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HomeMy WebLinkAbout034-1073-40-000 STC 104 y: AS BUILT SANITARY SYSTEM ~E~.., r - f a OWNER ADDRESS YIiG u ~ST_ SUBDIVISION / CSM# LOT I L ~ YLc~ SECTION. .3j ~4, T µ N-R ( W, Town of ON, ST. CROIX COUNTY, WISCONSIN PLAN VIEW R 8fi1 f/ 7 SHOW EVERYTHING WITHIkV 100 FEET OF SYSTEM a~ , ~a 1V 1` vk ~ 1` e t114 ~t k r I DICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. r PUMP CHAMBER Manufacturer: Liquid pacity: Pump Model: Pum iphon Manu ct.: Pump Size Elevation of inlet-: Bo of tank elevation Pump on elev.: Pump o elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front_, Side, Rear-Ft. Distance from: Well Building SOIL ABSORPTION SYSTEM Bed: - Trench: Seepage Pit: Width: L Length ~0 C~ ( Number o c _ f Lines. . Area Built_ Exist. Grade Elev. Proposed Final Grade Elev. Fill depth to top of pipe: 0 No. feet from nearest prop. line:Fronts~ ~ v Side/"', Rear Ft. r ~ No. feet from well: ?J cDO No. feet from building HOLDING TANK Manufacturer: Capacity: C 6 No. of rings used: Elevation of bottom tank: Elevation of inlet: ~,L~c ~.o~{ err D( LET 9, e t No. feet from' nearest prop. line:Front,?-2c;Lj- Side' Rear'OUFt.3 No. feet from: Well I y , building 2~, nearest road C~ O Alarm Manufacturer: INSPECTOR: -NZ 1~_ DATE : PLUMBER ON JOB: Y' ( Ks L... -TQ ,1 L `r- LICENSE NUMBER: 6/90:cj Wisc6nsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Hurnan Relations INSPECTION REPORT ST. CROIX Safety and E3uildings Division (ATTACH TO PERMIT) SanitaryPermitNo.: GENERAL INFORMATION E] City E] Village ❑ Town of: State Plan o.: P LIGgypriNe. MARK/BEV I Springfield CST BM Elev.: r Insp. BM klev.: BM Description: X Parcel Tax No.: 1,)D, &v ( 4,/), , a' TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Z Benchmark I Dosing 09 Ae , N 0, / Aeration Bldg. Sewer St/)K Inlet TANK SETBACK INFORMATION St/ 0 Outlet v' /OS~ 35 Vent TANK TO P / L WELL BLDG. Air Ito ntake ROAD Dt Inlet Air Septic >1Gb NA Dt Bottom Dosing NA Headers $j ~5 Y9 Aeration NA Dist. Pi 9Gy pe 9 ,05 9s. 7f Ho Bot. System PUMP/ SIPHON INFORMATION Final Grade 5l ?y!~ /e) Man facturer Demand 7 Model Number GPM 10,0 7 ` laS 35 TDH Lift Frict' Sys Force Length Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT f Pits Inside Liquid Depth DIMENSIONS T DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING acturer. SETBACK Num INFORMATION TypeO CRAM Model System: it, n >168 IT DISTRIBUTION SYSTEM Header /f~I Distribution Pipe(s) / -V~, x Hole Size x Hole Spacing Vent To Air Intake i Length 16 Dia. Length ~ Dia. Spacing i SOIL COVER Ples~se Systems Only xx Mound Or At-Grade Only Depth Over S , Depth Over 6o /r iI xx Depth Of xx Seeded/ Sodded x ed 09*4 Trench Center - to 5" a1& Trench Edges Topsoil E] Yes No ❑ Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) ;)~/4S Z:~~ < '/c ✓t. LOCATION: Springfield.32.29.15W, NE, SE, 29 threet ~ n Plan revision required? ❑ Yes ~o Use other side for additional information. SBD-6710 (R 05191) Date Inspector's Signat re Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: , ~-C} ~ ~i(~~cz ~`-f, .7L/ rr ~ Q~'A 1L?" `1 t OQ'-~' ~~e~~% u~~ • .Ec~.