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Form - STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER �,j c,�f //�/�� TOWNSHIP P 4 c�Sa�'1 SEC. /7 T Z iN-R_. -' W
ADDRESS dw!2 ST. CROIX COUNTY, WISCONSIN
SUBDIVISION C / �,.� LOTS LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of I•1HR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
4/5 J�vn�.E /v>".t C-✓� �� O �t:� / /C 1Y�r�c� ��
7 4.011
r y it
1
------ —_ INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used .5't,-) Lo �rszav
Elevation of vertical reference point: Proposed slope at site:
SEPTIC TANK: Manufacturer: � A S Liquid Capacity: 6
Number of rings used: Tank manhole cover elevation:
Tank Inlet Elevation: Tank Outlet Elevation:
Number of feet from nearest Road: Front,0 Side, Rear, O ye'S feet
From nearest property line Front,OSide,ORear,/Cl� 79 � feet
Number of feet from: well building: :�70 17
(Include this information of the above plot plan) ( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
""�■��
� R
PUMP CHAMBER
Manufacturer: I VIP Liquid Capacity:
Pump Model: Pump/Siphon Manufacturer: Pump Size
Elevation of inlet: Bottom of tank elevation:
Pump off switch elevation: Gallons per cycle:
r
Alarm Manufacturer: Alarm Switch Type:
Number of feet from nearest property line: Front, O Side, O Rear,0 Ft.
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: Trench:
Width: Len$th: Number of Lines: Z Area Built:
Fill depth to top of pipe: a
Number of feet from nearest property line: Front, O Side, O Rear, Ft .�G
Number of feet from well: '?y
Number of feet from building: 14g "
(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 or distribution box O been used on any of the above soil
absorbtion sytems? (Check one).
HOLDING TANK ) �
Manufacturer: (/ Capacity:
Number of rings used: Elevation of bottom of tank:
Elevation of inlet:
Number of feet from nearest property line: Front, O Side, O Rear, OFt.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector:
Datety l Plumber on job:
License Number: d��i'�i''S J12 G
3/84:mj
1
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS
i'LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O.BOX 7969 t
BUREAU OF PLUMBING
MADISON,WI 53707
SE4jSW ,517,T29N-R19W MCONVENTIONAL 1:1 ALTERNATIVE [Stine Plan
(If assigned)
D.Number�
Town of Hudson ❑Holding Tank ❑In-Ground Pressure ❑Mound
Lot 85 Willow Ridge East
NAME OF PERMIT HOLDER. JADDRESS OF PERMIT HOLDER: INSPECTION DATE:
B & H Development Route 5, Hudson, WI 54016 G' —gg /U'00
BENCH MARK(Permanent reference P-0 DESCRIBE IF DIFFERENT FROM PLAN. REF.PT.ELEV.: CST REF.PT.ELEV..
Name of Plumber. MP/MPRSW No.: County Sanitary Permit Number:
Roger Timm 3224 St. Croix 106097
SEPTIC TANK/HOLDING TANK:
MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED.
DYES ONO DYES ONO
BEDDING. VENT DIA. VENT MATL. HIGH WATER NUMBER OF ROAD: PROPERTY WELL. BUI L DING.IVENTTOFRESH
ALARM FEET FROM LINE AIR INLET
DYES ❑NO OYES ONO NEAREST
DOSING CHAMBER:
MANUFACTURER BEDDING: LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED.
❑YES ❑NO DYES ONO ❑YES ❑NO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH
(DIFFERENCE BETWEEN FEET FROM uNe AIH INLET
PUMP ON AND OFF) DYES ONO NEAREST
SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING
or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
BED/TRENCH WIDTH' LENGTH IN OE OF DISTR PIP�Pf CI COVER PIT INSIUE DIA SPITS DEPT
DIMENSIONS
5/ SCG/-1/ DEPTH
GRAVEL DEPTH FILL DEPTH UIS7H PIPF DISTR.PIPE DISTR.PIPE MATERIAL. NO.DIST NUMBER OF PROPE RTV WELL BUILDING VENT TO F HESH
BELOW PIPES ABOVE COVER ELEV.INLET ELEV.END'. ^ PIPES FEET FROM LINE AIR INLET
( C/ I NEAREST--►
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA-
meets the criteria for medium sand. TIONS MEASURED.
OYES 1:1 NO
SOIL COVER TE XTURE PERMANENT MARKERS OHSEHVATIDN WE LLS
❑YES ❑NO 1:1 YES ONO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED D SODDED SEEDED MULCHED
CENTER EDGES.
