HomeMy WebLinkAbout006-1052-40-000 ST. CROIX COUNTY ZONING DEPARTMEN
AS BUILT SANITARY REPORT
Owner 2 V l h .2 V N ( _. 1 st, CRUX
Address 6 _ _�, COUNT`!
\, 7 .ONINGOFFICi- J
City /State
Legal Description:
Lot — Block Subdivision/CSM #
'/, / L '/. �, Sec. a3, T-3/. N -R /6 W, Town of PIN # 06 G 1 05 Q -
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION:
Tank manufacturer (A) (QA-a � Size ST/PC / .Z(30 Setback from: House eX4 Well 75 PAL
Pump manufacturer, Model
Alarm location —
(HOLDING TANKS ONLY)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
SOIL ABSORPTION SYSTEM
Type of system: Width /a. Length / 6Z) Number of Trenches
Setback from: House Rt- Well 7 S p/I, /o Vent to fresh air intake l ��
ELEVATIONS
Description of benchmark IU a,- ,Q o-ktt La- Elevation 0
Description of alternate benchmark r3o I+bw, J:L S / Elevation
Building Sewer ST/HT Inlet ?Si 5 ST Outlet q$. PC Inlet
PC Bottom _ Header/Manifold q5, Top of ST/PC Manhole Cover ?,
Distribution Lines () 9 5�1 () ( )
Bottom of System
Final Grade O 9 $ a O ( )
Date of installation 8 /.5 /9 �permit number . -JP ? 770Z State plan number
Plumber's signature
W
License number xk&53 7 Date 9' /- 5 / 9 ,5 1,11
Inspector e
Complete plot plan
1
r
t
NOTICE: Please provide the following:
• A plan view sketch showing everything within 100 feet of the system.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable.
PLAN VIEW
I
INDICATE NORTH ARROW
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safety and Buildings Division Count y ST. CROIX
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary i"2
Personal in you provice may be used for secondary purposes [Privacy Law s.15.04 (1)(m)j.
PNa� Permit H K sr
VIN E] &V [[1 1[ []Town Town of: State Plan ID No.:
CST BM Elev.: Insp. BM Elev.: BM gescription: C�1V Parcel TlOw- 1052-40-000
02> GtiJ )v11_ o
TANK INFORMATION ELEVATION DATA A9800161
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic \AJ Bench m jj ?$ 3
Dosing A L1 6M x
Aeration - ' Bldg. Sewer
Holding St Inlet 1 ?(�$ 3
TANK SETBACK INFORMATION � t � i# Outlet
TANK TO P/ L WELL BLDG. Air stake ROAD Dt Inlet
Septic (gyp ') 5 Z� NA Dt Bottom
Dosing NA Header /Man. g,5
Aer ion NA Dist. Pipe e,.'711
Holding Bot. System 9•(03 Q l 3 , g�
PUMP / SIPHON INFORMATION Final Grade q .9a 51%7/
Manufacturer Demand 4. 5,y4
Model Num GPM
TDH Lift Friction S St TDH Ft
Forcemain Length Dia. Dist. To well
SOIL ABSORPTION SYSTEM
BED/TRENCH width Length ! No. Of Trenches PIT No. Of Pits Ins i Liquid pth
IM i N Z �Ov DIMENSION
SETBACK
SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACH G Manufacturer:
INFORMATION Typ ► CHAMB de N
Sy e t q� 3 ?S OR UNIT
DISTRIBUTION SYSTEM
Header / Manifold M Distribution Pipe(s) t/I x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. Length 9 Dia. T Spacing �_ /gG�'N'I ,qG I.} 2 ?Z 1� S I
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over ►t Depth Over
Bed/ Trench Center /1anX Bed/ Trench Edges Topsoil [:]Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: CYLON 23.31.16.354,NE,SE 2050 250TH STREET
Plan revision requ red. ❑ Yes 01 NO
Use other side for additional information.
SBD -6710 (R.3/97) Date Inspector's 1 44ture o.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
Safety and Buildings Division
Vi sbonsi n SANITARY PERMIT APPLICATION 201 E. Washington Ave.
