3509 s center hwy, suttons bay, marketing packet
DESCRIPTION
Beautifully updated home situated in a convenient Leelanau County location only 15 minutes from Traverse City and 5 minutes from Suttons Bay. Many quality features of this 2 bedroom, 1.75 bath home include: Entirely new kitchen in 2006 with granite tile countertops and high end stainless steel appliances; refinished hardwood floors, solid antique doors, and original woodwork throughout; fresh paint inside and out, 2 car garage, private master bath, and 1.03 acres backing to the Leelanau TART Trail. The work has been completed for you to move-in immediately!Please visit http://www.oltersdorf.com for more information.TRANSCRIPT
3509 S CENTER HWY $159000
Co Rd 633 28 miles south of Suttons Bay just north of Otto Rd From TC M-22 8 miles north to L on Shady Ln to R on Elm Valley Rd follow 25 miles
MLS 1726757Status NEWCounty LeelanauType ResidentialBdrm 2Bath 175Address 3509 S CENTER HWYCity Suttons BayZip 49682Wtrfrnt NoWater PSFront Ft
ApxYrBlt 1920Apx Acres 103Dimensions 127x361x139x325Body of WaterCondo NoUnit Assn FeeSubdivision Metes amp BoundsLot
130
133136160132
132
Main Floor
Main FloorMain FloorUpper FloorUpper Floor
Upper Floor
ARCHITECTURE Victorian Farm HouseCONSTRUCTION WoodSTYLE Two StoryCONSTRUCTIONPART 2
Stick Built
BASEMENT Partial Crawl SpaceBATH Private Master Bath Shower Over Tub Sh
ower StallAPPLIANCESEQUIPMENT
Refrigerator OvenRange DisposalDishwasher Water Softener
INTERIOR Cable TV Available Foyer EntranceHardwood Floors Granite Counters HighSpeed Internet
WATERFRONT TYPE NoneMISCELLANEOUS NA
LOT DESCRIPTION Metes and BoundsOUTBUILDINGS No OutbuildingsGARAGEPARKING Two Car Garage Detached Auto Garage
Door Opener Paved DrivewayHEATINGCOOLING TYPE Forced AirHEATING COOLING SOURCE Natural GasROAD County Maintained PavedROOF Asphalt ShingleWASTE Septic SystemWATER Private WellEXTERIOR Deck Countryside View Covered PorchUSE RESTRICTIONS UnknownZONING ResidentialFINANCING AVAILABLE See RemarksPOSSESSION NegotiableOther
110
93111130110
89
Jonathan OltersdorfO (231) 271-7777
jonathanoltersdorfcomwwwoltersdorfcom
OLTERSDORF REALTY LLC(231) 271-7777
100-A S Cedar StreetSuttons Bay MI 49682
Beautifully updated home situated only 15 minutes from Traverse City and 5 minutes from Suttons Bay Many quality features of this 2bedroom 175 bath 1310 sq ft home include Entirely new kitchen in 2006 with granite tile countertops and high end stainless steelappliances refinished hardwood floors solid antique doors and original woodwork throughout 2 car garage fresh paint inside andout private master bath and a 103 acre lot backing to the Leelanau TART Trail Move-in ready
School District Suttons BayTownship BinghamSection 9YrRmodeled 2006Main Fl Laundry NoAbvGrdFin 1310LL Fin SQF 0Tot Fin SF 1310UnfinishSF 628Dual MLS
No
NoNoNoNo
No
The accuracy of all information regardless of source is not guaranteed or warranted All information should be independently verifiedCopyright copy 1998-2011 Traverse Area Association of REALTORS reg All Rights Reserved
05182011 0916 AM
AskingCustomer Report
WidthLength
Family RmLiving Rm
Dining RmKitchen
BR 2Master BR
BR 3
Den
Carpet
BR 4
SELLERS DISCLOSURE STATEMENT
Property Address 350~~C~en-terHwLy_______SUttons-B~aLYxMI4~9~6~8=2_~----_____MIChigal1 - Street CityNillagefTownship
PurpOSE of Statement This statement is a disclosure of the condition of the property in compliance with the Seller Disclosure Act This statement is a disclosure of the condition and information concerning the property known by the Seller Unless otherwise advised the Seller does not possess any expertise in construction architecture englneenng or any other specific area related to the construction or condition of the improvements on the property or tllemiddotland Also unless otherwise advised the Seller has not conducted any inspection of generally inaccessible areas sucll as the foundation or roof This statement is not a warranty of allY kind bl the Seller or by any Agent representing the Seller in tllis transaction and s not a substitute for any nspecUons
or warranties the buyer may wish to obtain
Sellers Disclosure The Seller discloses the following infonnation with the knowledge that even though this is not a warranty the Seller specifically makes the following representations based on the Sellers knowledge at the signing of this document Upon receiving Ihis statement from the Seller the Seners Agent is required to provide a copy to the Buyer or the Agent of the Buyer The Seller authorizes its agent(s) to provide a copy of this statement to any prospective Buyer in connection with any actual or anticipated sale of property The fOllowing are representations made solely by the Seller and are not the representations of the Sellers Agent(s) if any This information Is a disclosure only and is not Intended to be a part of any contract b(tween Buyer
and Seller
Instrultions to the Seller (I) Answer ALI questions (2) Report known conditions affecting the property (3) Attach additional pages with your signature if additional space is required (4) Complete this form yourself (5) If some items do not apply to your property check NOT AVAILABLE If you do not know the facts check UNKNOWN FAILURE TO PROVIDE A PURCHASER WTH A SIGNED DISCLOSURE STATEMENT WLL ENABLE A PURshyCHASER TO TERMINATE AN OTHERWISE BINDING PURCHASE AGREEMENT
AppliancesSystemsServices The items below are in working order (The items listed below are included in the sale of the property only if the purchase agreement so provides)
Item Yes No Unknown Not Available
RangeOven ii1-
Dishwasher X Refrigerator X
1-
Hoodlfan )lt
Disposal X TV antenna TV rotor Xamp Controls
Electrical system X-shyGarage door opener Xamp remote control
Alann System X
Intercom X 1-
Central Vacuum X
Attic Fan )(
-shyPool heater wall liner
lamp equipment
Microwave -
Trash Compactor X Ceiling Fan X_ SaunaHot Tub
Washer X
Item Yes No Unknown Not Available
Dryer X Lawn sprinkler system
Water Heater
X X
Plumbing system K -shy
Water softener conditioner )(
Well amp Pump 1(
Septic tank amp drain field X
Sump Pump )Z
City Water System gtlt
City Sewer System x Central Air Conditioning l(
Central Heating System gtshyWall Furnace X
Humidifier lt
Electronic Air Filter X
Solar Heating System x
Fireplace amp Chimney X
Wood Burning System )(
SeiferS Initials r~u I if ~~ry) B I
This form is prOvided as a service of tile Traverse Area Association of REAL TORSregMLS Effective January 2006
Suttons Bay MI49682Property Address 3509 Center Hwy Michigan Street CityNiJlageTownship
UNLESS OTHERWISE AGREED ALL HOUSEHOLD APPLIANCES ARE SOLD IN WORKING ORDER EXCEPT AS NOTED WITHOUT WARRANTY BEYOND DATE OF CLOSING
Property Conditions Improvements amp Additional Information
1 Basementlcrawl space Has there been evidence of water Yes
If yes Please explain
3 Roof Leaks
Approximate age if known ___--______~__________________________
4 Well Type of well (depthdiameter age and repair history if known)____________________
Has the water been tested No
If yes date of last
6 I-Ieating System Typeapproximate age--F--2~c1lt~)LcA~1~R=--_~41~A~s=-_middot----N~L=W=-lE-umiddot-JJlmiddotJf=~cmiddotft___=O~middotl~ _-
~PIUmbingSp~m~~~~fQ-~~_c_~_~__~______G_a_~_a_n_~_e_d_____O_t_h_e_r~~~~~~~~~~~~~~~~~~~~~~~~~~~~_Any known problems_II
8 Electrical System Any known
9 History of Infestation If any termites carpenter ants
10 Environmental Problems Are you aware of any substances materials or products that may be an environmental hazard such as but not limted to asbestos radon gas formaldehyde lead-based paint fuel or chemical storage tanks and contaminated soil on tile property ~
Unknown Yes
IfYeEle_e_ex_p_l_a_in___--_____________________~____________________~~ 11 Flood Insurance Do you have flood insurance on the property Unlltnown Yes (NO00)
12 Mineral rights Do you own the mineral rights ~ Yes ffc Other Items Are you aware of any of the fonowing ~ 1 Features of the property shared in common with the adjoining landowners such as walls fences roads and driveways or other features whose use or responsibility for maintenance may have an effect on the property __ __
~~known Yes l~oJ 2 Any encroachments easements zoning violations or nonconforming uses -Q~_~~~ci) Yes No
3 Any common areas (facilities like pools tennis courts walkways or other areas co-owned with others) or a homeowners association that has any authority over the properly
Unknown Yes
4 Structural modifications alterations or repairs made without necessary permits or licensed contractors
Unknown Yes 5 Settling flooding drainage structural or grading problems Unknown Yes
6 Major damage to the property from fire wind floods or landslides Jnknown Yes 7 Any underground storage tanks Unknown Yes 8 Flfm or farm operation in the vicinity orproximity to a landfill airport shooting range etc
Unknown No 7
Buyers Initials ____ Sellers Injtial~YtA
This form is provided as a service oFthe Traverse Area Association of REAL TORSregfMLS Page 2 of 3 Effective January 2006
Suttons Bay IVlI 49682 MichiganProperty Address 3509 Center Hwy Street CityNillagefT ownship
9 Any outstanding utility assessments or fees including any natural gas main extension surcharge
Unknown
10 Any outstanding municipal assessments or fees Unknown
11 Any pending litigation that could affect the property or the Sellers right to convey the property
Unknown Yes ~ If the answer to any of these questions is yes please explain Attach additional sheets if necessary
(bgtc 2-- 0 OCThe Seller has lived in the residence on the propert( from ~ (date) to G (date) The Seller has owned the property since 9 lt) 2 (date) The seller has indicated ab e the conditions of all the items based on information known to the SeJfe~ If any changes occur in the structuralmechanicalappliance systems of this property from the date of this form to the date of closing Seller will immediately disclose the changes to buyer In no event shall the parties hold the broker liable for any representations not directly made by the Broker or Brokers Agent
Seller certifies that the information in this statement is true and correct to the best of Sellers knowledge as of the date of SeiferS signature
BUYER SHOULD OBTAIN PROFESSIONAL ADVICE AND INSPECTIONS OF THE PROPERTY TO MORE FULLY DETERMINE THE CONDITION OF THE PROPERTY THESE INSPECTIONS SHOULD TAKE INDOOR AIR AND WATER QUALITY INTO ACCOUNT AS WELL AS ANY EVIDENCE OF UNUSALL Y HIGH LEVELS OF POTENTIAL ALLERGENS INCLUDING BUT NOT LIMITED TO HOUSEHOLD MOLD MILDEW AND BACTERIA
BUYERS ARE ADVISED THAT CERTAIN INFORMATION COMPILED PURSUANT TO THE SEX OFFENDERS REGISTRATION ACT 1994 PA 295 MCL 28721 TO 28732 IS AVAILABLE TO THE PUBLIC BUYERS SEEKING THAT INFORMATION SHOULD CONTACT THE APPROPRIATE LOCAL LAW ENFORCEMENT AGENCY OR SHERIFFS DEPARTMENT DIRECTLY
BUYER IS ADVISED THAT THE STATE EQUALIZED VALUE OF THE PROPERTY RESIDENCE EXEMPTION INFORMATION AND OTHER REAL PROPERTY TAX INFORMATION IS AVAILABLE FROM THE APPROPRIATE LOCAL ASSESSORS OFFICE BUYER SHOULD NOT ASSUME THAT BUYERS FUTURE TAX BILLS ON THE PROPERTY WILL BE THE SAME AS THE SELLERS PRESENT TAX BILLS UNDER MICHIGAN LAW REAL PROPERTY TAX OBLIGATIONS CAN CHANGE SIGNIFICANTLY WHEN PROPERTY IS TRANSFERRED
Date=m4-~+_I__ Date
-------t~~_
Buyer has read and acknowledges receipt of this statement
Date________~ Time________
Date__________ Time________
This form is provided as a service of the Traverse Area Association of REALTORSregMLS Page 3 of 3 Effective January 2006
