HomeMy WebLinkAbout020-1411-18-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and @uilding Division
INSPECTION REPORT Sanitary Permit No:
420536 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
La Casse, Richard Hudson Township 02,0 — (_ 12 - Wt
CST BM Elev: Insp. BM Elev: BM Description: 1 '3 L 2
�• a T Jc, = Cpl 8v O � J
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic � C � 4 Benchmar t
Dosing 'C* Alt. BM
t
Aeration Bldg. Sewer p
Holding
St/Ht Inlet
TANK SETBACK INFORMATION St/Ht Outlet tQ
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic t Dt Bottom
GI
Dosing Header /Man.
1`E'•9 `3.89',
Aeration Dist. Pipe
Holding Bot. System
Final !Grade . I I rl
PU P /SIPHON INFORMATION �, 6b 4st cm
Manufacturer Demand St Cover
GPM
Model Numbe
1' %
9 0 V
TDH Lift ri ' Loss System Head TDH t q t
Forcemain l ia. Dist. to Well
SOILAPkORPTION SYSTEM
dWWTk E9CHJ Width Length No. Of Trenches PIT DIMENSIONS No, Of Pits Inside Dia. Liquid Depth
DIM WALSLOW * d
SETBACK SYSTEM TO P/L BL G WELL LAKE /STREAM LEACHING Man cturer:
INFORMATION CHAMBER OR LO E,e,
Type Of System: t t t UNIT Model Number: � t/
DISTRIBUTION SYSTEM .�,W P
Header/ nifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
to Pipe(s) t
Lengt 9 *' Dia i LeMtn - ' Dia Spacing J 0
SOIL 6OVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil
F Yes E] No E] Yes 7��N.
COMMENTS (in cl de code dis epencies, persons present, etc.) Inspection #1: 2k/ 0 Inspection #2:
LUCatfon: Hudson, WI 54016 JN(E�1�/4 SIN 1/4 13 T29N R19W) Alex der Mead�o -wt-- P se o:
1.) Alt BM Description =T '��"""'d ' -.A-
2.) Bldg sewer length = �$ u dJ�.&0 s I%9Q(s I S M O W
- amount of cover = �� (vC �1Z,$� = I s i�(G� / V - ?0 Z yt. $y �
3X$� �.o ,r.� r% t�suiu 6«. S.T. 9t.�b ��• �� I�'. qo c 90,
Plan revision Required? Yes No
e. her sid a idittiio,npl Ziformati N I T -
D -6710 (R.3/971 %v C 7 Z epctors Signature Cert. No.
Safety and Buildings Division County
201 W. Washington Ave., P.O. Box 7162.( �, r
�seon:�n . Wt 53707 - 7162 Site Address ��
D artfnent of Commerce /-/ t _p 3 e a 5r g33 > 4 5, t w
Sanitary Permit Application Sanitary Permit Number
In accord with Comm 83.21, Wis. Adm. Code, personal information you provide Check if Revision
may be used for Privacy LA sI5. 1 m >- �"
I. Application Information - Please Print All Information Slate Plan I.D. Number
Property Owner's Name 1 N r
A(.\ 1 3 0 2x02 _ AA
Property Owner's Mailing Address r
Pr
tion
J
if ui�4; S I T , R/ E
City, State Zip Code Phone Number Lot N r Block Number
Subdivision Name CSM Number
II. Type of Building (check all that apply) ❑City
❑ 1 or 2 Family Dwelling - Number of Bedrooms 1 Dv�ge
11 Public/Co � Desgribe Use 3 3 K �(Z ownship
❑ State JJ j ^ „ ' , J` 3 /� T N st Road
oz /
M. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable)
A. 1ANew 2 ❑ Replacement System 1 3 ❑ Replacement of 1 6 ❑ Addition to For County use
stem I Tank Only stem
B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued
IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use n /
44ANon - Pressurized In- Ground 210 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland
22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line
45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit. 49 ❑ Recirculat . 30 ❑ Other
V. Disperulfrreatment Area Info
Design Flow (gpd) Dispersal Area Dhpersal Area Soil Application Percolation Rate m v 'on Final Grade
Required Proposed Rate(Gals./Days/Sq.FK.) (Min./Inch) '93 1 Elevation
la 60 Gaon / l
VI. Tank Info *G city in Total Number Manufacturer Prefa Steel Fiber Plastic
Gallons of Tanks Concrete stt onucted Glass
Existing Tanks
Septic or Hokling Tank
Dosing Chamber GY
VII. Responsibility Statement - I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plum is Signature RS Number Business Phone Number
a
Address (Street, (Street, city. tape. Zip
VIII. Coln /De artment Use Onl
Approved ❑ Disapproved � Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps)
❑ Owner Given Initial Adverse 22 �
��— /� D Z )��
lsC. Conditions of Appr9yajVReasons for Disapproval Lt
r't� 3� (/�
A BM& ,
Attach complete plans (to the County aoly) for the system on paper not less than SM z it iwj6- in sine
SBD -6398 (R. 05101)
�- - cola A IF , 33 -/n C4 1
1 � 90
n
e
/So
— yo
J/7L
lo750
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Ord
e
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1
1056
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 o f 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 Parcel I.D.
