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HomeMy WebLinkAbout020-1159-66-000 a ~ 0 I c ~ 0 1 ~ ? I eo ~ c ti ti ~ I i C -0 O T C O 'O t6 C Z C D LL C O N 3 0w` 1 M w z Z w o 1 ~ v Z ~ m a~i I o I oz 0 1 to FZ- aci Zz 1 N f0 O M O N U 1~l d L) L c C O Q Z H Z N z V L C N o O. '~a O cD M r ;I m D D a 0 N zo ~rmrtrrocn .2 (n N1 3 3 Z CD •N ~aaa V; c a Z N J V ' w ti o v v 1 ° Y v o o E 0 0 ) U m w n m (n Q) p CO o LO a o ° H c o C C LO p co O L'7 0 Ofq y N N t1 a p Ti co ~ ° o E E c o o ~ r cl1 N L L .d, 0 4 C4 -0 co N rn Gf rN~ I- F" C N • O 2 U N O Z N (A C/] m M a dt a a 1 • a m m y c E ` c c _1 A 0 at 0 0 I, ~ STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER RQ5 t-ie (foil1'FS ADDRESS 5-6*? SUBDIVISION / CSM# A 71,11y' LOT SECTION T~~ y N-R~ W, Town of A/4,g ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM N S. , /000 4i- ~2-SXS~ i RENc~~S qo' ppoffe ¢ CJ INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form- Provide 2 dimensions to center of septic tank manhole cover- BENCHMARK: /0 1PAW"tE- pz:--p ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: U),6Fe 15 Liquid Capacity: /x000 Setback from: Well House Other Pump. turer Model# Size Float seperation Ga e: Alarm Location SOIL ABSORPTION SYSTEM Width: 5 Length SU Number of trenches Distance & Direction to nearest prop. line: 3 6' Setback from: well: House 6V" Other ELEVATIONS Building Sewer ST Inlet; ST outlet Header/Manifold 90 Bottom of system 89 OO Existing Grade Final grade 9y I DATE OF INSTALLATIO PLUMBER ON JOB: LICENSE NUMBER: 3.2D~ INSPECTOR: 3/93:jt ■ Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor andYrlumanRelations INSPECTION REPORT ST. CROIX ,*fety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State PI COATES, ROSALIE X CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: *948181222 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark /00, -7 Dosing Aeration Bldg. Sewer J J 9 C~ g Holding St/ Ht Inlet 2- TANK SETBACK INFORMATION St/Ht Outlet a-0 1rq,; S~ Verit TANK TO P/ L WELL BLDG. Air Ito ntake ROAD Dt Inlet Air Septic >S0' M NA Dt Bottom Dosing NA Header / Man. ~0 S `i Aeration NA Dist. Pipe t 0~ ~9 Holding Bot. System 103 U PUMP/ SIPHON INFORMATION Final Grade ' Manufacturer Demand Model Number GPM TDH Lift Friction System 11 TDH Ft Forcemain Length Dia. I I Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length__ No. Of Trenches PIT No. Of Pits Inside Di;. Liquid Depth DIMENSIONS --zo -2DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION TypeO /2ec2 CHAMBER Model Number: System:-/ L¢-,:.r),-' .3(0 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 ~j Depth Over (,2 " xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil E] Yes E] No E] Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Hudson-16.29.19W, SW, NE, Lot 18, McCutcheon Road -~J_ Ia ' b I , Iti 5 s` s Plan revision required? ❑ Yes No Use other side for additional information. yl SBD-6710 (R 05/91) Date Inspector's Signature Cert. No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ae _ e I e_ SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code , STATE SANITARY PERMIT # -Attach complete plans to the county copy only) for the system, on not less than Q Attach ( ty py y) paper '~,g13-1 8% x 11 inches in size. ❑ Check if revision to previous 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 0.4 TES % '/4, S 6 TA J, N, R E (or PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 1061 ffo S CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER V_4 C 17,V 0 7 5- Alme 7-/v = i 11. TYPE OF BUILDING: (Check one) ❑ State Owned VILLAGE NEAREST ROAD u o~ ❑ Public ~ 1 or 2 Fam. Dwelling-# of bedrooms -3- PAR4QWN OF: _5,0A1, A CEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 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 in line A. Check line B if applicable) A) 1. ~K New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.E1 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 M 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 REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION *u ©o Feet d Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Se tic Tank or Holdin Tank F-1 El Q F-1 Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plu a 's Signature: (No Stamps) MPRSW No. Business Phone Number: 3 v s 511f-4465_1 Plumber's Address (Street, City, State, Zip Code): .Fe~ /7 gLfj& 7- IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issue Issuing Agent Signature (No Approved E3 Owner Given initial I~ d~(~~ Surcharge Fee) 7-141- Adverse Determination C~IJ X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(8.08/93) 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/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 & 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 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 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) t ' A ~-~E 9y a ~M AP/'~/POUC-i~ Cpv6a/L ~O ~ o c~ )/S Zell EL, 859, 0 ®o a ~o ~Q 0 0 03 - W tea` ~5XS0 ~do - iReivclwes X '5CA1 r y° ! q ,,z? AcY2E /-or 16 XoRr#clAf~ S mrla v 1L Q/'9 EL, /aoro Top P/4ONer PCD , - /yo D,gAWIW.'- 7-191- 9y Daau~~ Sly j~aSR CaA TES OL 0/ 40 7 1`%cC.uTe~EOicr RO S'B! 4IA4te y ai~w T/1, 'auosoAr GU1` - ~yo~ s l`!01PS40 jAe3jo-5- olvzow TEST c'a,vpirvvs = Nn 1iPosr No wIAIP, 32.°F~ P'+Rerzy sV414vy NDUSTRti'TR'Y, OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUS CC DIVISION LABOyi BOX HUMAN REDLATIONS PERCOLATION TESTS (11J) MADISON Wl 53707 (H63.09(1) & Chapter 145.045) AZWE''oe -feor'41 'r rE R SO /J LOCATION: SECTION: TOWNSHIP LOT NO.: BILK. NO.: SUBDIVISION NAME: sw /T29 N/R/9 E co H005aY-1 I ~ NoR c.tae srwrioo COUNTY: &4M%6R'S/BUYER'S NAME: MAILING ADDRESS: Sf •~eai MikE 3 Svs',t~ 511e'0yE 2y/ Ptse,.l/ S7/ ~ovJ~~ S{ J7a~Q A* 1:cJ,v USE DATES OBSERVATIONS MADE NO. BrRMS. : COMMERCIAL DESCRIPTION : PROFILEDESCRIPTIONS: PERCOLATION TESTS: KResidence 3 New ❑Replace ~a 30J Ajo V. 3D 1 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: S STEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) [xis ❑u NIs ❑u IS ❑u ❑ s EA ❑ s ou Coov"r Q-3*1 AA2e.Q o4 7t,3F" ali If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the A _ under s.H63.09(5)(b), indicate: C/-SS I Floodplain, indicate Floodplain elevation: J~f~-- PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-IN CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) , B- ya~~ I > 17' 0,e A.,. 5*, s ' N. 57, Ap a. S 7. D 3 3 -.f-V ric s. 0. v ' )J • y6" -~4-- ' /o•D •s .o'V. s, 9 S' ' ~'~Al v,~ c.S. B- 10-o' W ,C a S, N. s T*N v~ c• S. B_39v >90 r /D•~ 195 ~oL, /0'D 1 Z N. c. S v c•s B- PERCOLATION TESTS TEST DEP.T7~L, WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER IN r. AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P- A. OV f gS • gR QA `'T=_ i P- all- .4 1P -f- W E /n/ 45 e G. Y. P-_ 0-- P- L P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent fT of land slope. BOOM O/" %R4 ox op//,; CJ SYSTEM ELEVATION . _ -i - 0 I t . i _ 133 ~V ~ q~ I E _ _ _ _ _ m__ _ N E 14 . i t `toga 0 •E ~~~I~~~~~ b ~ E ~ t E io- 77-777 LN ' e Vh_s~_. 