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HomeMy WebLinkAbout020-1262-70-000 C) a o O O Mry M d I ti I N h O I .p y I'', I w N 9 Z 7 c LL c i O 3 I Q I I O C1 ~ Z N ( C) CN Z N d d a m N H Z O Z C V ~ ~ N GI Z O 2 O fA I.- O c cc o co 0 .ti r - o Q c -0 0 o m Q o N N Zco Z zZ0 N oI_ o a c O `n w m ~ ~ ~ i o G C a E o a N c FN- IN- Fes- a v O O O •N i =aaa a (D c 3 i fA ld N M -1 U rn rn CY) 4) a iA co FV CO O ° ~ N 00 00 fd = N N j 0 0 0 •7 OZ O N LC) m O 0 0 0 O I, N N 1A Cc ~V O O O 1 9 C I b'+ O C O C c In 00 r rO On ~2 O E 0) a s C a V O N aj ~ I!, N C E E C N O v L O C (n C O O u 0 0 0) 1- O n U) f `y O 6t N I- H C N •O N 2 0 Z N C O ~ ~ @ d I u l L a c ~1 A co~a2'',oaici FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER Sam TOWNSHIP ~li o h SECTION Z Q T g N-R k? W j ADDRESS R., ST. CROIX COUNTY, WISCONSIN TlLr 61~SD/'l SUBDIVISION LOT 2-9 LOT SIZE 3.00/fL. PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM w4A Sz-aA o- 1 ICI = l D Nous~ ~es~ $.M, IRoN ~g'x so; 2 / z 2!6 P; p, a~ :5p- lot ~ CcfNaf E1,=lov.o' D vi Lo R . q0 s V O W A y9' Y -k I AT E'A T6 B.M2'%RaN ~-is--~ p..~tsa LOT- , CofA&r P-L=Ica•a 40 A. BAs !-off I-ne.. _ LA 55 Z F INDICATE NORTH ARROW ' r BENCHMARK: Elevation and description:,2"/.4 Rip¢ «f SE lot <oeA y F_I = Ioo.o'z Alternate benchmarkAz K /'h 5 (,Lf - T°~ ~~Cu/yar f s-- SEPTIC TANK: Manufacturer: 1~fla. S ~r Liquid Cap. 10003a.1- Rings used: -Z-Manhole cover elev:~ Final grade elev: z--!!9z Tank inlet elev.:-Tank outlet elev.: (P.(-3 No. of feet. from nearest road : Front , Side , Rear (X Ft. IT I From nearest prop. line:Front , Side,, Rear Ft. 7~ No. of feet from: Well Building: zq (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE 1 PUMP CHAFER Manufacturer:AX Liquid Capacity: Pump Model: Pump/Siphon Manufact.: Pump Size Elevation of inlet: Bottom of tank elevation Pump on elev.: Pump off 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: ~on VEk'ri o„u / Trench: Seepage Pit: Width: /e Length 3l Number of Lines: 3 Area Built 4%SsF-?l' Exist. Grade Elev. ~(OV Proposed Final Grade Elev. t/,© o Fill depth to top of pipe: V2"' go. feet from nearest prop. line:Front , Side Y , Rear-Ft.(-S' No. feet from well: 90, No. feet from building `/9 HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front , Side Rear Ft. No. feet from: Well building , nearest road Alarm Manufacturer: INSPECTOR: DATE : PLUMBER ON JOB : LICENSE NUMBER: ~~~7 6/90:cj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING • LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MADISON, WI 53707 State Plan I.D. Number: SE,NE, 20, 29,19W IX CONVENTIONAL ❑ ALTERATIVE (If assigned) Town of Hudson ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound MIUM PE R' ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Lot 29 Sam Miller Box #282 Hudson WI 54016 71101W BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. E CST REF. PT. EL / C", A101 Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Doug Strohbeen 2z 5432 St. C 149031 SEPTIC TANK/HOLDING TAN : -1 Czvg, 4,3 3 MANUFACTURER: LIQUID CAPACITY: TANK INL TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER nn PROVIDED: PROVIDED: 11 r G 4. ~ 9 L~-❑NO DYES LUMO BEDDING: ~PoTDIA.: VF_LL.MATL.: HIGH WATER NUMBER OF , ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH C:,O, U c,n, ALARM: FEET FROM LINE: AIR INL ❑ YES NO cz, ❑ YES NEAREST-► >150 O2~ DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF ❑ YES ❑ NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTE 'S. ;-d, 14-00'-= ; BED/TRENCH WIDTH: L NO. or ~ DISTR. PIPE SPACI G: COVER INSIDE DIA.: # PITS: LIQUID / TRENCHES: , MATERIAL: PIT DEPTH: DIMENSIONS 3 p/ GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. P E DISTR. ~TfiEil~. N DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW/PIPES:, ABO)SrCOVER ELEV. INLET: ELEV. END: / I PIPES: FEET FRTO~ LINE: AIR INLET 7/ 4 MOUND SYSTE 3' Gee' go' Mound site plo p Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO ❑ YES ❑ NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEVATION AND ELEV.: ELEV.: DIA.: ELEV.: PIPES: DA.: DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑ YES ❑ NO ❑ YES ❑ NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PRNOEPERTY WELL: BUILDING: I❑ YES 1:1 NO ❑ YES ❑ NO FEET FROM NEAREST Sketch System on fain in county file for audit. Reverse Side. SIGN URE: TITLE Zoning Administrator SBD-6710 (R. 06/88) ~ SANITARY PERMIT APPLICATION 71MLHR In accord with ILHR 83.05, Wis. Adm. Code cOu STATE SANITARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. 1:1 Check revisi~top ev 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 PROPERTY LOCATION S& Qr E t/a F_ S ZD T Z. , N, R E (or)9) PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # Xa0- zZ__ 9 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER o.~ LAj_r_ 5- O/A Z74i`ha.- ✓A&- #s-,' 4_t II. TYPE OF BUILDING: (Check one CITY ~ NEAREST ROAD VILLAGE ; ~ ❑ State Owned R TOWN OF f, 9= ❑ Public 1~ 1 or 2 Fam. Dwelling-# of bedrooms 3- PARCEL T NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) / Z - 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 120 Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. P New- 2. ❑ Replacement 3.E] 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 M 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 C, 1.5- 6 ©_(P G 3 93•il0 Feet ~•f~ Feet VII. TANK CAPACITY Site in gallons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name oncrete Con- Steel glass Plastic App Tanks Tanks structed Se tic Tank or Holdin Tank DOO k/a+ e r Fj F1 F1 Lift Pump Tank/Si hon Chamber Vlll. RESPONSIBILITY STATEMENT 1, 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) MP/MPRSW No.: Business Phone Number: 4-b P- Z Ly 3 Z3 3 Plum is Address (Street, City, State, Zip Code): R.. 4* 3 C,w 4 •c 4- m --Z (,cif IX. OUNTY/DEPARTMENT USE ONLY ❑ Disapproved S nitary Permit Fee (Includes Groundwater a e issued Issuing A ent Signature No Stamps / ,,AApproved ❑ Owner Given initial Surcharge Fee) s QCP Adverse Determination X. CONDITIONS OF APPROVALIREASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber • APPLICATION FOR SANITARY PIRNIT • 9TC-100 This application form Is to be Conplntod In full and signed by the owner(s) of tht property being developed. Any Inadoquacles will only result in delays of the pzrralt Issuance. -Should th I is development be lntended for resale by ovner/contractor,(spec house)# thou a second torsi should be retained ^and completed when the property is sold and submitted to this oftlce vlth the appropriate deed recording. Ownar of property SQ.~ /Zi•'//Er Location of pccpetty~114 ,l/4a Section _'Z-O T, 11•R Y Township Halting address _ARm 2.':;i, Addroas of site ko-ss-o, L.4,,p subdivIa1on nas►t ~~•o~ 6~ov o,~ • ' Lot nuxber Previous owner of proper Total al:e of parcel x.00 I Data parcel was created 5-31-~'!