In accord with ILHR 83.05 Wis. Adm. Code P.O. Box 7969
Department of Commerce Madison, WI 53707 -7969
• Attach complete plans (to the county copy only) for the system, on paper not less Count
than 8 112 x 11 inches in size. 5 x
• See reverse side for instructions for completing this application State Sanitary Permit Nurh
The information you provide may be used by other government agency programs ❑ Check if revision to previous application
[Privacy Law, s. 15.04 (1) (m)]
State Plan I.D. Number
1. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION
Pro y Owner Name Propert Location Wig_
` ` N� t �F 1/4, S �a T 3 r N, R'( 9' W
Property Owner's Mailing A dress Lot Number Block N mber
ate. tj
City, Stat Zip Code Phone Number Subdivision Name or CSM Number
II. PE OF IL IN : (check one) ❑ State Owned ❑ lty Nearest Roa �S
❑ Village c+�
Public 1 or 2 Family Dwelling - No. of bedrooms own OF o J
III. BUILDIN USE: (If building type is public, check all that apply) Parcel Tax Numb r(s)
1❑ Apartment/ Condo Q Q (0 ` I C) — 2 1 0
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining
4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash
5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable) )
A) 1 New 2 E] Replacement 3. ❑ Replacement of 4. E] Reconnection of 5. E] Repair of an
1 System System Tank Only -------------- Existing System_________ Existing System
B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non - Pressurized Distribution Pressurized Distribution Experimental Other
11,KSeepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 1 i 42 ❑ Pit Privy
13 ❑ Seepage Pit 42- X lop 43 ❑ Vault Privy
14 ❑ System -In -Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
Fee
i Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft_) (Min. /inch) f[ Elev _qtion
0 p , t Feet
Capacity
VII. TANK in Ca allons Total # of Prefab_ Site Fiber- Exper.
INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App
New Existing structed
Tanks Tanks
7 nk r Holding Tank ✓ IA50 tr" ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ 1 ❑ ❑ ❑
VI11. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
PI tuber's Name: ( t) Plumber's Sig atu : (N tamps) !/MP SW No.: Business Phone Number:
o r fo S l3
Plumber's Address Street, City, State, Z' Code):
r ce h V Q.
IX. COUNTY / DEPARTMENT USE ONLY
❑Disapproved Sanitary Permit Fee (includes Groundwater Date I ssued Issui gentSignature(NoStamps)
/
®Approved [ Given Initial I $�°0/1 Surcharge fee) �
Adverse Determination
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD -63M (R.1 1/96) DISTRIBUTION: Original to County, One copy To: Safety 3 Buildings Division, Owner, plumber
I
INSTRUCTIONS
r
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the
Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the
county prior to installation
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever
necessary, usually every 2 to 3 years.
6. !f you have questions concerning your onsite sewage system, contact your local code administrator or the State of
Wisconsin, Safety and Buildings Division, 608 - 266 -3151.
To be complete and accurate this sanitary permit application must include:
!. Property owner's name and" mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed.
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is public, check all appropriate boxes that apply.
IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested for numbers 1 through 7_
VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and
manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and
holding tanks for this system. Check experimental approval only if tanks received experimental product approval from
DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.),
address and phone number. Plumber must sign application form.
IX. County/ Department Use Only.
X. County/ Department Use Only.
Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must
include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic
tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon
tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served;
B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume;
elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section
of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
'Pl �)
_ dam.
r,I (-k _ a37- -/6 (AD
13 R7 ,-- A cb.
ur
QUO.
4- 61 0 , S - 3 7'
t1'C. .S c3
L O
p
_ D
E/ qo'
.:
_ '._.._.
I
..
I ,; I
.; _
. _. , w � r
f
i
:•- -
_ .. _. _. _ .. ,. a _. __ _
r .b... � 4
� �
� ;
_ —..
��_ ___
t �._
. •� � � � i i
• -
_.'_ __ _ - 1 --
I
; E �
-.
� I
� !
t � _ t ._
• ,. ,,'
� �
� E � I
- _ ., _
- - - -�-
r ,. rt
'.
� } � �
�. � I
. �: 4 � �
s I
t.
._
i
i -- _ _
.�
I
i _ ,_ _ __ _ ___ __
r
-_ : _-�-
i
fi'_.
j ._
LL
4 i1�
r 3 a
r
i,
¢ i ,
{
1 i
_.
j _. — —__ _
_ _. :..._ _� _ T— _ _
I
,�
.�
;�
i - ?