percent slope, scale or dimemsiors, north arrow, and location and distance to nearest road. pending
Please print all infonnation. B Date
Persond information you provide may be 4for -�we9 "W", s. 15V (1) (m)). ll lI /. L
V , , - &J'-� A"I� Property Owner P Location
LaCasse Development, Inc. AUG G vt. Lot NE 1/4 SW 1/4 S 13 T 29 NR 19 W
Property Owner's Mailing Address 2 �2 L # Block # Subd. Name or CSM#
573 Cty Rd - A" 18 na Alexander Meadows
S7. CROIX Cpl
City State Z' Code j q� CE Y ' �' City EM Village Town Nearest Road
Hudson WI 54016 71 - - Hudson Alexander Rd.
New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
Replacement Public or commercial - Describe:
Parent material Glacial Drift Fkrod plain elevation, if applicable na
General comments
and recommendations: system elevation 93.05 ft, trenches spaced and depth to code 3.6 ft below grade
Boring # Boring
Pit Ground Surface elev. 96.65 ft. Depth to limiting factor 96 in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
"Eff#1 I "Eff#2
1 0-10 10yr3/2 none sill 2msbk mfr gw 1f .5 .9
2 10 -23 10yr4/4 none scl 2msbk mfr gw 1 of .4 .6
3 23-40 7.5yr4/4 none sl 2msbk mfr gw na .5 .9
4 40 -96 7.5yr4/6 none sl/Is 2msbk mfr na na .5 .9
93.0
hoizon # 4 has srtatified layers
a Boring # r '` Boring
Id Pit Ground Surface elev. 96.65 ft. Depth to limiting factor 96 in. sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
- Eff#1 I *Eff#2
1 0-4 10yr3/2 none sill 2msbk mfr gw 1f .5 .9
2 4 - 16 10yr4/4 none scl 2msbk mfr gw 1 of .4 .6
3 16-36 7.5yr4/4 none sl 2msbk mfr gw na .5 .9
4 36-96 7.5yr4/6 none sl/Is 2msbk mfr cs na .5 .9
hoizon # 4 has srtatified layers
Effluent #1 = BOD ? 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 8/3/2002 175 - 246 -5085
Property Owner LaCass? Development, Inc. Parcel ID # pending Page 2 of 3
Boring # Boring it Pit Ground Surface elev. 92.85 ft. Depth to limiting factor 96 in. Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
*Eff#1 *Eff#2
1 0 -9 10yr3/2 none sil 2msbk mfr gw 1f .5 .9
2 9 -16 10yr4/4 none scl 2msbk mfr gw 1vf .4 .6
3 16 -28 7.5yr4/4 none sl 2msbk mfr gw na .5 .9
4 28 -96 7.5yr4/6 none sl/Is 2msbk mfr na na .5 .9
hoizon # 4 has srtatifted layers
4 ] F Boring # Boring 16 Pit Ground Surface elev. 92.85 ft. Depth to limiting factor 96 in. Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft
*Eff#1 *Eff#2
1 0 -12 10yr3/2 none sil 2msbk mfr cs 1f .5 .9
2 12 -20 10yr4/4 none sicl 2msbk mfr gw na .4 .6
3 20 -31 10yr4/4 none scl 2msbk mfr gw na .4 .6
4 31-44 7.5yr4/4 none sl 2msbk mfr gw na .5 .9
5 44 -96 7.5 4/6 s mfr a na .5 .9
yr none Uls 2msbk n
hoizon # 5 has srtatified layers
❑ Boring # 21 Boring
Pit Ground Surface elev. ft. Depth to limiting factor in. F - Sof 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 <30 mg/L and TSS <.0 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 NF.1 /4,SW1 /4,S13,T29,R]9W (715) 246 -6200
Town of Hudson, St. Croix Co. (715) 246 -5085
Alexander Meadows, Lot 18
This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for
u 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.
