HomeMy WebLinkAbout020-1029-80-001 (2)
V 10,4L
STC 104
AS BUILT SANITARY SYSTEM REPORT
OWNER
ADDRESS T.
%VI~~J~ti' f~ '
-")U "'Ty
SUBDIVISION / . CSMf TrC
SECTION
T N_R W, Town of
-
ST. CROIX COUNTY,. WISCONSIN
PLAN._VIEW,.
SHOW ERYTHING WITHIN 100 FEET OF SYSTEM
0
2 V X 6-6
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
5
r t
'BENCHMARK: 5'067 -e cz S
ALTERNATE BM: '
:SEPTIC TANK / PUMP CHAMBER J HOLDING TANK INFORMATION
Manufacturer: Liquid capacity: 1 ?ed
Setback from: Well ~d
House A Other
Pump: Manufacturer Rodel _ Size
Float seperation Gallons/cycle :
Alarm Location
SOIL ABSORPTION SYSTEM
Width: y/ Length J-d Number of trenches
Distance & Direction to nearest prop. line:
Setback from: well: /eW,'Z-House Other
ELEVATIONS -
Building Sewer ST Inlet: ST outlet:
PC inlet PC bottom Pump Off
Header/Manifold Bottom of system
Existing Grade Final grade
DATE OF INSTALLATION: Q7
PLUMBER ON JOB:
LICENSE NUMBER: ~Joo `
INSPECTOR: /117c~
3/93:jt
Wisc&sin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Sabot a uman Relations INSPECTION REPORT ST. CROIX
Safety and nd Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION 284293
Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.:
JACOBS, ROBERT HUDSON
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
i6 -lxz G 020-1029-80-000
TANK INFORMATION ELEVA ION DATA A9700062
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark ID /y
Dosing
Aeration Bldg. Sewer
Holding St/ Ht Inlet 01-''7'
TANK SETBACK INFORMATION St/ Ht Outlet
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic 7oZS ' 'Sv` 90 NA Dt Bottom
Dosing NA Header/Man. ,/Of .S.o'
Aeration NA Dist. Pipe 9 5-/
Holding Bot. System ,x;106' fq 11
..Z.dS 9vvS
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand
Model Number GPM
TDH Lift Lricti System TDH Ft
Head
Forcemain L per6th' Did. f Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length~_ No. jTrenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS ` O DIMENSIONS
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
SETBACK CHAMBER
INFORMATION Type 0 1<..~ Y Mo el Number:
System: >/d, ~lpp 41,A OR UNIT
DISTRIBUTION SYSTEM
Header/ Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. Length Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center a a Bed/ Trench Edges ( Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: HUDSON 16.29.19.135,NE,SE COUNTY A
/d0
Plan revision required? ❑ Yes ❑ No
Use other side for additional information. 9 q~~lrt~fs ~o
SBD-6710 (R 05/91) Date sp o "Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH '
SANITARY PERMIT NUMBER: .
Safety and Buildings Division
SANITARY PERMIT APPLICATION Bureau of Building Water Systems
201 E. Washington Ave.
In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969
Madison, WI 53707-7969
• Attach complete plans (to the county copy only) for the system, on paper not less County 1
than 8 12 x 11 inches in size. SL , Cr 6
• See reverse side for instructions for completing this application State Sanitary Permit Number
? 00 ar9&
The information you provide may be used by other government agency programs ❑ Check it revision to previous application
IPrivacy Law, s. 15.04 (1) (m)l. State Plan I.D. Number
1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION
Property Owner Name Property Location
ob a(ro eM54,- 1i4,S 16 T2g ,N,Rl¢ E(or)
Property Owner's Mailing Address Lot Number Block Number
.4 r r
,:r dety g "d City, State Zip Code Phone Number Subdivision Name or CSM Number
II. TYPE F BUILDING: (check one) ❑ State Owned ❑ itr Nearest Road
~t~,,// ❑ Vil age
Public 1 or 2 Family Dwelling - No. of bedrooms Town OF
III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s)
1 Apartment/ Condo 41.2 d ' llJ2 ch0 - 1 g~ . 13 C22 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor R creational 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. g New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
______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 ® Seepage Bed 210 Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit 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
~Q Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) D Elevation
,ell /;Zoo ~04 Q d Gr- l y" Feet 7r S Feet
VII. TANK Capacity
in gallons Total # of Prefab. Site Fiber- Ex er.
INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel Plastic p
New Exist in structed glass App.
Tanks Tanks
Septic Tank or Holding Tank .1 Qf~ G fir r/ [3- ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber L -1
❑ ❑ ❑ ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite se ge system shown on the attached plans.
Plumber's Name: (Print) Plumber's Signature: (No Stamps) MPRSW No.: Tusiness Phone Number:
C
Plumber's Address (Street, City, State, Zip Code):
.00 L "11001
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sa nary Permit Fge (Includes Groundwater ate Issue Issuing A en;F~
(No am )
A roved w] Surcharge ree)
Xpp ❑ Owner Given Initial / (yUt 9
Adverse Determination !J X. CONDITI N
S OF APPROVAL/ REASONS FORD APPROVAL:
SOD-6398 (R. 05194) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Giwner, plumber
INSTRUCTIONS `
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. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of
Wisconsin, Safety and Buildings Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
i
1. 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.
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Wwonsin Department Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
Lalmil,and Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
. COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (IBM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. 0 2.0 - 1 D Z 9
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
O~~ZT ~~~0 $ S G%%. 6 t--) 1Z 1/4 SF 1/4,S ) 6 T Z c N,R 14 E
PROPERTY OWNER'.S MAILING ADDRESS LOT # BLOCK If SUBD. NAME OR CSM #
5z(- C-Zvr-" ° )N " - _
CITY, ATE ZIP CODE PHONE NUMBER OCITY []VILLAGE EFOWN NEAREST ROAD '
\,S W,3 IIAU I S V lil I L; 0157 38 6 - Z Z1s A
pd New Construction Use Residential / Number of bedrooms L/ [ ] Addkn to existing building
[ ] Replacement Public or commercial describe
Code derived daily flow b O~ gpd Recommended design loading rate • s bed
gpd/ft2 - trends, 9Pav
Absorption area required kZ-00 bed, ft2 trench, ft2 Maximum design loading rate • 'S bed, gpd/ft2 - 6 trench, gpd/ft2
Recommended infiltration surface elevation(s) 1N =`tl t; c,- U ft (as referred 'to site plan benchmark)
Additional design/ site considerations S NOt t 'O titvSmti~ CS2 0' 1\3 P or- 1r 3
Parent material SL L" Sftl i,~ L--)VT- ova Zo,-N R s N Flood plain elevation, if applicable N - - It
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FLL HOLDING TANK
U= Unsuitable for system ®'S ❑ U ❑ S 91.1 JQS ❑ U ❑ S au ❑ S [@ U ❑ S Q U
SOIL DESCRIPTION REPORT
Wule. l'O L 5
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Elotndary Roots GPD/ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. gW lends
tl fp: \Y
0-36 \\l`tR L Z - sL ZM S bk'~ C~v - 5
Z 36-q 2 S \t V-- 313 - s I Z'nsbl-c h1 v ` ~S • 5 .
Ground 3 42 SI ~•S`ttz 31y - S ~G►- (3 S9 wl C-S .1 .8
elev.
98-S ft y SI-L9 Z.S `tom V/L - ~g 0 g Ivt C g . S _ L
Depth to 5 69 -9 Z vO `t tL Y / _ 0 S I 1,.1~ - • S . L
limiting
factor
A ZY
Remarks:
Boring #
b -32 ott~z Z~Z - s1 1 2 g~~ w,~V- e-,4v, S
Zk.. Z 3i-~t2 ~~~-12 3L S) 1 CS~IZ ►nutr ew .S
- ~S S g • S
Ground 3 41-86 S `t tZ V j
elev.
