HomeMy WebLinkAbout020-1177-20-000 / + § §
§ g _
§ c
A � �
¢
\ � �
f �
» �
ƒ �
$ 1
a 0
2 ° 2
� } f �
< @ �
» ®
\ j E
Z z' &
z 7
m § I LU a. c
% z 2 \E
k z f
■ F- = o
\ } k
� o e
/
-� ƒ A
k D z j I
E z
\ t 2 \
] % 2 k
ƒ § � m c §
CL ) E c @
\ 2 . G ■ ■ _2 f \ \
, k § k k C
-� k a a a
F6
. k0B ; coco
Q 7 2 2 z = =
@k § a ° S
] § 0 m / § /
� e / @ a � I
- U) °
■ . . �
E04 c
§ \ t \ \ w E CL
/ 0 IL CS
\
\ k .0 § k E \ } ~ 5
- g m 2 ' I @ 0 2 / J i 2 3
� m I
z0
% �
" a
ed E &' E k a §
& v a 0 3 v
PUMP CHAMBER i
Manufacturer: 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, O Rear,0 Ft.
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: _Ar Trench:
Width: Z---L _ Length: 2 Number of Lines: ,Q Area Built
Fill depth to top of pipe:
Number of feet from nearest property line: Front, O Side, Rear,O Ft . _
Number of feet from well: �S
Number of feet from building:
(Include distances on plot plan).
SEEPAGE PIT
Size: Number of pits: Diameter:
Liquid depth: Bottom of seepage pit elevation:
Area Built:
Has either a drop box O or distribution box O been used on any of the above soil
absorbtion sytems? (Check one) .
HOLDING TANK
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, O Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector:
Dated. Z!�Z;2- Plumber on job.
License Number: ��
3/84:mj
T
Form - S T C - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER lf�� �/��a y,� /7(°c.t��./ TOWNSHIP �•. 'a.✓' SEC. T 24' N-R l Q W
ADDRESS ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT %',� LOT SIZE '� 3
PLAN VIEW
Distances and dimensions to meet requirements of ILHR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
W
06 C e- 1 '
F]-r,
da
17/7 `
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used e -APS L- e zf-6-
Elevation of vertical reference point: s a- Proposed slope at site:
SEPTIC TANK: Manufacturer: �,J _ Liquid Capacity: - d
Number of rings used: 2 Tank manhole cover elevation:
Tank Inlet Elevation: Tank Outlet Elevation:
Number of feet from nearest Road: Front,Q Sideo Rear, 0 feet
From nearest" property line Front,O Side,@ Rear,O T 2 feet
Number of feet from: well building: 7, C
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
y t-^
a
•
r
N
y
fi -ell
WO
Q
{
J
b,/l?-Ar aA a of 7Q c 2 4�f G
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR
SAFETY&BUILDINGS
LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
BUREAU OF PLUMBING
P.O.BOX 7969
MADISON,WI 53707
NE; NE, 28, 29, 19W CONVENTIONAL ❑ALTERNATIVE Stateigned)D.Number:
(lf as
Town of Hudson ❑Holding Tank ❑In-Ground Pressure ❑Mound
Lot 12 Cedar Hills Est.
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER:
INSPECTION DATE:
William Harwell 1901 Box 1, Hudson, WI 54016 LO�a-87
BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF,PT,ELEV.
MP/MPRSW No.: County: Sanitary Permit Number:
Name of Plumber: 2/.�/.
William Schumaker 6382 St. Croix 'i 'i
SEPTIC TANK/HOLDING TANK:
MANUFACTURER: LI UID CAPACITY: T K INLET LE T K OUTLET ELEV.: WARNING LABEL LOCKING COVER
�r .I 3 P O IDED PROVIDED
YES 1:1 NO ❑YES *NO
BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WE BUILDING VIER NLETRESH
ALARM FEET FROM !/E
OYES NO DYES O NEAREST
DOSING CHAMBER:
MANUFACTURER: BE�NG LIQUID CAPACITY: PUMP MODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
NO ❑YES ❑NO ❑YES ❑NO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUM R OF PROPERTY WELL BUILDING. VENT R NLOET FRESH
FE RO LINE
(DIFFERENCE BETWEEN OYES ❑NO N ST
PUMP ON AND OFF)
AND MARKING
SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing FORCE LE T DIAMETER MATERIAL
or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN
the soil is dry enough to continue.)
