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Parcel #: 020-1181-90-000 03/23/2006 01:35 PM
PAGE 1 OF 1
Alt. Parcel#: 28.29.19.1148 020-TOWN OF HUDSON
Current LX7 ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type
00 0
Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner
LINDA L DAHL O-DAHL, LINDA L
765 LARSEN LA
HUDSON WI 54016
Districts: SC=School SP=Special Property Address(es): *=Primary
Type Dist# Description *765 LARSEN LN
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.212 Plat: 0152-CEDAR HILLS ESTATES II
SEC 28 T29N R1 9W 2.212 ACRES SW NE LOT Block/Condo Bldg: LOT 47
47 CEDAR HILLS ESTATES II
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
28-29N-19W
Notes: Parcel History:
Date Doc# Vol/Page Type
10/12/2001 658904 1736/474 TI
07/23/1997 451969 852/403
2005 SUMMARY Bill#: Fair Market Value: Assessed with:
92970 313,600
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.212 69,800 250,000 319,800 NO 05
Totals for 2005:
General Property 2.212 69,800 250,000 319,800
Woodland 0.000 0 0
Totals for 2004:
General Property 2.212 48,500 194,100 242,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch#: 113
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
DEPA*ITTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS
LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
* P.O �JX 7969 BUREAU OF PLUMBING
MADISON,WI 53707
❑CONVENTIONAL ❑ALTERNATIVE State Plan I.D.Number:
S E 4NW 4,S. 2 8,T 2 9-R 19 ❑ El Pressure (If assigned)
�
Town of Hudson Holding Tank ❑Mound
Cedar INSPECTION DATE.
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER:
Cedar T4i 11 q t: Co. TK
BENCH MARK(Permanent reference poml D S ERENT FROM PLAN REF.PT.ELEV.: CST REF.PT.ELEV.
V.
Name of Plumber: MP/MPRSW No. Comfy. $andary Permit Number:
Wm. Schumaker 6382 St . Croix 128
SEPTIC TANK/HOLDING TANK: WARNING
MANUFACTURERr LIQUID CAPACITY. TANK INLET ELEV. TANK OUTLET ELEV.. ROVIDED LABEL PL R 0_O
-VKIINDGED OVER
❑YES ❑NO DYES QTNO
BEDDING: VENT DIA.: VENT MATLL. HIGH WATER NUMBER OF ROAD: LRIOE ERTY WELL: BUILDING. AIR NLEET RESH
ALARM FEET FROM
DYES ONO ❑YES — NO NEAREST
DOSING CHAMBER:
MANUFACTURER BEDDING LIQUID CAPACITY PUMP MOHEINO /SIPHON MANUFACTURER ACTURER WARNING LOCKINED:
PROVIDED: PROVIDED:
DYES ❑NO ❑YES ❑NO OYES ONO
GALLONS PER CYCLE: PUMP AND CONTRO NUMBER OF PROPERTY WELL BUILD Wf, IVENTTOFRE-H
I LE
LINE AIR INLET.
(DIFFERENCE BETWEEN FEET FROM
PUMP ON AND OFF) DYES NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth o LENGTH UTAMETEH MATERIA'.N..
ARKING
FORCE
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 J WIDTH LENGTH NO OF DISTR PIPE SPACING MATERIAL: JINSIDE UIA SPITS DI(
TRENCHES PIT
DIMENSIONS
RAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR PIPE DISTR.PIPE MATERIAL: NO.DISTR NUMBER OF PROPERTY WELL. BUILDING VENT TO FRESH
BELOW PIPES ABOVE COVER ELEV.INLET ELEV,END PIPES FEET FROM LINE AIR INLET.
NEAREST
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA-
meets the criteria for medium sand. TIONS MEASURED.
DYES El NO
SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS
OYES ❑NO DYES ONO
DEPTH OVER TRENCH BED IDEP TH OVER TRENCHlBED DEPTH OF TOPSOIL SODDED SEEDED MULCHED
CENTER EDGES.
