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HomeMy WebLinkAbout020-1283-10-000 ao er C C O y O .O N c o f0 v p N 0 0 c ~ v c E N 0 a U co m_ 0 > 3 c Z rv LL C ` N O N W- U t Q U M a N Z y w E 01 W r OO rn ~ a m H c 0 C z O Z ~ N c +N O Z ~ Z N H ~ c -a M a) N N .N CL N N N O (L L = C C O U O O w ~ Z F- Z :o N Q Z 20 c E " rn CD a 'R « Y c !2 *6 cc ~ E 0 IL E :3 co a <n o •N yaaa IL e w O M 0) 0) ~i Z ~ n ti ~ y c, o .r 0 o o E D 0 a M N N c N ~ .0 d Q } (n co C. E C ~l O O O C 0 d j O O CO 3: .9 0 ' C U 4. p r` E O O N V W co C O M O y 3 O O y = d N F" C N r m" O N 7 0 0 C N E l6 U •O ~ ~ 2 m N 0 Z C .w v Cl r;#a l €a • a m a~ a c E c c STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER , n r J ,/Cr ADDRESS y7u ~dGcL 'n / ~ ~ Y ~l SUBDIVISION / CSM/,'~~o LOT SECTION T N-R W, Town of u_ ST. CROIX COUNTY, WISCONSIN PLAN VIER SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Ur M INDICATE NORTH ARROW i J Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK • s'u yy. Gc S l S ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: 22,'1_cJe Spey Liquid Capacity: /2t3 C) Setback from: Well Pj O House /jJ Other Pump: Manufacturer Modelt Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: _~5_ Length Z e) Number of trenches T Distance & Direction to nearest prop. line: -2 ' Setback from: well: House Other ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: 11; tL S't~1/ey LICENSE NUMBER: INSPECTOR: 3/93:jt ISGfln51n Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL-INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: PerBmitsHolfler'bN ALOPMENT, INC .~1 ❑ City ❑ Village a Town o : State Plan o.: CST BM Elev.: E Insp. BM Elev.: BM Description: X Parcel Tax No.: / y._.~ TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing A Aeration Bldg. Sewer eo.as 96.2? Holding St/ Ht Inlet ~v v '90S7 TANK SETBACK INFORMATION St/ Ht Outlet /o.S/y 90. (3 Vent TANK TO P/ L WELL BLDG. A ir Ito ntake ROAD Dt Inlet Air Septic NA Dt Bottom Dosing NA Header / Man. r Aeration NA Dist. Pipe 9(-3~ Holding Bot. System 7a a 9 8.79' PUMP/ SIPHON INFORMATION Final Grade ~a 7 Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Forcemai n ength Dia. Dist. To Well Head SOIL ABSORPTION SYSTEM BED /TRENCH Width J Length No. Of3renches PIT No. Of Pits Inside Dia. I Liquid Depth DIMENSIONS 5 /a U / DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION TypeO _IL , CHAMBER Moe Number: System: ,.,G6 > SD A,11 A OR UNIT DISTRIBUTION SYSTEM Header J 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 , xx Depth Of 7t~ Seeded / Sodded xx Mulched Bed /Trnch Center Bed /Trench Edges ~6 Topsoil Yes ❑ No E] Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Hudson.17.29.19W, SW, SE, Lot 111, Virtue Road -~=6 7 .1'Jt-~,~) 6- ec , .r _1 4 Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Ins a °s Signature Cert. No. f ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: i f r J" SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code co STATE SAI~IT~F~,Q,ERMI5 =Attach complete plans (to the county copy only) for the system, on paper not less than }}vv77 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 r *t '6ZO J?f. .0 r,i . '/41E' Y4, S / 7 N, R E (Or PROPERTY OWNER'S MAILI ADDRESS LOT # BLOCK # r.2 B7 T X .97- ll CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER d a,rJ otd - II. TYPE OF BUILDING: Check one CITY NEAREST ROAD nn ( ) ❑ State Owned VILLAGE : -7 Z ,pV ❑ Public IQ1 or 2 Fam. Dwelling-## of bedrooms = PARCEL TAX NUMBER(S) Y~- Ill. BUILDING USE: (If building