__ _
sr,
i
� '+ �`�
i
,� � i �
_!._ i
� li
'', ¢ - .-�
f
I I II
_. • * _. I
i
,_ �
,. . n
_.__.
._ _.
_ ._ . _
... _ __
'`,
i
i ,.Wisconsi e n Department of Industry SOIL AND SITE EVALUATION REPORT Pa / of
Labor and Human Relations Pag
& Buildings in accord with ILHR 83.05 W�_rrG.
Attach complete site plan on paper not less than 8 1/2 x 11 inches in si?f�.�F. 'n must 44ude, but
not limited to vertical and horizontal reference point (BM), direction ano Slop ,, sr slw or C ARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road.1 -- 4 "' C (p 5
APPLICANT INFORMATION PLEASE PRINT ALL INFORM Tf ".t " r VIEWED BY DATE
PROPERTY QWNER: PROPtATYLUCATION
(M `Q� ti t, L� GOVT l.Q7 .' •s =1/4 1 /4,S 23T N R (or) W
PROPERTY OWNERS LIN ADDRESS LOT # BLOCK # SU NAME OR CSM #
r� v� . 4 pe as
CI STAT ZIP CODE PHONE NUMBER ❑CITY ❑VIL Ca"c OWN NEAREST ROAD- CIT V 6 ► a JIL -SoSL D
New Construction Use Residential /Number of bedrooms [ ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow _(CO gpd Recommended design loading rate bed, gpd /ft . s trench, gpd /ft
Absorption area required /410 bed, ft / 600 trench, ft i Maximum design loading rate 5 bed, gpd /ft to trench, gpd /ft
Recommended infiltration surface elevation(s) F— 9 ft (as referred to site plan benchmark)
Additional design / site considerations
Parent material 6 �S 0,6 1 Flood plain elevation, if applicable & ft
S = Suitable for system CONVENTIONAL MOUND 1N OUND PRESSURE x4 % DE SYSTEM IN FILL HOLDING TANK
U= Unsuitable for stem S❑ U S❑ U t.❑ N U �Q �� U ❑ S U ❑ S � U
SOIL DESCRIPTION REPORT P 1 S 4s6 S;J
Depth Dominant Color Mottles Structure GPD /ft
Boring # Horizon Texture Consistence Boundary Roots
, I in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends
Ground 3 y 36 s ( 1. 24 , gbk M ; 1 4 , �S `
elev. L , _
p S O C 5 th ► C LJ ,1 ,
Depth to
limiting
factor
�b
Remarks:
Boring #
f - b 5 l
Ground
elev. a6 /D t _. s a W S �p
VIJ ft.
Depth to .S y - 74 lo v 5j to y . $ • �o
limiting
factor
Remarks:
CST Name:— Please Print '"" Phone: W S ✓ yb
Address: o a c
Signature 6 Date: CST Number:
PROPERTYOWNER kvjj Dr r14;k SOIL DESCRIPTION REPORT Page
of �
PARCEL I.D. # w
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
S ► k r •
Ground 3
12
elev.
A 17
Depth to . j
limiting
fac 7 �
Remarks:
Boring #
Mn , 3
IF
s
Ground:: -' In 5 , c S r S Sf �' ,�k 1 . S
Depth to
elev. V643
S 3_ w S oL
limiting
factor
Remarks:
Boring #
1 ,0 -_5 r 2 / 5J AX m 4 cL4S . 3 I le y ,5
Ground _
Depth to
limiting
factor
Remarks:
Boring #
3
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(8.05/92)
I
ili'^ ��, v► r � �- �C I I (yam .,}.��_ i �!� f rl(� Gc7
139 I -
II l --
-�
I ,
i
I
I
I
l
I
:
I
' r
53 1
:
I '
I I I I I I j
I
I I i I i
1 '
I I
/o
I
I ,
,
I
I
I _
, I
i
J
I
: I
I
1
I �
I I :
I
'
41
4 v
I
1,
J... I
I
I I I j I j i
i i i I I I I i I L I
I
I
I
I I
I I
� II
I i I
- I
f•
i
I
I
I
I
' I
I
I
i
I
- I -
;
i
I
I � I
I r
I �
I I
I 1
I I I
I
I I I
I � I
I
i
I I '
I
r
I
i 1
F
h
I ,
I.
