HomeMy WebLinkAbout030-1095-90-300
STC - 104
AS BUILT SANITARY SYSTEM REPORT
17
OWNER y
~M
ADDRESS /y 1 or) 9r
SUBDIVISION / CSM# LOT # Z
SECTION. 32- TgeN-R_L_~_W, Town of_~ ~lJl2
ST. CROIX COUNTY, WISCONSIN
IV- PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
171
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ftE l-~ / ~ ~ 3 a /
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INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this -form.
Provide 2 dimensions to center of septic tank manhole cover.
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BENCHMARK: l~ I M4 /
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING rK FORMATION
Manufacturer: e2 t-G,tS Liqu d capacity: 2-oc?
Setback from: Well--,,2 House 2 ,o Other
Pump: Manufacturer 2m,,146< Model #of Size
Float seperation /Z Gallons/ cle: 7
/9
Alarm Location
.SOIL ABSORPTION SYSTEM
Width: Length Number of trenches .3
Distance & Direction to nearest prop. line: 7~S
Setback from: well: House - ~ Other
~N z ELEVATIONS
Buildifig Sewer `90-0 ST Inlet; 9S-4 ST outlet yS o
PC inlet QS`, 1 PC bottom op, 15 , Pump Off 9a.e
Header/Manifold ij..r Bottom of system,? l..j
i
Existing Grade` O . d Final grade's 1,90. 0
DATE OF INSTALLATION: l 3
PLUMBER ON JOB:
LICENSE NUMBER:
INSPECTOR:
3/93:jt
Y.
LQQAi;r9j$artrfr%ritofqR,§§ PH 32.30.~Rr3AWgffiAS3nL,LO~~TT r ROLLING
CC~itt ~~YY ,s LANE!
; Laborand Human Relations INSPECTION REPORT
Safety and Buildings Division
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permi4.3
Permit Holder's Name: ❑ City ❑ Village EkTown of: state Plan ID No.:
RQRFR.q_ JEFF I EY MARK ST. JOSEPH
CST BM Elev.: , Insp. BM Elev.: > BM Description: n Parcel Tax No.:
TANK INFORMATION ELEVATION DATA A9300088 I S
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing C ✓ /~U R3.9 K
Aer Ion Bldg. Sewer r a
St/~ Inlet 768' 97$1
TANK SETBACK INFORMATION St/ Outlet -72V
TANK TO P/ L WELL BLDG. Ae Intake ROAD Dt Inlet
Septic 0 NA Dt Bottom
Dosing > S0~ off' NA Header Alir
Aer ' n NA Dist. Pipe 98
H-o~i Ing Bot. System r"?)
PUMP/O"M INFORMATION Final Grade
Manufacturer ee- Demand
Model Number GPM
TDH Lift Friction System _A TDH Ft s A ry/~
e n , 0 D.W
Forcemain Length Di a. Dist. To Well
SOIL ABSORPTION SYSTEM
Q6be Width Length No. Of Trenches PIT Pits Inside Dia. Liquid Depth
BED /
DIME I N DIMENSIONS
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING ufacturer:
SETBACK
INFORMATION Type O e,,. zj9sc r CHAMBER el Number:
System:,, 44= OR UNIT
DISTRIBUTION SYSTEM
Header /.A4%W9e4d / Distribution Pipe(s) ~r x Hole size x Hole Spacing Vent To Air Intake
Length Dia. Length 5 Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Sys
Depth Over ds Depth Over ` xx Depth Of xx Seeded/ So ed xx Mulched
Bed/T~rCenter CrZ Bed/4436 clges y4 -S1-. Topsoi ❑ Yes No ❑ Yes No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: T. JOS H 32.30.19.3.48G,ne,sw LOT 2~, ROLLING HILLS LANE
Plan revision required? ❑ Yes O'NZo
Use other side for additional information. 1 Q
SBD-6710 (R 05/91)S & -/164~ e I Signature Cert. No.