OYES ONO OYES ONO ❑YES El No
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 MANIFOLD MATERIAL NO DISTR fSTR.PIPE DISTHIBUTION PIPE MATERIAL&MARKING
ELEV.. ELEV.. DIA.. ELEV.' PIPES A'.
E LEVATION AND
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED
❑YES ❑NO 1:1 YES ONO
COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL. BUILDING.
FEET FROM LINE
/ < ❑YES El NO 1OYES 1:1 NO NEAREST
jovb d
� o
Sketch System on Ol Lain in county file for audit.
Reverse Side. /
SIGNATURE. TITLE
Zoning Administrator
DILHR SBD 6710(R.01/82)
SANITARY PERMIT APPLICATION °°""T`'
P:� In accord with ILHR 83.05,Wis.Adm.Code� ,,,�,.a���� STATE SANITARY PERMIT#
/6)609 �-/
—Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER
8%x 11 inches in size.
—See reverse side for instructions for completing this application. PETITION
1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES ONO
PROPERTY OWNER PROPERTY LO ATION
Sg '/a s(� '/o, S / T 7�, N, R it" (or PROPERTY OWNER'S MAILING AD ESS LOT NUMBER BLOC;MBER UBDIVIS NN NAMCITY,STAT Z IP CODE PHONE NUMBER CITY NEARESTROAD,L�AK R LANDMARK
O VILLAGE:
541 /¢ NNOF
II. TYPE OF BUILDING OR USE SERVED:
Number of Bedrooms if 1 or 2 Family 3 OR ❑ Public(Specify):
Ill. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable)
1. a. Z New b.❑ Replacement c. ❑ Replacement of d.❑ Reconnection of e.❑ Repair of an
System System Septic Tank Only an Existing System Existing System
2. ❑ A Sanitary Permit was previously issued. Permit## Date Issued
3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements.
4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy.
IV. TYPE OF SYSTEM: (Check only one in#1 and only one in#2)
1. a.J`="Conventional b. ❑Alternative C. El Experimental
2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP
In-Fill Tank
V. ABSORPTION SYSTEM INFORMATION: (Check one)
1. a. ❑ Seepage Bed b. X Seepage Trench c. ❑ seepage Pit
2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY:
(Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet):
$1.4 J pz> y7, 3G Feet Private ❑Joint ❑ Public
VI. TANK CAPACITY Prefab. Site Fiber- Exper.
in al Ions Total #of Manufacturer's Name Concrete Con- Steel glass Plastic App
INFORMATION New xisting Gallons Tanks structed
Tanks Tanks
Septic Tank or Holding �v Tank � �'�' e Q+H
Lift Pump Tank/Siphon Chamber ❑
VII. RESPONSIBILITY STATEMENT
I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans.
Plumb is Name(Print): MP/MPRSW Busine ss Phone Number:
•ter �in,�c..
3zZ 1,r�5 7-72- 3z/'�
Plum is ress(Street,City State,Zip Code): Name of Designer:
VIII. SOIL TEST INFORMATION
Certified Soi Tester(CST)Name CST#
CST's ADD SS(Str t,Cit tate,Zip Code) Phone Number:
L z� ' v1 -7t s 3�� ��
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved S itary Permit Fee GrWLE e Issuing Agent Signature(No Stamps)
PP c-.� '�8_�A roved Owner Given Initial 120 add D Adverse Determinati o
X. COMMENTS/REASONS FOR DISAPPROVAL:
SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber
INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT r• ,
APPLICATION
TO THE APPLICANT: '
1. This 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. A new permit may be needed
if there is a change in your building plans, system location, estimated wastewater flow (number of bed-
rooms, etc.), depth of system, or type of system;
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. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years;
6. If you have questions concerning your private sewage system, contact your local code administrator or the
State of Wisconsin, Bureau of Plumbing, 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 where the system is to be `
installed;
II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat
restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling;
III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or
repair;
IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project
is in conjunction with University of Wisconsin;
V. Absorption system information: Provide all information requested in ##1-6;
VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons °o be installed,
number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete
for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if
tanks received experimental product approval from C1ILHR;
VII. 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. Fill in designer name if
applicable;
VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number.
IX: County/Department Use Only;
X. Comment area for use by county or resaon given when application is disapproved.
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; dosing or pumping chambers; 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.