_ - - -- - -
44 1 1 4-
_ i I i
I
I I
I j I
I
I I I I -'
' I
'
I
C r o 1 Of p � A Z ot , S. s �e0 -7 1
138?
F lath Ali 1111$16 And Obtdrrallon Pip•
l APPl0144 Voris Cop
•• ►rinlmum 12' Abor$
Final Grod$
20- 42' Apo.$ Plpp _ 4' Cots Iron
To final Grod• WAS YIP•
_1+aln Hoy OI SymMlk Co+$llny
Lin 2' Ayplopol$
Oru pip 1, -
Dtttl Ibvtlon
0 0 0 Tod s
4' AOYI$pdt$
8#11641h Plp$ ° Porlmolod Pip$ bolo.
1 - 1 —00 0 1 "ll Taonlnollnp AS
Balloon 01 Srsi$m
9�
SOIL FILL.
DISTRiBU PIPE
'i APPROVED swTur -TIC COVCR
2 —1- -,. ,- /1ATERIJ�I- OR 9" OF S TRl, W
Oil MARS► RAy
g' "Y�q• (e - 2 i /z AGGREGATE
ELE V. of FEET �
1)ISTRI15UTIUN PiFt: TU BE AT LEAST a 7 INCHES BELOW ORIGIAIAL GRADE
AAJU AT LEAST LO INCHES BUT 1.10 MOKC THAN 42. IMCHES BELOW FINAL GiLAOE
MAXIMUM Mrii OF F-XCAVAT100 F?t OWW 6RAVR WILL BE INCHES
INNI 1UM 0grti of EACAVATtmN F 01A 0�14WAL GRADE WILL 5E INCHES
I '
SIGIJCD:
LIGCN5C A)UMBE11: 0 S3
DATE
- - -- - - -- 1 I o
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer � C 1n. �:) -e- V` t c 1 —
Mailing Address g r r•� '
Property Address Q05 S - 5r .
((Verification required from Planning Department for new construction)
City /State A64-2 P JWA CP^ Parcel Identification Number O D b —1 'D 5 a
LEGAL DESCRIPTION l
Property Location %4, s� % 4, Sec. c.3 T 3,) N -R 14 W, Town of
Subdivision Lot #
Certified Survey Map # . Volume . Page #
Warranty Deed # 5 78 3 ?3 Volume Page # I'l Z
Spec house O yes 0 no Lot lines identifiable 5d yes O 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 form, signed by the owner and by a
master plumber, journeyman ph tuber, 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, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic em has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the three ye exp lion date.
c
s i -1 /pf
SIGNATURE Of APPLICANT DATE
OWNER CERTIFICATION
I (we) 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 prope escribed ov , by virtue of a warranty deed recorded in Register of Deeds Office.
r —'0601� .? / / / 9
GNATURE 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
STATE BAR OF WISCONSIN FORM 2 — 1982
A�RRANTY DEED
DOCUMENT NO. OL I•��Owd-92
I
Bruce W. Warner and Bobbie J. Warner,
husband and wif e
li 7P ER r
t' c
Q9f X 51
I I
conveys and warrants to Kevin L. Derrick and Lori A. i� MAY 0 4 1998
Derrick, husband and wife, as survivorship
8:30 q
� marital property
Re Istor qf q4p
THIS SPACE RESERVED FOR RECORDING DATA
li NAME AND RETURN ADDRESS
the following described real estate in St. Croix County,
D
State of Wisconsin:
I I
()()h 1 05- 4_fL50
PARCEL IDENTIFICATION N MBER
The N2 of SE4 Section 23- 31 -16, St. Croix County, Wisconsin.
TRANFER
$ 3 o
FEE
is not
This homestead property.
(is) (is not)
Exception to warranties: Municipal and zoning ordinances of record and
recorded easements, restrictions and reservations.
Dated this '?e�/A day of April A.D., 19 98
(SEAL) �� i W `"' (SEAL)
BruCe W W2rnp 'r
■
(SEAL) (SEAL)
Bobbie J. arner
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) State of Wisconsin,
ss.
St. Croix Couu�
authenticated this day of 19 Personall came before me this GG day of
Ap r i , 19 9 8 , the above named
Bruce W. Warner and Bobbie J.
Warner
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by §706.06, Wis. Stars.) to me known to be e TStiit'" s' ` Wlio el ecufed the foregoing
instrume t and ackpowle get a same
THIS INSTRUMENT WAS DRAFTED BY
Bert D. Petersen, Attorney at Law
Clear Lake, WI 54005 Notary Public, S =' County, Wis.
