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HomeMy WebLinkAbout020-1265-10-000 0. 0 1 ~ °o p ( O of ro a o ~ i o o , N O I N N O O Z ~ ~ ro O U. I 3 I a Cl) 3~I zy w E rn Z o v € P rn z 04 a m N F- U) i C O C C9 co O Z o f N O a°i Z fA H ~ ~ rn ~ Z c -2 N M N m O 1 m a) N ry U Q N O O 1 O O y Q O Z co z o z N _ o E 0 " a - w c C N d d N O o a a a - o o N y N E o Z 00 CL IL IL a o 0 Vl 3 O N J V = OOi OOi } Cl) R~ N a _ O O N r j co C D.. N O N (D 2) Q } !n 0 1N~ O 7 CD a o U H e y O °o AOl ° c E o o It r _o 3 ! v a V ~ O) m E ro N"" w CO C U) " O N 3 N" N N Z O N U L C co a O N 0.0 C'4 .i W N M w N 0) O co O G L O i~ O N 2 O Z U) C ~ ~ w r% Y'a €a • CL zu dam r A c°~a2 0Uv FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SECTION~_T 21 N-R /9 W ADDRESS ST. CROIX COUNTY, WISCONSIN _rrli /Za n L„e ~LCy -~o SUBDIVISION :5 ' loa i'a.a,a LOT Z y LOT SIZE -2 PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I I~ i I! s o I aTT ~,V~ ' S'o urt ~ ~ 6 1 ~ • I0'1/12rt 8/D FAN 1. hd S / R S. INDICATE NORTH ARROW Lo~ BENCHMARK: Elevation and description: Alternate benchmark`? < SEPTIC TANK:Manufacturer: Liquid Cap. /O DO ftla~ Rings used: Manhole cover elev:=Final grade elev: Z Tank inlet elev. :_it _ (P S Tank outlet elev.: .'j No. of feet from nearest road:Front_.k_, Side , Rear Ft./ 'FO From nearest prop. line:Front , Side__K_, Rear Ft. -70 ~ No. of feet from: Well `P , Building: Q Z (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE I PUMP CHAMBER Manufacturer:_"~ Liquid Capacity: Pump Model:Pump/Siphon Manufact.: Pump Size Elevation of inlet: ____Bottom of tank elevation Pump on elev.:_____..,Pump off elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front-, Side , Rear Ft. Distance from: Well Building SOIL ABSORPTION SYSTEM Bed:C,v Trench: Seepage Pit: ----A Width:- / -Length- 3~ Number of Lines: Area Built Exist. . Grade Elev. Proposed Fin al Grade Elev.. Fill depth to top of pipe: No. feet from nearest prop. line:Front Side, Rear Ft. No. feet from well:-Z.3-No. feet from building Y7 HOLDING TANK Manufacturer:-=~ ---.Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front SideRear Ft._ No. feet from: Well building_ nearest road Alarm Manufacturer: r INSPECTOR: DATE: PLUMBER ON JOB : LICENSE NUMBER: -1A 6/90:cj p~/00/yam DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION J WAS 0,,' 5 07 State Plan I.D. Number: 5Wy DJ~i ' eC . 29,T29-R19 (If assigned) Town o f Hudson Laf-, 24 CONVENTIONAL ❑ ALTERATIVE Countr View Rd . I-I Holff4ing Tank ❑ In-Ground Pressure ❑ Mound NAME OF PER IT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Sam Miller Box 282, Hudson WI 54016 2 /.z BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: R F. PT. ELEV.: CST FIEF. PT.rELEV.: Name of Plumber: MP/MPRSW No.: Coun . Sanitary Permit Number: Doug Strohbeen 5432 St. Croix 128862 EPTIC TANK/ MANUFACTURER: LIQUID CAPACITY: TANK INLET ELE ANK OUTLET WARNING LABEL LOCKNG COVER 6 6j" i PROVIDED: PROVIDED: /OSYES ❑ No ❑ YES NO BEDDING: VEf1F'DIA.: UGP%.MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH C .,q, ALARM: FEET FROM LINE / / f / AIR I LET ❑ YES NO s ❑ YES NO NEAREST Ss DMANUFACTURER: BED LIMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVDED: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES [__1 NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: BER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEE LINE: AIR INLET: PUMP ON AND OFF ❑ YES E] 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 ^ ' bo~o~r, v>r.S site = /04,./9 BED/TRENCH WIDTH. LEIRSTH5 NO. OF DIST . PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID / TRENCHES: YAZERIAL: DEPTH: DIMENSIONS / 3G & joe- GRAVEL DEPTH FILL DEPTH DISTR. PIPE DE IPE MATERIAL: NODISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRE H BELOW PIPES: ASOCOVER: ELEV. INLET ELEV. ENDPIPES: FEET FROM LINE: AIR INLET: l~/ O7 Jtt+C NEAREST---- 00- MOUND SYSTEM: 'j,:1 C-7, 2~G' Mound site plowed perpendicu ar 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 