HomeMy WebLinkAbout032-2049-60-300
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER-
ADDRESS_
"e'j
SUBDIVISION / CSM# LOT
SECTION--L'Z-T-,Y0-N-R-Z.~-W, Town of ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYT NG THIN 100 FEET OF SYSTEM
~ ~wll
/7ou,5K. ~
. Q
G G 70
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
S
'BENCHMARK: 99
ALTERNATE BM• lF1~z,/
.SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: Liquid Capacity:
Setback from: Well House Other
Pump: Manufacturer Modell Size
Float seperation Gallons/cycle:
Alarm Location
SOIL ABSORPTION SYSTEM
Width: Length_ Number of trenches
Distance & Direction to nearest prop. line: l:_,' ~
Setback from: well: House-,2 9~ Other
ELEVATIONS
Building Sewer ST Inlet: ?L79 ST outlet:
PC inlet PC bottom Pump Off
Header/Manifold ~J,21y Bottom of system S per
Existing Grade Final grade
DATE OF INSTALLATION:
y
PLUMBER ON JOB:
LICENSE NUMBER:
INSPECTOR :
3/93:jt
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count
Safety and Buildings Division t`aT . CROIX
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanita2215216%0-:
Personal information you provice may be used for secondary purposes [Privacy w, s.15.04 (1)(m)].
OSE Hold" , Qpme: 96ft W~/ fge ❑ Town of: State Plan ID No.:
Permit
CST BM Elev.: A/1V Insp. BM Elev.: / BM Description: Parcelde:YQ-2 04 9-6 0-0 0 0
1J . 6 /Gv . PC
TANK INFORMATION ELEVATION DATA A9700219
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic S°a~C Benchmark ~G0,0' '
Dosing (3. n1. ~3 GG
Aeration Bldg. Sewer p i go,
Holdin St/ Inlet ss 9~
TANK SETBACK INFORMATION St/ ,0t Outlet
Vent
TANKTO P/L WELL BLDG. Airito ntake ROAD Dt Inlet
Ar
Septic p+" NA Dt Bottom
Dosing NA Headert - -3Aeration NA Dist. Pipe /3 D3' rl, 31'
Holdi Bot. System
PUMP / SIPHON INFORMATION Final Grade
Manufacturer Demand
Model Number GPM
TDH Lift L action System TDH Ft
Forcem Length Dia. H Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia: Liquid Depth
DIMENSIONS DIMENSIONS
anufacturer:
SETBACK SYSTEM TO P / L BLDG WELL LAKE/ STREAM
INFORMATION Type O it, ilk., C IBER Model Number:
System: & "OR UNIT
DISTRIBUTION SYSTEM
Header Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length to Dia. 5 Length Dia. Spacing ~o
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade ems
Depth Over Depth Over xx Depth Of Tx Seeded /Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges . Topsoil E] Yes C] No ❑ Yes E] No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: SOMERSET 14.30.19.682,NE,NW 735 160TH AVENUE LOT 3 ~
Plan revision required? ❑ Yes ❑ No
Use other side for additional information.
SBD-6710 (R.3/97) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
l
SANITARY PERMIT NUMBER:
SANITARY PERMIT APPLICATION BuSafetyreau o oand ff Building Systems
ding Water 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
than 8 112 x 11 inches in size. V_
• See reverse side for instructions for completing this application State Sanitary Permit Number
90?740 O
The information you provide may be used by other government agency programs ❑ Check it revision to previous application
[Privacy Law, s. 15.04 (1) (m)].
State Plan I.D. Number
1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION
Property wrier Nam Property L~cation
1/4 1/4, S T N, R PI(or /
Propert Owner's Wailing Ares Lot Number Block Num -r
Cit , tate Zip Code Phone Number Subdivision Name or _$j Number
( ) (J
. T E F BUILDING: (check one) ❑ State Owned Vitllage Nearest Road
❑ Public 1 or 2 Family Dwelling - No. of bedrooms Town qF
111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s)
1 Q Apartment/ Condo O'S~~ o -moo
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. IK 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
1 1 10 Seepage Bed 21 ❑ Mound 30 Q 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
Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft_) (Min -%/+nch) Elevation
/ Feet Feet
VII. TANK Ca
in galloacitns Total # of Prefab. Site Fiber- Ex er.
INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
New Existin strutted
Tanks Tanks
Septic Tank or Holding Tank awy
' ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the ndersigned, assume responsibility for ins allation of the onsite sewage system shown on the attached plans.
Plumber' am : (Prints Plumbe 's Si a re' o. m ) MP/MPRSW No : Business Phone Number:
- -
Plumber's Address(Street ity, Stat Zip Code):
c
IX. COUNTY / DEPARTMENT USE ONLY
rte/t ❑ Disapproved Sani ary Permit Fee (includes Groundwater Date Issue Issuing Agent Signature (No Stamps)
A roved Surcharge Fee)
l-P pp F1 Owner Given Initial
.4 -1 A-~ (Z 141~
Adverse Determination 0[j 104-9 9
X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL:
SHD-6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: Safety a Buildings Divrion, Owner, 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:
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 8 112 x 11 inches must be submitted to the county. The plans must
include the following: A) plot plan, drawn to scale orwith 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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Wisconsin Department of Commerce IL AND SITE EVALUATION
Division of Safety and Buildings 9 11 Page of
Bureau of Integrated Services 4i Ii lonpd - h s. ILHR 83.09, Wis. Adm. Code
Attach complete site plan on paper not 1 81 in 6y must County
include, but not limited to: vertical and ntal r (13M), and
percent slope, scale or dimensions, w, and location and distance. tomearest road. Parcel I.D. #
.~e Q 1997
APPLICANT INFORMATION - e prL ormaUoa. Reviewed by Date
Personal information you provide may be used Law, s: 15.04 (1) (m)).
Prope Owner 3 `Y.• Property Location
Govt Lot j/r 1/4 1/4,S T N,R 1(orpl
Property Owner's ding Address Lot # BI # Subd. Name or CSM#
?5--
City
2LLn tat Zip Code Phone Number Nearest R
[:1 City El Village [F] Town
(
® New Construction Use: l01 Residential / Number of bedrooms Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flow - KY) gpd Recommended design loading rate ~ bed, gpdfft22_~_trench, gpd1ft2
Absorption area required ? bed, ft2 /,:pZ~trench, ft2 Maximum design loading rate ibed, gpd/ft2_1jL',_trench, gpd/ft2
Recommended infiltration surface elevation(s) 6~.~.(_-2,~2 ft (as referred to site plan benchmark)
Additional designtsite conlslide//~~tions -
Parent material [J~T Flood plain elevation, if applicable ft
Suitable for system Conventional Mound Ground Pressure AT-Grade System in Fill Holding Tank
= Unsuitable for system 0S QU R1 S❑ U r-Z[ S❑ u SS ❑ U ❑ S Q(U ❑ S AU
Fu,
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
1 J
ZZ y", 13 _j
8
Ground g3S _ -
elev.
Depth to
limiting
factor
77&s in.
Remarks:
Boring #
L
13
Ground
elev.
Depth to
limiting
factor
~>/_~in. Remarks:
CST Name (PI se P . t) % 2gri a Telephone No.
i5
Address Date CST Number
n 'V~
PROPERTY OWNER~~ SOIL DESCRIPTION REPORT
Page z--2- of
PARCEL I.D.#
Boris # Horizon Depth Dominant Color Mottles Structure 2
Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots
Bed Trench
Ground w
ele
Oft
Depth to /
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring # ;
Ground
elev.
ft.
