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HomeMy WebLinkAbout032-1017-40-000; \ / / t ~ \ � \ � i ! � ® \ � � 2 � 2 m � / \ � k § � 2 m § J d � ! � \ j / E . \ 0 E § CD¥ 2 \ • ) k 7 / E 2 f � ; ® � \ (D 7 -� (D 3 } % Q Q } ) k / 0 ° \ ° 1 / E § f \ c � � S e \ U) V) \ S & 0 2 a a \ E D Z \ § / \ \ ° e \ § _ 0 k ® } 2 ! £ ° § k J } / o 2 = % / r- 9 C) \ / \ \ \ / } k � 2 j ) 2 E r 2 ) £ $ d co . ■ E ; a s § = c » - \ { § 5 2 o a 2 § 2 0 z w ■ m � ■ � « { CL , 2 E \ 2 °D » § e r ; c § k J a 2 3 k 3 \ ® � � E Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER JJ�hdga S 24, �/�.ol.� �i/ TOWNSHIP SEC. Cp T 3 1 N-R W ADDRESS S69 (�, rQD/ �Pj ST. CROIX COUNTY, WISCONSIN 10&0 .( SUBDIVISION LOT SIZE � � ciLU^eS i PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW ggVERYTHING WITHIN 100 FEET OF SYSTEM `Q .A. Ilk d4 If r J d co' lizi ��--�-- 5-7 ' I � � i 6' 1� 6»3 5� s' ff INDICATE NORTH ARROW S G�4�N to sM CA0_S a us �a,<< you 1 N k C_o�t f0''�c.��Q.( BENCHMARK: Describe the vertical reference point used 4 0S44-,P_ f�:l. � ��51�' tOtil Elevation of vertical reference oint: P /66s Proposed slope at site: �o I SEPTIC TANK: Manufacturer: LL)t���, Liquid Capacity: 106 !26d Number of rings used: Tank manhole cover elevation: ®®r (/ Tank Inlet Elevation: Z1 6 Tank Outlet Elevation: Number of feet from nearest Road: Front,&Side,O Rear, 0 feet From nearest property line Front,OSide10 Rear,0 feet Number of feet from: well _ 71*4 , building: qE5 - (Include this information of the above plot plan) ( 2 reference^dimensions.to septic tank) J a PUMP CHAMBER Nr/.A_ Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: u Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear,© Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: � Trench: Width: & Length: � 3 l Number of Lines: Area Built: Fill depth to top of pipe: "�Z id Number of feet from nearest ert ro p p y line: Front, �Side, O Rear,O Ft .2 1 Number of feet from well: /' / Z � Number of feet from buildin g: /V (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 AJ/4- Manufacturer: Capacity: Number of tank: rin s used: Elevation of bottom of g Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector• Dated: `���<0189 Plumber on job: ::7-06u -P Sy �rg ?lC License Number: A4 P h 5 � Z 3/84:mj r � j DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDING LABOR&NUNAN RELATIONS DIVISION P.`O.BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVI ,ION CODES&APPLICATION MADISON,WI 53707 N�'4i SE 4,S6,T31N—R1 9W State a signed) Number: Town of Somerset � CONVENTIONAL El ALTERATIVE Holding Tank ❑ In-Ground Pressure ❑ Mound E R: ADDRESS OF PERMIT HOLDER: INSPEC 10 A James A. Nelson 1369 W. 9th, Apt. 8, New Richmond, WI 540 U 6 -97 9,'145 BENCH MARK(Permanent refe,ence point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.: Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Jolm P. Sykora III 3212 St. Croix 119415 SEPTIC TANK/HOLDING TANK: MANUFACTURER: G PROVIDED: PROVI LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER DED: c.� boo 95,(OD S�a� ❑YES E:1 NO E:1 YES ❑NO BEDDING: VENT DIA.: VENT MAIL.: HIGH WATER NUMBER OF ROAD: PROPERTY I WELL: I BUILDING: VENT TO FRESH ALARM: FEET FROM L E: AIR INLET: ❑YES _❑NO ❑YES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: P PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES [--]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---00- SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: I 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: f ' MATERIAL PIT DEPTH: DIMENSIONS IP ('C GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO. TR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV.INLET: E EVV.END: r� PIP LIN^E: /� AIR INLET: 6t, 4. Lfl K�� NEARESTO—♦ �? '( �lJ MOUND SYSTEM: 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 I 