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FORM - STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER- TOWNSHIP f 1-7GC C,,al e r
SECTION % T~N-R / 6 W . ~o `T° 1
1n1 A 11R~
ADDRESS%:// S , C~ w.u ~ck&l tX ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT LOT SIZE
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SY BEM
t
Ira% V4
r
\t
ti
INDICATE NORTH ARROW
BENCHMARK: Elevation and description: les
Alternate benchmark
SEPTIC TANK: Manufacturer: e- i Liquid Cap. /0 0 0
&Final grade elev: 9' O.0
Rings used: -Manhole cover elev:=
33.`~'d
Tank inlet elev.: AS Tank outlet elev.:
i
No. of feet from nearest road: Front, Side , Rear
From nearest prop. line:Front , Side,, Rear Ft. 3
No. of feet from: WellBuilding: / -
(Include this information in the above plot plan)
(2 reference dimensions to septic tank)
SEE REVERSE SIDE
J
PUMP CHAMBER
Manufacturer: &L19 Liquid Capacity:
Pump Model:Pump/Siphon Manufact.: Pump Size,k_,,~V'
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:_ X Trench: - Seepage Pit:
Width: f 2 Length 3 6 Number of Lines:_ Area Built L.`/P
Exist. Grade Elev.e. Proposed Final Grade Elev. 8 6 •
Fill depth to top of pipe:
No. feet from nearest prop. line:Front , Side,, Rear Ft ,70 6
Q
No. feet from well: /~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:
DATE : / ~2 - PLUMBER ON JOB : z_r_4'-"'X x -
LICENSE NUMBER: e:~'
6/90:cj
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING
LABOR & KUMAN RELATIONS DIVISION
P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION
lpISfi4I 5707L
4, , e • 9, T 2 8 - R1 6 Sfa assigned) .Number:
~QTown of Eau Galle CONVENTIONAL El ALTERATIVE
Co. R . BB ❑ Ho ding Tank ❑ In-Ground Pressure ❑ Mound
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE:
Dou las Ham 241 Church St. Woodville WI 5402
BENCH M AK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. EkEV
k:~_j 37
.Q
Name of PI ber: MP/MPRSW No.: County: Sanitary Permit Number:
Stephen AAb 5184 'x 128694
SEPTIC TANK 7, S ~a o r"= i?
MANUFACTURER: LIQUID CAPACITY: EL 7~51?8 ANK OUTET ELE WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED: O,C_
5' 96 YES ❑ NO ❑ YES NO
BEDDING: VrW DIA.: + ~R1q MATL.: H
ROAD: L OPERTY WELL: ILDIN` AVENT T IR NLOT RESH
ALARM: IGH WATER rFEE UM BER TFRM ~ - A 4
❑ YES NO G~ E:1 YES NO EAREST
DOSING CHAMBER:"
MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER
PROVIDED: PROVDED:
❑ YES [:1 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 SYSTEM:
BED/TRENCH WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID
TRENCHES: MATERIAL: PIT DEPTH:
DIMENSIONS
GRAVEL DEPTH FILL DEPTH DISTR. PPE DISTR. PIPE DISTR. PIPE MATERIAL' N ISTR. NUMBER OF PROPERTY WELL: BUIJ~p)NG: VENT TO FRESH
BELOW PIPES: ABOVE COVER: ELEV.. NLI ET: ELEV. END: PIPES: LINE: AIR INLET:
nzt t 90~ Y7 ~o~. dC S7~M-~-'t FEET INEARESTO~~ , >p7~ r
f/d
MOUND SYSTEM: &A gzz
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
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
PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING:
COMMENTS: FEET FROM LINE:
[__1 YES ❑ NO L] YES ❑ NO NEAREST
l ) Sri, r'V^ ~X-rrl,y-~ . ,,~h +:,A-a...~`~ '::~'~.'....''.,p ._i~4»., F Q~J"~^-~:~ /::^Cf%vvtr'e~n.~ .'1
t.. ~ F~ ; i ~ h,1 0 ~,r'~-C!4+:+ `N'1 ..~`E~ j•~, CJ.~f;. _S ~ ~ L., lS G-vim.(', sY")''> .k:r':~,.L-Gfv' ~ -a. /O ~ 'Y'1
Sketch System on in county file for audit.
