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020-1370-34-000
I Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: 205 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: i Holmberg, Hans&Sarah I Hudson, Town of 020-1370-34-000 CST BM Elev: Insp.BM Elev: BM Description: �-�- Section/Town/Range/Map No: - s /o ..6, y teA-- 16.29.19.2200 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Blgg.Sewer J6 Z GG Holding A St/Ht Inlet St/Ht Outlet vJ TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic y�� Dt Bottom \ �` Dosing Header/Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover, a �7 �� 3 C GPM 4v%NAIL Go J J Model Number TDH Lift Friction Loss System Head TDH t Forcemain Length la. Dist.to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: r.;K(CK UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER 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 � Yes No [� Yes No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / / Inspection#2: Location: 504 McCutcheon Road Hudson,WI 54016(NW 1/4 NW 1/4 16 T29N R1 9W) Parkwood Meado s 1st Add Lot Parcel No: 16.29.19.2200 1.)Alt BM Description= G`'ea''A' A')f 2.)Bldg sewer length= jttj�Y 40 CA, ^41:1" :[ GO� -amount of cover= Plan revision Required? 0 Yes No r 2' Use other side for additional Information. Date Inse tors Cert.No. SBD-6710(R.3/97) �� �(� PLOT PLAN PROJECT Hans Holmbero ADDRESS 504 McCutcheon Rd Hudson Wi 54016 NW 1/4 NW 1/4S 16 /T 29 N/R 19 W TOWN Hudson ' COUNTY ST.CROIX SYSTEM ELEVATION 97.55/97.0 DATE 11/10/14 BEDROOM 4 CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1200 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE ABSORPTION AREA # of chambers BENCHMARK V.R.P. ST inlet ASSUME ELEVATION 96.65' Filter BEAR Filter ❑ BOREHOLE O WELL H.R.P. Same as Benchmark j3;!, -g6Acrd Scale = 1 /4" = 101 Property Line I Drainfield STB.M. G C 80 , 60' 30' Garage 10' 40' 4 Bedroom House 50' Pro Accessory Building 150' McCutcheon Rd p of p a) N O U L p _p N .a a v, E as E Z 0 Z Z °- o m is o �u w a� Q O Z O O 0 - c y CD 0 a c m a n F- m 1- F- c a N w c ° L, ° ° w a> W U g Q Q 1 0 .0 0 m �' � 0 `� c m 15 z IL Q - iu m a°'i 0 _° ° as ac)n E E LLJ 0 t j a�ai 0 ° m c� m ° ° >co a c a m d E W ° N co L > a3 0 ° a d o w a ° y 3 a> a a c b N N m N a m Q ai ;L m M . (D m a 3 (D 'c a E 0 E T a) E "m a`> a) N 0 E ° tscu N N a � a o � - E a� m � E c �-- L m o 0 > c 3 9 V "L co) w x 1 ^ • w0 aa) t `m ° c O 30 O co O p CO 0 a) a) y a5 Cn {1 U E a o ° CM ° afA o CO a o 0° m p �' a> 0 m� LG O ° a� o ao �N Naa, :3 a, °? 3 � v°°i ° oc H W J p C C 7 C a� ° M L •C O L N L ° .0 y° N p L T V Q W N� � � � � � � � � � E � = N _Lij m CL. > "O T-p ... aJ W 0.:a fu S w .U.. E N -� —:S .'�.. O s a W — �) z U LL z LIJ z 0 O 0 w Z 4< t- L -1 IU— > Z U) fy� ° � �. ry ly 'O m � CD Z N � z c=n � ? W 0 o o Of z U w w 0 o _ Q ~z LL W Q LL J n� 0 � Z w U) O > LL U !>O LU 7Z p CD 0 w cn 0� U) EL 44 O o 0 W X U � LL o ~ ° z z IL 2 Q o _ CL ''''1 County Sanitary Permit Application ST.CROIX COUNTY WISCONSIN In accord with Chapert 12 St.Croix County Sanitary Ordinance PLANNING&ZONING DEPARTMENT 004 Personal information you provide may be used for secondary purposes ST.CROIX COUNTY GOVERNMENT CENTER [Privacy Law.S.15.04(1)(m)] 1101 Carmichael Road $ Hudson,WI 54016-7710 (715)386-4680 Fax(715)386-4686 Attach complete plans for the system on paper not less than 8-1/2 x 11 inches in size. County Sanitary Permit# ❑Check if revision to previous application I. Application Information-Please Print all Information Location: G 1 Pro erty Owner Name 1/4 M tj 1/4,S,c pl T N, R E(or Property Owner's Mailing Address Lot Number Block Number Cc) LA City,State Zip Code Phone Numer Subdivision Name or CSM Number SG l"ii ��— GS 2 v,c L-"L"'s 11 Type of Building: (dheck one) Mity ❑Village ATown of r 2 Family Dwelling-No.of Bedrooms: • Public/Commercial(describe use): /`Jc' • State-owned Nearest Road II.Type of Permit: (Check"ne . Check box on line B if applicable) Parcel Tax Number(s) A) 1.❑ Repair 2 ❑Non-plumbiJn .❑Rejuvenation U Sanitation !J LC _ erm it Number. Date Issued / / fate Sanitary Permit was previously Issued IV.T of POWT System: (Check all that apply) Non-pressurized In-ground ❑ Mound? 24 in.suitable soil ❑ Mound:5 24 in.suitable soil ❑ Mound A+0 ❑ Sand Filter ❑ Constructed Wetland ❑ Peat Filter ❑ Drip Line 6 t r n ❑ Pressurized In-ground ❑ Holding Tank ❑ Single Pass ❑ Other ❑ At-grade ❑ Aerobic Treatment Unit ❑ Recirculating V.Dispersal/Treatment Area Information: . L%h co 'l 'e •0 L �- 1.Design Flow(gpd) 2.Dispersal Area 3.Dispersal Area 4.Soil Application Rate 5.Percolation Rate 6.Sys mal Grade Required Proposed (GalsJday/sq.ft.)_-, d (Min.lnch) Elevation �00 4f VI. Tank Information Capaicty in Gallons Total #of Manufacturer Prefab Site Con- Steel ZrIl Plastic New Existing Gallons Tanks Concrete strutted Tanks Tanks , ❑ ❑ ❑ e, ❑ ❑ VII.Responsibility Statement I,the undersigned,assume responsibility for repair/rec nenction/rejuvenationrnstallation of non-plumbing for the POWTS shown on the attached plans. A license is not required for terralift repair or the install of non-plumbing sanitation system. Piu"ey Name(prints Plumber's re(no stamps): MP MPR o. Business Phone b� Plumber's AddCess(Street,City,.