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HomeMy WebLinkAbout020-1178-80-000 4 0 ' 3 0 0 C o 0 O O d' N i ~ GL ~ ~ j GL c_ N N v z LL c E $0d j 3 . _r ~ ¢ y 3 M 3 z w E rn z o z m d co 04 N z a m o O z a c o H r z N N N m m (D CL (A ~ N y C • ►v j a m L 3 o d Q 0 z co z o cc _0 N _N E Z f0 d Cc (n t0 E w N UO fn V d H d c E O __V U U) Z U N O d ~ O O O E •N ~IL IL IL CL 7 O N m 0) tl1 J U V } M a I O C c ° O aD~ N N O O CO _ N II ~ m ~ c a J y d Q~ (n m ° ° E y c S C2 E O n c f0 c N co M Cd 9 - d 0 0 O O N 3 _ 0 7 li > a N N d ~ ~ ~ U7 Li N -00 2 H C_ • N co O c0 M O C E v i.i O N S 2 0 z_ Cn V v~ m R € a 2. • ee a m j d a ~~`wIv E E c - -1 A ciao (a L) J ` Parcel 020-1178-80-000 02/04/2005 03:02 PM PAGE 1 OF 1 Alt. Parcel 28.29.19.1127 020 - TOWN OF HUDSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * MARUSKA, DONALD D & DEBORAH E DONALD D & DEBORAH E MARUSKA 788 LARSEN LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 788 LARSEN LA SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.036 Plat: 0151-CEDAR HILLS ESTATES SEC 28 T29N R1 9W 2.036AC LOT 27 CEDAR Block/Condo Bldg: LOT 27 HILLS ESTATES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1019/387 WD 07/23/1997 876/463 2004 SUMMARY Bill M Fair Market Value: Assessed with: 49168 270,200 Valuations: Last Changed: 10/29/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.036 48,100 160,900 209,000 NO Totals for 2004: General Property 2.036 48,100 160,900 209,000 Woodland 0.000 0 0 Totals for 2003: General Property 2.036 48,100 160,900 209,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 123 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC. T N-R W ADDRESS G,tr ST. CROIX COUNTY, WISCONSIN SUBDIVISION =day LOT „ LOT SIZE 2-e PLAN VIEW Distances and dimensions to meet requirements of I•ZHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM \V V i I II INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used S e g-4 d S l S 6 a. Elevation of vertical reference point: /f#_ Proposed slope at site: -ZSEPTIC TANK: Manufacturer: ~l~GBr Liquid Capacity: Number of rings used: 2 Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front, Side Rear O , , O feet From nearest property line : Front,0 Side, Rear, O l' feet Number of feet from: well .Ot Al uilding: / G (Include this information of the above plot plan)( 2 reference dimensions to septic tank) Il SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear, 0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: Length: Number of Lines: %t Area Built: Fill depth to top of pipe: y6 Number of feet from nearest property line: Front, O Side, O Rear, Ft. Number of feet from well: Number of feet from building: 3 S (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: ~~G Dated: 5 Plumber on job: License Number: 3/84:mj Y- ,L'E,'ARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND BOX 7969 E PERCOLATION TESTS (115) MADISON, WI 53707 HUMAN RE~Tt S 0LHR 83.09(1) & Chapter 145) LOCATION: ' , SECTION: TOWNSHIP/ OT NO.'BLK- NO.: SUBDIVISION NAME: Nw Nr ZZ /T7-9 H/R19 E (o &W, D t4U4,S6N 70 CcdAt~ 141<cs COUNTY: MAILIN AD : AsrT C#_0 ,)k 444tw JI ('40 tJuks6k, W, s4o►~ USE DATES OBSERVATIONS MADE S: NO. BEDR COMMERCIAL DESCRIPTION: PERCOLATION 7AUME DESCRIPTIONS: TEST PResidence L.tnt1C XNew ❑Replace =M4kc-14 /990 MAa X90 SOILS 6czy G 66- Sotcs ~i.