HomeMy WebLinkAbout040-1214-90-000 Form - S T C 104
AS BUILT SANITARY SYSTEM REPORT
OWNER DAUJ/� �E/n L L TOWNSHIP T11y SEC. T gLN-R 9 W
ADDRESS .SO; VACiFjc�ID ST. CROIX COUNTY, WISCONSIN
SUBDIVISION .S'1,-4/1-011/LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of I1HR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
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INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used %n,2
Elevation of vertical reference point: Me, t) Proposed slope at site: ��a
SEPTIC TANK: Manufacturer: T'6-t Liquid Capacity: 1,2 e6
Number of rings used:T� Tank manhole cover elevation: ZQ-3, 65 d
Tank Inlet Elevation: Tank Outlet Elevation: L00, 2!
Number of feet from nearest Road: Fronts-A Side Rear, O ��l2° feet
From nearest property line ., Front 10 Side,WRear,O (� ° feet
Number of feet from: well building: f y
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDR
•
PUMP CHAMBER
Manufacturer: Liquid Capacity:
Pump Model: Pump/Siphon Manufacturer: Pum p Size
Elevation of inlet: Bottom of tpii elevation:
Pump off switch elevation: Gallons per cycle:
Alarm Manufacturer: Alarm Switch Type:
Number of feet from ne st 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:_ _.L_� Length:�_C7 Number of Lines: _ Area Built:—'U4,0
Fill depth to top of pipe: _AL/�/?gG �.� y �; ,•
Number of feet from nearest property line: Front, O Side, Rear,017t . 6 S-
Number of feet from well:
Number of feet from building: 2. S
(Include distances on plot plan).
SEEPAGE PIT
Size: Number of pits: Diameter:
Liquid depth: Bottom of seepage pit elevation:
Area Built:
Has either a drop box O or distribution box O been used on ny of the above soil
absorbtion sytems? (Check one).
HOLDING TANK
Manufacturer: apacity:
Number of rings used: evation of bottom of tank:
Elevation of inlet:
>larmManufacturer:eet from arest property line: Front, 0 Side,O Rear, 0Ft.
Number of feet from well:
Number of feet from building:
mber of feet from nearest road:
Inspector-
Dated: /0 %3/— 2Q Plumber on job: `
License Number:
3/84:mj
' 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
MADISON,WI 53707
State Plan I.D.Number:
SE,-jNG�,S16,T28N-R19W CONVENTIONAL El ALTERATIVE (If assigned)
Town of Troy
❑ Holding Tank ❑ In-Ground Pressure ❑ Mound
'N'AT,A E OF PE R: ADDRESS OF PERMIT HOLDER: INSPECTION AT :
Dave Seidel 6239 3loomington Ave. S. , Richfield, M 55423 1013/
BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT. �: T�REF.P EL g Oa
d Q —12 46
Name of Plumber: MP/MP No.: County: Sanitary Permit Number:
Donavin Schni.tt 3205 St. Oro' 119476
SEPTIC TANK/ =�a/,Sy/ 7' d
,
MANUFACTURER: LIQUID CAPACITY: TANK INLET
EL NK OUTL : WANING LABEL LOCKING COVER
PROVIDED: PROVDED:
/��.s2/ ��Q D
99,9 YES ❑NO ❑YES NO
BEDDING: V�ErdT DIA.: Vf#FMATL.: HIGH WATE NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT T FRESH
C..r?• C.•0. ALARM: FEET FROM LINE: , AIR INLET:
❑YES NO " ❑YES NO N ��L
D
MANUFACTURER: BEDDING: EL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER
PROVIDED: PROVDED:
YES ❑NO ❑YES ❑NO ❑YES ❑NO
GALL ER CYCLE: PUMP AND CONTROLS OPERATIO NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH
(DIFFERENCE BETWEEN ET FROM LINE: AIR INLET:
PUMP ON AND OFF) ❑YES ❑NO N —*
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: RIAL AND MARKI G:
or excavation. (If soil can be rolled into a wire,construction shall cease until
MAIN
the soil is dry enough to continue
CONVENTIONAL SYSTE . Z e = 99. 6 ,
BED/TRENCH WIDTH: O.OF DISTR.PIPE SPACING: COVER INSIDE DIA.: #PITS: LIQUID
TRENCHES: i MATERIAL: PIT DEPTH:
DIMENSIONS e 6 &
GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DIST PIPE MATERIAL: NO STR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH
BELOW PIPES: ABOVE COV R: ELEV.INLET: ELEV.END: PI ES: LINE: AIR INLET:
� , `/ `/4cre5e'ne FEET FROM i
C . 7W,4S 2 NEAREST &0
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
❑Y NO meets the criteria for medium sand. ELEVATIONS MEASURED.