~" c_f' , , , : ~ ,,,v'~; E E SANITARY PERMIT APPLICATION =01LHO In accord with ILHR 83.05, Wis. Adm. Code Co L7 &IL4,4~ STATE SAS [TrRY P RMIT # f -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. ❑ Check if revision to pro ous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER ` PR PERTY LOCATION 1 )6 allA ~J- L- '/a SF '/a, S -3 Tlqlr~N, R X5 E (or W PROPERTY OWNER'S MAILI DDRESS LO BLOCK CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER II. TYPE OF BUILDING: Check one CITY NEAREST ROAD, ( ) ❑ State Owned VILLAGE s',o r, D / S+~ ❑ Public ❑ 1 or 2 Fam. Dwellin9-# of bedrooms I E MW OF: /aA LAX NU 111. BUILDING USE: (If building type is public, check all that apply) /13 t,! / © `73 "jD 1 ❑ Apt/Condo y~' 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ® New 2. ❑ Replacement 3. ❑ 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 REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) 0 ELEVATION go e e 55 A1,4- Feet ?,F~f Feet Vill. TANK CAPACITY Site in alIons Total # of Prefab. Fiber- Exper. INFORMATION New lExisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holdin Tank l 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 Signal: IiF: (No 9ftmps) MP/M,PRRSW No.: Business Phone Number: /J Plumber's Address (Street, Ci State, Zip Code): _ , ? .30,T fi S ;I ~ c i ran LCJ ~ S 5 y IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issued Issuing Agent Signature N ps) - Approved ❑ Owner Given Initial 7(~ Surcharge Fee) Adverse Determination jW X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber t 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 reriewrl any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revi,;ions to this permit must be approved by the permit isuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Rem-?vva! i c•rr? (SB > 6399) to be submitto(u to tt:e county prior to installation. 5. Onsite sewage systems must be properly maintaifzed. The s pJc tanks) must be LL 1> licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code ,rdl~ it?istrator 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 nomber(s) of where ttK,system- is to be installed. ll. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Fan'siiy 2wehing. IIL 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, aconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information recUfz,Ield in #1 7 VII Tank i -;foi rnatinn. Fill in the cap& ity of every new and/or exis(in,, tdrtk. the total m;;a r of tanks and r-;,3w-,Iacturer's name. l:.d;eate prefab or site (.c)nsh,j,-t --d anc '*;:'i.w m.? Atei i-l fi'Tn'f! tF' for all septic, o, i,,ip/siphon and holding tanks ;or this system. Chem, =perimt, iwrl ~.;,prOva c:ilu y s` :;Vil:s received exper;n,=":. ;:ai product approval from Dll_Hl . Vlll ResponF.;kr'ity statement. Installing plumber is to fill in ear'v+e, ii ease numbe- with a-)propriwe prefix (e.g. MP, etc.;, address and phone number. Plumber must sign applicaiinn fc:rrn. IX. CountyeDopartment Use Only. X. County/Dopartment Use Only Comp;ety and specifications ,iot -m:: Ear than 8%s x 11 inc'`~- rn;!=t be submittal t- ^,inty. The ,)1ar15 nw.'1 the folic.)wing Piet nian, drawl': to scale or 'e, tt i v 7':lPle: Of -ep'tlc tank(s) or r ~ipi treatme..;It !arks; buildjr s, ,Aa"'? G.: service, i °'oes.t streai-- f i ;?;o9s; p(q-np c)r i arik^,, distrlb+itior) boxes ter)' ar~:as.. 'ocati,On of the 8) hc. izor?ta a a i, v 3l? 'r ?f-=rP l,'E` , .I^' C) complete specifications for pu;i'ps and controls; dose veil m,(?, ~-Ieva' Ci d,{fever z tri loJs; pump performance curve; pump model and pump manufacturer; D) cro=,s section of the soil :abser~ Lion system if required by the county; E) soil test data on a 115 form; and F) all sizing information. - - - - - - - - - - - - - - GROUNDWATER SURCHARGE 1983 Wisconsi^ Act 410 r hided the creation of surchia:roes (fees) for a mjrn;)er of regulated pr._ac tices which (.an effect groundwater T ~ r _.x( t .