74
36
37jrl 31
Fill; E5'�rk
433
ao
�!J
671'
£� • 4�,6S�t
visa' 8=3 -dam
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of
FILE IN FORMATION SYSTEM SPECIFICATIONS
E Septic Tank Capacity a l 13 NA ' LA
q7_05_3 Septic Tank Manufacturer �,v ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer 7 ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model 4 — ZQQ ❑ NA
Number of Public Facility Units ❑ NA Pump Tank Capacity a l ❑ NA
Estimated flow (average) gal/day al /da Pump Tank Manufacturer ❑ NA
Design flow (peak), (Estimated x 1.5) g al/day Pump Manufacturer ❑ NA
Soil Application Rate . gal/day/ft' Pump Model ❑ NA
Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ❑ NA
Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD <220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BOD 530 mg /L I In- Ground (gravity) ❑ In- Ground (pressurized)
Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ t -Grade - ❑ Mound
Fecal Coliform (geometric mean) :510 cfu /100ml ❑ Drip -Line ❑ Other:
Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA
Other: ❑ NA Other: ❑ NA
"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(s) (Maximum 3 years) 0 NA
y ear(s)
Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA
Inspect dispersal cell yer(sl s) At least once every: ❑ month
year(s) ) (Maximum 3 years) 13 NA
❑ month(s) ❑ NA
Clean effluent filter At least once every: year(s)
❑ month(s) ❑ NA
Inspect pump, pump controls & alarm At least once every: ❑ year(s)
❑ month(s) ❑ NA
Flush laterals and pressure test At least once every: ❑ year(s)
Other: ❑ month(s) ❑ NA
At least once every: ❑ year(s)
Other: ❑ NA
MAINTENANCE INSTRUCTIONS
Inspections of 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 cell(s) 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 (Y 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 servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
t Page _2_of 2
START40 AND OPERATION
For new construction, 'prior to use of the POWTS check treatment tank(s) 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 cell(s) in one large dose, overloading the cell(s) 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 contact a Plumber or POWTS Maintainer 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 drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil;
painting products; pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails 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.
CONTINGENCY 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:
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.
❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS
technology a holding tank may be installed as a last resort to replace the failed POWTS.
❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site
evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank
may be installed as a last resort to replace the failed POWTS.
❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat 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.
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name Name
Phone _ Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Name
Phone Phone
This document was drafted in compliance with chapter Comm 83.22(2)(b)0)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code.
ST CRO1X COUNTY
SLl''1'IC 'PANIC MAINI`ENANCE AGREEMENT
AND
OWN1?ItSilll' C1?lt'i'll FORM
Owner /Buyer /-V"Cr'5-5-C- ( : 70 6fV - PA �
Mailing Address - 3 C'o"V'4y
Property Address
(Veriftcalion ►cquirccl flout Planning Dei►attment for new constmc(ion) ----
City /Slate 1 Iticnlilicalioll lgttn►l►cr 20 - 70 — 00O
LEGAL DESCRIPTION
Property Location / /I� '/4, ',-),,J '/,, Sec. j� � '1' WR W, Town of d v`
SuUdivision _1 �Xae, M e�t� . Lot it
Certified Survey Mal► 11 _ Vcrinn►c , Page t/
Warranty Deed tt S� / S , Vctluntc i'ngc t'� O a
Spec house CI yes 0 no Lot lilies idell(ii.lable I l yes 0110
SYSTEM MAINTENANCE
Improper use and ntaitttenauccof your septic system could result in its itlemalnue failme to I►andlc wastes, Propernrafnleuauce.
consists of pumping out the septic tank cmy three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of lire septic tank as a (rea(ment stage in (he waste disposal systetu.
The properly owner agrees to subunit to Sl. Croix Zoning Depat(mcnt.a certification fonn, signed by the owner and by a
master pluutber, journeyutan plumber, lest,ic(cd plumber or it licensed pumper vci ifying that (1) the on -silo was lewatlerdisposal systern
is fu proper operaling condition and /or (2) aflei inspection and pumping (if ncecssaty), file septic lank is less than 1/3 full of sludge.
1 /wc, tine undersigucd have read (lie above rcquinenicn(s and agree to maintain the private sewage disposal system with file standards
set forth, herein, as set by .tiro DcparUucut of (,rnnutercc aucl file Depar(nlen( of Natural Resources; S(ale of Wisconsin. Certification
stall g that your septic sys(cm has been mai►mained must be corupicied and refill ocd to the St. Croix County Zoning Office witlrui 30
A SInINATURE of the Ili year expiration dale.