SOIL COVE TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS;
❑YES ❑NO ❑YES ❑NO
DEPT OVER TRENCH77 DEPTH OVER TRENCH/BED DEPTHS OF TOP L SODDED: SEEDED: MULCHED:
CE ER: EDGES: it
❑YES ❑NO ❑YES ❑NO ❑YES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM:
BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL H BELOW PIPE: FILL DEPT OVE COVER:
TRENCHES:
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING:
ELEVATION AND
ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.:
DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO
INFORMATION APPROVED PLANS
❑YES ❑NO ❑YES ❑NO
PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING:
COMMENTS: FEET FROM LINE:
❑YES ❑NO [::]YES ❑NO NEAREST—►
o
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Sketch System on tain in county file for audit.
Reverse Side. SIGN URE: TITLE:
SBD-6710(R.06/88)
Zoning Administrator
it
QILHR SANITARY PERMIT APPLICATION
In accord with ILHR 83.05,Wis.Adm.Code county! 0 !K
STATE SANITARY PERMIT#
–Attach complete plans(to the county copy only)for the system,on paper not less than Il g >i y(
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
t/4 /4,S T , N, R E(O W
PROPERTY OWNER'S MAILING ADDRESS LOT# BLOCK#
4 1- o U = O
CITY,STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
II. TYPE OF BUILDING: (Check one) El State Owned ❑ VILLLLAGE NEAREST ROAD
❑ Public 1 or 2 Fam.Dwelling#of bedrooms PAR EL TAX NUM.- - )
III. 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.❑ 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 El Mound 30 El SpecifyType 41 El HoldingTank
12 M 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
0
DIErg- t 1 99 JrFeet Feet
VII. TANK CAPACITY Site
In as llons Total #of Prefab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name oncret Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holding Tank
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): Plumb ' Signature:(No S ps PRSW N Business Phone Number:
- ! SY -6X.5"
Plumber's Address/ (Street,City,State,Zip Code):
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee(Includes Groundwater Date Issued Issuing Agent Signature(No Sta ps)
Surcharge Fee) 21,]IK Approved ❑ Owner Given Initial
Adverse t rmin tion
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
i
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 numbers) of
where the system is to be installed.
II. Type of building being served:0heck 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.
V1. Absorption system information. Provide all information requested in ##1-7.
VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of
tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all
septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval from DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application form.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The
plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of
holding tank(s), septic tank(s) or other treatment tanks; building sewers;wells; water mains/water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system
areas; and the location of the building served; B) horizontal and vertical elevation reference points;
C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county.; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater, ground-
water contamination investigations-and establishment of standards.
SBD-6398(R.11/88)
APPLICATION FOR SANITARY PERMIT
STC - 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 _-D,+UI D Yyo N/VE 5E-1 D E L
Location of Property Af W 1% NE 3%9 Section 16, , T 29 N-R 19 W
Township 'f P Y CISl!( CouN-Y , w( scotJsInl
!tailing Address __3- (123 SO U -0- k-tJ IAA G r r/c_ P 0A
-- H'U175UN I G,/iSCONS/Ij _._ 4-C
Address of Site Lt? 1 40 Lb V&A 57r :LO IV SECT) � AD D /710 A/
Subdivision Name _rATI (AN
. Lot Number 40
Previous Owner of property 'Q671V a1 S R. SCµULT-L �'a n� B YL
Total Size of Parcel 2 , 3 -71
Date Parcel was Created - M __Z3 1 8
Are all corners and lot lines identifiable? X Yes No
Is this pr oogZ ty being developed for resale (spec house) ? Yes _ X No
Volume R--- and Page Number 15,31 as recorded with the Register of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A Warranty Deed which includes a Document number, volume and page number, and the
Seal of the Register of Deeds. In addition, a certified survey, if available, would be
helpful so as to avoid delays of the reviewing process. If the deed description refer-
ences to a Certified Survey Map, the Certified Survey Map shall also be required.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PROPERTY OWNER CERTIFICATION
i (We) cutti.6y that atf, statements on zl ' a�em cute �1tue to the beet o6 my (oust)
hnowCedg¢; that 1 (we) am (cute) Ute ownen(ef 06 the phopehty de�scAibed in •th,ia
in6oAmati.on 6onm, by viktue 06 a waAAanty deed kecokded in the 066.ice 06 the
Coiut.t Register o6 Veed�s as Voeument No. Z $ ; and that I (We) pneeen.tty
aun I pnopoaed 8 to 6oh the sewan di�spoA aye em (on I (we) have obtained an
'r ¢aaement, to nun with the above deg chi.bed ptopWil, bon the eonethucti.on o6 eaid
eystem, and the dame has been duty heeohded .tn the 066tee o6 the County Reg•i,a.teA o6
Vttd&, ab Vocweent No. ) .