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: I GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE I MANIFOLD MATERIAL: NO.DISTR. I 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 COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE: / ❑YES ❑NO ❑YES ❑NO NEAREST—► C. � Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TITLE: SBD-6710(R.06/88) Zoning Administrator ' v (--` SANITARY PERMIT APPLICATION u D'LHR In accord with ILHR 83.05,Wis.Adm.Code COUNTY ` STATE SANITARY PERMIT# -Attach complete plans(to the county copy only)for the system,on paper not less than // 9 y/s 8%x 11 inches in size. ❑Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D.NUMBER I. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION !JAS' %a SC' %4,S T.3 I , N, R E(or) W PROPERTY OWNER'S MAILING ADDRESS LOT# BLOCK#/ 9 W T //kZ. ITY,ST TE ZIP CODE I PHONE NUMBER SUBDIVISION NAME OR CSM N MBER '7 - Q 1/ c_E_ 0 II. TYPE OF BUI DING: Check one CITY NEAVEST ROAD ( ) State Owned VILLAGE �& �5 � p �� ` Pag- WN OF:❑ Public Z 1 or 2 Fam.Dwelling#of bedrooms AR EL TAX NUMBER(S) ;Z /a/7 '60 III. BUILDING USE: If building 71� ( g 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) 1.9 New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit## _ Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 91 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 q�5 1 ' � . ? V•�® � Feet d Feet VII. TANK CAPACITY Site in allons 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 Holdina Tank Ice> I s Lift Pump Tank/Siphon 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 PRS No.: Business Phone Number: ,j�,.K .S i 0 6"0 � 715 .26L -2 Plumber's Address( t,City,State,Zip Code): AIX 75- IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee(Includes Groundwater Ma ssue Issuing Agent Signature(No Stamps) To Approved El Owner Given Initial Surcharge Fee)Adverse Determination S• � t7 O / J^� 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 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 mustbe 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 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) DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS !NDUST•RY, DIVISION LABOR ANDr PERCOLATION TESTS (115) MADISON wl 53;0; IJUMAN RELATIONS (H63.090)& Chapter 145.045) f LOCATION: SECTION: TOWNS HIP/NMMaXHN =: OT NO.:BLK.NO.: SUBDIVISION NAME: NP %f 1/ /T N/ (o,)Wi Somerset IA, I n a I Grace Development COUNTY: 2 0VU4&WW8UYF_R'3 NAME: MAILING AT R ` St. Croix �� 9 �r nn___._ .___ .__ _. .— _AP.L.11.8/._NOW._RI chm0nd,_Wi,_54Q17 . ....... .... ._. .., .. Lied _ __ LJA 1 ON UllgllltVA 1 IONtl MAIJP fV0.8 DR M E�ZHi�ftON; IF E IPTIONS: PEni aL7�TIoN'F€Srs: �I�ellldenoe 3 Il�fl X(�NawIlalllale L .l"Li'�/ I n�tt RATING:So Site suitable for system U-Site unsuitable for system O • M . t1•G r iJ EISY I L G NK:RECOMMENDED SYSTEMaoptional) ��S aU ©SQU � oU Q� ©� a� ®U I conventional 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: n/a I PROFILE DESCRIPTIONS page 1 COD2 BORING TOTA ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTH —OBSERVED EST. GIIES TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) + L B- 1 8.16 none >8.16 1.08bl.1. 1.33bn.si1. 1.00bn.s.si1. 4.75bn.s.1. B- 2 7.17 none >7.17 .83bl.1. 1.67 •n: §.sil: 4.67 bn.s.l. B-3 7.41 7. 3 none >7.41 1.08bl.1. 2.50bn.s.sil. 3.83bn.s.1. 13.4 7.41 98.32 none >7.41 .58bl.1. 1.17bn.sil. .83bn.s.l. 4.83bn.l.s. B- 5 7.58 - none >7.58 .67bl.1. .83bn.s.sil. 1.08bn.s.l. 5.00bn.l.s. B- PERCOLATION TESTS TEST DEPTH . WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUARER INCHES AFTERSWELLING INTERVAL-MIN, PERIOD I PERI FERIVU zi PER INCH P_ P. e@•-C�@�:�•�ii—IcB� 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 9428 LAM �..-..-�.�. -.._T..-_... i i I J � I I .z -i•. 1 tN �t�o i( , '�''+rlo u1. .., . I. � S�►-t�� ~rC,� � i i ' I � i I � i -.,�_, W_L'�.I�I� �.