type is public, check all that apply) aq. a,,,, i/~8'3 l 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 40 Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE E OF PERMIT: (Check only one in line A. Check line B if applicable) II A) 1. t6LNew 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # 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 [9 Seepage Trench 220 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 REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Minn../inch) ELEVATION :z S ~ 4 . ? ve, 0 - ` G Feet 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 __X - F] El El -LL-+ n Septic Tank or Holdin Tank 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): Plumber's Signature: (No Stamps) MPRSW No.: Business Phone Number: All `a -1 S ct: ~ Plumber's Address (Street, City, State, Zip Code): r d a Se A,02, S d .~yG IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sani r Permit Fee (Includes Groundwater Date Issued uing Agent Sig t (No tamps) pproved El Owner Given Initial surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber r i 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) Al", ,Gy~.~ g L i ~ PP_ kn Dep artmenta of Industry, S' I L AND SITE EVALUATION REPORT Page ? of 3 aHuman Reltions n of Safety & Buildings y vW in accord with -IL Wis. Adm. Code COUNTY r t,: Attach complete site plan on paper not less than 8 in size st include, but St. Croix not limited to vertical and horizontal reference pirection an of cale or PARCEL I.D. # dimensioned, north arrow, and location and distages,t roaAPPLICANT INFORMATION-PLEASE PR NOfjfIIIAT REVIEWED BY DATE PROPERTY OWNER: PR LOCATION Gordon Flood G T SW 1/4 SE 1/4,S 17 T 29 N,R 19 X NR W PROPERTYJM)IT~.S I AIoLIING ffrlel TS BLOCK # SUED. NAME OR CSM # .°Y x 1 CITY, STATE ZIP CODE PHONE E CITY ❑VILLAGE MOWN NEAREST CAD Hudson, WI 54016 (715) 386- Hudson Virtue [X] New Construction Use ] Residential / Number of bedrooms 3 [ ] Addition to existing building ( ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate •65 bed, gpd/ft2 .75 trench, gpd/ft2 Absorption area required 692 bed, ft2 600 trench, ft2 Maximum design loading rate .7 bed, gpd/ft2 •8 trench, gpd/ft2 Recommended infiltration surface elevation(s) ~8-6 ft (as referred to site plan benchmark) Additional design/ site considerations install 5' x 120' trench w/ 12"+ rock beneath lateral(s) center or end feed Parent material loamy/sandy outwash Flood plain elevation, if applicable NA ft S = Suitable for system C NVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem S❑ U S❑ U VMS ❑ U PS ❑ U ❑ S ® U ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bour>dary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. rBe Trench 1 0-9 .;y2 9-24 10YR 4/4 sl 1 m-c sbk mvfr gs 1f .5 Ground 3 24-27 10YR 4/4 - is 1 m sbk dsh cs 1m .7 .8 elev. 93.3 ft. 4 27-64 10YR 4/4 - s 0 sg dl cs - .7 .8 Depth to 5 64-73 10YR 4/4 - cs 0 sg dl cs - .7 .8 limiting factor 6 73-96 10YR 4/4 - mcs 0 s ml - - .7 .8 > 96" Remarks: occasional gr 27-73 Boring # 1 0-16 10YR 3/2 - sl 2 m sbk mfr cs if .5 .6 Yv+:4~4t• £N' • 2 2 16-36 10YR 3/4 - sl 2 c sbk mfr cs if .5 .6 3 36-41 10YR 4/4 - sl 1 m sbk mvfr cs 1m .4 E.5 Ground elev. 4 41-48 7.5YR 4/4 - is 1 m sbk dsh cs - .7 .8 93.6 ft. Depth to 5 48-61 10YR 4/4 - mcs 0 s dl cs - .7 .8 limiting 6 61-102 10YR 4/4 - s 0 sg dl - - .7 .8 factor 102" Remarks: CST Name:-Please Print Phone: Henry F. Grote 715-665-2681 Address: PO Box 57, Knapp, WI 54749-0057 Signature: Date: CST Number: 9/19/94 3065 PROPERTY OWNER SOIL DESCRIPTION REPORT Page PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bour>dary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tren6h 1 0-8 10YR 3/4 - sl 3 f sbk mvfr cs 1f/m .5 .6 2 8-12 10YR 4/4 - sl 2 m sbk mfr as if .5 .6 Ground 3 12-18 10YR 4/4 - s 0 sg dl as if .7 .8 elev. 4 18-22 10YR 5/4 - sl 0 m - as if .3 :.4 92.8 ft. Depth to 5 22-31 10YR 3/4 - sl 1 m sbk mvfr cw 1m .4 '..5 limiting 6 31-50 10YR 4/4 - cs 0 sg dl cs - .7 .8 factor ? 