❑YES ED NO IQYES ONO DYES ONO
PRESSURIZED DISTRIBUTION SYSTEM:
^>WIDTH. LENGTH NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPF- FILL DEPTH ABOVE COVER
BED/TRENCH_ TRENCHES,
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR.PIPE MAN IFOLD MATERIAL. NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING
ELEV.. ELEV.. DIA. ELE V.. PIPES. DIA..
ELEVATION AN
DISTRIBUTION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED
INFORMATION PLANS
❑YES ❑NO OYES IE N
COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING:
FEET FROM LINE:
DYES ENO ❑YES ❑NO NEAREST
Sketch System on
Retain in county file for audit.
Reverse Side.
SIGNATURE: TITLE
DILHR SBD 6710(R.01/82)
' DIL HR SANITARY PERMIT APPLICATION cou
In accord with ILHR 83.05,Wis.Adm.Code Q r
STATE SANITARY PER NT#
—Attach complete plans(to the county copy only)for the system,on paper not less than --d!2 I !,�
8%x 11 inches in size. Ch k i rev sio to previous application
—See reverse side for instructions for completing this application. STATE PLAN I.D.NUMBER
I. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER PROPERTY LOCATION
e ,r,,Wnv� "r= Y4 '/a,S ,� T.Z , N, R /7 E(or)6)
PROPERTY OWNER'S MAILING ADDRESS '/ / J LOT# BLOCK#
CITY,STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
is
II. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD
❑State Owned [��/ VILLAGE
❑ Public �1 or 2 Fam. Dwelling-#of bedrooms L PARCEL TAX NUMBER( ) o
111. BUILDING USE: (If building type is public,check all that apply)
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. ® New 2. ❑ Replacement 3. ❑Replacement of 4. ❑ Reconnection of 5.El
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
G d, F,_2 Ll P.;2Q 0/7"? —� !Jl, � Feet /O 6°Z Feet
VII. TANK CAPACITY Site
in allons Total #of Prefab. Fiber- Exp .
INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App.
Tanks Tanks structed
Septic Tank or Holdin Tank !tG F-1 El
Lift Pump Tank/Siphon Chamber
VIII. RESPONSIBILITY STATEMENT
1,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name(Print): Plumber's Signature:(No Stamps) jWMPRSW No.: Business Phone Number:
Plumber's Address(Street,City,State,Zip Code):
c
G `�cf fGf i `-rt o/C
EC ..,�
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee(includes Groundwater [[Yale Issued Issu'n Agent Signature(No Stamps)
Approved ❑ Owner Given Initial / q d Surcharge Fee)
a
Adverse Determination vv 6
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398(formerly Plb-67)(R.11/88) DISTRIBUTION: Original to County,One Copy To:Safety&Buildings Division,Owner,Plumber
INSTRUCTIONS
� Y
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:
I. Property owner's name and mailing address. Provide the legal description and parcel tax numbers) 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.
Vlll. 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.
SBD4M(R.11/88)
T
• 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
Location of property S 1/4 /4, Section _, T w 45� N-R l f W
Township
Mailing address
Address of site
Subdivision name
Lot number `7 7
Previous owner of property lZX Jtrei 0,11/
Total size of parcel 2
Date parcel was created g r
Are all corners and lot lines identifiable? ;_Yes No
Is this property being developed for resale (spec house)? Yes No
Volume nd Page Number S 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 references to a Certified Survey Map, the Certified Survey
Map shall also be required.
----------------------- --------------------------------- .---------------------
PROPERTY OWNER CERTIFICATION
I(We) certify that all statements on this form are true to the best of my (our)
knowledge; that I (we) am (are) the owner(s) of the property described in
this information form, by virtue of a warranty deed recorded in the Office of
c
the County Register of Deeds as Document No. �ll�/ �/ ; and that I (We)
presently own the proposed site for the sewage disposal system (or 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. ) .
