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STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER~~~
ADDRESS 7ISC) L~xin
SUBDIVISION / CSM# LOT
SECTION J3 T _N-R_Z? W, Town of _ IdS
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
Jam
y ,
;U Vol
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
JI~', J
BENCHMARK • /71, ~e + 5~~►~s2_ /
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: o Liquid Capacity: /d-
Setback from: Well ? p House Other
Pump: Manufacturer Model# Size
Float seperation Gallons/cycle:
Alarm Location
~I
SOIL ABSORPTION SYSTEM
Width: Length e `3
Number of fires
Distance & Direction to nearest prop. line: V nA -
Setback from: well: 96 House v? 6 Other
ELEVATIONS
Building Sewer ST Inlet. 121 61 - ST outlet
PC inlet PC bottom Pump Off
Header/Manifold 16) 7- Bottom of system
Existing Grade Final grade '169"1
DATE OF INSTALLATION:
PLUMBER ON JOB: C @-~
LICENSE NUMBER: lJra~
INSPECTOR:
3/93:jt
Wisconsin Dgpartment of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT ST. CROIX
Safety and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No-:
GENERAL INFORMATION
PeUkV1q s N EVEN A. ❑ City C] Village Lk Town of: State Plan o.:
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
_s 4'1. TANK INFORMATION ELEVATION DATA y; -
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing- L . It? / j O.io7° /GPI<(v~°
Aeration - - Bldg. Sewer
Ing T St/ ffllInlet S, c~3~ /0,97
TANK SETBACK INFORMATION St/ Outlet S. //D
TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic NA Dt Bottom
Dosing - NA Header_ 0 '
Aeration ____NA Dist. Pipe
Holdin Bot. System 5-3 PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Dem nd y~ a s. T 9l] /0
Model Number `GPM
TDH Lift Lnction System TDH Ft
oss Dia. II Dist. Towel
Forcemain Length
SOIL ABSORPTION SYSTEM
BED/TRENCH Width p / Lengthy , No. Of Trenches P No. Of Pits Inside Dia. Liquid pth
DIMENSIONS ~Q J ~o DIMEN
SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEA Manufacturer:
SETBACK
INFORMATION TypeO /_7,e_ C MBER Moe Number:
System: ,t/ ~1 ~S 1 ~L RUNIT
i
DISTRIBUTION SYSTEM
Header /Manifold ~e Distribution Pipe(s) / x Hole Size x Hole Spacing Vent,To Air Intake
CO
Length Dia. Length 35 Dia. Spacing
1
SOIL COVER x Pressure Systems Only xx Mound Or At-Grad s Only
Depth Over Depth Over xx Depth Of xx Seeded/ Sodded u ched
Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: J S o (s~ey/Yy h . 2 3.3 0.19W ~S/y//E~/ W, Lot 2 143rd
Plan revision required? ❑ Yes No
Use other side for additional information. (p lj3k
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
I
SANITARY PERMIT APPLICATION couNTY
v'ea~lnlln In accord with ILHR 83.05, Wis. Adm. Code
57`.Cro~k
STATE SANITA PERMIT
-Attach complete plans (to the county copy only) for the system, on paper not less than a a~
8% X 11 inches in size. ❑ Check if reon to pr ious application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER PROPERTY LOCATION
S s '/a s 4,D'/a, S T 3D, N, R &(G*) W
P PERTY OW MAILING ADDRESS LOT # BLOCK #
v -e-
CI , STATE 0]-ZIPCODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
m SS Cs
II. TYPE OF BUILDING: (Check one) ❑ State Owned 0 VILL GE J NEAREST ROAD f~
W ~OWN OF~ OS M~
❑ Public 1 or 2 Fam. Dwelling-#~ of bedrooms ~ RCEL TAX NUMBER(S))
III. BUILDING USE: (If building type is public, check all that apply) U 30 _ Iv bj_ _90
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 120 Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. ~ New 2. El Replacement 3.E1 Replacement of 4.0 Reconnection of 5.0 Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 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
Z/ c~ s~ REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) 3$ ELEVATION
-T...7v 1073 6(06 i /U ~~~r'1 Feet Feet
,0 7 VII. TANK CAP CITY Site
in al Ions Total # of Prefab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tans Tanks structed
Septic Tank or Holdin Tank oo ` Q r
Lift Pump Tank/Si hon Chamber 1 1 El Fj I Fj El L1 PEI I
Vlll. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): [Pli ber's Signatur Stamps) MP/MPRSW No.: Business Phone Number:
Plumber's Address (Street, City, State, Zip Coti:
la9 -cam
V
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No Stamps)
Surcharge Fee)
Approved I ❑ Owner Given Initial - C-
Adverse Determination ~6 J
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, 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 the 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/fRenewal 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 & Buildings Division, 606-266-3815.
