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STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER ADDRESS ,O j
SUBDIVISION / CSM#--~~~ LOT
SECTION- 17 T N_R_1~_W, Town of ~
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW ~a
SHOW EVERYTHING WITHIN 100 FEET OF Y
Gam'
' Gr
INDICAT NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
BENCHMARK:
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: ,'e" Liquid Capacity: l
Setback from: Well _ House 14f Other
Pump: Manufacturer Model# Size
Float seperation Gallons/cycle:
Alarm Location
-:SOIL ABSORPTION SYSTEM
Width: 1?Z Length yS Number of trenches
Distance & Direction to nearest prop. line:
Setback from: well: -,.4-1
96 House ~Z_ Other
ELEVATIONS
Building Sewer ST Inlet. 7 J ST outlet 127, S2L
PC inlet PC bottom Pump Off
Header/Manifold Bottom of system
Existing Grade 7 Final grade
DATE OF INSTALLATION:
PLUMBER ON JOB:
LICENSE NUMBER:
INSPECTOR:
3/93:jt
~ i
Wisconsin l3egafte.iftof Industry, PRIVATE SEWAGE SYSTEM County:
LaborandHuman Relations
S'T'. (:RUIX
Safety and Buildings Division INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-:
Permit Holder's Name: ❑ City ❑ Village []_Town of: State PI
FAZKf3ANKS, fJANIEL X
CST BM Elev.: Insp. BM Elev.: Description: Parcel Tax No.:
BM
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic y,.~ 1~,So Benchmark
Dosi ng 6 'i II j •SS /C?(J..
Aeration Bldg. Sewer f r) l "
Holding St/ Ht Inlet !J 9
TANK SETBACK INFORMATION St/ Ht Outlet
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic NA Dt Bottom
Dosing NA Header/ Man. ( a~' G ~3
Aeration NA Dist. Pipe 9G ~g
Holding T-71 Bot. System 7f '2512
PUMP/ SIPHON INFORMATION Final Grade s p Manufacturer Demand
Model Number GPM
TDH Lift Friction System TDH Ft
Head
Forcemain Length Dia. Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Lengt No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS ~DIMENSIONS
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
SETBACK
INFORMATION Type Of CHAMBER Moe Number:
System: L?LAZ 0 "1 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 CenterQ Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes E]
No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: SUMERSE'T.17.31.19W, SW, NE, LOT 44, :16TH STREET
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Plan revision required? ❑ Yes ❑ No
Use other side for additional information. 7 G
SBD-6710 (R 05/91) Date I p or's Signature Cert. No.
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ADDITIONAL COMMENTS AND SKETCH = 4w r'
SANITARY PERMIT NUMBER:
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Safety and Buildings Division
~•~«i 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
than 8 112 x 11 inches in size.
• See reverse side for instructions for completing this application State Sanitary Per It umber
~~5
The information you provide may be used by other government agency programs ❑ C eck if revision to previous application
[Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION
Prope Owner Name Property Location
1/4 1/4, S T ON, R E (orkV
Property Owner's Mailing Address Lot Num er / Block Number4
0a State Zip Code Phone Number Subdivision N / e or CS Number
( )
II. TYPE F B ILDING: (check one) ❑ State Owned its Nearest RoadAh,
age
❑ Vil
171 Public 1 or 2 Family Dwelling - No. of bedrooms 'r Town o
III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/ Condo
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. 9 New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
______System ________System_____________TankOnly_____-____-___ Existing System Exl-----ystem
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 LE Seepage Bed 21 ❑ 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
Required (sq. ft.) Proposed q. ft.) (Gals/day/sq. ft.) (Min i ch) Elevation
17 Feet eXI&I Feet
VII. TANK Capacity Site
INFORMATION in gallons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic App.
P
New Existing Gallons Tanks Concrete structed glass APp.
Tanks Tanks
Septic Tank or Holding Tank
Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, th undersigned, assume responsibility for i all n At on ' e sewage system shown on the attached plans.