a
ADDITIONAL COMMENTS AND SKETCH
.j
SANITARY PERMIT NUMBER:
SANITARY PERMIT APPLICATION
COUNTY
0ILH In accord with ILHR 83.05, Wis. Adm. Code .~CO
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than 1:1 C dN
on 3 O
8i4 X 11 inches In 31Z@. to previous application
sl
-See reverse side for instructions for completing this application. STATE PLANI.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY O PROPERTY LOCATION
r rit~J '/a %a, S T , N, R E (
R r E 4WNERsS~MAI G ADDRE c LOT # } BLOCK #
CITY, ST TE ZI COD PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
sr1 o G 3 do
❑ VILLAGE NEAREST ROAD
II. TYPE O BUILDING: (Check one) El State Owned CITY
❑ Public 0 1 or 2 Fam. Dwelling-# of bedrooms. PARCEL Ax NUM )
III. BUILDING USE: (If building type is public, check all that apply) 3C - 30
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restauraht/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. Q New 2. ❑ Replacement 3. ❑ Replacement of 4.0 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 6 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) ELEVATION
Qo d 3 ,7,37 Feet Feet
CAPACITY
VII. TANK in allons Total # of Prefab. Site Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holdin Tank /Agg
tC
Lift Pump Tank/Si hon Chamber Q G
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage sys m shown on the attached plans.
Plum 's Name (Print): Plumber's nature: (No Stamps -NPEMPRSW No.: Business Phone Number:
Aa -3 ,er
PM- mbe ' A dress (Street, ity, to Zip
M e):
r O
IX. CO_VNTYIDEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Sign o is
Approved ❑ Owner Given Initial Surcharge Fee) Q
Adverse et rmin tion~
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety a Buildings Division, Owner, Plumber
INSTRUCTIONS ,
1. `sanit yfermit is valid for two (2) years.
2. Yours teVpermit 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) tokbe .
,submitted to the county prior to installation,
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped try a tidensed
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 s~pitaryt.,permit applicatio 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. Cheek onfy 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 Corm; and F) all siz)ng information.-
GROUNDWATER'SURCHARGE
.'I
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect groundwater.
The cronies collected through these surcharges are used for monitoring gro:undwater,ground
water contamination investigations and establishment of standards.
SBD-6398 (R.11/88)
71
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PAGE OF
PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
VENT CAP
1"C.I. VENT PIPC WEATHER PROOF APPROVED LOCKING
JUNCTION BOX MANHOLE COVER
25' FROM DOOR, 11"141 U.
WINDOW OR FRESH
AIR INTAKE
GRADE I
I 'i"MIN. ~r
I WAIN.
CONDUIT
18"MIN.\
IAII..F: PROVIDE
T AIRTIGHTSEAL I I i I
I I i
APPR.OVEC JOINT A I I I APPROVED JOINTS