CONVENTIONAL SYSTEM:
BED/TRENCH WIDTH LENGTH NO.OF DISTR.PIPE SPACING COVER NSIUE DIA *PITS DEPTIHD
t /► TRENCHES. I MATCRIAL: �e. PIT
DIMENSIONS 7%i
GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DIS PIP ER NO.DIST NUM BER OF PROPE��_jjjT WE L! BUI DING. V TO FR H
BELOW PIP S. ` A V OVER: ELEV LE E D:`� PIPE LIN �y q AIR 6T4
1 ++\\ FEET FROM MV
i NEAREST--► V
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA-
meets the criteria for medium sand. TIONS MEASURED.
DYES NO
PERMANENT MARKERS: OBSERVATION WELLS
SOIL COVER TEXTURE f
❑YES ❑NO DYES ❑NO
DEPTH OVER TRENCH/BET DEPTH OVER TRENCH/BED DEPTH OF:TOPSOIL SODDED. SEEDED MULCHED
CENTER: EDGES:
❑YES ❑NO ❑YES ONO ❑YES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM: FILL DEPTH ABOVE COVER
WIDTH. LENGTH. NO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE.
BED/TRENCH TRENCHES:
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL. NO.DI DISTR.PIPE UISTHIBUTION JCR TE IAL&MARKING'
ELEV. ELEV.. DIA.: ELEV.: PIPE DIA.:
ELEVATION AND
It JA_
DISTRIBUTION HOLE SIZE 0L-SPACING. DRILLED CORRECTLY COV MA I PLAN IC LIFESP DSTO OVED
INFORMATION
❑YES ONO YES O
COMMENTS: PERMANENT MARKERS: OBSERVA UM R OF ONERTV WE BUILDING.
FEE ROM LINE:
G ' ❑YES 1:1 NO DYES ST
OW
� 3.S
Sketch System on Retain in Countylile for audit.
`verse Side.
SIGN TITLE.
oning Administrator
'RD 6710(R.01/82)
�t
INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT -
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;
li. 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'/ 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 Ground atBF.=-
included the creation of surcharges (fees) for a number of regulated practices which co Wis �17`S
can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure
is used in your building is returned to the groundwater through your soil absorption o
system or the disposal site used by your holding tank purnper.
G
Tire nowes v-_rilocted through these surcharges are credited to the groundwater fund admmis-
tere� by the Department of Natural Resources. These fun-s a e ased for monitoring ground- t
W.iter grourldwz ter cont8mination irwestigations and est-blrs',m nt of standards Groundtvat"',
worth protec':;ng.
3,3D-6398(R.'J3/%56)
° {`�, SANITARY PERMIT APPLICATION Y
LI DILHR In accord with ILHR 83.05,Wis.Adm.Code �j
, _ STATE .—`SANITARY- 7 T#
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 ❑ No
PROPERTY OWNER PROPERTY LOCATION
�,� 0- Alit % o %, S gg T I , N, R Z9 E (or)
PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME _
_ C-a. "
-CITY,STATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD,LAKE OR LANDMARK
— VILLAGE: A ��
II. TYPE OF BUILDING OR USE SERVED:
Number of Bedrooms if 1 or 2 Family =� OR ❑ Public(Specify):
III. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable)
1. a. 0 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. ❑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. MSee a e Bed b. ❑See a e 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 Feet):
l .Private ❑Joint ❑ Public
14-3 Feet
VI. TANK CAPACITY Site
in aallons Total ##of Prefab. Fiber- Exper.
INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holding Tank OG� o ❑
Lift Pump Tank/Siphon Chamber ❑ ❑ ❑ ❑ I El
VII. RESPONSIBILITY STATEMENT
[,the undersigned,assume responsibility for installation of the private sewage system hoM on the attached plans.
Plumber's Name(Print): Plumber's Signature:(No Stamps) PRSW No.: Business Phone Number:
3 r
P umber's Address(Street,City,State,Zip Code): Name of Designer:
T C: a✓. .
VIII. SOIL TEST INFORMATION
Certified Soil Tester(CST)Name CST##
n
CT's D S(Street,Ci y,State,Zip Code) Phone Number:
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps)
Approved ❑ Owner Given Initial ,y S5rcharge Fee
Adverse Determination �D �,J E �d
X. COMMENTS/REASONS FOR DISAPPROVAL:
,,,'(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber
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/contractgj, ("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 William Harwell_
Location of Property -, NW 1% NE_]%, Section 28 _, T 29 N - R 19 W
Township Hudson
!sailing Address CTH UU Box 1910 jWdsoa Yli.sconsin 54016
Subdivision Name Cedar Hills Estatel.
Lot Number 4ig -
0
Previous Owner of Property Aldro a sen
Total Size of Parcel 2 A� re
OULU Parcel Was Created u
Are all corners and lot lines identifiable? _-�x 1(e8 No
!s this property being developed for resale (spec house) ? x Yes No
Volume 743 and Page Number 1 qa :recorded with the Register of Deeds
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
of the reviewing process. If the deed description references to a Certified Survey
Map, the the Certified Survey Map shall also be required.
- - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - -. - - .- -. - - - - -. -. - .- -. - - - - - - - - - - - - - -. - - - - -
PROPERTY OWNER CERTIFICATION
I (We) eenti y that atl. etate e-AU on thi.4 onm ane true to the beat o6 my loon) .
knc w&dg e; t I (we) am lane) the owner.la 1 o6 the paopenty des en.i.bed in th t.e
.i,.npAmati.on 6onm, by v &tue o6 a waAAan.ty deed neeoaded in the 066iee 06 the
County Regi.dtteA o6 Deede ae Document No. 4_31 ; and that 1 (we)
pneeentty own the pnopo.s A bite .;oh. the ,W,ItwaQe 40-t.em Ion I (we) .have
obtained an eaeement, to sun VAUA the above deeeni.bed pupeaty, bon the
eon t ucti,on o6 aai.d dyatem, aad the eame hab been duty neconded in the 066ice
o6 the County Reg•ietea o6 Deedi, ab Document No. 413179 1 .
SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
DATE SIGNED DATE SIGNED
•cv,iisrr promises to pay when due all taxes and assessments levied on the Property or upon Vendor's ingest
in it and to deliver to Vendor on demand receipts showing such payment.
Purchaser shall keep the improvements on the Property insured against loss or damage occasioned b
p ,
, without co-insurance, through iasu s
by Vendor, in the sum of Y
fended coverage perils and such other hazards as Vendor may require laproved
than the balance owed under this C n/A--- Purchaser shall Ie+I ,g t more
--.-., but Vendor shall not require coverage in an amoiii=t more
cuntaiii the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the originat
pay the insurance premiums when due. The policies shall
of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly
1n::urallce companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall
Ise applied to restoration or repair of the Property damaged, P p Y give notice of loss to
"""v1w 1ically feasible. g , provided the Vendor deems the restoration or repair to be
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 full
shall be fully performed at the times and in the manner above specified, Vendor will on demand,exe ate a d condition o
the urchon a �t>lpre Deehd in ifee simple, of the Property, free and clear of all liens and encumbrances, except
urhoer R res nFe iv s
any lens or encumbrances created gy the act or default of Purchaser, and except
.-covenants.-a£_.record nta_semenXs,..gxtlzsntiVe..
