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HomeMy WebLinkAbout020-1262-90-000 FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER_5a rt7 TOWNSHIP 4,c J,5-00 SECTION--2--<n T-2--( N-R ADDRESS Ij©X 'Z1?7-- ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT 3 LOT SIZE- PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~ti-fl~ 'r7f /xva A I of (2-sxPi t Q Lol S ^ + f \ 1 INDICATE NORTH ARROW i BENCHMARK: Elevation and description: AD-t p,` paw Q~NE lornr~i ) = 164,0' T-75- Alternate benchmark C n s e. ~~n , 3 SEPTIC TANK: Manufacturer: 1Oct,: ~ o r Liquid cap. Rings used:-~-Manhole cover elev:.,,(,3 Final grade elev: Sd Tank inlet elev.: Tank outlet elev.: r No. of feet from nearest road:FrontSide , Rear Ft. From nearest prop. line:Front , Side, Rear Ft. No. of feet from: Well Building: (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE L 34 IY y?? y; a I PUMP CHAFER J/f Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufact.: Pump Size I 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: /anu,.,-fis,a/ -Trench: Seepage Pit: Width: ld, Length S`{ Number of Lines:_ _Area Built c(2259-;7T- Exist. Grade Elev. Proposed Final Grade Elev. 7 Fill depth to top of pipe: qO i No. feet from nearest prop. line:Front , Side , Rear X Ft.-~D No. feet from well: ,S 7 No. feet from building 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: OO DATE : PLUMBER ON JOB: ~rcSYia.c LICENSE NUMBER: 6/90:cj DEPAFMMENT O INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LAVOR & HUMAN RELATIONS DIVISION ,P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MADISON WI 53707 Number SEa,NEa,Sec.20,T29-R19 (If assigned) es Town of Hudson, LQLJ 31 "CNVENTIONAL ❑ ALTERATIVE rairie Lane Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Sam Miller P.O. Box 282, Hudson WI d9 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELFV:: ' ST REF. PT. E ~S ~ 7 - ( l• _ , f 1 c d~:- o X13 - i Name of Plumber: MP/MPRSW No.: County:l Sanitary Permit Number: n 5432 St. Cr 149025 ,Doug Strohbee SEPTIC TANK/HOLDING TANK: olWXa.6te (c,xr _ /bs./ , y " MANUFACTURER: LIQUID CAPACITY: TANK INLET ELE TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDE - PROVIDED: LJl(,' 2 ES ❑ NO ❑ YES OfU BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FR S t 1 ALARM: FEET FROM LINE: .0 / AIR IN T: ❑ YES 0 q ~ cf.,,S t ❑ YES NEAREST > /6b 1/6 G 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: MP AND CONTROLS OPERATIONAL: NUMBER OF RTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF PU [__1 YES ❑ NO NEAREST 1111~ SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AND M or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) - - CONVENTIONAL SYSTE 66-tL. 5CC- /o/,50 BED/TRENCH WIDTH: L TRENCHES: DISTR. PIPE SPACING: MATERIAL. INSIDE DIA. P DEPTH: DIMENSIONS /0-' 5T , ~ GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: O.. t R. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVFP, ELEV. INLET: ELEV. END: a /1_ / P/C- PIPES: FEET FROM LINE: [ AIR INLET: 11 v ! e 7 3 NEAREST----* (0 > 09) MOUND SYSTE 2 Mound site plowed perpendicular to 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 rENTER TH OVER TRENCH/BED DEPTH OVER F TOPSOIL: SODDED: SEEDED: MULCHED: : ED GES: ❑ 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 DISTR ION PIPE MATERIAL & MARKING: ELEVATION AND ELEV.: ELEV.: DIA.: ELEV.: PIPES. DIA.: DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRE DS TO INFORMATION APPROVED PLANS ❑ YES ❑ NO ❑ YES ❑ NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDI FEET FROM ❑ YES ❑ NO ❑ YES ❑ NO NEAREST S (4;0 , a, ,emu 97 rY Sketch System on Re in in county file for audit. Reverse Side. SIGNA RE: TITLE: 1 SBD-6710 (R. 06/88) ~'!7 / i o ~ ° I M 03 ac y ey a' O O ~ N O it C ~ I ry ! y I I y I N ! O Z LL C O a Cl) V I O > Z H rn W O Z i', w O I v Z ~ d V c°~F-Wn am I o z c m E N O :3 N N N C O O O • ~ ~ M L 14 f6 N a d 1 O q U N c O N a •a~_+ O N Z m z y z Z CS N 4) (D X (D o > o ' 1° a m N d s a c o L a h N (A (n WSJ aM F-~P a 0 0 0 •N R =CL CL CL N `j N U y rn O0i O a M o - O N MO E Lc) ^ m c n N O N N N m N ~ ~j O y C 90 a O p°~ N 03 W N C (D 0 Q Q 4) =3 d °p p~ m U) C N E C N Lo U N O~ C N L C, F- r o in -6 E 'R -c- • O N S O Z N Zi 2 fn O w I i.i a #6 a a CL 4) 0 0 3 3 o A U a 0 N U QJLHR SANITARY PERMIT APPLICATION couNTY In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than Q~ ? S-'' 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 Sa i'/le"r F % NE S00 T.P, N, R / E (orffl PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 4-y so Z Z - 3/ CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 4 i NC- / t tS II. TYPE OF BUILDING: (Check one) ❑ State Owned VILLLLAGE ' NEAREST ROAD 44 ❑ Public 1 or 2 Fam. Dwelling- # of bedrooms PARCEL AX NUMBER (S) 1kaj III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 20 Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 80 Mobile Home Park 12 ❑ Service Station/Car Wash 50 Hotel/Motel 90 Office/Factory 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ~I New 2.E] 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 Seepage Bed 21 ❑ Mound 300 Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 130 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 (D0 3e'. 5 7 z ~o~ G 3 /O 3. ~o Feet /eS.So Feet VII. TANK CAPACITY Site in allons Total #of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New xistin Gallons Tanks Concrete structed glass App. Septic Tank or Holdin Tank Tanks Tanks Zsd 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) MP/MPRSW No.: Business Phone Number: 0e0. Str o 6 a.~ n L Z lumb is Address (Street, City, State, Zip Code): IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanit Permit Fee (Includes Groundwater Date ssued %,I Issuing Ag t Signature (No S m Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Pib-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber fi UILHR SANITARY PERMIT APPLICATION COON In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ / if aQ 5- 8% X 11 inches in size. Check i revision o 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 a4✓ $15 '/4 NF- S 2 0 T 29 , N, R I E (or PROPERTY OWNER'S MAILING ADDRESS LOT BLOCK # _ D . p ~ ret CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER #a.450A W S o/6 S~ z1a -7ro, 9' ,'rj G .0- 144; A7 E3 TY VILLAGE NEAREST ROAD 11. TYPE OF BUILDING: (Check one) ❑ State Owned 0 drSog-y o /q f i 4 4- E ]Public 1211 or 2 Fam. Dwelling-# of bedrooms 3 PARCEL AX NUMBER(5) III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo / 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 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. V1 New 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 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 130 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 7:-FINAL--GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATIO 67-0 1 S $ 0, 6g 3 ~/P.o~e'et W -r° Feet VII. TANK CAPACITY Sit in allons Total # of Prefab. Fiber- Pla Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass stic App Tanks Tanks structed Se tic Tank or Holdin Tank 00 O S 4r-/ 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) MP/MPRSW No.: Business Phone Number: Q~ u~ lay 5tr61~Gccn 17 3 2 3 ?j Plumber's Address (Street, City, State, Zip Code): fi* + A1e«- /PI-4/,,tj his IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Include g roeej Water a e Issued Issuing Agent Signa a (No Sta ) Approved ❑ Owner Given Initial I~ Adverse Determination ~U 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 • APP61CATIOH FOR SANITARY PERMIT • 9TC-100 This application form In to be conplotod In full and slgned by the owner(s) of the