9&D ft
Depth to
limiting
factor Remarks:'
CST Name.-Please Print Phone: Arthur L. We erer 715-425-0165
grer Soi Testing & Design Service-P.O. Box 74 River Falls,WI 54022
Sgnadue: q 7 --6 y Date: ~l c)cL.7 CST NumW:
'L yt_.
M00 5 7 6
I 2
PROPERTY OWNER ~PCCp\3S SOIL DESCRIPTION REPORT Page 'Z of 3;.
PARCEL I.D. #
Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.. Bed Tw&
tJ-3o \ r3-1\-Z- 7- Si.l try, Sbh VA e w - s • 6
r.: 2 to-\j ( lu ti \Z 3!y - S11 Z ~n s b1z VVt`~1~ e s • r L
Ground 3 4V-S-1 ~.S 9Q 3!X V,wiv C S • 5
eLev.
y s~-91. S `1R ~l - `Fs o s v►~) • S L
Depth to
limiting
factor
964
i
Remarks:
Boring # ) 0-33 10`l2 Z 1 - S1 Zw, Sb~~^ Cw ' S • `
13 Z 33-Uy 1.S` M 3l SI ~CS~ vif Cw •\L 'S
S b
3 ~U-l~l -1 S ~t Q elf, - `FS t~ s3 w, - •
Ground
elev.
?ft.
Depth to
limiting
factor a
7 tot '
Remarks:
Boring # z 1 z - s i ~ Zw, S bl~ vv7-'F~ ~ ~ • S ' - ~
0-~-3 1.0`-11Z
5 Z Z3 -3 L • S `t ti 3f S) s b1z ►m V `fit kj • ~l •S
3 36-57 S y IL Yl(.S u S 9 vh $ . S
Ground • S
elev. S-) An l u K kZ ~-l ! S O s9 YA
9q •0 ft.
64-) T
Depth to o wS O -
limiting
factor
? 99"
Remarks:
Boring #
13
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
1
Page 3 of 3
PLOT PLAN
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CST Signature Date Signed Telephone No. CST #
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER _e
jg6 ~ c ~b S
MAILING ADDRESS 6-c2,:'e'
PROPERTY ADDRESS -c n'~ t1 g e~.
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE
PROPERTY LOCATION c14F 1/4, 1/4, Section l~ T_g g _N-R l
TOWN OF ST. CROIX COUNTY, WI
SUBDIVISION LOT NUMBER
CERTIFIED SURVEY MAP -,VOLUME G , LOT NUMBER
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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank
as a treatment stage in the waste disposal system.
St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost
of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County
accepted this program in August of 1980, with the requirement that owners of all new systems agree to
keep their system properly maintained.
The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner
and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1)
the on-site wastewater disposal system is in proper operating condition and (2) after inspection and
pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum.
I/We, the undersigned have read the above requirements and agree to maintain the private sewage
disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR.
Certification stating that your septic has been maintained must be completed and returned to the St. Croix
County Zoning Officer within 30 days of the three year ex 'r tion d
SIGNED:
DATE:
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
r This application form is to be completed in full and signed by the
owner(s) of the property being developed. Any inadequacies will
only result in delays of the permit issuance. Should this
development be intended for resale by owner/contractor, (spec
house), then a second form should be retained and completed when
the property is sold and submitted to this office with the
appropriate deed recording.
Owner of property., g;~ 0,6
Location of property_.,0l/4s" 1/4, Section /6 , T a¢ N-RW
Township ec~Cs- Mailingaddress 5-RC Grw,vey//~~j
ad t
S~Ya 6
Address of site
subdivision name &I a~T Nts Lot no.
Other homes on property? Yes No
Previous owner of property
Total size of property 71141 arms
Total size of parcel -!5-,-;;
Date parcel was created
Are all corners and lot lines identifiable? Yes A_1 No
Is this property being developed for (spec house)? Yes
X_No
Volume &0oVZ and Page Number 12 as recorded with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE
NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a
certified survey, if available, would be helpful so as to avoid
delays of the reviewing process. If the deed description
references to a Certified Survey Map, the Certified Survey Map
shall also be required.