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 O OIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO. OF LATERAL SPACING: GRAVEL DEPTH BEL FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DIST 7RDWAALPIPE MATERIAL 8 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: FEET FROM LINE: ❑ YES ❑ NO ❑ YES ❑ NO NEAREST ► ~ ~ , ~l it, C1/"~ c. C C C~ ~ / / ~ / ~ ny~ ~ f ~i ~-:s-. ir~-1 ~C' • Ctri,~.e.r L7_., y.z c... ~ C c,-* . i tain in county file for audit. Sketch System on Reverse Side. SIGNA RE: TITLE: SBD-6710 (R. 06/88) FZ_(a DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SA ITARY PER IT~ -Attach complete plans (to the county copy only) for the system, on paper not less than a QC 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 rti / ~a• ! W'/a h~E '/a, S Z-9 T;-11 , N, R 9 E (o PROPERTY OWNER'S MA NG ADDRESS LOT # Z BLOCK # L 7- SO I( o g CITY, ST TE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER a/G 3f(G• z7G9 IoGH r ,'at..w II. TYPE OF BUILDING: Check one CITY NEAREST ROAD ( ) State Owned ❑ VILLAGE l / Q rl k / ..~i a r~ ~O L~A7~i Vi 0. ZQWW OF: ❑ Public [Z1 or 2 Fam. Dwellin" of bedrooms PARCEL Ax NUMBER(b) III. BUILDING USE: (If building type is public, check all that apply) O a v + f~ - 2Q 1 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. Y New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 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) ELEVATION 4/50 (*/-1- 40 qv 0-72- c Feet VII. TANK CAPACITY Site in gallons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks Concrete structed glass App' Tanks Tanks Septic Tank or Holdin Tank /000 / (,t,~¢ ; s a ✓ F1 11 777 1 M _11_~ El 1 1-1 Fj 0 1 0 1 F] 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: ~ ( 7- 4-17 Z-3 3r Plumb is Address (Street, City, State, ~Zip Code): IX. C LINTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date ssue Issuing gent Sig ure (NOS mp Approved ❑ Owner Given Initial Surcharge Fee) V 6/14 Adverse Determination X. CONDITIONS OF APPROVALIREASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R.11/88) DISTRIBUTION: Original to County, One Copy To: Safety a Buildings Division, Owner, Plumber R 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 & 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. Ill. 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) a won N \5~' A ~R ago ~99 Q, c~ P 9.~ z ~ o f x ip P N Y P W y W (I 0 ~ I 0 0 _ W N G D p r i ~ ~ III ~ ~ , u S r r _ 1 7.) P m ~ vl` 93 m A+ ip { C V1 g ~ I O ~ ~ a 1 ~ I I ~ r IA 1 N ~.t rri I ' - f(-- - _ c7 I Z { 'n ~ I i II 1 I~ ~ l l ~ 1 I I1~ I ~ Z ~ i I ' a ~1~ I (A I Ii I n m ~I ~li -v ~+1~ I , rri m ~I -p l I ~ I I ~ I M I I I m I I ~ I II I i• I f~ I CA 1 rn I f { ~ I l+ 1 j ~ 1 1 I I D, 1 1 i I 1 j I I C ) I 1 I Il . n I -v ~ I I I !I m Z I I ~ n !I O ~ 1 I I ~ rn I Z `n ( I I C7 C I} ~ . 'z p j I I` T m l~ ©1 I j w ~I 1 1 'd 1 I 1 ~ 'a' l I r/ W i ou cc~ t 1 rt, 41. O c --(O O p O Fn O J X s p f 4 rn z~ l O' r / m rC NO i ~(n ~rn i m o -1- ,V p L 'DEP'ARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDI'1,STRY, DIVISION P.O. BOX 7969 LABOR AND PERCOLATION TESTS (115) MADISON, WI 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHIP/M444+ H'Rt1fi : LOT N0.:BLK. NO.J~S BD IVISION NAME: 1/4 "Al{ 1 Zg /Tz9 N/RBu b's6p -z 55 )Q 5 _Zu nJT k "`/I EL_ COUNTY: OWNER'S MAILING AD ESS: DATES OBSERVATIONS MADE USE NO. BEDRNIS.: COMMERCIAL DESCRIPTION: PROFILE D S RIPTIONS: PpE~RC_OLA1TIOQN4TESTS: Residence r New 10:1 Replace L g 99 a t-XT / -7 C' SOILS K OCR its 14C - *-AT RATING: S= Site suitable for system U= Site unsuitabl for system K >~~T CONV_ENTIO~NAL: MQI~ND: IN-GROUND-PRESS E:SYSTS M-IEAN-t GN ,RA E: If Percolation Tests are NOT required DES I If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: ~~5~ ' Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH'M ELEVATION OBSERVED ESTQH1 HEST TO BEDROCK IF OBSERVED (SEE pABBRV.ONBACK.) B-. ` IoC• J~ i' ^I V(' 7 1 'QL SC V S 'ZNDRN MV4tC ~C0 )h AS' ~ /o%.go ~N>t B- 9A 5 9-AL ? acS~->s $ ~$eri 3o~$aNMS>tLr bCd.. 6$~ ~uNY~7:gl,~ B Ev,6~%p.9h oNt~ t6.6~ G'gurl L 29'~a.,MS~~~cel $6 a~Nf~': > c B 9 B/.L'S 2 619 2N L 34'90,, ~~>e Ce b Ca, 770'1QR 1 B- >9 L i 9,(J o IZ B- ~t<c cr PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATTER INCH ES NUMBER +Pi6i~S AFTERS ELLING INTERVAL-MIN. PERIOD t PERIOD 2 ----PERIOD -Z -lao -Z P- ? 