R n
Signature of Owner Signature of Co-Owner (If Applicable)
�
DaU of Signature Date of Signature
Purchaser
promises to pal when due all taxes and assessments levied on the Property or upon Vendor's in;'.-rest
.in it itnd to deliver to Vendor on demand receipts showing such payment.
Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, cx=
Icraell 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 Ow valance owed under this Contract. Purchaser shall pay the insurance premiums when due. The politics shall
-attain tae 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 Ins% to
i11:11, a companies and Vendor. Unless Purchaser And Vendor otherwise agree in writing, insurance proceeds shall
ho Applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be
:autait•ally feasible.
Purchaser covenants not to commit waste nor alloy waste to he committed on the Property, to keep the Proper:;•
in good tenantable condition and repair, to keep the Property tree from liens superior to the lien of this Contract, and
to reniply 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 W gerx e d in ifee simple, of the Property, free and clear of all liens and encumbrances, except
y zersonal Re�re tin v� s
an or errcum ranees crea y the act or default of Purchaser, and except: ....easements,-protective..
covenant&..OLE-.re-cQrd,Af..any.,..and-_zaning-ardlnance--requireme nt s...................................
................................................................. .............._..................................
........_...••---.................... ........................•--•--.........................••..._.....•.....
..... ..................................................................................................................................................................
Purchaser agrees that time is ofthe essence and (a) in the event of a default in the payment of any principal or
interest which continues for a period of ..AQ...days following the specified due date or (b) in the event of a default in
perforninnee of any other obligation of Purchaser which continues for a period of A().... days following written notice
thereof be 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
Hollis. title And interest in the Property and recover the Property back through strict foreclosure with any equity of
redeml,tion to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from
the date of default AL tho rate in effect on such date and other amounts due hereunder(in which event all amounts previously
Pa-;,I by d'urchAS•-r shall he foreteited as liquidated llama%es fur failure to fulfill this Contract And as rental for the
Property 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
dcfntt;t And other Amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser
shall he liable for any deficiency; or (iii) Vendor may site at law for the entire unpaid purchase price or any portion
thorr4: or (iv) Vendor may declare this Contract at an end And remove this Contract as a cloud on title in a quiet-title
Arti..n 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 profita during the pendency of Any action
tinder (i). (ii) or (!v) Above.Notwit list tulding any oral or written statements or actions of Vendor, an election of any
of the foregoing remedies shall only be hinding 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 he 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, includin 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.
Ptirchnser shall not transfer, sell or convey any legal or equitable interest in the Property (bp assignment of any
of Ptirchnser's rights under this Contract or by option, long-term lease or in any other way) -t-ithout the prior written
consent of Vendor unless either the outstanding balance pay Able antler this Contract is first pi:id in frill or the interest
sonde}ell is a Pledge or assignment of 1 urchaser s interest under this Contract solely As security for an indebtedness of
Purchnser. 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 immedintelydiie 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 ma y make any such payments directly to
this Contract.
the Mortgagee if Vendor fails to do so And all payments so made by Purchaser shall be considered payments made on
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,
aticressors 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 86
................................................. .. 19.........
t�
...(SEAL) ...�.LL �
............................... • ..✓Hlarr .J.....Stewart... u.ii.C... ...,,
...(SEAL) /Z+tv,W1.te... '. : +
i
f
.�
SAL
.... .. ...... ...........................
William C. Harwell
►'- C
AUTHLNTICATION ACItN0— ii LEDGMENT*'O,.1f
Signature(s) .. STATE OF WISCONSIN
r
..................................... Be.
................................'....-----• St. Croix
...............................County.
authenticated this ........day of............ ..... 19...... Personally came before me this 11th
......... day of
.._......June....................... 19A A.. the above named
""' Harr J Stewart and Wiliam C Ha ell
BAR OF
..... ........................................
-
TITLE: .N.......... ..............••-•-_...-•••------••......-•.....--••--•-
1►iF,MBEIt ST WISCONSI N "'-'"•-"••"•"""•"'
••---... ................................--.--.....---------•................._._.:
f if not. ............:....................... ..
authorized by 706.06, Wis. Stats.)
to me known to be the person s.......... who executed the
9 foregoin 'nstrument and acknowledge the.same.