Plu b s Nam : (P Plumb r' gnatu St ps) MP/MPRSW No.: Business Phone Number:
Plumber's Address (Stre t, Ci y, State, Zip ode):
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IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issued Issuing Agent Signature (No Stamps)
Surcharge Fee)
Approved ❑ Owner Given Initial /0 U 43.-
Adverse Determination
. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL:
SBD-6398 (R. 05/94) DISTRIBUTION: Original to County. One copy To: Safety a Buildings Division, Owner, Plumber.
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. 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 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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~ X6.75"
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` Wbgr'air~ Department ti Industry, SOIL AND SITE EVALUATION REPORT / of
„t L.abor'and Fbum4t( fie'~ations Page ~
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 Plan must include, but ~~j
not limited to vertical and horizontal reference point slope, scale or PARCEL LD. #
dimensioned, north arrow, and location and dista a rest road.
APPLICANT INFORMATION-PLEASE P LL I* r,Q NATION' REVIEWED BY DATE
e. ~r~~.
PROPER WNER: PFi RTY LOCATION
y GOVT. OT 114 1/4,S T N,R /(or )S
PROPERTY OWNER'S AILING ADDRESS G BLOCK # SUB NAME R CSM #
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CITY, STATE ZIP CODE UM4 ❑VILLAGE WN NEA ST RO D
'
b(J New Construction Use [uJ Residential / Number of t r s [ ] Addition to existing building
Replacement [ ] Public or commercial describe
Code derived daily flow Q_ gpd Recommended design loading rate /imbed, gpd/0_. trench, gpd/ft2
Absorption area required bed, ft2 j~g& trench, ft2 Maximum design loading rate bed, gpd/ft2_,,f__trench, gpd/ft2
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design / site considerations
Parent material Flood plain elevation, if applicable ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable fors stem ®S ❑ U 1 ZS ❑ U ®S ❑ U ®S ❑ U ❑ S ~J U ❑ S 1;'U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
-le
..1......' A
Ground _
elev.
41 ft.
Depth to
limiting
factor
~ 9l
Remarks:
Boring #
~2 A114
Ground
elev.
ft.
Depth to
limiting
factor
> 9l
Remarks:
CST Name:-Please Print Phone: 2
Address:
Signature: Date: CST Number
PROPERTY OWNER SOIL DESCRIPTION REPORT kJ e of .yPARCELLD.# ,
Depth Dominant Color Mottles Texture GrStructureSh
Sz Consistence Roots Bed Jre
Boring # Horizon in. Munsell Qu. Sz. 22nt. Color . . . Bed Trench
jo,
Ground
elev.
ft.
Depth to
limiting
factor
>9~
Remarks:
Boring #
Ground
elev.
2jZ ft.
Depth to
limiting
factor
> y~
Remarks:
Boring # /
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
sW I she / 7j rs/A/~ 7Q/y"f~
33G,75'"
401~1
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• WIiscansrnAeWtmentofIndustry, SOIL AND SITE EVALUATION REPORT Page of 3
edl~wand Relations
ivision. c?Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
J
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but PARCEL I.D. #
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPER WNER: PROPERTY LOCATION
1/4,S/7 T N,R /(or
GOVT. LOT 1!4
PROPERTY OWNER':S ILING ADDRESS LOT BLOCK # SUB NAME R CSM #
CITY, STATE ZIP CODE ONE NUMBER CITY ❑VILLAGE WN NEA ST RO D
b(J New Construction Use Residential / Number of bedrooms [ ] Addition to existing building
j ] Replacement ( J Public or commercial describe
Code derived daily flow Q_ gpd Recommended design loading rate_, -1 bed, gpd1ft2_trench, gpd/ft2
Absorption area required a,Zf bed, ft2 trench, ft2 Maximum design loading rate -,,7-bed, gpd/ft2__,,f_trench, gpd/ft2
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design / site considerations
Parent material eiez L? Flood plain elevation, if applicable ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable for s stem ® S ❑ U 0 S ❑ U WS O U OS E 3U I] S U 0 S GNU
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends
$~l~iYi%i:•iii:
Ground
elev.
fiml ft.
Depth to
limiting
factor
Remarks:
Boring #
}
tA)
Ground
elev.
ft.