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.
111. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in 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 in ##1-7.
VII. Tank information. Fill in the capacity of every new and/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% 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
1
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, ground-
water contamination investigations and establishment of standards.
SBD-6398 (R.11/88)
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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
Labor ar)d Human Relations
Divisior.~of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
St. Croix
Attach complete site plan on paper not less than 8 1/ ip?hes4q e. Plan must include, but
not limited to vertical and horizontal reference poi „ ir~setio#a,ara f slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and dis n nearest road: ' r 030-1060-90
APPLICANT INFORMATION-PLEASE TfI7~ALL I'N 40RMATIOI+I REVIEWED BY DATE
PROPERTY OWNER: t ERTY LOCATION
Steven Larson LOT SE 1/4 SW 1/4,S 23 T 30 ,,R 19 A (or) W
PROPERTY OWNER':S MA!IING ADDRESS :k- # BLOCK # SUBD. NAME OR CSM #
1565 Sherwood ~4`. ` na csm 5/1203
CITY, STATE ZIP CODE \DqCftNUMBER ,OLZCITY OVILLAGE SOWN NEAREST ROAD
Shoreview, MN. 55126 St. Joseph 143rd. Ave.
ki New Construction Use [xk Residential / Number of bedrooms 3 [ j Addition to existing building
j I Replacement [ I Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate .7 bed, gpd/ft2 .8 trench, gpd/1112
Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate -bed, gpd/ft2--,$_trench, gpolft2
Recommended infiltration surface elevation(s) 106.55 ft (as referred to site plan benchmark)
Additional design / site considerations 18x361 bed
Parent material lake terrace 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 system [S O U I ®S C ]U ®S O u 0S O U O S ®U 0S AR U
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
Boring # Horizon in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. I Bed Trerxdl
1 -9 10yr3/3 none 1 2msbk mfr 9w 2m .5 .6
1
2 -18 10yr4/6 none sil lfgr mfr 9W if .2 .3
Ground 3 18-24 7.5yr4/6 none is Osg mvfr gw na .7 .8
elev. 4 4-90 7.5yr4/6 none co s Osg ml na na .7 :.8
110.75 ft.
Depth to
limiting
factor
+90"
Remarks:.
Boring #
1 -9 10yr3/3 none 1 2msbk mfr gw if .5 .6
2 -18 10yr4/6 none sil 2msbk mfr gw if .5 .6
2
3 8-27 7.5yr4/6 none is Osg mvfr gw na .7 .8
Ground
elev. 4 7-80 7.5yr4/6 none co s Osg ml na na .7 .8
108.55 ft.
Depth to
limiting
factor
+80"
F
Remarks:
CST Name:-Please Print Phone.
Gary L. Steel 715-246-6900
Address: 1554 200t)t Ave., New Ricb ond. WT- 94017
CST Number
Signature: Date: 4-5-95 cstm 02298
PROPERTY OWNER Steven Larson SOIL DESCRIPTION REPORT Page? 'Of 3
PARCELI.D.# 030-1060-90
Boring # Horizon Depth I Dominant Color Mottles I Texture Structure Consistence ~BanXiTy I Roots ed DT/ft2
in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh.