Reverse Side. Ct'7SIGNATU : TITLE:
SBD-6710 (R. 06/88)
=141n. SANITARY PERMIT APPLICATION COUNTY
In accord with ILHR 83.05, Wis. Adm. Code
STATE SA TARY PER T #
Go9
-Attach complete plans (to the county copy only) for the system, on paper not less than STATE PLAN I.D. NUMBER
8% x 11 inches in size.
-See reverse side for instructions for completing this application. PETITION
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑ YES 9 NO
PROPERTY OWNER PROPERTY LOCATION
a S ~ ✓l,., " %_5 JE S 9 T ,;I,,?, N, R 1~ <@ (or
PROPERTY (hVNER'S MAILING ADDRE S LOT NUMBER BLOCK NUMBER SUBDIVISION NAME
/ vc ..c. 4
CITY, STATE ZIP CODE PHONE NUMBER ITY NEAREST ROAD, LAKE OR LANDMARK
.:7,0 6,. ❑ VILLAGE : (c -g6
~_X (i(J
j'j (6"79) N
II. TYPE OF BUILDING OR USE SERVED: Ac--l chrc-> 1®
Number of Bedrooms if 1 or 2 Family 3 OR ❑ Public (Specify):
III. PURPOSE OF APPLICATION: (Check only one in ##1. Check 2,3 or 4, if applicable)
1. a. Z New b. ❑ Replacement c. ❑ Replacement of d. ❑ Reconnection of e. E:1 Repair of an
System System Septic Tank Only an Existing System Existing System
2. ❑ A Sanitary Permit was previously issued. Permit Date Issued
3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements.
4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy.
IV. TYPE OF SYSTEM: (Check only one in ##1 and only one in ##2)
1. a. .9 Conventional b. ❑ Alternative C. ❑ Experimental
2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP
In-Fill Tank
V. ABSORPTION SYSTEM INFORMATION: (Check one)
1. a. See a e Bed b. ❑ seepage Trench c. ❑ seepage Pit
2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY:
(Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet):
❑ Joint ❑ Public
1616, e F Feet XPrivate
VI. TANK CAPACITY Site
in allons Total of Prefab. Fiber- Exper.
INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holding Tank X oo-o 1 1-1 F I ❑ 1:1 Lift Pump Tank/Si hon Chamber Li L1 ❑ L1 1:1
VII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the private sewage system shown on the attached plans.
Plumber's Name (Print): Plumber's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number:
ST,~ 1 N G 2q~1_ / y ? S 6Y - aY~ 7
Plumb 's Address (Street, City, Stale, Zip C e : Name of Designer:
Vlll. SOIL TEST INFORMATION
Certified Soil Tester (CST) Name CST #
CST's ADDRESS (Street, City, State, Zip Code) Phone Number:
y & :7-- ~ / Z- z"z -2
IX. C TY/DEPARTMENT USE ONLY
Issuing A ent Signat a (No Sta s
❑ Disapproved Sanitary Permit Fee Groundwateee
Approved F-1 Owner Given Initial 14~_ Surcharge F
r LI
A
dverse Determination
X. COMMENTS/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber
INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT
APPLICATION
TO THE APPLICANT:
1. This sanitary permit is valid for two (2) years;
2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new
criteria in the Wisconsin Administrative Code will be applicable;
3. All revisions to this permit must be approved by the permit issuing authority. A new permit may be needed
if there is a change in your building plans, system location, estimated wastewater flow (number of bed-
rooms, etc.), depth of system, or type of system;
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
submitted to the county prior to installation;
5. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years;
6. If you have questions concerning your private sewage system, contact your local code administrator or the
State of Wisconsin, Bureau of Plumbing, 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 where the system is to be
installed;
II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat
restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling;
III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or
repair;
IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project
is in conjunction with University of Wisconsin;
V. Absorption system information: Provide all information requested in ##1-6;
VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed,
number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete
for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if
tanks received experimental product approval from DILHR;
VII. 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. Fill in designer name if
applicable;
VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number.
IX. County/Department Use Only;
X. Comment area for use by county or resaon given when application is disapproved.
Complete plans and specifications not smaller than 81/2 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; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement
system areas; and the location of the building served; B) horizontal and vertical elevation reference points;
C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 form.