94" 7 50-94 10YR 4/4 - mcs 0 sg dl - - .7 .8 Remarks: Boring # 1 0-14 10YR 3/4 - sl 1 m sbk mvfr cs 2f1m .4 .5 4 € 2 14-20 10YR 2/2 - sl 2 m sbk mfr s 1m .5 .6 :4:.::::::::: is •i 3 20-44 10YR 2/1 - sl 2 c abk mfr s 1m .5 i.6 Ground elev. 4 44-59 10YR 3/3 - sl 1 c sbk mvfr s if .4 .5 92.3 ft. 5 59-64 7.5YR 3/3 - lcs 1 m sbk mvfr as .7 .8 Depth to limiting 6 64-124 10YR 3/4 - s 0 s dl .7 .8 factor 124" Remarks: Boring # 1 0-8 10YR 3/4 - sl 1 m sbk mvfr s f .4 .5 U 2 8-17 10YR 2/2 - sl 2 m sbk mfr s m .5 .6 3 17-32 10YR 2/1 - sl 2 c abk fr s m .5 `:.6 Gr ound 92 3 ft 4 32-38 10YR 3/3 - sl 1 c sbk vfr s .4 .5 Depth to 5 38-62 10YR 3/4 - sl 2 m sbk vfr s .5 .6 limiting 6 62-114 10YR 3/4 - s 0 sg 1 .7 .8 ac,~tor" i Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) i WA[ll r gw_ SL L 1 l q- L V i I , • ~C :'1.l NO L c~rA f I I I ~Rt.~~ I i i , j ~a:•> Sl ~~,Sl i j l--t-!--ti~ y~-Y~ SLR ~p.C a•..} ~ ~C~,7~.~ , H e.1. ah ~Y~+ ' ~O+_ w.+- ~ ~ ~'~"~f +w ~-a~. CS w ~ ,yam •-a~\} `1 Jv o ~ ~ - ' I ' I ' N W49"26 WON p• ~6 949.31'.. 1.0 104 1 0 5 ` 57 357 S0, F1'. w 54441 S0. FT. 55 LOA $0: FT. 1.25'4 AC. 4 AG. W L317 AC. c < MOI,TA.OIQ3Q aO aT I'I• ► . • ~ *4 3 gaissbts k" 21 0 y1mb n ai*sYoq-roo .s I x,. 'o yds-xsd *4r4 ~Y* o 'nls aiW 10 stab 104 N sd of tsly s t no bsdhosab bnsl sdt o u F • tai 'Af no bstnsssm4aY ss bets . q s t beziuPsi ai tal4 q t t 3ttzsa ; -saritzsil ssob . I . o3 *At o3 b dsa~# 10 00 stgo~ O not 20 • . 3y Z2~ ` to love H 38 r 17 •tat>i _ ► eidt no. 19 7 j 20 e N• stYta lltaYOq•JY + I A.°~ b s. moo' 5708 5~i.fT. rf 4700 SQ. FT. ,26 AC. 1.091 AC. N atan -O 1sno , t tn~ N 8s7' • 3'! " N a .07 0 W r m 7a d WNW 9 a I* 1 1 t: t 7250 SO, FT = 90. FT. 5076* t. M AC. F 085 AC. r. .I kv aye • ~92Z~` SO..F`~$~. 1.360 AC. 3.34• 349* SA FT. 1.46$ AC. 112 ~ . 45699 SO. FT, 1. ~q 1.049 AC. _ ro 0 _ ~r~ S 807 0i, 2i w >,....286Z.3a'.... 109 / bas bs et a' t -ttub d s~ K 00 1 .0 ~ • Ewa s~g~ ` ~r R s ~ ~at 3arsl 3 ,*%AS ~ a _bas On ebi 16: °e• a o X03 s# bns , sl a f f ! A 'L • 1 eQ i ""`"M "M p ~ c114 46934 SQ. FT. 0s►,,a` 1.078 AC. 44 r STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER Y !l Az41K/~ pm.,21 . Z L MAILING ADDRESS 51/0 Z erols ~ U~ A, SWO16 PROPERTY ADDRESS 4T3 G//,/Iit)C (location o~if~, a/septic system) Please obtain from the Planning Dept. CITY/STATE /~C1SO/?, ~V Sy0/(o PROPERTY LOCATION SZ 1/4, Sj 1/4, Section / 7 T~_N-R~W TOWN OF 11,V§M ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIEDSURVEYMAP ,VOLUME~O~,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: 0Vd l DATE: /0 ' L `J SI St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - 100 t 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 Ay vQ, mwl -Z~' Location of 2;1~~d/l erty SE 1/4 5,C 1/4, Section 1T~_N-R~W Township Mailing address 911) 51, elyl f/ /V. ofl All; S/D/ G Address of site y,S.3 i de v~Sd Syd/(o Subdivision name lih A) 164 11'4 ST Lot no. Other homes on property? Yes_LX_No Previous owner of property / iv1Y ZrIle-0T - 14- Total size of property /a(/,►. Total size of parcel acrt Date parcel was created Za Are all corners and lot lines identifiable? x Yes No Is this property being developed for (spec house) ? _Yes No Volume 6~3 and Page Number y~ 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. 