------------------------------------------------------------------------------------------------------------------
GROUNDWATER SURCHARGE
On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more
commonly known as the groundwater protection law. This change in statutes was the
result of over 2 years of steady negotiation and public debate. The groundwater bill GroundWatar
included the creation of surcharges (fees) for a number of regulated practices which Wiscor4i;n=�
can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that , e
is used in your building is returned to the groundwater through your soil absorption buried re$SIItB
system or the disposal site used by your holding tank pumper. °
, a
The monies collected through these surcharges are credited to the groundwater fund adminis-
tered by the Department of Natural Resources. These funds are used for monitoring ground- t
water, groundwater contamination investigations and establishment of standards. Groundwater,
. .:........::
it's worth protecting.
SBD-6398(R.03/86)
APPLICATION FOR SANITARY P$RM1T
STC - 100
i
This application form is to be completed in full and signed by the owner(s) of the
prul,crty bring developed. Any inadequacies will only result in delays of the permit
issuance. Should this development be intended for resale by owner/contractgr, ("spec
110.1use") , then a second form should be retained and completed when the property is
sold and submitted to this office with the appropriate deed recording..
- - - - - - - - - - - - T!- - - - - - -- - -/- - - - - - - - - - - - - - - - - - - -
Owner of Property
Lucat Luu of Property S It SAl It, Section 1, T dL N - R 19 W
Tuwuship ,1,,elselj
M.,l l !nb Address A[o /00 It SASS
Subdivision Name
Lot Number �J --- -- --- • -_ _
Previous Owner of Property ALrela�d „Se"QLu SF/rf
I f -
1•utal Size of Parcel lack
i 99
I)jLe Parcel was Created 3 cj a3 t 4 g
Arc all corners and lot lines identifiable? X Yes No
lb this property being developed for resale (spec house) ? A _ Yes _ No
VuIWile• 3 and Page Number /(a as recorded with the Register of Ueedd
INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING:
1. Warranty Deed
2. Land Contract
3. Other recordings filed with the Register of Deeds Office
In addition, a certified survey, if available, would be helpful so as to avoid delays
01 the reviewing process. If the deed description references to a Certified Survey
Hap, the the Certified Survey Map shall also be required.
PROPERTY OWNER CERTIFICATION
i (we) cehti.6y xhat att a.ta.temeaA on thi.6. 6onm aa.e tAue to the beat 06 my (uuA)
kiiLutedge; tEuxt 1 (we) am (ane) the owneA(a) o6 the pnopeAty deaeni.bed in .LI,,i.e
c►i6unmati.un 6onm, by viAtue o6 a waAa►tity deed heeonded in the 066ice o6 the
County Reg-c.a•ten o6 Deeda a.a Document No. 3950,20 ; and that I (we)
p4"e,LUy own .the,pnopoaed a.i,te bon the sewage poa aya.tem (on. I (we) have
ub•ta.i.ned an' easement, to nun with the above dea"ed pnopeAty, bon the
eoNotnuetion o6 aa�.d 6y,6ten, and .tile name has been duty %econded in the 066 .ce
u6 .tile County Reg-i.a.ten. o6 Deeds, as Document No. .32S-,6 2 __) .
SIGNA'i•UKE OF OW SIGNATURE OF CO-OWNER (IF APPLICABLE)
i
UA'I ' SIGNED UA'rE SIGNE*U
„LJQ V('1'141:
• ST. CROIX Co ., W4
4 >,'•, , ., :,,� Amu% .40 Need. for Reowd 06 23rd
w r� day of-jMX _A.a i Q�4
of Md
LAND CONTRPCT
Contract, by and between Arnold A. Bertelsen a/k/a A. R.. rtelsen,an
Virginia A. Bertelsen, husband and wife, Vendor, and B. i H. velopment, Inc.,
a Wisconsin corporation, Purchaser.
Vendor sells and agrees to convey to Purchaser, upon the prompt and full
performance of this Contract by Purchaser, the following property, together with
the rents, profits and other appurtenant interest (all called the "Property"),
in St. Croix County, State of Wisconsin:
South 53 1/3 rods of South Half of Southwest Quarter (S SWU
and South 53 1/3 rods of Southwept Quarter of Southeast
kk Quarter (SWkSEk) of Section 17, T29N, R19W.
f' That part of Northwest Quarter of Northeast Quarter (NWt
j NEU and of Northeast Quarter of Northwest Quarter OfEt
NWT) of Section 20, T29N, fi19W, lying Northerly of the
centerline of St. Croix County Trunk Highway "A” (formerly
kncwn as Hudson-New Richmond Highway),
EXCEPT the following parts of the above described tracts:
All land included within the Plat of Willow Ridge Second •tJ �
Addition to the Town of Hudson as described in Vol. 4 of '�'
Plats, page 25;
Parcel deeded to Marlin O. Amdahl and Ruth L. Amdahl as
described in Vol. 517, page 26, Document No. 324368;
Parcel deeded to Roger ;. Hetchler as described in Vol. 511,
page 114, Document, Number 324430.