4.-I o INo>Na il.oo 3 P- 1ID90 -3 > 'Z LP- 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 boring and the direction and percent of land slope. SYSTEM ELEVATION ~46.30 a z~ zo' P P~3Q ® ALTi2,4ArLc ` a~-► 35_' At- .l ~GA~Yf 5-1 ~(.t NcNMAkr • ~ ! PoN A5 >pi Pe. d-r S lr Lo-- CO. 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. NAM (print): \ TESTS WERE COMPLETED ON: M a~~~~C JOIJNSON ~01`.''~.5r-o ~.'>t..~r~tw~llhil'. 1 ~K C~~Lt~ ~ 1 ADDRESS~~CQN~& ~T u~ll N , . /i CERTIFICP~TIO NUMBER: PONE N~1M0E60ptional): '7/„Y/ El[l 1?► CST S ATURE: -n DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) -OVER - SEPTIC TANK MAINTENANCE AGREEMENT ~ St. Croix County • w n OWNER/BUYER 0 o ROUTE /BOX NUMBER ',~'o y Fire Number 28 ty CITY/ STATE #kAo~r ZIP S yo% rt PROPERTY LOCATION:'.5'E Section 2'7 T__7,3 N, R~ Town of N4ls~r~ _ 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 licens'ed' 's'ept'ic tank pumper. What you put into the system can a ect t e uncC on of zne septic tank as a treat- ment-stage in the waste disposal system. St. Croix County residents-may be eligible to recieve a grant for a maximum of 60% of the cost.of replacement of a failing system, whit 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 's sy t'ems agree to keep their system properly maintained. The property owner agrees to. submit to St. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or..a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and •(2)•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 I/WE, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Depart- 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 \ V - y("0 ct St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. APPLICATION FOR SANITARY PERMIT 9TC-100 This application form Is to be conplatod in full and signed by the owner(s) of the property being developed. Any Inadequacies will only result In delays of the parmIt Issuance. -Should this development be intended for resale by owner/conttactot,(spec houss), thon a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Omer of property "Sae.. tel://cr Location of property ~.v 1/4 -IYC 1/4, 8sctlon . L9 T~-R `9 Township Pu~\ S®H Kalllnq address .24Y Address of site Subdivision name_<ocg„Zi~ 14't4 .L.-, Lot number Previous owner of property _orr~~T /~assr'y® Total ■ise of parcel 240 _/gLal s Date parcel was created / 7 - 7 Are all cotners and lot lines Identifiable? A' s■ No Is this property being developed for resale (spec house)?. -Yes 110 Volume _217 and page Number V-7 as recorded with the Register of Dee sd . -------r-..-..--------------------------------rr------ INCLUDE WITH THIS APPLICATION Tilt; FOLLOWINGe A WARRANTr DEED which Includes a DOCUMENT NUM8ER, VOLUME AND PAGE NUMBER, and the REAL OF THE REGISTER Op DEEDS. In addition, a certified survey, If available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Hap, the Certified Survey Map shall also be requited. PROPERTY OWNER CERTIPICATIOH I(ve) certlfy that all statements on this form are true to the best of my (our) knowledge; that I (we) am (ate) the owner(a) of the property described In this Infotmstlon form, by virtue of a warranty deed recorded In the Office of the County Register of Deeds as Document No. _y ~ 22 % p I and that I (we) presently own the proposed site for the sewage disposal system (ot I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. 