Depth to
limiting
factor
'n' Remarks:
Boring #
q~
L
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
SBD-8330 (R. 07/96)
I
90
sc~/e~ f 1 11 - ,~~~°o
G,~,c:,c,~ B s y
/Orb 30 ~ / ~o
~1C1
ya
I log 71
iaG
I.~l/
Wisconsin Department of Industry, SOIL A ESE V DU ION REPORT Page 1 of 3
Labor and Human Relations "lp`
Division of Safety & Buildings
4 i af{ rd v t 1 3.05, W' . Adm. Code
1r~..= - COUNTY
a
Attach complete site plan on paper not less tha -V2 x 1 i hesl 42, Ian - include, but St. Croix
not limited to vertical and horizontal reference Wl `((BM) " ir'ctio~~c% of slopo, ale or PARCEL I.D. #
dimensioned, north arrow, and location and dist nee''lo nearer 1~1 032-2049-60
APPLICANT INFORMATION-PLEASE PRI IIs UIQATIOREVIEWED BY DATE
PROPERTY OWNER: C g ROPERTY LOCATION
GOVT. LOT NE 1/4 NW 1/4,S 14 T 30 N,R 19 Wor) W
Harold Rivard & Roland 'Rt=1jq1t-
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
719 210th, Ave. West 3 na Csm
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE GOWN NEAREST ROAD
(71 )
[:4 New Construction Use [x] Residential / Number of bedrooms 3 ( ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate .5 bed, gpd/ft2 .6 trench, gpd/ft2
Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate .5 bed, gpd/ft2 .6 trench, gpd/ft2
Recommended infiltration surface elevation(s) 101.79 ft (as referred to site plan benchmark)
Additional design / site considerations step down trench spaced to code 3.00' below surface
Parent material pitted glacial drift Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable for s stem ®S ❑ U IN S ❑ U ®S ❑ U 13S ❑ U ® S ❑ U ❑ S [311
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bw-dary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
1 1
2 8-27 10 r4 6 none sil 2msbk mfr C1W if .5 .6
Ground fr na na .5 .6
elev.
101. sat.
Depth to
limiting
factor
+78"
Remarks:
Boring #
2 2 6-58 7.5 r4 4 none is os mvfr if .5 .6
Ground .58-7R 7 9vr4./4 none S1 2m r mvfr na na .5 .6
elev.
104.90t.
i
Depth to
limiting
factor
+78„
Remarks:
CST Name:--Please-'Print Gary L. Steel Phone: 715-246-6200
Address: 1554 200th. Av New RichmovO, WI 54017
Signature: Date: 4-23-97 CST Number: m02298
PROPERTYOWNERH Rivard & R_ Bei;GieSOIL DESCRIPTION REPORT Page 9 of 'I_
PARCEL I.D. #032-2049=6b
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
9f .5 .6
3 0-9 10yr4/3
Ground 3 18-14 9vr4/4 none mfr rfw n.4 .5, .6
elev.
99 .]1- ft. 4 '14-7 5yr4/A none 2mcir mvfr na nal -5: .6
Depth to
limiting
factor
+72"
Remarks:
Boring #
if .2 i .3
2 8-34 10 r4 4 none sicl lcsbk mfr
Cfw
Ground 34-80 7.5vr4/4 none S1 2mar mvfr na na .5:: .6
elev.
104.79 ft.
Depth to
limiting
factor
+8
Remarks:
Boring #
5 2 8-31 7.5yr4/4 none S1 2mar fr C[w 1f .5.6
Ground 3 31- fr na na .5' .6
elev.
100.36 ft.
Depth to
limiting
factor
+~0„ ,
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
STEEL'S SOIL SERVICE
Gary L. Steel 1554 200th Ave.
CSTM2298 Harold Rivard & Roland Belisle New Richmond, WI 54017
MPRSW 3254 ~4~4 s14-T3oN-R19w
town of Somerset 715) 246-6200
lot #3-csm
N
1"=40'
BM.= top of 2" pvc pipe C el. 100'
Alt. BM.= top of steel fence post C el. 100.99'
'-a- tZ' 20' .01 00,
r'90
31.E
12. 05t
AP1 ~
O
Sys
00/
Gary L. Steel
4-23-97
f~
> .2 c
q FILED
0 2.0 3 A JUN 0 9 1997
(L Z
CL _ e KATFMK WMA
560681 ~C acaGoYM
ti
1Af?LAI i EC LANDS)
o ~
F, S00 °43' 13"W 564.04' ~p \ 523.62' 40.42 ° 0 rt
m ww ~w 33'
rt
co o c ° 'd
-4 tai N cai p ~
O I N~ NA O O fi
Q p .G N ~ N
X
O O o
g ft
m
I
523.44' 41.21' (z'p 0
S00°43'13"W 564.65' f M
y
i
1C Z
I ° x in
i~ 0
00
icy
O 1 °
~Y Ln N O 41'
-I N O i y ? lJi 0 --q L ~ Ir Q
I
rn
S m ~ o o Lit
In co
.
