#1 'Eff#2 I 0-3 lovt2zlz '- i ► r m s 3Vf-� 4 ` D•b 2. 3-� uv 242 � I Z F msb mfr a 3F 3 -13 oy 3) 5 2msbK AS CS 3f-rn 5� D. ✓ y 13 -2-3 toy RLI 2h'l bbl < rrr�r 0.s zf - o.6. � ✓ 5 7--6-42- 1svtgs1e s rAI I 0-t ✓ I•Z (o Ltz -RD IDV ny 1 S 0 r✓1 1 — 0. - i • Z-' a Boring # Boring C( pit Ground surface elev. 33•y� ft. Depth to limiting factor _ '>` C 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 1 O- f ►� L�z - I Z F r - •S 0.tin� z —f l 0 z y - I 1 -F r m4 b 4 0.4 ✓ 0. ✓ 11 -17 10 P 3 3 — I I rn rn Vr s Zf m 0-4 /1 0 I -2-3 10 `124 2 � St I C S Z _t.,,t D. a D• o 5 23 p 4 g, 314 51 3 mSb mfr 0.u3 1 -4(7 124)b S 0 M1 0.i ✓ I.2-✓ ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number MAR-V 31) H0UJSTt_ 224$32- Address Date Evaluation Conducted Telephone Number W-RTIS 6g0 R \VEZ FAu-5 W-L 5L-10:Z2- 10-2.Jb C Il15 /DT 3tp y Property Owner CO t I f iZ1-ES Parcel ID # Page z of Fc� Boring # t ❑ w � Boring pit Ground surface elev. 32•9 ft. Depth to limiting factor '� qZ in. Soil Application Rate Horizon Depth Dominant Color 'Redox Description Texture Structure Consistence Boundary Roots GPD/fE In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 I 0 -4 io lq L — 1 3f - 1 r M'ify- 34 - ,s• o.$ 4-q I 2 /z 1 3 m mf ab 3p O. S 0,8 `1ti - rn5bk r C5 Z -F-M 0, -t 0, u 5 -25 \4 P, 3 St 1 Z m5b1; - F- m 0. .1 p, 3 ASV 3/ I5 l msb m r 0.W TIM o, t. 43- Z s 4 5 Os I — ✓ F- Boring # ❑ Boring ) ] Pit Ground surface elev. 931,90 ft. Depth to limiting factor * l OD in. Soil A pocation 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 'Eff#2 i 0.3 ov VZ 2- 1 3 ds a• v�=� o.S� 0,8 Z 3 -to a sl. r C5 0 ,4 0.6 3 1 -2b p y Ise. 0s d1 0 Z--m D 1.Z✓ 2j, — I S OS t,J Z 0 -7 I. Z 5 -10 754R6 v S a m i — 0,7 I. z F Boring # ❑ Boring . ❑ Ground surface elev. ft. Depth to limiting factor in. pit 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 Effluent #1 = BOD > 30.5 220 mg/L and TSS >30,5 150 mg/L ' Effluent #2 = BOD 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. SBD•8330 (R.6=) ' oil PLof P�M y PAGr 3 0� VROVrRfY OWNW: ` C00� ChAl?(- S LrGrNn: = yU' LECA Ve 3a E 6Le LufF 13M= - OF IL Little A N THE W , 0 U -Toro aF E Ct20 X 2 AR \ p �° /2" ou S C F—Im501L PRING W/ PPCKfiM NO COMM 83 %1PACK PROPLrM5 CAANAA 831.90' o 8m �fz CL 9g c L 3 30 8 3 yp , -d 0 e� w �o T 9 A � $T�l i 1QN L ( 51G � NW Cyr V4 16 Z2-4 9 3 2 IW: 10-"-00 A y OF y Coy TwA LANES FoR Lars " 1#3 EAG4 -rcr IS AFF SUVO . \ IL, IY".\ \^ \ BC ` \ —P47 B 30B /,r Private Onsite Wastewater Treatment System Management Plan .Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In -Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567 -P (R.6/99). Table 1: System Desi n Specifications Sanita Permit Number Number of Bedrooms Design Flow - Peak ( pd) e Estimated Flow - Average ( pd) Septic Tank Capacity (al) /, T Soil Absorption Component Size (ft) ,- L fe' Type of Wastewater Domestic Table 2: Soil Abs Ion Component - Limits of Reliable on Septic Tank Component Soil Absorption CompMent Design Flow - Peak /, * CC. Maximum Influent Particle Size (in) 1/8 Maximum BOD /L) 220 Maximum TSS m L 150 Table 3: Maintenance Schedule Septic Tank Inspect and/or service once eve 3 years Outlet Filter Ins