`A Vii'-.'Cflartlt>:7 r?! iFst?d g C;ro.., water i;1,?famination Ir i!P' i ~ifit?ttS anil t StabltSf'! r? ;`j e arar(t:- SBD-6398 (R.11/88) -40 -Z. ro JOS P f Z!k to -11 In % -'OQ~ r C% i r -lip IL oe , t 1 o~ C ROSS 5* c.7' 7~?ei~c S ys7-errj Fresh Air Inlele And Obearvallon Pipe -Approved Vent Cap Minimum 12' Above Final Grade 4" Case Iron 20 - 42' Above Pipe - Vent Pipe To Final Grade i Marsh Hey Or Synthetic Covering MIn 2r Aggregate Ovar Plpe i Olelrlbuflon fAggregals, Toe Pipe 6Perforated Plpe Bela• B-Coupling Torminaling At 0 Bottom Of System r or~o4 /c k 0c 6~~P -~'ipC1t f~ti7/C/ I ..G.°F Ro.4kM ~ n 6 T ~-z J M/n D15T"RIBUTIOAI PIPE TU BE AT LEAST - INCHES BELOW ORIGIMAL GdA0e-* , AUU AT LEAS`f20 IAICHES BUT kIO MORE THAI) 42 RICHES BELOW FINAL GRADE MAXIMUM Papni OF F-XcAvATIom FROM OR16 NAL 69ADR WILL BE IAICHES MINIMM ®EM OF FACAVATIOM FROM Olk 61MAL. C)RADE WILL BE INCHES r7 SIGHED: LICEUSE AJUMBER: /.Z 1 DATE: isconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division otSafety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but Crz X not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 0 3 q - L4 C) APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION "P( Vr- If la L L GHT F0 V'r GOVT. LOT iJF 1/4 S E 1/4,S3 ZT Z~ N,R 1 E (ore PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER EICITY ❑VILLAGE OWN NEAREST ROAD \ Dsulvtwl syr [b (111S) 1&16_96S6 %b -1Av6 Ft z96°rn sr. New Construction Use K Residential / Number of bedrooms 3 [ j Addition to existing building l j Replacement [ j Public or commercial describe Code derived daily flow q So gpd Recommended design loading rate y ' bed, gpd/ft2 Q' % trench, gpd/ft2 Absorption area required 64.3 bed, ft2 S 6 3 trench, ft2 Maximum design loading rate o, -?bed, gpd/ft2 0.8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 5 FE Pg'vGtr 3 or % It (as referred to site plan benchmark) Additional design/ site considerations S EDE-AJot In tw S~?(tl_L 01U P rt'GE 3 DO= 3 Parent material T1. U a Z S r G Q_ku e-t_ Flood plain elevation, if applicable t•J A ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK - U - Unsuitable fors stem ;KS ❑ U ❑ S RU RS ❑ U El S -NU 0S ❑ U ❑ S Nu sk ~huv,v~ K R'1'-GR.+rm v►v3v1r"M t V AvL -r ~m-tjN, 501L DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell C lu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Tmr>ch 1 0-8 ~o~cL 31z - siI Z~s~~ r1~fr. a-S o.s 0.6 ~2IZ u!y s; I Z S vn`F►- ~s a.S o.6 Ground 3 N413 l! YA- - Sc~ \ ca1>>rc wt'~i cS a-Z 0•3 elev. tiol-8ft. 60-12 1lS`lR 3/b - SetG1. C) Saj - 0.7 0•% Depth to CS) C-0 n \ bpi ! S S fp-WG UL u AJ limiting factor ? tZZ,`' Remarks: Boring # ..:.,x.:>:>~- o- 0 1 t~` t Q 31 Z S t Z`~S k M` 1> O' S o, STM. <.M& Lo (Z_ Yl Si 2` s~k W,`~~- e S o• a ~0--cl-bk O-S - o• i 0.3 Ground elev. y X vile to Y it V/6 - S el 61, o s 5<01 o. o8 g9.S ft. s VN%(S P 1 Depth to limiting ~O rL.4, -17~ factor 7 ) t g 0009 o __T Remarks: `v T Name:-Please Print Yho Arthur L. We erer - 5 Address: Soil Testing & Design Service-P.O. Box 74 River s,WI 54022 I- a'~~ f~ 'g5'2'4~ Signature: 3 -31 Date: q- .Z V-9 3 CST Number: M00576 PROPERTYOWNER-`GttTF~U01- SOIL DESCRIPTION REPORT Page -of 3_ PARCEL I.D. # C 3~ - !O _~0 i Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Ba,ndary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench A` 1 a-~ w~¢ Utz st I Z`fsb►~'F~- a.S - o, S o,b Z -ty lzo-m- Y!