(Signatures may be authenticated or acknowledged. Both are not My commission i permantriiti,N: (1f -., b6t' state expiration date:
necessary.) 19 9 )
c
' Names of persons signing in any capacity should be typed or printed below their signatures.
STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc.
WARRANTY DEED Form No. 2 — 1982 Milwaukee. Wis.
;,,er p- lnm,us to pit,, w . •wo all i.o,xe-, all,' it . -vitd in t! 'e Il•-iperty jr up,,n Vooin t
t., %i r!d ir , i do" .! v� I �g "0. Pur h ree , t a T1
1989 axes due j , n lieli of"1;P,
I I I — '.. t t o :? 'l
1., Il . I I 1 11" 1 , Ae ? r, 11, .1 . . 1. . I
., ,- 'tkcl.' and ..r W"Virdil ;,-.4 Ve4idor ni,y ,-yi,r, , w,itji, it co-n2urut cc, olrougli iasu,erh . tl,l,r ove
Il t 1 i, (1 r $ N/A , nut ' -ill not mfitiire coverage in rai arrount more
11', - , %4 r to it i nwr hloul' i tl i. �n pi(wisunis when u,;e- 'It-e shall
1); P - 14'. t , 1 1 , . I.' l . !, ' "7 7 ! 1 , \ , Ir'.4 %t Y owl, ,ti.erwilse agrepli in writing, the original
A poi :es ova-i_ tho Vr r ..4 1 ^pribd WAt 1'. -r tall promptly give not,--e of lore to
4••:1,3nws mid Vt t:iw-i3 Var•f— and Vendor rti.,iw, :p awrei ;n writing, Insurance proceeds shai
t, i-•i• r i or rvpnir of tre 41 in L ived, e V•rdor -J --.na tole restr)rat or repair to lie
trio oi!) !, j•T e.
1 h; r i,: if, rvJ to c ;ir %*_4t n or W:.to- to i- !l,rpe to !i:ct:jj the 1
Ill vo•I !t:r —A rt;,;r, to kerb tt-e V.,,pert, jf-! "r V the i;ec of t Contract, and
Ili , •I, -i; w.1n all r w.anc— at: rvig".iia! i idrect. : it ti l
v I
V,:Aor Oilt in e;, q, v pri,.l! w ai ;Inj 1" .or -%;.a% f `j;)v paid and all1c
.wall lie lull) r .rt at tvv t- -t _,r.;j in uiv nimiiwr pe -i ill un .:nar I Xeo -Ite jl:fj IleilVtr to
for Pirc ., -% arr;a,t; 1 - -1. ill jj.V of tr,_• jsfr : t . (,! -ill • ro; ;,r I erv Jtnl:�:6no exr;%tot
als) ! :•n, or •. .• itl,ra. ,"1 1' 1 ! e a ct or ( J•f.-I I' ' ' I'll-' A Ir il.-I PAI. Municipdl and zoning
ordinances, easements and restrictions of record.