Or API'LICAN'r DATE
ONVNER CER'I'IIPICA'I70N
I (we) cettify that all sta(curcots on this 1 ale title to lite best of my (mfr) knowledge. I (we) am (are) the owners) of
tit roperty ribccl above, by virtue of a warranty (iced recorded ill Regis(cr of Deeds Office.
Co /a 57a z
I(HNA RL OF APPLICANT DATE
Any information that is ,,is- lcplcscntc(l onay resttit in the sani(ary peirnit being revoked by (he Zoning Department. * * * * **
*• Include with tills applicu(iolt: a stamited waniattty deed from the Pcgis(c: or l)eecls office
E cgry•crf tti. cttiffccl s r.� c� - _
- c _ iJ a, - : ;i� €G -f G'3i! 3^ Illacl^ad file WQCtarl13'
J 1 9 3 i' 0 2 1 'v
STATE BAR OF WISCONSIN FORM 11 - 1982 A THH 4 9 LEEN H. KA A
LAND CONTRACT
REGISTER OF DEEDS UEEUS
Individual and Corporate ST. CROIX CO., W1
(TO BE USED FOR ALI. TRANSACTIONS WHERE OVER RECEIVED FOR RECORD
125,000 IS FINANCED AND IN OTHER NON- CONSUMER
Document Number ACT TRANSACTIONS ) 07 - 24 - 2002 12:30 PM
,AQ CLAN `zkk
CONTRACT, by and between Renee E. Spott, a single woman i x;ayi F
_ ______ - --- - - - - -- — REC FEE: 15.00
TRANS FEE: 1599.60
_ — COPY FEE:
( "Vendor ", whether one or more) and L aCass e D evelopm ent, Inc. CERT�COPY FEE:
- - PAGE_ 3
_ Recording Area
( "Purchaser ", whether one or more). Vendor sells and agrees to convey to Name and Return Address
Purchaser, upon the prompt and full performance of this contract by Purchaser, Krlstina 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.
(isj (is 1,00
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) $
At the execution of this Contract; and (b) the balance of $ 355,278.00 ,together with interest from at
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
lanuary 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. -Arty
ant <r x t- array be 7>rerxtit# -wii #lout �rern+dsn-nr -fee -uper+-Prtneipal se-erty +irrn-a#�er - -- (OR)
there may be no prepayment of principal without permission of Vendor." except as provided n dendum
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 orwiscomin
Corporate Form No. it - 1982
InfortnaGOn Prolaaaionala Company, Font du Lac, WI 800 -655 -2021
• 'J 1933' 030
Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest
• in it and to deliver to Vendor on demand receipts showing such payment,
Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, ex-
tendet: coverage perils and such other hazards as Vendor may require, without co- insurance, through insurers approved
by Vendor, in the sum of S full Insured value , but Vendor shall not require coverage in an amount more
than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall
contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original
of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to
insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall
be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be
economically feasible.
Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property
in good tenantable condition and repair, to keep the Property free from liens superior to the Lien of this Contract, and
to comply with all laws, ordinances and regulations affecting the Property. -
Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions
shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to
the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except
any liens or encumbrances created by the act or default of Purchaser, and except: munic and zonin ordinances,
easemen and restric of record _ —
Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or
interest which continues for a period of 30 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 30 days following written notice
thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this contract
shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby
waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in
addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this contract and Purchaser's
rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of
redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from
the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously
paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the
Property if purchaser fails to redeem); or (ii) Vendor may sue for specific performance of this Contract to compel
immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of
default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser
shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion
thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet - titIe
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 tiny 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 24th day of July -__ 2002
LaCasse De eat, Inc. [} p�
�� d �� �� _ (SEAL) _ Y�41t�19, l�2 (SEAL)
+ Richard W. LaCas Pre _Vendor + Renee E. Spent Purchaser
(SEAL)
+ Vendor + Purchaser
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) Renee E. Spott STATE OF WISCONSIN )
) ss.
ST. CROIX COUNTY )
authenticated this /day of T T 2002
Personally came before me this 24t 04 of
July , 2002 - ! Le Maml�1•„
Richard W. LaCa sse, President of LaC +v e :•',,
Inc
i� -� r•sf w
Ith A. Remington � :- O �_Qj j �
TITLE. MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who extcod the egpihy
(If not, _ instrument and a te� �a e authorized by § 706.06, Wis. Slats.) —
THIS INSTRUMENT WAS DRAFTED BY `� S ( I L
Judith A. Remington, REMINGTON LAW OFFICES Notary Public St. Croix County, Wisconsin
WI 54017
P.O Box 177 New Richmond, date:
- -- M Commission is permanent. (If not, state expiration
Y
(Signatures may be authenticated or acknowledged. Both are not
necessary )
• Namcs of persons signing in am capacity should be typed or printed below their signatures.
LAND CONTRACT - Individual and Corporate. State Bar of Wisconsin Fonn No. 11 - 1982 information professionals Company, Fond du Lac, wl 800. 655.2021
1 1533' n31
ADDENDUM
RELEASE.
1. Vendor agrees to deed six (6) lots by warranty deed within five (5) days of final
plat approval. No additional consideration is needed to release these lots. In addition,
Vendor shall release up to six (6) additional lots from the land contract by warranty deed
upon five (5) day notice upon the receipt of the January 3, 2003 payment. Any
subsequent lots shall be released upon payment of an additional $28,000.00 per lot.
Purchaser shall pay for preparation of deeds of release.
2. Vendor's home plus 3.51 acres shall remain in Vendor's possession now and at all
times during this land contract. Purchaser shall deed to Vendor by warranty deed for the
Seller's home plus 3.51 acres to become known as Lot 1 of Alexander Meadows. Vendor
agrees that she shall not record the deed until the final plat is approved.
3. Purchaser agrees to construct a maintenance free three board fence around the
perimeter of Lot 1 on or before November 1, 2002, or as mutually agreed by the parties.
I
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' COUNTY PLAT OF: ALEXANDER MEA
LOCATED IN PART OF THE NW1 /4 OF THE SW1/4, PART OF THE NE1 /4 OF 1
r . OF THE SE7 /4 OF SECTION 13, T29N, R19W, TOWN OF HUDSON, ST.CRO
NI07TMESXl7l
— NSS'37 2671.29•
YB71 FAST•WFRf W 11NE
» ---- - --- Tars naor Hoar
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G IEMRnORMEA KWL . gsn
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y W 1; LOT 6 T_ LOT 5 "'- '��-_: / aAN91
a"z+a sa Fq § LAA a u FTJ
LOT 4 $
/ norexl en Fri dr
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LOT 1
.� • •, z9r9ACPO LAO. -smr
se9ma9wsnez n l?A09a Fr7
- HILLS DE TRAIL a '
-- — — -- — -- . --
YW .. ............... .............!- LOT 2 v:
• • ps,N09a Fq
Laa - 9ao
LOT 16 LOT 17 N �•� `- — arv999NS�
zrazAalFa �.
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(1006745 SM Frj V%= 90. FT4 AM
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LOT 18
uwAaES ... ... ...... ... .....
..... .
010. Sa . ... .
LAa -gas
OASIRN i •
erne" u viow
LOT 19 '
zS VQW
Laa -oas '
• a m AACRW
i10a7J090.FrT ;
TWIN HOME
LOT
LOT 21
a500AGM / NWJ
_ CIO 1 , 117 -r9os , w
\ THAN HOME 'A
LOT 1 A
UNION PACIFIC R/ULROAD -- -- -- -- r
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. - -. -.__ _. -. -.
889
COUNTY TREASURER CERTIFICATE ` \
TOWN TREASURER CERTIFICATE
STATE OF WISCONSIN) STATE OF WISCONSIN)
COUNTY OF SL CRg1r)SS COUNTY OF ST. CRDDQs&
I. MARY .LEAN UVERMORE. BEING THE DULY ELECTED. QUAUFIEO AND ACTING L JACOUIE SMITH. BEING THE DULY ELECTED. QUALIFIED AND ACTING TOM TREASUR
TREASURER OF THE COUNTY OF ST. CR013. HEREBY CERTIFY THAT THE RECORDS N OF THE TOWN OF HUDSON, HEREBY CERTIFY iLiAi N AOCOROANCE WITH 7NE RECOR
AS OFFICE SHOW NO LNFlfAEEMEO TAX SHIES AND NO UNPAID TAXES OR SPECIAL N MY OFFICE. THERE ARE NO UNPAID TAXES OR SPECIAL ASSESSMENT AS
ASSESSMENTS AS Of S CTNC THE LANDS INCLUDED N OF ON ANY OF THE LAND INCLUDED IN THE PLAT OF
THE PLAT OF ALEXANDER MEADOWS, ALEXANDER MEADOWS.
MARY AM LIVERMORE DATE ,IACQLIIE S►9TY DATE
COUNTY TREASURER TOWN TREASURER
8HEET 2 OF 2 SHEETS ms