17 1 I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print : TESTS WERE COMPLETED ON: HOMESITE SEPTIC PLUMBING CO. N11. 3 Cd' q O'NEIL RD. HUDSON WIS. 54016 ADDRESS: ROBERT ULBRICHT CERTIFICATION NUMBER: PHONE NUMBER (optional): WIS. MASTER PLUMBER LIC. NO. 3307 MAR.& , j = 02 W2-- MINN. CST SIGNATUR : DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - t~ f ` t INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To a rnpiete and accurate soil test, your report must include: 1. I description; 2, ion must clearly indicate whether this is a residence or commercial pr, 3, V ~ IMUM numL ~r ~drooms or commercial use planned; 4, ' this a raevv or it system; eta, the ating boxes. h TF IS SUITABLE FOR A HOLDING TANK ONLY I ALL (S7! F.I__ RULED Ol ED ON SOIL CONDITIONS; B. ,1 she abb eviations shown her f r ruing profile desc it is nd completing t',= riot plan; 7. LEGIBLE diagram accurately I, your test locations. Drawing to scab ~,d. A ray be used if desired; gar bet ichmark and vertical eleva,,or, reference point are clearly shown, it; : all appropriate boxes as to dates, names, addresses, flood plain data, perco'rropriate; 7ation (such as flood plain, elevation) does not apply, place N.A. iri the and place your current address and your certification numher; acid distribute as required. ALL SOIL TESTS MUST BE I i H THE ' .'THORITY VVITHIN 30 DAYS OF COMPLETION. "DEVIATIONS FOR CERTIFIED SOIL TESTERS d Tex.tares Other Symbols 10") BR Bedrock f co 1) - C 3 - 10") SS Sandstone tir :el (;ancki 3") LS - Limestone s HGW - Nigh G,rx.rndc .>_er Prrc I BCdg - ind' Loam ~ - L Ti- :n L Rn L m BI K ilt Gy r_ Y Yellow - S, l . i_o a m R - F tr',ay Loarn mot - Is, t,!-s I, lay,n,' - SI Clay fff fi i, fine, fzai Clay cc common, Crt- - peat - mm - Marcy, rn - Muck d - distinct p - prominent HWL - High water If Six ~era€ soil textures surface f*t ' ;id wastedispnsal BM - Bench Mark VRP - Vertical RefE:;.,;nce Point TO THE OWNER; This soil test report is the first step in securing a sanitary permit. The county orthe Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit: application must be submitted to. the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. Rm Q I aced 6y - q`k'1 r • ~ °G/S87 SCALE FOR QUARTER SECTION Each side large blue squares= 10 chains, 40 tods, 660 feet; area of square 10 acres. 400 FL l Inch Each side small red squ31es=2.5 chains, 10 rods, 165 feet; area of square .625 of 1 acre. v>. . NE N N` Nr Wi, ' Leta I p.Srav Lo7'7 .4 7ac- s i PAWS a rrnrt, j` I I 41 f/Z0.5 .2.4 S'acr x 1af/D J''pet I o A . 73 a c' JJ L1. y .~va ~ a c/ PA 67 ~~~f I ro I nor I I t, rf5Jav V137. ( 3. cob % o•v dJ / ~ I) i f•'!-, s'. ~ 93'Ia~l Si Stc. p~-,r.,cM<,, c1cyl nw- W ' C j1: rrC • .t;i - 2C.,,~ •'S ' 300 r ~p w - - ( y It .~4 , d 2o7 .w 1,.13 (t fi4c. - aAW• 2.0/a~l1t 4r V. aSa L ~...rGoT 1~„~ r Al o 1',20 l.ot7?. r~8 ",7.lP443 ~s 41 e n p 176° I yve,'lt' q ~•o+ .~.ole-e. [~..T9a• !e ,lb :l; I O1 p•~i .a "r'' ~ ~ ~ ~ ( aZ a,e.• yjasr `~e~, / ;Gat, C-- -1 -1. W-1 90- ~l .46 r 1", Z q4 g141. f~cllci G I 101, l 1 7717. I 3 `I!/~r _ ;ter ~L. G bra, e>L~ y: % M -..,Z j9l9 core r 1 J corns ; ~ 5-yam ~ t I , . ;G:•ri S ' mu. !mares= S chains. 