TRAVERSE AREA ASSOCIATION OF REAL TORSreg MULTIPLE LISTING SERVICE 1J--~_ LEAD-BASED PAINT SELLERS DISCLOSURE FORM
lead Warning Statement Every purchaser of any interest in residential real property on which a residential dwelling was built prior to 1978 is notified that such property may present exposure to lead from lead-based paint that may place young children at risk of developing lead poisoning Lead poisoning in young children may produce permanent neurological damage including learning disabilities reduced intelligence quotient behavioral problems and impaired memory Lead poisoning also poses a particular risk to pregnant women The Seller of any interest in residential real property is required to provide the buyer wifh any information on lead-based paint hazards from risk assessments or inspections in the sellers possession and notify the buyer of an) known lead-based paint hazards A risk assessment or inspection for possible lead-based paint hazards is recommended prior to purchase
Property Address _3_5_0_9_S_C_e_n_t_e_r_H~w_y__S_utt_o_n_s_B_a_y__M_1_4_9_6_8_2____~____
- 1jY- I Sellers Disclosure i_~0t Y-J--- (a) Presence of lead-based paint andor lead-based paint hazards (check one below)
~DKnown lead-based paint andor lead-based paint hazards are present in the housing (explain)
Seller has no knowledge of lead-based paint andor lead-based paint hazards in the housing
Records and reports available to the seller (check one below)
n Seller has provided the purchaser with all available records and reports pertaining to lead-based paint Wor lead-based paint hazards in the housing (list documents below)
eller has no reports or records pertaining to lead-based paint andor lead-based paint hazards in the housing
Seiler certifies tl1at to J~e best of hisher knowledge the Sell s iatements above are true and accurate
Dated C 1Y31 Dated ___5s-1l shy
Signed By Seller lt--t_77T-~~_______---I~LU=L--1L=
II Agents Aclmowledgement Agent has informed the Seller(s) of hisher obligations under 42 USC 4852 d and is aware of hisher
(initial) responsibility to ensure compliance
Dated C-ID-II (Printed Name)
III Purchaser
Signed By Agent ----7~=-----=--~--------__c__---shy
____ (a) Purchaser has received copies of all information listed above (initial)
--~___ (b) Purchaser has received the federally approved pamphlet Protect Your Family From Lead in Your Home (initial)
-------__ (c) Purchaser has (check one below)
ri Reeived a 10-day opportunity (or other mutually agreed upon period) to conduct a risk assessment or ~ ectlon of the presence of lead-based paint or lead-based paint hazards or
Waived the opportunity to qonduct a risk assessment or inspection for the presence of lead-based paint O10r lead-based paint hazards
Purchaser certifies to the best of hisher knowledge the Purchasers statements above are true and accurate
Dated Signed By Purchaser ---------------------~----7- DatEd Signed By Purchaser ___________________----------_
Federal Law requires Seler(s) and Agent to retain tllis form for at least three (3) years after the closing
copy Copyright Traverse Area Assoclation of REAL TORSreg F23 L-3 Lead Paint Sellers DisclosureRev 5106
m SELLERS SEWER I SEPTIC DISCLOSURE STATEMENT RFAtfOR4I
Page 1 of 2
Property Address__3_5_0_9_S_C_e_n_te_r_H_wy____~_~__S_ut-to__n~s_B--a~y__ Michigan Street C1tyVillageTownship
Property Tax 10 No 45-001-009-005-20
Purpose of Statement This Supplemental SewerSeptic Disclosure Statement expands upon the related questions in the Sellers Disclosure Statement regarding the septic tank drain field or city sewer system
Sellers Disclosure Unless otherwise advised the Seller does not possess any expertise in construction engineering or any other specific area related to the construction or condition of the sewerseptic system This statement is not a warranty of any kind by the Seller or by any agent(s) representing the Seller in this
transaction and is not a substitute for any inspections or warranties the Purchaser may wish to obtain The following are representations made solely by the Seller and are not the representations of the Sellers agent(s) if
any
Instructions to Seller (1) Answer ALL questions (2) Report known conditions affecting the sewerseptic system (3) Attach additional pages with your signature if additional space is required (4) Complete this form yourself (5)
If you do not know the facts indicate UNKNOWN NOT AVAILABLE or NOT APPLICABLE
1 Which of the following services this property
a City municipal or central sewer system _________
b Septic system with drain field _------__________
Co Holding tank system ___________ ______
d Other disposal system ________________
2 Does the system serve only one property ~Yes D No
3 If a city municipal or central sewer serves the property is the house connected to it
4 If the property is connected to a septic system holding tank system or other disposal system
a If available please attach a copy of the local County Environmental Health Department permit along with the final drawings for your approved system
b Is your septic system entirely within your propertys boundaries ~es If no please explain _____________--________________
Co When was your system last pumped ____~-L--f-==------_------------
d When was your system last inspected --Co=-t--=~----------------
e If Y(lUr system was pumped andor inspected please attach a copy of the receipt andor the inspection if available
copy Copyright Traverse Area Association of REALTORSreg 852 S Garfield Avenue - Traverse City MI 49686 F40 - Sellers Supplemental SewerSeptic Disclosure Statement Revised OS2009
SELLERS SEWER (SEPTIC DISCLOSURE STATEMENT Page 2 of 2
5 Have you received or been made aware of a copy of the Septic System Management Information
DYes bdwo (please note this informaiion can be obtained at the Traverse Area Association ofREALTORS website at wwwtaarcom)
SELLERS STATEMENT IWe Seller(s of the Property provide this SewerSeptic System Disclosure and consider it true and accurate to the best of myour knowledge and authorize disclosure of this information to prospective Purchasers
C)~ ~ 5j(811 ~ ~ V~~-]Ji611SeltlT V Date l Seller Date
PURCHASERS ACKNOWLEDGMENT (to be signed at time of purchase agreement) IWe the Purchaser(s) of the Property acknowledge receipt of the SewerSeptic System Disclosure
Purchaser Date Purchaser Date
copy Copyright Traverse Area Association of REALTORSreg - 852 S Garfield Avenue -- Traverse CIty MI 49686 F40 -Sellers Supplemental SewerSeptic Disclosure Statement Revised OS2009
p 0011003JAN-10-2011 MaN 0825 AM BEN LEE D[ST HEA H FAX No 231 256 0225
GRAD TRIVEISE LEELANAU amp BENZIE DISTRICT HEALTH DEPARJMENT GRAND TRAVEaSELEELANAU COUNTIES BENZIE COUNTY + 4- 155 6
Po a(lX~05 GOVERNMENTAL BUILDING TrilAVERSE CITYjMICHI3AN 49685 Po BOX 335 shy NON-TRANSFEAABLE PEFIMIT
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SQUARE FEEr 7~5V ~r ~l TYPE ~~t~f7Ji$ IILI LiNes ON ~~cf 2-r I ~ OePTH lV rOJh
pTHEfl I 1alifel(ifvf( APIgtIltOVED _______ ~
Ii PERMIT TO INSTAU CONSTRUCT OR REPLAce e~ EXPIRES 1 YEAR AFTE DATE OF ISSUE
RECEIVEO tftJ- FOR 5~WAGE olP05Al p~ltMrr ___FOR wm PERMIT
AORIllMfNf I HEREBY AGREE TO COMPLY WITH REQUIREMENTgt OF THE SANIT ARY CODE FOR TE COUNTIeS OF GRAND TRAVIiRSIi LEELANAU AND BENZIE AND THE APPLICABLe LAWS OF THE STATE Of MICHIGAN IN THE INSTALLATION OF A SEPTIC TANK SEWAGE DISPOSAL SYSTEM ampOR WELL INSTALLATION ON THE ABOVE IlESCIUBEO PROPflltTY ANP TO CONSTRUCT THE SAME ACCpRPING TO THE PLANS AND SPECIFICATIONS AS DESCRIIlED AND APPROVED AElOVJ orHERWIS~ I UNDERSTAND THE PERMIT Will BE VOID
FINAL INSPECTION REQUIRED BEFORE COVERING ONe DAY NOTI(E SHAll BE GIVEN FOR INSPECTION
WELL jgt~RMIT ~
II t~1f~if(vJ is re4Ci~
f(lbrlo C~7 Sampvr$iS~
ALLOW 1 SLOPE PER 50 FOOT OFTllE
Ihmiddot 17 IN IJIA ClEAI-I amp O~ WASHEDsTONE
4 OF STRAW TO IlE PLACeDSTON UNDER TILE OV~RSTONi
ISOLATION DISTANCES FOR PRIVATE HOMIia SEWAGE DISPOSAL SYSTEM SHALL BE IOCATED AT LEAST 60 FEET FROM ANY POTABLE WATER SUPPLY WELL SPRING OR IlNPROTECTEO WATER SUCTION LINE BURIED OR UNEXPOSED SEWERS OR plps THROUGH WHIOH $iWAGe MAY BACK UP SHALL NOT BE 10CAIliO OIO$e~ fHAN TN (10) IIET FAOM AUY pOTABLe WATER well Oll9UC110N PIPI SUCH seWEFlS OR Pipes SHALL BE CONSTflUCTeO OF 90HE1IUtE 40 OR OTH~ APPROVED (HEALTH DEfT) MATERIAL
-------C-EItT=I=Fic=A=-=T-E-=OFI~NS=P=E-=CT-IO-=-N---~~~--~~middotmiddot-
(PUMIT TO COVIR)
seWeR ~b4) ~EPTIC TANIlt Jl5p cLruhk FINAL DISPOSAL 15 (50 I ISOLATION DI5T-----a~=-_~_
Nom__~_____~_---------_
CONTRACTOR APPROVAL Of A PLAN AND THE JN$rA~lATION CANNOT Be ONSDERED BY THE OWNIiR ~ A GUARANTEE THAT SUCCESSFUL OPERATIO IS A55UR~D THERE AR~MANV WAYS A SYSTEM CAN BE ABUSED CAUSING FAILURE
BEN LEE DI8T HEALTH FAX No 231 256 0225 p 002003JAN 10-2011 MON 0826 AM bullbull lt bull
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JAN-10-2011 MON 0826 AM BEN LEE DIST HEALTH FAX No 2312560225 p 003003
gt ~~7~-----------------------------+----j-----j ____I~ afiar __ hI~ pumpIng 81--- GrMilt iJ ____ ft aftr __ hr~ p~mpintl 1___ (IPM
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1-_~-----_~----_---______--__-l--___-I-____~~~~Cl~mC9nt===~~~-========i==l $Qutoe or poss tile conl8mimlti(ln i
USE A 2111) SHElT IF IlIEI)En
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Manufctrer~ n_m~ ---4~I-----JpgtLtr=--=t----shy
Mod~1 rlumbe-r --2-Ib-ltJ--_
Length of op Pipe Il--shy
mE ELSvbm~qlbhJ PRESSURI tANK
_Itigt~__ GPM
Msnutacturers name ----1l--t--t---I-J~~=-~-1
LOCAL HEALTH DEPTCOPY
f
DISCLAIMER
TIle infoflnation contained herein and contained in any supplemental documents has been furnished by the seller andor other sources We believe the information is reliable Every effort has been made to provide accurate information However we are unable to guarantee the enclosed and recommend that the purchaser verify all information before closing
OLTERSDORF REALTY LLC
100A S Cedar St PO Box 578 Suttons Bay MI 49682
231-271-7777 or 1-866-271-2200
SELLERS DISCLOSURE STATEMENT
Property Address 350~~C~en-terHwLy_______SUttons-B~aLYxMI4~9~6~8=2_~----_____MIChigal1 - Street CityNillagefTownship
PurpOSE of Statement This statement is a disclosure of the condition of the property in compliance with the Seller Disclosure Act This statement is a disclosure of the condition and information concerning the property known by the Seller Unless otherwise advised the Seller does not possess any expertise in construction architecture englneenng or any other specific area related to the construction or condition of the improvements on the property or tllemiddotland Also unless otherwise advised the Seller has not conducted any inspection of generally inaccessible areas sucll as the foundation or roof This statement is not a warranty of allY kind bl the Seller or by any Agent representing the Seller in tllis transaction and s not a substitute for any nspecUons
or warranties the buyer may wish to obtain
Sellers Disclosure The Seller discloses the following infonnation with the knowledge that even though this is not a warranty the Seller specifically makes the following representations based on the Sellers knowledge at the signing of this document Upon receiving Ihis statement from the Seller the Seners Agent is required to provide a copy to the Buyer or the Agent of the Buyer The Seller authorizes its agent(s) to provide a copy of this statement to any prospective Buyer in connection with any actual or anticipated sale of property The fOllowing are representations made solely by the Seller and are not the representations of the Sellers Agent(s) if any This information Is a disclosure only and is not Intended to be a part of any contract b(tween Buyer