r w -s 1, ;tt !,i:i•• is 0.(- aLti-I tit I in n it its the payl it of any prin••ilial or
jiltui--t. -.1 wt suer !, r It 1-i i 6 Q d • it 0 e &-v L :• i h) in the ev of it 114-fault in
ll4rrf of mr. other -,f Ptirci:%-, I- cont 'n n — f r. I, f ... 60 . dare :r,)jj,,.,,,,., written Put :
V, r,lo-. I ;w! , nail r -uw, • 1 r--rtifiv-1 ii,i.;; t t 1 i- -It-twidins! t,iJ;in ;in this ( .cL
1- . ..... lie 1", . l �, ;A6. '91 1;l. "I V, . i,.l ; , ! -it v I %% i Pu rc l'—ser lo-robll
;A V n !..r Ili 1!- t he 1 , ! . :'ht:
.111,: 4 C, J to �s: .. nr— iled 1:y law ill
i !"', .. k .. ; Vt I;q .1 r.:,. 3t. 1 1- r.. I. : its , , i t te Lord
t —, I' I * 1 ., 1 .!;A 1 11! .;.J1 ".1 k., 1. �!j ro. • it ii in% , f
I �!l Z ., d il.t' .". fit W "!.l t .0 1 %, to
h.. •1.,: 4 . , :.wit it .4• 1 N!,• 11 1 1 i I I I -'I IWl - Alit! I -t her arnfit; -it.i d lo rt I whil. P: #-.% ;oil anvoint,4 or r for Z i' iiJil
"li Gnt aril as r(
cv•: -.,,r , r F�l r ! ;I r , k of ll�i.4 Cons.ract t, "I'll,
V I ,?, at ti i :it.. it, t.erf : L r•n tr •ot. (•,
4,d it iml Pcro Lot;,
r 41 11-1 1 ill I- or ill:., jr?;nn
I V, s, it tt..l 1.1 "n tI in to -t:t le
ni I S"Vile
an'
Ts. it I , r !.I 1� -n or .: t' e W .. i
W'', ,zol it I r; r r !t- Vs.% l(ir. f-t( tin .f any
...... a :n tiz-Ji'" ar"I :, t, and xj•n:vs
oi-: I who r •
or W.1t I to, the
r I i..,i to, , t I! r
.... .. T d to 1 , r , 'j).j! lkTjlj I' I'LA its I)-
01C F Ill ilt (4 r a )f I .;rt ; r this Contract, Purchaser consents
to t ss a v, r nt :I rere:ver of tiie ;nclljd*ni: n-imestead int--est, to r,)Ject the rents. ..= and profits of
,;erlcy 5 "i--d ;lc rrtit., I :sj", ri-I prifi•i %ornen so collected shall he i.eld and
y xi,. lei_a: or i i�lkrtt in t1.e Prnper'-. (h;; a%signment o! any
1 tilt -! nn h - w- i prier rittrn
V
r1; 't i4 nr * :rt t
t Z ,4
nr . ti". qsin-�re
�r at it I e�
oif illa t e I I'l! :,
I t! tl • 1;I 1 ( of
: rr , ! rte P
4" r C I z . ? - �, :l 1 1 - L I r, P;! 1'. : t ri -
ti. tl P ]PzRl Pre
r i , ,t n,
0;p P r4r'y pv r Voindor for a raha
z zhic I n oer .,•.d RL stl ; nin : r, the exp"oution of tne
October 3 89
Mathew J. Ega 'Bruce W. Warner
- AL
Jovce M. Egan Bobbie J. Warner
t - r ix o N 7 1 C A 1 0 1 4' ACKNOWLEDGMENT
:i t hew J. Egan, Joyce M. ' N
Egan, BrVce W. Warner and Bobbie
J. V.'a r n e r October
ti, daY of
tr.e J we nan , ld
Scott R. Needham
A is .1 tiie
- )f -, i n!- t r a , \', D% . k & Needham, S.C.
201 Soll.jth Knowles Avenue, Box 127
":c'i7 ul 54017
r. .l : :`�
V
101j
)r , t,- Property' ) r op,.n V-!n-1o)r'it t
Pur- p - mi,it 1&) pa w-
s n -top all t.ixe-• anf: u v-11, -vitA
;jI,.j I,] r , -i dep-, *A ro: %: Il � Isl!'g Pur h ser ees to4afir
1989 a due i , n, 9 ?. 0, i r,--
I T e
to q. ! I'a , r I . f L � 1 11. r
tvy.,J•li J•vr•l• irol .,Lc'. .)L 1&i.%rd: ;,% Vt!;,dor rii.& r•lili-r- W1 it co-ai2iji-w cc, L nroueh Insurer; t
by N/A b ut VVIA• -W rot '...qvivre U'vilr[We tr. 14n, arrount more
r to I i t v r, .!, • :;L; , r tsloui i it--- 1, ir.— 1,1(w iumm when u,.;e, r itie 1) I. -S 11
. ..... veri�,g ti,p Vrtq rt� O Y.