TOGETHER with an easement for street purposes over the Easterly
33 feet of said parcel deeded to Roger E. Hetchler as described
I in Vol. 517, Page 114, Document Number 324430.
SUBJECT TO the right-of-way of said St. Croix County Tru.ik Highway
"A" and to telephone easement adjacent to said highway as recorded
in the office of said Register of Deeds.
Purchaser agrees to purchase the Property and to pay to Vendor at: St. Croix
Heights, Hudson, Wisconsin, the Base Purchase Price of $100,000.00, together with
additional payments per lot, as follows:
1. Base Purchase Price. The base purchase pr'ce of $100,000.00
shall be paid in the following manner: $15,000.00 at the
execution of this Contract, and the balance of $85,000.00
together with interest on such portions thereof as shall
I remain from time to time unpaid, at the rate of 10% per
annum, until paid in full, as follows:
(a) For each individual lot developed and sold by the Purchaser,
Purchaser shall pay to Vendor a $2,000.00 ,principal payment, to
be applied to the $85,000.00 base contract balance outstanding.
(b) A minimum annual payment of $15,000.00 principal shall be
paid each year, excluding the year of sale. Each der lot
principal payment required above, shall be credited toward
this $15,000.00 annual payment.
(c) On December 1, 1985, and on December let of each year
thereafter, Purchaser shall pay to Vendor the differential
between the required minimum principal payment of $15,000.00
and the total $2,000.00 per lot payments made during the
preceding twelve (12) months, until the Base Purchase Price has
been paid ;.n full.
(d) Interest on the principal balance of $85,000.00 shall accrue
from the date of closing, with annual payments of interest due on
the lot day of December, each year, commencing December 1, 1984.
We. J. 2. Additional Per Lot Payments. In addition to the foregoing Base Purchase
ATTQI.•• .r ,.w Price payments, Purchaser shall pay to Vendor additional per lot payments
totaling not less than $;50,000.00, as follows:
Tul7en Square
502 Second St (a) No interest shall accrue on the principal sums paid to Vendor
Hudsal. wis under the terms of this Paragraph.
510 18
715 3881231
L
. VOL
(b) Purchaser shall pay to Vendor the sum of $3,000.00 per
lot an all residential lots developed and sold by Purchaser,
subject to the condition that the minimum amount of payments
to be made to Bertelsen under this Paragraph shall total
at least $150,000.00.
(c) During each year of this Contract that there is an
outstanding contract balance of the Base Purchase Price
(Paragraph 1(a)) there shall be no minimum annual principal
payments under this paragraph. Commencing with the year
following completion of payment of the Base Purchase Price,
Purchaser shall pay to Vendor a minimum annual sum of
$15,000.00 per year.
(d) On the lot day of December of each year, Purchaser
shall pay to Vendor the differential between the minimum
annual payment of $15,000.00 as provided in this Paragraph,
and the total $3,000.00 per lot payments made during the
preceding twelve months, until the entire $150,000.00
minimum sum has been paid. Thereafter, if Purchaser sells
any lots in excess of 50 lots, Purchaser shall pay to Vendor
the sum of $3,000.00 for any such additional lot sold, up to a
total of 53 lots. ($159,000.00 total hereunder)
Purchaser shall not be required to pay monthly payments to Vendor sufficient
to pay reasonably anticipated annual taxes and special assessments.
Any amount my bq prepaid without premium or fee upon principal at any time.
In the event of any prepayment, this Contract shall not be treated as in
default with respect to payment so long as the entire balance of principal, and
interest where required, is less than the amount that said indebtedness would have
been had the monthly payments been made as set forth above.
Purchaser states that Purchaser is satisfied with the title as shown by the
Abstract of Title submitted to Purchaser for examination, except:
Real estate mortgage to Sam E. Miller, dated February 1,
1980, recorded in Volume "608", Page 152, Document Number
362685. This mortgage shall remain the obligation of
Vendor, who shall keep said mortgage current and in good
standing. In the event Vendor fails to pay any required
mortgage payment, Purchaser shall have the right to make
such payment, and to deduct any payment so made from the
sums due under the terms of this Contract.