20 rods, 330 feet; area of square 2.5 acres. STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County I~ OWNER/BUYER "Z~a ~ ~ t ~ Ld )7 cC 11 JT SSO MAILING ADDRESS MahppausmAaS i PROPERTY ADDRESS CIA 0- k &-n r\ knA ~n (location of septic system) Please obtain from the Planning Dept. CITY/STATE i PROPERTY LOCATION t 1/4, 1/4, Section T N-R W TOWN OF S a , ST. CROIX COUNTY, WI SUBDIVISION ~Jok-Tffi c STy4-►-~ ^i LOT NUMBER /B CERTIFIED SURVEY MAP VOLUME 1 O PAGE 2-49- , LOT NUMBER /9 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 pumpe_r._= Whaf'you put into the system can affect the function of the septic tank as a treatment stage in the waste dispel system. St. Croix County residents may be eligible to receive a grant for a maximum of 60%. of the cost, of rep cement f a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted is 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 thre expiration date. SIGNED. DATE: 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 ..-mpleted 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 ~l 4 S~~-i~ ~A'TC S Location of property IVt 1/4 1/4, Section /b T N-R W Township 6~cn.D.Son! Mailingaddress /OD ! Th~~~!'sd^~ Sd--T14 ST PAt.L.. M , sso, S Address ofsite ~-67 MoGwT'c.NEON fZD, Subdivision name N oPI-F} L. ►NC ST-A--rioNs =T- -Lot no. Other homes on property? Yes No Previous owner of property L~ 0 t., S T E P 4- epl S Total size of property 4.-Z9 A GR c 5 Total size of parcel Date parcel was created Are all corners and lot lines identifiable? X Yes No Is this property being developed for (spec house) ? Yes _X No Volume 1085 and Page Number 2-48 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 pr(-cess. 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. 5/ 8576 , 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~8s~e Signature of Applicant Co-Applicant `7 0 G9` V Date of Signature Date of Signature VIL 108 ~Pa~E248 DOCUMENT No. STATE BAR OF WISCONSIN FORM It - 1982 TN,a SPACE RESERVED FOR RE.GORO,ND 041A I~ LAND CONTRACT II Individual and CerVerale - Ja_BJ~fi 1 ITO BE URED FOR D ALI, A TRANSACTIONS WHERE 01'F.N F48 }25,900 19 3 FI FiNANt'F.D AND D I N OTH OTIIERF.R NON-CON •CONSIIMER ACT TRANSACTIONS) COi .Donald J Ste P..s... Lori enst, by and between nd and wife, as surv h....en...a....nd tf fbt J. Stephens, , husbaivo r ship marit..al.. r................................................................(,,Vendor,.- 5 1994 whether one or more) and... A. , I ("Purchaser", whether one or more). 1 Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- ~tofrx~ formance of this contract by Purchaser, the following property, together with the it rents, prefita, fixtures and other appurtenant interests (all called the "Property"), it in County, State of Wisconsin: RETURN TO Tax Parcel No i Lot 18, North Line Station II in the Town of Hudson. it i EEO 'I 1 This 4_09t........ homestead property. (is) (is not) Purchaser agrees to purchase the Property slid to pay to Vendor at .,such place as designated I the sum of 2 ..3AX00 .....r .0....0 in the following manner: (a) $.?.►.350.00 at the execution of,this Contract; and (b) the balance of $...21, 150.00.................. together with Interest from date hereof on the balance outstanding from time to time at the rate of...........9.1 per cent per annum .i until paid in full, as follows: In monthly payments of 1;300.00/month commencing August 1, 1994, and the 1st day of each month thereafter. Interest shall accrue from July 1, 1994. I) I it Provittr I however, tha entire outstanding balance shall be paid in full on or before the KRt day of :I July 199.