~- I~URkK►t12~- RATING: S- Site suitable for system U- Site unsuitable for system CONV NTI N L: MOU D: IN-GROUND-PRESSURE: M-IN-FILL HOLDING TAN : RECOM/M~ENDED SYSTEM: (optional) FV1 S❑ ZS ❑ U52 J ❑U 23 S ❑U El S t_OruJIL~/-I lu va E d If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: CC dSS / Il Floodplain, indicate Floodplain elevation: f4A tsEc_ PROFILE DESCRIPTIONS BORING TOTAL P H T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHI~1. ELEVATION gSERV D EST. HIGPTST- TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- I 7.97- 98.80 7.91 C eL SCJS 0'119 eWii 4s",g~tics B- Z 9 AZ 99.30 N >9.4'z s y Mwr m is>< i1t y 32'd2N Ms ,tGt fe-t 9"lR scTS 21 NQQw, SL`F~ tQ 24" BQni CSC Li+~ B- 3 /oso 99.x4 abNF >/o.so ~z kjMS d $ Nc c,RCda ~ , B- -4 11.08 97.44 > 11-68 eMscr5 3c"$a~CS~Gt 3 "Ba 115 ~g`~4+e.~,GS,fG I B- S S .S6 '9S.75 > $ .so Sz-I's '~4N 0-164 7i" && MS{ 6,9 B- PERCOLATION TESTS TEST DEPTH. WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER S AFTERS WELLING INTERVAL-MIN. PERIOD t PERIOD PER INCH P_ ! 6.3o Nc' r4 I- crit xo >Z >z > <3 P_ 2 7.06 g9-SG 3 > >2 >2 P- 339s,So 3 > Z > > 2 3 P- P- L.tcV17T'{ 0.~ EiZ~ 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 levat(on 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. BlENCNMike V_-MP &F TML.6P11cNG hU%T9L SYSTEM E EVATION. 4Z-S© o~ NE L6T Cak..I:t.- ELEVAT10w /03.00 1 I I i I I ; f I I I- _ I - j ( I I . i I I I 1 i_ - Y i ,I 3cdL 5 • ! I I 1 1 I O II I I I I i ti--- + i 1 I I I I i i I, the undersigned, ereby certify that the soil tests reported on thisWwere made-by ategocccrd wp the proceAreJand methods specified in the Wisconsin Administrative Cod , 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: ~A C MaQc 990 1448.4raY J NN'56N 1 ADDRESS: CERTIFICATION NUMBER: IPUONE NUMBER (optional): 4o sies-014fl S-r IyUI~'So i s4o 16 3 44 6-d ~o W0044 ELAVA-rION CA'S6 d CST SI TURE: ~f.,c ►d M AgV, . it) DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - / rd J J w J Ke ~~l x ~b G Si`T`G l ~D~~,f ~,S-• q6 J 1 OEPAR~MENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & r4UMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION T~MADISON, WI c5+3707 '7 Number: V~1TytEk, Sec.28,TZ9-R1(~ 7T'v ,~,z~ (if (if assigned) N Town of Hudson ~~""'~ENTIONAL ❑ ALTERATIVE ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: • 141 BENCHMARK (Permanent reference point) DESCRIBE IF DIFFERENT FRO PLAN: REF. PT. EL 9 T REF. PT. ELE `Y(se Name of Plumber: tMP1PRSW No.: ounty: Sanitary Permit Number: St. Croix 1 6'182 I SEPTIC TANK/ t,'✓ 'av f _y7~8 ; MANUFACTURER: LIQUID CAPACITY: TA LET ELEV.: TA BUTLET ELEV.: WARNING LABEL LOCKING COVER _ I / ' PROVIDED: PROVDED: Q~ CJ l~J t J v G;c F, C` ' " ~ 5 ' ) ES ❑ NO 'B~~ 0 BEDDING: VENT DIA.: VENT MATL.: HIGH WATER rFEET UMBER OF ROAD: PROPERTY WELL BUILDING: VENT TO FRESH ALARM: FROM LINE: / / AIR INLET:_ i ❑ YES NO (~.5 '~-Qh10 EAREST-~ >d MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVDED: El YES ❑ NO ❑ YES ❑ NO E] 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: r d 9~ BED/TRENCH WIDTH: LENGTH: NO.OF DISTR. PIPES ACING: COVER INSIDE DIA.: # PITS: LIQUID TRENCHES: / MATERIAL: PIT DEPTH: DIMENSIONS l6 GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DI J}. ~rpgATERIAL: N ISTR. NUMBER M PROPERTY WELL:///'''l BUILDING: VENT TO FRESH BELOW PIPS: ABOVE COVE ELEV., INLET: ELEV. END:, PT PIPES: FEET FROM LINE_ AIR INLET: _ Jc~ /i? NEAREST_~ MOUND SYSTEM & ' ;,,„:y' (E 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: DIA.: 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: LINE: FEET FROM ❑YES ❑NO ❑YES ❑NO NEAREST ti I', ~l , ~rytr" UT-'~ c~~C j~`X, ~,L7-Gi-=''Y"' c,~'~Cf'`~ ~b ~.1 r:. , , ,~~0 , f , ~J.s✓:l-~'.