,J/C.Z. PIPF. I III W/C.I. PIPE
EXTENDIM& 3' I I) ALARM EXTEM01UG 3'
,.)NTO SOLID SG: t. I I ONTO SOLID SOIL
a I 1
ON
C
PUMP-~
OFF
r
0
CONCRETE BLOCK
RISER EXIT PERMITTED ONLJ IF TANK MANUFACTURER HAS SUCH APPROVAL
SPEC FICATIOUS
rIC AND ~
TANKS MANUFACTURER: AIUMBER OF DOSES: / PER DA.4
TANK SIZE: GALLONS DOSE VOLUME
ALARM MANUFACTURER: INCLUDING BACKIFLOW: GALLOWS
MODEL NUMBER: CAPACITIES: A= ZZ WINES OR GALLONS
SWITCH TYPE: BINCHES OR GALLONS
PUMP MANUFACTURER: r- INCHES OR GALLONS
MODEL NUMBER: 97 D~.L.INCHES OR GALLONS
SWITCH TYPE: M -PLr.e4d: g NOTE: PUMP AMD ALARM ARE TO BE
PUMP DISCHARGE RATE I- Z-01 . GPM INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFEKENC[ BS"WEEM PUMP OFF AND DISTRIBUTJON PIPE.. FEET
+ MINIMUM NETWORK SUPPLJ PRESSURE . . . . . E•5 FEET
+ p- FEET OF FORCE MAIN X+~F/ooFxFRICTIOU FACTOR.. FEET
TOTAL DYNAMIC. HEAD = FEET
IMTERNAL DIMEMSIOMS OF TAN : LENGTH ;WIDTH ;LIQUID DEPTH
SIGNE 0: LICEIJSE DUMBER: _ DAT E:-o.L,1
-117-
HEAD CAPACITY CURVE
TDH
N
Cr
W
2
TOTAL DYNAMIC HEADICAPACITY PER MINUTE
30
EFFLUENT AND DEWATERING
SERIES 53-55-57-59 97 137-139 183 165
M LTRS LTRS LTRS LTRS LTRS
28 1.52 163 248 394 231 231
EFFLUENT AND DEWATERING 3.05 129 216 300 231 231
4.57 72 163 242 227 227
26 SEWAGE AND DEWATERING 6.10 104 136 223 227
\ 7.62 30 216 223
9.14 206 220
24 . 12.19 172 20s
\ 15.24 125 191
18.29 57 161
22 ` 21.34 114
\ 24.38 53
MODEL MODEL Lock Valve: IT 24.5' 26' 66' 87'
ZO 163 \ 165 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE
\ \ SEWAGE AND DEWATERING
\ SERIES 267 288 282 284 293
18 \ \ M LTRS LTRS LTRS LTRS LTRS
\ 1.52 408 366 492 681
\ \
3.05 227 273 360 598
16 ` 4.57 76 163 238 511
` 6.10 30 125 401
\ 7.62 288
\
14 9.14 163 292
\
10.67 227
\ 1 12.19 174
\ 13.72 108
12 \ 15.24 ss
\ -MODEL Lock Valve: 18' 2t' 26' 35' 53'
10 ` I 293
MODELS \
8 137 139
MODEL
284
MODEL
4 MODEL 4
268 282
2 MODELS
53, 55, MODEL MODEL
57,59 97 267
LITERS 80 160 240 320 400 480 560 640 650
FLOW PER MINUTE
Z OELLE~P 01 3280 Old Millers Lane Manufacturers of .
~ O. Box 16346347
P.
O (502)j778 2 31 lucky 40216 ~QVA[/TY PUMPS ,siHCE i4yy~4y
unplatted lands owned by platter \ , s
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SEE DETAIL BELOW 14
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N9000010011E 510.43'
459.38' 13
MATCH LINE 3 \
12 1
136,101 sq. ft.) INCLUDING R/W
3.12 acres
134,193 sq. ft.)
EXCLUDING R/W
v 3.08 acres /
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this instrument drafted by Douglas Zahler /
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'DEPA'RTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
)NDUSTRY, ' DIVISION
HUMAN NIE ATIONS PERCOLATION TESTS (115) MADISON WI 53707
(H63.090) & Chapter 145.045)
LOCATION: SECTION: TOWNSHIP/M6%N+etPArTTY: OT NO.: BLK. NO.: SUB IVI I NAME:
' 1/45"; 1/4 _J.4T3CN/R/9F(or t ~'csr-ti
TTY: OWNER'S/BUYER S NAME: MAILING ADDRESS:.