$ta III.Cou`nV Use Only Disapproved Sanitary Permit Fee ate I sued 4isuing Age Signature stamps) Approved Owner Given Initial Adverse 21'7 t�� _ / 2�' G Determination IX.Conditions of Approval/Reasons for Disapproval: N i11 SYSTEM OWNER: J-) 'VF 1.Septic tank,effluent filter and ed I mamtamed dispersal cell must be 51ZNt� / \ as per Management plan provided by plumber. /2(�t �� �'� C J 2.All setback requirements must be maintained �. �, as , i L- c re"e), � ✓ �i �- 7 S. PLOT PLAN FPROJECT Hans Holmbera ADDRESS 504 McCutcheon Rd Hudson Wi 54016 1/4 NW 1/4S 16 /T 29 N/R 19 W TOWN Hudson COUNTY ST.CROIX STEM ELEVATION 97.55/97.0 11/10/14 BEDROOM 4 DATE NVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1200 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE ABSORPTION AREA # of chambers BENCHMARK V.R.P. ST Inlet ASSUME ELEVATION 96.65' Filter BEAR Filter ❑ BOREHOLE O WELL H.R.P. Same as Benchmark Scale = 1 4" = 10' Property Line f° Drainfield ST B.M. 2, -3,-I(l Z) 'S CO CO— Mo•, _5r 80' 40' 60' 30' Garage 4 Bedroom House 1- 10111 4 10' 40' 50' Pro ccessory Building 150' McCutcheon Rd . I�l11111llllllllllllllll I!!II l � ! 8263591 Document Number Document Title TX:4215394 1003068 St. Croix County BETH PABST REGISTER OF DEEDS Accessory Structure Affidavit ST. CROIX CO., WI ac- RECEIVED FOR RECORD u-S 4-M e6tr— 10/20/2014 10:07 AM Name—(Owner) Typed or printed EXEMPT #: being duly sworn,states,under oath,that: REC FEE: 30.00 PAGES: 1 He/she is the legal owner of the following parcel of land located in St. Croix County,Wisconsin, recorded in Volume — Page-Document Number 940'751 St.Croix County Register of Deeds Office, Recordin Area being duly described as follows(include lot no. and subdivision/CSM or Name and Return-Address detailed legal description): ,SCYy WIc.C�n-cct+�Otu J�f� AXq 0,S 0 A w L S'�'ol C1 `- Parcel Identification Number(PIN) P Mej� 3 fwd! 6Z- 1370 - 3y- oaa 1-a+- 3q As owner of the above described property, I acknowledge that the Private Onsite Wastewater Treatment System (POWTS)services both an existing principal dwelling and an accessory building on this lot and is sized for a Fovr(� bedroom home, or a design flow of 46D gpd. This accessory building may not be used as a second residence on this parcel. t also acknowledge that I will disclose this information and stipulation to any future parties interested in purchasing this property. Dat this T Zdyf �CTG 1115 Q ZOl AAJS AUTHENTICATION `��_A� ;.Hq�I/s'/, ACKNOWLEDGMENT Signature(s) ��P;•'• EOFWISCONSIN ) :2 )ss. t.C ix County. ) authenticated this day of S t >terso ally came before me this day of 7 p -the above named UBLIG,•• F s L91 TITLE: MEMBER STATE BAR OF WISCONSIN /j/ �/I SGD to me known to be (If not, //h/fIL11)1,j% ?he peTon(s)who executed the Foregoing tstrument and acknowledge the sat e. authorized by§706.06,Wis.Stats.) T11S 1NSTRU ENT WAS DRAFTED BY r Notary Public State of Wisconsin (Signatures may be authenticated or a nowledged. Both are not My Commission is permanent. not,state expiration date: necessary.) Date: i St.Croix County 1003068 Page 1 of 1 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owne Buyer Mailing Address b L/ 4Yz mQ got., plr\ Property Address _e>4 M P (Verification required from Planning&Zoning Department for new construction.) City/State Parcel Identification Number (5 ZV LEGAL DESCRIPTION 1 Property Location tf�; 1/4 1/4 , Sec. T ' N R i S, W, Town of P m' ��- -!—�- Subdivision Plat: Q[��('�� q ' l�� �o �vz� s-� , Lot#A Certified Survey Map# ,Volume �- , Page# Warranty Deed # (before 2007)Volume ,Page# Spec house❑ye�� Lot lines identifiabl ��,no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner,if needed,by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in§SPS.383.52(1)and in Chapter 12-St.Croix County Sanitary Ordinance. The property owner agrees to submit to St.Croix County Planning&Zoning Department a certification form,signed by the owner and by a master plumber,joumeyman plumber,restricted plumber or a licensed pumper verifying that(1)the on-site wastewater disposal system is in proper operating condition and/or(2)after inspection and pumping(if necessary),the septic tank is less than 1/3 full of sludge. Uwe,the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth,herein,as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St Croix County Planning&Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s)of the property described above,by virtue of a warranty deed recorded in Register of Deeds Office. N rofb 1' !6/ c// SIGNATWOF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning-&Zoning Department. ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 04/12) 11111111111111111 Hill 1111111111111111111111111111 9 0 0 7 5 1 1 A 900751 BETH PABST STATE BAR OF WISCONSIN FORM 2-2000 REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., WI Document Number RECEIVED FOR RECORD THIS DEED,made between Timothy F.Affeldt and Jennifer L.Chase, 07/23/2009 11:15AM husband and wife,Grantor,and Hans P Holmberg,A Single Person, WARRANTY DEED Grantee. EXEMPT t Grantor,for a valuable consideration,conveys and warrants to Grantee REC FEE: 11.00 the following described real estate in St.Croix County,State of Wisconsin: TRANS FEE: 960.00 Lot 34,Plat of Parkwood Meadows First Addition in the Town of Hudson, PAGES: 1 St.Croix County,Wisconsin. Recording Area �l Name and Return Address: Edina Realty Title,Inc. 400 South 2nd Street,Suite 115 Exceptions to warranties: Hudson,WI 54016 Easements,restrictions and rights-of-way of record,if any. 910016 020-1370-34-000 Parcel Identification Number(PIN) This is homestead property. I Dated this Jj!1y 220 I, *Timothy F.Affedlt Jenni er .Chase AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) St.Croix COUNTY. )ss. authenticated this 2" day of July,2009 * * TITLE:MEMBER STATE BAR OF WISCONSIN (If not, Personally came before me this 2nd day of July,2009 the above Ger1 1'�w'1 Timothy F. Affeldt and Jennifer L. Chase, Husband and authorized by§706.06,Wis.Statt.) ��y Public wife to me kno o be the erson(s)who executed the foregoing t�,�& �i Wisconsin instrumen a d the sa e THIS INSTRUMENT WAS Da *Cheri Bro Peterson,Fram&Bergman—Steven H.Bruns Notary Public,State of Wisconsin 50 East Fifth Street, St.Paul,MN 55101 My commission is permanent. (If not,state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) 2/27/11 ) *Names of persons signing in any capacity must be typed or printed below their signature WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2-2000 1 of 1 r a O a C) N y y' 1 0 a o ai ao 0 o a�oop dQ rn N o!) a N� �� OZ in O >`N N y m (0 X y vL 3-cu-N. a� a > °" 10 (D 3 a; L d =v° o E:� ya i0 a U m (D 0 m UOi N�a co ayCL d d N. C 0 a 1 O N No dw S [+ y o rn�r' o a2•a I E O a m a U E (�0 N N 2'j vwooor,sk, oepattmenf of Corrwr~eroe ~aafegr and BlrNdirgs Division ~r , GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT rersonel rnrormauon you prowoa may oe usea ror seoorWary purposes (Privacy Law. s.75.o4 (lxm)]. mrt H s Name: City Vi ge Tovan o Insp. BM E v.: 8M ription: TANK INFORMATION TYPE MANUFACTURER G4PACITY Septic ~ Dosing Aeration . Holding TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. qe Mtake ROAD Septic .~- ~cZ r NA Dosing NA Aeration NA Holding PUM~SIPHON INFORMATION urer Demand Model Nu r GPM TDH Friction S em T ft remain Length Dia. ~ist.Toweu ELEVATION DATA St. C ~ ~'~ r~. 22~v STATION BS HI f5 ELEV. Benchmark ~(}D ~, tT ~/ S'~ S S~ t S' t70 .~ ~ Bldg. Sewer (~ ~ 1 S ~~', Fyp ~ St / Ht Inlet ~ , R(Q, ~ S I St/ Ht Outlet $.$ O ~(~ . 3S/ Ot Inlet --~ Ot Bottom _ Header/Man. ~„=~ l.~ ~" "r,,,~! 9 -}0 ~r ~ s: r{ S Dist. Pipe ~ II.3o II to.}o 9c f • ~{j / Bot. System L 1z.~3 t2.o(o 93•oy ~ Z, final Grade d o.,~-~ 13.0 0 ~-• [ S ~ SOIL ABSORPTION SYSTEIV~(S~ ,. Q,,,~~ m~,l.-~o.,,~Q.L, 8ED /TRENCH Width r Leag t r __ No. reaches PIT No.Of Pits Iraide Oia. Liquid Depth 3 „ 3. ~ Z `"'~~ SYSTEM TO P / L BLDG WELL LAKE / STREA LEACHING Man re rS SETBACK ~ INFORMATION Type CHAMBER a Num System: ~~TVvv ~ ~~ ~' "` a'(o ~,~, OR UNIT - ~, , DISTRIBUTION SYSTEM He r //,,MJa,,.i y Distribution Pipe(s) x Hole Size x Hote Spacing Ve~f cTYO Air Make ~ 0 Lergth'7r`' Oia. ~ Len S 0 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched I 1 Bed/Trench Cuter ~ Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No 1 COMMENTS: (Inch de cod di par>,cies, persons present, etc.) ~~- I4-- cep Inspection #1: o3/Zl /off Inspection #2: -,-t--_+- Location: 504 McCutcheon Rd., Hudson, WI 54016 (NW 1/4 NW 1/4 16 T29N R19W) - 1629192200 Parkwood Meadows -Lot 3~ ~~~.. a~ ~'owa5'~-p~,'~~ ~w~~„-F--~~o,,-_ 'i- SZ 1.) Aft BM Description = i op ° -_..~ 2.) Bldg sewer length = ~. SS ~ ~ -amount of cover = ~ ~" gs;~ I,;,p11Q~, Plan revision required? ^ Yes No ~- S Use other side for additional inform~on. 5806710 (R.3/97) Gate /' (~ ~ Ins ecto~'sSignature t~• ~~ . S~~ , tti1S~~,~~ ~. ~$ ~a~wte~'"ec~ ~l. d`1~ S~) '~'~ t~ ~JY~6r~ j ~~ v"., C~„d'0~' r~ ~rrr~~~iXY~~~1iX~~" ~~ ~ ~ ~ ~ ' ~~ ~So`~ -'u ~~-{- eo,,l Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. `~ See reverse side for instructions for completing this application PO Box 7302 sconsin personal information you provide may be used.for_seGondary purposes Madison, WI 53707-7302 oepartmer,t of commerce [privacy Law, s. 15~4(t:xtn))' ~"'~.. (Submit completed form to county if not , ~ `, ' , ..~,, state owned.) Attach complete plans (to the county copy only) fir thesystem on paper not less, than 8 -1/2 x 11 inches in size. Coun ~ State Sanitatry/ Permit Number Check if vis~ vious application State Plan I. D. Number I. Application Information -Please Print all Information - r _ .. ,, Location: Property Owner Name ~ 7 < ~ ~'~ ~ - . Property Location y .. Ql~!Z . Z , ~~ S3 G4~C' Y~ t~ JhW 1/4 N~414> S ~~To~,N, (or) W Property Owner's Mailing Address ~' 2O~~~G Lot Number Block Number ~ City, State Zip Code P e- umbdr Sub 'vision ame or CSM Number c.