once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic T$nk 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 ofthe septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall,Ze 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 ' A 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 84nches 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 fbr 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 ALworutlon 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 Mures 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 ManagOment Plan for a Septto Tank and Soil Absorption Component I Plan "s ofdeep-rooted trees and shrubs directly over or within ten feet.of the component should be avoided since root Intrusion into the component may obstruct wastewater flow. 3 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: 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 lines and wells. Failure to protect the replacement area will result In the need for a new soil and site evaluation to establish a sultable replacement aria. Replacement systems rnust comply with the rules In effect at that time. 17 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 sultable 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 ini'lltradve surface. Reconstructions 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 TKE INTERIOR OF A TANK MAY RE DIFFICULT OR IMPASSIR1 F. ADDITIONAL COMMENTS PO WTS INSTALLER POWTS MAIN TAINER Narne o N a m e Phone ��� -_�- y Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name ' Agency Zon ` D Phone n � /S - SEA? -19 -2001 151:32 CONTINEtJTAL DEVEL. CORP. P.03 8 (.'RO X UJULWEX SEPTIC TANK MAIIdf WANCE AGREEMMa AM OWNMIHP CERTIFICATION FORM OwnecBuyer �b Address s - e Propacty Address 389 &d a--r, 60,u f (Vetifmdon required from, Plaaaiag DepUMMt fat mrewr construction) CSity/State 60 ' Se— Parcel Identification Number LOCAL_ DESCRIPMN property Loeadoa ' /., Sec. f , T ' 1�T R! , Town of Subdivision Lot # 3 0 . Ce:tlRed Survey Map # Volume _ • . Page # Warranty Deed # ���l . Volume ��� . Page # Spec house td yes ❑ no Lot lines identifiable yes ❑ no SY5'lMM MAIMMANCE Uq- -we and mas, menu+ oaofpour septiccystemeouldmaltin itspta matmefsii me to handle wastes.Ptopermuatanaace andd; of pumping oat the septic tank every three yearns or sooner. if needed by a licxased P F/bat y+aa put into the s "AM as affeat &a unction of the septic tank as a traaftew stage in the waste dismal system. The property earner agmes to submit to St. C tom Zowng Department a oeMfiaadon foram, signed by the Oman` and by a matl�rplmmb� Jom:ugy=np1=bw. matrWedpi mbar ors licemtsedpumpa VM4W that (1) the oWS" waaaarater ;$0 o system it is prop, opatatmg condition anNoc (2) after mspoctm and pucapmg (If may). the septic manic It less dM 1!3 a]1 of sledge. Uwe, me tmdmhenedhave tad dw above reTwemom and spat to maintain the private sewage disposal system V4h the aanda:ds ad f Nk b=iq as SOW t4ie Department of Commerce and tha Deparmm cw of Niuml Res amr.. State of Wiscoasia. C09ftaNd0n saft that yarn` septic system has been maintai,ed must be completed and retuvczo A t* the St. Croix Comity Zoning Office w" 30 *p of der dace year empuation date SKCMTURE OF APPLICANT DATE