,._�.f".any,".and._zoning..a.rdinance..zequlzeanen>:s.------------------------
.........................................._•-••-
__......_.. ... ....._. .................... --------•---..-•-----"-._
...........................................................halegrew h time o ---------------•--• ----"-------...---------".---_----•----- --------------......__..:_.- . ....
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 ---raQ.._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 A-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
waives), and Vendor sha11 also have the following rights and remedies (which Purchaser hereby
addition to those provided by law or in equity: (subject to any limitations provided by law) in
rights, title and interest in the Property and recover the Propertyhihacktthrough strict foreclosure rw 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 dateand otheramountsdue hereunder(in whicheventall amounts previously
Pail by Purchaser shall be forefeited as liquidated dania es for failure to fulfill this Contract and as rental for the
Property it' 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 lacy for the entire unpaid purchase price or any portion
thercaf; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet-title
P
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 an rents issues or
under (i), (ii) or (iv) above.Notwithstanding any oral or written statements or actions oftVendor,ean el of cton 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
curred, and shall be included in any judgment. principal and paid by Purchaser, as in-
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 b• assignment of any
cf Purchaser's rights under this Contract or by option, long-term lease or in any other way) without the prior written
P Y ( ,r
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 dice 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
makes timely payment of the amounts then due under this Contract. Purchaser may , provided Purchaser
the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered
this Contract. p v make any such payments directly n
Vendor may waive any default without waiving any other subsequent or prior default of Purchaser.ents made on
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 11th
------------------------------•--------•-- day of ........... June
..................................................... 19..86_..
_
................................. ...........(SEAL)
* ..iiarry..1....Stewart.
(SEAL) ,
�...�... - AL
* * William C. Harwell -C �
--------••----••-----•.._...... -
AUTHENTICATION •'�� v 44.
ACKNO'WLEDGU8NT01,'Ji�
Signature(s) j
..... STATE-OF-WI'SCONSIN ',,a S
...................................................
.............................. 85.
St Croix
nuthenticated this -----.--day of........................... ...................County.
.._,,.., 19._.._. Personally came before me this ,11th
June -•• -•-_------day of
•- ----.-, 19.86.. the above named
* _.Harry-•J.__Stewart and William C
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not, ........-•----------------------------•-_--•-_.......
authorized Stats.)b '----•----•------------------•-----------...----...._
Y § 70s.OS, Wis. ...............•-------••_--•-----__----•• -..................................
to me known to be the person S---------- who executed the
foregoin nstrument eknow ledge the.same.
THIS INSTRUMENT WAS DRAFTED BY
CARI - --•--•-...�.., HURRAY... .............................
& SHERBURNE, P.O. BOX 229, ,y� s
iludsnn; itI 54f}i6 ...._, R 'Di✓
Notary Public ....Ste..Croix
Signatures inav be authenticated or acknowledged. Both My Commission is .County, Wis.
are not necessary.) per anent. If no state expiration
'Names of persons signing in any capacity should be -
• Yved or printed bet: `•-ir aiQnaturea. ;
'•ONTRACT—Individual and Co '
` Corporate—State Har of Wlscenain,
11—1882 �
6C,,�UMENT NO: �I, STATE BAR OF WISCONSIN F M 11-1982 THIS SPACE RESERVED FOR RECORDING DATA
LAND CONTRACT
�.•,I y ��fy1i Individual and TRANSACTIONS KaC'MS 00FICE
�'(TO BE USED FOR ALL TRANSACTIONS WHERE OVEa� d�L'l�J i-(_i
E26,000 IS FINANAACT TRANSACTIONS►NON-CONSUMER ST. CROIX CO., Wis.
Recd. for Record ihis 11 th
ContraCt by and between Harr J. Stewart as Personal day Of June A 86
......x------------ -- - - ..................
Representative r D 19
Representative of the Estate of Aldro_Larsen a/k(a_John of 11 45 A N►.