~ Ace all cornets and lot lines ldentlilablel X Yes 0 Is this property being developed for resale {,peC house)? X Yes Volum, 0 nd Page t{umber as recotded with the Raglatet of Deeds. •-----r------------r-w-.rrw--w------------------------------------ INCLUD9 WITH THIS APPLICATION TIM FOLLOWINCt A v RXYTr DRU which Includes a DOCUMICHT NLrXBRR, VOLVMZ AxD PAOL NVKatttt, and the SYAL OT T111 AgalBTRR OF DEEDS. In addition, a cettifled survey, If available, would be helptul ■o as to avoid delays of the tevievinq process. it the deed descrlptlon reterences to a Ceitltled Survey Hap, the Cartifled Survey Hap shall also be required. PROPERTY OVNER CBRTIFICATION -•-----•----w---- I(v•) certify that all statements on this form are true to the best of my (out) knovltdgel that i (we) am (ace) the owner(s) of the property described In thls Intotmatlon form, by virtue of a warrant d~erd recotded in the Office of the county Rtglater of Deeds as Document No. 1 prtstntly own the proposed site for the s conatcuctlon of said ewage disposal systen~(cand c Ittwo) I have obtained an easement, to d;n with the above described property, for the nystam, and the same has been duly recorded In the office of the coynty tr~it✓ater of Deeds, as Document No. signature of owner 8lgnatuce og Co-Owner (It Applicable) IS-z- q Date of al- g~atu Date of signature • .may '+~ra ~k }Yi'S"a'~!'~ f k;~.p'"~'",`°~j" a rt~t7 ~VM" x k DOCUMENT NO a STATit DAR OF WISOONSIN FORD[ 11•laa :.s 1e e►.os.ts~s~ss rpn oaPa1! LANY «rw,e 4 COMPACT-, ITC 112 TOIL ALL TiRANaACTIONa wlmee OYte t° 7 • ar u t - S 4 4 jc 41C ~ i'MM 16 ANCED AND IN OTHER XON-CON&UXXR ACT TRAN6AMON61 S' s r for Recorr!, f • beti►eea ,}tichar4..Q:..$4x ~Y Contract, by ~ -.J r. T r s 4. M,•. Janet, P: S 4!: ..h 4..! 14.»4nS~..> u4..1{a..~fSi}1 ...A.1t~ts>i~A..«. x rAUG3 d6'~ Vendor"' ! A and..r)E14 ..!JIMltfa..8..fW11..loAA ~ ^t•; ) I wbstMr one more » ("Purchawrwhether ono or morn) u~, a Vendor sells and agrees to convey to Purchaser, upon the prompt and fall-per- l 4t k 'u"i 11 r. h: formaree of this oontract b; Purchaser, the following property. togetiNr with the rents profits, Oxtures and u.hor`appurtenant Interests (all called the "Property").- hL.St. Croix County, state of wiscowdn: acrw,n ro > ,i ~ . r Lots 28, 29, 30, 31, 32, 33, 35, 36 Pinegrove Heights P. 0•: Box 49., 'Rudw second Addition to the Town of Hudson. , • ' ,n> Tax Parcel Xo. r,. . 9 k K' tR4 t This AJI not homestc d property. fz t 00 (is not) y r` ; pwp6aser agrees to purchase the Property and to pay to Vendor at f «~~'-.•i; aM. ex7+Y • « i , the spat of St IMA UN in the following a manner (a) i 29 at the "wagon of 113 1.00 Zroas d `3 i. a , ~ r,• this Contract; and (b) the balance of bereof on the balance outstanding from time to time at the rate of.W. u?`!l pet •1 l 5 ad8 P", In f4 a bum: 1 payment of $18,000.00 before 1)ecmber 31, 1990, Rehr l ~n~' w t 3 payaeilts of $18,000.00 each during 1991;'., Y r.-- k 1 payaenta of $18,000.00 each during 1992; all of. e,ch ~sleats to be~'tp , N, SPPU d an p dndipal. 1 payment of $-.101 .00 during 1992. `r w"f• wry w ig, r ' ` In additim to dr finer ft p"ments an principal the purclieeer dll setae WIM1217; p~itA o'l ; t' an u*dd b&Uww at IM per alas. The First paytoeat to be WAS an dr ,tat day of . October 15 90 `sd tp~ ` Win fir 41ouatat 9W 10 (113,12A X 10EL x,12)• 9ubee4ueat iatsrest.Pa9atats sdsl ~ba calculated aQ43t~, ,r aaast at ptiocipal outstanding for the preceding epnth, including adjustimt-for p4Ywtpts atl4 duci I > psoeWed, however, the entire outstanding balance shall be paid in full on or before tbe.:.3A.:«.dq of C r ' « 2222.... ( the maturity date). - i+ ~f~`+ ; ldiowl6~ asy. iolault is payment, interest shall accrue at the rate of % per aanufla on the on** atg#ogat~ b ss[aWt. (MMA shalt include, without limitation, delinquent interest and, upon acceleration os'' maturity, the, eutiin 1A, rte 4' ~ ` ~S ~ _'72'" ~Y' -7s,.i_ ti~ "i p6e6aaer. nalesa sleeused by Vendor, agrees to pay monthly to Vendor amounts sufficient ti pay reasonably an*I , • paved sa aal tax,ts, special assessments, fire and required ins urance premiums when due. To the extent received by,Vendor, , VaD aiiw to apply payments to these obligations when due. Such amounts received by the Vendor for payment 01 , ta:.s, tassesassats and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest , f unless etberwise required by law. be psnpdd without premium or fee upon principal at any time Wee » amount may• ~ , 4bere-em be -ow 0 of p"Wisel-I Of Vend Ioag ~1.