3 2Z3 lgza~w.l r ~ti _ Signature of owner Signature of Co-Owner (11 Applicable) -z._cP'SO Oats of Signature Date of Signature DOCUMENT NO. STATE BAR OF 79 49 WISCONSIN FORM 11-198s er+Ae Rreravrs ro' erCOt- DATA _ LAND CONTRACT REG; TERS Ur~ICE IeO.Nul .ed ('-,Perot. ~h _V( ~I~, 0 f1 ITO RF 1~8F.O FOR A1,1. TRANRACTIONa Wiff"mr OVER ~P. ►^tmlo IS FINANCED ANO IN OTIIFR NON-toNSUMER ST. «r)IX CO., W1 Al'T TRANSACTION81 Rec • 1 rnr p:>'COfCr and Nov_ e_nb4r_.1.Ts1U7 COritraCt. b) and between . } uXXU13 C..F,.....~QIi~.())5 M ..RukY...Rf1~~~Y.>.. a sin8le woman at 1225 P ("Vendor"r whether one or more) and..,S►1fi1.Fi....I'1.111 .C I Register of Deods ("Purchaser". whether one or more). ~C~arQ Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance of this contract by Purchaser, the following property, together with the y rents, profits, fixtures and other appurtenant interests (all called the "Property"), k In...... St....GxoSX County, State of Wisconsin: aaTumm To West one-half of Northeast Quarter (VINVs) except the east 8 rods, and the Northwest Quarter of Southeast Quarter (NW'r1;Et0 , except Tax Parcel No the south 6 rods, all in Section 29, T29N, 19W. t FEE This is„not,. homestead property. (is not) w' f,~ Purchaser agrees to purchase the Property and to pay to Vendor at 208 8th St., Hudson, WI the sum of in the following manner: (a) =.Q,.000,.QU at the execution of this Contract; and (b) the balance of 3 236,.1 0.00,,,,,,,,,,,,,,,,,, together with interest from date hereof on the balance outstanding from time to time at the rate of.nine..492 per cent per annum until paid in full, as follows: Interest to January 11, 1988 shall Ie limited to $1,320.29. $80,000.00 plus interest on the unpaid balance on January 11, 1988. $50,000.00 plus interest on the unpaid balance on January 11, 19b9. $50,000.00 plus interest on the unpaid balance on January 11, 1990. $56,150.00 plus interest on the unpaid balance on January 11, 1991. The above payments shall be made in addition to any payments made for the conveyance of lots until the total price is paid in full. All payments shall be by 2 checks, one to each Vendor for ~ of the full amount. A >oosi~inNase "wever, Ag6eemint h~~ S.90 been FLi2ngd a pai in u dateb 11th p fore the day of fe en ire ou s an ho once a 1 e al to u on or e ,]Anuary...................... 19..91.. ( the maturity date). Following any default in payment, interest shall accrue at the rate of AP % per annum on the entire amount in default (which ithall include, without limitation, delinquent Interest and, upon acceleration or maturity, the entire principal balance). 3 pwrehweert untess excused by Venderr agrees to pay msrithly to Vendor amount( sufficient to pay renrMnahly antici- pated annual ta►xea, aP.•elol a-«wwmento, fire on.i refplire t insurance premiums when due. To the extent received I.V Vendor. Vewder agr"a to a.ppiy paya,eats to thess oWi6rations when due. Such amounts reosive/i by the Vendor for payment of tastes, &~smenta and insuranca will be deposited into an escrow fund or trustee account, but shall not bear intereit unless e0terwise required by law. Any amount may be prepaid on principal at any time. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon prineipal at any time after ....ii 19....... (OR) them-fray be no prepayment of principal without permission of Vendor." A. In the event of any prepayment. this contract shall not be treated ait in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month rhall he treated as unpaid principal) is less than tl~r• amount that said indebtedness would have been had the monthly payments been made as first npecified above; provided that monthly Payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premiser being thereafter excluded herefrom. Purchaser states thut Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: Purchaser agrees to pap the co-qt of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vvrdor until tl••r full purchase price is paid. Purchaser shall beent'dedto take posse.-sion of the Property on the d tl• hhreuf 12 I I.A!MD :ONTRACT - Individual and rT\1l' It %R Or WISI'IrVdIN w,.r.• o l.•ro wank rn• Inv 1, OR H Xn. 11 1711! ~hn• e..+... It u. Corporate