3' << 1 0-8 10 r4/3 none 1 2msbk mfr w 2f .5 !.6
2 8-16 10yr4/6 none sil 2msbk mfr gw if .5 i.6
Ground 3 16-26 7.5yr4/6 none is Osg mvfr gsr na .7 .8
109e55ft. 4 26-80 7.5yr4/6 none Co s Osg ml na na .7 .8
Depth to
limiting
factor
+80"
Remarks:
Boring #
1 0-8 10yr4/3 none sl 2msbk mfr gw if .5 .6
4 2 8-21 10yr4/4 none sl 2msbk mfr gw if .5 .6.
3 21-74 7.5yr4/4 none is Osg mvfr na na .7 .8
Ground
elev.
106.55.
Depth to
limiting
factor
+74"
Remarks:
Boring #
1 10-8 10yr4/3 none 1 2msbk mfr gw 2m .5 '.6
5 2 8-24 10yr4/6 none sil lfsbk mfr gw if .2 :.3
3 24-78 7.5yr4/6 none S Osg mvfr na na .7 .8
Ground
elev.
108.05ft.
Depth to
limiting
factor
+78"
Remarks:
Boring #
1 0-12 10yr3/3 none 1 2msbk mfr gw if .5 .6
6 2 12-26 10yr4/6 none sil lfsbk mfr gw if .2 .3
3 26-34 7.5yr4/6 none sl 2msbk mfr gw na .5 .6
Ground
elev. 4 34-82 7.5yr4/6 none Co s Osg ml na na .7 1.8
107.65 ft.
Depth to
limiting
factor
+82"
Remarks:
SBD-8330(R.05/92)
STEEL'S SOIL SERVICE
Gary L. Steel Steven Larson 1554 200th Ave.
CSTM2298 SE4SW4 S23-T30N-R19W New Richmond, WI 54017
MPRSW 3254 town of St. Joseph (715) 246-6200
t lot #2 csm 5/1203
N.
1"=40'
BM. top of mid lot survey stake at el. 100'
40` eor M8tz
0011t - ' '
/Q ~u r ✓
or~~
Gary L. Steel
4-5-95
C r v S S ~ Ito. l o t o S~ s~ c:
1 ,
Fro►A Air In1,1► And OD►orrallon pip,
t
App(q.ld Von, Cop
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MlnlmuT 12' AnOr,
fl-41 Cred•
20. 42e Ae•., Plpr -4, C„1 Iron
T• finel Orede Venl Pip,
uer,n Net Or SrnlMlk Ce vlny
Lln 2 aale
Or.rPPI a .
Olelr lO.Ilon -
Plp, 0 0 o Too 1
Oon•,14 PIP, o Pert•r•I,d Pip, tlei•v
0 '~•Co'*"nlt T•rmin•Ilnp A,
Oollo:n 01 ft►lon
Pro D t D pt A..I q rl% (I
SOIL FILL
DISTRl6UTIOl.l PIPE
Y e APPROVED S4)jTl4CTIG COVC
2"of,&Gr, EGIl1I---~~ _ v--MATI:AIAj. OR 4"OF STRl.W
Oil MARSH "&-j
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EV. O F 46 FEj- Y L~•OP%-21/; AGGrtCGATE ~P.~; %
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F- 3
DISTRIPI~JTIOU PIPE TU DE AT LE~5T
A►JU AT LEAST LO IIJCNEL BUT 1,10 MO►IC TF{Af~ y2EI1~CNES BE OW FIt~1AL GRADE
• AL GRAD[
MAXIflur'1 D&Prvi of F-XcAVArI00 FXOM OR16 AL 6f ~DF- WILL DE
711NIMU1~ pEF r11 OF EXCAVA71mN IIJCHES
FR01'\ 0d116WAL GROE WILL 6C ~a INCHCS
SIGIJCD:
R
LIC-EWSC L1UM0E12: --1~
DATE:
70
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MAP SEP X98z *4 1
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CERTIFIED SURVEY
-MONUMENTED NORTH LINE AAM OF GOVERNMENT LOT 8 LOCATED IN GOVERNMENT LOT8 OF SECTION 23. T30N, R19W. OIO017l1lti-
CERTIFIED SURVEY TOWN OF ST. JOSEPH, ST. C.ROIX.- COUNTY, WISCONSIN of D004 '
- -1r - - - - - N 89° 30151"E 13.001 ' q ~ amty'
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83.2 8' k 3 1 MAP LEGEND
h p - in► 110- UM E 3• PAGE 644
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S~ MONUMENTED S^ LINE OF TVE.. SWI!4
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STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER -/-rev e " 4. "P-50 N
MAILING ADDRESS 4.1'~O lcX t t4(4V1J 4V; F-, 'StOuzV lEw MW S i2(o
PROPERTY ADDRESS XXX W! MO ~
(location of septic syste`m`) Please obtain from the Planning Dept.