Depth to
limiting
factor
> 9/
Remarks:
CST Name:-Please Print Phone: 9
Address:
Signature: Date: CST Number
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STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
,
OWNER(BUYER 4'
MAILING ADDRESS
PROPERTY ADDRESS
(location of septi system) Please obtain from the Planning Dept.
CITY/STATE i"
PROPERTY LOCATION. ~ 1/4, _ 1/4, Section / 7T2/ N-R 9 W
TOWN OF, ST. CROIX COUNTY, WI
SUBDIVISION i~ ►,1 S' LOT NUMBER
CERTIFIED SURVEY MAP , VOLUME , PAGE , 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 expiration date.
SIGNED: F C~
DATE: A /16,
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
S 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 /
e Ae~',~, 2e/S
Location of property--S/-j 1/4&,L 1/4, Section /7 , T -?j N-R W
Township Mailing address I,Q - 2 L I-w
Address of site CAS
Subdivision name x - ' 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. 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.
S ure of Applicant Co-Applicant
j EI
of-signature Date of i nature
Darle
11141? MO
DOCUMENT NO. STATE BAR OF WISCONSIN FORM 11 - 1980 THIS SPACE R[SLRVED IOR RECORDING DATA
LAND CONTRACT
1"Vida" and Cer"r.to
• I ERE OVER
TO BE USED FOR ALL TRANSACTIONS W1
52GG55 PRooef IS FINANCED AND IN OTHER NON-CONSUIM tau' R'S OFFICE
ACT TRANSACr10NSt ST. CROIX CO., W1
' Recd for Record
Ce' tract, r an een Lynn "R. Tow a -a-"L' nn
Rodney ow~_ a/tc/a.leY_ I:.o'~ -a-sirl:e ~ersont_- MAR 10 1995
("Vendor", at 9:30 A fA
Whether one or more and.... Dani~gl_ R :Fairbanks slid Cynthi8. K.-
- -
Fairbanks,_ hue ..a _!y3
-
("Purchaser", whether one or more). ReoLoerof Deeds
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
rents, profits, fiztures and other appurtenant interests (all called the "Property"). r
In. .._.._..-._►~w._~.KAiX County, State of Wisconsln: RsTuRN To Lynn R. Tow
7365 Howard Lane #12
Eden Prairie rN 5524
Tax Parcel Na 032 1048-60
Lot 4, Rice Lake Meadows in the Town of Somerset.
~
a, ~.'?S r er ;r rI ~ 1~ any aia~ 4s a ..c~ z ~ U t - ~►',«i'~' f...
This y~ i8 not homestead property.;
lot)
ParcLaier to purchase the Iroertyiand tv pay tt,*v dw st' U66 Vendor` directs 1 .
do sum of $LUs :N thw f manses ~(s)Z it i`ce'!!! a
at the execution oithis Contracts and (bk: this balance of C. ben with interest ie sm dates ' F
I eL_ u° a»nnm
^ hereof on the butanes onta from time ttstine at that ° rats pa cent par
oaf Tx~.omit paid is full, as_fellows: Comnencing•im the 24th day of MarchL._J,%%'. and M the 24th.
day of each and eemy, month: thereaftert equal install cents of principal alld interest
in the emoimt of X250.00. d F
I,
4 - - - .
Provided, however, the eutL-t outstanding balance shall be paid in fait on c r befori day of
e 19-Y01- (the maturity data)- . Uth q . ' • .
YonowIng any default in. payment, catereat shack accrue at the rate: of- I % per annum on the entire amount
in default (which shall include,, without limitation, delinquent- interest and,. upon acceleration at maturity, the entice -
Principal balsnte)- t t'fi~ r! vj Y f~ a ,
Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably satki-
patd annual taxes, special' assessments, fire and required insurance premiums when dne.To the extent raoeivd.by Vendor.
Vendor agrees to apply payments to these obligations when duo. Such amounts received by the Vendor for payment of
taxes, assessments and insurance- will be deposited into an escrow fund or trustee account, but shalt not bear interrsst -
unless otberwiaa required by law.