and Seller
Instrultions to the Seller (I) Answer ALI questions (2) Report known conditions affecting the property (3) Attach additional pages with your signature if additional space is required (4) Complete this form yourself (5) If some items do not apply to your property check NOT AVAILABLE If you do not know the facts check UNKNOWN FAILURE TO PROVIDE A PURCHASER WTH A SIGNED DISCLOSURE STATEMENT WLL ENABLE A PURshyCHASER TO TERMINATE AN OTHERWISE BINDING PURCHASE AGREEMENT
AppliancesSystemsServices The items below are in working order (The items listed below are included in the sale of the property only if the purchase agreement so provides)
Item Yes No Unknown Not Available
RangeOven ii1-
Dishwasher X Refrigerator X
1-
Hoodlfan )lt
Disposal X TV antenna TV rotor Xamp Controls
Electrical system X-shyGarage door opener Xamp remote control
Alann System X
Intercom X 1-
Central Vacuum X
Attic Fan )(
-shyPool heater wall liner
lamp equipment
Microwave -
Trash Compactor X Ceiling Fan X_ SaunaHot Tub
Washer X
Item Yes No Unknown Not Available
Dryer X Lawn sprinkler system
Water Heater
X X
Plumbing system K -shy
Water softener conditioner )(
Well amp Pump 1(
Septic tank amp drain field X
Sump Pump )Z
City Water System gtlt
City Sewer System x Central Air Conditioning l(
Central Heating System gtshyWall Furnace X
Humidifier lt
Electronic Air Filter X
Solar Heating System x
Fireplace amp Chimney X
Wood Burning System )(
SeiferS Initials r~u I if ~~ry) B I
This form is prOvided as a service of tile Traverse Area Association of REAL TORSregMLS Effective January 2006
Suttons Bay MI49682Property Address 3509 Center Hwy Michigan Street CityNiJlageTownship
UNLESS OTHERWISE AGREED ALL HOUSEHOLD APPLIANCES ARE SOLD IN WORKING ORDER EXCEPT AS NOTED WITHOUT WARRANTY BEYOND DATE OF CLOSING
Property Conditions Improvements amp Additional Information
1 Basementlcrawl space Has there been evidence of water Yes
If yes Please explain
3 Roof Leaks
Approximate age if known ___--______~__________________________
4 Well Type of well (depthdiameter age and repair history if known)____________________
Has the water been tested No
If yes date of last
6 I-Ieating System Typeapproximate age--F--2~c1lt~)LcA~1~R=--_~41~A~s=-_middot----N~L=W=-lE-umiddot-JJlmiddotJf=~cmiddotft___=O~middotl~ _-
~PIUmbingSp~m~~~~fQ-~~_c_~_~__~______G_a_~_a_n_~_e_d_____O_t_h_e_r~~~~~~~~~~~~~~~~~~~~~~~~~~~~_Any known problems_II
8 Electrical System Any known
9 History of Infestation If any termites carpenter ants
10 Environmental Problems Are you aware of any substances materials or products that may be an environmental hazard such as but not limted to asbestos radon gas formaldehyde lead-based paint fuel or chemical storage tanks and contaminated soil on tile property ~
Unknown Yes
IfYeEle_e_ex_p_l_a_in___--_____________________~____________________~~ 11 Flood Insurance Do you have flood insurance on the property Unlltnown Yes (NO00)
12 Mineral rights Do you own the mineral rights ~ Yes ffc Other Items Are you aware of any of the fonowing ~ 1 Features of the property shared in common with the adjoining landowners such as walls fences roads and driveways or other features whose use or responsibility for maintenance may have an effect on the property __ __
~~known Yes l~oJ 2 Any encroachments easements zoning violations or nonconforming uses -Q~_~~~ci) Yes No
3 Any common areas (facilities like pools tennis courts walkways or other areas co-owned with others) or a homeowners association that has any authority over the properly
Unknown Yes
4 Structural modifications alterations or repairs made without necessary permits or licensed contractors
Unknown Yes 5 Settling flooding drainage structural or grading problems Unknown Yes
6 Major damage to the property from fire wind floods or landslides Jnknown Yes 7 Any underground storage tanks Unknown Yes 8 Flfm or farm operation in the vicinity orproximity to a landfill airport shooting range etc
Unknown No 7
Buyers Initials ____ Sellers Injtial~YtA
This form is provided as a service oFthe Traverse Area Association of REAL TORSregfMLS Page 2 of 3 Effective January 2006
Suttons Bay IVlI 49682 MichiganProperty Address 3509 Center Hwy Street CityNillagefT ownship
9 Any outstanding utility assessments or fees including any natural gas main extension surcharge
Unknown
10 Any outstanding municipal assessments or fees Unknown
11 Any pending litigation that could affect the property or the Sellers right to convey the property
Unknown Yes ~ If the answer to any of these questions is yes please explain Attach additional sheets if necessary
(bgtc 2-- 0 OCThe Seller has lived in the residence on the propert( from ~ (date) to G (date) The Seller has owned the property since 9 lt) 2 (date) The seller has indicated ab e the conditions of all the items based on information known to the SeJfe~ If any changes occur in the structuralmechanicalappliance systems of this property from the date of this form to the date of closing Seller will immediately disclose the changes to buyer In no event shall the parties hold the broker liable for any representations not directly made by the Broker or Brokers Agent
Seller certifies that the information in this statement is true and correct to the best of Sellers knowledge as of the date of SeiferS signature
BUYER SHOULD OBTAIN PROFESSIONAL ADVICE AND INSPECTIONS OF THE PROPERTY TO MORE FULLY DETERMINE THE CONDITION OF THE PROPERTY THESE INSPECTIONS SHOULD TAKE INDOOR AIR AND WATER QUALITY INTO ACCOUNT AS WELL AS ANY EVIDENCE OF UNUSALL Y HIGH LEVELS OF POTENTIAL ALLERGENS INCLUDING BUT NOT LIMITED TO HOUSEHOLD MOLD MILDEW AND BACTERIA
BUYERS ARE ADVISED THAT CERTAIN INFORMATION COMPILED PURSUANT TO THE SEX OFFENDERS REGISTRATION ACT 1994 PA 295 MCL 28721 TO 28732 IS AVAILABLE TO THE PUBLIC BUYERS SEEKING THAT INFORMATION SHOULD CONTACT THE APPROPRIATE LOCAL LAW ENFORCEMENT AGENCY OR SHERIFFS DEPARTMENT DIRECTLY
BUYER IS ADVISED THAT THE STATE EQUALIZED VALUE OF THE PROPERTY RESIDENCE EXEMPTION INFORMATION AND OTHER REAL PROPERTY TAX INFORMATION IS AVAILABLE FROM THE APPROPRIATE LOCAL ASSESSORS OFFICE BUYER SHOULD NOT ASSUME THAT BUYERS FUTURE TAX BILLS ON THE PROPERTY WILL BE THE SAME AS THE SELLERS PRESENT TAX BILLS UNDER MICHIGAN LAW REAL PROPERTY TAX OBLIGATIONS CAN CHANGE SIGNIFICANTLY WHEN PROPERTY IS TRANSFERRED
Date=m4-~+_I__ Date
-------t~~_
Buyer has read and acknowledges receipt of this statement
Date________~ Time________
Date__________ Time________
This form is provided as a service of the Traverse Area Association of REALTORSregMLS Page 3 of 3 Effective January 2006
TRAVERSE AREA ASSOCIATION OF REAL TORSreg MULTIPLE LISTING SERVICE 1J--~_ LEAD-BASED PAINT SELLERS DISCLOSURE FORM
lead Warning Statement Every purchaser of any interest in residential real property on which a residential dwelling was built prior to 1978 is notified that such property may present exposure to lead from lead-based paint that may place young children at risk of developing lead poisoning Lead poisoning in young children may produce permanent neurological damage including learning disabilities reduced intelligence quotient behavioral problems and impaired memory Lead poisoning also poses a particular risk to pregnant women The Seller of any interest in residential real property is required to provide the buyer wifh any information on lead-based paint hazards from risk assessments or inspections in the sellers possession and notify the buyer of an) known lead-based paint hazards A risk assessment or inspection for possible lead-based paint hazards is recommended prior to purchase
Property Address _3_5_0_9_S_C_e_n_t_e_r_H~w_y__S_utt_o_n_s_B_a_y__M_1_4_9_6_8_2____~____
- 1jY- I Sellers Disclosure i_~0t Y-J--- (a) Presence of lead-based paint andor lead-based paint hazards (check one below)
~DKnown lead-based paint andor lead-based paint hazards are present in the housing (explain)
Seller has no knowledge of lead-based paint andor lead-based paint hazards in the housing
Records and reports available to the seller (check one below)
n Seller has provided the purchaser with all available records and reports pertaining to lead-based paint Wor lead-based paint hazards in the housing (list documents below)
eller has no reports or records pertaining to lead-based paint andor lead-based paint hazards in the housing
Seiler certifies tl1at to J~e best of hisher knowledge the Sell s iatements above are true and accurate
Dated C 1Y31 Dated ___5s-1l shy
Signed By Seller lt--t_77T-~~_______---I~LU=L--1L=
II Agents Aclmowledgement Agent has informed the Seller(s) of hisher obligations under 42 USC 4852 d and is aware of hisher
(initial) responsibility to ensure compliance
Dated C-ID-II (Printed Name)
III Purchaser
Signed By Agent ----7~=-----=--~--------__c__---shy
____ (a) Purchaser has received copies of all information listed above (initial)
--~___ (b) Purchaser has received the federally approved pamphlet Protect Your Family From Lead in Your Home (initial)
-------__ (c) Purchaser has (check one below)
ri Reeived a 10-day opportunity (or other mutually agreed upon period) to conduct a risk assessment or ~ ectlon of the presence of lead-based paint or lead-based paint hazards or
Waived the opportunity to qonduct a risk assessment or inspection for the presence of lead-based paint O10r lead-based paint hazards
Purchaser certifies to the best of hisher knowledge the Purchasers statements above are true and accurate
Dated Signed By Purchaser ---------------------~----7- DatEd Signed By Purchaser ___________________----------_
Federal Law requires Seler(s) and Agent to retain tllis form for at least three (3) years after the closing
copy Copyright Traverse Area Assoclation of REAL TORSreg F23 L-3 Lead Paint Sellers DisclosureRev 5106
m SELLERS SEWER I SEPTIC DISCLOSURE STATEMENT RFAtfOR4I
Page 1 of 2
Property Address__3_5_0_9_S_C_e_n_te_r_H_wy____~_~__S_ut-to__n~s_B--a~y__ Michigan Street C1tyVillageTownship
Property Tax 10 No 45-001-009-005-20
Purpose of Statement This Supplemental SewerSeptic Disclosure Statement expands upon the related questions in the Sellers Disclosure Statement regarding the septic tank drain field or city sewer system
Sellers Disclosure Unless otherwise advised the Seller does not possess any expertise in construction engineering or any other specific area related to the construction or condition of the sewerseptic system This statement is not a warranty of any kind by the Seller or by any agent(s) representing the Seller in this
transaction and is not a substitute for any inspections or warranties the Purchaser may wish to obtain The following are representations made solely by the Seller and are not the representations of the Sellers agent(s) if
any
Instructions to Seller (1) Answer ALL questions (2) Report known conditions affecting the sewerseptic system (3) Attach additional pages with your signature if additional space is required (4) Complete this form yourself (5)
If you do not know the facts indicate UNKNOWN NOT AVAILABLE or NOT APPLICABLE
1 Which of the following services this property
a City municipal or central sewer system _________
b Septic system with drain field _------__________
Co Holding tank system ___________ ______
d Other disposal system ________________
2 Does the system serve only one property ~Yes D No