-3 43 5 614so 'Iw~ k/4
USE OATEN OBSERVATIONS MADE
NO. BEDRMS.: COMME C DESCRIPTION: PROFILE R TIONS: PERC07LI TESTS:
011
NyResidence ~lew ❑ Replace / 7
RATING: S= Site suitable for system U= Site unsuitable for system
C VENTIONAL: MOOD ID: IN-G OUND-PRESSURE: S STEM-IN-FILL-HOLDING TANK70MMEND EDSYSTEn~Io nal$❑U 19S❑U- 'SDU ❑S6(;~U~S fUCaere.-/74-W f 4'✓
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH ELEVATION OBSERVED EST. HI HEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON B CK.) i 7' .J Jn 3. '7S U•rS/ f r~ = S ?r" - 13 r. 5
B- 7, fli'% , 0
/ C f /-T !3 • ' 7s j/ f 12 " i- 5; 1 ~ J'?'6 i slff C► .5 i~f B-B- J gl' 51 3-, Sr J
V 70J /aG),v.r/ > 7,0V' 7J 411/1
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER 1 AFTE S LLING INTERVAL-MIN. p I 1 PERT D 2 PER INCH
P- 2
P-
P-
P_
P-
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.
SYSTEM ELEVATION 97o5l
% crW
S 7
01
r
I "D
x
C!
3r
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures anD~kod t'fied in t e W sconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge 'nAbelief. NAME (print
TESTS WERE C M ETEIb .
Je -1
I G/~~~~1~ l~r►
ADDRESS: / CERTIFICA 10 NUMB ONi=-NUMBER(OPtional): i°
i l T-3 i 6 c 3's~
CST ZS11/ I'~ `Ole. L. s~Qr
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. o _
DILHR-SBD-6395 (R. 02/82) - OVER -
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S T C - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER ~`•I✓~-{iii ~1~1Z/
ADDRESS 4.3~I K d?- chic s FIRE NUMBER!
CITY/STATE- _ y-4)k ZIP- "&0l ~
PROPERTY LOCATION:_,6LC, 1/4,01/4, SECTION, T-,30-N-R-L~-W
TOWN OF zt ' O, rSe4,~, , St. Croix County, SUBDIVISION- M0111 , LOT NUMBER C9- C.6M (/0P (
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 a 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 Co. Zoning officer within
30 days of the three year expiration date.
SIGNED
DATE : I a,4
St. Croix co. Zoning Office
911 4th St.
Hudson, WI 54016
STC-100
This application form is to be completed in full and signed by
the owner(s) of the property being developed. Any inadequacies
will only result in delays of the pormit issuance. ,Should this
development be intended for resale by owner/contractor,(spec
house), thensa 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 r- ~fi, , i
Location of, property Nf 1/4 ,500 1/4, section SJT N-R W
Township.
Mailing address
Address of site'?
Subdivision name
' Lot no. ~ ~3(a?)
other homes on property? yes No
ff ~
Previous owner of property c.;_Eti/~ SG'rl
Total size of parcel _ ~e,~L-
Date parcel -was created
'Are all corners and lot lines identifiable? ~ Yes No
Is this property being developed for (spec house)? Yes __No
Volume and. Page Number as recorded with the Register
of Deeds.
-------_`------a--'------------------------------------
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE
NUMBER & THE SEAL OF THE REGISTER OF DEEDS. 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 reify that 611 sL ~.a..ements on this form are true to the
best of my (our) knowledge that I (we) am (are) the owner(s) of
the property d~ scribed in this information form, by virtue of a
warranty deed recorded in the office of the County Register of
Deeds as Document No. _ `{`f75~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 County Register of deeds as Document
No.
sign ure applicant Co-applicant
Date o Sign ture Z' Date of Signature
fi ~
IM 839iA). THIS SPACE RESERVED FOR RECORDING DATA
r DOCUMENT NO. I STATE BAR OF WISCONSIN F & 11-1088
LAND CONTRACT
447550 Individual ■nd Corporate
~ (TO BE USED FOR ALL TRANSACTIONS WHERE OVER $23,000 IS FINANACT ANDI C THEE NON-CONSUMER
-
_ REGISTER'S OFFICE
J & L Land Developers, ST. MAX CO., Wl
Contract, by and between Recd for Record
Inc., a Wisconsin corporatiyn_________________________________________
("Vendor", ' 1 A {t. ,Y,j'31989
whether one or more) and---- Jeffrey__._____________ at ~1p1:15 A.M
V
--man----------•-----------------•----------------•----------- -
"phrchaser",
( whether one or more)
Vendor sells and agrees to convey to Purchaser, upon the prompt and full per-
formance of this contract by Purchaser, the following property, together with the
rents, pros fixtu anjd other appurtenant interests (all called the "Property"),
lcgs
t. Croix County, State of Wisconsin: RETURN TO Gwin & Gwin
in...................... 2nd Street
Hudson, WI 54016
part of
Tax Parcel No. _._030-1095-80•-___
A parcel of land located in part of the NE; of SWh of Section 32,
Township 30 North, Range 19 West in the Town of St. Joseph, St.
Croix County, Wisconsin, described as Lot 2 of a Certified Survey
Map filed January 6, 1989 in Vol. 7 of Certified Survey Maps, at
page 2060 as Document no. 444406, in the Office of the Register of
Deeds.
TOGETHER WITH AND SUBJECT TO any other easements, covenants,
reservations or restrictions of record, if any, but this shall
not be deemed to extend any such other recorded encumbrances TRANSFER
beyond the term established by law therefor:. -9AA FEB
This 1-- not homestead property.
(is) (is not)
Dr Hudso
Purchaser agrees to purchase the Property and to pay to Vendor at 8 ____6_3 ____Stra__ ___w__b_e__r__r _y___ WI
26 000 0 in the following manner: (a) $_-.fi.-00.0 - 0-0--_-•
the sum of;.-________E_._____-'----•---••
together with interest from date
at the execution of this Contract; and (b) the balance of $ 20_! 000.00
hereof on the balance outstanding from time to time at the rate of----- IZ$------------------------------ per cent per annum
until paid in full, as follows:
In 120 installments of not less than $275.51 per month interest and
principal on the 17th day of each month, beginning on February 17,
1989 and continuing on the 17th day of each month thereafter until
fully paid by or before January 17, 1999. There shall be a late
charge of ten dollars for every payment not paid within ten days of
the due date.
17th da of
_Provided, however, the ent' outstanding balance shall be paid in full on or before the_________................. y
anuary 19__-_-_. ( the maturity date).
Following any default in payment, interest shall accrue at the rate of 3., % per annum on the entire amount
in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire
principal balance).
Purchaser, onlese-meueei-by-*en&P; agrees to pay r+lecrbblyzte eAdeF-a~l'+°dF+t~et f'° +it0'p°Y ~a>;owably~akia+
pated annual taxes, special assessments, fire and required insurance premiums when due. o-t*e- xbe*tr-~t►ed-bY-Vend0Pr
itendef;'-agrees->se"s'PP13'~Y~Rte•Lo-tkieee~~ligsrtiows-wk►ea.-d++o. ~ue!>~ s~rFaoiaR~ta-reeeive~~y ihe~ewde~-€otF•~ayanQwt_of
tomes,-> xtrtanlxl irtsueanee-will -be-& esited-into-arr esero~r-ftmd-or~ruabee acee+n+t` be3t~le1~13ot-#xar-iRtere9t
Errsless- et~erRixregxi re~•by ~e~v.
Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any
January 17 89
_17...... 19-• E4Rr?
amount may be prepaid without premium or fee upon principal at any time after
there -irk-be-ne-pregayfr**t-4-pawaipa -wWwut-pormi:sion-af Vendor a
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 cundemnation, the condemned premises being thereafter excluded herefrom.
Purchaser states that Purcha_er is satisfied with the titi2 as shown by the title evidence submitted to Purchaser
for examination except:
None
Purchaser ap-rees 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 pcasession of the Property on..... Ja..._..nua...._r..x_... 1..7 . . . - , 19..89.-.
eCrosa Out One.
ST%TF. PAR OF WISCONSIN Wi.r-lr-gin L,-¢al Blank Cn. Inc.
LAND CONTRACT - Individual and FORM Vu l l - 1982 Hiiwa.
Corporate
N8C OV:7 PAGE
613 v ert or upon Vendors interest
purchaser promises to pay when due all taxes and assessments levied on the Pr p y
such payment. are, ex-
in it and to deliver to Vendor on demand receipts showing ertinsured against loss or d through innsudrerrs approved
rovements on the F Y , without co-insurance, in an amount more
Purchaser shall keep the im? require coverage oust shall
tended coverage peri ls and such other hazards as Vendor may require Lemlums when due. The POlic"
by Vendor, in the sum of nsural~le_ Purchaser aha ~PaY the insurance p r~ s in writing, the original
glue notice of 1039 to
otherwise oeteherwise a
than the balance owed under this Contract. hall Promptly writing, insurance proceeds shall
deposited with Vendor. Purchaser 9 laus contain the standard cg t e he favor of the be
Veeposita d Ve Vendor,
of all policies covering the Property shall be dap gr
insurance companies and Vendor. Unless Purchaser damaged, provided the Vendor deems the restoration or repair
be applied to restoration or repair of the Property d to keep the Property
economically feasible. committed on the Property,
m liens superior to the lien of this Contract, an
Purchaser covenants not to Commit waste nor allow waste to be tnditions
in good tenantable condition and repair keep the affecting Property the free froProp aid and all co
to comply with all laws, ordinances anti regulations execute and deliver to
rice with interest and other moneys shall be fully p
Vendor agrees that in case the purchase p ve specified, Vendor will on demand,
shall be fully performed at the times and in t simple tnne ~pe sp free and clear of all liens an encumbrances, except the
- None the Purchaser, a Warranty Deed, in fee rim
any the set or default of Purchaser, and except
liens or encumbrances created by
in the event of a default in the payment of any principal or
in the event of a default in
purchaser agrees that time is of the essence and towing the specified due date or (b) following written notice
eriod of _ 6---•- days following
interest which continues for a p trod of _-6.0--- days balance under this contract
certified mail), then the entire outstanding which Purchaser law) hereby n
Performance ereof by Vendor n(de (delivered Personally or mailed by ht continues fora limitations provided by
in full, at Vendor's option and without notice
due and payable ri hts and remedies (subject to any
tn
ve. the following shall become immediately at, his option, terminate this Contract and Purchaser's
waives), and Vendor shall also ha
law Win equity: (i) Vendor may, back through strict foreclosure with any e9 uity addition to those provided by balance, with interest thereon from
art and recover the Property previously
lent of the entire outstanding
nd as rental for the
rights, title and interest in the Prop y
redemption to be conditioned upon Purchaser's full payment
the date of default at the rate in effect on such date andothersmountsduehereunder(inwhicheventa 1 amounts
performance this Contract a the date effect efeied as such dal damages fura for failure to specific pfulfill this Contract a compel of
paid by Purchaser shall be ford or (ii) Vendor may
Property P balance, with site shall be auctioned at judicial sale and Pur orison
if urehaser fails of the entire outstanding Property urchase price or any p
immediate and full payment p
default and other amounts due hereunder, in which event the TOp for the entire unpaid tr ejected from possession
Vendor may sue at law
v Vendor may declare this er Contr is ncs at cant and (v) ova this Cohave have duringloud Purchaser on title a actions etof-title
shall be liable for any deficiency; or (iii) Vendor may the pendency of any action
any
thereof; (i ) , issues or profits