THIS INSTRUMENT WAS DRAFTED BY
Lois.-A,.-Marra HEYWOOD CARI HURRAY . .
& SHERBURNE, P.O. BOX 229, •.• �w�,D-•---- ..... _ ..............................
Rsa�✓
Hu$t3un; WI Sr4U1� ........ Notary Public ....St Croix County. Nis.
.............
(Signatures navy he authenticated or acknowledged. Both My Commission is per anent. If no state expiration
`. Are not necessary.)
date:) .! . . ........... ..........
4 1
'�ramea of persotn sinning in any capacity should be typed or vrinted be! - sinnatilres.
4jPAJE --
• JC,�;UMENT NO. STATE BAR OF WISCONSIN IF t M 11-1982 TMls STAGE RESERV[D FOR RECORDING DATA
LAND CONTRACT Qc
Indiridnd and Corporate t�' t�.�� s OFF'^
1 ITC Dti USED FOR ALI, TRANSACTIONS WHERE OVER 1`-1
C_ !$26,000 IS FINANCED AND IN OTHER NON-CONSUMER C p�
ACT TRANSACTIONS) ST. CROIX CO., Wis.
Recd. for Record Ihis 11 th
Harr --�-�
Contract, by and between ......._...Y..J.-_.Stewart,_ as Personal day Of Jug a A.D. 9 86
......Itepresentatiye.of•ttie_Estate.of Aldro Larsen a�k�a-John Q�_11 :45 � M.
dro Larsen a/kf a John Aldro Myren Larsen}• * ("Vendor",
..-. .ro.-• ..ell.. - -• ....•-•-• --• •• --•- James 0 Connell
whether one or more) and---William C. Harwell _
....... .............. .........
lW M Dow
*single man ("Purchaser", whether one or more ���
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
rents,profits,fixtures and other appurtenant interests (all called the"Property"),
St. Croix .. County, State of Wisconsin: RETURN TO
See legal Description on Addendum
Tax Parcel No. .................4..,.............
386_
q.2 73 y
MANS
FFF
This ...... 1 ..11ot.......... homestead property.
XUX (is not)
Purchaser agrees to purchase the Property and to pay to Vendor at ,such Place as he shall name -.
the sum of $..192.1 500.00 .... in the following manner: (a)
at the execution of this Contract; and (b) the balance of ................, together with interest from date
heregf on the balance outstanding from time to time at the rate of..............C.?r.A. In.).......... per cent per annum
until paid in full, as follows:
See Payment Terms on Addendum
Provided, however, the entire outstanding balance shall be paid in full on or before the....... 11th.__ . day of
.........June........................ 19...4.Q. ( the maturity date).
Following any default in payment, interest shall accrue at the rate of...10....% per annum on the entire amount
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 bear 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 inay be prepaid without premium or fee upon principal at any time.iK?LifdSXX�L�?S�XXX?!1�?F.M���18?tx�cx�l�
tkax:x:a.:.�R�almtl x�ltent�mOt>;oiemiawatxxi l�otat cxanic3Anoxrnfx e a .1
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 from month to month shall be treated
as unpaid principal) is less than the amount that said indebtedness would have been had the %RVAkkpayments 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:
Purchaser agrees to pay the cost of future title evidence. If title evidence Is in the form of an abstract, it shall
be retained by Vendor until the full purchase price is paid.
Purchaser shall be entitled to take possession of the Property on.......l:hg_ A_to..6Kg_of....................UX......
*Cross Out One.
LAND CONTRACT—Individual and STATE BAR OR WISCONSIN Wisconsin Legal Blank Co, Inc.
Corporate •.,.- FOR61 No. It—1982 Milwaukee, Wis.
STC - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER
ROUTE/BOX NUMBER �� r� �� a ,fy�, ✓ G - FIRE NO.