3 If a city municipal or central sewer serves the property is the house connected to it
4 If the property is connected to a septic system holding tank system or other disposal system
a If available please attach a copy of the local County Environmental Health Department permit along with the final drawings for your approved system
b Is your septic system entirely within your propertys boundaries ~es If no please explain _____________--________________
Co When was your system last pumped ____~-L--f-==------_------------
d When was your system last inspected --Co=-t--=~----------------
e If Y(lUr system was pumped andor inspected please attach a copy of the receipt andor the inspection if available
copy Copyright Traverse Area Association of REALTORSreg 852 S Garfield Avenue - Traverse City MI 49686 F40 - Sellers Supplemental SewerSeptic Disclosure Statement Revised OS2009
SELLERS SEWER (SEPTIC DISCLOSURE STATEMENT Page 2 of 2
5 Have you received or been made aware of a copy of the Septic System Management Information
DYes bdwo (please note this informaiion can be obtained at the Traverse Area Association ofREALTORS website at wwwtaarcom)
SELLERS STATEMENT IWe Seller(s of the Property provide this SewerSeptic System Disclosure and consider it true and accurate to the best of myour knowledge and authorize disclosure of this information to prospective Purchasers
C)~ ~ 5j(811 ~ ~ V~~-]Ji611SeltlT V Date l Seller Date
PURCHASERS ACKNOWLEDGMENT (to be signed at time of purchase agreement) IWe the Purchaser(s) of the Property acknowledge receipt of the SewerSeptic System Disclosure
Purchaser Date Purchaser Date
copy Copyright Traverse Area Association of REALTORSreg - 852 S Garfield Avenue -- Traverse CIty MI 49686 F40 -Sellers Supplemental SewerSeptic Disclosure Statement Revised OS2009
p 0011003JAN-10-2011 MaN 0825 AM BEN LEE D[ST HEA H FAX No 231 256 0225
GRAD TRIVEISE LEELANAU amp BENZIE DISTRICT HEALTH DEPARJMENT GRAND TRAVEaSELEELANAU COUNTIES BENZIE COUNTY + 4- 155 6
Po a(lX~05 GOVERNMENTAL BUILDING TrilAVERSE CITYjMICHI3AN 49685 Po BOX 335 shy NON-TRANSFEAABLE PEFIMIT
) PHON~iI2246aar BEULAH MICHIGAN 49617 DIAGRAM 5~WAGe IEI1MfT~( PHONE 882middot44QQ
(r~~~~~i~rl~~~~ 115 OF ESTABLltHMrtiOffiS ~~TUl(l V
ROPERTYL i) r ~- Lt c_ ~ 0 OCATIONW~hD~L) f1L-1(ES pqYY UJ-U1 ~ r ~1IlampdsmTOWNSHIP SEcnON----I----_
COUNTY M~l)A-OL 0 JDATE
sOIL i ~tr
S~tj~ middothl)jiivikluJeWf tjl
LINEAL FEET___-__
DRAIN~H)____~__+ 1==-==------- shy
ATiiRSUPPLYI
LINEAL fEET Z512ff 4
SQUARE FEEr 7~5V ~r ~l TYPE ~~t~f7Ji$ IILI LiNes ON ~~cf 2-r I ~ OePTH lV rOJh
pTHEfl I 1alifel(ifvf( APIgtIltOVED _______ ~
Ii PERMIT TO INSTAU CONSTRUCT OR REPLAce e~ EXPIRES 1 YEAR AFTE DATE OF ISSUE
RECEIVEO tftJ- FOR 5~WAGE olP05Al p~ltMrr ___FOR wm PERMIT
AORIllMfNf I HEREBY AGREE TO COMPLY WITH REQUIREMENTgt OF THE SANIT ARY CODE FOR TE COUNTIeS OF GRAND TRAVIiRSIi LEELANAU AND BENZIE AND THE APPLICABLe LAWS OF THE STATE Of MICHIGAN IN THE INSTALLATION OF A SEPTIC TANK SEWAGE DISPOSAL SYSTEM ampOR WELL INSTALLATION ON THE ABOVE IlESCIUBEO PROPflltTY ANP TO CONSTRUCT THE SAME ACCpRPING TO THE PLANS AND SPECIFICATIONS AS DESCRIIlED AND APPROVED AElOVJ orHERWIS~ I UNDERSTAND THE PERMIT Will BE VOID
FINAL INSPECTION REQUIRED BEFORE COVERING ONe DAY NOTI(E SHAll BE GIVEN FOR INSPECTION
WELL jgt~RMIT ~
II t~1f~if(vJ is re4Ci~
f(lbrlo C~7 Sampvr$iS~
ALLOW 1 SLOPE PER 50 FOOT OFTllE
Ihmiddot 17 IN IJIA ClEAI-I amp O~ WASHEDsTONE
4 OF STRAW TO IlE PLACeDSTON UNDER TILE OV~RSTONi
ISOLATION DISTANCES FOR PRIVATE HOMIia SEWAGE DISPOSAL SYSTEM SHALL BE IOCATED AT LEAST 60 FEET FROM ANY POTABLE WATER SUPPLY WELL SPRING OR IlNPROTECTEO WATER SUCTION LINE BURIED OR UNEXPOSED SEWERS OR plps THROUGH WHIOH $iWAGe MAY BACK UP SHALL NOT BE 10CAIliO OIO$e~ fHAN TN (10) IIET FAOM AUY pOTABLe WATER well Oll9UC110N PIPI SUCH seWEFlS OR Pipes SHALL BE CONSTflUCTeO OF 90HE1IUtE 40 OR OTH~ APPROVED (HEALTH DEfT) MATERIAL
-------C-EItT=I=Fic=A=-=T-E-=OFI~NS=P=E-=CT-IO-=-N---~~~--~~middotmiddot-
(PUMIT TO COVIR)
seWeR ~b4) ~EPTIC TANIlt Jl5p cLruhk FINAL DISPOSAL 15 (50 I ISOLATION DI5T-----a~=-_~_
Nom__~_____~_---------_
CONTRACTOR APPROVAL Of A PLAN AND THE JN$rA~lATION CANNOT Be ONSDERED BY THE OWNIiR ~ A GUARANTEE THAT SUCCESSFUL OPERATIO IS A55UR~D THERE AR~MANV WAYS A SYSTEM CAN BE ABUSED CAUSING FAILURE
BEN LEE DI8T HEALTH FAX No 231 256 0225 p 002003JAN 10-2011 MON 0826 AM bullbull lt bull
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bull J 1 J f-
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p ~ ~~CA fi -~~A J~~~ ~ ~ ~ r t-middot ~ ~ ~ f~J ~ - GjmiddotIoSA j~ ~ iJJfVZ It tft~Vmiddotmiddot U ~J ~9
4
JAN-10-2011 MON 0826 AM BEN LEE DIST HEALTH FAX No 2312560225 p 003003
gt ~~7~-----------------------------+----j-----j ____I~ afiar __ hI~ pumpIng 81--- GrMilt iJ ____ ft aftr __ hr~ p~mpintl 1___ (IPM
r~
lt I
~~~-----~~middot--------------~-~---+--~~~------~1~Z7W~E~L~c~~~~~~~~~~~~~~~~~~-~ From ___ ~ ___ ft
1-_~-----_~----_---______--__-l--___-I-____~~~~Cl~mC9nt===~~~-========i==l $Qutoe or poss tile conl8mimlti(ln i
USE A 2111) SHElT IF IlIEI)En
15
R~~Fi_VEDD~C 2 3 1987 17
Type S~=rrtC Dlstsoce ro Wall dlelnflocte9 upon eQmpletlan7 ~ WSamp old w~11 plull9edi D Y9~
Manufctrer~ n_m~ ---4~I-----JpgtLtr=--=t----shy
Mod~1 rlumbe-r --2-Ib-ltJ--_
Length of op Pipe Il--shy
mE ELSvbm~qlbhJ PRESSURI tANK
_Itigt~__ GPM
Msnutacturers name ----1l--t--t---I-J~~=-~-1
LOCAL HEALTH DEPTCOPY
f
DISCLAIMER
TIle infoflnation contained herein and contained in any supplemental documents has been furnished by the seller andor other sources We believe the information is reliable Every effort has been made to provide accurate information However we are unable to guarantee the enclosed and recommend that the purchaser verify all information before closing
OLTERSDORF REALTY LLC
100A S Cedar St PO Box 578 Suttons Bay MI 49682
231-271-7777 or 1-866-271-2200
Suttons Bay MI49682Property Address 3509 Center Hwy Michigan Street CityNiJlageTownship
UNLESS OTHERWISE AGREED ALL HOUSEHOLD APPLIANCES ARE SOLD IN WORKING ORDER EXCEPT AS NOTED WITHOUT WARRANTY BEYOND DATE OF CLOSING
Property Conditions Improvements amp Additional Information
1 Basementlcrawl space Has there been evidence of water Yes
If yes Please explain
3 Roof Leaks
Approximate age if known ___--______~__________________________
4 Well Type of well (depthdiameter age and repair history if known)____________________
Has the water been tested No
If yes date of last
6 I-Ieating System Typeapproximate age--F--2~c1lt~)LcA~1~R=--_~41~A~s=-_middot----N~L=W=-lE-umiddot-JJlmiddotJf=~cmiddotft___=O~middotl~ _-
~PIUmbingSp~m~~~~fQ-~~_c_~_~__~______G_a_~_a_n_~_e_d_____O_t_h_e_r~~~~~~~~~~~~~~~~~~~~~~~~~~~~_Any known problems_II
8 Electrical System Any known
9 History of Infestation If any termites carpenter ants
10 Environmental Problems Are you aware of any substances materials or products that may be an environmental hazard such as but not limted to asbestos radon gas formaldehyde lead-based paint fuel or chemical storage tanks and contaminated soil on tile property ~
Unknown Yes
IfYeEle_e_ex_p_l_a_in___--_____________________~____________________~~ 11 Flood Insurance Do you have flood insurance on the property Unlltnown Yes (NO00)
12 Mineral rights Do you own the mineral rights ~ Yes ffc Other Items Are you aware of any of the fonowing ~ 1 Features of the property shared in common with the adjoining landowners such as walls fences roads and driveways or other features whose use or responsibility for maintenance may have an effect on the property __ __
~~known Yes l~oJ 2 Any encroachments easements zoning violations or nonconforming uses -Q~_~~~ci) Yes No
3 Any common areas (facilities like pools tennis courts walkways or other areas co-owned with others) or a homeowners association that has any authority over the properly
Unknown Yes
4 Structural modifications alterations or repairs made without necessary permits or licensed contractors
Unknown Yes 5 Settling flooding drainage structural or grading problems Unknown Yes
6 Major damage to the property from fire wind floods or landslides Jnknown Yes 7 Any underground storage tanks Unknown Yes 8 Flfm or farm operation in the vicinity orproximity to a landfill airport shooting range etc
Unknown No 7
Buyers Initials ____ Sellers Injtial~YtA
This form is provided as a service oFthe Traverse Area Association of REAL TORSregfMLS Page 2 of 3 Effective January 2006
Suttons Bay IVlI 49682 MichiganProperty Address 3509 Center Hwy Street CityNillagefT ownship
9 Any outstanding utility assessments or fees including any natural gas main extension surcharge
Unknown
10 Any outstanding municipal assessments or fees Unknown
11 Any pending litigation that could affect the property or the Sellers right to convey the property
Unknown Yes ~ If the answer to any of these questions is yes please explain Attach additional sheets if necessary
(bgtc 2-- 0 OCThe Seller has lived in the residence on the propert( from ~ (date) to G (date) The Seller has owned the property since 9 lt) 2 (date) The seller has indicated ab e the conditions of all the items based on information known to the SeJfe~ If any changes occur in the structuralmechanicalappliance systems of this property from the date of this form to the date of closing Seller will immediately disclose the changes to buyer In no event shall the parties hold the broker liable for any representations not directly made by the Broker or Brokers Agent
Seller certifies that the information in this statement is true and correct to the best of Sellers knowledge as of the date of SeiferS signature
BUYER SHOULD OBTAIN PROFESSIONAL ADVICE AND INSPECTIONS OF THE PROPERTY TO MORE FULLY DETERMINE THE CONDITION OF THE PROPERTY THESE INSPECTIONS SHOULD TAKE INDOOR AIR AND WATER QUALITY INTO ACCOUNT AS WELL AS ANY EVIDENCE OF UNUSALL Y HIGH LEVELS OF POTENTIAL ALLERGENS INCLUDING BUT NOT LIMITED TO HOUSEHOLD MOLD MILDEW AND BACTERIA
BUYERS ARE ADVISED THAT CERTAIN INFORMATION COMPILED PURSUANT TO THE SEX OFFENDERS REGISTRATION ACT 1994 PA 295 MCL 28721 TO 28732 IS AVAILABLE TO THE PUBLIC BUYERS SEEKING THAT INFORMATION SHOULD CONTACT THE APPROPRIATE LOCAL LAW ENFORCEMENT AGENCY OR SHERIFFS DEPARTMENT DIRECTLY
BUYER IS ADVISED THAT THE STATE EQUALIZED VALUE OF THE PROPERTY RESIDENCE EXEMPTION INFORMATION AND OTHER REAL PROPERTY TAX INFORMATION IS AVAILABLE FROM THE APPROPRIATE LOCAL ASSESSORS OFFICE BUYER SHOULD NOT ASSUME THAT BUYERS FUTURE TAX BILLS ON THE PROPERTY WILL BE THE SAME AS THE SELLERS PRESENT TAX BILLS UNDER MICHIGAN LAW REAL PROPERTY TAX OBLIGATIONS CAN CHANGE SIGNIFICANTLY WHEN PROPERTY IS TRANSFERRED
Date=m4-~+_I__ Date
-------t~~_
Buyer has read and acknowledges receipt of this statement
Date________~ Time________
Date__________ Time________
This form is provided as a service of the Traverse Area Association of REALTORSregMLS Page 3 of 3 Effective January 2006
TRAVERSE AREA ASSOCIATION OF REAL TORSreg MULTIPLE LISTING SERVICE 1J--~_ LEAD-BASED PAINT SELLERS DISCLOSURE FORM
lead Warning Statement Every purchaser of any interest in residential real property on which a residential dwelling was built prior to 1978 is notified that such property may present exposure to lead from lead-based paint that may place young children at risk of developing lead poisoning Lead poisoning in young children may produce permanent neurological damage including learning disabilities reduced intelligence quotient behavioral problems and impaired memory Lead poisoning also poses a particular risk to pregnant women The Seller of any interest in residential real property is required to provide the buyer wifh any information on lead-based paint hazards from risk assessments or inspections in the sellers possession and notify the buyer of an) known lead-based paint hazards A risk assessment or inspection for possible lead-based paint hazards is recommended prior to purchase