Aldro.................Larsen of kf a john Aldro My_ren Larsen, d* ("Vendor", ��T
- - - --- - ----------- James 0 Connell
whether one or-,more) and___William C. Harwell_-_--------•---------------------- '
-
*single man ___ --• ( Purchaser„, whether one or more). .
Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- deputy
formance of this contract by Purchaser,the following property,together with the
rents,profits,fixtures and other appurtenant interests (all called the"Property"),
St. Croix ............. ._.. County, State of Wisconsin: RETURN To _.
in -••........ . ................••--• ••--_-... r.,.
See legal Description on Addendum
Tax Parcel No.
• vra �.ts.r� 4r. tai f *i�Qt 4k I ci,�s s,
%t � l it kt
is
,
r
A, ,x hllf
This......itq not
. - ... ..-,.,. homestead property.
(is not) 0
Pu the sum f rchaser agrees 00 OOpurchase the Property and to pay to Vendor at such p16ce-,ass-he__shall-n .ae..-, w
$ -------------------------•---------------- in the following manner. (a) $---__Q_.QQ.._.aQ..........................
at the execution of this Contract; and (b) the balance of $.132,5.K.00••..•-•-•,-•,•_._. together with interest from date
hereof on the balance outstanding from time to time at the rate of..............tPnA1Q1)•.......... per cent per annum
until paid in full, as follows:
See Payment Terms on Addendum
_aTI
u
� ..;tJ,•t1 dSFi
Provided, however, the entire outstanding balance shall be paid in full on or before the........llthl_• ._ day of`
..._
---------Jung........................ 19---4.4. ( the maturity date).
Following any default in payment, interest shall accrue at the rate of.__.1Q._..% per annum on the entire amount
in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire
principal balance).
Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici-
pated annual taxes, special assessments, fire and required insurance premiums when due.To the extent received by Vendor,
Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of
taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest
unless otherwise required by law.
i
Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any
amount may be prepaid without premium or fee upon principal at any time.li9Eil13iJi ,�S ?;xxg,cicxlg7
t�erx w��.x}x�tp�tiv�xo�ItxadxymitmiDmtx �wais>z6oxmfx�sslc6al�
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 WRAI&payments been
made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds
of insurance. or condemnation, the condemned premises being thereafter excluded herefrom.
Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser
for examination except:
Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall
be retained by Vendor until the full purchase price is paid. -
Purchaser shall be entitled to take possession of the Property on....... h�..ds J��..�l�reo ... ..•,--_._-_--.,AIM......
*Cross Out One.
v
LAND CONTRACT—Individual and STATE. BAR OF WISCONSIN Wisconsin Lesal Slack Co. Ine.
Corporate ,.,�• FORM No. 11-1$82 Milwaukee. WIS.
.,46L 1743PAGE187
e
LAND CONTRACT ADDENDUM
Legal Description
The NJ of the NJ of the SEI -of Section 28-29-19 , except the South
100 feet of the East 565 feet thereof , and except a parcel of land
located in the NEI of the SEI of Section 28 , T29N, R19W, Town of
Hudson , St . Croix County , Wisconsin, described as follows:
Commencing at the Ej Corner of said Section 28 ; thence S89 037146 11W
(assumed bearing referenced to the monumented East-West I Section
line of said Section 28 , bearing assumed S89 037146 11W) 23. 78 ' along
said East-West line to the point of beginning; thence continuing
S89 037146 11W 1301 .48' along said line to the West line of said NEI
of the SEI ; thence S 0 003144 11W 661 . 63 ' along said West line ;
thence N89°34 ' 48"E 761 . 971 ; thence N 0 005112 11W 100 . 00 ' ; thence
N89 034148 11E 535 .401 ; thence N 0 030138 11E 560 . 56 ' along the Westerly
right-of-way line of U. S. Highway 1112" to the point of beginning.
NEI of Section 28-29-19 , except that parcel described as Lot l of
a C. S.M. recorded in Vol . 3 of C. S.M. ' s , page 862 as Doc. No.