OWNER IMRTMCAIZON I (we) eatify that .all statements on this famm are due to the best of my (ow) i mvA dge. I (we) ama (are) mho 01mcc(s) of the pcape ay deaadbed above, by vimme of a wanuo deed recorded in Regime of Deeds Office. ez 'r 4%,04" 0 0!:1z 6r I M SEMUTURE OF APPLICANT DATE aa.as. Any amfonmaon that is mit•sepr>'oeatedma resuh in the saaidty pec:tiic beia8 mtlwolmd by do 7--aing D 00s000 " I[admic wUh thls appUmtiea: a stamped vranamy dead from the RgOaff of Deed` office a copy of the certified sumvey map if =face= = is mach in the w n my dead VUL 1589PAGE 486 STATE BAR OF WISCONSIN FORM 11 — 1982 63896 LAND CONTRACT KATHLEEN H. WALSH Individual and Co it REGISTER OF DEEDS (TO BE USED FOR ALL TRANSACTfONS WHERE OVER DOCVMENTNO $15,000 IS FINANCED AND IN OTHER NON- CONSUMER ST. CROIX CO., WI ACT TRANSACTIONS) RECEIVED FOR RECORD Contract byy and between ARTH N. AND MA RILYN E. 02 -21 -2001 10 :30 AN F EYEREISEN,TRLI'STEES OF THr REVOCABLE TRUST LAND CONTRACT ("Vendor EXEP.PT B whether one or more) and TROY DEVELOPMENT CORPORATION GERI COPY FEE: COPY FEE: TRANSFER FEE: 3051.60 ( "Purchaser ", whether one or more). RECORDING FEE: 14.00 Vendor sells and agrees to convey to Purchaser, upon the prompt and full performance PAGES: 3 of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant interests (all called the "Property "), in ST. CROIX County, State of Wisconsin: THIS SPACE RESERVED FOR RECORDING DATA S' OF S� OF SEA OF SECTION 8, TOWNSHIP 28 NORTH, RANGE 19 NAME AND RETURN ADDRESS WEST, ST. CROIX COUNTY, WISCONSIN EXCEPT LOT 1 OF CERTIFIED SURVEY MAP IN VOL. 9, PAGE 2613, DOC. NO. 498385 AND EXCEPT HY OD & CARI, S.C. PART TO GARY W. FEYEREISEN AND RONDI A. FEYEREISEN IN VOL. 2 LOCUST STREET, BOX 125 1375, PAGE 153, DOC. NO. 591110 AND EXCEPT PART TO JOHN R. HUDSON, WI 540 KRAUSE AND JODELL M. KRAUSE AS DESCRIBED IN Q� I -L/ Opp O EXHIBIT "A" Qp G <? - j;C , cr<,, 040- 1037 -60 -000; 040 - 1065 -60 -000 M OF NW'k OF SECTION 16, TOWNSHIP 28 NORTH, RANGE 19 040 - 1067 -10 -000: 040 - 103 -80 -000 WEST, ST. CROIX COUNTY WISCONSIN. PARCEL IOENTIFICATION NUMBER 040 - 1067 -40 N� OF NEk OF SECTION 17, TOWNSHIP 28 NORTH, RANGE 19 WEST, ST. CROIX COUNTY, WISCONSIN EXCEPT PART TO ERVIN F. AND CRYSTAL G. REGELIN IN VOL. 439, PAGE 60; AND EXCEPT PARTS TO DOUGLAS AND SUZANNE CALDWELL IN VOL. 490, PAGE 232, IN VOL. 515, PAGE 437 AND IN VOL. 581, PAGE 18; AND EXCEPT PART TO DAVID L. AND HELGA G. CROSS IN VOL. 468, PAGE 452; AND EXCEPT PART TO ROBERT W. AND JUDITH A. TELLANDER IN VOL. 515, PAGE 435; AND EXCEPT PART TO STEVEN ARTHUR RINTA AND CHERYL ANN RINTA IN VOL. 788, PAGE 122; AND EXCEPT LOT 1 OF CERTIFIED This IS NOT homestead property. SURVEY MAP IN VOL. 6, PAGE 1564 AND EXCEPT PART TO -` —nott) A ti / �. c , JOHN R. KRAUSE AND JODELL M. KRAUSE AS DESCRIBED Purchaser agrees to pur t e openy d to pay to Vendor at SUCH PLACE AS VENDOR DESIGNATES the sum of $ 1,017,200.00 in the following manner: (a) $ 220,000.00 at the execution of this Contract; and (b) the balance of $ 797, 200.00 , together with interest from date hereof on the balance outstanding from time to time at the rate of 9% percent per annum until paid in full, as follows: THE BALANCE OF $797,200.00 SHALL