Purchaser agrees to pay the cost of future title evidence.
Purchaser shall be entitled to take possession of the property on Closing.
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.
Purchaser covenants not to commit waste nor allow waste to be committed on
the Property, to keep the Property in good ter,antable condition and repair, to
keep the Property free from liens superior to the lien of this Contract, and to
comply with all laws ordinances a,:d regulations affecting the Property.
P Y , 8
Vendor agrees that in case the purchase price with interest and other moneys
shall be fully paid and all conditons shall be full 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, subject to utility easements and covenants and
restrictions of record.
Bertelsen shall have the right to purchase one (1) lot from B b H for
the sum of '45,000.00. Bertelsen may select his lot after B b H picks its first
five lots.
-2-
v�. 48
Vendor shall consent to the platting of the premises into residential
subdivisions by Purchaser and Vendor shall be under an obligation to approve
and execute subdivision plats prepared and submitted by Purchaser.
In addition to the Warranty Deed which Vendor shall deliver at time of
ultimate closing, Vendor shall execute and deliver to Purchaser, individual
Warranty Deeds covering the separate residential lots which Purchaser may sell,
upon payment of the per lot payments set forth above. All costs of platting and
costs incurred in preparation of individual deeds shall be Purchaser's expense.
Purchaser ag-ees 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 60 days
following the specified due date or (b) in the event of a default in performance
of any other obligation of Purchaser which continues for a period of 60 days following
written notice thereof by Vendor (delivered personally or sailed 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; M 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 tffect on such date and other amounts due hereunder
(in which event all amounts prev:o%sly paid by Purchaser shall be forefeited 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
peformance 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 j
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 M, 6.i) or (iv) above. Notwithstanding
any oral or written statements or actions of Vendor, an election of any of the
foregoing remedies shall only be binding upon Vendor if and when pursued in litigation
and all costs and expenses including reasonable attorneys fees of Vendor incurred to
enforce any remedy hereunder (whether abated or not) to the extent not prohibited
by law and expenses of title evidence shall be added to principal and paid by
Purchaser, as incurred, 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 aseignment of Purchaser's
interest under this Contract solely as security for an indebt3dness 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 may waive any default without waiving any other subsequen• or prior
default of Purchaser.
-3-
vL- Wpm 49
I .
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
P' loins 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 29th day of May, 1984.
VENDOR: PURCHASER:
B-& Hvl�EVELOPtXNT, INC.
Arnold R. Bertelsen a/k/a A.R. Bertelsen Donald E. Bjornst President
P
ATTEST:
V cnA� e
,�,L�•���/ /
�r/Xsw�C• ��Aprs.••�
William C. Harwell, Secretary
I
Authentication: a •qo •' ��
Signature(s) of mold R. B rtels n, •s. C, p
yrginia A_ Bert la n- his wife, and t-O w y�►.
Donald E_ Ain=atad and William C
Harwell. President and Secretary
resvecti—I of A-& H Develovment Ipt191
authentic ed' y day cf May,(
William J. Radosevich
Member State Bar of Wisconsin.
This instrument drafted by:
William J. Radosevich
Attorney at Law
Hudson, Wisconsin 54016.
-4-
S .T C
Y
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SEPTIC. TANK MAINTENA CE ACKEEMENT `
St . Cixpix 04114
• 3 v
WNEk/BUYEX_A- .P
,r� Fire Number _
UUTE/BOX NUMBER ✓tl/a g -- _
zii'
CITY/ STATE
YkUPERTY LOCATION : k. �:. Sect 1on��
i/
Town of f1�O�rnd �t • Croix County .
� -c
Subdivision � o+u' Lot uumber - I
improper use. and maintenance of your septic bysLeIll result in I
its premature failure to
handle wastes . Prul
bibts ut pumping out the septic tank eve KY llir�•e y�•:►r:i or suullO I
a licensed ae tic tank �ulnvurT Wtt.it You put into
It Il•:�d�d , by ._.._L' --
the system can affect the function o'f- 04',u Septic Conk os a treat-
men[ b1CJ6C in the waste disposal system-
St . Croix County residents !Ray be eligible to receive o grant fur
v m.,xlu►um of 60X of this cost of replacelaeut oftf failing Ly•
which wds in operation ptiv� . ^ "
T,ccepted Chia program in August- of 19t1U, with tl►e reyuireu►ent cl►.,t
of all new systems agree to keep their systems properly
owners
maintained. !