ivs .,
wi-r'.i oit -,t u!,;i.!�, ndor •,ti.vrwi.e agrees in writing, the original
of a'1 &. w , tt . P, !.all promptly g ive not,--e or long to (•Wpaowit avd Vwl,juj. '1,*r,i--A3 Iljr06.00r and Vendor oti:;•rw: avree ;n writirw,
inaurancrpro cieds sha:i
w apt,i .•,i i ) i r if or rel•air -f it•,e d to tged, l.•;1 t, e V ardor the re%tr)rntion or repair to be ,
Ptir h: r is i.: i "'J tA) e ilr w,r tv%-tv to he r ! to !, the f
it, ter cond.t-• ., r,r;:J_r, to k#-vI, tt-e Vpvrt.• 'r ;ptri to. 0,P 1;er. of t Contract, and
%%'.Ill al !" , ' r ii! xi rvrui;0i4n, Ldrtct-::9 U v
\', •;,! t jkt �❑ c:c t: *.;e * I *,•ve prit.,! w 1R lu&v paid and u!! c
• +wol tie Icily p• r' l.rii-d at tre ,!,,j in tne ni;imm-t j)- on 'r3te""Le i delivtr to
it!( V rcl i .Tarrant} III it-v -impie, of v%i: W :ill It..ns ar 1 en- -ance%, except
ar., !:en, or •. . xes ei-•ati•l lly t! e arc or •fft It 1%' A ( f ; e x,:••pt. Municipal and zoning
ordinances, easements and restrictions of record.
r w ...... i t :l' , :. i:s•• is * I it i -it o. n! a !ei. ilk the payot, tit of any prin••ipal or
!, r R Ii t .... I , - . - 6Q d follow, v • 1..* t e !. j th) in the event of a default in
otlwr Ji:;vulimi ..; Pitrri�% r I . . , I t o m i t i of ..60 . day- mritt,I-n nut -
0 V r p ' r !j j j.r ' 1 1,, c maii), t it balar'... ;indler thi�; vontr:xt
,� Ott' li;.;C!% •I-., 1 ;;t1 ' 11 Aj, it V, I." S .,,t 'CA A llarctser )&robv
V n io r I % to; r t ' l i I j o to j.j ):t - 1 i i in
jj! and
t,'
.Its! :in%
I.. of !Ipwl !I
to !)r!
it I;,' and .ther aniou - lt-i d (' lll�'
r it iij tlti. C,itit :ict ar-I uc
: r f -) r !, i t F' C C 0 i I IH I . ( " 'o !*: iCt t
J! n it i I a t.- in o 'ff : t r.r. t! --tv
01 !Wt.1 at ;, i-Ii. - ial ,:to kn;l V a�
1, r 11 V it I ►Vr pe r i, io 1 - c. r, t i or ir% port.
i r I to :J ;wv to 1 r c a
I . !jjj t .t ill r-n .Xc in a
mi'l IVI r tit
% wl ;I. i�m
po .-Is .
'A I t 1 wrttt I t r n of N*,"'ri,ir, -tti cde0i-ti .f any
A 'Xj,-,nm-S
i... 1 to We
d v pr tt and p; Y. 1' T!MS 1'. it- A'
1 it
,A, Irk w.y
..... 1 .1 C n V 111 &j-_ $z e t end f a it act nn of 4.), kc I n ire r'' tti ie Cont raet, Purchaser consents
t t a P I,- vnt a rvre!ver of tiie 1a, ;ncitid n-mesteall Ai e s, profits of
t. to cosine' the r"nts, ; � t s, a
t' ;,- o so collected shall he 1 and
, s , Ic h act I :sicA. ar-I -,lrDfi' i ad; en
It-1; nr i r�*irv't in tt.e Propter'•- i1";; a%signment of any
f I , ir
a I �P rr�nr r:tten
,. i ".i C r rm It - nr,v oth, - %V
-
rt. !o CY1.71 e
f1, N. at
V <t t . f
h-. t;..--er
:1 :1
t P :il er ":Al he r !v
+
• tl�!o • P feral
to tj - P 4 tF
r- Vr-ndov for a ral•illlil,:P
V I r P - 1 r
to : rmn �n tf-e execution of tee
ihic t I r�;i�er _(j RL
October 89
1 1 vj 1, A 1.
.Bruce W. Warner
Mathew J. Ega
U A 1,
Joyce M. Epan Bobbie J. Warner
A r ;i r 7 T I C A T 1 0 N XCXNOWLEDGMENT
. t hew J. Egan, Joyce M. N=!N
E( Bruce Warner and Bobbie S.
J. 1 r n e r October day of
t ..I i ce nan ed
Scott R. Needham
.1 the
"ein-tra, t'an D% & Needham, S.C.
2c)1 solith Knowles Avenue, Box 127 Wis.
e v: UT 54017
V t.
0