~~4--1' - ° c~ C"cf' r 1 ~ ~ ( ~ ~zi,J ~`>7C~,e~~~~l< R, 1, •.J-~ ti`~r ~!r~-~' ~li . Sketch System on etain in county file for audit. Reverse Side. SIGNATU E: TITLE: s7/' C~ SBD-6710 (R. 06/88) ASP Shao~ ~levS. Grb(o- ,d~'1/~ go T L , 090 ~ -F - r- - t iA 4700 5- SL E/cv OS). ~ - ~o -f-t--rt- - i 10 I i ~ 3,95 9c~~ s.d ---t- -1 41. 1~7- -I „ 8 9 C. A Tti"'1 ~1~1~er" SANITARY PERMIT APPLICATION DILHR ' In accord with ILHR 83.05, Wis. Adm. Code CouN AfAl .~.,,..a....,w.,~..,e,. S AT SANIT Y PERM # -Attach complete plans (to the county copy only) for the system, on paper not less than 35- 7 3 / 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 42, `4 ~ I • -VIV S ..1 a Ta-1, N, R / E (or) 40V PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 'sl; C s CITY NEAREST ROAD II. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLAGE ❑ Public 41 or 2 Fam. Dwelling-# of bedrooms ~ PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) lc 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. New 2.E] Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.E1 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ~f ELEVATION 02 - / S v Feet G Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system ov&n on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): ,r C ~ cry' at j' l✓ IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater a e ssue issuing Agent Signature (No Stamps) Surcharge Fee) Approved ❑ Owner Given Initial Adverse Det rmination `f X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-8398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety a Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety 8 Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) APPLICATION FOR SANITARY PERMIT STC-140 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 b4 intended for resale by owner/contractor.("spec house"), then a second farm should be retained and completed when-the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property ~ a se Lill ~ir,r ac~ Location of Property i t 1K k. Snctioa wf . T 2~i. N - R l Township M<i i i ing Address C •Tr u.ct, ee- Sa/ Subdivision Namu y Lot. Number PrOViuus Owner of Property Total. Size of Parcel ~j={4 Date Parcel was Created Are all corners and lot lines identifiable? Yes No is this property being developed for resale (spec house) ? Yes No VoIUlf)L. and Page Number as-.recorded with the Register of Deeds ,d INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING. 1. Warranty Deed 2. Land Contract 3. Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, mould be helpful so as to avoid delays of the reviewing process. It the deed description references to a Certified Survey Map, the the Certified Survey Nap shall also be required. PROPfRTy OIMNER CERTIFICATION 1 (use) ceA- y that a t f a tatementa an tki a ortw au tKue to the beat 01 ay/ (ouA ) hnowtedge; that 1 (we) am Iau) the owners(♦) of At pu deAWbed in .th.i.e .in6mmati.on 6o4m, by viAtue o6 a wWaa 4 deed in ,the Oitice of the :and that 1 W& I County Reg"lteK a j Deeds ae Document No. A113 - pieaeWy own the phopoaed a.,tg bon the 4-CM-9e dUpOA&K (04 1 (we) have oUt,t.i.i.ned an eaa ement, to Aun Wi tit .the above d & CWtd P'aPeA4, 64 the eout&uat on o6 aaid g6tem, aad the aawe flab beta duty seconded in the, O66.iee o6 the County Reg.i,6tei' o6 Deedi, ad Docmw t No. 6/l31';7¢ SIGNATUKE OF OWNER BIGNATUBE OF CO-OWNER (IF APPLICABLE) DATE SIGNED RATE SIGNER ajf,41JMENT NO. STAT$' BAS OF WISCONSIN F i1- Twp s►1►cs asaeavso FOR . L MD CON IAOT - -14. ladivieeet and Cement. RE(~t51r 'ERS OFFt'~ uf3$D FOR ALL TAANaAGT10Nfb wnsisB OvBa ` p eoe to lIMANAC~T 7ABANS/IQTI~O axsl xox-coxsuxsa ST. CM Co., wm Reed for Reoord Ibis 11th Contract, by and between Harry„ Stewart _ as Personal day of Ju~,eA.D. 19 $6" Representative of the Estate of Aldro Larsen-a(k/.a.Johp at . . 