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HomeMy WebLinkAbout020-1411-05-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 463009 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: LaCasse Development I Hudson Township 020 - 1411 -05 -000 CST BM Elev: Insp. BM Elev: escription: Sectionlrown /Range /Map No: BM D lob A6 ( A C 13.29.19.2575 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 16-0c) Benchmark 11,3 I I) , Dosing A lt. BK;o✓.. Aeration Bldg. Sewer fl.% Holding St/Ht Inlet f l .75 Ti 5 ll TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / ^_ I 7— I / Dt Bottom Dosing Header /Man. 12•Z G . l Aeration Dist. Pipe 12 Z 1 I Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GP Model Nu ber TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length / No. Of Trenches PIT DI SIONS No. f Pits Inside ia. Liq ' Depth DIMENSIONS 71 � SETBACK SYSTEM TO 11 P/L JBLDG WELL LAKE /STREAM LEACHING Manufacturer:�, INFORMATION Type Of tem: b 7 I � � CHAMBER OR Model Number. UParst ti � DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Ventto Air Intalc� r Pipes) �. ve:jt— Length �� I6 Dia Length Dia Spacing I = w SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sq ded xx Mulched Bed/Trench Center C/ Bed/Trench Edges Topsoil '— b s No ��Y , as No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 830 Hillside Trail Hudson, WI 54016 (NW 1/4 N 1/4 13 T29N R19W) Alexander Meadows Lot 5 Parcel No: 13.29.19.2575 1.) Alt BM Description = �O" ° 6U I— 31 '50.-k� l u vw 2.) Bldg sewer length = G� P - amount of cover = ' Plan revision Required? Yes Use other side for additional information. SBD -6710 (R.3/97) Date #epctoe Cert. No. Safety an d uildi o A N � p�gsr�i�ision C unty ) � 201 W. Washington Ave., �.0: Box 7162 ` I"' Madison, W1 53707 - 7162 SaBitary Permit Number to be filled in by Co.) isconsin �,f' (60$) 266 -3151 Department of Commerce Sanitary Permit Application S tate Plan I.D. fqu rpber In accord with Comm 83.2 1, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, sl5.04(.l )(at)- -- Project Address (i different than mailing address) I. Application Information - Please Print All Information Property wne 's Name Parcel # Lot # S ' - Bloc k# g20 Property Owner's , Mailing Address Property Location , S- City, S to ✓ J Zip Code Phone Number —V, Section 6 circle ) IL p Type of Building (check all that ap T N; R E or(W / Subdivi I or 2 Family Dwelling - Number of Bedr on Name Z"3iofw"noer ❑ Public /Commercial - Describe Use ❑ State Owned - Describe Use , 2 y /ST., 0 - , e 7 L1_S �ZJ ,26 ❑City_ ❑Vi I ge,�Town hip of III. Type of Permit: (Check only one box online A. Complete line B if applicable) A ' New System y ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System - - 1 B. ❑ Permit Renewal ❑Permit Revision ❑Change of 11 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl X Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter Leaching Chamber ❑ ip Lie ❑ ravel -less Pipe ❑ Other (e p ain) V. Dispersal/Treatment Area Information: ►/ ( i✓ — d Desig Flow (gpd) Design Soil Application Rat dsf) / Dispersal Area Required (sf) Dispersal Area Proposed (SO System E atio ✓ ✓✓/ � y < 9 I. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel er Plastic Gallons Gallons of Units Concrete Constructe Glass New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit W Dosing Chamber ( � y � VII. Re ponsibility Statement- 1, the undersigned, su a responsi ' ity for installation of the POWTS s hown on the attached plans. Plu b s N (Prat) Plumb is gn a MP/MPRS Number Business Phone Number Plumber' Address (Street, Ci , State, Zip ode) t S`�Q VIII. onn /De artment Use Onl Approved El Disapproved Sanitary Permit Fee includes Groundwater Dat Issued JsCing Age )t Signature ps) Surcharge Fee) El Owner Given Reason for Denial 4 -0, 3 D IX. Cohdit of Approval/Reasons for Disapproval ` OWNER: �, C� .P/MC'h�,� On S��►•• - t om i 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained 3 as per management plan provided by plumber. 