Property Address _3_5_0_9_S_C_e_n_t_e_r_H~w_y__S_utt_o_n_s_B_a_y__M_1_4_9_6_8_2____~____
- 1jY- I Sellers Disclosure i_~0t Y-J--- (a) Presence of lead-based paint andor lead-based paint hazards (check one below)
~DKnown lead-based paint andor lead-based paint hazards are present in the housing (explain)
Seller has no knowledge of lead-based paint andor lead-based paint hazards in the housing
Records and reports available to the seller (check one below)
n Seller has provided the purchaser with all available records and reports pertaining to lead-based paint Wor lead-based paint hazards in the housing (list documents below)
eller has no reports or records pertaining to lead-based paint andor lead-based paint hazards in the housing
Seiler certifies tl1at to J~e best of hisher knowledge the Sell s iatements above are true and accurate
Dated C 1Y31 Dated ___5s-1l shy
Signed By Seller lt--t_77T-~~_______---I~LU=L--1L=
II Agents Aclmowledgement Agent has informed the Seller(s) of hisher obligations under 42 USC 4852 d and is aware of hisher
(initial) responsibility to ensure compliance
Dated C-ID-II (Printed Name)
III Purchaser
Signed By Agent ----7~=-----=--~--------__c__---shy
____ (a) Purchaser has received copies of all information listed above (initial)
--~___ (b) Purchaser has received the federally approved pamphlet Protect Your Family From Lead in Your Home (initial)
-------__ (c) Purchaser has (check one below)
ri Reeived a 10-day opportunity (or other mutually agreed upon period) to conduct a risk assessment or ~ ectlon of the presence of lead-based paint or lead-based paint hazards or
Waived the opportunity to qonduct a risk assessment or inspection for the presence of lead-based paint O10r lead-based paint hazards
Purchaser certifies to the best of hisher knowledge the Purchasers statements above are true and accurate
Dated Signed By Purchaser ---------------------~----7- DatEd Signed By Purchaser ___________________----------_
Federal Law requires Seler(s) and Agent to retain tllis form for at least three (3) years after the closing
copy Copyright Traverse Area Assoclation of REAL TORSreg F23 L-3 Lead Paint Sellers DisclosureRev 5106
m SELLERS SEWER I SEPTIC DISCLOSURE STATEMENT RFAtfOR4I
Page 1 of 2
Property Address__3_5_0_9_S_C_e_n_te_r_H_wy____~_~__S_ut-to__n~s_B--a~y__ Michigan Street C1tyVillageTownship
Property Tax 10 No 45-001-009-005-20
Purpose of Statement This Supplemental SewerSeptic Disclosure Statement expands upon the related questions in the Sellers Disclosure Statement regarding the septic tank drain field or city sewer system
Sellers Disclosure Unless otherwise advised the Seller does not possess any expertise in construction engineering or any other specific area related to the construction or condition of the sewerseptic system This statement is not a warranty of any kind by the Seller or by any agent(s) representing the Seller in this
transaction and is not a substitute for any inspections or warranties the Purchaser may wish to obtain The following are representations made solely by the Seller and are not the representations of the Sellers agent(s) if
any
Instructions to Seller (1) Answer ALL questions (2) Report known conditions affecting the sewerseptic system (3) Attach additional pages with your signature if additional space is required (4) Complete this form yourself (5)
If you do not know the facts indicate UNKNOWN NOT AVAILABLE or NOT APPLICABLE
1 Which of the following services this property
a City municipal or central sewer system _________
b Septic system with drain field _------__________
Co Holding tank system ___________ ______
d Other disposal system ________________
2 Does the system serve only one property ~Yes D No
3 If a city municipal or central sewer serves the property is the house connected to it
4 If the property is connected to a septic system holding tank system or other disposal system
a If available please attach a copy of the local County Environmental Health Department permit along with the final drawings for your approved system
b Is your septic system entirely within your propertys boundaries ~es If no please explain _____________--________________
Co When was your system last pumped ____~-L--f-==------_------------
d When was your system last inspected --Co=-t--=~----------------
e If Y(lUr system was pumped andor inspected please attach a copy of the receipt andor the inspection if available
copy Copyright Traverse Area Association of REALTORSreg 852 S Garfield Avenue - Traverse City MI 49686 F40 - Sellers Supplemental SewerSeptic Disclosure Statement Revised OS2009
SELLERS SEWER (SEPTIC DISCLOSURE STATEMENT Page 2 of 2
5 Have you received or been made aware of a copy of the Septic System Management Information
DYes bdwo (please note this informaiion can be obtained at the Traverse Area Association ofREALTORS website at wwwtaarcom)
SELLERS STATEMENT IWe Seller(s of the Property provide this SewerSeptic System Disclosure and consider it true and accurate to the best of myour knowledge and authorize disclosure of this information to prospective Purchasers
C)~ ~ 5j(811 ~ ~ V~~-]Ji611SeltlT V Date l Seller Date
PURCHASERS ACKNOWLEDGMENT (to be signed at time of purchase agreement) IWe the Purchaser(s) of the Property acknowledge receipt of the SewerSeptic System Disclosure
Purchaser Date Purchaser Date
copy Copyright Traverse Area Association of REALTORSreg - 852 S Garfield Avenue -- Traverse CIty MI 49686 F40 -Sellers Supplemental SewerSeptic Disclosure Statement Revised OS2009
p 0011003JAN-10-2011 MaN 0825 AM BEN LEE D[ST HEA H FAX No 231 256 0225
GRAD TRIVEISE LEELANAU amp BENZIE DISTRICT HEALTH DEPARJMENT GRAND TRAVEaSELEELANAU COUNTIES BENZIE COUNTY + 4- 155 6
Po a(lX~05 GOVERNMENTAL BUILDING TrilAVERSE CITYjMICHI3AN 49685 Po BOX 335 shy NON-TRANSFEAABLE PEFIMIT
) PHON~iI2246aar BEULAH MICHIGAN 49617 DIAGRAM 5~WAGe IEI1MfT~( PHONE 882middot44QQ
(r~~~~~i~rl~~~~ 115 OF ESTABLltHMrtiOffiS ~~TUl(l V
ROPERTYL i) r ~- Lt c_ ~ 0 OCATIONW~hD~L) f1L-1(ES pqYY UJ-U1 ~ r ~1IlampdsmTOWNSHIP SEcnON----I----_
COUNTY M~l)A-OL 0 JDATE
sOIL i ~tr
S~tj~ middothl)jiivikluJeWf tjl
LINEAL FEET___-__
DRAIN~H)____~__+ 1==-==------- shy
ATiiRSUPPLYI
LINEAL fEET Z512ff 4
SQUARE FEEr 7~5V ~r ~l TYPE ~~t~f7Ji$ IILI LiNes ON ~~cf 2-r I ~ OePTH lV rOJh
pTHEfl I 1alifel(ifvf( APIgtIltOVED _______ ~
Ii PERMIT TO INSTAU CONSTRUCT OR REPLAce e~ EXPIRES 1 YEAR AFTE DATE OF ISSUE
RECEIVEO tftJ- FOR 5~WAGE olP05Al p~ltMrr ___FOR wm PERMIT
AORIllMfNf I HEREBY AGREE TO COMPLY WITH REQUIREMENTgt OF THE SANIT ARY CODE FOR TE COUNTIeS OF GRAND TRAVIiRSIi LEELANAU AND BENZIE AND THE APPLICABLe LAWS OF THE STATE Of MICHIGAN IN THE INSTALLATION OF A SEPTIC TANK SEWAGE DISPOSAL SYSTEM ampOR WELL INSTALLATION ON THE ABOVE IlESCIUBEO PROPflltTY ANP TO CONSTRUCT THE SAME ACCpRPING TO THE PLANS AND SPECIFICATIONS AS DESCRIIlED AND APPROVED AElOVJ orHERWIS~ I UNDERSTAND THE PERMIT Will BE VOID
FINAL INSPECTION REQUIRED BEFORE COVERING ONe DAY NOTI(E SHAll BE GIVEN FOR INSPECTION
WELL jgt~RMIT ~
II t~1f~if(vJ is re4Ci~
f(lbrlo C~7 Sampvr$iS~
ALLOW 1 SLOPE PER 50 FOOT OFTllE
Ihmiddot 17 IN IJIA ClEAI-I amp O~ WASHEDsTONE
4 OF STRAW TO IlE PLACeDSTON UNDER TILE OV~RSTONi
ISOLATION DISTANCES FOR PRIVATE HOMIia SEWAGE DISPOSAL SYSTEM SHALL BE IOCATED AT LEAST 60 FEET FROM ANY POTABLE WATER SUPPLY WELL SPRING OR IlNPROTECTEO WATER SUCTION LINE BURIED OR UNEXPOSED SEWERS OR plps THROUGH WHIOH $iWAGe MAY BACK UP SHALL NOT BE 10CAIliO OIO$e~ fHAN TN (10) IIET FAOM AUY pOTABLe WATER well Oll9UC110N PIPI SUCH seWEFlS OR Pipes SHALL BE CONSTflUCTeO OF 90HE1IUtE 40 OR OTH~ APPROVED (HEALTH DEfT) MATERIAL
-------C-EItT=I=Fic=A=-=T-E-=OFI~NS=P=E-=CT-IO-=-N---~~~--~~middotmiddot-
(PUMIT TO COVIR)
seWeR ~b4) ~EPTIC TANIlt Jl5p cLruhk FINAL DISPOSAL 15 (50 I ISOLATION DI5T-----a~=-_~_
Nom__~_____~_---------_
CONTRACTOR APPROVAL Of A PLAN AND THE JN$rA~lATION CANNOT Be ONSDERED BY THE OWNIiR ~ A GUARANTEE THAT SUCCESSFUL OPERATIO IS A55UR~D THERE AR~MANV WAYS A SYSTEM CAN BE ABUSED CAUSING FAILURE
BEN LEE DI8T HEALTH FAX No 231 256 0225 p 002003JAN 10-2011 MON 0826 AM bullbull lt bull
~I ltp (~ ~~ ~ ~ ~
bull J 1 J f-
1~ bull
IE I l
N~~ wti middot~S ~ I
~ ~ -- ~
ji ~
~ ~ f
bull I bull
bull 1
- bull J Jt rfmiddot~lf~- l-lV
I
_~ l
t ~II ~ i
~ middott bull -~ (
I ~ ~
bull f 1 l bull i lt bull ~
-~ bull
bull J )bullbull
~ -1 ~ t ~-
~ bullbull- ~
A~ e~ J~~L~middot~)~bull ~~i f ~ l)- r~ ~~j ~~ _~ lt~ rr) ~)~ r~- Irii ~ ~ ~~ ~ f~middotmiddotmiddot9middotA
p ~ ~~CA fi -~~A J~~~ ~ ~ ~ r t-middot ~ ~ ~ f~J ~ - GjmiddotIoSA j~ ~ iJJfVZ It tft~Vmiddotmiddot U ~J ~9
4
JAN-10-2011 MON 0826 AM BEN LEE DIST HEALTH FAX No 2312560225 p 003003
gt ~~7~-----------------------------+----j-----j ____I~ afiar __ hI~ pumpIng 81--- GrMilt iJ ____ ft aftr __ hr~ p~mpintl 1___ (IPM
r~
lt I
~~~-----~~middot--------------~-~---+--~~~------~1~Z7W~E~L~c~~~~~~~~~~~~~~~~~~-~ From ___ ~ ___ ft
1-_~-----_~----_---______--__-l--___-I-____~~~~Cl~mC9nt===~~~-========i==l $Qutoe or poss tile conl8mimlti(ln i
USE A 2111) SHElT IF IlIEI)En
15
R~~Fi_VEDD~C 2 3 1987 17
Type S~=rrtC Dlstsoce ro Wall dlelnflocte9 upon eQmpletlan7 ~ WSamp old w~11 plull9edi D Y9~
Manufctrer~ n_m~ ---4~I-----JpgtLtr=--=t----shy
Mod~1 rlumbe-r --2-Ib-ltJ--_
Length of op Pipe Il--shy
mE ELSvbm~qlbhJ PRESSURI tANK
_Itigt~__ GPM
Msnutacturers name ----1l--t--t---I-J~~=-~-1
LOCAL HEALTH DEPTCOPY
f
DISCLAIMER
TIle infoflnation contained herein and contained in any supplemental documents has been furnished by the seller andor other sources We believe the information is reliable Every effort has been made to provide accurate information However we are unable to guarantee the enclosed and recommend that the purchaser verify all information before closing
OLTERSDORF REALTY LLC
100A S Cedar St PO Box 578 Suttons Bay MI 49682
231-271-7777 or 1-866-271-2200
Suttons Bay IVlI 49682 MichiganProperty Address 3509 Center Hwy Street CityNillagefT ownship
9 Any outstanding utility assessments or fees including any natural gas main extension surcharge
Unknown
10 Any outstanding municipal assessments or fees Unknown
11 Any pending litigation that could affect the property or the Sellers right to convey the property
Unknown Yes ~ If the answer to any of these questions is yes please explain Attach additional sheets if necessary
(bgtc 2-- 0 OCThe Seller has lived in the residence on the propert( from ~ (date) to G (date) The Seller has owned the property since 9 lt) 2 (date) The seller has indicated ab e the conditions of all the items based on information known to the SeJfe~ If any changes occur in the structuralmechanicalappliance systems of this property from the date of this form to the date of closing Seller will immediately disclose the changes to buyer In no event shall the parties hold the broker liable for any representations not directly made by the Broker or Brokers Agent
Seller certifies that the information in this statement is true and correct to the best of Sellers knowledge as of the date of SeiferS signature