art owner agrees to submit to St . Croix County '"1"119 a
t'hr
property
acct if ieatlon form, signed by tl►e owner and by a aluafter 1• luullJer
juurneyman plumber , reatrieted plumber or osalcHne[elul,ly,pin pruper
Lying that (1) the on-pits wastewater disposal Y
uperating condition and (2) after inspection and pu"'I' i`;9 ( it llec-
essdry ) , tha septic 'tank is less th�ox mately130tdaysdprior to
Certification form will be sent app •�
0
three year expiration. >e
the above requirements and agree 4A
I/WE, the undersigned, have read
to maintain the. private sewage disposal system in accordance with �
Depart-
the standards set forth, hereinCificationyform mustobeicompleted
went of Natural Resources . C toning Offi.Ce within 30 days
and returned to the St . Croix Country
of the three year expiration date . z n
SIGNED
' DATE
St . Croix County Zoning Office
P.O. Box 98
Hammond , . WI 54015
715-796-2239 or 715-425-8363
Sign , date and return to above address .
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS
INDUSTRY, REPORT
LABOR AND PERCOLATION TESTS 1115) P.O. BOX 7969
HUMAN RELATIONS l / MADISON,WI 53707
(H63.0901&Chapter 145.045)
NSH UNICIPALITY: T N0. NO.: SUBDIVISIONppNA E:
SE '/Q/ 29 N/R19 (or bS) �S t�10 T.I�i 14ST
COUNTY: NAME: /
Sr CA . SO-A OPME 91D ST CleOlk ST Mokry ,/uason, , s4o11
DATES OBSERVATIONS
Cq M MADE
Residence Residence �New ❑Replace LAAx V
SO«-`,&�0-4e.
6, S® S41LS — t�k� 19Ulk"Q*:W r
RATING:S-Site suitable for system U-Site unsuit"for system
r ZVI, M N - -F LL OLD N TANK: ECOMMENDED SYSTEM:loptional)
S ❑u S ❑U S ❑U S ❑S
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: LA-S6 Floodplain,indicate Floodplain elevation: ry�
PROFILE DESCRIPTIONS
BORING TOTAL T - H CHARACTER OF SOIL WITH THI15KNESS,COLOR,TEXTURE,AND DEPTH
IWJMBER DEMIN. ELEVATION ERVED- TO BEDROCK IF OBSERVED ISEE ABBRV.ON BACK.)
11'*g*,JlJ .f.rS 12°$f.L ZY"Rf,&NSt&ft 9"Bk.J M S
B- 3 / /, >8.43? s'BaN CS4&t u"CT aIM MS
B- Z 171S 99.61 _Ndr4ir 7.7 S 9 kubt.A QrS JCt "RW St6ik 54'Tr8eNMiS-R',&
B- 20,4BtL7S 6 $QNL U w lt /G gad MS*6R
3 00. _b
N �► $, Z9'"L-rBRN MS 4/wBRaS•E�R.
20"eAN L_M M"I &IMS♦6t 3"4te$aa S-+&4t
B- /D•Od 0. > /0•00 41"8RN M-+Gt 0"BRN IMS
o m Lr > a.00 9"&NLTS /a"81t 1 M.stc 4&'r-
B-
�FT PERCOLATION TESTS
TEST I DEPTH WATER I OL TEST TIME A MINUTES
NUMBER I I AFTERS ELLING INTERVAL-MIN.. PEF110132 PERIOD 3 PER INCH
P- i? > 2
P- Z o tg jj6n. > L
P_
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P-
PLOT PLAN: Show locations o percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances, ascribe what are the hori-
zontal and vertical elevation ref once points and show their location on the plot plan. Show thq surface elevation at all borings an the direction and percent
of land slope.
SYSTEM ELEVAT N g-z_' �� ' s- M
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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.
NAM1 (print): TESTS WERE COMPLETED ON:
NARVLY J0NNSoN ��SGN Sc� CIE V►«uv ,P+Etc. 2G /98g
ADM S: I CERTIFICATI N NUMBER: PHONE NUMBER(optional):
40.7 SEcc,,,,I& ST 1�1LJ1SpN V1 'CUO)& 3484 6 og0
��13 CSTSI TUBE:
DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester.
DILHR-SR"395 (R.02/82) —OVER —
MARS 3224 WI
MPCA 696 MN JOB /6t
SHEET NO.Timm,
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R I, Box 192, Wilson, WI 54027 SCALE
715-386-5443
ROGER TIMM 715-772-3214
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ROGER TIMM 715-772-3214 -
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