SIGNATURE Op OWNER y-
S NATURE OF CO-OWNER (IF APPLICABLE)
DATE
SIGNED
DATE SIGNED
- kIOUK � 4 F�Gr
c _
_ i
(((( THIS SPA(:t RESERVED FOR RECORDING DATA
DOCUMENT NO. I I STATE BAR OF WISCONSIN FORM 11-1982
II LAND CONTRACT I
I Individual and Corporate
^ TO BE USED FOR ALL TRANSACTIONS WHERE OVER
IE25,o0o IS FINANCED AND IN OTHER NON CONSUMER REGISTER`S OFFICE
AC TRANSACTIONS) _.
_ ST. CROIX CO., WI
Recd for Record (;
Dennis R. Schultz and OCT 10 19
Contract by and between ------- -------------------------------- -
C. M. BXe, eac'YI �?? their own rig t' - -
ot- 9:10 A. M
("Vendor",
Yvonne M. Seidel an d ro
whether one or more) and •-•-------- -- - V
David A.._Seidel� -as_marital survivorship_property_ _--- Repisterof Deeds
("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. CrolX -------------------------- County, State of Wisconsin: RETURN TO
I Tax Parcel No. .--------•.........I � 33...............
cam IOU TER
Lot #40, Glover Station Second Addition 040-1214 -�0
Land Only.
This 1S not homestead property.
(is not)
a place reasonably directed
Purchaser agrees to purchase the Property and to pay to Vendor at ................4...506-•Via••-••---••...................
H 500 00 _ in the following manner: (a) $-------......
•'•---
the sum of $ •... 22 000 00
at the execution of this Contract; and (b) the balance of $-.•._..r. �_ 0.................. together with interest from date
_________________ per cent per annum
hereof on the balance outstanding from thine to time at the rate of-------------------------
until paid in full, as follows:
is on January_1st of: .each .year,: .cc�tencing
Purchasers shall. make.:interest only paymen
with January 1, 1989.
_nail be paid in full on or before the--._._._1''`�............. day of
Provided, however, the 19 outstanding aturity date).
►731�J]c�r
Following any default in payment, interest shall accrue at the rate of __._.... per annum on the entire amount
cce
a
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,
j 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 t,�len to pri99...l. Any
amount may be prepaid without premium or fee upon principal at any time after....�t�..... +
I'
In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long
its the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated
k,=. t .... .ir• .,,,•>> i;. ?,,,;.. j1,t,., +.i:s .4;^.;:.,.� t;1.a! ;.i.;p . .,�:i„:r,u;:, u;,,,?� l �yq ii 'f rlia� pilF lT/iYil�iiirrY �i'i�r?i%4 4 160,11 II
.,.}.t.
made as first specified above; provided that monthly payments shall he continued in the event of credit of any proceeds
(if inr.urnnr•e nr r•rrtlriorrinnt.lhrl, t,hn r.,n lr•rnn�rl pr�micta I aintr Lhtr�.afl.ar as,•lurlaA hardfrbin. i
Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser
for examination except: for eas�nts, restrictions, sh ems
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. October 1 88
19.
Purchaser shall be entitle to take possession of the Property on-------------------------------------------------------- ........