39Sd2d , 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. 39soz a Signature of plicant Co-Applicant /d - t'o V Date of Sa ;°e a of Signs, w , T CROIX CQ *9wd 06' 1114ira Aid a^.F •T~"~ 4~%. Y 3'~`-... a% f'ry'.. Cy ` { Lw .Con b tact' t and between ' s- lrpo ~ lhtrtslwea' k ~ n Yirglafa!AL'`,Bertelsen husband sadF:ri#rt' os,.`aa¢ lopsent, Ine'~ isc'oasin i' t 4 t a y q corporatiop Vendor, `'cells' and agree to y : a Purchase ri pot tha ° pest end" full 1 ' M 5, perfemme of this Contract; LUe fo . Mari '-Dr% P4WW-7, together with ` the .rents, profits and other.. aPpurtla~tw called t1s~ "Psopsrty"), ~4a "is St. "Croix County, State oj,17is+roaiin' S t South 53,1/3 rods of South HaM ol.,,SoutWest Quarter(SkSWU and South 53 1/3 rods of;8outhi t'Quartes of'Southeast Quarter (gsikSB}) of Section 17 '>~291t, R19'W. That part of northwest Qnslctsr of 80etheast quarter (NWk NEB) and of Northeast Quarter-:of Northwest Quarter'GlEt NWT) of Section 20,lying Northeslp of the centerline of St.~"CCOJX' Conte L Trtl*'HJSWW&y "A" (formerly known as Hudson-New Richmond Higlmsy)s 4 Y e `PRANSP W EXCEPT the following parts of.the above described tracts: All land included witLin the Plat of Willow Ridge Second JJ Addition to the Town of Hudson as described in Vol. 4 of Plats, p&ge 25; Parcel deeded to Marlin O. Mdshl and Ruth L. Amdahl as described in Vol. 517,:psgt 26, Document no. 324368; - Parcel deeded to Roger 1. Netchler as described in Vol. 517, page 114, Document. Number 324430. TOGETHER with an easement for street purposes over the Easterly 33 feet of said parcel deeded to Roger E. Hetchler as described in Vol. 517, Page 114, Document Number 324430. SUBJECT TO the right-of-way of said St. Croix County Tru.* Highway n n A and to telephone easement adjacent to said highway as recorded in the office of said Register of Deeds. Purchaser agrees to purchase the Property and to pay to Vendor at: St. Croix Heights, Hudson, Wisconsin, the Base Purchase Price of $100,000.00, together with additional payments per lot, as follows: F 1. Base Purchase Price. The base purchase pr'ce of $100,000.00 shall be paid in the following manner: $15,000.00 at the execution of this Contract, and the balance of $85,000.00 together with interest on such portions thereof as shall remain from time to time unpaid, at the rate of 10Z per annum, until paid in full, as follows: t (a) For each individual lot developed and sold by the Purchaser, Purchaser shall pay to Vendor a $2,000.00 principal payment, to be applied to the $85,000.00 base contract balance outstanding. (b) A minimum annual payment of $15,000.00 principal shall be paid each year, excluding the year of sale. Each per lot principal payment required above, shall be credited toward this $15,000.00 annual payment. (c) On December 1, 1985, and on December ]at of each year thereafter, Purchaser shall pay to Vendor the differential between the required minimum principal payment of $15,000.00 and the total $2,000.00 per lot payments made during the preceding twelve (12) months, until the Base Purchase Price has been paid in lull. (d) Interest on the principal balance of $85,000.00 shall accrue from the date of closing, with annual pa;Rnents of interest due on the 1st day of December, each year, commencing December 1, 1984. WNLA efeMMr6- 2. Additional Per Lot Payments. In addition to the foregoing Base Purchase Price payments, Purchaser shall pay to Vendor additional per lot payments totaling not less than $'630,000.00, as follows: tuVen Sawe 502 SeCa+e S1 (a) No interest shall accrue on the principal sums paid to Vendor Hewn,. ft under the terms of this Paragraph. 