~ s~a~l ( ,_~ .. ~~_ sy~ II. Type of Building: (check one) ^ City 1 or 2 Family Dwelling - No. of Bedrooms :~ ^ Village J~Town of ^ PubliclCommercial (describe use):_ ^ State-Owned Nearest R~ n ~ ~ (/• x q ?~ • ~Sr ~ Q _ Z 1 3 Parc 1 ax N be s) M S - O III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) DO A) 1. New 2. ^ Replacement 3. ^ Replacement of 4. 5. 6. ^ Addition to ystem System Tank Only Existing System B) Permit Number Date Issued ^ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) .~ - (C~ . Non-pressurized In-ground ^ Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass O Drip Line ^ At-grade ^ Aerobic Treatment Unit Recir lating Ot ~ V. Dispersal/Treatment Area Information: ..~ QQ 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. Sys m Elevation ~ 7. Final Grade Required Proposed / Rate (Gals./day/sq. ft.) (Min./inch) y"+ ~ 97 ,~ Elevation ~ SOO S/~ /. 7- y7 ' VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks CC ~~ O ^ ^ ^ ^ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS show n the attached plans. Plumber's Name (print) Plumbe ' ignatur no PRS No. Business Phone Number /~~D~ l~G~ ~.0 3.~" ? ~7iS ad ~-~ ~9 Plumber's Address (Street, City, State, Zip Co e D N ate. ~-~" s ~/ IX. CountylDepartment Use Only O Disapproved Sanitary Permit Fee (Includes Groundwate Date Issued Issui g Agent Signature (No stamps) 'Approved ^ Owner Given Initial Adverse Surcharge Fee) ~ ~ Determination '" ~~~ • , l2 2c~p ~( X. Conditions of Approval easons for Disa proval: 5~ a~ - i ~ w~ -~ ~ l~~ se=tQ.S o~ ~ -~ . ->~s~.~.--`~- ~ -h~~~ ~ L~ ~s c.~a.a~aoQ f i~cu`>'t,-ku`he~ r~ p~ ~w~~~«~h~ s . c~-~rs r-ec ~ . , vn SBD-6398 (R. 07100) ~~- 3y ~ ,~.~ ~,~ ,~ -~,~.~.~.~---ate.. ~a~ N~ ~~~ '~ _ _, ~ ~-a = 9 ~ ~~~r X15, ~s ~7° ~ ~'~°l/L !SD I ~t4 0 3s7 _- - _ - r ~~ 3y `~ ~a~ e ~I N~ ~~~ ~' ~ ~" - ~ ~-a - 9 ~ r so ` 0 3s 7 .~- - .~ 1-26-1995 9:40PM FROM P-~ ,. ~~H~"R;~°~^O1S°t'~ SOIL AND SITE EVALUATION REPORT ~agei of j~ Oiulsion of Safsey ~ Buildings jn go~~ yri~ It.HR 133.05, Wis. Adm. Cody a~tr. Cro3-x Attach ocmplete site plan an paper not less than 8112 z 11 i'NChea in size. Plan must include, but ' not limited ~ vertical and horizontal reference point' (BM), directron and'6 of slope, scale or •PARCEL I.O. tr riirneneioned, north arrow, and location and distance to nearest road. ~ _ aPPLICANt INFORMATION-ALEASE PIIINY At,l INFORMATION RE I DBY OATS arc~tZ Zoe PROPEFiI~/ OWNER: ~ PROPERTY LbCATION I~tCasse Cti1stCStt Hotnt=s, ~r'xC.. GOYr, LOT 1VW trd NttT 1/4,s 16 T 29 ,N,R x9 ate') W PROPERTY OWNEA':S MAILING AODAESS LOT a BLOCK a SUED. NAME OR C3M p 5Z1 M~'Cutchea~ Rd. 34 na Pazlcwood~ t!seadvws First Addis. CITY, STATE ZIP CODE PHONE NUMBER (]CITY QVILLAGE ,~1'OWN NFARf:ST ROAD Hudson, WI.. 54016 1715) 3x11-5405 rs.,a...... r,u.n,+..twe.,i., vi ~ J New Constttx-don Ilse fix) Residential /Number of bedrooms 4_ ( ) Addition m e~tisGrg twitdng L 1 Reptaot?rr-ent (y Public a ctsmmeraal describe Code detived dally Now,~~ gpd Reoommendea design loading rate ,- 7 ~, SP~..»~-Q~ 9P~ Absorption area rdQuired 858 _ bed, fl2 750 ~ trertcA, f[Z Maximum design loading rah • 7 bed, ypd/ft2 .8 ttertdt, gpdMl2 Reoammended infiltraffor- sutialce e{evation(sy 97. SS ft (as referred to site plan benchmark) AddiUOnal design / sib considerations trECiCt~eB r_macwd to cr~*`~.•-00' 'below grade t~arent matd'IaJ ` outvash ~ ,TFloOd plain elevation, ff amicable na ft = Suitable for SyslPall CONVENTIOrVAI MCIIND IN•GROUND PRF,ssURt: AT-GRADE SYST~I~I IN FlLL HOLOtNCi rAl~t 3 .unsuitable for system ~ S p U ~ S p U ®S ~ U l~ 5 p u ®S ^ u O S $I U - _~ ~ ~,,..r_ SOIL QESCRIPTION REPORT goring # 'a ~r k .w ~~ GtDUnd elev. 101.5~~ ~~ IlmiUng tartar +96 ~, Boring # .Z Ground elev. 101.3~t Depth m fador .i.g0", cs~' xe Horizon Depth in. bominant Color Munsell nnomes ~ Ou. Sz-Cont. Color Texture Structure Gr. Sz. Sh. ~ l3a~ry Roots, B Dltt~ 1 0-11 10yr3/3 none 1 Z~SbK mfr c~ 2f .5 ~ .6 2 II-26 7.Syr4/6 none 2s Osq xavfr gv~ 1f .7 .8. 3 26-36 7.5yr4/4 ,none s1 2etts~k ravfx' ~,r rta .5 .6 4 3 7,5yr4/6 none cos Osg >AZ ria na .7 .S -~~ 7 ~-~ of ~ (~ I Remarks: 1 0-10 10yr3/3 Wane ~ 1 2msbk mfr es 2f .5 .6 2' i0-~4 7.Syx4/4 none 2sil atVfr gN 2f .3 •6 3 24-36 7.5yr4/6 twee ms 4sg tnl gw na .7 .8 4 36-43 7.5yr4/4 c2d 7.5yr5/6 sil M na gv na t,'tp ~.z 5 43-90 7.5yr4/6 none cos Osg ml na na .7 .8 ~ a'E" 4~•SS ~ g~• ~ 'fS6 loS•~o sZ.? 112. L ' Remarks: Signsmtz: J('" ./~~.we ~ ~OL SL~dl ~ Dare: c~-2q-9R~ CST Numixr: m0229tt Wisconsin Department of Industry, SOIL AND SITE EVALUATION -REPORT Page 1 of 3 Labor and Human Relations nivileien of Satwty R FRllilrlirv~c . ~_ n_~_ •- - III CiVVV1V ••1~.. 1111 ~ VV.V V, ••,IJ •'.r v.. r. vv r ••~ - COUNTY `~ St. Croix ri must inckic~A bqt; 8 1/2 x 11 inches in size on a er not le l l th ~~ Att h t it , p p . a ac e p an ss an comp e e s not limited to vertical and horizontal reference point (BM), direction and % slope, scale or pARGE LD. # dimensioned, north arrow, and location and distance to nearest road. - ~ ~°-~ 02 ~ _ _ .,,;.. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATIOf~~ - ~'~ - " REVI VIJEDBY/ DAT l PROPERTY OWNER: OPER !~ r LaCasse Custom Homes, Inc. GO .LOT;;-NW tt9 ~'~= ds 16T 29 ,N,R 19 ffyor)W PROPERTY OWNER':S MAILING ADDRESS LOT # ~D ~ K~# ~SU AME OR CSM # 521 McCutcheon Rd. 34 na ~ arkwood Meadows First Addn. CITY, STATE ZIP CODE PHONE NUMBER ^CITY []VILLAGE Q(OWN NEAREST ROAD Hudson, WI. 54016 (115)381-5405 iKcCutcheon Rd. ~ ] New Construction Use [x] Residential i Number of bedrooms 4 [ ]Addition to existing building j ]Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate _~Lbed, gpd/ft21$_trench, gpd/ft2 Absorption area required 858 bed, ft2 750 trench, ft2 Maximum design loading rate • 7 bed, gpd/ft2 •8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 97.55 ft (as referred to site plan benchmark) Additional design /site considerations trenches spaced to code 4 00' below grade Parent material outwash Flood plain elevation, if applicable na ft S =Suitable for system CONVENTIONAL ®S ^U MOUND ®S ^U IN-GROUND PRESSURE ®S ^U AT-GRADE [~S ^U SYSTEM IN FILL ®S ^U HOLDING TANK ^S ~7U U=Unsuitablefors stem SOIL DESCRIPTION REPORT ~L._....,0~ ine~.~.n,i1,e~ /~~r,at~no, Boring # 1 ~~< Ground elev. 101.5~t, Depth to limiting factor +96" Boring # 2 Ground elev. 101.3~t. Depth to limiting factor +90" Depth Dominant Color Mottles re Text Structure Consistence Boundar Roots GPDJft Horizon in. Munsell Qu. Sz. Cont. Color u Gr. Sz. Sh. y Bed Trerxh 1 0-11 10yr3/3 none 1 2msbk mfr cs 2f .5 ~ .6 2 11-26 7.5yr4/6 none is Osg mvfr gw if .7 .8 3 26-36 7.5yr4/4 none sl 2msbk mvfr gw na .5 .6 4 36-96 7.5yr4/6 none s Osg ml na na .7 .8 0 S (. S 5~ . Remarks: 1 0-10 10yr3/3 none 1 2msbk mfr cs 2f .5 .6 2 10-24 7.5yr4/4 none lsil bk mvfr gw if .~ .8 3 24-36 7.5yr4/6 none ms Osg ml gw na .7 .8 4 36-43 7.5yr4/4 c2d 7.5yr5/6 sil .r--- M .~ na gw na np ~ .2 5 43-90 7.5yr4/6 none co.s Osg ml na na .7 .8 Remarks: CST Name:--Please PrintCST Name:--Ptease Print GAL. Steel Phone: 715-246-6200Steel Phone: 715-246-6200 Address: 1554 200th. A New Ri mond WI 54017 Signature: - Date: _29 990 CST Number: m02298 PROPERTY OWNER LaCasse Custom Homes SOIL DESCRIPTION REPORT PARCEL I.D. # 020-1028-90 Boring # .................. Ground elev. 99.85ft. Depth to limiting factor +90„ Boring # <4< Ground elev. 97.45ft. Depth to limiting factor +90" Boring # .`' 5 Ground elev. 97.15 ft. Depth to limiting factor +90.' Boring # Ground elev. ft. Depth to limiting factor Page ? of 3 .~. ~• .' , Horizon Depth Dominant Color Mottles Texture Structure Consistence Baxxiary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer~ 1 0-7 10 r3 3 none 1 2msbk mfr cs 2f .5 .6 2 7-18 10yr4/4 none sil 2msbk mfr gw if .5 .6 3 18-33 7.5yr4/6 none ms Osg ml gw na .7 .8 4 33-43 7.5yr4/4 c2d 7.5yr5/6 sil M ~•-. na ~ na np .2 5 43-90 7.5yr4/6 none cgs Osg ml na na .7 .8 ~'. Remarks: 1 0-9 10yr3/3 none 1 2msbk mfr cs 2f .5 .6 2 9-19 10yr4/4 none sil 2msbk mfr gw if .5 ~ .6 3 19-39 7.5yr4/6 none ms Osg ml gw na .7 .8 4 39-47 7.5yr4/4 c2d 7.5yr5/6 sil M na gw na np .2 5 47-90 7.Syr4/6 none cos Osg ml na na .7 .8 mil' 3.0 _2.3z ~ 3z.. Remarks: 1 0-8 10yr3/3 none 1 2msbk mfr cs 2f .5 .6 2 8-12 10yr4/4 none sil 2msbk mfr gw if .5 .6 3 12-32 7.5yr4/6 none is Osg mvfr gw na .7 ~ .8 4 32-42 7.5yr4/4 c2d 7.5yr5/6 .~- sil 2msbk mfr gw na .5 .6 5 42-90 7.5yr4/6 none cos Osg ml na na .7 .8 Remarks: Remarks: SBD-8330(8.05/92) • r STEEL'S SOIL SERVICE Gary L. Steel LaCasse Custom Homes, Inc. 1554 200th Ave. CSTM2298 NWgNWq sib-T29N-R19w New Richmond, Wi 54017 MPRSW-3254 town of Hudson. (715) 246-6200 lot #34-Parkwood Meadows First Addn. 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.. /N ,j~M top of 1" pvc pipe C~ el. 100.00' ~Atl. BM.= top of 1" pvc pipe ~ el. 95.45' ~~ ~ ~` ~~ , -~.- ~~ . 2 Gary L. Steel 29-99 .~ !!~ Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment. Systems SBD- Table 1: System Design Specifications Sanitary Permit Number I Number of Bedrooms Design Flow -Peak (gpd) Estimated Flow -Average (gpd) ~ Septic Tank Capacity (gal) p c Soil Absorption Component Size (ftz) z ~ Type of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absor tion Component Design Flow -Peak (gpd) ~ - as Maximum Influent Particle Size (in) 1/8 Maximum BOD5 (mg/L) 220 Maximum TSS (mg/L) 150 ,o~,b~s Tab le 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the se tic tan nd outlet filter shall be assessed at least once every 3 years by inspection. Th outlet filter shall be cleaned as necessary to ensure groper operation. The filter cartridge should not a removed unless provisi s are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to.failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enfer a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a conbned space. The atmosphere within the sepfic or other treatment of holding tank may contain /efha/ gases, and rescue of a person from fhe interior of the tank maybe difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm..Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful fife of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 S'1' C1tOIX COUNTY SLl''I'IC 'TANK MAIN'I'1?NANCL AGRL~L~MLN'I' AND OWNLRSIiII' CLR'1'l1~ICATION I~OItIvI Owner/13uyer (r,,-~ ~ ~ ra s~.~~ ~~~ i~_r , Mailing Address ~ ~7 '3 -- C.~ ~.c~ ~- /~ d xX ~, L(~ .L I'roparty Address d (Verification required tiom Planning Ucpaitrnent for new conslnrctiou City/State ~~~ 5 ~__. Parcel IdcnlilictUiun Nuunc~r LEGAL DESC1tII''I'ION Property Location L '' '1,, _~ (o ~ `/,, Scc. J~,_, 'i' ~-~ N-IZ~_W, 'town of ~T'~~'. SuUdivisiorr ~~ti^~~e~~ t'YI.~~Gtc~ta~.5 % ~~ ~~d c'~ Lot ~~ ~~. Certified Survey Map # , Voluntc `- ,Page # Warranty Deed # .J ~ / ~l~ ,Volume ~ Page # Spec house ^ yes ~( no l.ol lines i[Icntifia~lc~yes ^ no SYS'1'LM MAIN'1'I,NANCL Iurproper use and rnai[titenauceofyo~r septic system could result iu its premature failure to handle wastes. Propermainteuance consists of pumping out the septic teak every three years ar sooner, if needed by a licensed pumper. What you put into the system can allect We function of the septic teak as a lreaUucnt stage in t{re waste dispose{ system. The property owner agrees to submit l0 5t. Croix Zoning Department a certifrcatiotr form, signed by the owner and by a uraslerplumber, joumeyrnauplumber, restricted plumber or a licensed pumper verifying that (1) the ou-site wastewaterdisposaT system is in proper operating condition and/or (2) a[Ier inspection and pumping (if necessary), the septic tank is less Uutu 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain tl-c private sewage disposal system with the standards set forW, herein, as set by tl-e Department of Conunerce and the lleparUueut of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained nrusl be completed and returned to the St. Croix County Zoning Office within 30 days a three y ar expiration dale. SIGNA RLr ~ APPLICANT' UA'I'E OVER CCRTIT'ICATION I (we) certify hat all statcrucnts on this fun-- arc tnic to U-c best of my (our) knowledge. I (wc) am (are) lire owrrcr(s) of the r rty des ibc above, by virtue of a wa[rauty decd recorded iu Register of Uceds Ofticc. ~- • / 6' n SI ATU O APPLICANT' llATE *'*•** Any information that is mis-represented may result iu the sanitary permit being revoked by the Zoning Department. ****** ** Include with tlrls application: a slarnped warTanly deed from lire Register of Deeds olTice a copy of the certified survey map if reference is made in the warranty deed < < ~ YOL l~n ~ PACE~l~ STATE BAR OF WISCONSIN FORM ll - 1982 LAND CONTRACT ladlvidual aad Corrppoorate ITO 6E USED fOa ALL iRANSACTTON> WNfaE OVER O7CUMENT t`t0. 323 ~YX~ lS FINANCFC ENO IN OTNFR tvON{ONSU-AER ACT TRAN<1CTIUN51 t.- ~ X98116 KATHLEEN H. uttALSN REGISTCR OF i1rEEDS ST. CROIX C10., YI RECEIVED FIYt ~ Contract, by and between [~yard TaVent~ea^laerson?1 Ren3,p~n _a -ive of the ~y~te of Anna. L. LaV~ntu~e ,_ _ ('Vendoi , whether on< or more) and ITtC. _ _ Cl'urchaser", whether otte or ,Wore`. Vendor sells and agrees to convey to Purchaser, upon the prompt and h;l{ prrformanc~ of this contract by Purchaser, the following nropeny, together wish the rents, profits, fixtures and othrr appurtenant interests (all railed the 'Pro;terty"', in St • . Cro x _. -- County, gate of Wisconsin: THIS PROPERTY IS tll THE WELL ADVISORY AIREA. 02-19-19!! 12:~ AM lAifl+ C~iTWIt:I E)IEIiDT ~ CER1 COV'! FEf s COPS FEE: TRIy1SFER FEE: x520.40 RECOR1IIIli fEE: 1.00 Dt1tiESs I THIS SoACE RESERVED FOP nECONONG DATA NA4f ANO RETURN ADDRESS go X ~~-~j ~"(rl~so, ~y~~6 020-1028-90: 020-1029-00 Q20-1029-'~(): D20-2029-•40 PARCEL IDENTIFICATION NUMBEN S W 1!4 of NW 1/4; NW 1 /4 of N W 1/4; NW 1!4 of SW 1!4 and SW 1/4 of SW 1/4 EXCEPT all that p>~t lying Southerly of the former Chicago & Northwestern Railway Right of Way and EXCEPT that portiere of the former Chicago dt Northwestern Railway Right of Way located within the Certified Survey Map io Vol. 7, page 2046, Doc. No. 443210, all in Section 16, Township 29 North, Range 19 11~'est, St. Croix County, _.-.-, Wisconsin. This i s et homestead property. ( (is not) Purcluser agrees to purchase the Progeny and to pay to Vendor at Fj arse Vender dire~9 , the sum of 5.x,40.000.00 in .he following manntr. (a) S 22n-~-00 at the execution of this Contract; and (b) the balance of f ~2Q _OQt1 00 , ro~ther with irta~ from date hereof en the baiarrce outstanding from titt-e to time at the rate of Reven 179';1 percent per annum until paid in fire, as follows: See Attached ~cttibit "A" Provided, however, the entire outstanding balance shad be paid in fu{1 on or before the ' ~ ~ day of Fehrt>? ra~r~ 2004 , N1r~XX (the maturity date). Following arty defauh in payment, interest shall accnu at the me of 8'596 per annum on the entire amount in defaoit (which shall include, wither:: !::zitation, delinquent interest and, upon acceleration or raturity, the entire principal baiana). Purt:haser, nkss excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably anticipated areutai axes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply paltontts to these obliguions when d•.u. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited ~o an escrow fund or tnrstee account, but shall not bear interest unless otherwise required by law Payments shelf be applkd trst to interest on the unpaid balance at the rate sprcified and then to principal except as to lot release payments as provided on attached ~c}tibit "A" . In the evetu of any prepayment, this contract shall not be treated ~ in default with taped to payment so long as the unglwd balance of principal, and interest (and in such case accruing interest from month to month shall lx treated as w~paid principaD is less than t>Ibe amount that said indebtedness would have been had the monthly payments been made. as first speufied above; provided that monthly palmertts shall be continued in the etent of credit of any proceeds of insurance or condemnation, the condemned premises being tlterea&or excluded'here[rcm. Purchaser states that Purchaser u satisfied with, the title as shown by the title evidena submitted to Purchaser for examin~t~ except: None. Purchaser agrees to pay tt.e cost of future tick evidence. !f tick evidence istn the form of an abstract, it shall be rrtairted ey 1Endor umil the full purchase price is paid. Purchaser shelf be entitled to take twssession of the Procertv on ddy Of Closing. 7~)CX !~I _ ~.140~r~617 Putritaaer promlxs to pay avltert due all uses std asaesamenta levkd ore the Prupeny oe upon Wrdork inurest in It std to delirec w ~ktdar on demand receipts shawittg such payment. Purchaser dull keep ~!+e improvcmenu ott the Property insured k>sa or damaggee occasioned ',y fire, extended cavetttgr perik and such other hazards r bendor :say require, wltltout x~insurance, throwrcrs approved by Vendor, m the sum of f ~i/1 but tkrdor shall not rcquin cove:.er in an atnouru reto~e thau the balance .roved under this Contras. P.r:hascr shall pay the usttrar-ce prcmlum when due. The poUcies tdtaU contain the standud claux in fav-,r of the Verldork inurest and, unless Vendor otherwix agrees in writing,-the o of sll policies covering the Property shall be deposited wnch Vendor. Purchaser shall promptly give mice .•f kras to ir-suratfct companks u:d Vcndx. Unless R~rehaxr and Vendor otherwix agr!e in writing, in+urance F:oaeds shall be applied to restoruiat or repair of the Property damaged pra.~dcd 'he Vendor diems :he rcstoruiort or repair to be ecortomiatUy feasible. Purchaser cc...,ants nut w com~rtu waste nor allow wane to be committed on the Property, to keep the Pn,perty in good teruntabk condition and reprir, to keep the Property frt ' +m Ikru superior to the lkn of this Contras, and to comply with aL' laws, ordinances and rcgulatiorts aResing the P:vpertlt Vendor agrees chat in cue the pun'+ax i~rice with interest and abet moneys shall be fully paid and all conditbns shall be fully petiotnxd u the tithes and in the manner above specifkd,Vendot will on demand, cxecuu std deliver to the Purchaxr, a Van mry Deed, in fee simple, of the Propetry, tree and clear of all Ikns and encumbnnces, exce any liens or encumbrances created by the act or default of Purchaser, and except: Easements, reatrict>lons and riahts-o~ t+av of record, if anv. Purchasec agrees thu time is of the essence and (a) in the event of a defauk in the payment of any principal or inurcst which continues for a prriod of 15 days folbwing the specifud due dau or (b) in the event of a default in performance of any other obligation of PurchaVr which continues for a period oI ____li days following written notice thereof by Vendor (delivered personally or marled by certifud mail); then the entire a:tstanding balance under this contract shall become immediauly due Ind payable in lull, a! Vendors 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 adduion to those provided by taw c• in equity: (i) Vendor may, at his option, terminate this Contract and Purchaserh rights, title and interest in the Property sad recover the Property back through stria foreclosure with any equity of redemption to be conditioned upon Purchaser full payment of the entire outstanding balance, with interest thereon from tlu dau of default at the rate in effect on such due and other amount.. due hereunder (in which event all amounts previously paid by Purchaser shall be forfeiud as liquidaud damagres for failure to fulfill this Contract and as rental for the property if Purchaser fails to redeem); or (ii) Vendor may stir for specific performance o(this Contract to compel immediate and full paymem on the entire outstanding balance, with inurest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auttiaud at juduial 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 Contras as a cloud on title in a quiet- title anion i[ the equiwbk interest of Purchaser is insignifiant•, and (v) Vendor may have Purchaser ejected from possession o[ 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 writnn