2. All setback requirements must be maintained �, Vie' rwr-•� d3, �j�- as per applicable code /ordinances. Q�4eQ 9Sa O Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) •�'•'?3 ov� iii /Q, _ I L I ` - "r l si oo I i ' I I I I I i I I , ----------- -- -- i , : I I I i i ;a I p I I I I — I -- I ,�_ _ -I L_ -_ 1 I I I i >• � I I : i I i i I I I I , i --s i I mi l, .S�if's -� s��1Y.�� �,KJ`x'.n%� �...� ✓T�'�Ei9 of 'Poo, l i 33 1043 Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croon include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all infonriadon. 0 zo / V PA; CUO R Date Personal information you provide may be used for secondary purposes (Privacy Lew, s. 15.04 (1) (m)) Property Owner y E L, Pr verty Location LaCasse Development, Inc. Gc ft. Lot NE 19 SW 1f4 S 13 T 29 N R 19 W Property Owner's Mailing Address A ( L # Block # Subd. Name or CSM# 573 Cty Rd "A" 4 2002 5 na Alexander Meadows City State Zip r016 S h �( r, NTY City Village IA Town Nearest Road v Hudson WI 5 Z071156 O)tm 4 Hudson Alexander Rd. New Construction Use: Residential / Number of bedrooms 4 Code derived design flaw rate 600 GPD ; j Replacement Public or commercial - Describe: Parent material Glacial Drift Flood plain elevation, if applicable na General comments and recommendations: system elevation99.80 ft, trenches spaced and depth to code 4.00 ft below grade Boring # Lj Boring Pit Ground Surface elev. 03.80 / ft. Depth to limiting factor 96 in. Soil Application Rate Horizon Depth Dominant Color Redox Descript texture Structure Consistence Boundary Roots GPD/ft' *Eff#1 I *EN#2 1 0-8 10yr3/2 none sit 2msbk mfr gw 1f , f, .8 2 8 -29 10yr4/4 none scl 2msbk mfr gw na A ✓ .6 3 29-40 10yr4/4 c2d 7.5y5/6 sl 2msbk mfr gw na .5 , to, .9 1 4 40-48 it 7.5yr4/4 no e sl 2msbk mfr cs na 5 , (0 9 5 48 -96 5 7.5yr4/4 none syls 2msbk mfr na na .5 _9 Horizon # 5 has stratified layers, mottling spots noncontiguous Boring # Boring Pit Ground Surface elev. 103.80 "ft. Depth to limiting factor 96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ t' - -- *Eff#1 *Eff#2 1 0 -9 10yr3/2 none sill 2msbk mfr gw 1f 5 (v .8 2 9 -15 10yr4/4 none scl 2msbk mfr gw na .4 .6 3 15 -31 10yr4 /4 c2d_ 7_ 5v5/6 SI 2msbk mfr gw na -; 5 . (. .9 4 31 -96 7.5yr4/4 none slAs 2msbk mfr na na .5 .9 Horizon # 4 has stratified layers,moftling spots noncontiguous ' Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD <30 mg/L and TSS - 30 mg/L CST Name (Please Print) Signature CST Number David J. Steel � . /) 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond WI 54017 7/31/2002 175 - 246 f ` Pr Owner LaCasse Develo Inc. din Page 2 of 3 property Pmen � Parcel 1D # pending � F $ Boring - Pit Ground Surface elev. 101.10 ft. Depth to limiting factor 96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots WNW *Eff#1 *Eff#2 1 0-6 10yr3/2 none si_l 2msbk mfr cs 1f 5 (o .8 2 6 -13 10yr4/4 none scl 2msbk mfr cs 1vf .4 _6 3 13 -29 10yr4/4 none sl 2msbk mfr gw na .5 • (o .9 4 29 -96 7.5yr4/6 none SVIS 2msbk mfr na na .5 .9 Horizon # 4 has stratified layers 4] Boring # Boring Pit Ground Surface elev. 101.10 ft. Depth to limiting factor 96 in. Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W *Eff#1 *Eff#2 1 0 -9 10y►3/2 none i 2msbk mfr gw 1f . _ • 6 _8 2 9 -17 10yr4/4 none scl 2msbk mfr gw 1vf .4,,— _6 3 17 -29 7.5yr4/4 none sl 1 csb mvfr gw na .4,,- .6 4 29-64 7.5yr4/4 none s� 2msbk mfr gw na .5 . .9 5 64 -96 7.5yr4/6 none SMS 2msbk mfr na na 5 .9 Horizon # 5 has stratified layers F-1 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' *Eff#1 *Eff#2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD -s-30 mg/L and TSS < _30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST- POWTSM LaCasse Dev., Inc. New Richmond, WI 54017 Lic. # 248956 NE1 /4,SW1 /4,S13,T29,R19W (715) 246 -6200 Town of Hudson, St. Croix Co. (715) 246 -5085 Alexander Meadows, Lot 5 N This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. 13�►�— L ft - WI3e h, %a ,-k fl. a l'se L 7 e �°� N w 1.o f c o�iW e- 106 cl= 'I ++ 133 r "1 S I y 3o��r,`1 � /tvrcfio . a /- 163's'OFt- $Q 1 Al,, 31- Is ol �� 5�6� fl �oo _3 _ 7 � �27y� C 'RO W LO< OF NW3724"E 5338.33' N89°3 MME 2671.29' EAST-WEST 1/4 UNE 2631 06' 313.07 c--------------- 342.34'------ - - - - -- STORM WATER C RETENTION AREA H.W.E. = 952.0 m m go T \ �i m m m m ��.OT 5 LOT 6 + a A A 9 VV 2.191 ACRES 2.094 ACRES N (95.439 SO, FT.) ' (91,213 SO. FT.) a L.B.O. = 954.0 F . . . . . . . . . . . . . . . . . . -•. • • • � ' • . . • • • • • / qA 90 S89 28WW 575.87 ' - ` 1 15 HILLSIDE TRAIL - �8 ` N89°28'00"E 575.82 IM............... ......• .` W W •'•. N LOT 16 L� Al S 2.313 ACRES (106,820 SO. FT.) (100.745 SO. FT.) F LOT 18 2.604 ACRES (113,434 SO. FT LB.O. = 968.5 ST CROIX COUNT 51:1'"1 It:;.' TANK 1vlAlN NANCL AG RLl MENT A ! 1) (.)`,`:i.:I�Slill' <.'L;I:I',hICA "PION I�URlvi Ov,,ner /Buyer 4A G,4!iS✓ .3s j ?r►�'. Ni;.iling Address t 'j ? / tqj I'rohe.rt;, Address (Vetiiicauun required frorn Planning Department for new construction), t.:ity /Stole 1A ,. 1 - cvi Identification Number O-ZU - /L/ //- d Js ASCR IPTION - ,asps 1 operty Location ' /�, � %�, Sec. 'I' ZEN R_,_aW, Town of /1�• ._... ,bciivisioil �51„�C �Q_ t• j�P.& Ca -_ Lot # ' , V ( ri d i to Survey ;ih7�1 _.., V .;lutne , Page # L �' na h "Id l �� �a� Volume 3 , Page # L Spec house O yes C�no Lot lines identifiable yes Q no S` STE MAINTENANCE Improper use and ilia intenanecuf your scbtic• system could resuli in its premature failure to handle wastes. Proper ma�nter. n c c� ,fists of bumping out the $(:ptic tattle every three )'curs or sooner, if needed by a liconscd pumper, What yvu Nut rnty the sy.tcui ca, ati•cet the function of' the suplic tank as a ircaww-nt stage in the waste disposal system, The property owner agrees to submit to St. Croix Zoning Deparhncnt a certification form, signed by the owner and b y master plumber, journeymanplumber, restricted plumhcr or a licen> l purnper verifying that (1) the on-site wastewater disposal systcu, is in proper uperning condition and/or (2) alter uispection and pumping (if necessary), the septic tank is less than 1/3 full of sludec. Uwc, the undersigned have read the above requtrernunts and agree to maintain the private sewage disposal system with the standards set 1'onh, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certificanou stating that your septic system has been maintained must be completed and returned to the St, Croix County Zoning Office within 30 days of the three ye r expiration date. SIGNAT7 Of APPLICANT DATE OWNER CERTIFICATION 1 (we) certify that all statements on this form are tnie to the best of my (our) knowledge,. I (we) am (are) the owner(5) of the property described above, by virtue of u warranty deed rccorde.: in Kcgistcr of Deeds Office, h am- - ©�. SIt-'NA UIZ1`, 1 LICAN'1' DATE Any information that is rnis•rcpresemed may result in the sunitury permit being revoked by the Zoning.Departrrment, *•• "' Include with this application: a stamprd warranty deed from the Register. of Deeds office a copy ot' the certified survey mup if rcferenco is made in the warranty deed POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ,J of , ;; --2 FILE INFO I�TION ' ' SYSTEM SPECIFICATIONS Owner Septic Tank Capacity Z al ❑ NA Permit # Septic Tank. Manufacturer: O NA DESIGN PARAMETERS Effluent Filter Manufacturer O NA Number of Bedrooms �� O NA Effluent Filter Model - O NA Number of Public Facility Unita OXNA Pump Tank Capacity ;r a) Z NA Estimated flow (average) al/day Pump Tank Manufacturer a NA� Design flow (peak), (Estimated x 1.6) g al/day Pump Manufacturer 07NA Soil Application Rate al /da /ft3 Pump Model ANA Standard Influent /Effluent Quality Monthly average" Pretreatment Unit IdNA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (SOD,) 5220 mg /L dNA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) :9150 mg /L O Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) O NA Biochemical Oxygen Demand (BOD,) 530 mg /L In- Ground (gravity) (3 (n- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L Q NA O At -Grade 0 Mound Fecal Coliform (geometric mean) 510 cfu /100m1 ❑ Drip -Line 0 Other; Maximum Effluent Particle Size Y in dia, O NA Other: O NA Other: O NA Other: ❑ NA i "Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: month (Maximum 3 years) O NA � � year (s) ., � , Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: .O D month(s) ear s) mum (Maxi 3 years) ❑ NA ..� Clean effluent filter At least once every: O month a O NA fr earls Inspect pump, pump controls & alarm At least once every: O months ANA ❑ ear(s) Flush laterals and pressure test At least once every: O year(s) 13 month(s) ANA Other: ❑ month(s) At least once every:. O ears O NA Other: O NA 'AAINTENANC INSTRUCTIONS Inspections` tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cells) shall be visually Inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of -the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of In accordance with chapter NR 113, Wisconsin Administrative Code, All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicinj at intervals of S12 months, shall be performed by a certified POWTS Maintainer. A service repadrt ehalf be'OrOYided,16 thb local regulatory authority within 10 days of completion of any service event. GMW (4/01) START UP AND OPERATION Page of For new construction, prior to use of the POWTS check treatment tank(sl for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the Infiltrative surface, During power outages pump tanks may fill above normal highwater levels. When power Is restored the excess wastewater will be discharged to the dispersal cells) In one large dose, overloading the cell($) and may result In the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring Power to the effluent pump or contaot a Plumber or POWTS Malntalner to assist In manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise, disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may Improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation disin (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides ; meat scraps; medications; oil; painting products; pesticides; sanitary nap kins; tampons; and water softener brine. P P , ABANDONMENT When the POWTS falls and /or is permanently taken out of service the following steps shall be taken to Insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed, • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. ;ONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system; 4 . fsr_ -A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be Infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. O A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS t chnology a holding tank may be installed as a last resort to replace the failed POWTS. sit s no een evalG ted to y {ate area._ If no upon fain re of the S a�poil and to 4 T�dentif a a stable re�lacerri�t area. � Ae at i