GROUNDWATER SURCHARGE
On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more
commonly known as the groundwater protection law. This change in statutes was the
result of over 2 years of steady negotiation and public debate. The groundwater bill Ground rns
r
i
ncluded the creation of surcharges (fees) for a number of regulated practices which Alisco ia
can effect groundwater. The surcharge took effect on July, 1, 1984. All of the water that buried reasure
is used in your building is returned to the groundwater through your soil absorption e
system or the disposal site used by your holding tank pumper.
The monies collected through these surcharges are credited to the groundwater fund adminis-
tered by the Department of Natural Resources. These funds are used for monitoring ground-
water, groundwater contamination investigations and establishment of standards. Groundwater,
it's worth protecting.
SBD-6398 (R.03/86)
APPLICATION FOR SANITARY PERMIT
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 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 ,20CI6,4
Location of Property s Section N-R~ W
Township (4 6A L. ~
Mailing Address a Cs 101 S
viL L IF,, w / s`" aj~g
Address of Site CoLd 13 B
Subdivision Name
Lot Number Lv f /4
Previous Owner of Property 'r Is 6
41
Total Size of Parcel T/7 ~j
Date Parcel was Created %
Are all corners and lot lines identifiable? Yes No
Is this property being developed fo;,,resale (spec house) ? Yes _ No
r OS
~S~
Volume G and Page Number 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 refer-
ences to a Certified Survey Map, the Certified Survey Map shall also be required.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PROPERTY OWNER CERTIFICATION
I (We) cvLti.by that att statements on this Bohm ane true to the best o6 my (out)
knowledge; that I (we) am ( cute) the owneA (.s) o6 the propeAty de s cA bed in thi6
in6onmati,on 6ohm, by viAtue o6 a wa Canty deed Aeconded in the 066ice o6 the
County Regi,6ten o6 Deeds" Document No. 115-<2 0 L; and that I (We) pne~s entty
own the pltopo.aed site {oh, the sewage dapos bye em (on I (we) have obtained an
easement, to nun with the above duck bed pnopehty, bon the consthucti.on o6 said
.system, and the same has been duty tecakded in the 06jice o4 the County Reg.cateA o6
Deeds, as Document No.
LY i S
SIGNAT`Ud 0V.0WNER SIGNAT OF CO-OWNER IF APPLICABLE)
' zet
DATE SI D DATE SIGNED
569 PACE 256 11
THIS SPACE RESERVED FOR RECORDING DATA
DOCUMENT No. STATE BAR OF WISCONSIN FORM 11-1862 i
4580'70 LAND CONTRACT
Individual and Corporate
~
1'1'O RE USFn FOR AI.L TRANSACTIONS WHERE OVER
$25,000 IS FINANCED AND IN OTUEI. NON-CONSUb1ER
ACT TRANSACTIONSI REGISTER'S OFFICE
.
ST. CROIX CO., W1
I
!I Eldon Erickson and II Reed for Retard
Ci0I1tT&Ct j
II ,by and between d- f-•-------
Esther Erickson, husban and wie as II ' AYP(3 01990 =
-
3ointt
..enant...... ("vendor a~,a 11:30 A.
whether one or more) and.... DoUgl-as_•-W...--H,~.C~e-n---and
C nthia F Hagen~_•-husband--an-_.-wife----__-•________________•
("Purchaser", whether one or more). 9 i
Vendor sells and agrees to convey to Purchaser, upon the prompt and full per-
I
fornlarlce of this contract by Purchaser, the following property, together with the
li rents, profits, ~cture and.other appurtenant interests (all called the "Property"), I i
in------------------..trO1X------------------------------- County, State of Wisconsin: I RETURN TO
~I II I
!I
Tax Parcel No-
li
Southeast Quarter of the Southeast Quarter (SE4 of SE4) of
Section Nine (9), Township Twenty-eight North (T28N), Range
Sixteen West (R16W). ~I
This 1s-_ not homestead property.
i x4§4 (is not)
Purchaser agrees to purchase the Property and to pay to Vendor at .pLace ..deaignat_ed-..by..mendgr
10 ! 000.00
the sum of QQ------------------------------ in the following manner: (a)
I I,
at this execution of this Contract; and (b, the balance of $_AQ_,-Q _ _QQ.• _.00 . _ . together with interest from date
nine 9 iI
per cent per annum
hereof on the balance outstanding from time to time at the rate of
until paid in full, as follows: Monthly payments of $150.00 commencing one
~ month from date hereof, and on the same date of each month
thereafter.