staumerus or anions of Vendor, an eksion of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all cosu and expenses including reasonable attorruys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibiud by law and expenses of title evidence shall be added to principal and paid by Purchaser, as irtcttrred, and shall be included in arty judgment. Upon tlu commencement or during the pendency of any action of foreclosure of this Contras, Purchaser consents to the appointment to a receiver of the Property, including homestead interest, to collect the rents, rues, and profits of the Property during the pendertry otsuch anion and such rents, isst:es, and profits when so collecud shall beheld and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal oc equitable interest in the Property (by assignrrunt o[ any of Purchaser'' rights under [his Contract or by option, long-term lease or in any ocher way) without the prior writnn 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 PurchaserD inurest under this Contract solely as security for an indebtedness of Purchaser. In the event o[ any such transfer, sale or conveyance without Vendor's writun consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendors option without notice. Vendor shall make all paymenu when due under any mortgage outstanding against the Progeny on the date of this Contrut (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the amount then due tender this Contract. Purchaser may make such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments trade on this Contrut. Vendor may waive any default without waiving other subsequent or prior default of : ur h All terms of this Contras shall be binding upon and inure to the benefits o[ the he~~ ;e Via: roves, successors and assigns of Vendor and Purchaxr. (Ii not an owner o[ the property the spouse of Vendor for a valuable rnnsic,•-3:. tin to release homestead rights in the subject Property and agrees to join in the execution o[ the deed to be made in fulfillment hereo: Dated the ~ ~ ~~ day o[ F~truarv , 19~ _. Estate of Anna L. LaVenttue LaCasse Custota Homes, Inc. ~, y"'_ ~/ (SEAL) • Hoardrd LaVenttue, Personal Representative AUTHENTICATION Signature(s) ~~~ ~ V~'r+~'~ , ~`G~vR4 W • I.~CKSr•.- N'~ pf~~i~1~~x, 19~ authenticated this /V,`O'..,_ t rc ~c.I~c~n TITLE MEMBER STATE BAR OF WISCONSIN (U not, authorized by §706.06. Wis. StatsJ THIS INSTRUMENT WAS DRAFTED BV Attorney xristina ogland Hudson, illI 54016 • Richard W. LaCasse, President j ,.~1/,~..t/ Ct1 ~/~vs~ (SEAIJ Buyers obligations are hereby pert~ortally quaran Il r W. LaCasse (sEAt) ACKNOWLEDGMENT State of Wisconsin. ss. _ St. Croix County. Personally came before me this day of February 19 ~ the above named I~ovard LaVenttue, Personal Representative of Estate of Anna L. LaVenture, and Richard W. LaCasse, President of LaCasse Custae Homes, Inc., and individually - to me known co be the person who execuud the foregoing instrument and acknowledge the same. Notary Public, County; Wis. - ~. Ott l~D~PbCE6~ EXHIBIT "A" 1. At the time of closing of this Contract and upon payment of 5220,000.00, Seller shall convey by deed to Buyer the SW l /4 of NW 1 /4 of Sec. 16-T29N-R19W. Buyer agrees to give Seller a Second Mortgage on this property which Second Mortgage shall be for collateral purposes only. Seller agrees to provide Buyer with Partial Releases of said Mortgage for lots sold when requested by Buyer providing Buyer is not in default on the Land Contract between the parties. 2. Four (4) annual installments on each anniversary date of this Contract in the amount of $100,000.00, which amount will be applied to principal and accrued interest. Buyer shall have the right to the release of up to three (3) lots with each such annual pa)+ment. 3. Payment of the entire outstanding balance of principal and interest 5 years from the date of execution of this Contract. 4. Seller will execute release Deeds for lots sold by Buyer during the Contract term provided: a. Seller shall received 515,000.00 per lot release; 1,. Property remaining must be adequate collateral to fully secure the unpaid contract balance; c. There must be adequate public access to the property remaining subject to the Contract; d. No parcels in the NW 1/4 of the NW 1/4 shall be released until at least 5500,000.00 has been paid on contract principal; e. Lot release payments shall be in addition to the annual payments and final payments provided for in Paragraph No. 2 and 3; f. Buyer shall be responsible for costs of drafting and recording all release deeds. Seller will pre-sign deeds, with the legal description left blank, to be held by Seller's attorney for convenience of the parties. 5. T[{EBE !!AY BS !10 PBEPAYI~JT OP PRIPICIPAL biITHOtTI PERI~lISSIOM OP VEIiDOA EZCEPT AS TO LOT ttSLBASS PAYl~lTr3 AS HEREIliABOV6 SET FOB'rH. I `Y i --~ 11 I. \ I• I 3 11 ~IOdB 3S~_ - o ~~~ ,~f _ _ ~ ~ , ~ ~ I _ r• ~ ~'£ M ~, 5 ~OOo1~0 N ~ ` i6 •g~~y _ ____ r ~ _~-- _ - - ---- M ~ . 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