BUYER SHOULD OBTAIN PROFESSIONAL ADVICE AND INSPECTIONS OF THE PROPERTY TO MORE FULLY DETERMINE THE CONDITION OF THE PROPERTY THESE INSPECTIONS SHOULD TAKE INDOOR AIR AND WATER QUALITY INTO ACCOUNT AS WELL AS ANY EVIDENCE OF UNUSALL Y HIGH LEVELS OF POTENTIAL ALLERGENS INCLUDING BUT NOT LIMITED TO HOUSEHOLD MOLD MILDEW AND BACTERIA
BUYERS ARE ADVISED THAT CERTAIN INFORMATION COMPILED PURSUANT TO THE SEX OFFENDERS REGISTRATION ACT 1994 PA 295 MCL 28721 TO 28732 IS AVAILABLE TO THE PUBLIC BUYERS SEEKING THAT INFORMATION SHOULD CONTACT THE APPROPRIATE LOCAL LAW ENFORCEMENT AGENCY OR SHERIFFS DEPARTMENT DIRECTLY
BUYER IS ADVISED THAT THE STATE EQUALIZED VALUE OF THE PROPERTY RESIDENCE EXEMPTION INFORMATION AND OTHER REAL PROPERTY TAX INFORMATION IS AVAILABLE FROM THE APPROPRIATE LOCAL ASSESSORS OFFICE BUYER SHOULD NOT ASSUME THAT BUYERS FUTURE TAX BILLS ON THE PROPERTY WILL BE THE SAME AS THE SELLERS PRESENT TAX BILLS UNDER MICHIGAN LAW REAL PROPERTY TAX OBLIGATIONS CAN CHANGE SIGNIFICANTLY WHEN PROPERTY IS TRANSFERRED
Date=m4-~+_I__ Date
-------t~~_
Buyer has read and acknowledges receipt of this statement
Date________~ Time________
Date__________ Time________
This form is provided as a service of the Traverse Area Association of REALTORSregMLS Page 3 of 3 Effective January 2006
TRAVERSE AREA ASSOCIATION OF REAL TORSreg MULTIPLE LISTING SERVICE 1J--~_ LEAD-BASED PAINT SELLERS DISCLOSURE FORM
lead Warning Statement Every purchaser of any interest in residential real property on which a residential dwelling was built prior to 1978 is notified that such property may present exposure to lead from lead-based paint that may place young children at risk of developing lead poisoning Lead poisoning in young children may produce permanent neurological damage including learning disabilities reduced intelligence quotient behavioral problems and impaired memory Lead poisoning also poses a particular risk to pregnant women The Seller of any interest in residential real property is required to provide the buyer wifh any information on lead-based paint hazards from risk assessments or inspections in the sellers possession and notify the buyer of an) known lead-based paint hazards A risk assessment or inspection for possible lead-based paint hazards is recommended prior to purchase
Property Address _3_5_0_9_S_C_e_n_t_e_r_H~w_y__S_utt_o_n_s_B_a_y__M_1_4_9_6_8_2____~____
- 1jY- I Sellers Disclosure i_~0t Y-J--- (a) Presence of lead-based paint andor lead-based paint hazards (check one below)
~DKnown lead-based paint andor lead-based paint hazards are present in the housing (explain)
Seller has no knowledge of lead-based paint andor lead-based paint hazards in the housing
Records and reports available to the seller (check one below)
n Seller has provided the purchaser with all available records and reports pertaining to lead-based paint Wor lead-based paint hazards in the housing (list documents below)
eller has no reports or records pertaining to lead-based paint andor lead-based paint hazards in the housing
Seiler certifies tl1at to J~e best of hisher knowledge the Sell s iatements above are true and accurate
Dated C 1Y31 Dated ___5s-1l shy
Signed By Seller lt--t_77T-~~_______---I~LU=L--1L=
II Agents Aclmowledgement Agent has informed the Seller(s) of hisher obligations under 42 USC 4852 d and is aware of hisher
(initial) responsibility to ensure compliance
Dated C-ID-II (Printed Name)
III Purchaser
Signed By Agent ----7~=-----=--~--------__c__---shy
____ (a) Purchaser has received copies of all information listed above (initial)
--~___ (b) Purchaser has received the federally approved pamphlet Protect Your Family From Lead in Your Home (initial)
-------__ (c) Purchaser has (check one below)
ri Reeived a 10-day opportunity (or other mutually agreed upon period) to conduct a risk assessment or ~ ectlon of the presence of lead-based paint or lead-based paint hazards or
Waived the opportunity to qonduct a risk assessment or inspection for the presence of lead-based paint O10r lead-based paint hazards
Purchaser certifies to the best of hisher knowledge the Purchasers statements above are true and accurate
Dated Signed By Purchaser ---------------------~----7- DatEd Signed By Purchaser ___________________----------_
Federal Law requires Seler(s) and Agent to retain tllis form for at least three (3) years after the closing
copy Copyright Traverse Area Assoclation of REAL TORSreg F23 L-3 Lead Paint Sellers DisclosureRev 5106
m SELLERS SEWER I SEPTIC DISCLOSURE STATEMENT RFAtfOR4I
Page 1 of 2
Property Address__3_5_0_9_S_C_e_n_te_r_H_wy____~_~__S_ut-to__n~s_B--a~y__ Michigan Street C1tyVillageTownship
Property Tax 10 No 45-001-009-005-20
Purpose of Statement This Supplemental SewerSeptic Disclosure Statement expands upon the related questions in the Sellers Disclosure Statement regarding the septic tank drain field or city sewer system
Sellers Disclosure Unless otherwise advised the Seller does not possess any expertise in construction engineering or any other specific area related to the construction or condition of the sewerseptic system This statement is not a warranty of any kind by the Seller or by any agent(s) representing the Seller in this
transaction and is not a substitute for any inspections or warranties the Purchaser may wish to obtain The following are representations made solely by the Seller and are not the representations of the Sellers agent(s) if
any
Instructions to Seller (1) Answer ALL questions (2) Report known conditions affecting the sewerseptic system (3) Attach additional pages with your signature if additional space is required (4) Complete this form yourself (5)
If you do not know the facts indicate UNKNOWN NOT AVAILABLE or NOT APPLICABLE
1 Which of the following services this property
a City municipal or central sewer system _________
b Septic system with drain field _------__________
Co Holding tank system ___________ ______
d Other disposal system ________________
2 Does the system serve only one property ~Yes D No
3 If a city municipal or central sewer serves the property is the house connected to it
4 If the property is connected to a septic system holding tank system or other disposal system
a If available please attach a copy of the local County Environmental Health Department permit along with the final drawings for your approved system
b Is your septic system entirely within your propertys boundaries ~es If no please explain _____________--________________
Co When was your system last pumped ____~-L--f-==------_------------
d When was your system last inspected --Co=-t--=~----------------
e If Y(lUr system was pumped andor inspected please attach a copy of the receipt andor the inspection if available
copy Copyright Traverse Area Association of REALTORSreg 852 S Garfield Avenue - Traverse City MI 49686 F40 - Sellers Supplemental SewerSeptic Disclosure Statement Revised OS2009
SELLERS SEWER (SEPTIC DISCLOSURE STATEMENT Page 2 of 2
5 Have you received or been made aware of a copy of the Septic System Management Information
DYes bdwo (please note this informaiion can be obtained at the Traverse Area Association ofREALTORS website at wwwtaarcom)
SELLERS STATEMENT IWe Seller(s of the Property provide this SewerSeptic System Disclosure and consider it true and accurate to the best of myour knowledge and authorize disclosure of this information to prospective Purchasers
C)~ ~ 5j(811 ~ ~ V~~-]Ji611SeltlT V Date l Seller Date
PURCHASERS ACKNOWLEDGMENT (to be signed at time of purchase agreement) IWe the Purchaser(s) of the Property acknowledge receipt of the SewerSeptic System Disclosure
Purchaser Date Purchaser Date
copy Copyright Traverse Area Association of REALTORSreg - 852 S Garfield Avenue -- Traverse CIty MI 49686 F40 -Sellers Supplemental SewerSeptic Disclosure Statement Revised OS2009
p 0011003JAN-10-2011 MaN 0825 AM BEN LEE D[ST HEA H FAX No 231 256 0225
GRAD TRIVEISE LEELANAU amp BENZIE DISTRICT HEALTH DEPARJMENT GRAND TRAVEaSELEELANAU COUNTIES BENZIE COUNTY + 4- 155 6
Po a(lX~05 GOVERNMENTAL BUILDING TrilAVERSE CITYjMICHI3AN 49685 Po BOX 335 shy NON-TRANSFEAABLE PEFIMIT
) PHON~iI2246aar BEULAH MICHIGAN 49617 DIAGRAM 5~WAGe IEI1MfT~( PHONE 882middot44QQ
(r~~~~~i~rl~~~~ 115 OF ESTABLltHMrtiOffiS ~~TUl(l V
ROPERTYL i) r ~- Lt c_ ~ 0 OCATIONW~hD~L) f1L-1(ES pqYY UJ-U1 ~ r ~1IlampdsmTOWNSHIP SEcnON----I----_
COUNTY M~l)A-OL 0 JDATE
sOIL i ~tr
S~tj~ middothl)jiivikluJeWf tjl
LINEAL FEET___-__
DRAIN~H)____~__+ 1==-==------- shy
ATiiRSUPPLYI
LINEAL fEET Z512ff 4
SQUARE FEEr 7~5V ~r ~l TYPE ~~t~f7Ji$ IILI LiNes ON ~~cf 2-r I ~ OePTH lV rOJh
pTHEfl I 1alifel(ifvf( APIgtIltOVED _______ ~
Ii PERMIT TO INSTAU CONSTRUCT OR REPLAce e~ EXPIRES 1 YEAR AFTE DATE OF ISSUE
RECEIVEO tftJ- FOR 5~WAGE olP05Al p~ltMrr ___FOR wm PERMIT
AORIllMfNf I HEREBY AGREE TO COMPLY WITH REQUIREMENTgt OF THE SANIT ARY CODE FOR TE COUNTIeS OF GRAND TRAVIiRSIi LEELANAU AND BENZIE AND THE APPLICABLe LAWS OF THE STATE Of MICHIGAN IN THE INSTALLATION OF A SEPTIC TANK SEWAGE DISPOSAL SYSTEM ampOR WELL INSTALLATION ON THE ABOVE IlESCIUBEO PROPflltTY ANP TO CONSTRUCT THE SAME ACCpRPING TO THE PLANS AND SPECIFICATIONS AS DESCRIIlED AND APPROVED AElOVJ orHERWIS~ I UNDERSTAND THE PERMIT Will BE VOID
FINAL INSPECTION REQUIRED BEFORE COVERING ONe DAY NOTI(E SHAll BE GIVEN FOR INSPECTION
WELL jgt~RMIT ~
II t~1f~if(vJ is re4Ci~
f(lbrlo C~7 Sampvr$iS~
ALLOW 1 SLOPE PER 50 FOOT OFTllE
Ihmiddot 17 IN IJIA ClEAI-I amp O~ WASHEDsTONE
4 OF STRAW TO IlE PLACeDSTON UNDER TILE OV~RSTONi
ISOLATION DISTANCES FOR PRIVATE HOMIia SEWAGE DISPOSAL SYSTEM SHALL BE IOCATED AT LEAST 60 FEET FROM ANY POTABLE WATER SUPPLY WELL SPRING OR IlNPROTECTEO WATER SUCTION LINE BURIED OR UNEXPOSED SEWERS OR plps THROUGH WHIOH $iWAGe MAY BACK UP SHALL NOT BE 10CAIliO OIO$e~ fHAN TN (10) IIET FAOM AUY pOTABLe WATER well Oll9UC110N PIPI SUCH seWEFlS OR Pipes SHALL BE CONSTflUCTeO OF 90HE1IUtE 40 OR OTH~ APPROVED (HEALTH DEfT) MATERIAL
-------C-EItT=I=Fic=A=-=T-E-=OFI~NS=P=E-=CT-IO-=-N---~~~--~~middotmiddot-
(PUMIT TO COVIR)
seWeR ~b4) ~EPTIC TANIlt Jl5p cLruhk FINAL DISPOSAL 15 (50 I ISOLATION DI5T-----a~=-_~_
Nom__~_____~_---------_
CONTRACTOR APPROVAL Of A PLAN AND THE JN$rA~lATION CANNOT Be ONSDERED BY THE OWNIiR ~ A GUARANTEE THAT SUCCESSFUL OPERATIO IS A55UR~D THERE AR~MANV WAYS A SYSTEM CAN BE ABUSED CAUSING FAILURE
BEN LEE DI8T HEALTH FAX No 231 256 0225 p 002003JAN 10-2011 MON 0826 AM bullbull lt bull
~I ltp (~ ~~ ~ ~ ~
bull J 1 J f-
1~ bull
IE I l
N~~ wti middot~S ~ I
~ ~ -- ~
ji ~
~ ~ f
bull I bull
bull 1
- bull J Jt rfmiddot~lf~- l-lV
I
_~ l
t ~II ~ i
~ middott bull -~ (
I ~ ~
bull f 1 l bull i lt bull ~
-~ bull
bull J )bullbull
~ -1 ~ t ~-
~ bullbull- ~
A~ e~ J~~L~middot~)~bull ~~i f ~ l)- r~ ~~j ~~ _~ lt~ rr) ~)~ r~- Irii ~ ~ ~~ ~ f~middotmiddotmiddot9middotA
p ~ ~~CA fi -~~A J~~~ ~ ~ ~ r t-middot ~ ~ ~ f~J ~ - GjmiddotIoSA j~ ~ iJJfVZ It tft~Vmiddotmiddot U ~J ~9
4
JAN-10-2011 MON 0826 AM BEN LEE DIST HEALTH FAX No 2312560225 p 003003
gt ~~7~-----------------------------+----j-----j ____I~ afiar __ hI~ pumpIng 81--- GrMilt iJ ____ ft aftr __ hr~ p~mpintl 1___ (IPM
r~
lt I
~~~-----~~middot--------------~-~---+--~~~------~1~Z7W~E~L~c~~~~~~~~~~~~~~~~~~-~ From ___ ~ ___ ft
1-_~-----_~----_---______--__-l--___-I-____~~~~Cl~mC9nt===~~~-========i==l $Qutoe or poss tile conl8mimlti(ln i
USE A 2111) SHElT IF IlIEI)En
15
R~~Fi_VEDD~C 2 3 1987 17
Type S~=rrtC Dlstsoce ro Wall dlelnflocte9 upon eQmpletlan7 ~ WSamp old w~11 plull9edi D Y9~
Manufctrer~ n_m~ ---4~I-----JpgtLtr=--=t----shy
Mod~1 rlumbe-r --2-Ib-ltJ--_
Length of op Pipe Il--shy
mE ELSvbm~qlbhJ PRESSURI tANK