BE PAID IN ANNUAL INSTALLMENTS OF $159,440.00 PRINCIPAL PLUS ACCRUED INTEREST AT THE RATE OF 9% PER ANNUM PAYABLE ONE YEAR FROM THE DATE OF CLOSING AND CONTINUING ON THE SAME DAY OF EACH SUCCEEDING YEAR UNTIL THE FIFTH ANNIVERSARY OF THE CLOSING WHEN THE ENTIRE UNPAID BALANCE SHALL BE PAID IN FULL. ALL PAYMENTS SHALL BE APPLIED FIRST TO ACCRUED INTEREST AND THEN TO REDUCE PRINCIPAL. IN THE EVENT BUYER'S PRINCIPAL PAYMENTS FOR ANY ONE YEAR PAYMENT PERIOD EXCEED $159,440.00, THE AMOUNT OIF SUCH EXCESS SHALL BE CREDITED TOWARD THE PRINCIPAL PAYMENT DUE THE FOLLOWING YEAR. Provided, however, the entire outstanding balance shall be paid in full on or before the 28TH day of DECEMBER f maturity date). Following any default in payment, interest shall accrue at the rate of __2_% per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). 1ea�ttotget�dSS' t6lSxdtsyo�dFat�tlX�j' KtYddlFH�t06AaSArdGlt3kIS34Plt7F7CH�ASt�txOtpcafXBRxotBt�cxmXiTamttttoxmxtx�otsixpne0 [I 7RR toCASS) cf tec} fisstxQL ifa16' R�cinaamtl707e3{ ROtlIItcmx7 ialmxLIO�c5 4<loxt®cRxce��CASIHd}cb{�t $✓ex tt?'RceeaZ0t7f4tllay MX3xoLih Dl: sthf ithaxwlROrotdtttxfiaaablaawxt¢ otzowdpxkacMsadxtELwcegtaa�lcxmtsce�wtRioxRegaoadxll�txarascrtraot { t? laeks3s( 4tt�tt,> Sxsp+ nta4xbsxxbaidlrtasci�axifola�aatArxxaaltaot�secle9 >��tawc Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time sQ1€]t xxxxxxxxxxxxxxxxxxxx gxxxxQpf$J1t *W k5**?ApHfj4H& -) aX 1t�5�f f:pRUGxsston xtit Yew amczc In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, tha 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 THE DATE OF EXECUTION 19 THI CONTRACT C_ ow 0­ LAND LAND CONTRACT - Individual and Co ,c STATE BAR OF WISCONSIN Milwaukea� WK, Form No. 11 - 1982 Wixonan Legal Blend Co., Inc VOL 1589PAG1487 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, exten)fl VX , 1 p T� ND and such other haz:,rds as Vendor may require, without co- insurance, through insurers approved by Vendor, in the sum of3 but Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the insurance premium 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 f regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all cq{ �didit�i,o, s shill] be fully performed Q3? at the times and in the manner above specifted,Vendor will on demand, execute and deliver to the Purchaser, atdFr d, in fee simple, of 9 the Propprert�yy free and clear of all liens and encumbrances exce t an liens umbrances created by the act or default of Purchaser, and except: VV EASEMiNTS COVENANTS AND RESTRICT N9 Of REEb 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 _3.0 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 3 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 Vendors 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 (t) Vendor may, at his option, terminate this Contract and Purchaser's rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchasers full payment 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 (it) Vendor may sue for specific performance of this Contract to compel immediate and full payment on the entire outstanding balance, with interest thereon at the rate in effect on the dace 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 - tide 