~ - si 1 1`~ 1 m~t~ es 3 Ground 3 1 53-S YQ ~l6 - SG 1 Ca Huh y►z 'Fl• C S o Z d • 3 elev. q'l.fo ft. S3-ib IOYiZ 3/6 - S $6t, O S9 wt - o•~ c,•8 Depth to 3 5 C` R limiting factor i " > uz Remarks: Boring # v'v.:><: 1 0-~ 10`1 3 l2 s~ Z`FS~IZ 1N►~1^ S o•S o,~ Ll z -~3 1o4 V - S j ~ 2'~S~k Wt~t^ e s - S o•b 3 Satz Ylb s le sb>2 Mu`F1^ ~s 0 1 o,S Ground elev. ~o-60 1.51111 Y/6 Sc 1 aUk rK`~i S - n 2 v, ~8- Z ft. 60-JOG 12- Depth to limiting S ~S CS-1 3 factor >lo Remarks: S o So•t~ Boring # 1 o-S tio`t2 3 L Z. 5 t -7- Z) lrh'F►~ s'< z s-1-1 1o~t~V,( s; 1 Z~sdt? w~-Fh cs - o•S u•6 3 l7-~y ~•SyR y/~ scl Cahn 1n'C, CS - o~u03 Ground Q elev. y by-l1S 10 R 3/6 S t~Ga p g - O. BOO. S ft. S E IBS @) _ Depth to limiting factor > its Remarks: Boring # 1-n Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05192) 3 of 3 PLOT PLAN Page SCALE 1"= 301 r~o tit~ovs~. l~r~v0 we.L To 'toy' B ~ 3 -fib/ a 3 93-Z' .r'"~-21..Q7.SoN iu"rtt~N • 31y pllj_ pue- pipe- .y w / LR'- SL(S OLTt R8 o a' S"►`r~►cstLL PfR~.s t'sJR INt`n►~~- A L'tt~ ►u ~ g y s T~ S gad acQtsWS tsLLRU. c,v= !9 fs (s ~lvZ t~ a ~ as.s~a~s V qS-Z' • 31-4 b1►) Pue PIPE 3.5 W/ LPIT", 2010 pop 5 I N ti5° S a5.~ 61 61 pjS /3br X3,1 q6 -b* tL lu ~ g PL-~~E t ~uM b 3 a F=7- BND aR r ,ti~MUh Sb3tz Fr of `T' ekX4 eS w0) T V Ali lZ1l~Lt; I°t12:C~A S 1fitlLuli7 ~T `T1t E S`1 ~71"~1 _~L~V Rfil>rLr S IitkNN . ? ~-r~c_L :~i~I Mux1 MA GF-:COVelt 017M 7`FE m ~.1UUT7QAj 'TbloeS 4 SLbT:f_ MIULSI ~ G IE' PAS ~ -`f _1Z1.. CS R.~7 ~v "T ~av1'~l /v fa O~ R►~ 1~1>~,~.~ O U: ~L. `f S tf S~T'y'~1, o-mL :::i ~ '!--Z.q-9'3 (715 ) AL-0169 TRI00576 CST Signature Date Signed Telephone No. CST # 8 T C - 10 0 '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 Location of property 66 1/4 5E 1/4, Sec io 3a N-R W ~~pf E yip sE Y5~ Sect, o a 3 a .0 T qN &a'VA d roIJs) Township Mailing address 4 ,.C- - d/. Address of site 6 a - qp ~,'/ooh ~ T _,5,V0 ,g -7 Subdivision name Lot no. Other homes on property? Yes No Previous owner of property 1-4 Ple rh atie~ _Ak/Q Jotihsoh Total size of property 71 Acres Total size of parcel 71 Ac!-es Date parcel was created i Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes No Volume /0//5~ and Page Number C 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. 5bo a 8~g , 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~j © ;?-01 I Signature A licant Co-Appli ant 6' e/ Da e o Signature Date of signature r STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYERLth~L MAILING ADDRESS PROPERTY ADDRESS ~D~ _ 02 C1O ~Y L S4~ 7 (location of septic system) Please obtain from the Planning Dept. CITY/STATE .)Oafk j ~Al -L S~~ a PROPERTY LOCATION 1/4, S 1/4, Section 3 -L T d_'9 N-R /S W ~ Ale5 Vq se- V4(- TOWN OF ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIIED SURVEY MAP , VOLUME PAGE , LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement, of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. 