CITY/STATE �. s �,, ��✓� ��� ' �" ZIP 4/
PROPERTY LOCATION: X1/4 /4, Section ;7F_ , T 11: N, R r t W,
Town of d�:5:,_�y� , St. Croix County,
Subdivision _r-,?.La �, h�,' /( �� , Lot No. 4?�_,.
Improper use and maintenance of your septic system could result in its premature
failure to handle wastes. Proper maintenance consists of pumping out the septic
tank every three years or sooner, if needed, by a LICENSED SEPTIC TANK PUMPER.
What you put into the system can affect the function of the septic tank as a
treatment stage in the waste disposal system.
St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of
$3000 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 verifying that (1) the on-site
wastewater disposal system is in proper operating condition and (2) after
inspection and pumping (if necessary), 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.
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 Department 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 1 2
St. Croix County Zoning Office
St. Croix County Courthouse
911 4th Street
Hudson, WI 54016
(715) 386-4680
Sign, Date, and Return to above address
DEPARTMENT OF
INDUS TRY, REPORT ON SOIL BORINGS AND BUILDINGS
INDUS , SAFETY& B
RELATIONS \ / DIVISION
HUMAN UMA AND PERCOLATION TESTS (115) P. O. BOX 7969(H63.09(1) &Chapter 145,045) MADISON,WI 53707
LOCATION: E TON: TOWNSHIP LOT NO.:BLK.NO,: SUBDIVISION MME:
'/a '/a z� /TV N/R l9 lor, I A5D q7 CC aa�e III�s
COUNTY: _05 WNER'S / E: MAI LING ADDR SS:
USE
rr��+rt� NO.BEDRMS,: C0MM R A DATES OBSERVATIONS MADE
ZResidence , RIPTION:
p I NS: A I N TESTS:
«�n►Y. . -. y New ❑Replace S� ~�- 9 2A } !
s tit C �� So�c„ DX Cz- �u►Q�u�1,eQT
RATING:S=Site suitable for system tem Ua Site unsuitable for system
cST[]U . M U D:❑U IN-G O N RECO�MV�r �t SYSTEM:(option
If Percolation Tests are NOT required DE SI N RATE:
If any portion of the tested area is in the
under s,H63.09(5)1b1,indicate: L1Q•$.'� f 11 Floodplain,indicate Floodplain elevation:
v
'CC I PROFILE DESCRIPTIONS
BORING TOTAL P H TO
NUMBER DEPTH'W4, ELEVATION GR UNDWA TE R-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,TEXTURE, AND DEPTH
OBSERVED HES TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
B- I 4,D8 05 .Ts N 9.0$ 11"&`-K ''8eN L q"Re,rnS,44,e
B- Z 7-67 99.95 Na,�� > T Q If
101.21 �o 4 > . �7 cc-ts a'�BPNL
B- 4 OIL +JS .40 �o� ? o� «TS 16'e t+4L
.00 iS�Bu_US 11"&,j 4D'K of �t e eN �ls
B-
1�E< PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP
!NUMBER I1Q6 IN WATER LEVEL-INCHES RATE MINUTES
ifES AFTERSWELLING INTERVAL-MIN. p FIT PERIODz PER INCH
P- 2 �o o .30 3 > >2 >2 <3
P_-
P T> C
P-
LOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
ontal 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
>f land slope.
SYSTEM ELEVATION /61.76 nlveTU>~Q►�►rlos,-
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iJC�T)1 _ pn► �?
-.�'�lan ati= ./6C�X00•� � '
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dmensat ve Code,and that the data recorded end the location of
undersigned, y y P is forrp were me by a actor , the procedures and methods specified in the Wisconsin
the test`s are correct 1 thest myJt'nowledge and belief.
JAM (print): TESTS WERE COMPLETED ON:
1�Akli �aUNsoN S y� g" p 20 /4'r-0
ADDRESS: CERTIFICATION NUMB� 3x6_: PHONE N MBER(optional):
407 cUn. S� itu+C�sd•� I+t/) Sgar6 ? o€a
CST SIG URE:
?ISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester,
-ILHR-SBD-6395 (R.02/82) —OVER —
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