ptopecty being developed. Any lnadoquacles will only result In delays of the pztmlt Issuance. -Should this development be Intended for rtsalt by ovnet/contractor,(spec house), thcn a second Iorm should be totalned and co■pl■ted when the ptopetty is sold and submitted to thla office with the appropriate deed recording. Ovntr *of property 5CL ✓h - Location of property 1__1/4 ~C1/la Bactlon r-Z T 3=f M-R 1 V Tovnshlp _ H V-U So yl Halling address Box Address of site Lo-r l Pa, • , t d- lubd lvls ion nas►e _P' h a, o v 4r- P Q. ' , Lot number Pttvlous owner of pcopetty S-raZt . Total size of parcel _ 3_00 A r5 e Date parcel was created -4 -30 - ~jC) Are all cornets and lot liner Identifiable? es >r0 Is this property being developed tot resale (spec house)?- an o voivna g and Page Number as recorded wlth the Raglster of Deeds. --rr---------------------------------------- INCLUDE WITH THIS APPLICATION T112 FOLLOVIHCI A VAARANTY D¢ID which Includes a DOCUHSHT WHOUR, VOLU?it AND PAOt XLrxlgR, and the 8¢P.L Or TIIE 118018TBR OF DEEDS. In addition, a certified survey, If available, would be helpful so as to avoid delays of the tevlewing process. It the deed description tafereneas to a Cattlfled Survey Hap, the Cattltied Survey Hap shall also be required. ---------------------------------------------------------7--------------------- PROPERTY ONNER CERTirICATIOH I(ve) certify that all statements on this form are true to the best of .y (out) kmovledge) that I (we) am (are) the owner(s) of the property described in this Intotmation form, by virtue of a xerranty dead recorded In the office of the County Regiatet of Deeds as Document No. 191$ 1 and that I (we) presently own the proposed alto for rho newage disposal system (at I (we) have obtained an easement, to run with the above described property, roc the at of said nyatem, and the same has been duly ecorded In the otllce of the County Register of Deeds, as Document No. _ y<• / r /8 Ttgrriitute of owner 819natura of co-ow-not (11 Applicable) Z Ste" qI Date of Signature / Data of Signature .:L. l4.,~~ """ti• y T 5~. i DOCUMENT NO STATE BAli OF WISCONSIN FORM 11 IM naa &PAM wcimtem row ,acolcwr+ LAND: C01iT00i1CT <f d s ` • 2. 4fi r Pro HR USED VORR ALL TRAAXSACTIO319 W M ON OVER ftS ON is TINAIiCJW AND W OTNtR 1W71-0O3i8l7YER ACT TAANSACTION51 ~I V./S **7~~ueyy~~~.:~y~ uuh~f i 10; Contract, by W betlesen . „ e` R. ReK' for Reconlh K K i Janet..P: 3 . .t..h lR..!L ..(44u lStl}X...A.Sf~AS.1!!.. `a " t C23l M. .BlTRPR...» » ("Vendor", whether one or more) ..and.:~lq .4.. Fe.+.~~~~llixa..iI-PiMUR-lIdA. y; A:` K . ("Purchaser", whether one or~more) Y 1. r' e~ OeadB b f hE a Vendor arils and agrees to coAVey to Purchaser, upon the prompt and full,per formarce of this contract by Purchaser, the following property, togetber with the seats profits, ~q~ and uher appurtenant interests (all called the "Property"), Croix.................... County, State of Wisconsin: Lots 28, 29, 30, 31, 32, 33, 35, 36 Pines rove Heights Cori • r a' / r r ~ 8 P. 0. BOX ,;2?9 s•,• ,OR s,.: kI Second Addition to the Town of Hudson. Tax Parcel No.. a. ,,.•~-yt• r t r~ t' Ibis homestc..d property. is not j +Y a t Peecbaser agrees to purchase the Property and to pay to Vendor at ' r• , tM Boss of s... l a i.4 eQ4 in the following manners (a) _.20.,900 • , ~f J at the taaacutlou of this Contract; and (b) the balance of $.113A}24.00 iabaw>: from tba hmd oa the balance outstanding from time to time at the rate of P 15.59. M 1 DO M 4 M~o pelt paw,hs fall, as follows: 1 payment of $18,000.00 before DeOasbar 3l, 1990; r esutll • 3 payments of $18,000.00 each during 1991; r ' 2 payments of $18,000.00 each during 1992; call of. each paymshts to bain applied en principal. 