I i
I
Provided, however, the entire outstanding balance shall be paid in full on or before the- f ive years .f f
from.-dale--hereof x;K ~ _ ( the maturity date). it
ilI! Following any default in payment, interest shall accrue at the rate of .1! % per annum on the entire amount
in default (which shall include, without limitation, delinquent interact and, upon acceleration or maturity, the entire i
principal balance I!
I .
Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- i!
j pated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, ;
Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of
11 taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest I'
unless otherwise required by law.
Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any i
amount may be prepaid without. prernium or fee upon principal at any time affQt---_II7 YIoU ..fee.___ oc?oo
li
iI 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 front month to month shall be treated
as unpaid principal) is less than the amount that said indebtedness would huve been had the monthly payments been
I 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
I' for examination except: None
I
I~ fl'
II ii
II Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall i
be retained by Vendor until the full purchase price is paid.
i
XXIQ=
Purchaser shall beentitledto take possession of the Property on.._.date__Of •ClOSing ~I
•Cross Out One. i
'I II
'I
~ i•
LAND CONTRACT-Individual and STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc.
FORM No. 11 - 1982 Milwaukee, Wis.
1990'ieal estate taxes have been prorated between the parties. Purchaser to pay all
real estate taxes when due. ~Vo S69PWA
Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest
in it and to deliver to Vendor on demand receipts showing such payment.
Pur "}L.iser shall keep the improvements on the Property insured against loss or damage occasioned by fire, ex-
tended coverage perils and such other hazards as Vendor may require, without co-insurance, through insurers appr-,•
by Vendor, in the sum of $_fU.Ll..inSUrabl.e. Val.Ue_.•, but Vendor shall not require coverage in an amount more
than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall
contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original
of all policies covering the Property 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
economically feasible.
Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property
• in 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_
•
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 .30-.... 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 __Q... 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 following rights and remedies (subject to any limitations provided by law) in
addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this Contract and Purchaser's
rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of
redemption to be conditioned • upon Purchaser's full payment of the entire outstanding balance, with interest thereon from
the date of default nt the rate in effect on such date and other amounts due hereunder (in which event all amounts previously
paid by Purchaser shall be forefeited as liquidated damages for failure to fulfill this Contract and as rental for the
rid 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 clue 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 unpnld purchase price or any portion
thereof; or (iv) Vendor may declare this Contract at an end and remove this Contractasacloud on title in a quiet-title
action if the equitable interest of Purchaser is insignificant; and (v) Vendor may hive 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) nbove.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 fu included in any judgment.
Upon the covrmencement 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 egpitable 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) 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 solely as security for an indebtedness of
Purchaser. 17 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 tinder any mortgage outstanding against the Property on the date of
this Contract (except for any mortgage granted by Purchaser) or under nny note secured thereby, provided Purchaser
makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments 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 he 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
deed to be made in fulfillment hereof.)
Dated this .28................................. day of AP.ri-1 19..9.R_.
~L - (SEAL) `9l
SEAL)
Eldon Erickson Douglas W. Hagen
r' +11*~. (SEAL )
u
------•-------•-•----•-----.(SEAL) 9/. Q- =
Esther Erickson Cynthia F. Hagen
_ - tJ
t
AUTHENTICATION ACKNOWLEDGMENT
Signature (s) STATE OF WISCONSIN
SS.
S t,...Cr p 1 X....... County.
authenticated this day of 19_.._.. Personally came before me this 8.day of
...AP_rJJ.................... 9 19.90 the above named
Eldon Erickson, Esther Erickson,----
Douglas W Iiagen'--_and Cynt~jk Fkr...
TITLE: MEMBER STATE BAR OF WISCONSIN Ha en s~
(If not, . ~
authorized by § 706.06, Wis. Stats.) ' -'n 3, iZ
to me known to be the person g f..~ kvhd fex411 tht 7
foregoing nstrutpci an~J~]]cknGD~a ~ti, Arad
THIS INSTRUMENT WAS DRAFTED BY / /
.•..::,~4/ o
/---------✓-ll-- s Di.........