_Itigt~__ GPM
Msnutacturers name ----1l--t--t---I-J~~=-~-1
LOCAL HEALTH DEPTCOPY
f
DISCLAIMER
TIle infoflnation contained herein and contained in any supplemental documents has been furnished by the seller andor other sources We believe the information is reliable Every effort has been made to provide accurate information However we are unable to guarantee the enclosed and recommend that the purchaser verify all information before closing
OLTERSDORF REALTY LLC
100A S Cedar St PO Box 578 Suttons Bay MI 49682
231-271-7777 or 1-866-271-2200
TRAVERSE AREA ASSOCIATION OF REAL TORSreg MULTIPLE LISTING SERVICE 1J--~_ LEAD-BASED PAINT SELLERS DISCLOSURE FORM
lead Warning Statement Every purchaser of any interest in residential real property on which a residential dwelling was built prior to 1978 is notified that such property may present exposure to lead from lead-based paint that may place young children at risk of developing lead poisoning Lead poisoning in young children may produce permanent neurological damage including learning disabilities reduced intelligence quotient behavioral problems and impaired memory Lead poisoning also poses a particular risk to pregnant women The Seller of any interest in residential real property is required to provide the buyer wifh any information on lead-based paint hazards from risk assessments or inspections in the sellers possession and notify the buyer of an) known lead-based paint hazards A risk assessment or inspection for possible lead-based paint hazards is recommended prior to purchase
Property Address _3_5_0_9_S_C_e_n_t_e_r_H~w_y__S_utt_o_n_s_B_a_y__M_1_4_9_6_8_2____~____
- 1jY- I Sellers Disclosure i_~0t Y-J--- (a) Presence of lead-based paint andor lead-based paint hazards (check one below)
~DKnown lead-based paint andor lead-based paint hazards are present in the housing (explain)
Seller has no knowledge of lead-based paint andor lead-based paint hazards in the housing
Records and reports available to the seller (check one below)
n Seller has provided the purchaser with all available records and reports pertaining to lead-based paint Wor lead-based paint hazards in the housing (list documents below)
eller has no reports or records pertaining to lead-based paint andor lead-based paint hazards in the housing
Seiler certifies tl1at to J~e best of hisher knowledge the Sell s iatements above are true and accurate
Dated C 1Y31 Dated ___5s-1l shy
Signed By Seller lt--t_77T-~~_______---I~LU=L--1L=
II Agents Aclmowledgement Agent has informed the Seller(s) of hisher obligations under 42 USC 4852 d and is aware of hisher
(initial) responsibility to ensure compliance
Dated C-ID-II (Printed Name)
III Purchaser
Signed By Agent ----7~=-----=--~--------__c__---shy
____ (a) Purchaser has received copies of all information listed above (initial)
--~___ (b) Purchaser has received the federally approved pamphlet Protect Your Family From Lead in Your Home (initial)
-------__ (c) Purchaser has (check one below)
ri Reeived a 10-day opportunity (or other mutually agreed upon period) to conduct a risk assessment or ~ ectlon of the presence of lead-based paint or lead-based paint hazards or
Waived the opportunity to qonduct a risk assessment or inspection for the presence of lead-based paint O10r lead-based paint hazards
Purchaser certifies to the best of hisher knowledge the Purchasers statements above are true and accurate
Dated Signed By Purchaser ---------------------~----7- DatEd Signed By Purchaser ___________________----------_
Federal Law requires Seler(s) and Agent to retain tllis form for at least three (3) years after the closing
copy Copyright Traverse Area Assoclation of REAL TORSreg F23 L-3 Lead Paint Sellers DisclosureRev 5106
m SELLERS SEWER I SEPTIC DISCLOSURE STATEMENT RFAtfOR4I
Page 1 of 2
Property Address__3_5_0_9_S_C_e_n_te_r_H_wy____~_~__S_ut-to__n~s_B--a~y__ Michigan Street C1tyVillageTownship
Property Tax 10 No 45-001-009-005-20
Purpose of Statement This Supplemental SewerSeptic Disclosure Statement expands upon the related questions in the Sellers Disclosure Statement regarding the septic tank drain field or city sewer system
Sellers Disclosure Unless otherwise advised the Seller does not possess any expertise in construction engineering or any other specific area related to the construction or condition of the sewerseptic system This statement is not a warranty of any kind by the Seller or by any agent(s) representing the Seller in this
transaction and is not a substitute for any inspections or warranties the Purchaser may wish to obtain The following are representations made solely by the Seller and are not the representations of the Sellers agent(s) if
any
Instructions to Seller (1) Answer ALL questions (2) Report known conditions affecting the sewerseptic system (3) Attach additional pages with your signature if additional space is required (4) Complete this form yourself (5)
If you do not know the facts indicate UNKNOWN NOT AVAILABLE or NOT APPLICABLE
1 Which of the following services this property
a City municipal or central sewer system _________
b Septic system with drain field _------__________
Co Holding tank system ___________ ______
d Other disposal system ________________
2 Does the system serve only one property ~Yes D No
3 If a city municipal or central sewer serves the property is the house connected to it
4 If the property is connected to a septic system holding tank system or other disposal system
a If available please attach a copy of the local County Environmental Health Department permit along with the final drawings for your approved system
b Is your septic system entirely within your propertys boundaries ~es If no please explain _____________--________________
Co When was your system last pumped ____~-L--f-==------_------------
d When was your system last inspected --Co=-t--=~----------------
e If Y(lUr system was pumped andor inspected please attach a copy of the receipt andor the inspection if available
copy Copyright Traverse Area Association of REALTORSreg 852 S Garfield Avenue - Traverse City MI 49686 F40 - Sellers Supplemental SewerSeptic Disclosure Statement Revised OS2009
SELLERS SEWER (SEPTIC DISCLOSURE STATEMENT Page 2 of 2
5 Have you received or been made aware of a copy of the Septic System Management Information
DYes bdwo (please note this informaiion can be obtained at the Traverse Area Association ofREALTORS website at wwwtaarcom)
SELLERS STATEMENT IWe Seller(s of the Property provide this SewerSeptic System Disclosure and consider it true and accurate to the best of myour knowledge and authorize disclosure of this information to prospective Purchasers
C)~ ~ 5j(811 ~ ~ V~~-]Ji611SeltlT V Date l Seller Date
PURCHASERS ACKNOWLEDGMENT (to be signed at time of purchase agreement) IWe the Purchaser(s) of the Property acknowledge receipt of the SewerSeptic System Disclosure
Purchaser Date Purchaser Date
copy Copyright Traverse Area Association of REALTORSreg - 852 S Garfield Avenue -- Traverse CIty MI 49686 F40 -Sellers Supplemental SewerSeptic Disclosure Statement Revised OS2009
p 0011003JAN-10-2011 MaN 0825 AM BEN LEE D[ST HEA H FAX No 231 256 0225
GRAD TRIVEISE LEELANAU amp BENZIE DISTRICT HEALTH DEPARJMENT GRAND TRAVEaSELEELANAU COUNTIES BENZIE COUNTY + 4- 155 6
Po a(lX~05 GOVERNMENTAL BUILDING TrilAVERSE CITYjMICHI3AN 49685 Po BOX 335 shy NON-TRANSFEAABLE PEFIMIT
) PHON~iI2246aar BEULAH MICHIGAN 49617 DIAGRAM 5~WAGe IEI1MfT~( PHONE 882middot44QQ
(r~~~~~i~rl~~~~ 115 OF ESTABLltHMrtiOffiS ~~TUl(l V
ROPERTYL i) r ~- Lt c_ ~ 0 OCATIONW~hD~L) f1L-1(ES pqYY UJ-U1 ~ r ~1IlampdsmTOWNSHIP SEcnON----I----_
COUNTY M~l)A-OL 0 JDATE
sOIL i ~tr
S~tj~ middothl)jiivikluJeWf tjl
LINEAL FEET___-__
DRAIN~H)____~__+ 1==-==------- shy
ATiiRSUPPLYI
LINEAL fEET Z512ff 4
SQUARE FEEr 7~5V ~r ~l TYPE ~~t~f7Ji$ IILI LiNes ON ~~cf 2-r I ~ OePTH lV rOJh
pTHEfl I 1alifel(ifvf( APIgtIltOVED _______ ~
Ii PERMIT TO INSTAU CONSTRUCT OR REPLAce e~ EXPIRES 1 YEAR AFTE DATE OF ISSUE
RECEIVEO tftJ- FOR 5~WAGE olP05Al p~ltMrr ___FOR wm PERMIT
AORIllMfNf I HEREBY AGREE TO COMPLY WITH REQUIREMENTgt OF THE SANIT ARY CODE FOR TE COUNTIeS OF GRAND TRAVIiRSIi LEELANAU AND BENZIE AND THE APPLICABLe LAWS OF THE STATE Of MICHIGAN IN THE INSTALLATION OF A SEPTIC TANK SEWAGE DISPOSAL SYSTEM ampOR WELL INSTALLATION ON THE ABOVE IlESCIUBEO PROPflltTY ANP TO CONSTRUCT THE SAME ACCpRPING TO THE PLANS AND SPECIFICATIONS AS DESCRIIlED AND APPROVED AElOVJ orHERWIS~ I UNDERSTAND THE PERMIT Will BE VOID
FINAL INSPECTION REQUIRED BEFORE COVERING ONe DAY NOTI(E SHAll BE GIVEN FOR INSPECTION
WELL jgt~RMIT ~
II t~1f~if(vJ is re4Ci~
f(lbrlo C~7 Sampvr$iS~
ALLOW 1 SLOPE PER 50 FOOT OFTllE
Ihmiddot 17 IN IJIA ClEAI-I amp O~ WASHEDsTONE
4 OF STRAW TO IlE PLACeDSTON UNDER TILE OV~RSTONi
ISOLATION DISTANCES FOR PRIVATE HOMIia SEWAGE DISPOSAL SYSTEM SHALL BE IOCATED AT LEAST 60 FEET FROM ANY POTABLE WATER SUPPLY WELL SPRING OR IlNPROTECTEO WATER SUCTION LINE BURIED OR UNEXPOSED SEWERS OR plps THROUGH WHIOH $iWAGe MAY BACK UP SHALL NOT BE 10CAIliO OIO$e~ fHAN TN (10) IIET FAOM AUY pOTABLe WATER well Oll9UC110N PIPI SUCH seWEFlS OR Pipes SHALL BE CONSTflUCTeO OF 90HE1IUtE 40 OR OTH~ APPROVED (HEALTH DEfT) MATERIAL
-------C-EItT=I=Fic=A=-=T-E-=OFI~NS=P=E-=CT-IO-=-N---~~~--~~middotmiddot-
(PUMIT TO COVIR)
seWeR ~b4) ~EPTIC TANIlt Jl5p cLruhk FINAL DISPOSAL 15 (50 I ISOLATION DI5T-----a~=-_~_
Nom__~_____~_---------_
CONTRACTOR APPROVAL Of A PLAN AND THE JN$rA~lATION CANNOT Be ONSDERED BY THE OWNIiR ~ A GUARANTEE THAT SUCCESSFUL OPERATIO IS A55UR~D THERE AR~MANV WAYS A SYSTEM CAN BE ABUSED CAUSING FAILURE
BEN LEE DI8T HEALTH FAX No 231 256 0225 p 002003JAN 10-2011 MON 0826 AM bullbull lt bull
~I ltp (~ ~~ ~ ~ ~
bull J 1 J f-
1~ bull
IE I l
N~~ wti middot~S ~ I
~ ~ -- ~
ji ~
~ ~ f
bull I bull
bull 1
- bull J Jt rfmiddot~lf~- l-lV
I
_~ l
t ~II ~ i
~ middott bull -~ (
I ~ ~
bull f 1 l bull i lt bull ~
-~ bull
bull J )bullbull
~ -1 ~ t ~-
~ bullbull- ~
A~ e~ J~~L~middot~)~bull ~~i f ~ l)- r~ ~~j ~~ _~ lt~ rr) ~)~ r~- Irii ~ ~ ~~ ~ f~middotmiddotmiddot9middotA
p ~ ~~CA fi -~~A J~~~ ~ ~ ~ r t-middot ~ ~ ~ f~J ~ - GjmiddotIoSA j~ ~ iJJfVZ It tft~Vmiddotmiddot U ~J ~9
4
JAN-10-2011 MON 0826 AM BEN LEE DIST HEALTH FAX No 2312560225 p 003003
gt ~~7~-----------------------------+----j-----j ____I~ afiar __ hI~ pumpIng 81--- GrMilt iJ ____ ft aftr __ hr~ p~mpintl 1___ (IPM
r~
lt I
~~~-----~~middot--------------~-~---+--~~~------~1~Z7W~E~L~c~~~~~~~~~~~~~~~~~~-~ From ___ ~ ___ ft
1-_~-----_~----_---______--__-l--___-I-____~~~~Cl~mC9nt===~~~-========i==l $Qutoe or poss tile conl8mimlti(ln i
USE A 2111) SHElT IF IlIEI)En
15
R~~Fi_VEDD~C 2 3 1987 17
Type S~=rrtC Dlstsoce ro Wall dlelnflocte9 upon eQmpletlan7 ~ WSamp old w~11 plull9edi D Y9~
Manufctrer~ n_m~ ---4~I-----JpgtLtr=--=t----shy
Mod~1 rlumbe-r --2-Ib-ltJ--_
Length of op Pipe Il--shy
mE ELSvbm~qlbhJ PRESSURI tANK
_Itigt~__ GPM
Msnutacturers name ----1l--t--t---I-J~~=-~-1
LOCAL HEALTH DEPTCOPY
f
DISCLAIMER
TIle infoflnation contained herein and contained in any supplemental documents has been furnished by the seller andor other sources We believe the information is reliable Every effort has been made to provide accurate information However we are unable to guarantee the enclosed and recommend that the purchaser verify all information before closing
OLTERSDORF REALTY LLC
100A S Cedar St PO Box 578 Suttons Bay MI 49682
231-271-7777 or 1-866-271-2200
m SELLERS SEWER I SEPTIC DISCLOSURE STATEMENT RFAtfOR4I
Page 1 of 2