11 e45 M. ldo a aka onAdroM en La en ..A.....~....~~F§..>t_...~..f....:I__~ . . ~:........Y.~ ......_a... ("Vendor", James s__0 "Co-tine 11 whether one or ,more) and... William .C,.. Harwell-„ of Dow *single. man . - - ~ ("Purchaser", whether one or more). Vendor Sella and agrees to convey to Purchaser, upon the prompt and full per- deputy- - formance of this contract by Purchaser, the following property, together with the rents, profits fixtures and other appurtenant interests (all called the "Property"), in ..............S.~.t-=„Croix............. County, State of Wiseonsin: MILTUM To See legal Description on Addendum Tax Parcel No . SF FEE This -.-._..ls..llo homestead property. Y.1W (is not) Purchaser agrees to purchase the Property and to pay to Vendor at -such place .as. he.-shall tame the sum of 192.x5NAP In the following manner: (a) $...6Q.110A.QQ...._.....I.......... at the execution of this Contract; and (b) the balance of $.114.5QQ.49................. together with interest from date hereof on the balance outstanding from time to time at the rate of kAA.AI.Q.Y per cent per annum until paid in full, as follows : I See Payment Terms on Addendum Provided, however, the entire outstanding balance shall be paid in full on or before the........ llth.......... day of lung 19---40. ( the maturity date). Following any default in payment, interest shall accrue at the rate of Q..:. % per annum on the entire amount t in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- 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 taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not peer interest 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 amount tray be prepaid without premium or fee upon principal at any times tlpAgtmm*IMNOC epli) taiIilall/Nl1x~oth-o67 D07RX9x1AUXhX* In the event of any prepayment, this contract shall not be treated as in default with respect, to payment to long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated ( as unpaid principal) is lees than the amount that said indebtedness would have been had the WitlMhkpayments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: t ! 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 fall purchase price is paid. Purchaser shall be entitled to take possession of the Property on....... >a11~..fii~x:Y..bfexfY!?~ ...................la...... *Craft out one i LAND CONTRACT-tudividual and STATE BAR OF WISCONSIN Wisconsin LeW Blank Co. Inc. Corporate , . r• FORM No. 11 1982 Milwaukee. Wis. Purchaser prpmises to pay when due all tastes and assessments levied on the Property or upon Vendors int'ar~mt in t had to.deliver to Vendor on demand receipts showing such payment. Purchaser ahall keep the improvements on the Property insured against loss or damage occasioned by fire, ex- "!ded coverage perils and such other hazards as Vendor may require, without co-insurance, through insurers approved by Vendor, in the sum of $ .............n/.a.............. 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 logs to irr:uranee 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 "noulically feasible. Purchaser covenants not to commit waste nor allow waste to he committed on the Property, to keep the Proper t;- 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 urchaser a 1K re simple, of the Property, free and clear of all liens and encumbrances, except srsonal Re~resnMY any revs or ens R ae cry he act or default of Purchaser, and except: easements ..prot,t:a:txe.. ..:covjenanta..af-..recard,..if .