CITY/STATE 7C M a-5 e5T, l~ ( G 40-2-S
PROPERTY LOCATION 1/4, SW 1/4, Section T'~O N-R W
TOWN OF S 1 f~ 1-~ ST. CROIX COUNTY, WI
SUBDIVISION GSM LOT NUMBER 2'
CERTIFIED SURVEY MAPq 1 " $ L , VOLUME 5 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: 4-
St. DATE: 7 9
Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
i
STC-loo
This application form is to be completed in full and signed
the owner(s) of the property being, developed. .Any inadu cies
will only result ~n delays of the permit issuance.
development be intended for resale by ow ShoU this
house), thenla second form should"be reainedrand nc mpleted`when
the property' is sold and submitted to this office with the
appropriate deed recording.
Owner of property vcN A..
Location of property 1/4 5W 1/4, section 2?7 T_ L(J
. ~ _N-R _LtrW
Township
Mailing address 413a Lcm"N t t
Address of site X.x~C l~}-3tL~ ~t S`~a•LS
Subdivision name ~S M
Lot no.
Other homes on property? yes X
No
Previous owner of property GN42.L >A LZCtZ
Total size of parcel t Q-3
Date parcel -was created ~1- 1-
'Are all corners and lot lines identifiable? Y11_
Yes No
Is this property Peing developed for (spec house)?-Yes -IX-No
volume 10'65 and. Page Number 244,0 as recorded with the Register
of Deeds.
------r-r---- ----rrrrrrrrrrrrr--------- .-rr...r..-
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE
NUMBER & THE SEAL OF THE REGISTER OF DEEDS.
certified survey, if available, would be helpful ~I o asd 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 h1i 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._ 1 5'15,
own the , and that I (we) presently -
proposed site for the sewage disposal system or I (we)
obtained an easement, to run the above described
the construction of said system, and the -same haso beert, for
n duly
recorded, in the office of county Register of deeds as Document
Sig ature of applicant Co-applicant
- r7 1.9s
Date of Signature Date of signature.
From RANDY ITEN CHEV INC PHONE No. 715 386 9620 Apr.17 1995 2:01PM P02
~ I
nnc•unntiNr M8 C 8AR I Nu 0)2M tl.t0at arare srssevee see haawNSfNa b•*„
LAND CONTRACT
! •j~ 'i , Imi,laosi and Carer,( i
1 1 s+~ s,~ (J ttr~t~ Les lifto ~pR AL[. TRAMIiAAY1bMa W~gq& pVi^.it ~I
j~t28,060 In FINANr.RD AANr1D ft1r OtpKII NON-CONBpNEA
ii' _ w . .:c.. _ • s- ..ACT rAANRM rl Mai_ f „ -
ContrACt by and between a>"1••W. I3alaeer and I &irsj Arlen F, Ilalzer husband and liI
wi ..eX.,......._.