Payments shall be applied first to Intmest an. the unpaid balance at the rate specified and then to prat Any
amount may be prepaid without premium or fee upon principal at any time
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) fa less than the amount that said tadebtedness would have bass 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 Purebassr
for examination except:
Node. .
A
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.
Puxhaset shall keep the improvements on the Property insured against loss or damage occasioned by fire. ex-
tended' covers" perils and such other hda as Vendor may require, without co-insurance, through insures approved
by Vendor, In the sum of $ N..A...................... but 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 sban
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 ncc 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 Prop"
In good tenantable condition and repair to keepp the Property free from liens superior to the lien of this Contract, alm
to comply with all laws, ordinances an~ regulations affecting the Property.
Vendor agrees that in case the purchase price with Interest and other moneys shall be fall paid and all conditions
shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to
the Purchaser, a Warranty Deed, in fee simple, of the Property. free and clear of all liens and encumbrances, 4ZftPt
any liens or encumbrances created by the act or default of Purchaser, and except: E83elI-E----- estrict...
az~d rights-of-way of _record, if an...~................................................. -
_ _ _ _ r..
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 W.- days following the specified due dat4 Qr (b) in the event of a default is 4-
yyowformance of an other obligation of Purchaser which continues for a period of.._..----- days followini written notiq
thereof by Vendor (delivered personalty or mailed by certified mail), then the entire outstanding balance uner this contract;
shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hbrebyl
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 opption, terminate this Contract and puxhaeer's }1~
t rights, title and interest in the Property and recover the Property back through strict foreclosure with any egait at+
redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon ma
the date of default at the rate iv effect on such date and other amountsduehereunder (which event all amountspreviondY~
maid by Purchaser shall be forefeited as liquidated damages for failure to fulfill this Contract and as renal for the
party if purchaser fails to redeem); or (ii) Vendor may sue for specific performance of this Contract to rnaspel
immediate rud 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 Paxbaser
shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion „p-
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 (vl Vendor may have Purchaser ejected from possession ,r
of the Property and have a receiver appointed to collect any rents. Issues or profits daring the pendency of any
under 11), (il) or (Iv) above. Notwithstanding any oral or wriY.en statements or actions of Vendor an sleetisa~rP~ ,
of the foregoing remediies shall only be bindings upon Vendor if and when pursued In litigation and W costa and
including reasonable attorneys fees of Vendor incurred to enforce:any remedy hereunder (whether abated a< netl is tb* ;
extent vat prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, se,b
carted, and shall be included in any judgment..
Upon the commencement or during the pendency of any action of foreclosure of this Contract, r hl'arekaser esasf~a
to the appointment of a receiver of the Property. Including homestead interest, to collect the rent, isawM ana bra
the Property during the ency of such action. and suerents, issues. and profits when so collected shill be held snk,-
applied o the court shall itect.
Purchaser shall not transfer, sell or convey any legal or equitable interest is the Propert (by assignassnt oP a'~
of Purchaser's rights under this, Contract or by option, long-term lease or in any other way) wy ithout the prior writtnt'
consent of Vendor unless either the outstanding balance payable under this Contract is fist paid in full! ar 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 satire outstanding; ,
balance payable under this Contract shall become immediately due and payable in full, at Vendor's option' witboat nodew
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 thereb7, provided Purebassr
makes timely payment of the amounts then due under this Contract. Purchaser may make any such payment 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 prior default of Purchaser. =r. 4`
All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal sap
successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor fbr a Taluall!
consideration john herein to release homestead rights In the subject Property and agrees to join In the eanautlon of thel
deed to be made in fulfillment hereof.)
Dated this day of ebt}]ACY......
y- z
(SEAL) .._~C" _
' (SEAL T,~'
1
Lynn R. Tow Daniel R. Fairbanks'
r i . A
- .
(SEAL) . (SEAL)
.
this K. Fairbanks
1
AIITHHNTICATION ACKNOWLUDOI RNT j
Signature(.) Lynn R. TOW, Daniel R. STATE OF WISCONSIN
Fairbanks, Cynthia K. Fairbanks as,'
- - - - - - - - county-
`
Fe~~
authenticated da oL----- 1i:...° Personally came before me this - day of
0 the above named
Kristine 0gland
_ _
.