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 (Q, (ti) or 00 above. Notwithstanding any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as incurred, 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 to 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 Propeny 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 amount then due under this Contract. Purchaser may make 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 other subsequent or prior default of Purchase. 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.) THE UNDERSIGNED DOES HEREBY 28TH DECEMBER 2000 PERSONALLY GUARANTEE Dated this day of _ PERFORMANCE OF ALL OBLIGATIONS OF TROY DEVELOPMENT � y COR�PORATION UNDER THIS (SEAL) �. ^"" S t '° (SEAL) ARTHUR N FFYERFISFN TRUSTEE CH S COOK GUARANTOR � ( ppR (SEAL) MA RILY. FEYER SEN, �TRUSTE L Y V,LO� T PRESIDENTON BY: * CONT , INCLUDING BUT NOT LIMITED TO, ALL PAYMENTS DUE THE VENDORS NOW OR IN THE FUTURE. ** See attached Addendum for additional terms. AUTHENTICATION ACKNOWLEDGMENT Signatures) :- AeMttr N , Feyere/.Sen , State of Wisconsin, f / ss (�Ar 1 t . F ?aF.ellSen atvt�( S Look County. authen� this day of �4 L-er li2V Personally came before me this day of 19_, the above named TITLE: MEMBER STATE BAR Of (If not, authorized by 5706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY H EYWOOD & CARI, S.C. SAMUEL R. CARI 2 04 LOCUST STREET, BOX 125, HUDSON, WI 54 016 Notary Public, County, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date: necessary) 19 ) • Names of persons signing m any capaaty should be typed or pnmed bebw theq sigui.m. LAND CONTRACT - rndiodwt and Corp., r - Su¢ Bar ot,"consid, Farm No. f L - 1982 R NOl. �589 PAGE 488 ADDENDUM TO THE FEYEREISEN REVQCABLE TRUST / TROY DEVELOPMENT CORPORATION LAND CONTRACT 1. Provided Buyer is current on all Land Contract payments and obligations and upon payment of Interest due on the Land Contract and upon payment of a Lot Release Payment as defined below, Seller shall convey to Buyer by property executed and recordable Trustees Deed, one residential lot as determined by Buyer. The lot Release Payment amount shall be $37,746.00 per lot. Ail required annual installments of principal shall apply as Lot Release Payments. AN Lot Release Principal Payments shall apply to the required annual Installments of principal Upon payment of all principal and Interest due under the Land Contract, the Seller shall convey to Buyer by Trustees Deed all remaining lots secured by the Land Contract. The Seller shall pay all Deed Transfer Tax due under this sale. 2. General Conditions for Land Release A. Buyer must be current on all land contract payments and obligations Including but not limited to, real estate taxes. B. That the property remaining following a requested release shall be adequate collateral to secure the remaining amounts owing Seller under the land contract. C. That all remaining unreleased land shall have available access to a public road. AN expenses associated with the releases shall be Buyer's responsibility, Including but not limited to the fees for release deeds and costs of title evidence for released lots. 3. Purchaser shall have the right, not withstanding anything to the contrary herein, to sell lots to third parties on land contract, without vendors' consent and such shall not constitute an act of default or breach hereof. 