„_:7,-
(!!Vendor", Jwhether ale or more) and.....~~0?Va«. Allen Larson AT:Gal.1..Ltlx. , 7.n6t...LAr-00M...-14tJ3~2A~kl X t~} ..yt Y! . 4:Y.A..rship.........ant or
more). d
.1
1 Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance of this contract by Purohaser, the following property, toother with the1
rants, pp fiyj turp{~and other appurtenant InNreets (all called State the "Pero
I in........ " ro1A COUnty Of Ir~-Y M1r: •._Ai •1.T 1\i~J!-T'YtAJ11.:fib
f 0 Ie00nilq 1 esTUaN TO . 'r.
i fart of Government Lot 8 of Section 230 Township !
30 North, Range 19 West, St. Croix County, I T•- _._.R--:- c
Wisconsin, described as follows;
Lot 2 of Certified Survey Map filed September 1, V61'. S.; poid ,
1203, Doc. No. 379476, Together with a 20 foot wide access road as '
1 shown on the Plat of Stevens and Shirley's Addition in the Town of St. j
Joseph. Together with an easement for ingress and egress as shown on
said Certified Survey Map. Together with an easement fur ingress and
egress over a strip of land, 33 feet wide commencing at the Westerly,
i! line of the tract conveyed by Warranty Deed to Daniel Shirley and
'j Paul Stevens dated September 19, 1938, recorded September 21, 1938, in !
Rook 245 of Deeds Records at page 463 in the Office of the Register of
Deeds for St. Croix County, Wisconsin, continuing due West along the
South Side of the North line of Government Lot 8 of Section 2330-19 and
i continuing due West across the SEtx of SE% of Section 22-•30-19 along the
Souta side of 'the North li.ne'.of said 40 to County Trunk Highway "I".
This f g,, not...., hoiff~tead property.
(is) (la not)
Purcha L a urehase the Property and to pay to Vendor at 122Q...
2Q,••
the sum of $ L.................................................
In the fell wir►~ manners (a) _ f... ,,,-,.•..,,,,•„1 54016
at the execution of this Contract; and (b) the balance of ;..3 ..t 5.80.00
together with interest from date
hereof on the balance outstAndin)r from time to time at the rate or...... .......~0.;......... per cent per annum
until paid in full, as follows:
monthly payments, commencing August 1, 1994 and the first of each
month the:reaftar, of $250.00, interest only,
ravided, however, the cutise uutetanding balance shall his paid In full on or before the..,.......ht day of
, 12 ,y 19...92 (the maturity date).
i Following any default in payment, interest shali accrue at the rate of 1 Z.-A. 6 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 useused by Vendor, agrees to Pay monthly to Vendor amounts sufficient to pay reasonably antici-
paled annual taxes, special aifsesaments, fire and required insurance premiums when due. To the extent receive!) by Vendor,
Vendor airrees to apply paynitnte to these obligations when due. Such amounts received by the Vendor for payment of
taxes, asseasments and insurance wiii be deposited into an escrow turd or trustee account, but shall not bear interest
union otherwise required by law.
Payments shall he 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 an time, 1
Y ) 1
•
i in the event of any prepayltfent, this contract shall not be treated all In default with reetieet to payment so long j
as the unpaid balance of principal, and Interest (and in such case accruing interest from-month to month shall be troated
ae vnpotid princi;al) is less than the amount that said Indebtedness would have been had the monthly payments been
made as first specified al,ove; provided that monthly payments Shall be continued In the event of credit of any proceeds
of insurance or condemnation, the eondenined promises being thereafter excluded heretrom.
Purchaser states that Purchaser Is satisfied wltb We title as shown by the title evidence submitted to Purchaser
for examination except. mortgage to Premier Sank, dated June 3, 1993 and
recorded June 9, 1993 in Volume 1014, page 158, as doc. no. 500377,
which vendor will pay according to its terms, ;
~j
1•urchawr sirroed to pay the cost of future title evidence. If title evidence Is in the form of an abstract, It shall
be retained by Vendor until the full purchase price is paid.
Pureh
~ seer 'hall LecntlttaA to take q
'Cress Oaf one. p0areseion of the $roportY on........ lly IPA—.