51016 115 386 8234 V } ~ cif l.&•. t' r`~ L ~'n rA(b) >.Vsrcbaser shall pay to Vendor the sun of $3,000.00 per lot cc all.residential lots developed and sold by Purchaser, subject tw the condition that the minim n amount of payments to be fade to >sartelsen under this Paragraph shall total at least $150,000.00. (c) Daring each year of this Contract that there is an outstanding contract balance of the Base Purchase Price (Paragraph 1(a)) there shall be no minimum annual principal payments under this paragraph. Commencing with the year following completion of payment of the Base Purchase Price, Purchaser shall pay to Vendor a minimum annual sum of $15,000.00 per year. (d) On the lot day of December of each year, Purchaser ;ts shall pay to Vendor the differential between the minimum annual payment of $15,000.00 as provided in this Paragraph, and the total $3,000.00 per lot payments made during the preceding twelve month3, until the entire $150,000.00 ninimms stn has been paid. Thereafter,.: if Purchaser sells any lots in excess of 50 lots, Purchaser shall pay to Vendor the sum of $3,000.00 for any such additional lot sold, up to a total of 53 lots. ($159,000.00 total hereunder) Purchaser shall not be required to pay monthly payments to Vendor.sufficient to pay reasonably anticipated annual taxes and special assessments. Any amount nay 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 entire balance of principal, and interest where required, is less than the amount that said indebtedness would have been had the monthly payments been made as set forth above. Purchaser states that Purchaser is satisfied with the title as shown by the Abstract of Title submitted to Purchaser for examination, except: Real estate mortgage to Sam E. Miller, dated February 1, 1980, recorded in Volume "608", Page 152, Document Number 362685. This mortgage shall remain the obligation of Vendor, who shall keep said mortgage current and in good standing. In the event Vendor fails to pay any required mortgage payment, Purchaser shall have the right to make such payment, and to deduct any payment so made from the sums due under the terns of this Contract. Purchaser agrees to pay the cost of future title evidence. Purchaser shall be entitled to take possession of the property on Closing. 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. Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tec,antable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances a,:d regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditons shall be full 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, subject to utility easements and covenants and restrictions of record. Bertelsen shall have the right to purchase one (1) lot from B b H for the sum of 145,000.00. Bertelsen may select his lot after B b H picks its first five lots. -2- fI T s :t i 10, } 1 + WPM 4rt i { Vendor shall caossnt to the of the platting premises into residential subdivi*ioas by Purchaser and Vendor shall be under an obligation to approve =ry and eXaaute subdivision plats prepared and submitted by Purchaser. In addition to the Warranty Deed which Vendor shall deliver at time of ultimate closing, Vendor shall execute and deliver to Purchaser, individual Warranty Deeds