mu bed performed to loca e a uitable ce Wit. ement is a ai e a ho g nk be ed as last rasor(�to repla" the fall _d'POWT X 13 Mound and at- grade / soil absorption systems may be reconstructed in place following removal of the blomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time, < WARNING > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES, DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. uDIT10NAL COMMENTS „ 7 )WTS INSTAL IE POWTS MAINTAINER Nam I Name Phone Phone PTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHO Name Nam Phone , . Phone ^: s document was drafted In compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83,54(1), (2) & (3), Wisconsin Administrative Code. j 1 9 3 1 ) P 02 ' E.g4925 a STATE BAR OF WISCONSIN FORM 11 - 1982 KATHLEEN H. WALSH LAND CONTRACT REGISTER OF DEEDS Individual and Corporate ST. CROIX CO., WI (TO BE USED FOR ALL TRANSACTIONS WHERE OVER RECEIVED FOR RECORD $25,000 IS FINANCED AND IN OTHER NON- CONSUMER Document Number ACT TRANSACTIONS ) 07 24 12:30 PM SAND C! V ; kfwf i CONTRACT, by and between Renee E. Spott, a single woman 6EMPT $ REC FEE: 15.00 TRANS FEE: 1599.60 COPY FEE: ( "Vendor ", whether one or more) and LaCasse Development, Inc. CERT COPY FEE: PAGES: 3 ( "Purchaser', whether one or more). Vendor sells and agrees to convey to Recording Area on the prompt and full erformance of this contract b Purchaser, Name end Return Address Purchaser, upon P P P Y Kristina Ogland the following property, together with the rents, profits, fixtures and other Estreen & Ogland appurtenant interests (all called the "Property "), in St. Croix P.O. Box 359 County, State of Wisconsin: Hudson, WI 54016 20- 1017- 70 -000; 20- 1017 -50; and part of 20- 1018 -20 (Parcel Identification Number) All that part of the North half of the Southwest Quarter (N 1/2 of SW 1/4) and the Northwest Quarter of the Southeast Quarter (NW 1/4 of SE 1/4) of Section 13, Township 29 North, Range 19 West located North of the railroad right -of -way and West of Alexander Road. This Is homestead property. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at any reasonable location the sum of $ 533,178.00 in the following manner: (a) $ 177900.00 at the execution 0 t is Contract; and (b) the balance of $ 355,278.00 , together with interest from date hereof on the balance outstanding from time to time at the rate of seven (7) % percent per annum until paid in full, as follows: One payment of $177,900.00 principal and accrued interest due January 3, 2003. Provided, however, the entire outstanding balance shall be paid in full on or before the third day of January , 2004 (the maturity date). Following any default in payment, interest shall accrue at the rate of 8 % 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. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. An artivcrrtt may lse prepaiclwvttfionfpratttient ot- €as-t► Pet * - principal at arty time after (OR) there may be no prepayment of principal without permission of Vendor.* except as prov3 a en tsa 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 monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded here from. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: None Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. closing date except as Purchaser shall be entitled to take possession of the Property on provided In Addendum Cross out one. LAND CONTRACT- Individual and State Bar of Wisconsin Corporate Form No. 11 - 1982 Intonnatbn Profawionala Company. Fond du Lae, VVI 800 -e56-2021 c �"'� CYI L6 I AAS IHI �O WN 3HI, -INII ISV�3 014 bi M MS 3HI -AO h) z tl/i:]N �HI - O:ANFI iS3,M co 0-4 C)i co SO 1 1 1 2'1 O'W 294.93' C.0 co r 0 Z M cl, CC tc c M T f f1 63 vv,3 CT)