1 payment of $I .00 dining 1992. .fit *N ^fi ` ? In additiCn to . the fateDililg paymdote an principal ft Pasha W Will mate MnWy, p"M atse a! ftenpt;. an t*lpaid balsism at 102 per amt's. The Mat payment to be mdse an the. lst day of October, 15190 and >gi,,J r be, in do aim of 9942.10.013,VA X 10% t 12)• aftegw, intArest.payewts ahs]~L by cahculsted.at,tbe ~ =me of pdodpol out-. _-ndirtg foe the preceding month, including ad justaaeat foc ;MD to faade cur ' » 1ROTbed. however, the entire outstanding balance shall be paid in full on or before the. .~.lA.~.... of ri•:~ ` ISSM , 19U.... ( the maturity date). ,1 a,~• ` .YoliswhW any default in payment, interest shall accrue at the rate of 9G per annuuui on the entire ansouat~ fat ddanit (wWoh shall include, without limitation, delinquent interest and, upon acceleration ow'maturity, the aatltr ` Paorebassr, nnlw emeuaed by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably uwtiei• a p• ti pated aalpol taxeB, special asseesmenta, fire and required insurance premiums when due. To the extent received by. Vendor, VNWW. agrm 1e apply payments to these obligations when due. Such amounts received by the Vendor for pAM14 of tares, asseem send and insurance will be deposited into an escrow fund or trustee account, but shall not bear.,intesest E aalses otbawin required by law. liod 6_6 be 1-0-66 0-96 on Oita mope'd behweee-*6 Me V08 sposlfied "d 6hM 60 1 P0001111060 01" be An7 ; . amoeat"mq.be prrpan without premium or tee upon principal at any time In•tbo sass: o4 nay prepgymeot, this contract shall not be treated as in default with respect to payment so long ti M, i s tl~lle wipaid babow of principal, and interest (and in such case accruing inert from month to month shall be treated _ "!="M prfatipal) IS less, than the amount that said indebtedness would have been had the monthly payments been # a nave so *4 specified above; provided that monthly payments shall be continued in the event of credit of any proceeds wv a(fiwsp+lmos::o condemnation, the condemned premises being thereafter excluded herefrooL s Pwmftsir states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchases i „ I a~.'~' flee ~;ssailtlatka eserytt .Hale - 1 Mips a~erd tart in ooosi,deratian of the dean payment specified above, one of the above Lots { +I - do be MI) to tors pe err in part perfana a of thin Contract. They further agree that { of each of the $18,000.00 payment on principal specified above we Lot' xill be s+aleesed :upon receipt and *a ft last Lot will be conveyed on receipt on the final payts9at of .the $ 5 ,124.00. 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. I Purchaser shall be entitled to take possession of the Property on .......the..........date..............hereof .........................119 •CnM Dec D... LA" COWMWO•aMl►lerai sae STATE BAR OF WISCONSIN T iVl.evnaln L-ral Blank Co. Im. I{ , r 1 iMt 7.; Jl{11wwRw. We. + Max M0.4 i•r. y* ~7 POOL it tt to levied on the Property or up= Veale en Y~ , assessm .10 - ee 400" revel > ~ng such payment. lot tloe t" ion ow • , , r.. $halt Parehaser cevenants not to commit waste nor allow waste to be d committed lM n the Property, tthe lion c heme,, of nil >atr+l•~'+ a"" to &a* with all Iowa. oedinaaces an~ regulations afecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid sad all Conditions shall be fully performed at the times and in the manner above specified, , aa loclear o will on demand, xecute and doliv ew to the Punk"I r. a Warranty Deed, is fee simple, of the Property. f 1 liens or enenmbrRnees created by the act or ditAult of P rcosser, and except : Lx P -istiug.r1tcorded•easements for public util ties f ,.......«......«.........N..........• er Poreberer ageaes tbat tint i. of the essence and (a) in the event of a default in the payment of any principal late st w6kb asath stsll foe a period of 90..