359579 and except that parcel described in Vol . 583 , page 527 as
conveyed to the State of Wisconsin.
Payment Terms
$35 , 000 . 00 on June 11 , 1987 and $35 , 000. 00 on each
anniversary date of this Contract thereafter ; provided, however ,
that if the unpaid principal balance on the Contract is greater
than $85 , 000 . 00 on July 1 , 1988 , Purchaser shall make monthly
payments of $3 , 500 . 00 commencing on July 1 , 1988 and on the first
day of each month thereafter . Also provided that on the first day
of the fourth month following Purchaser ' s death or permanent
disability , monthly payments of $3 , 500 . 00 shall commence hereunder
and shall be paid- on the first day of each month thereafter .
Vendor shall release Lots of not more than 31 acres in size at any
time during the Contract upon payment by Purchaser to Vendor of
$5 , 500 . 00 per Lot . Each $5 , 500 . 00 payment and each $3 , 500 . 00
monthly payment shall `be applied to reduce the next $35 , 000. 00
required annual payment . Also provided that for each $5 , 500 . 00
paid by Purchaser in total monthly payments , Vendor shall release
one additional Lot of not more than 31 acres , upon request of
Purchaser . Purchaser shall pay the cost of drafting Partial
Releases.
Vendor shall convey to Purchaser one parcel of land around farm
buildings upon recording of C. S.M. without further payment .
Parcel not to exceed 6 acres.
r,,
H
x
N
H
a
• r
S T C - 105 a
H
SEPTIC TANK MAINTENANCE AGREEMENT o
St . Croix County x
d
a
H
OWNER/BUYER_4J,
ROUTE/BOX NUMBER^&TI A/Fire Number
.CITY/STATE_ ZIP
PROPERTY LOCATION: , �1/L , Section , T N , R�W,
Town of �.5r , St . Croix County,
Subdivision Lot number_.
I
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes . Proper maintenance con-
sists of pumping out the septic tank every three years or sooner ,
if needed , by a licensed septic tank pumper . What you pdt into
the system can affect the function of the septic tank as a treat-
ment stage in the waste disposal system.
St . Croix. County residents may be eligible to receive a grant for
a maximum of 60% 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 veri-
fying that (1) the on-site wastewater disposal system is in proper
operating condition and (2) after inspection and pumping (if nec-
essary) , 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 . Ho
C
I/WE, the undersigned , have read the above requirements and agree tn
to maintain the private sewage disposal system in accordance with x
the standards set forth , herein, as set by the Wisconsin Depart- •v
ment of Natural Resources . Certification form must be completed
and returned to the St . Croix County Zoning Offkpe within 30 days
of the three year expiration date.
SIGNB ,����
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 .
M o 3„£Z,O Q*go N 1919 (A ;__ - .00,
------ .00'
a M.ca.oz.go S
O a M 9 j z os se N
OIL"
,6Z'�►b
\6�y26 O�eAA
,dp 90 N O' 3„2Z . .99 INI
10 4-b
1 i m
N fj n
'f` � e'n $diC�MAkY�ly N 3.£Z.OS..88 �.
'`rp F ■ w� .00'ZLd
wl c
Z -
F� `0 tli 4) wQ
3 9r £Si'i.V9 N q
.so* G
z =
O h�
° W
3.68.