Thomas it. McCormack
0
1
54002 L---e.--R
St0-TI-eY.
Baldwin, WI oY'-- ; C~
Notary Public S.t CXOiX......... -t0,,d ty, Wis.
(Signatures may be authenticated or neknowledged. Both My Commission is permanent. (If not, state expiration
9_. 19.._ 92) 0
are not necet§arp.) date; July 2--6
H
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SEPTIC TANK MAINTENANCE AGREEMENT Ho
St. Croix County z
d
a
OWNER/BUYER ~eq, ~oG- rlrC/
ROUTE/BOX NUMBER Fire Number
CITY/STATE Z-U60 ZIP
PROPERTY LOCATION: si5, SC ' Section ! T N, R~W,
Town of ~ 6=,f L - St. Croix County,
Subdivision Lot number
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 licensed septic tank pumper. What you put into I!
the system can affect the function of the septic tank as a treat-
ment 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 systems properly
maintained.
The property owner agrees to submit to St. Croix County Zoning a
certification form, signed by the owner and by a master 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 septic 'tank is less than 1/3 full of sludge and scum.
Certification form will be sent approximately 30 days prior to
three year expiration. H
0
I/WE, the undersigned, have read the above requirements and agree
to maintain the private sewage disposal system in accordance with x
the standards set forth, herein, as set by the Wisconsin Depart- b
ment of Natural Resources. Certification form must be completed
and returned to the St. Croix County Zoning Office within 30 days
of the three year expiration date.
SIGNED
DATE
St. Croix County Zoning Office
P.O. Box 98-
Hammond, WI 54015
715-796-2239 or 715-425-8363
Sign, date and return to above address.
)x 1
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, DIVISION
LABOR AN P.O. BOX 76
HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON W1 3707
(H63.090) & Chapter 145.045)
LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: OT NO.: BLK. NO.: SUBDIVISION NAME:
Aye Z A1,117
/Tz0/R/3(-,0 'Exi 6- G ~
V R
COUNTY: ' OWNER'S BUYER'S NAME: MAILING ADDRESS:
x o u L,~'r a K. / S6. C~ kic~ 4 T. a~ -Sys
USE DATES OBSERVATIONS MADE
R Residence BEDRMS.: 1COMMERCIAL DESCRIPTION: PROFILE DE I IONS: A I N TESTS:
RResidence / New ❑Replace ! 1 6 9
RATING: S= Site suitable for system U= Site unsuitable for system ''j' PRESSU ~~TI~U . Mms.o~ ING~~ ❑URE:SY~ST -11L`}~LHE]S ~W A11:1RECOMMENDED SYSTEM: C~ ~vr&,7i
7*% q )
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 IN. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B-
13- 3
B-
B-
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH
71 S P- • D A N•t 1 1
P-j 1. S O r lk:k i
P- 3 d w, r
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
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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 COMPLETED ON:
579-,0 l L t7~ 6-a 9- a
ADDRES . CERTIFICATION NUMBER: PHONE NUMBER (optional):
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CST SIG A RE'
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DEPARTMENT OF /~q'C
REPORT ON SOIL BORINGS AN / SAFETY & BUILDINGS
INDUSTRY, DIVISION
LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 7969
HUMAN RELATIONS
N WI 53707
(ILHR 83.09(1) & Chapter 145)
LOCATION: ECTION: TOWNSHIP/MUNICIPALITY: OT NO.:BLK. NO.: SUBDIVISION NAME:
/T 0/R 61(or ,Er-7z-f 4 ~l
COUNTY: MAILIN ADDRESS:
TC o ix ,fin o tia c~ T Goad ,L~~ ' s U
USE DATES OBSERVATIONS MADE
NO.BEDRMS,: COMMERCIAL ES RI TION: PROFILE IJESCRIPTION97[PVMMT_1_0N TESTS:
Residence / L/ New
❑ Replace _ _ O r
RATING: S- Site suitable for system Us Site unsuitable for system 7 PRESSURE: YSTF ONVEN ST®U S ❑U JIN-GROUIND
U L IHOLDI 0 SGNU . REC/OMM (D N SYSTEM: (optional)
❑ S I®N-Flt
~ S NU
r 1
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: Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL P H T GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B- ~dl No k y O, r T 4.6 n I d. 6'
B- Al X CIS w 14a 'e-l'r.' 6 " A1 7f
B-~ ~.do rr .Q A~Ka - a.
p~_ r
B- . o' .W L& .vn os y r. G
B- 0 7 T .1" o. 'box te. A O- 6' 741F W
B- 3. P' el rls L Td -r
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DR I WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PE PE RI D PER INCH
P- o / 0 1-1; 3 37- Tr
P- a O
P_ i i
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.