•lils'tbe eveat iq,my prepsyment,.this contract shall not be treated as in default with respect to payment so ' tifie eapW balsaes of principal, sad interest (and in such case accruing interest from month to month shall be treated,,, y • ` a `=PsM prbWW) is leas, than the amonat that said indebtedness would have been had the monthly payments been tads as Ara .specified above: provided that monthly payments shall be contiL-ued in the event of credit of any proceeds r srm:sq. the condemned premises ' 9iug thereafter excluded berefrom. , ~ : eL . coadaaaation. a. etatgthat Purchaser is aLiafied with the title as shows by the title evidence submitted to Purchaser Ge ituetbolatiolt adapts . 0t is consideration of die down payment specified above, one of the above Lots I *U be caps I q'd- to the in port perfozaa ft of this Contract. Mw further agree that of each of the $18,000.00 payment on principal specified above i I ace tzj vJU be, Wowed upon seosipt and, out dte Imt lot will be convoyed an receipt on the final pMWWt of • the $ 5,124.W. 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. Perebawr shall be entitled to take possession of the Property on..the. date hereof 18......... *ON" Oat o... I I y * t y c Wiuwn,ln I.•ral Blank Ca Ina. II + } K am $TATE RAR OF WIBCONSI14 roam No. dl-N+e1 ; . tAliwaakae, Wis. _ ._....uZ:....-...a.V`.. • ,T,•.. t:..». ...w... 2 L'~~r"'.~.t•.•.s.> tom'".. ti.:'.`!'~✓ . h ,L' 1 r,•, Air it 4 u. L upon Vendor's i^ Parebassr pggod s_fst pry :ben doe all less smd ssssssments levied on the Property or t R V R No to ts,Vesdor.on deoesad receipts showing such payment. 4 ~v. bed With Pal R Prime wri j Atrehassr eovewmts not to commits a~~ oralp =88Le to ~om liens su perioreto heel ens of this Contract. and to ;imply with all laws, oedinaaas sad regulations affecting the Property. h to Vendor screw that In Cass the purchase pries with Interest and other moneys shall be fully pall sad all eonverto 1 shall be fully performed at the tinier and is the manner above specified, VOL for will on demand, execute and deliver the pneebassr. a Warranty Dead. In fns simple, of the Propert y, free and clew of all liens and encunsbranoaa, except 1 oes created by the act or adt of Purchaser, and except : t, an liens or eacambrnn ddo~ft -iatita~-recorded-eseemeatD for Qublic utilities..: 1 i _ Purebaw ageess that time is of the essence and (a) in the event of a default in the payment of any principal or intstteat wbkh eontbwss for a period of 0... days following the speci fled due date or (b) in the event of a default in pp~~pprrnaace of any other obligation of Purchaser which continues for a period of --9Q.... days following written notice i ~itereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this coutraat shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser berebY waivss), and Veudor shall also have the following rights and remedies (subject to any limitations provided by law) to addition to the" provided bylaw or in equity' (i) Vendor may, at his option, term inert,' this Contract and Purchaser's r(g6ts, title sad interest in the Property and recover the Property back through strict foreclosure with saaayy equity of redemption to be oonditioned upon Purchaser's full payment of the entire outstanding balance, with