__.I .+I 4I 1,the undersigned,hereby certify that the soil tests reported on this form were marle by the In nccord 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 ballet. NAME(print): TESTS WERE COMPLETED ON: ADDRESS* CERTIFI N BER: PHONE NUMBER(optional): A CST MNATLI DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tesler. Oxt sP`y -mac, �T 3�N� 19`k, APIZ s ?� 3i.cZ i M rs•7`° of '�' P Cali, P O� /a Y' asc•,w..c�� E-fesJ.: �0 �`�, r / �^ ��. l:� 1 * ,:L Flo fse� \ a• �sy 3� 7 STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER BUYER ROUTE/BOX NUMBER_ FIRE N0. CITY/STATE Alg,) -c t p ); ZIP ,S`ky t7 PROPERTY LOCATION: A)E 1/4 _1/4, Section �, T�_N, R "" Town of _ �d ,,� �� , St. Croix County, Subdivision CI-1.rd Cj Dak 6 , j- , Lot No. 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 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 ^ 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 &k,0 L4 Location of property NF- 1/4 SF_1/4, Section � T / N-R__a_W Township Sa vrsQA` Mailing address E:j�p} LQ �� � *!B Address of site �� ' Subdivision name Lei 6 Lot number -C- Previous owner of property i Total size of parcel Date parcel was created /,8e) Are all corners and lot lines identifiable? _ _Yes No Is this property being developed for resale (spec house)? Yes . No Volume 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 references to a Certified Survey Map, the Certified Survey Map shall also be required. ------------------------------------------------------------------------------- PROPERTY OWNER CERTIFICATION 1(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 reco ded in the Office of the County Register of Deeds as Document No. .!%3 -70 ; 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 ovecorded in the Office of the County Register of Deeds, as Document No. ) . 41-- =r — Signature of Owner Signa ure "-owner (If Applicable) Date o Signature Date of Signature .. 1111..._ :.. ._,_, . .. .._... ... ...... ....w ._..�.. __ D DocuMENT No. STATE BAR OF WISCONSIN FORM 3-1982 THIS SPACE RESERVED FOR RECORDING DATA QUIT CLAIM DEED / 4 3'F 034 COOK 810 Fa'c 65 _ — - - --_ REGISTER'S OFFICE ST. CROIX CO., WI Barbara L. Nelson, a married woman, taking Rec'df -------•-•-• or Record as.:.?trtd.ividual property, . • ...... .. .................................. 'I wi. .lnluiM io J00101 A�,,.Nc�i0.Qn nnd. Ba.rl��xra MAY 61988 hu.sb and-.al�cl...w.a fe.,...a.9...su.rviyox.ship...marital ............ at 8:30 A M ..property,­................. ................. ................ ................................ ...... ..... . I................... ........•----•---------...---5•--•-- .•------- .----•----.....-------- Register of Deeds I' the following described real estate in ------- .......t_e...-Cr0_��c_•............. County, State of Wisconsin: RETURN TO EN; , �� QQ Tax Parcel No: ..A.......................... St T.! I Part of Southeast Quarter (SE;) of Northeast Quarter (NE;) and Part of ! Northeast Quarter (NE4) of Southeast Quarter (SEk) of Section Six (6) , La i Township Thirty-one,�tl p (31) , Range Nineteen (19) described as follows: Commencing at the Northeast corner of Section 6; thence S 5036 ' 40" West X0' along the section line 1165 . 52 feet; thence S 88021 ' West 1334.29 feet; r thence S 5030 ' West 1061 . 54 feet to place of beginning; thence N 88021 ' East 672. 39 feet; thence S 27029110" East 215.22 feet; thence S 24036 ' 20" East 240. 16 feet; thence S 88021 ' West 890 feet, more or less, to the West line of said Northeast Quarter of Southeast Quarter of Section 6; thence Northerly along said West line of said Northeast Quarter of Southeast Quarter 228 feet, more or less, to the Northwest corner of said Northeast Quarter of Southeast Quarter; thence N 5030 ' East 188. 