1 ~
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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 COMPLETED ON:
ADDR S: CERTIFICATION NUMBER: PHONE NUMBER (optional):
use u S? W v o t~ i L L.c Gv i Ort, y o b 71!;'-6,,? r- o
CST SIG A E:
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SOD-6395 (R. 10/83) - OVER -
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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDU„TRY, CC DIVISION LA~BOR AN
P.O. BOX HUMAN REDLATIONS PERCOLATION TESTS (11J) MADISON WI 53707
(ILHR 83.0911) & Chapter 145)
LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: OT NO.:BLK. NO.: SUBDIVISIION NAME:
S.,r irE V 9 A ■ kN/R 61(or .~r-1Gl L T7
COUNTY: MAILING ADDRESS:
TC o i Y. An, ,fin o 44f c 0dtll 11 L4C ' S U
USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRI
Residence w ❑Re lace E TS: /VR 71~~ p 7 ,/-QD S-o2S-'Id
RATING: S= Site suitable for system U= Site unsuitable for system
ONVENTIONAL: MOUND: IN-GROUNcDPRESSURE: SYSTEM-IN-FILL OLDIING TANK: RECOMMENDED SYSTEM: (optional)
®u %S DU J NU S X11 J RU
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: Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN. ELEVATION OBSERVED EST. I HEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B-~ ~.G E rr. 97" a. AMXW_r
B' • 4 ` 60l C!J Atio~ y r. G pr~rt"
B-
Alrf- T t .1" 0-76710S A 0.6 j o!
e..ls G /_-:1 Al Ogg Ax PERCOLATION TESTS
L TEST DEPTH . WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RATE MINUTES
f NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD3 PER INCH
P- / 14 v ttil % 3
P- ` No O
P- 3 Are
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. `
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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 COMPLETED ON:
ADDR S: CERTIFICATION NUMBER: PHONE NUMBER (optional):
z,9 4,4' 244 pli4 S? G~®a~'~,~~~ Gv~~' o„~F ya6 7~s=64~-.Z o
CST SIG A E:
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DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
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INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395
To be a complete and accurate soil test, your report must include:
1. Complete legal description;
2. The use section must clearly indicate whether this is a residence or commercial project;
3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system;
5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER
SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS;
6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan;
7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefered. A separate sheet
may be used if desired;
8. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent;
9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate;
10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box;
11. Sign the form and place your current address and yur certification number;
12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL
AUTHORITY WITHIN 30 DAYS OF COMPLETION.
ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
Soil Separates and Textures Other Symbols
st - Stone (over 10") BR - Bedrock
cob - Cobble (3 - 10") SS - Standstone
gr - Gravel (under 3") LS - Limestone 's - Sand HGW - High Groundwater
cs - Coarse Sand Perc - Precolation Rate
med s - Medium Sand W - Well
is - Fine Sand Bldg - Building
Is- Loamy Sand - Greater Than
'sl - Loamy Sand < - Less Than
'1 - Loam Bn - Brown - Silt Loam BI - Black
si - Slit Gy - Gray
cl - Clay Loam Y - Yellow
scl - Sandy Clay Loam R - Red
sicl - Silty Clay Loam mot - Mottles
sc - Sandy Clay w/ - with
sic - Silty Clay fff - few, fine, faint 'c - Clay cc - common, coarse
pt - Peat mm - Many, Medium
m - Muck d - distinct
p - prominent
HWL - High water level,
surface water
Six general soil textures BM - Bench Mark for liquid waste disposal VRP - Vertical Reference Point
TO THE OWNER:
This soil test report is the first step in securing a sanitary permit. The county or the Department may request
verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system
and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary
permit must be obtained and posted prior to the start of any construction.