LAND OONTVACT •-Iodf•laurl ..e eTATF, nAR of wlet' WSIN , WG,QOn,iq Meet ai,alf Co, Inc,
corpora,. FORA Ne, 11 - Isl r
:Ollw.ukee, WI,.
From RANDY ITEN CHEV INC PHONE No. 715 3869620 Apr.17 1995 2:01PM P03
vet
Purchuser prus.,isuo to pay when doe all takes and aee.~aan,ent lerlFd eii the Prnpe.rty nr upon Vender's IMt•raet
in It and to deliver to Vensior on demand receipts showine such payennht.
Purchaser shall keep the Improvements on the property Insured a ainst loss or damage ocraslonnd by fire, ax-
tended coverage perils arrd such other h"&rde as Vendor may require, without se insurance, through insurers xPp*t►vrd
by Vendor, In the sum of ; but Vendor •1,41) not require coverage is as amm+nt more
than this baltirtov uwwd unJur this C,untrait. Furchuer all pay the Il,auranee premlunle When due. The politics shall
contain the standard, clause In favor of the Vendor's interest and, unless Vendor othotwise agraea in writing, the original
of all pullciw amverl,rt ti,e proporty shall be deposited with Vendor. Purchaser shall promptly give notice of lost to
Ineuta+tco eompanle• and Vendor. Unless Purchaser and Vendor otherwise agroe in writing, insurar.-s proePerle shall
lw applied to rvituratiuu ur repair of the Property damaged, provided the Vendor dorms the reotorotion or repair to be
econnroldhily tauibla.
Purchaser "vetiants not to commit ,Pasta nor allow want* to be committed on the Property: to keep the Property
in good tenantable ovuditiun ant repair to keep the Property free from liens superior to the lien of this Contract, and
to comply with all 1awe, erdlnaneee M n ulationa af!'oeting the property.
Vendor woos that iN caso the purchase price with interest and other moneys shall be fully paid and all ca.ulitiana
shall be fully performed at the titres and In the manner above specified, Vendor will on demand, szeeute and deliver to
the Purchaser, a Warranty Deed, in foe simple, of the Property, free and clear of One and encumbrances, except
any liens or encumbrances created by the act or default of Purchaser, and excepts •:OnQ
• .
Purchaser agrees that time it of the "no* and (a) in the event 'of a default in the payment of arty principal or
Interest which continues for a period of P... days follow Ing the speelfled due date or (b) in the avant of a default in
performance of any other oblixation of Purchaser which continues for a period ut. Q.... days following written notice
thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this contrast
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
a841tion to those provided by law or in equity- (I) Vendor may, At his option, terminate this Contract and Purchaser's
rights, title unit Interest in the Property and recover the Property back through strict foreclosure with any equity of
redumption to be conditioned upon Purchasers full payment of the entire outstanding balance, with interest thereon from
the date of default at the raj,; in effect on soon 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 it purchaser tails to redeem); or (11) Vendor may sue for o1weifie performance of this Contract to compel
immediate and full payment of the entire outstanding balance. with intt rest thereon at the rate In effect on the date of
d••isuit and other amounts clue 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 itsaelaud on title in a quiet-title
action if the equitable interest of Purchaser is insirnlflea tit, and (v) Vendor MAY have Purchaser ejected from pose ession
of the Property and have a receiver appointed to ooliect any rents, issues or profits during the pendency of nny action
under (1), (it) or (iv? above. Notwithstandltig any oral or written statements or actions of Vendor, an election of any
of the foregoing romed+os shall only be binding upon Vender if and when pursued In litigation and ally costs and expenses
including reasonsble attorneys fees of Vendor incurred to enforessny remedy hereunder (,whether nhated or not) to the
extent not prohibited by law and expenses of title evidence shall be added to principal still paid by Purchaser, as ins
eutred, and shall be Included i!I any judgment.
Upon the commencement or d,Iring the pendency of any action of foreclosure of this Contract, Purchaser consent&
to the appointment of a rscsiver of the Property, including homestead Interest, to collect the rents, issues. and profit% of
the Proper during the pendency of such action, and suc-, rents, issues, and profits when so collsew shall be held and
Applied as the court shall direct.