PROPERTY OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the
best of my (our) knowledge that I (we) am (are) the owner(s) of the
property described in this information form, by virtue of a
warranty deed recorded in the office of the County Register of
Deeds as Document No. and that I (we)
own the proposed site for the sewage disposal system orr Ie(we)
obtained an easement; to run the above described property, for the
construction of said system, and the same has been duly recorded in
the office of the County Register of Deeds as Document No.
Si ture of Applicant
FCo-Applicant
Date 4Yi-s-ignaEure Date of Signature
DOCUMENT No. STATE BA% OF WISCI)NSIN FORM 11-1982 rNis SPACE RES:RVED FOR RECORDING DATA
LAND CONTRACT
4t 4hi+^O1 IndioL end Corporate
(TO BE USED FOR ALL L 1'RANSACTfONS WHERE OVER
$25,000 IS FINANCED AND IN OTHER NON-CONSUMER
ACT TRA~NSACTIONSI
Vol 69'2 PAGE REGISTERS OFFICHE
Contract, by and between .._Al1Qe_..Ea.dine__-Norc.E ST. CROIX CO., WIS.
u enl . r a.~~ ..Wi do~rA-----•-------•--•----------------•-•----------•-------..........-----
("Vendor", Reed. for Raeord this 3rd
whether one or more) and__-Bs.bert_..C.._..1_acfabs.,... day of July AA 19, 84
- at 9:30 A
("Purchaser", whether one or mote). ~
Vendor sells and agrees to convey to Purchaser, upon the prompt and full per-
formance of this contract by Purchaser, the following property, together with the me of •
rents, profits, fixtures and other appurtenant interests (all called the "Property"),
in........ t. CrO1X....................................... County, State of Wisconsin: R SRN ToGWIN & GWIN
NW4 of SWk of Section 15 and the Eh of SE4e of 430 Second Street
Section 16, all in 29-19, excepting however: Hudson, Wisconsin 54016
The right-of-way of the Chicago, St. Paul, Minneapolis
& Omaha Railway Company and any part of said Tax Parcel No.P135, P139A, P116A
land which may lie N and W of said right-of-way.
The parcel conveyed to Clinton Benoy by deed recorded in "259", page 151.
The land conveyed to Clinton Benoy and Margaret Benoy, his wife as joint
tenants: by deed recorded in "278", page 467. The land conveyed to St.
Croix County for highway purposes and grading as described in the
conveyance recorded in "257", page 146 and "257", page 152. The S 490
feet of the E 520 feet of the NW4 of SWh of Section 15-29-19. A right-
of-way grant to Wisconsin Telephone Company dated November 20, 1968 and
recorded February 26, 1969 in Vol. 449, page 355, document no. 295381.
And also subject to all existing highways and easements of record.
This ._].F.............. homestead property.
(is) (is not) v-risszv
Purchaser agrees to purchase the Property and to pay to Vendor at
the sum of 151, 000. 00 in the following manner: (a)
at the execution of this Contract; and (b) the balance of 114.2_,_0.0.0...0.!)_.......... together with interest from date
hereof on the balance outstanding from time to time at the rate of_._43# per cent per annum
until paid in full, as follows :
For the first six years with monthly payments of principal and interest
of $1,139.91 per month beginning August 5, 1984 and continuing on the
5th of each month thereafter, until July 5, 1990, at which time the
interest rate shall be adjusted to 3-3/4% below the prime rate for
corporate loans at US Money Center Commercial Banks as published in the
Wall Street Journal, but in no event shall the percentage be less than
the initial 9;$ interest rate. Said monthly payments of principal and
interest shall be adjusted to continue the same 35 year admortization
schedule and shall continue for 2 years until July 5, 1992, at which time*
Following any default in payment, interest shall accrue at the rate of A14.. % per annum on the entire amount
in default (which shall include, without limitation, delinquent interest and, upon acceleration ur maturity, the entire
principal balance. interest shall be figured on a 365-365 annual rate.