9 L �- r d/- COUNTY SECTION CORNER MONUMENT, ALUMINUM CAP, FOUND. �"` 0 U � MAGNETIZED "PK NAIL ", SET. • IRON PIPE, FOUND (DIAMETER NOTED). BUILDING SETBACK LINE (SEE NOTE #3). ■ X 314" REBAR, FOUND. —'--- 10' WIDE UTILITY EASEMENT. 2" x 30" IRON PIPE WEIGHING 3.65#/LINEAR ................. DRAINAGE EASEMENT (DIMENSIONS SHOWN) o FOOT, SET. 1" x 24" IRON PIPE WIGHING BUILDING SETBACK LINE WITH TOWN OF T1 1.68# /LINEAR FOOT SET AT ALL OTHER LOT �'- AND OUTLOT CORNERS. VARIANCE APPROVED SEPTEMBER 11, 2000 1" x 24" IRON PIPE WEIGHING (R- ) PREVIOUSLY RECORDED INFORMATION. 1 1.68 /LINEAR i� FOOT, SET. St. Croix CoUn I tY Ro!T�8tGr O f N 1/4 CORNER IT o f BEGINNING NPL A T TED LAND SECTION 16--1 G — — — — — T28N, R19W N 88 E 2616.30' NORTH LINE OF THE NW 1/4 578.17' 1 89. 53' 1 0.45' 30.00' 1308 .15' DEDICATED TO THE ,ry - PUBLIC FOR PARK w • h�` `?`'/ 19 0.400 ACRES i k, h 1.28 • , ry ry 6 ACRES \ 20 17,411 S.F. O 56,013 S.F. ao i a0 0 2.546 ACRES o0 co rLOT 3 $ ) 110,899 S.F. N 25 ACRES N C � 1 4i �5 °000 0 O `� oop' 00" E !,768 S.F. 30' ? N a 2.80_ ?`4 cn s, W R =80' 06 v•/ i ?3 0 10 BENCH MARK: \�A\ 66 TOP OF 1" PIPE 1 8 ELEVATION - 927.00 nr� ^� 1.182 ACRES (NAVD27) 51,478 S.F. j�i p k 2 �� N z 20' 21 N I „ E 302.75 .77' 1 S 81•p 00 0 % ^ �- / G� 2.169 ACRES N 0 23' 48 56 0 5.65 E v, 94,485 S.F. w 98 - ?0 308.5 , - w o 6 q co 245 �� o r 2 9 j BENCH MARK: i 9 � n i N TOP OF 1" PEE g 2 3 ^+ o vi I I W `^° ELEVATION-908.00 ' i + i 1.4771 M 16 "' '' (NAVD27) ;.327 ACRES ' w ` E 3 1.055 ACRES 1 7 $ M ' — - — - 01,354 S.F. 64,354 S.F. - w ' 00" E 369.68 .,• S o 2 I g 45,953 S.F. - $ 3 N 85 °00_ �_; 01 $ h.277 ACRES ^ - _ ••Sl (o o, I 5,609 S.F. o ��' • - �j; N• fi e ? o n r N O - O o� 2 Z N DRAINAGE °0 Z ► O 2.008 ACRES �o - : 4i C33 C 34 - 6 ti 0p �-t .07,492 S.F. ;ENO EASEMENT ion - 000' 00' M . - C32 _ S 810 '_ '3 _� V` oo C44 $r;C46 00 in - —�� 00 00,.E ? 11. ��_`° C47 to •. io 63 N 81 • -� - S 81.1 C4 C41 4 C43'� 5 _ C65 4i C64 0p p0„ W - 00 pp „ - -T - ' 0 W 3 _ E 7 p 18 "i 165.8 -� i ' N 81 • , �� - M 0 40 3 N W N b $ $ 0p 00” ry ' - 00 0' 0 � 20' 211-84' - -►"i -051 - - _ C50 30 j o0 0) C5 ' 3 C52 62 ' 2" Q 2 i 1.228 ACRES N/ $ / O �r-- - 3 —° 31 7 . 53, / V cD 33 3 $�� 1299 AC S 509 S.F. � N b Q 56,580 S. S / co `� $ o o 24 1 ri �, /h 25 cq �, �• \ / h V 1.202 ACRES c "0 ° 0 52,346 S.F. c`~ N v a 69,623AS FES S / 1 0, yj 750 O -41 /oy F 0. . 3 c, 00, 0 1 J N s ,• _ i 1 5 ry / 1.093 � f S�p \ W a`Oo 47,619 S.F. �M', 0 �- �hh i - �O -, 02 9.92' - -J ` N 0 �h 26 10„ 1.164 ACRES 3, p , W� �� 50,701 S.F. ?3 ?8 v � S 3 - e61• 2.41,1 Q. /� nI ITi n T d + 40, V V in / 3.551 ACRES 41 28 / o o // N°� - 154,683 S.F. , 1 a 1.200 ACRES J I o'"� 27 N / 52,284 S.F. N 1.238 ACRES o 53,906 S.F. L41 7.18' _ \ �a� _ — _ •- ? 819.26' 300.06' 519.20' 8-801 -SAC S 88 W 1302.44' :ASEMENTS, R =80' TEMPORARY SOUTH LINE OF THE NW 1/4 OF THE NW 1/4�� I C . N 04 0 50'42" E 80.00' UNPL A T TED LAND I Nz TO RADIUS POINT I V sped to a sc 0v J /� / �, , ` ' 1) and (2), , MES D. FILKINS S -2246 C �GISTFRFfI I e �m Cl ip \ /cvno 1 -_