¢.... (the maturity date). ' Following any default in payment, interest shall accrue at the rate of .9j % per annum on the entire amount in default (which shall include, without limitation, delinquent interest slid, 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- I paced nnnuni taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, !I Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of I 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 I amount may be prepaid without premium or fee upon principal at any time after_......._July 19.94-... (OR) !I Alcomwnapx:bttxtmtltM7IMrtatta CKPI1tn¢,tll0iXMtt UM)Pelma UbItXKXVatVNKXx In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long ns the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated ~ as unpaid principal) is less than the amount that said indebtedness wnuld have been had the monthly payments been 1 nnnde as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurnnce or condemnation, the condemned premises being thereafter excluded herefronn. it Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for exnmination except: None II ! fl +I I Purchaser agrees 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. Pnrchaser shall be entitled to take possession of the Property, on........ date of closing it •Cro%. Out One. , 19........ , LAND CONMACT - Individual and STATE II.\R OF WIRCONSIN Wi.{vn.in I.rgel mark Co. Inc. Corporate FOR %I N.P. 11 - 19B: 3111wankr•r, Wis. i u Amairti fEsr cp vpirtvvs = No riPosT No w,,:•vp 3y° F~ PirRr~y su.~,vy 1 SAFETY&BUILDIN MPARTMENTOF REFJRi ON SOIL BORINGS AND DIVISIO INDUSTRY, N N P.O. BOX 7969 (TABOR AND PERCOLATION TESTS (115) HUMAN RELATIONS MADISON, WI 53707 (H63.090) & Chapter 145.045) 04W": S7figpa 'E're: A O /J LOCATION: 'M"fr I TOWNSHIP OT NO.:BLK. NO.: SUBDIVISION NAME: .5 k) G /T29 N/R/9 E (o r(W Huvset l I nloa c.~aE- sr•~rfoa COUNTY: S AME: MAILIN ADDR SS: sf •Croi ikE i SKt./.v 51,eoyE 2y/ i1-sch/ s-/ sovkO Sf P" ~il~;c~,V fS/ f USE DATES OBSERVATIONS MADE C MM R AL DESCRIPTION: PR F TESTS: ~j Residence rq 4txNew ❑ Replace V. 3~ 9 No V . 30, 1 / p I RATING: S• Site suitable for system U- Site unsuitable for system ICONV L: MOUND: IN GROUNUffi_ ESSURE: SYSTEM-IN-FI LL HOLDING TANK: RECOMMENDED SYSTEM:(optional) S au ZS ou 2S ❑u E JS au a s x ouu ~T~oJ e ❑ U 7 If Percolation Tests are NOT required DESIGN RATE: LF any portion of the tested area is in the under s.H63.09151Ib1, indicate: CL yx .7- oo dplain, indicate Floodplain elevation: I PROFILE DESCRIPTIONS BORING TOTAL H T R NUMBER DEPTH ELEVATION UNDWATER-IN CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH OBSERVED E HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 17' .or. , A0 . s . 3 3 ' 'B. Z O.0 *1016 74- ' /0-0 " • S • • s, 9 s ' r4k/ x• C.S. - > 9 D • 7s ,r• a • s, N . , r4w aAW1 C. S. B- 3 q 0 %"Y", If a 93. I~: ?fir- > p , , y2 ° N • . o 4A.1 c•s B_ IVEn EST PERCOLATION TESTS for a conventional $e tics stem. DEPjii WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES NUMBER IN T AFTER SWELLING RATE MINUTES INTERVAL-MIN. PERIOD 1 PERIOD2 PE RIUD-T- PERINCH P. " O/P47kie'o Guess' P. .Z sJV~Q'l, s p~tt?b es% P- L -3 _3 P_ PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. / 0/e ~~.t°FtiuiES 9470 SYSTEM ELEVATION fr. lift t t 3 • 39 • ~ ~ I 1 f" s z ss s IN 40 o .fAr 23 _ P 60 7 N4 e 0 # ito~j RTE _ At~c pysteme. __1-- , I, the undersigned: hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin of the tests are correct to the best of my knowledge and belief. NG CO TESTS WERE COMPLETED ON- s. 5401 / V v so I g g W HOMESITE SEPTIC PLUMBING CO. CERTIFICATION NUMBER: PHONE NUMBER(optional). Robert Ulbricht 3307 M.P.R.S. _!3-: 02 p2- > Wisconsin Master Plumber License No. 3307 MPRS ic. NO. 0M CST SIGN ATUR ; Minnesota Installers & Designers License No. 00663 -Rt. 3, O'Neil Rd., Hudson, WI 54016 655 arty Owner and Soil Tester. ~r 386-8185 0*0 FIR J T f c 4s7 -~~-3 /-V1~ -7 -7 '7 9