-any_,..and..zany.ng..a xdinanae..requixaments. Purchaser agrees that time is of.the essence and (a) in the event of a default in the payment of any principal or interes=t which continues for a period of ...6iQ... 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 AQ.... 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 nddition to those provided by law or In equity: (i) Vendor may, at his option, terminate this Contract and Purchaser's ri¢htQ, title and mtere%t in the Property and recover the Property hack 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 (late of default nt the rnte in effect on such date and other amounts due hereunder (in which event all amounts previously r 'I by 1'urchnser sholl be forefeited as liquidated damaims for failure to fulfill this Contract and as rental for the roperty if purchaser fails to redeem); or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet-title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and have n receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (ii) or (iv) above.Notwithstanding any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law' aw and expenses of title evidence shall be added to principal and paid by Purchaser, as in- curred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendency of such action, and such rents, issues, and profits when so collected shall boeld and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchaser's rights under this 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. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the amounts then due under this Contract. Purchaser may make any 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 be binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof.) Dated this .......11th day of .................June 19..86... _ (SEAL) !`l.(~.~~~. AL) .Harry...J....S~tewa>:t • ~ .;Q . (SEAL) , % . William C. Harwell J CQ~ AUTHENTICATION ACKNOWLEDGiMBNT~'•,~'1~. Signature(s) STATE_OF`WISCONSIN ~e....QxRIx.................... county. u. authenticated this ........day of........................... 19...... Personally came before me this 1~.h.. day of ..........Jne , 19.8?.. the above named . Harr J ~ ewart and W i m ft ell ..........Y.....e... ~ ~ ~ s.om!!..... TITLE: MEMBER STATE BAR OF WISCONSIN (If not . authorized by § 706.06, Wis. State.) to me known to be the person s.......... who executed the tip orego - trument and cknowledge the. same. THIS INSTRUMENT WAS DRAFTED BY Mur ..i' Loi A A......... ray.,.. HEYWOOI),....A,RI,.. HURRAY... & SHERBURNE, P.O. BOX 2299 •_-.,.?L%1~..._........v~R's~........... Hudsun;•-WI 5*01fir Notary Public ';..St.t..Croix County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is per anent. 1f no state expiration nre not necessary.) date:1 _-i 19..p7) 'dames of persons sitanintr in any capacity should be tygwd or Printed bei . signatures. STC - 105 r SEPTLC TANK MAINTL:NANCE AGREEMENT . c St . CCU i)t Count y sG a Y owt.,vl:/BUYEIt l~i~fcGcl dY ~K c~' I6)I1't'I:/ IlUX NUM11L'It Fire Number i (:I 'I' Y L 1' 11 It 1; 11I-Atl'Y L.UCATIUN:,(/Z<J__t,,. F... 'a. Sect iuu ar '1' _ N, R el W' I St. Croix County, SubdLvi'Isi.uLi [:ot number z I i lncpruper use and waintenauce of your sopt ir' Systi:ut could result in iLr; premature''IaLlure to handle wastes. Proper maintenance con- sL,ts of pumping out the septic Lank every three years or souuer, it needed, by a licensed 5 _Lis tank pumper. What you put into r.he system can at feet the fUncLL011 of the septic Lank as a treat- muiit Stage in Lilt: waste disposal system. St. Croix County residents way. be eligible Lri receive a grant for it maximum of 6UZ of the cost of replacement of a failLng System, which was ill operation prior to .luly 1, 1978. St. Croix County .Ic:ceI Led this program ill August of 1980, Wi.Lh the requirumunt that owners of all new stems agree to keep their systems properly n~..