expenses
action if the equitable interest ei Purcha inted to co lest any rents ~iten statements or actions of Vendor, an arses
of the Property and have a receiver app oral or
u on Vendor if and when pursued to litigation and all cos an
under (i), (11) or (iv) above .Notwithstanding any hereunder (whether abated ) t w to the
of the foregoing remedies shall only be binding P
including reasonable attorneys fees of Vendor principal and paid by Purchaser,
Upon the incurred to enforce any ram
law and expenses of title evidence shal
extent not prohibited by e
fits of
curred, and shall be included in any judgment. l be added to purchaser consents
pendency of any action of foreclosur collect theorems, issues, and pro
including homestead interest,
commencement or during the profits when so collected shall be held an
to the appointment of a receiver of of the such propertyaction. , and such rents, issues, and p
the Property during the pendency
without the prior written
applied as the court shall direct. an legal or equitable interest in the Property y assignment of any
sell or convey option, long-term lease or in any other way) aid in full or the interest
of
of purchaser's Purchaser sunder thisfContract or y y able under this Contract is first P for an indebtedness
rights balance pay written the entire outstanding
conveyed consent of is a Vendor pledge unless either assignment the of Purchaser outstanding, s interest an under ce this Contract or full, solely as t Vendor's security
' option without notice. inst the Property on the date of
Purchaser. In lance pays the event any such transfer, sale or econvey dict rovidad purchaser aga balance payable under this Contract shall become immediately due
or and under any note secured thereby,
wanted by PurchaCosei)ntract. mortgage Purchaser outstand may ing e any such payments made on
ba
Vendor shall make all payments
this Contract (except for any provided directly to
mortgage
gr
s then due under this merts so made by Purchaser shall be considered p Ym
makes timely paYniant of the amounts
the Mortgagee if Vendor fail to do so and all Pa. other subsequent or prior default of Purchaserpr
this Contract. waive any default shall be without waiving any and inure to the benefits of the heirs, legal
All terms this Contract t~tiwea,
Vendor may upon o a owner of the Pr a the spouse of in Vendor for v °f~ the execution successors a.id assigns of Vendor and Purchaser. and agrees to join `h
en subject Property
~
consideration joins herein to release homestead rights
deed to be made in fulfillment hereof.) Januar-----------------
Dated 1989 •
day of
- this Inc- (SEAL)
el era. -
J L LandU e
-
• (SEAL)
by----- - -
-Jeffrey )!Saxk Rober-s
Gerald A. Johnson Pres.
(SEAL)
G
Ll ~
_ ,
Sec. '
n d to
Linda D. Johnson J
i .
ACHNOWLEI3Gbj NT,tw\•;
AUTHENTICATION
STATE OF WISCONSIN = 'v ~
s.
~--------rald--- A' --John son,..-Pres . • , s .
Signature ,
(s) County.
d D_ ..Johnson-~ CrO1X Sec.------ ----St 17th day of
Personally came before me this -
and L
t})ay of January___.., 19- 89 January 19.59-. the above named
authen, ate Mark RObers
Jeffrey 9-.....................
H ---Gwin.._..-
•-•-•---"who executed the
TITLE: MEMBER STATE BAR OF WISCONSIN
ins e person
(If not, iz - e -d by § 70G.06 is. Stets.) to me nn eknowledge the same.
author kno e t
'
foregoi pp
v
THIS INSTRUMENT WAS CRAFTED B H H• Gwlri
.
Gwen, Gw.in---&---Gw].n.-. h
Att 430 ' --•CYO1X ........County, Wis.
y . Hu-gh - -H ' expiration
WI 540 6 Notary public - St i --anent not, state expireHudson..-.------------ y. Commission n is perm. (If ~
...Second._St- , , 19 )
(Signatures may be authenticated or acknowledged. Bo date: .
are not necessary.)
nnnne ;1Kning in any' c-i-11ty should be b'P l or i'rinted below- their slgnswres.
ate Fill of wixnn+in. Form ND. 11 - 193°
•5¢mce of P _
individual end fnrporate St -