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, W154016
Wliik- _ (715) 386-4680
May 30, 1990
Division of Safety and Building
Bureau of Plumbing
P.O. Box 7969
Madison, WI 53707
Dear Sir:
An on site investigation for the Douglas Hagen property,
located at the SW,- of the SE34 of Section 9, T28N-R16W,
Town of Eau Galle, St. Croix County, revealed suitable
soils at a depth of 25 inches below which seasonable high
ground water was noted.
This site should be suitable for a mound.
Should you have any questions, please feel free to contact
is office.
Since ely,
J es K. Thompson
ssistant Zoning Administrator
C4
DEPARTMENT OF REPORT ON SOIL BORINGS SAFETY & 21-l! L"' LN
INDUSTRY, RAND EPORT
LABOR AND PERCOLATION TEST'S (1.15) MADISP.O. BOX Of~ WI 7969
HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145)
LOCATION: ` SECTION: *TOWNSHIP/mUNICIPALITY- T NO I;i._K_ 51 I-iDIVIISION NAME:
SE'/ ~i(or C~GL _lrG~ y? l~~!t`?~I 7F=f~_. _
COUNTY: MAILING ADDRESS: ~r - -
C~4,itG <r ! y~~~GG~ &d!r S{7`l L
T~ 0 Y.
USE PATES OBSERVAT EONS MADE
NO. BEDRMS : 1COMMERCIAL DESCRIPTION: I tTl'or) Cc-Df x7 t T;'"(' ES ?1yE?`Z, i ?TEJJT0, 7
Residence Al 'EZNew ❑Replace
RATING: S- Site suitable for system U- Site unsuitable for system
ros mu I ~Ks ou 1. S N' ONVENTI NAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL fOLUINv TANK tZE 1ttENDED SYS-, :loptional)
If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested aria is ir. Use
under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation:-_
PROFILE DESCRIPTIONS
BORING TOTAL P H TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH-i HICY.N S`S, COLOR TEXTJRE, AND vE"TH
NUMBER DEPTH IN. ELEVATION OBSERVED EST. ,HEST ITO RErROCK IF OBSERVED (SF-_F ABBRV_ON BACK.)-
B- N47 A, g
RTV
B- . o lr-- T 7",Z'.~ 0- (1,s 12_-W PERCOLATION TESTS
B- T 3e.
TEST DEPTH WATER IN HOLE TEST TIME DRRO Ill %WATER FN_ C 11 ES 4 FtATI , : 71 TcS
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERI0D 2--_,-- PER IN 1? -
P- a O k--
_ z X
P- 07 1
P-
I
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scala e: micas. Describe yv! >.t are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Shcw the surface elevation at all borings and tl,e direction av.- p-jrcunt
of land slope.
SYSTEM ELEVATION.
I I' ~ ~ I I
- - -
- 1- _ -1- _ --t-- a
.
I I I ,
_ I
1, the undersigned, hereby certify that the soil tests reported on this form were mada by me in accord with the ; rocedur^s ann.' maii,ods spac''ied in s .;i',^Jisconsin
Administrative Code, and that the data recorded and the location of the tests are corn :t to the best of my knowledge and belief.
NAME print ~TE5T5 lNr~iE CC1i,1LFTED Ofl:
ADOR S: • CEHTIFICATION NUN '~:R IPHONE NUMBER (optional):
14
ST
.~-I' clr NAT!,,yrrt -
i . s s
r ,y y
DISTRIBUTION: Original and one copy to Local Authority, Property Oviner and Sc". Tester.
DILHR-SBD$395 (R. 10/83) 0`'^'
1
oftk.
a ST. CROIX COUNTY
r WISCONSIN
ZONING OFFICE
' aka ST. CROIX COUNTY COURTHOUSE
'h - 911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
June 19, 1990
Divison of Safety and Building
Bureau of Plumbing
P.O. Box 7969
Madison, WI 53707
Dear Sir:
An on site investigation for the Douglas Hagen property,
located at the SE,- of the SE,- of Section 9, T28N-R16W,
Town of Eau Galle, St. Croix County, revealed suitable
soils at. depth of 2.2' below which seasonable high
ground water was noted.
This site should be suitable for a mound.
Should you have any questions, please feel free to
contact this office.
Sincerely,
Thomas C. Nelson
Zoning Administrator
cj