1/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: DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 Val PAGE ---V GOCLrV"LNT NO. STATE BAR OF WISCONSIN FORM 11.1982 THIS SPACE RESERVED FOR RECORDING DATA LAND CONTRACT Individual and Corporate C QQ (TO BE USED FOR ALL TRANSACTIONS WHERE OVER QUO 88 $25,000 IS FINANCED AND IN OTHER'NON-CONSUMER m ACT TRANSACTIONS) REGISTER'S OFFICE ST. CROIX CO., WI . Rec'd for Record Contract, by and between.....LaVern R. John.s.on .and Nola Johnsonr husband and wife as joint I i J................................ tenants ("Vendor", JUN T 1993 whether one or more) and .....Mark A. Lightfoot and Beverly at 8:30 A. M J. Li.ghtfoot..... husband and wife holding as.. survivorship marital propelPtPylrchaser", whether one or more). j Register of Deeds Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance of this contract by Purchaser, the following property, together with the , - rents, profits, fixtures and other appurtenant interests (all called the "Property") in St. Croix County, State of Wisconsin: RETURN TO I i . I I i Tax Parcel No.- II Southeast Quarter of Southeast Quarter (SE 1/4 of SE 1/4) and Northeast Quarter of Southeast Quarter (NE 1/4 of SE 1/4) EXCEPT North ' ~I 2 rods thereof, all in Section Thirty Two (32), Township Twenty -Nine (29) North, Range Fifteen (15) West. I 4VV~- 0 I~ s (iriot homestead property. This .......is 1 ( s not) such lace as reasonabl d P...........-.......................-.-.•••-••••••-•••••y••••••••••-••• Purchaser agrees to purchase the Property and to pay to Vendor at directe the sum of in the following manner; (a) $ 2.Q.rfl 0. 49 I at the execution of this Contract; and (b) the balance of $ 10..r. 0 0 0 . 0 0 , together with interest from date I • i I; hereof on the balance outstanding from time to time at the rate of S..-.even (7$ per cent per annum until paid in full, as follows: I ii Monthly payments of principal and interest of One Hundred and 00/1.00 Dollars ($100.00) per month commencing June 15, 1993, and monthly j thereafter. i~ 'I (i Provided, however, the entire outstanding balance shall be paid in full on or before the 1..5th . day of I i June 19..98:. (the maturity date). Following any default in payment, interest shall accrue at the rate of ........................'71 per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). S~xs1~~xx~exa~t~iVxlxlsaiKxg~•x~ax~~~xac~ecrto~ua~ts~a~'>~el>~ecxxp~¢xe~aca[bdx~icK padxdrscnoi~atl+~xi~xe~uuXatxse>gaol:~>tmexncr3o~c~oasltt~x~ace~xo[e~~x~~o~tix~c>~Lxecei~~t~a>ibxx ac~xit~~3~~c~~~S~x~1~~c8~x~Mxll~~xi~~5tao~dca~4br~i~anyc~sbc II 4CgS8)~C4D6iZffptsc8d14C~[MSO]C~0~9~d~Af7di~SG~dEeI~7ff3C8~30X$~4d}LOQ1ld}UX~'I[st9f'.}FCQSOD}[Od~Xb~CtXbfl~xC4~CbL'IiQ{D~ii£]~3i~{ ~ i XObBrJdvYs~[ Neil ~GYeli ~S~C )~bk. Payments shall be applied first to interest on the unpaid balance at the r to specified and then to principal. Any i i I amount may be prepaid without premium or fee upon principal at any time after ato O C1.Os i,n.g. yo-,.X?X.1115NYX i ~ 7~}~}~~~5,~}~C13#•Xgf►~di~fiC~lf}~Xi]{M$~I~r}E~uYiK13eI{i~~ill;s~kxiRDl~ib~X In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: Norte 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. Purchaser shall be entitled to take possession of the Property on. da.te... O f....Q Qj5.