~iutained. _ - - The pruperLy uwcaor agrees to submit to St. Croix County 7.u1lin8 a curt Lf icatiut► turm, sigc ed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the ou-site wastewater disposal system'is in prupu.r operating condition and (2) after inspection and pumping ('if ne-c- essary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to 0 three year expiration. 0 T./WE, the undersigned, have read the above requirements and agree cn to maintain the private sewage disposal system in accordance with M Lhe standards set forth, herein, as set by the Wisconsin Depart- went of Natural Resources. Curtificatiuu form must be completed and returned to the St. Croix County Zoning OLfi,ce within 30 days of the three year expiration date. / S I C N E U_ ~ G-_kA.e ~a L) A T E St. C.•oix County ZonIng'OfIF Lce P . U lox 9h, Iiammo'Iid, WI 54015 715-7 o6-2239 or 715-425-8363 Sign, date and return to above address. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LAN(R AND. PERCOLATION TESTS (115) MADISP-P. BOX ON W 53707 ,HUMAN RE~AT'GNS (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: TOWNSHIP/ OT NO.:BLK. NO.: SUBDIVISION NAME: fvw N~ ~4 ZiZ /Tz9 N/Ri9 E (a W 14u4,S6rv Z7 C~d.o.e. J~f<c, COUNTY: M A I L I N ff_A_D_D_R_ff9_S__ : rT C c>>y Ill > ~'+re'W Gt_L C 1 14 u u ~V Wt ;Ac A. USE DATES OBSERVATIONS MADE NO. BEDRMS.: ICOM-M*ERCIAL DESCRIPTION: S: Residence New ❑ Replace PROFIL DESCRIPTIONS: A LA N>4- Mgkc1.1 l99p Mr:.~ ! 3 9v Sous }G G 64, So)Ls ~u~tcK,dl?~1fi" RATING: S= Site suitable for system U= Site unsuitable for system CONV NTIONAL: MOUND:~~ IN-GROUND-PREStS ❑ Y 'UR : SYSp L/~.JTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) S❑ U O l,.$J J J❑ ❑ S Ca J[Lu1 f YID E 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: CLdS~. / Floodplain, indicate Floodplain elevation: NQ c r PROFILE DESCRIPTIONS BORING TOTAL PTH T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH'I*i. ELEVATION OBSERVED EST. T TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B' 7.9Z 9820 > 7.91 C8LS« WP>R sj&0\ 4S"~eti~ B 9.42 99.3o N L > 9. z ' 8<s~,s ris~c.~ !4 "oste, tai ~z'PQN Ms i6e 1 ,~q 9 '*R L-S -r S Z, $a,,, 14? 24 E e,, B- 99.,s4 46NE ,Z"eN ry15 V ~ Nr t.R C. 4 Ca r1 B- It 8.0a 9TO > //.b® fZ"Bcs~Y 3c"$a~C~~Ge '6"B#NAIS ~q"t ~~ac mar B- c g ifs 9S.7S > sa ,o' srTS Z 'Kati C-1-t 7i"Ba,~ ►~J`. d(• v? B- PERCOLATION TESTS TEST DEPTH . WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RATE MINUTES NUMBER 1S AFTERSWELLING INTERVAL-MIN. PERIOD t PERIOD R PER INCH P. 1 6.30 No 9%%a ?Z P. TOG ~ Q1~•SG 3 ~Z `i~' >Z ~ P. 3.30 >s 9~,Sa 3 > Z > > z < 3 P- P- EL01AT1 n Al LP- 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. Bi~NCL1M►4 k Cal -1 &LEph14NL r[D9zTkL SYSTEM E EVATION. 4Z-so 4T NE LET CU~'~1LJZ L-Lts~~Tt X03,00 s, - -r fi . N ~z ) t- I /V1, I, the undersigned, ereby certify that the soil tests reported on this`ioZ were madt`by QteQ ccord w1b the procet res'and methods specified in the Wisconsin Administrative Cod f, 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: Q NARJ~Y JOHN56 N JOA0r4so)%j / C MbQC I~ 79U ADDRESS: 1 CERTIFICATION NUMBER: PHONE NUMBER (optional): 40 S(',CG "t, S-r~ owtso I <~4o16 3 e4 6 d ~a 5 _Z/90 Wte , ELFvQ~ l0N USE 0 4 CST SI TURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - C