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Parcel #: 020-1230-40-000 02/07/2005 12:21 PM
PAGE 1 OF 1
Alt. Parcel#: 29.29.19.1232 020-TOWN OF HUDSON
Current X, ST. CROIX COUNTY,WISCONSIN
Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type
00 0
Tax Address: Owner(s): '=Current Owner
*WILLERT, RUEBEN W&BETTY L
RUEBEN W&BETTY L WILLERT �
489 COUNTRY VIEW RD
HUDSON WI 54016
Districts: SC=School SP=Special Property Address(es): '=Primary
Type Dist# Description '489 COUNTRY VIEW RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.010 Plat: 2421-ROSSING'S COUNTRY VIEW
SEC 29 T29N R19W LOT 4 ROSSING'S COUNTRY Block/Condo Bldg: LOT 4
VIEW ADDITION
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
29-29N-19W
Notes: Parcel History:
Date Doc# Vol/Page Type
07/23/1997 833/311
07/23/1997 831/639
07/23/1997 797/49
2004 SUMMARY
Bill#: Fair Market Value: Assessed with:
49272 250,500
Valuations: Last Changed: 10/29/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.010 30,100 163,700 193,800 NO
Totals for 2004:
General Property 2.010 30,100 163,700 193,800
Woodland 0.000 0 0
Totals for 2003:
General Property 2.010 30,100 163,700 193,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch#: 113
Specials:
User Special Code Category Amount
018-RECYCLING SPECIAL ASSESSMENT 27.00
Special Assessments Special Charges Delinquent Charges
Total 27.00 0.00 0.00
b
` Form - S T C - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER St rn �✓ ��l' TOWNSHIP SEC. 2:— T 219 N-R�
ADDRESS rg ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT 7 LOT SIZE Z,4�C' /¢e C o,3
co o, L/ U;a.W I ST (�72 0`" �Z 3 Q° Vim `_:)< y
PLAN VIEW ��Z_3Z-
Distances and dimensions to meet requirements of IZHR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
SGaI4. I�Lf IO
d
am
Witt'
I y
f !
I
G.o"'t y V W Cz Liz a
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used / IaT VJ, (o-r Cc+ruav
o
Elevation of vertical reference point: 0 Proposed slope at site:
SEPTIC TANK: Manufacturer: Wa,i Sad- Liquid Capacity: 10®O qa
Number of rings used: Tank manhole cover elevation: (0.78
Tank Inlet Elevation: Tank Outlet Elevation: -/•eIS'-
i
Number of feet from nearest Road: Front 10 Side,n Rear, O 9 S feet
From nearest- property line Front 10 Side,O Rear,0 (0 3c feet
Number of feet from: well 103 building: Ie'-f Z$1 -F✓owe S,L 9 komse
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
s
PUMP CHAMBER f,
Manufacturer: � s Liquid Capacity:
Pump Model: Pump/Siphon Manufacturer: Pump Size
Elevation of inlet: Bottom of tank elevation:
Pump off switch elevation: Gallons per cycle:
Alarm Manufacturer: Alarm Switch Type:
Number of feet from nearest_ property line: Front, O Side, Rear, Ft.
O Q
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: CoH_� ..�I`i o.,w ( Trench: ---
Width: /g Length: 34:�,^ Number of Lines: Area Built:6
Fill depth to top of pipe: YO
Number of feet from nearest property line: Front, O Side, O Rear,fit . /D i
Number of feet from well: �5
...........
Number of feet from building: t Z
(Include distances on plot plan).
SEEPAGE PIT
Size: Aq- 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
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, 0Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector:
Dated: Plumber on job:
License Number:
3/84:mj
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR C; A ilk �"M(SAFETY&BUILDINGS
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS _ DIVISION
P.b.BOX 7969 j+ BUREAU OF PLUMBING
MADISO-N,WI 53707
$w% NEE T29N R19W q ONVENTIONAL ❑ALTERNATIVE Sltate Plan I.D.Number:
Wn db UC�iSd ❑Holding Tank ❑ In-Ground Pressure ❑Mound
IT
Lot d�ssi a CountlulView
NAME OF PER-IV ADDRESS OF PERMIT HOLDER: INSPECTION DATE.
&am Mitt Route 1 BQx 282 H /G ' 2oAV ,30
BER64LUASAwWermanern reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV: CST REF.PT.ELEV.
Name of Plumber MP/MPRSW Nn. County. Sanitary Permit Number.
s d 6 5432 St. cuix 11 z8o3
SEPTIC TANK/HOLDING TANK:
MANUFACTURER: LIQUID CQP ITV. TANK INLET ELEV.. TANK OUTLET ELEV.. IWARNINEGLABEL ING CO PROVIDD: PROV
❑YES ❑NO ❑YES ❑NO
BEDDING: VENT DIA.: VENT MATT JHIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH
ALARM FEET FROM /�` LINE./ � �� / n AIR INLET.
❑YES ❑NO DYES LINO NEAREST
DOSING CHAMBER:
MANUFACTURER. BEDDING. LIQUID CAPACI TV PUMP MGDE L jP11MP,SIPI111N MANUI AC IREFI WARNING LABEL LOCKING COVER
PROVIDED. PROVIDED.
❑YES ONO ❑YES ❑NO ❑YES ❑NO
GALLONS PER CYCLE: 77ND CONTROLS OPERATIONAL NUMBER(, PHOPE R7v WELL BUILDING VENT TO FRESH
(DIFFERENCE BETWEEN FEET FROM LINE AIR INLET:
PUMP ON AND OFF) ❑YES ❑NO NEAREST "-- ►
SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing I IINr,7H 1111AMF TER 111ATIRIAL AND MARKIN',
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:
WIDTH' LENGTH IN1,111 1115TH PIPE SPACING, COVER :INSIDE f)IA PITS LIQUID
BED/TRENCH . TH NCH ES I MA TM(4j FIT DEPTH
DIMENSIONS, �� y1/-1
GRAVEL DEPTH FILL DEPTH DIS7 H.PIPF 1115TH PIPE DISTR.PIPE MATERIAL NO 1115117 NUMBER OF PROPERTY WELL. BUILDING. VENT TO FRESH
BELOW PIPES ABOVE COVER El EV IN f f ELEV END PIPE S LINE AIR INLET
-
t FEAT FROM �� 7S` S� _52e
I U ,6�'1 '•�,�,E Z J / NEAREST
SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA-
meets the criteria for medium sand. TIONS MEASURED.
❑YES NO _
SOIL COVER ITEXTURE PFHMANFNT MAHKEHS OBSERVATION WELLS
_ DYES ❑NO ❑YES ONO
DEPTH OVER TRENCH BED DEPTH OVER TRENCH BE 11 DEPTH OF 70PS(IIL IsotmFD SEEDED MULCHED
CENTER EDGES
❑YES ❑NO 1:1 YES ONO DYES 1:1 NO
PRESSURIZED DISTRIBUTION SYSTEM:
0EO/TREI H WIOTH LENGTH TRENCHES LATERAL SPACING IGHAVILDIPTHBILOWNPI FILL DEPTH ABOVE COVER
I?IMENSION.t,
!MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL NO DISTR DISTR.PIPE DISTRIBUTION PIPE MATERIAL is MARKING
ELEVATI.'?N`ANCI ELEV.. ELEV. CIA. ELEV. PIPES DIA
D�ISTRIBUT101hI
INFORMATION ,.HOLE SIZE HOLE SPACING CHILLED COHHE(:T LV COVER MATERIAL PiARN SCAL LIFT CORRESPONDS TO APPROVED
[!]YES LINO ❑YES NO
COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING:
FEET.FROM F.,, LINE.
q 13 8 DYES 1:1 NO DYES ❑NO NEAR.£ST
Sketch System on in in county file for audit.
Reverse Side. /
URE. TITLE: Zoning QdIi1in�(stitWl/
of
DILHR SBD 6710 (R.01/82)
SANITARY PERMIT APPLICATION COUNTY
DILHR In accord with ILHR 83.05,Wis.Adm.Code ' ����x
STATE SANITARY PERMIT#
—.o..��. lea �
• —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 (�
I. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES ONO
PROPERTY OWNER PROPERTY LOCATION
117 i G //&/4S r '/4, S T , N, R P7 E(or
PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER I BLOCK NUMBER SUBDIVISION NAME
# / $o X ----> 8 Z-- `l 6 u dc` v'
CITY,STATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD,LAKE OR NDMARK
VILLAGE: �� l / ;.0-
h
II. TYPE OF BUILDING OR USE SERVED:
Number of Bedrooms if 1 or 2 Family�3 OR ❑ Public(Specify):
III. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable)
1. a.X 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.�Conventional b. El Alternative c. ❑ 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. ❑seepage Trench c. ❑ See a e Pit
2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6."WATER SUPPLY:
(Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square(Square Feet): y i
_< �/e �0 7/ /`/ Feet Ld Private ❑Joint ❑ Public
VI. TANK CAPACITY Site Fiber- Exp
in allons Total ##of Manufacturer's Name Prefab. C .
INFORMATION New xisting Gallons Tanks Concrete str cted Steel glass Plastic App.
Tanks Tanks
Septic Tank or Holding Tank �o S� ❑
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.
Plumber's Name(Print): PlurAer's Signature:(No Stamps l_ No.: Business Phone Number:
s� � fCJ.J\� /A(IP..s 2.
Plumber'd Address(st/r�eet,City,State,Zip Code): Name of Designer:
VIII. SOIL TEST INFORMATION
Certified Soil Tester(CST)Name CST#
g
L'ST's ADDRESS(Street,City,State,Zip ode) Phone Number:
CtJ; a" 3 Si 1 12 8
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee Groundwater El te Iss 'ng Agent Signature(No Stamps)
�pproved ❑ Owner Given Initial � jgcharge
�" Adverse Determination pOn�l��u�–+ U
X. CO ENTS/REASONS FOR DISAPPROVAL:
) C/
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
APPLICATION
TO THE APPLICANT: I
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 to 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 DILHR;
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'h 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 Groundt8f
included the creation of surcharges (fees) for a number of regulated practices which Wisco YTIfS
can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried r aS.0rB F
is used in your building is returned to the groundwater through your soil absorption u
system or the disposal site used by your holding tank pumper.
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)
f
APPLICATION FOR SANITARY PERMIT
STC - 100
This application form is to be completed in full and signed by the owner(s) of
C the property being developed. Any inadequacies wx11 only result in del ay s 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 f'f?; /try-
Location of property 1/4 SE 1/4, Section aq , TAN-R/9
Township
Mailing address
W-'r
Address of site Co.u►� / Ue �w �c
Subdivision name PoSS;na Lla"ij 'r4 V<uJ Ai4i l jots
Lot number
Previous owner of property �g,_d 12o�s ka
Total size of parcel Z.OI +gc-E✓ s
Date parcel was created l2,—
Are all corners and lot lines identifiable? X Yes No
Is this property being developed for resale (spec house)? X Yes No
Volume 79'1 and Page Number 'y9 as recorded with the Register of Deeds.
-------------------------------------------------------------------------------
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and
the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if
available, would be helpful so as to avoid delays of the reviewing process. If
the deed description references to a Certified Survey Map, the Certified Survey
Map shall also be required.
-------------------------------------------------------------------------------
PROPERTY OWNER CERTIFICATION
I(We) certify that all statements on this form are true to the best of my (our)
knowledge; that I (we) am (are) the owner(s) of the property described in
this information form, by virtue of a warranty deed recorded in the Office of
the County Register of Deeds as Document No. 6/ -g Z,Z 3o ; and that I (We)
presently own the proposed site for the sewage disposal system (or I (we) have
obtained an easement, to run with the above described property, for the
construction of said system, and the same has been duly recorded in the Office
of the County Register of Deeds, as Document No. Z'0 ) ,
Signature of Owner Signature of Co-Owner (If Applicable)
Date of Signature Date of Signature
A® �
'7y r WE
DOCUMENT NO. STATE BAR OF WISCONSIN FORM 11-1982 THIS'SPACE RESERVED FOR RECORDING DATA
LAND CONTRACT REG`t TER`S OFFICE
Individual and Corporate
y° 43#'A (TO BE USED FOR ALL TRANSACTIONS WHERE OVER
02231 $25,000 IS FINANCED AND IN OTHER NON-CONSUMER ST, CKAX CO., WI
11 ACT TRANSACTIONS)
Rec`ci for Record
Rossin and Novelaber, 17 1987
Contract, by and between ._ S2XX�;?S._ _e..............$.____.____._.._..__.__ "'
` ---Auhy. hailey?__a single woman at 1:25 P M
------------------------------------ ...
------------------------------------------------------------------------------------------------ ("Vendor",
whether one or more) ---------------------------------------------- Register of 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"),
in....... -------------------------------------------- County, State of Wisconsin: i1
RETURN TO
West one-half of Northeast Quarter (W4NF4)
except the east 8 rods, and the Northwest
Quarter of Southeast Quarter (NW4SFh) , except Tax Parcel No_ __________________________________
the south 6 rods, all in Section 29, T29N, 19W.
TRMSeo FM
70 0
FEE
This -----_._--_isnot----- homestead property.
( (is not)
Purchaser agrees to 208 8th St. , Hudson, WI
gr purchase the Property and to pay to Vendor at ........... .................................................
the sum of $_256,150.00 ___-•______________•-----_-__------_ in the following manner:
at the execution of this Contract; and (b) the balance of $236,.150.00---------------- together with interest from date
hereof on the balance outstanding from time to time at the rate of_nine_.(4%,l ._.__ per cent per annum
until paid in full, as follows: Interest to January 11, 1988 shall be limited to $1,320.29.
$80,000.00 plus interest on the unpaid balance on January 11, 1988.
$50,000.00 plus interest on the unpaid balance on January 11, 1989.
$50,000.00 plus interest on the unpaid balance on January 11, 1990.
$56,150.00 plus interest on the unpaid balance on January 11, 1991.
The above payments shall be made in addition to any payments made for the conveyance of
lots until the total price is paid in full.
All payments shall be by 2 checks, one to each Vendor for � of the full amount.
A )pot .�edlthase Agwemefnt h adlso peen shi I _d o@ .tgifl dateb 11th
rove a owever, a en Ire ou s an Ing ba antes a pal 1n u on or efore the-----------------_--_--- day of
_-1UUaLy-•_-_-__--•---•----__, 19__91-. ( the maturity date).
Following any default in payment, interest shall accrue at the rate of 1.Q_..-_.% per annum on the entire amount
in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire
principal balance).
Purehaser, unless emeused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay--reesonably-entiei-
the-extent-received-ley—Vendorr-
ns when ndor-for--payment of
and insurands will be deposited into an ascrow-fund or trustee account, but--shall-not bear interest
mh.�,.Ase requiFed by is Any amount may be prepaid on principal at any time.
Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Airy-
amount may be prepaid withoat premium ork fee upen prifteipal at ft"y time aftex........ (OR)
there J be prepayment of l without r Vend * •11 tt
In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long
as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated
as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been
made as first specified above; provided that me*thly payments shall be continued in the event of credit of any proceeds
of insurance or condemnation, the condemned premises being thereafter excluded herefrom.
Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser
for examination except:
Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall
be retained by Vendor until the full purchase price is paid.
Purchaser shall be entitled to take possession of the Property on....the date_hereof......................, 19.........
'Cross Out One.
LAND CONTRACT—Individual and STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc.
Corporate FORM No. 11 1982 lowaukee, Wis.
. 79'PAGE 50
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.
r shall keep the improvements on the Property insured against loss or damage occasioned by fire, ex-
tended coverage per' uch other hazards as Vendor may require, without co-insurance, through insurers approved
by Vendor, in the sum of $________________________ __---•----•--, but Vendor shall not require-iiverage in an amount more
than the balance owed under this Contract. Pure as a - insurnce It when due. The policies shall
contain the standard clause in favor of the Vendor's_1nt�e n , u dor otherwise agrees in writing, the original
of all policies covering the Propert hall�erdeposited with Vendor. Purchase -shalLpromptly give notice of loss to
insurance cornpanies a d_-Vend . nless Purchaser and Vendor otherwise agree in writing,—insurance_proceeds shall
be applie ra ion or repair of the Property damaged, provided the Vendor deems the restoration or repair-to_be
_ ,-unacally 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: existing_.highway.......If.-East
.-Qx..AsilQ1n1-n&-Jand..Wurantx__will--wt•--apply_to..1aad. -
b�tw�a __suct�-•fences--and._true__description- lines.
---------------------------•------•-••--•---•-----
------------------------------------------------------------------------------------------------------------------------------------------•-----------------------•------
----- ----- ------------------------------------------------------------------------------------------------------------------------------------------------------------
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 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...6.0.._. 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 equit$r 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 amounts due hereunder(in which event all amounts previously
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 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 the
extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in-
curred, and shall 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 solely 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 payments when due under any mortgage outstanding against the Property on the date of
this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser
makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to
the Mortgagee if Vendor fails to do so and all payments so made by Purchaser 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 ----- -----------loth---------------------- day of -----------Xomembe.----------••----------•------------.----_, 19---aT.
•-- ----- --- .(SEAL) ---- - - ----------� -- -------•----•---------------(SEAL)
orr -- Rossin Sam -- Miller
•-•---- -_.-(SEAL) ----- --------------•--------- ---------- --------------------------(SEAL)
Ruby ley------- --
AUTHENTICATION ACKNOWLEDGMENT
Signatures) ___all__parties-----------------------•----_----- STATE OF WISCONSIN
SS.
----------------•----------------------•--- -----•------------------------------
------------------------•-------------County.
authenticate this 161-bday of....Ravemher....... 19.87_ Personally came before me this ----------------day of
------------------------------------------- 19-------- the above named
------------•--•.................•--•--•------•-----......_.....................
*J.oh 1- -• He:yvood.--••........................................... ------.......-----------._......-----.................-----•-•------•...._..----
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not- ------------------------------------------------------------ ------••--••••---••-•-•------•-•------•------•--......---------•-•-------•---
authorized by § 706.06, Wis. Stats.) to me known to be the person ------------ who executed the
foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
.John..l?...Haywood,-•Heywood,,.-Cari.•&-Murray
Hudson---Wisconsin 54016 Notary Public _-___•--•-_•-----------------•-- _----___•County, Wis.
(Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration
are not necessary.) date: 19.........
`jNames of persons signing in any capacity should be typed-or printed below their signatures. ��pp
L LAND CONTRACT—Individus and Corporate—State nor of Wisconsin, Form No. ii—1982
STC - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER
ROUTE/BOX NUMBER L/ II x 4F Z$z-- FIRE NO.
CITY/STATE hga.10L1 WT ZIP S 614
PROPERTY LOCATION: /y W 1/4 S E 1/4, Section , T a N, R__,t2 W
Town of f;/c.c�s�„ , St. Croix County,
Subdivision �o�5ihlM �ok��.,�cJm� , 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.
SIGN
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
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS
INDUSTRY, DIVISION
LABOR AND PERCOLATION TESTS (115) MADISON WI 7969
HUMAN RELATIONS
(H63.090)&Chapter 145.045)
LOCATION*s TOWNSK H IP/se OT NOBL_K N O S DrfIV,I.
SION NAME:
�/ �/
COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: I
i M M; dcs. 01(rele/(C tea. alto GcJar S'� Ol�
USE DATES OBSERVA IONS MADE
NO.BEDR 1COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: EFICOLATION TESTS:
Residence New ❑Replace
AlA l y y cJ-O
,Ss:/ M D L
RATING:S-Sfte suitable fora stem Um Site unsuitable fors atom Y Y V OU MZ J QU JIN-GAOUff6_FffMURE:`J ❑U E]V I�UL L ING®U RECO MVC.1 E�OYuTEM:lopntinnnq
i
rl/vyl 1
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
71
under s.H63.09(5)(b),indicate: Floodplain, indicate Floodplain elevation:
PR FILE DESCRIPTIONS
BORING AL# ELEVATION T R UND ATER CHARACTER IL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH
NUMBER D BSERVE TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.)
B- / 7S' 7.r' ..2 // .s'Am . C s dam C s
B- Z ,S' oMe- 1> I Bh /c-5 cS
1
B- 3 7.S' 2.S' Alone- if 9 14 2..1 Cs
B- Y 7 AJOAt e 7 .s' A 1,914 1 . C B C s
B-� S' Ot> X' Ahoue 7 7"S" /J �� . Y �� /CS, S'. t
PERCOLATION TESTS
TEST DEPTH+ WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER 06OW68 AFTER SWELLING INTERVAL-MIN. PERIOD p I PER INCH
_ L3
P.
P._3
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 YbrtiQ111=elevation reference points and show their location or! the plot plan. Show the surface elevation at all borings and the direction and percent
of land sloper a
SYSTEM ELEVATION 9'`�, / ' " �.fSca% /, - yo
'
0
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1,the undersigned,hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAM (print): TESTS WERE COMPLETED ON:
ADDRESS: CERTIFI ATION NUMBER: PHONE NUMBER(optional):
/Wic 4j 'Cyo<(o 1-5—?F
CST SI TU E:
DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester.
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