. .00 ZLS►
.rr. N I '�
fn
0
CD
oa '"
3.Sit.9£.99 N
J I
,gi•s9ti o a
0
0
.00'Z1
to ,£g AC
a , -I
F.ABOR RTMEN`T OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS
STY, DIVISION
ANiy P.O. BOX 7969
iNA`RE; IONS PERCOLATION TESTS (115, MADISON,WI 53707
(1,163.090)& Chapter 145.045)
LOCATION: SECTION. QWNSI-IIP UNICIPALITY: OT NO.:BLK.NO.: SUBDIVISIp NAM
NE 149 I�4 Ze �T� Ole)�(or �/JV DSc'j ,z CgAk /ltS �STaT�x
COUNTY: _ QWNER'$ B//UYER'S NAME: rA710IR A DR S5: ,_/C h��lX �tljvS //ILo Z�E4r_LOi'MEMt INN- 9� ON �V � 540��
--
GATES OBSERVATIONS MApE
USE _ _.� �_. _.— _ -- . ._ -----~---
{,� NO RFfNiA� - COMMER IAL DESCRIPTION: �( p
�t Iltc sulr nctl I I r.- 1'31 New I_lReplace M���/� !r� /�Q7 /MI�e,N /l /9 C7
SOILS OK�AC 6�
—0)LS
0 a - KOTA
RATING:S-Site suitable_for system U=Site unsuitable for system IJ
O V=NTIO�N�11 : MOUND:�� IN-G�ND-Q� E: S -S�7EM-IN-FILL OL�DING TANK:RtfCOMMENDED SaY�TAE`:IogtiLna�l)
S e{/� S f S S ®U S �frJ'
_ —t
if Percol rtuat Tests are NOT requued 110) IGN RATE:( If any portion of the tested area is in the
der s. -163.04(b)(b),indicate ( Floodplain, indicate Floodplain elevation:
1�EL I PROFILE DESCRIPTIONS
i10111NG toTAI DEPTH T GROUNDWATER-INCHES CHARACTER OF SOIL--WITH THI KNESS,COL R,TEX U E,AN PTN
NUMBER DEPTH 131, ELEVATION OBSERVED ES]. TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.)/
- — - ---- t4"6LL'fS /V gek<,,l.. 17"DRN SL 47"19EtJ`S t(M t
B- t- IZ•So lo0,(j/ N% /z.SO 64" Be S
— l3"'6L� Ts h"BP�tSL t4"BeN MS�t-C,R 35"BRN GS �4fz
B ' a-2 vo 61 - >/z.OB ` _._ 6/"Ben MS f6P.
l -- - t4"gl�-�:, t a�B�K�� 3s ge�I MS-116 %4 t B+w GS,t6:R
B- -2, 106,5l
/ oN' > //.67 IA"&u.TS ►3 gQ#��L 29 &N M s J�6t Bat,Cs'ief"a
B- S l2.So /CiU 60 c >R.'SO Z'!;"g«TS Z'ltN&L AebaMs4 46%R 75'8k04 6-Al S
-
--�, ----_-_--"-�^------ PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DR IN WATER L V L- N H T R INCH
NUMBER IFS AFTER SWELLING INTERVAL-MIN_ _ PERIQg 7 —__PE.9!
P-.( �Z
P- 2 9.r z l 0-u C _ ioo•QZ '� _ >2 �2 �3
P. 3 .06
_P-
P
LOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
ontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and a direction and percent
of land slope. g.� 4Crr 75 rrr XAN 6N
SYSTEM ELEVATION �.s — — ` S ��VE�s E -,
A 'bl PRi� lye `\
I SJSTE � \ OENCNIhAQK�
3r, P-3 6S Notrm aF :SE LlQT' j
A
� O
\ LOreen c7ifroi Lexokr Dry 1
p S I Na i's e// x
tl L f>i` mat.; \ s / LT /Z N
1i !.,.r �.c,s,.o I
"I raz
to is 4 .��'�, g _
D f,lr I
qe
J
67
` ■t � � s I
LoT CoR(NE R
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 anti the location of the tests are correct to the best of my knowledge and belief.
TESTS WERE COMPLETED ON:
ME( 7
f�cilR�j !N� �tiC ARC,1-1
�9y t _��-- �iJ CERTIOAT[ON NUMBER: PHONE NUMBER(optionall:
ADDRESS: �iS 3&G-4OFs 4
_ _ CST SIGMA .RE:
DI:STR111t)I ION r r..rtni.d .rnd rnn rnary In I ocal Authnrrty Ptnturrty Owner and Sud I ;tr+r,
1 r.;�
nVFP