41 feet to Place of Beginning. TZ SUBJECT TO road easement over Easterly 33 feet thereof. '�► ! TOGETHER WITH a 66 foot road easement as recorded in Volume "517", ,I' { Vacja G9Ci (Nu, 1.Ci) . rp I! GranLor convoys her onLlru vendee InLcrusL Ili u certain land contract dated April 2, 1987, and filed in the office of the Register of Deeds for St. Croix County on April 6, 1987, in Volume 774 of Records at Page 191, as Document No. 424141. :,J c F on ! This ._.ls_not lvu a nt 1111.. _... homestead property. (is) (is not) All '�9 '•. 1 Dated this 111 1... ........... .' .. ...... day of ........... .......... ...MaY.................................... 19...88. I l _ ......... (SEAL) .(SEAL) aE a L. Nelson Barb ar ' r ............ ....................... •---•------ ---- ` -- ..--•. . . . 1111.- --------•-------------------------•-----•- I ! ' ....--' •...................... ...(SEAL) .... - .................1111...---•-- ...(SEAL) r � I i • ......... ..............................•-•---1111.-1111. ............... -....... ....... ....... ...1111..--------1111-.........--- - 1 1 11-1 ------ -----•...-----•------------------•--•----- .11.1. ! AUTHENTICATION ACKNOWLEDGMENT I i Signature STATE OF WISCONSIN �� 6 O -------------------------------1111------------------------ as. -•--•--•---•............................................•--••----••---•-------- St: Croix ..........i ................County. 1 � i authenticated this ........day of........................... 19...... Personally came before me this .................day of ......May 11........-..1..............1 198.0... the above named ................................. '1 LE! NJ 1-3114,11t STATE' DAR 01-' %V18i,oN4l ........ ............................... TI 1 N - . ---_......................-----•-----............11.11..-------•--..._.....---.. (if riot, 1111 ............ .._..-.. authorized by § 701,.06, Wis. Stats.) to me known to be the person ............ who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS GRAFTED BY r ; � .• a --•-------------=----------•,�--•-------..:..=--•------------1111.:--•=---.------ �J 1)2R N W 4d00D,..LTD...................... ..•--- ' BQnnz.e-.,7 k'xdXickson....................... New-_I3 1Ch](I1pJC1d.,...jnLISG.Ql1 ?1--5.4017....... Notary Public ..... County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent.(If not, state expiration are not necessary.) 9 ) date: .. .-----.9.�"�.�/91---- WME-J.-� /berchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest nd 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, ex-ed coverage perils and such of or hazards as Vendor may require, without cu insurance, through insu►ers approvedendor,in the sum of$___-.n�a -_ _ _ _ _ but Vendor shall not require coverage in an amount more n the balancu owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall tain the standard clause in favor of the Vendor's inlerest and, unless Vendor otherwise agrees in writing, the original ail,policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to urance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, Insurance proceeds shall applied to restoration or repair of the Properly damaged, provided the Vendur deems the restoration or repair to be economically feasible. Z Purchaser. covenants nut to leluuwl wa,tu r,Jr Alluw wunlu u, bu r,uuurfnlu.i urf lira III ulralIV. 11) lomgr 11141 Ihulrrrlly U `1y in ijowl lundnlilbirl cunditlon and ru rlr, to kdop the Proport free front liens superior to the lien of this Contract, and to to comply Willi all Iifwtl,uttjlnunc"lt 11111111 ntjulatiullu(11111,31np thil proporty. X Vendur agreus that in caso the pufcrfasv Nn:. with interest and othei mur vys sht-d be fully paid and all conditions m 1 %-I 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 tee Simple, of the Property, free and clear of all lions and encumbrances, except —None other any liens orencumbrances created by It.0 actor cielauIt al Purchaser,and except __ ._ i Purchaser agrees that time is of the e3 ,chct and (a) in the event of a default In the payment of any principal or interest rltich cunttnuas fcr a pelicd 1)i ___6U.-day following the specified due hate or (b) in the event of a default in performance of any other oblic;atiun of Pur.:ri",i which continues for a parlud of . 60 -.days following written notice •( thereof k.y Vendor (delivered personally or mailed by cortified mall), than the crr,dre outstanding balance under this contract i shall become immediately due and payable in furl, at Vender's option and without notice (which Purchaser hereby waive:,►, and Vendor shall also have the follow in rights and remedies (-.fubjliel to any limitations provided by law) In ft ! addilfun to thos3 provided by law or in equity: (IJ Vendor may, at his uµtion, terminate this Contrast and Purchaser's it rights, title snit interest in the Property a � k lhraugh strict foreclosure with any equity of nd ro ovor the Property b redemption to be conclitiunod upon Purchaser's full pilymont of the entire out r,.udinh) balance, with interest thereon from o the data of Default at the rate in ettect on such data and other amounts due hereunder (in which event all amounts previously paid by Purchaser shall be forfeited its liyuida—I damages for failure to fultill this Contract and as rental for the Properly if Purch:a.iur fails to redeofit); or (ii) Vendor may sue for spucffic performance of this Contract to compel G immediate and full p. nfr .yment of the ere outslc:ndng balance, with Interuat thereon at the rate in effect on the date of air-fault and uhhur ahriuunts duo hereunder, fn which event the Property snall bu auctioned at judicial bale and Purchaser shall be liable for any deficiency; or (Ili) Vunour may sue at law for the ontlre unpaid purchase price or any portion 3 thereof or (iv) Vendur may declare this Cu,-tract M an and and remove this Cunira<;t as a cloud on title in a quiet-title 1 action if the equitable mterust of Puichasor is insignificant; and (v) Vendur (nay have Purchaser ejected from possession i of the Property and have a receiver aµpuirltild ti collect any rents, is5uot; ur profits during the Pendency of any action under (t), (ii) ur (iv)'above. Notwithatandiii j any oral or written slatoments or actions of Vendor, an election of any of the foregoing renhedios shall only ba binding upon Vendor if and when pursued in litigation and all costs and expenses including ruasunanlu anorrfoy's teas of Venuur n,curr, d to enforce any remedy hereunder (whether abated or not) to the _ extant riot ptohlbiled by law and er :unsex 1)l title uviderice shall be added to principal and paid by Purchaser, as in- ,,N� curred,and+hall be included fn any judgment. ill ,orLtllr commencement or during the pendency of any action of furoc:l,)sure of this Contract, Purchaser consents oWr+ -to thAppolntment of a receiver of the Property; Including homestead inleru3t, to collect the rents, Issues, and profits of of r.! the Property during ttie pendency of such actlun, and such rents, Issues, and prufits when so collected shall be held and applied as the court shall direct. Purchaser shall nut Iransic:r, sell or cunvey tiny legal or equitable Iulurutti In Ihu Illulrnlly (fly 64prnUnin„111 fit any °f of Purchif9nr'n rigtila untlor trip Contract or by option, long-term lease or Ill any oth er Way) WIlhOUI the prior written culinunl (Jl Vonlluf 11111111th 1)1111111 I1111 uul!ttar111111 j Ilulrutco payable under u11t1 clinifaLl le first paid In full of the Inlereal conveyed is a pledge or assignment of Purchaser's Interest under this Cuntiact solely as becurity for fill IildoblodfWgfl Ol — Purchaser. (r, the event ul any such transfor, sal.i or coavoyance wilhuut Vendor's written consent, the entire outstanding arr balancu payablu under this Contract shall becomu immediately due and payable hl full, at Vendors option without notice. ;teR Vendor shall make all payments when duo under any mortgage oulatarfding against the Property on the dale of _ tnls Contract (except for any mortgage granhid by Purchaser) or under e.ny hole secured thereby, provided Purchaser rtlakus timely payment of ills amounts then duc under this Contract. Purchaser [nay make any such payments directly to )N the Mortgagee i( Vendor fails to do 3o and all payments so made by Purchaser shall be considered payments made on �eq this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. •1 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 tho Property the spouse of Vendor for a valuable consideration joins herein to release hurnastuad rights In the subject Property and agrees to join In the execution of the .+ deed to be made in fulfillment hereof.) Oil Dated this--_-.___.___nd day of__ April --- --._—. -119 -� r� (SEAL) r z, � •� i.: � : , �__ (SEAL) Ronald R. Werth Barbara L. Ne son s� (SEAL) — --------- (SEAL) r — AUTHENTICATION ACKNOWLEDGMENT Signature(s)—_ — STATE OF WISCONSIN SS. aulhunlf[.atud 111(4__.._----day of w____..__ ._..._., IJ. ..__. Puraun.11ly came bufore me t his.___2uii_ day of _fps _ ,19 87 the abo a named Ronald R.' Werth an�ar ara L. Nulrufu . . .-.....-..-. TITLE: MEMbkiH S1 Al t BAH Ui W l,,GUWAl4 _---- i know now t' be the person-S -_who executed the authorized by y 106.06,Wis.Stats.) o,egoing ' 1.1 M he same„ THIS INSTRUMENT WAS DRAFTED BY Dennis Fleischauer ACORN REALTY, INC. — — _ 245 Main Street Notary Public.....__.— County,Wis. Somerset, WI 54025 My Cominission is permanent. (If not, state expiration (Signatures may be authenticated-or ;,cknue led(it.d. Huth date:-_-_S.epteMbP-r _3-0 --, 19 90 ) are not necessary ) NTF 2278A 'I.„n.._ci I,... , I.r, .c•; -n;'.n, .. f., , , .t U,i,,v. Weir 9r,{n.,luf :', _ sl..w lf..r Ul wieconsin L LAr1Li C(Ni fiG 1--if:,:+V,,lf..,i onrl C:mpar�he Furor No.11-19b2 O.Hex 1i i5,tin o if�f,Vvl:,4111!1 le/h CUMENT NO. STATE BAR OF WISCONSIN FORM 11 -1962 THIS SPACE RESERVED FOR LAND CONTRACT i t Individual and Corporals i25,090IS FINANCED AND IN OTHER NON-CONSUMER ACT TRANSACTIONS) REGISTERS OFHCE Contract,by and between Ronald R. Werth ST. CRC61!X CO., WIS ("vendor", koc'd. fe, P,�,cord IN, 6th whalhar aria nr rriara)and. _ __.. o rlin ro 1,, ;Is,I lar,lt _ �— 11Qy 01! h 1 I�I��A.06 1119=4 1 a married woman, taking as individual - --- t a.�n Ali ._. LLol)t��— �"Purchaser",wholhmonoornlulo►. 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"), In S t•_ Crni x County,State of Wisconsin: RETURN TO Part of Southeast Quarter (SE 1/4) of Northeast Quarter Efy (NE 1/4) and Part of Northeast Quarter (NE 1/4) of Southeast Quarter (SE 1/4) of Section Six (6) , Township 'RC Tax Parcel No. 'Thirty—one (31) , Range Nineteen (19) described as follows: Commencing at the Northeast corner of Section 6; thence S 5°36'40" West along the section line 1165.52 feet; thence S 88°21' [-Jest 1334.29 feet; thence St S 5°30 West 1061.54 feet to place of beginning; thence N 88°21' East 672.39 feet; Ta thence S 27°29'10" East 215.22 feet; thence S 24 036'20" East 240.16 feet; thence Lot S 88°21' West 890 feet, more or less, to the West line of said Northeast Quartet Piet of Southeast Quarter of Section 6; thence Northerly along said West line of loci said Northeast Quarter of Southeast Quarter 228 feet, more or less to the Northwest ega corner of said Northeast Quarter of Southeast Quarter; thence N 5 30' East 188.41 feet to Place of Beginning. ` SUBJECT TO Road easement over Easterly 33 feet therof. TOGETHER WITH a 66 foot road easement as recorded in Volume "517", page 595 (No. 15). r��lvs This is not homestead property. j 4 fNC (is) (is not) $_j;Fe Purchaser agrees to purchase the Property and to pay to Vendor at a designated place i,EB _, owr the sum of$_ 19.500.00 in the following manner: (a)$ 1I..000_.QO____._._... . �t n at the execution of this Contract;and (b)the balance of$ 14,500.00 ,together with Interest from date p hereof on Ito halanca oulstandinp from lima to(Ina at the rata of... . __MY .._--par cent I or annum -- until paid In full,as follows: -- M onth.l.y payments of not less than $150.00 to be applied first to interest, then to principal, with the entire principal balance due and payable five (5) sf1 years from�the date of closi.ig; buyer may prepay the land contract in any Ilec amount at any time without penalty. DN ;en 1 Provided,however,the entire outstanding balance shall be paid In full on or before the 7n d _day,of wnf April _ 19 92 (the maturity date). Following any default in payment, Interest shall accrue at the rate of % per annum on the entire amount In default (which shall Include, without limitation, delinquent interest and, upon acceleration or maturity, thr entire `1 principal balance). Intl 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 obiigation:t 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 ssia unless otherwise required by law. 6 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 principal at any time after April 2 19 8/xffl) t11S9TKR1�Li<HOq?COi�110 7t31it}OJCp[lODfp�CO[i2{1�04}SE3tFir}s)DtditK►K�irei4iiroiC' In the everit 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 acuruing Interest from month to month shall be treated as unpaid principal) is less than the amount that said Indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be countinued 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 slown by the title evidence submitted to Purahanar fur axanil"ailun axunNl: None. 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 1pr.i 1 2 ,19 87 'Cross Out One. LAND CONTRACT—Individual and STATI BAR OF WISCONSIN N TF 2278 Corporals FONM No.11—11182 Nelco Forms,P.O.Box 1075,Green Bay WI ri+1',', 1�7•,� 4 vi CONSTRUCTION`AGREEMENT WE, THE UNDERSIGNED, have read the ,Specifications and' Drawings, attached hereto and incorporated herein by reference, dated and ni..tl.a�lod by :oach of u n° and wo farther aac ept thomz ar correct• THIS AGREEMENT, made between Glen Johnson d/b/a Glen Johnson Construction, (hereinafter''referred ' to as "Contractor" ) and _• (hereinafter referred to as the "Owner (s) ") WITNESSETH: That the..Contrac.tor and .Owners for the consideration, hereinafter named agree as follows:, ARTICLE I. The Contractor agrees to provide the materials as specified in the Specifications and to perform all work shown on the Drawing and subscribed in the Specifications " and to do everything required by ,.the. general conditions of the;...> Contract, the Specifications and the Drawings. All work shall be done in a good workmanlike manner. All of the- above described goods- and services are to be ; provided .at the site commonly, known as ,x and legally described as: ARTICLE II s - The Contractor agrees that the work and®r u this contract shalL;be 'substantially completed within weeks after,,commencement. It is agreed between the parties that , the completion of the`work`'covered"in this- Contract- is contingent 'upon strikes, lock-buts, .delay of +common carriers, laws or government regulationsand adverse weather.conditions., ARTICLE III. The Owners- warrant that they are the true , '. owners of the premises and have full right to order said improve ments. The parties agree that nothing herein shall limit Contractor's mechanics lien rights to the property- under Wisconsin law. ARTICLE IV. Contractor may sub-contract for all or part of the labor for improvement; as specified above, with the r work. agreement that he shall be wholly responsible for- thei I