V .G N d N O V O ~ IL
fl. It rn
o p -1 f.,.
m
d
523.26' 2.00'
o S00°43'13"W 565.26'
v C
I I2 ~J -t
ww ~w F+ 3
N I coo cN r I ~
v, I -v
o w W 0 ~ tai -0-1 Ln I y
o
0 0 to a N W b--C O
.O d N .D fn O i .r 0
I et n cr n IIPI~1"1
0
I
N00°43'13"E 523.08' lD
fi
W
N00'49102 o
7950'
4t
N00°49'02"E 5.65..99 ` fi
m EAST LINE OF THE NE 1/4 OF THE NW 1/4 I y~
7r, Tu CToCCT v' d f7
8 T C - 100
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 ~41__~
Location of property_'&_1/4 Alhj 1/4, Section TAN-R 0 W
Township Mailing address
Address of site 7
Subdivision name Lot no.
Other homes on property? Yes No
Previous owner of property
Total size of property
Total size of parcel
Date parcel was created _
Are all corners and lot lines identifiable? Yes No
Is this property being developed for (spec house) ? Yes No
Volume and Page Number 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. /f 1 7 , and that I (we) presently
own the proposed site for the sewage disposal system or I (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.
17 (Z.~
'Srlgna~ture of Applicant Co-Applicant
D to of Signature Date of Signature
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNEWBUYER
MAILING ADDRESS
PROP11tTY ADDRESS
(location of septic system) Please obtain from the-Pt' n1
CITY/STATE
PROPERTY LOCATION 1/4, !ti 1/4, Section , T_z4;2_N-R/i W
TOWN OF ST. CROIX COUNTY, WI
SUBDIVISION LOT NUMIIER
CERTIFIEDSURVEY MRP VOLUME„?,, PAG/
LOTNUMBER
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 I, 1978. St. Cruix County
accepted this program in August of 1980, with (lie 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 certificution form, signed by the owner
and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (I)
the on-site wastewater disposal system is in proper operating condition and (2) after inxpccoon and
pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum.
I/We, tite 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 yea expiration ate.
SIGNED:'
DATE: GZ-1a
T
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, Wl 54016 11/93
56j113 / STATE: iAR OF WISCONSIN FORM 11 - 1982
LAND CONTRACT
Individual and Corporate'
(TO BE USED FOR ALL TRANSACTIONS WHERE OVER
DOCUMENT NO. $25,00015 FINANCED AND IN OTHER NON-CONSUMER
ACT TRANSACTIONS) I REGISTER'$ OrFIG
Contract, by and between Harold K. Rivard and . . .
Roland J Belisle, as tenants in common, J U N 111 1997.
("Vendor",
whether one or more) and Dean Rose 10:30 A M
("Purchaser", whether one or more). w of Do"
Vendor sells and agrees to convey to Purchaser, upon the prompt and full performance
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
NAME AND RETURN ADDRESS
KRISTINA OGLAND
Zilz, Estreen & Ogland
P.O. Box 359
Hudson, WI 54016
PARCEL IDENTIFICATION NUMBER
Part of the NE1/4 of the NW1/4 of Section 14-30-19 described as follows:
Lot 3 of Certified Survey Map filed June 9, 1997, in Vol. tt12", page 3276,
Doc. No. 560681.
TROAFFER
This is not homestead property. FEE
( (is not)
Purchaser agrees toppurchase the Property and to pay to Vendor at D1 AcP v ncln i rectg
-
the sum of s 20, 000.00 in the following manner: (a) $-2, 000. 00
at the execution of this Contract; and (b) the balance of s 18,000-00 together with interest from date
hereof on the balance outstanding from time to time at the rate of 7.5 percent per annum until paid in full, as follows:
Commencing on the 1st day of July, 1997, and on the 1st day of each and every month
thereafter, equal monthly installments of principal and interest in the amount of
$275.45.
Provided, however, the entire outstanding balance shall be paid in full on or before the 1st day of June, 2004
XQL (the maturity date).
Following any default in payment, interest shall accrue at the rate of % per gnnum on the entire amount in default (which shall
include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance).
Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably anticipated annual taxes, special
assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these
obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow
fund or trustee account, but shall not bear interest unless otherwise required by law.
Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid
without premium or fee upon principal at any time
, . r---'- 1...... 0- -iA 1,alsne-P of