Purchaser shell not transfer, welt or convey any legal or 1 actable interest in the Property (by assignment of any
torts rent of V nrights less nit era the outtsstanding balance long-term under thinnContract i. first)paiid thou
in full or the intereest
conveyed is a pledge or Assignment of Purchaser's interest under this Contract solely as security for an indebtedness of
Purchaser, la the event of any such transfer, sale or conveyance without Vendor's written 00nsent, the entire outstanding
balance payable under this Contract shall become immedlatelydus and payable in fAl, at Vendor's option without notice.
Vendor shall make all payments when date under any mortgage outstanding against the Property on the date of
thl Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser
magn 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, w, made by Purchaser shall be considsrad payments made on
this Contract. r
Vendor may waive any default without waivinx tiny 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 represantatites,
successors And aeeig7t• qf Vendor and Purchaser. (It not an owner of the property the spouse of Vendor for s valuable h
consideration joins herein to release homestead rights in the subject Property and agree to join in the execution of the
deed to be made in talfillment hareef.1
Dared this ..............lat..... JAY of ..........17tf1►.
I - I I . I 10..94-•
. (SEAL) 4.. (SEAW
*Steven Al,~. n... ?a; scylf • g~7,..~tx...11441.1Crt
.-tKl/!!'•`'...........(SEAL) ...........(SEAL)
.Gil ..Lorrai a Larson a Arlen P. 8alzor. e:
...a ....ilAlik
Em%v.-:c E , NTiGAZ't AQBNt)WLSAG>!d>mNg' h•.fiNEPIN COU,
+
m,nfolsosoi.•M trpilrt Ian. 16, f 20 STAT'R OF WISCONSIN
OT r.....Q.Ro .x............County.• t. or
~r a
authenticated this ........day of 18...... Pereonally came be :'?te 11 ~a. ; OAJ d!; of
•6d
Earl' w. Ba1ieras-~:
fit:®ven Af ] en. ~.ar~iawn;aa . -
.....rte.
TITLE: MEMBER STATE BAR OF WISCONSIN ~.r..;g....
(If not, •vr;.......gl Sl.t.... io
Authorized by ¢ 708.06, "Wis. Slats.) to me known to be the per the No
loregol t tlnt an kn`
e
7111• I 9TRJ,IlAaE1~ WAS DRAFTED tY y
la
Robert }yfilrr l1
WA X...a,..)d•I Et3,
L.r...5►..0. a I................
52 Secon S
Bee fig.. VIII.....5ta0lt Notary Public .........$te.r.....PXQ- :?k...........county$ Will-
(Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not. state expiration 7~II•
are not necessary.) date 111.........) ~v
CT a
•Nemer of persons .Irninr, In any C&P60t Id bo, tfped or Drlalld below thou dl111hatur".
. a
, nn. ...e rN 1/`T I,ALIAv.I ...d f'o,.,ar H,.,♦ ,1.r a~ Wlavndn. TIu. ~1 lost
ST. CROIX COUNTY
WISCONSIN
ti ZONING OFFICE
r r x n ■ x ■ n ■ .o■„6 ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016-7710
' (715) 386-4680
August 3, 1995
Derrick Construction Company, Inc. VIA FAX: 246-4948
1505 Hwy. 65
New Richmond, WI 54017
RE: Certification of Inspection for Steven A. Larson
Property located at 732 - 143rd, Somerset, WI 54025
To whom it may concern:
An inspection of the septic system for the above referenced
address was conducted on June 13, 1995. This property is located
in the SE 1/4 of the SW 1/4 of Section 23, T30N-R19W, Lot 2, in the
Town of St. Joseph, St. Croix County, Wisconsin. At the time of
the inspection, this septic system was found to be code compliant
for a three (3) bedroom home.
If you have any questions or if we can be of further
assistance, please do not hesitate in contacting our office.
Since ely,
n
mes K. homps en
Assistant Zoning Administrator
St. Croix County, Wisconsin
db