~+~e1f?i~fi~~d{ilfeld7GjL7Qx~bt~t~fi][XolCl}4~Cyr~4~,tHI7~:6dtb',e~8df 74iibf~i4f?EpCfXi2fiXra~f }[3t~j'r3El~idfa7~L}K7frDrtiSi-
paiG~~~3[x3frXs~}~dfd[3d1iECX~ y[0~'dE~3f[!{~19~D23QD[i9{p[7dDdlmf9{VRt4E0C i~DE}{a0}L1S~4XL7[ist7tlClfiX8d7bjC JtlltCdD~C
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yE3~s'~x~Ys7k,Ne1{Of }'alidc$r~{~1FX~KNvI1pC9~7Cd€~{iXe1SXd#XXiC16]6Xfl61fcKm5cXQE~Xei{~.,.;1f~~K➢rt►[DLN►bt3~ifrXllii€1W.7RX
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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•a1Faf?CXXXXXXXXXXXXXpgXXXX~
~t~~~ts~xacr~mx~a;a~a~axamcxaaatasx -
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, the condemned premises being thereafter excluded herefrom.
Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser
for examination except: NONE
* said rate shall be again adjusted under the preceeding formula and
continue until the principal and interest due hereunder shall balloon and
be due as of July 5, 1994.
VOL 692PACE
Purchaser promises to pay when due all taxes and assessments levied on the Property or upon 1'• ndor's iatereat
and to deliver to Vendor on demand receipts showing such payment.
Purchaser shall keep the improvements on the Property insured ag tinst loss or damage occariored by fire, ex-
tended coverage perils and such other hazards as Vendor may require, without co-insurance, through insurers approved
by Vendor, In the sum of $full insurable Valu%t Vendor shall not require coverage in an amount more
than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall
contain the standard clause in 1. vor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original
of all policies covering the Property shc1l be deposited with Vendor. Purchaser shall promptly give notice of losm 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 tree from liens superior to the lien of this Contract, and
to comply with all laws, ordinances and regulations affecting the Property.
Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions
shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to
the Purchaser, a Warranty Deed, in foe simple, of the Property, free and clear of all liens and encumbrances, except
any liens or encumbrances created by the act or default of Purchaser, and except: NONE
Purchaser agrees that time is of the essence and (a) in the event of a default in the a ent of any
interest which continues for a period of .3Q.... days following the specified due date or (b) in the event of a def ult in
performance of any other obligation of Purchaser which continues 'for a period; of 0 days foilowing written- notice
thereof by Vendor (delivered personally or mailed by certified mail), then, the entire -outstanding balance under this contract
shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby
waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in
addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this Contract and Purchaser's
rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of
redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from
the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously
paid by Purchaser shall be forefeited. as liquidated damages for failure to fulfill this Contract and as rental for the
Property if purchaser fails to redeem) or (ii) Vendor may sue for specific performance of this Contract to compel
immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of
default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser
shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion
thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet-title
action 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? 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 ecforce.any remedy hereunder (whether abated or not) to the
extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in-
curred, and shall be included in any judgment.
Upon the commencement or during the pendencyy of any action of foreclosure of this Contract, Purchaser consents
to the appointment of a receiver of the Property, includfo 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 d(rect.
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 Qolely 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 ender 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 Purchase:
makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to
the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on
this Contract.
Vendor may waive any default without waiving any other subsequent or pri,)r default of Purchaser.
All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives,
successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable
consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the
deed to be made in fulfillment hereof.)
Dated this ---.--_2110_..__.. day of July 19 84.
!.(SEAL (SEAL)
ce---Elaine Nord
' - ' ---Robert C. Jacobs
. (SEAL)
..(SEAL
AUTHENTICATION ACKNOWLEDGMENT
C
Sigdgtuie(s) :H ca..E.laine lord- and....... STATE OF WISCONSIN
Ja obs ss.
- ..County.
authentica th- a f.._ Jtaly 19..$
J+ p - + Personally came before me this day of
r~
19........ the above named
TITLE:. , BER STATE dAR OF WISCONSIN .............••----•--------1V~A,-.-_•
f not-
authorized y Y $ 706.06, Wis. tats.)