interestthereonfsom 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 forefaited as liquidated damages for failure to fulfill this Contract and as rental for the Property if purrbmar fails to redeem)). or 00 Vendor may sue for specific perform..nce of this Contract to compel immediate sad full payment of the eatirs 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 deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion shall be thereof; or noble e for any Vendor may declare t Contract at an end and remove this Contract asacloud on title in a quiet-title (iv) is action if the equitable interest of Purchaser is insignificant; and (v) Vender may have F'urchaaer ejected from possession of the property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action v under (i). 00 or (iv) above. Notwithstanding any oral or wraten 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 costa and expenses w including reasonable attorneys fees of Vendor incurred to enforce-any remedy hereunder (whether abated or not) to the extent not prohibited by law and expense of title evidence shall be added to principal and paid by Purchaser, as in- curred, and shall be included in any Judgment. Purchaser consents Upon the coatmencemeat or during the pendency of any action of foreclosure o this Contract, to the appointment of a receiver of the Property', ineludin homestead interest, to collect the rents, issues, and prowls of the Property during the y011114101ey of snob action, and sue rents, issues, and profits when so collected shall bs bold and applied " the court shall id rect. Purchanr 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 by option, long-term lease or in any other way)P thout the prior written consent of Vendor unless either the outstanding balance payable under this Contract is rst aid in full or the interest conveyed is a pledge or sssignment of Purchaser's interest under this Contract soleh . security for an indebtedness of t sale or conveyance without Vendor's v . • ^n consent, the entire outstanding Purchaser. In the event of any such transfer. Vendor's option without notice- balan n full, ,,ban payable under tbb Contract shall become immediateiydus and payable i 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 therel y, provided Purchaser makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to A the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made oil 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 repreeeatxtives, successors :.ad assign of Vendor and Purchaser. (If n owner of the Propnd Ya the toujoin in ethe a ecution of the consideration joins herein to release homestead rights in sub Jsct dead to be made in fulfillment hereof-) ; 19..1.41.. wa- Dated this ..,31c ' day of d~• t+' and R. Stou by --((rr (~~.-tU~_ ~.~4?-il...P- 0 ' A J SEAL) ~..kal.:..C (SEAL)toe ,'het"'A1tdi15Ey in Fit.... (SEAL) .(SEAL) . ,Janet,.P..Stout • ...Sam. )r...Miller. AUTHENTICATION ACKNOWLEDGMENT S store(s) QSTATE OF WISCONSIN ~ 0 \ q~? ....ti.71.. County. m2 VN M ' i z. authenticated this Ilay of 19...... Personal came before me this . . . day of ; . 19.... the above named TITLE: MEMBER STATE BAR OF WISCONSIN ` (If not. `~a~VJV authorized by 4 706.011, Wis. pints.) to me known to be the person...... who executed the f oiui; inert rat and ac n sledge the name. THIS INSTRUMENT WAS DRAFTED BY .1 Heyl(vvd. b. Car ,..~5' . . Dt..Iiy!ilo.w P,.O...XK.ZZ9....r....16........ . _ Notary Plt blic . County, W (Signature* may be uutheoticuted or acknowledged. Both M`' Commission is permanent. (If not, state expirati are not necessary.) date; 19.........h •:ramn of pc-- riRnirw Iu ,ray capacity •huuld be typed or printed b-Icw their r:a rasa .re.. t a%n CONTRACT-.indhWaai and 4'arPOMU-51144 Dar of wimsewn, rarw No. ti - Ha: v:; SEPTIC TANK MAINTENANCE AGREEMENT ~ St. Croix County w 014NER/BUYER - - • ~ 0 ROUTE/BOX NUMBER " •zq" Fire Number- o d CITY/STATE ZIP PROPERTY LOCATION:'~'_ Section ? T 41N, R e! W Town of fc~' .Svc St. Croix County, Subdivisionp;na-aid., Lot number V Improper use and maintenance of your septic system could result in its premature failure to handle wastes.- Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licens'ed' 'sept'ic tank pumper. What you put into the system can affect the .unction of zne septic tank as a treat- ment-stage in the waste disposal system. St. Croix County residents may be eligible to recieve 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 'ays't'ems agree to keep their system properly maintained. The property owner agrees to. submit to St. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or..a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and •(2)•a£ter inspection and pumping (if nec- essary), the septic~~lik be is sent less approximately sludge Certification form PProximat three year expiration. y 0 I/WE, the undersigned have read the above requirements and agree 0 to maintain the private sewage disposal system in accordance with N the standards set forth, herein, as.set by the Wisconsin Depart- L ment of Natural Resources. Certification form must be completed V and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED DATE .5 St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION INDUSTRY, 4~QI6aA1.1 P.O. BOX 7969 LABOR AND PERCOLATION TESTS (115) MADISON, WI 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOH~P LOT NO.:BLK. NO.: S~DIVISION NAME' S E N~ '/a zo /T24 N/RI9 E (or) oN Z9 f ; 4 oTY: OWNER'S B'C'YER 9"Id *IE: ILING ADD ESS: C LIN 1y~' 1 I, S~) , C460Y, 64K MILLEK -i aj V' X104 J W DATES OBSERVATIONS MADE USE PR FIL R IPTI =O~T~l ~~/r NO. BE: COMMER IAL DESCR DE 2 Residence ~ ~Replace 'So l LS bt_ 4 °Jr51+_!, / ILbT RATING: S= Site suitable for system U= Site unsuitable for system C 9c, LDI o CONV.ENTIO~N?L: MU J. j IN G~ J RE: SYST I❑ULH~ SG~1JU : RECQIVIQNvg/JTlOlJ11L (.U) If Percolation Tests are NOT required DESI RATE: If any portion of the tested area is in the „VrA under s. ILHR 83.09(5)(b), Indicate: Lrdss Floodplain indicate Floodplain elevation: I PROFILE DESCRIPTIONS L BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH 111111 ELEVATION OBSERVED EST. IGHES TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- .00 x:30 0 Lr- } f,66 l3~&L 13" gL2b+BtNA1S SC r►,s•~G B- ~.~C3 99.65 iJ E > 6 3 ~2" N 115 ~G B- 3 SO 9~.Iz ~ONr` >9 So ls~•&rrs / ,eN 5" ~N R B- 4 9.1-7 97.09 nloNLc > 9.1-7 2%VgTs i6"$eNL tC8eN MSf4* B- 9 xs 3 O N > 9 •Z S 21090, t4 2 ELL 6 "BR. L O' Bea ~ Sege,,Ms~ O B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME . DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER NfyWA~9!! AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PER D PER INCH P-_ A.-7 1) b6alli 119110 P_ 2 3 .&0 'ql bo 3 > > >Z <3 P- .66 Mom& ,00 >Z ? 2 > Z < P- P_ LLV VATlb AT 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 rings and the direction and percent of land slope. SYSTEM ELEVATION Q3.40 _ SCAz Z PA ILI A~7F.~N,as~._. _ BEwMkek-2 aor► A r 5E tom _ ~LEV= ~oa~ao' 10, 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): \ \ TESTS WERE COMPLE ED N: ~l - tlN$o,.l JO4NSdN SU \IVV W4 '41) ~ 9 ADq~ESS: ] CERTIFICATIO NUMBER: PHONE NUMBER(optionall: t',o. $ox t !-1 ~sa*~ ln~~ S~4o 34ZA- mss,- 4096 CST SIGN URE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - U m ~ I~ ~ I!~ I! I{ ! 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