TITLE: MEMBER STATE BAR OF WISCONSIN - « ~
(If not, `
authorized by 4 708.08. Wis. State.) who ezcated the
to me known to be the person
foraaoine instrument and acknowledge the same. , . !
DOCUMENT No. STATE BAR OF WISCONSIN FORM. 11-1982 THIS SPACE RESERVED FOR RECORDING DATA
LAND CONTRACT
Individual and Corporate
(TO BE USED FOR ALL TRANSACTIONS WHERE OVER
826,000 IS FINANCED AND IN OTHER NON-CONSUMER
ACT TRANSACTIONS
nn R. Tow a/k/a Lynn
Contract, by and between L._ y
Rodney a/k/a Lindley R. Tow, 'a singe ~ersont _
:......------------------.....--...("Vendor",
whether one or more) and..... Daniel R. Fairbanks and C. husband.. ._...-and..w,-
("Purchaser", whether one or more).
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
rents, profits, fixtures and other appurtenant interests (all called the "Property"),
in ~ ,..CrOIX................... County, State of Wisconsin: RETURN TO
Tax Parcel No. 032-1048=60
Lot 4, Rice Lake Meadows in the Town of Somerset.
This ] S not . homestead property.
(is not)
a
Purchaser a gees to purchase the Property and to pay to Vendor at ..Place Vendor directS_
the sum of $...22.)..0OeQQ in the following manner: (a) $.O~a000~00..:....._...
at the execution of this Contract; and (b) the balance of $.17.x9QQA0..--.. together with interest from date
hereof on the balance outstanding from time to time at the rate of.....9 2 Per cent. . per •annum
until paid in full, as follows: Commencing on the 24th day of March, 1995, and on the 24th
day of each and eery month thereafter, equal installments of principal and interest
in the amount of $250.00.
Provided, however, the enti outstanding balance shall be paid in full on or before the..... 24th day of
F~1~rt ar 19......._ ( the maturity date).
Following any default in payment, interest shall accrue at the rate of ...10.... % per annum on the entire amount
in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity,' the entire
principal balance
Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici-
pated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received.by Vendor,
Vendor agrees to apply payments to these obligations when due. Such amounts regeived 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 flrst 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
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
Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Veliia'd*rl
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 occasiorled by fire, ex-'
tended coverage perils and such other hazfLrds as Vendor may require, without co-insurance, through insurers approved
by Vendor, in the sum of $ ..................Z .....................I but 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 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 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 fee 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: Easements restrictions
apd..rights-of-way__of record, if any,
.
.
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 .....6.0.. days following the specified due date r (b) in the event of a default in
performance of any other obligation of Purchaser which continues for a period of A...... 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 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 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 in-
curred, 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 of 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 Property on the date of
this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser
makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to
the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on
this Contract.
Vendor may waive any default without waiving any other subsequent or prior 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 day of February--.........--------......-------••..--., 1x..95.:.
- - - ..~(SEAL) .....(.SEAL)
Lynn R. Tow * Daniel R. Fairbanks
_
..........................................................(SEAL) (SEAL)
Cynthia K. Fairbanks
* .
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) .Lynn R. Tow, Daniel R................ STATE OF WISCONSIN
Fairbanks, Cynthia K. Fairbanks as.
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
Y N N N N N N■ rrrri ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
_ Hudson, WI 54016-7710
(715) 386-4680
September 26, 1996
Great Lakes Mortgage
Roseville, MN
Re: Septic Inspection for Property Located at 2164 36th
Street, Somerset, Wisconsin
Dear Sirs:
An inspection of the septic system installed to serve the above
described residence was conducted on July 26, 1996. This property
is located in the SW=9 of the NE, of Section 17, T31N-R19W, Town of
Somerset, St. Croix County, Wisconsin.
At the time of the installation, this septic system was found to be
code compliant for a four (4) bedroom home.
If you have any questions with regard to the above, please do not
hesitate in contacting our office.
Sincerely,
Mary J ?ins
qL 7
Assistant Zoning Administrator
pe