covering the separate residential lots which Purchaser may sell, k"✓'' upon payment of the per lot payments sat forth above. All costs of platting and costs incurred in preparation of individual deeds shall be Purchaser's expense. r Purchaser at-ees 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 60 days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of 60 days following v written notice thereof by Vendor (delivered or mailed b certified mail personally by ' 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 eruity'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 t'ffect on such date and other amounts due hereunder (in which event all amounts prev:otisly 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 peformance 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 l 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 pobsession of the Property and have a receiver appointed to collect an rents issues or any , profits during the pendency of any action under (i), &i) 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 t Purchaser, as incurred, 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 F 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 aseignment 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 may waive any default without waiving any other subsequen- or prior default of Purchaser. -3- e K~ ~ Vie. ~ .L f• p t~.:- 49 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 loins 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 29th day of may, 1484. VENDOR: PURCHASER: ~ B•b H EVELOP,4ENT, INC. BY: c I~ Arnold R. Bertelsen a/k/a A. R. Bertelsen Donald E. B ' orns t President ATTEST: Virg a A. Bertelsen William C. Harwell, Secretary A . Authentication: tqTj _ Signature(s) of Arnold R. B rtels n, y o } Virryinia A_ B telw n, his vife1 and r L Donald R_ Sjor&tad and William C. © way Harwell. President and Secretary resuectively of B-4 H Develovme*+r Inc., authentic day of may, 14 William J. Radosevich Member State Bar of Wisconsin. This instrument drafted by: William J. Radosevich Attorney at Law Hudson, Wisconsin 54016. L Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Latpr nd Human Relations V~Aiion of Safety & Buildings in accord 'h ILHR 83.05, Wis. Adm. Code . COUNTY Attach complete site plan on paper not less t n`8 ~1 inc Ii Plan must include, but St. Croix not limited to vertical and horizontal refere e t BM dire n a ► slope, scale or PARCEL I.D. # dimensioned, north arrow, and location a I ance to riea~soad. I REVIEWED BY DATE APPLICANT INFORMATION-PLEA E dRINT ALL,INFOFt ATl PROPERTY OWNER: - ROPERTY LOCATION Gordon Flood OVT. LOT SW 1/4 SE 1/4,S 17 T 29 ,N,R 19 XS W reSS LOT # BLOCK # SUBD. NAME OR CSM # PROPERTY YTt.CS~prO,X 5 ILING~qPDRF S:,/ J Willow Ridop CITY, STATE ZIP CODE NU; ❑CITY [:]VILLAGE MOWN NEAREST ROAD Hudson, WI 54016 ( - Hudson Virtue [X] New Construction Use ] Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement Public or commercial describe a. Code derived daily flow 450 gpd Recommended design loading rate •65 bed, gpd/ft2 -75 trench, gpd/ft2 Absorption area required 692 bed, ft2 600 trench, ft2 Maximum design loading rate • 7 bed, gpd/ft2_8_trench, gpd/ft2 Recommended infiltration surface elevation(s) 88 -4 It (as referred to site plan benchmark) Additional design/ site considerations install 5' x 120, trench w/ 1211+ rock beneath lateral (s) center or end feed Parent material loamy/sandy outwash Flood plain elevation, if applicable NA ft S = Suitable for system C NVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem as ❑ U S❑ U S❑ U PS ❑ U ❑ S ® U ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Baxtctary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 - - Mom 2 9-24 10YR 4/4 - sl 1 m-c sbk mvfr gs if .4 .5 Ground 3 24-27 10YR 4/4 - is 1 m sbk dsh cs 1m .7 .8 elev. 93.3 ft, 4 27-64 10YR 4/4 - s 0 sg dl cs - .7 .8 Depth t0 5 64-73 10YR 4/4 - cs 0 sg dl cs - .7 i .8 limiting factor 6 73-96 10YR 4/4 - mcs 0 s ml - T .7 .8 7 96" Remarks: occasional gr 27-73 . Boring # 1 0-16 10YR 3/2 - sl 2 m sbk mfr cs if .5 .6 a 2 L`•. 2 16-36 10YR 3/4 - sl 2 c sbk mfr cs if .5 .6 3 36-41 10YR 4/4 - sl 1 m sbk mvfr cs 1m .4 i.5 Ground elev. 4 41-48 7.5YR 4/4 - is 1 m sbk dsh cs - .7 .8 93.6 ft• 3. Depth to 5 48-61 10YR 4/4 - mcs 0 s dl cs - .7 .8 limiting 6 61-102 10YR 4/4 - s 0 sg dl - - .7 .8 factor > 102° Remarks: CST Name:-Please Print Phone: Henry F. Grote 715-665-2681 Address: PO Box 57, Knapp, WI 54749-0057 Signature: Date: CST Number: ` 9/19/94 3065 PROPERTY OWNER SOIL DESCRIPTION REPORT Page9 . of 3 PARCEL I.D. #t` Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ;p ;,s'. 4 1 0-8 10YR 3/4 - sl 3 f sbk mvfr cs 1f/m .5 .6 3 {11L 2 8-12 10YR 4/4 - sl 2 m sbk mfr as if .5 .6 Ground 3 12-18 10YR 4/4 - s 0 sg dl as if .7 .8 elev. 4 18-22 10YR 5/4 - sl 0 m - as 1 f .3 :.4 92.8 ft. Depth to 5 22-31 10YR 3/4 - sl 1 m sbk mvfr cw 1m .4 .5 limiting 6 31-50 10YR 4/4 - cs 0 sg dl cs - .7 .8 factor ? 9411 7 50-94 10YR 4/4 - mcs 0 sg dl - - .7 .8 Remarks: Boring # 1 0-14 10YR 3/4 - sl 1 m sbk mvfr s 2f1m .4 .5 K:i 4 4 ti 2 14-20 10YR 2/2 - sl 2 m sbk mfr s 1m .5 .6 ~S4i.~•~«iy'k 3 20-44 10YR 2/1 - sl 2 c abk mfr s 1m .5 .6 Ground elev. 4 44-59 10YR 3/3 - sl 1 c sbk mvfr s if .4 .5 92.3 ft. 5 59-64 7.5YR 3/3 - lcs 1 m sbk mvfr as .7 .8 Depth to limiting 6 64-124 10YR 3/4 - is 0 s dl .7 .8 factor ~ 124„ Remarks: Boring # 1 0-8 10YR 3/4 - sl 1 m sbk mvfr s f .4 .5 5 2 8-17 10YR 2/2 - sl 2 m sbk mfr IS m .5 i.6 3 17-32 10YR 2/1 - sl 2 c abk mfr s m .5 .6 Ground 9e~ev# 4 32-38 10YR 3/3 - sl 1 c sbk vfr s .4 .5 ft. Depth t0 5 38-62 10YR 3/4 - sl 2 m sbk vfr s .5 i.6 limiting 6 62-114 10YR 3/4 - s 0 sg 1 .7 .8 Remarks: Boring # $w Ground elev. ft. Depth to limiting factor Remarks: SBD-e330(R.05/92) WM" Sw 1 Le 1'+- 2-9 - ~ °L w 1 A- LL 4rQA• i V R•~ ~ i ' I 'I ~ 1 I I I U` ~o^.loo\l ~ Gilt` Nye, ~ I N ( I I I I I t rzF~'O I ~ I i s I cil I , I I V , O ' I I I~~ i ! I 1' I I: I i I I ~ i f I I I I I I f f i i j i i ~ ; I i I I I 3'. ! i h j eJo.~, (V/,y'r-~ -71 { i I i i i I I i I ; i ~ I Parcel 020-1283-10-000 10/10/2005 12:21 PM PAGE 1 OF 1 Alt. Parcel 17.29.19.1364 020 - TOWN OF HUDSON Current XI ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner BETTY FLOOD O - FLOOD, BETTY 453 VIRTUE RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): • = Primary Type Dist # Description ' 453 VIRTUE RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.085 Plat: 2628-WILLOW RIDGE EAST II SEC 17 T29N RI 9W PT SW SE LOT 111 WILLOW Block/Condo Bldg: LOT 111 RIDGE EAST II 1.085ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 12/16/2002 702534 2082/055 TI 07/23/1997 1099/294 WD 07/23/1997 1099/293 WD 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/29/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.085 28,200 161,600 189,800 NO Totals for 2005: General Property 1.085 28,200 161,600 189,800 Woodland 0.000 0 0 Totals for 2004: General Property 1.085 28,200 161,600 189,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 205 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00