~ D.q.. .............................Mxxx• *Cross Out One. H~n1Nfw - - STATE BAR OF WISCONSIN Slo-ck No. ??nil FORM N.. 11-1982 ynt 1U14PAGE 05 Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendirxe int.re in A and to deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, ex- _ tended cover~e perils and such other hazards as Vendor may require, without co-insurance, through insurers approved C byy Vend or',. t>?e stun of -full insurable value but Vendor shall not require coverage in an amount more than'the al-ance owed under this contract. Purchaser shall pay the insurance premiums when due. The policies shall conthin the'standard)clagKe in favor of the Vendor's interest and unless Vendor otherwise agrees in writing, the original of all policies covering, the Propertyy shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economicallyTeasibJ4.1 11, t Purchaser covenants not to commit waste nor allow waste to he committed on the Property, to keep the Property 'ih good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except: ...easements , restrictions....and. rights-of-way....o f...record,..... f.... any.................... Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of........ 3 ............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 ........3 0........ days following written notice thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby waives), and Vendor shall also have the followin rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equity; (i Vendor may, at his option, terminate this Contract and Purchaser's rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if purchaser fails to redeem); or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet-title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in- curred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendency of such action, and such rents, issues, and profits when so collected shall be held and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchaser's rights under this dontract or by option, long-term lease or in any other way) without the prior written consent of Vendor unless either-the outstanding balance payable under this Contract is first, paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract soley as security for an indebtedness of 1 Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby provided Purchaser makes timely payment of the amounts then due under this Contract. Purchaser may make any suchpayments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms of this Contract shall be binding upon and inure to the benefits of the heirs legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the deeds to be made i fulfillment hereof.) D is . 4th day of ..........V .......June....................................... , 19 _93..... (SEAL) (SEAL) QC . * Mark A. _.-...'-.gh, ..pot * LaVern R. Johnson (SEAL) ...~/l„~ (SEAL) ~I ~ • f' ohnson * ...Bever.ly...J. Lgh........o.t * ...Nola...J.................................................................... AUTHENTICATION ACKNOWLEDGMENT Signature(s).of...M:ark-.-A.,..... Li-ghtfoot_.,and STATE OF WISCONSIN SS. Beverly. J..... Light.foot------------------------------------- .......-----........................................County. Personally came before me this day of aut leafed this 41h.. day of June....... , 19...9.3... 19............the above named * Leo A. Beskar TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person..-... who executed the (If not foregoing instrument and acknowledge the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Leo... Ar .....Beskar.~....Attorney RODLI, BESKAR & BOLES, * 1 .....NO. Notary Public County, Wis. (Si tes' s ~ ~ asultheYftTicated o > c o ledged. Both My Commission is permanent. (If not, state expiration are not necessary.) *Names of persons signing in any capacity should be typed or printed date: . 19.............) below their signatures.