•Crosr< Out One.
- --- — ---
- — -----
STATE. BAR OF WISCONSIN Stock No. 13011
FLC"flar FORM No. 11-1982
,q n
• • BOOK 824 PALE 540
Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest
in,it and to deliver to Vendor on demand receipts showing such payment.
4 Purchaser .shall.,keep the improvements on the Property insured against loss or damage occasioned by fire, ex-
1., tended coverage perils,and silch other hazards as Vendor may require, without co-insurance, through insurers approved
oy Vendor,.in the sum of $.flill--insurable_valuE'--•, but Vendor stall not require coverage in an amount more
than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall
contain the standard clause to favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original
of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to
insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall
be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or rel,air to be
economically feasible.
Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property
in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and
to comply with all laws, ordinances and regulations affecting the Property.
Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions
shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to
the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except
any liens or encumbrances created by the act or default of Purchaser, and except: ..for-easemnts...................
restrictions, and covenants of record.
.--•----------------------•------•-----------------------------•-•------•----•----...------------...-----------------•----------•-----------•••••--------•---......----•-
-•--------- -•-•-•--•----------•-•-•...•-•----------------•--•-----------•--------- -------------••---•---•••-•---•----•••-•-••---------••......---•-•------..-----
Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or
interest which continues for a period of ..3Q....days following the specified clue date or (b) in the event of a default in
performance of any other obligation of Purchaser which continues for a period of.30..... days following written notice
thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this contract
shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby
waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in
addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this Contract and Purchaser's
rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of
redemption to be conditioned upon Purchaser's full payment of the entire outstanding; balance, with interest thereon from
the date of default at the rate in effect on such date and other amountsdue hereunder(in which event all amounts previously
paid by Purchaser shall be forfeited as liquidated damages for 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
default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser
shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion
thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet-title
action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession
of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action
under (i), (ii) or (iv) above.Notwithstanding any oral or written statements or actions of Vendor, an election of any
of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses
including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to Cie
extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in-
curred, and shall be included in any judgment.
Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents
to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of
the Property during the pendency of such action, and such rents, issues, and profits when so collected shall be held and
applied as the court shall direct.
Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any
of Purchaser's rights under this Contract or by option, long-term lease or in any other way) without the prior written
consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest
conveyed is a pledge or assignment of Purchaser's interest under this Contract soley as security for an indebtedness of
Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding
balance payable under-this Contract shall become immediately due and payable in full, at Vendor's option without notice.
Vendor shall make all pay�ments when due under any mortgage outstanding against the Property on the date of
this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser
makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to
the Mortgagee if Vendor fails to do so and all payments so made by Purchase. shall be considered payments made on
this Contract.
Vendor may waive any default without waiving any other subsequent or prior default of Purchaser.
All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives,
successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable
consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the
deed to be made in fulfillment hereof.)
Dated this ...........lSt.............. .. ........... day of . -----...October. - - -----•-----_- ......... 19$8.....
(SEAL) -( - ..
==----•t- ` .................(SEAL)
............................. ...... . . 1- F=
4 Dennis R. Schultz David A. Seidel
---------------------------------------------------- ------------ ......................... ------ ........
--... �:...- ••---- -- -- ------•------•--- ------..(SEAL) 1 --.....(SEAL)
C. M. Bye ....iionne M. Seidel
M f
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) Dennis..R. Schultz STATE OF WISCONSIN
............ .. ..............
C. M. Bye Ss.
----•------------------ ---••-•--------•---•----------------------•---•-•------• Pierce
....................................County.
authentic t is _ ._..day ... October , 19.88. Personally came before me this ..... St.....day of
October---....•-- •----- 19.88__- the above named
StevenB. Goff .... .. •-•--------------------------------------------- ---------
TITLE: MEMBER STATE BAR OF WISCONSIN David A. Seidel
....... -•--•.......... ........
(If not. ..................... Yvonne M. Seidel
---------------------------------------
authorized b ...---••-- -•-•.................................• •--- -.....---...-.
y § 706.06, Wis. Stats.) to me wn, be the Zrson A... ... �
foregoi�i ins unlrmt a d�acknowl , t a same."
THIS INSTRUMENT WAS DRAFTED BY .� II
C. M. Bye, Attorney at Law .t-st.�-'' ! -----•-�.. .......... . N
y , y ........... ,; --PUBLIC... _
... .......................•-•-•---- --.. ...... David E. Reis 9 �
P. O. Box 167, River Falls, WI 54022 r .. . F'- ....
S��
.......•--•-••--------••- ----••••....._....-••-----•• • •-•- . . Pierce
Notary Public ...
(Signatures may be authenticated or acknowledged. Both My Commission is permanent. (if not,
are not necessary.) date December 2 1g�O
•Names of persons signing in any capacity should be typed or printed • "•""""""' "' "" ......"" "... ."""__....""�
below their signatures.
CTS:db
6
STC - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER _9A vi yoAtNC St=IDE-L
ROUTE/BOX NUMBER NOT N e. 0e D i N HV DSu N FIRE NO.
CITY/STATE HUDSa1V W ISGoIJSIN ZIP .5-4ol 6
PROPERTY LOCATION: 1/4 1Vi5- 1/9, Section I , T ZS N, R--L2—W,
Town of Y St. Croix County,
Subdivision CrLOvCI= S7rt--r/vnl , Lot No. 40 .
Improper use and maintenance of your septic system could result in its premature
failbre 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 MAXIMM 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 GLtliti� a_
i
DATE Sr- l - Y'/
St. Croix County Zoning Office
St. Croix County Courthouse
911 9th Street
Hudson, WI 59016
(715) 386-4680
Sign, Date, and Return to above address
i
I
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
IN�DUSTRY� DIVISION
LABOR AND PERCOLATION TESTS (115) MADISON WI 53707
HUMAN RELATIONS
(1-163.090) & Chapter 145.045)
LOCATION: SECTION: TOWNSHIPi tdf ¢� ITY: LOT NO.:BLK.NO.: SUBDIVISION NAME:
SE ' 1W 1/4 16 /T28 N/R 19fxor)W I Troy 40 n/a I Glover station
CO NTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS:
t. Croix Dave Seidel 6239 Bloomington Ave. S. , Richfield, Minn. 55423
USE DATES OBSERVATIONS MADE
NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILEDESCRIPTIONS: E A ON TESTS:
142Aesidence 3 n/a xfociew ❑Replace 9-30-88 n/a
RATING:S=Site suitable for system U=Site unsuitable for system
CONK ENT NA IMOUND:OU IN-GROUND-f'RG UR : S—Yb7 EM-1 TN-FILL BOLDING TANK: RECOMMENDED SYSTEM:(optional)
Lx s ❑U QS ❑U )EIS 0� ❑S ®U I EIS conventional
If Percolation Tests are NOT required DESIGN RATE:
G If any portion of the tested area is in the
under s.H63.09(5)(b),indicate: class 2 I Floodplain,indicate Floodplain elevation: n/a
decimal' PROFILE DESCRIPTIONS page 82 BXC2
BORINGI TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH
NUMBER IDEFYTH USD ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
B-1 6.91 102.45 none >6.91 .83bl.1. 1.25bn.sil. .83bn.l.s. 4.00bn.m.s.
2 7.50 none >7.50 .83bl.1. .67bn.sil. 1.00bn.c.s.&gr. 2.00bn.l.s.3.
B-2 103.65 bn. .s.
B-3 7.08 103.31 none >7.08 .83bl.1. .75bn.sil. 2.00bn.l.s. 3.50bn.m.s.
B-4 7.17 102.50 none >7.17 .00bl.l. 1.00bn.sil. 3.00bn.m.s. 2.17bn.s. .
B-5 7.00 104.00 none >7.00 .83bl. 1. 1.08bn.sil. .92bn.s.l. 4.17bn.l.s.
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH
P-
P- see desiW. rate
P_
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 99.45 �v
JA
-
I f
TN
I _
rtllr , i ; ------ Zt
_._ I , 1--
I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME print): TESTS WERE COMPLETED ON:
Gary L. Steel 9-30-88
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBE (optional):
988 N. Shore dR. , New ARichmond, Wi. 54017 / 98 1-15-246-62 0
CST SIG URE:
DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester.
IL-DILHR-SIID-6395 (R.02/82) --0%1ER —