- days following the specified due date or (b) in the event of a default in followin writt notleis o! other obligation r mailed by certified email tfor a hen thee en ire outstanding balance under this contrast shall f by V become endor Gately due personally and payable in full, at Vendor's option and without notice (which Purchaser hereby Vendor law) in amps) atom `sepdor shall also have the following rights and at his option, ( e term i n a t (~tthit Contract and by addition to those ~rov{ded by law in equity: (i) Vendor may, , sr~~hts, due and teuat in the pr roperty and recover the Property back through strict foreclosure with any equity of rt~emptioa to be conditioned upon Purchaser's full paym ntthe entire outstandin amounts due hereunder (in which withent all terest htseprn frogs the date of dd mdt at the rate in effect on such date and other ~i by Purchaser shall be forefeited as liquidated damages for failure to fulfill this Contract and as rental for the nce this property it purchaser fail t of redeem); or (~{mod outstanding ba ate, with interrestf thereon at the rate in effect otract n the datepo immediate and full payarat default and other amounts due hereunder, In which event the Property shall be auctioned at judicial sale and Purchaser aid urch entire Contract as a cloud onptitle in a quiet-title ase shall be liable for any de CT* of (B C,ondtr~et at an end and for remove this thereof; or (Iv) Vendor may declare t4 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 (1), 00 or (lip ) 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 of any action of foreclosure of this Contract, Purchaser oonsenti Upon the commencement or during the pendencyy to the appointment of a recelver of the Property. ineinding homestead Interest, to collect the rents, issues, and profits the Property during the pendency of such action, and such rents, issues, and profits when so collected shall be Mid sod applied as the court shall direct. of any x Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of Purchaser's Arllts under this Contract or by option, long-terns lease or in any other way) without the prior writtim consent of Vendor unless either the outstanding balance payable under this Contract 1s rst paid in full or the interest conveyed Is a pledge or assignment of Purchaser's interest under this Contract solely . security for an indebtedness of } Purchaser. In the event of any such transfer, sale or convey ante without Vendor's w . ' ^n consent, the entire outstanding balance Prme under this Contract shall become immediately due and payable in full, Vendor's option without notice. Van r 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 PurchaMt makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee V 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 reprtseatatives, successors :.red ass{m of Vendor and Purchaser. (If ataft owner of the Prod agrthe ees to join in Vethe ndor for valuable consideration joins Mersin to release homestead rights in subject the deed to be made in faMnumt bercof.) , 19...~. tb .,i w.....~ Dated this ..,:So day of _ . . yd H. Stou by -(t .t l.. P 0 ' A (SEAL) ,flex Q~tii~hey (SEAL) in FBCt - ...........(SEAL.... .............(SEAL) • Estou"t • ...Sam. E.--Miller- AUTHENTICATION ACKNOWLEDGMENT Signature (s) ~ST~ATE (OF.~,W~I~SC)ONSIN o l as. q4?-'.....~.,1..""'•C•.... .....County. authenticated this day of Personal came before me this day of 19....... the above ed ` l is TITLE: MEMBER STATE BAR OF WISCONSIN If not, . . . - authorized by § 706.01%, Wis. Sfnts.) to me known to be the person..... who executed the 1ing inat nt and a n sledge the same. , , THIS INSTRUMENT WAS DRAFTED BY Hey~it?o.b sari,.. .,?oir!. D..tteyw~?oa . P,..0...Am.M. I...,M....W1...Wo.... _ Notary Public . _ .....................County, W . (Signatures; may be authclsticated or acknowledged. Both My Commission is permanent. (if not, state expire are not necessary.) date: 19.........)It .Names of pc-n% airning m any capacity ehuuld be typed or printed b.•Icw their .;c :n•.. `~e t Awn C4)VTRAIT-.Indi.Waal and t'orperstt-ataN nor of wt.rem" reru No, 11 - 1912 SEPTIC TANK MAINTENANCE AGREEIIENT r St. Croix County n OWNER/BUYER cam'i:ll~ 0 :3 ROUTE /BOX NUMBE Fire Number o~ CITY/STATE 14qu 4Sp l zip Sv M PROPERTY LOCATION:'.5 , Section?° T= , R Town of St. Croix County, Subdivision 6~a K fi S Lot number_,. Improper use and maintenance of your septic system could result in its premature failure to handle wastes.- Prover maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licens'ed' 's'ept'ic tank pumper. What you put into the system can a ect t e .unct on of cne 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, whi-c was in operation prior to-July 1, 1978. St. Croix County that all new program to keep their system properly owners eeof this -s't'ems agree 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)•'after inspection and pumping (if nec- essary the sfoorm willkbessentsapthan 1/3 proximately130fdaysdpriordtoc~. Certification 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 the standards set forth, herein, as set by the Wisconsin Depart- crr St. Certification ment t Natural. Resources. and returned to the of the three year expiration. date. SIGNED~~ DATE St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. r .DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDU STR''; DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 7969 N WI 53707 FWMAN RELATIONS ~ 0f 5 a:. (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: OWNSH /MtyidtCtPRtITY: LOT NO.:BLK. NO.: S DIVIS ON NAME: SE Nr ~/a zo /Tz9 N/R/9E for /-f~~sa>~1 3! - NEB f 14PT5 TY: OWNER'Sat}&ME: MAILING ADDR S: CO N E~ SAM M I Ll-E k ~QoU7' Roo K ~ 14U ASa Iv W l USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PR FILED RIPTI)ONS: [PERCOLATION TESTS: KResidence t4NK ZNew ❑Replace /,Vgf(ylC~ 21 9 ~Yl ~s 'So IcsoK G SaILS Q r 1t-LOr RATING: S= Site suitable for system U= Site unsuitab a for system f $ SAYTQ~ CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) S ❑u 110 S au [YS ou ® S ❑u a S Yu C'oNv „R-►c?,JAL 80(-T If Percolation Tests are NOT required DESIGN RATE: ~ If any portion of the tested area is in the under s. ILHR 83.09(5)-(b), indicate: CLA-CS Floodplain, indicate Floodplain elevation: NA PROFILE DESCRIPTIONS L BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST. HIGHEST_ TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 o.17 /0S.%6 t1anlr- >/0.17 /3 IS S~ ,j 38"8>QjCSMk 66~~$a>v *Si61e B- 7.67 ,.53 14o ME > 7.6 •'$kN S~ Fsg"gQN 1hS ~G le B- /0,17 /06.45 NIA > 16.1-7 6" $aa /ham` G C S B- 4 q.zS /6%.17 No,v > 9.zf 4S" MS¢GIe ~6 $aN GS B- 10.~ /07.C.5 I4oNLr > /6 0? 2''8e,4M:5 23'$R~, MS~F~~ 7 ~BaN~S B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER NM®Wli!!~ AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P- I z so Nam I os•so 3 > 2 > Z > 2 < P. Z 3.A6 ihkAts 3 > 2 > z > Z < 3 P- -ON > Z > < P- % P- LEVAT/ W Aim ERC 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 /t E ~ - BErX NMAkk P- I 234 N E Cog-"lf Q S aF LoT 3 Ilk 4 $ 3 As L-~i E'la," o►~ /00.x' tN g P 3 , <<AL I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME print): TESTS WERE OMPLETED ON: /99 2S / aN 2 c 19Q Y JNse N J Nti1 J~Y~N4 ill ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER loptionaq: .T %3 o. $ox uQsa>v Sqo/6 3O~a CST SIG ATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - • SAM MI L L t R G ,,ova. m5t s Lot 4` 3 / $ENcHM NRK NE cerhL-1 of ~t 3 ► , E IY.. 100,00 R r v ~ Lot 31 R I' Y 23Y I I f I ~ 1 M u I t{ou Sa P 14 X7, 28XSO~ Q z 1 ~ SS ~ f P N Ski ~ /2~ ~ 8 yS N Sxw, WA1q.'r ~;aQ~roos N~t~ lat"` 3) / A ' , , 46 ~ ~ Sc•.. I.. 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