Property Address__3_5_0_9_S_C_e_n_te_r_H_wy____~_~__S_ut-to__n~s_B--a~y__ Michigan Street C1tyVillageTownship
Property Tax 10 No 45-001-009-005-20
Purpose of Statement This Supplemental SewerSeptic Disclosure Statement expands upon the related questions in the Sellers Disclosure Statement regarding the septic tank drain field or city sewer system
Sellers Disclosure Unless otherwise advised the Seller does not possess any expertise in construction engineering or any other specific area related to the construction or condition of the sewerseptic system This statement is not a warranty of any kind by the Seller or by any agent(s) representing the Seller in this
transaction and is not a substitute for any inspections or warranties the Purchaser may wish to obtain The following are representations made solely by the Seller and are not the representations of the Sellers agent(s) if
any
Instructions to Seller (1) Answer ALL questions (2) Report known conditions affecting the sewerseptic system (3) Attach additional pages with your signature if additional space is required (4) Complete this form yourself (5)
If you do not know the facts indicate UNKNOWN NOT AVAILABLE or NOT APPLICABLE
1 Which of the following services this property
a City municipal or central sewer system _________
b Septic system with drain field _------__________
Co Holding tank system ___________ ______
d Other disposal system ________________
2 Does the system serve only one property ~Yes D No
3 If a city municipal or central sewer serves the property is the house connected to it
4 If the property is connected to a septic system holding tank system or other disposal system
a If available please attach a copy of the local County Environmental Health Department permit along with the final drawings for your approved system
b Is your septic system entirely within your propertys boundaries ~es If no please explain _____________--________________
Co When was your system last pumped ____~-L--f-==------_------------
d When was your system last inspected --Co=-t--=~----------------
e If Y(lUr system was pumped andor inspected please attach a copy of the receipt andor the inspection if available
copy Copyright Traverse Area Association of REALTORSreg 852 S Garfield Avenue - Traverse City MI 49686 F40 - Sellers Supplemental SewerSeptic Disclosure Statement Revised OS2009
SELLERS SEWER (SEPTIC DISCLOSURE STATEMENT Page 2 of 2
5 Have you received or been made aware of a copy of the Septic System Management Information
DYes bdwo (please note this informaiion can be obtained at the Traverse Area Association ofREALTORS website at wwwtaarcom)
SELLERS STATEMENT IWe Seller(s of the Property provide this SewerSeptic System Disclosure and consider it true and accurate to the best of myour knowledge and authorize disclosure of this information to prospective Purchasers
C)~ ~ 5j(811 ~ ~ V~~-]Ji611SeltlT V Date l Seller Date
PURCHASERS ACKNOWLEDGMENT (to be signed at time of purchase agreement) IWe the Purchaser(s) of the Property acknowledge receipt of the SewerSeptic System Disclosure
Purchaser Date Purchaser Date
copy Copyright Traverse Area Association of REALTORSreg - 852 S Garfield Avenue -- Traverse CIty MI 49686 F40 -Sellers Supplemental SewerSeptic Disclosure Statement Revised OS2009
p 0011003JAN-10-2011 MaN 0825 AM BEN LEE D[ST HEA H FAX No 231 256 0225
GRAD TRIVEISE LEELANAU amp BENZIE DISTRICT HEALTH DEPARJMENT GRAND TRAVEaSELEELANAU COUNTIES BENZIE COUNTY + 4- 155 6
Po a(lX~05 GOVERNMENTAL BUILDING TrilAVERSE CITYjMICHI3AN 49685 Po BOX 335 shy NON-TRANSFEAABLE PEFIMIT
) PHON~iI2246aar BEULAH MICHIGAN 49617 DIAGRAM 5~WAGe IEI1MfT~( PHONE 882middot44QQ
(r~~~~~i~rl~~~~ 115 OF ESTABLltHMrtiOffiS ~~TUl(l V
ROPERTYL i) r ~- Lt c_ ~ 0 OCATIONW~hD~L) f1L-1(ES pqYY UJ-U1 ~ r ~1IlampdsmTOWNSHIP SEcnON----I----_
COUNTY M~l)A-OL 0 JDATE
sOIL i ~tr
S~tj~ middothl)jiivikluJeWf tjl
LINEAL FEET___-__
DRAIN~H)____~__+ 1==-==------- shy
ATiiRSUPPLYI
LINEAL fEET Z512ff 4
SQUARE FEEr 7~5V ~r ~l TYPE ~~t~f7Ji$ IILI LiNes ON ~~cf 2-r I ~ OePTH lV rOJh
pTHEfl I 1alifel(ifvf( APIgtIltOVED _______ ~
Ii PERMIT TO INSTAU CONSTRUCT OR REPLAce e~ EXPIRES 1 YEAR AFTE DATE OF ISSUE
RECEIVEO tftJ- FOR 5~WAGE olP05Al p~ltMrr ___FOR wm PERMIT
AORIllMfNf I HEREBY AGREE TO COMPLY WITH REQUIREMENTgt OF THE SANIT ARY CODE FOR TE COUNTIeS OF GRAND TRAVIiRSIi LEELANAU AND BENZIE AND THE APPLICABLe LAWS OF THE STATE Of MICHIGAN IN THE INSTALLATION OF A SEPTIC TANK SEWAGE DISPOSAL SYSTEM ampOR WELL INSTALLATION ON THE ABOVE IlESCIUBEO PROPflltTY ANP TO CONSTRUCT THE SAME ACCpRPING TO THE PLANS AND SPECIFICATIONS AS DESCRIIlED AND APPROVED AElOVJ orHERWIS~ I UNDERSTAND THE PERMIT Will BE VOID
FINAL INSPECTION REQUIRED BEFORE COVERING ONe DAY NOTI(E SHAll BE GIVEN FOR INSPECTION
WELL jgt~RMIT ~
II t~1f~if(vJ is re4Ci~
f(lbrlo C~7 Sampvr$iS~
ALLOW 1 SLOPE PER 50 FOOT OFTllE
Ihmiddot 17 IN IJIA ClEAI-I amp O~ WASHEDsTONE
4 OF STRAW TO IlE PLACeDSTON UNDER TILE OV~RSTONi
ISOLATION DISTANCES FOR PRIVATE HOMIia SEWAGE DISPOSAL SYSTEM SHALL BE IOCATED AT LEAST 60 FEET FROM ANY POTABLE WATER SUPPLY WELL SPRING OR IlNPROTECTEO WATER SUCTION LINE BURIED OR UNEXPOSED SEWERS OR plps THROUGH WHIOH $iWAGe MAY BACK UP SHALL NOT BE 10CAIliO OIO$e~ fHAN TN (10) IIET FAOM AUY pOTABLe WATER well Oll9UC110N PIPI SUCH seWEFlS OR Pipes SHALL BE CONSTflUCTeO OF 90HE1IUtE 40 OR OTH~ APPROVED (HEALTH DEfT) MATERIAL
-------C-EItT=I=Fic=A=-=T-E-=OFI~NS=P=E-=CT-IO-=-N---~~~--~~middotmiddot-
(PUMIT TO COVIR)
seWeR ~b4) ~EPTIC TANIlt Jl5p cLruhk FINAL DISPOSAL 15 (50 I ISOLATION DI5T-----a~=-_~_
Nom__~_____~_---------_
CONTRACTOR APPROVAL Of A PLAN AND THE JN$rA~lATION CANNOT Be ONSDERED BY THE OWNIiR ~ A GUARANTEE THAT SUCCESSFUL OPERATIO IS A55UR~D THERE AR~MANV WAYS A SYSTEM CAN BE ABUSED CAUSING FAILURE
BEN LEE DI8T HEALTH FAX No 231 256 0225 p 002003JAN 10-2011 MON 0826 AM bullbull lt bull
~I ltp (~ ~~ ~ ~ ~
bull J 1 J f-
1~ bull
IE I l
N~~ wti middot~S ~ I
~ ~ -- ~
ji ~
~ ~ f
bull I bull
bull 1
- bull J Jt rfmiddot~lf~- l-lV
I
_~ l
t ~II ~ i
~ middott bull -~ (
I ~ ~
bull f 1 l bull i lt bull ~
-~ bull
bull J )bullbull
~ -1 ~ t ~-
~ bullbull- ~
A~ e~ J~~L~middot~)~bull ~~i f ~ l)- r~ ~~j ~~ _~ lt~ rr) ~)~ r~- Irii ~ ~ ~~ ~ f~middotmiddotmiddot9middotA
p ~ ~~CA fi -~~A J~~~ ~ ~ ~ r t-middot ~ ~ ~ f~J ~ - GjmiddotIoSA j~ ~ iJJfVZ It tft~Vmiddotmiddot U ~J ~9
4
JAN-10-2011 MON 0826 AM BEN LEE DIST HEALTH FAX No 2312560225 p 003003
gt ~~7~-----------------------------+----j-----j ____I~ afiar __ hI~ pumpIng 81--- GrMilt iJ ____ ft aftr __ hr~ p~mpintl 1___ (IPM
r~
lt I
~~~-----~~middot--------------~-~---+--~~~------~1~Z7W~E~L~c~~~~~~~~~~~~~~~~~~-~ From ___ ~ ___ ft
1-_~-----_~----_---______--__-l--___-I-____~~~~Cl~mC9nt===~~~-========i==l $Qutoe or poss tile conl8mimlti(ln i
USE A 2111) SHElT IF IlIEI)En
15
R~~Fi_VEDD~C 2 3 1987 17
Type S~=rrtC Dlstsoce ro Wall dlelnflocte9 upon eQmpletlan7 ~ WSamp old w~11 plull9edi D Y9~
Manufctrer~ n_m~ ---4~I-----JpgtLtr=--=t----shy
Mod~1 rlumbe-r --2-Ib-ltJ--_
Length of op Pipe Il--shy
mE ELSvbm~qlbhJ PRESSURI tANK
_Itigt~__ GPM
Msnutacturers name ----1l--t--t---I-J~~=-~-1
LOCAL HEALTH DEPTCOPY
f
DISCLAIMER
TIle infoflnation contained herein and contained in any supplemental documents has been furnished by the seller andor other sources We believe the information is reliable Every effort has been made to provide accurate information However we are unable to guarantee the enclosed and recommend that the purchaser verify all information before closing
OLTERSDORF REALTY LLC
100A S Cedar St PO Box 578 Suttons Bay MI 49682
231-271-7777 or 1-866-271-2200
SELLERS SEWER (SEPTIC DISCLOSURE STATEMENT Page 2 of 2
5 Have you received or been made aware of a copy of the Septic System Management Information
DYes bdwo (please note this informaiion can be obtained at the Traverse Area Association ofREALTORS website at wwwtaarcom)
SELLERS STATEMENT IWe Seller(s of the Property provide this SewerSeptic System Disclosure and consider it true and accurate to the best of myour knowledge and authorize disclosure of this information to prospective Purchasers
C)~ ~ 5j(811 ~ ~ V~~-]Ji611SeltlT V Date l Seller Date
PURCHASERS ACKNOWLEDGMENT (to be signed at time of purchase agreement) IWe the Purchaser(s) of the Property acknowledge receipt of the SewerSeptic System Disclosure
Purchaser Date Purchaser Date
copy Copyright Traverse Area Association of REALTORSreg - 852 S Garfield Avenue -- Traverse CIty MI 49686 F40 -Sellers Supplemental SewerSeptic Disclosure Statement Revised OS2009
p 0011003JAN-10-2011 MaN 0825 AM BEN LEE D[ST HEA H FAX No 231 256 0225
GRAD TRIVEISE LEELANAU amp BENZIE DISTRICT HEALTH DEPARJMENT GRAND TRAVEaSELEELANAU COUNTIES BENZIE COUNTY + 4- 155 6
Po a(lX~05 GOVERNMENTAL BUILDING TrilAVERSE CITYjMICHI3AN 49685 Po BOX 335 shy NON-TRANSFEAABLE PEFIMIT
) PHON~iI2246aar BEULAH MICHIGAN 49617 DIAGRAM 5~WAGe IEI1MfT~( PHONE 882middot44QQ
(r~~~~~i~rl~~~~ 115 OF ESTABLltHMrtiOffiS ~~TUl(l V
ROPERTYL i) r ~- Lt c_ ~ 0 OCATIONW~hD~L) f1L-1(ES pqYY UJ-U1 ~ r ~1IlampdsmTOWNSHIP SEcnON----I----_
COUNTY M~l)A-OL 0 JDATE
sOIL i ~tr
S~tj~ middothl)jiivikluJeWf tjl
LINEAL FEET___-__
DRAIN~H)____~__+ 1==-==------- shy
ATiiRSUPPLYI
LINEAL fEET Z512ff 4
SQUARE FEEr 7~5V ~r ~l TYPE ~~t~f7Ji$ IILI LiNes ON ~~cf 2-r I ~ OePTH lV rOJh
pTHEfl I 1alifel(ifvf( APIgtIltOVED _______ ~
Ii PERMIT TO INSTAU CONSTRUCT OR REPLAce e~ EXPIRES 1 YEAR AFTE DATE OF ISSUE
RECEIVEO tftJ- FOR 5~WAGE olP05Al p~ltMrr ___FOR wm PERMIT
AORIllMfNf I HEREBY AGREE TO COMPLY WITH REQUIREMENTgt OF THE SANIT ARY CODE FOR TE COUNTIeS OF GRAND TRAVIiRSIi LEELANAU AND BENZIE AND THE APPLICABLe LAWS OF THE STATE Of MICHIGAN IN THE INSTALLATION OF A SEPTIC TANK SEWAGE DISPOSAL SYSTEM ampOR WELL INSTALLATION ON THE ABOVE IlESCIUBEO PROPflltTY ANP TO CONSTRUCT THE SAME ACCpRPING TO THE PLANS AND SPECIFICATIONS AS DESCRIIlED AND APPROVED AElOVJ orHERWIS~ I UNDERSTAND THE PERMIT Will BE VOID
FINAL INSPECTION REQUIRED BEFORE COVERING ONe DAY NOTI(E SHAll BE GIVEN FOR INSPECTION
WELL jgt~RMIT ~
II t~1f~if(vJ is re4Ci~
f(lbrlo C~7 Sampvr$iS~
ALLOW 1 SLOPE PER 50 FOOT OFTllE
Ihmiddot 17 IN IJIA ClEAI-I amp O~ WASHEDsTONE
4 OF STRAW TO IlE PLACeDSTON UNDER TILE OV~RSTONi
ISOLATION DISTANCES FOR PRIVATE HOMIia SEWAGE DISPOSAL SYSTEM SHALL BE IOCATED AT LEAST 60 FEET FROM ANY POTABLE WATER SUPPLY WELL SPRING OR IlNPROTECTEO WATER SUCTION LINE BURIED OR UNEXPOSED SEWERS OR plps THROUGH WHIOH $iWAGe MAY BACK UP SHALL NOT BE 10CAIliO OIO$e~ fHAN TN (10) IIET FAOM AUY pOTABLe WATER well Oll9UC110N PIPI SUCH seWEFlS OR Pipes SHALL BE CONSTflUCTeO OF 90HE1IUtE 40 OR OTH~ APPROVED (HEALTH DEfT) MATERIAL
-------C-EItT=I=Fic=A=-=T-E-=OFI~NS=P=E-=CT-IO-=-N---~~~--~~middotmiddot-
(PUMIT TO COVIR)
seWeR ~b4) ~EPTIC TANIlt Jl5p cLruhk FINAL DISPOSAL 15 (50 I ISOLATION DI5T-----a~=-_~_
Nom__~_____~_---------_
CONTRACTOR APPROVAL Of A PLAN AND THE JN$rA~lATION CANNOT Be ONSDERED BY THE OWNIiR ~ A GUARANTEE THAT SUCCESSFUL OPERATIO IS A55UR~D THERE AR~MANV WAYS A SYSTEM CAN BE ABUSED CAUSING FAILURE
BEN LEE DI8T HEALTH FAX No 231 256 0225 p 002003JAN 10-2011 MON 0826 AM bullbull lt bull
~I ltp (~ ~~ ~ ~ ~
bull J 1 J f-
1~ bull
IE I l
N~~ wti middot~S ~ I
~ ~ -- ~
ji ~
~ ~ f
bull I bull
bull 1
- bull J Jt rfmiddot~lf~- l-lV
I
_~ l
t ~II ~ i
~ middott bull -~ (
I ~ ~
bull f 1 l bull i lt bull ~
-~ bull
bull J )bullbull
~ -1 ~ t ~-
~ bullbull- ~
A~ e~ J~~L~middot~)~bull ~~i f ~ l)- r~ ~~j ~~ _~ lt~ rr) ~)~ r~- Irii ~ ~ ~~ ~ f~middotmiddotmiddot9middotA
p ~ ~~CA fi -~~A J~~~ ~ ~ ~ r t-middot ~ ~ ~ f~J ~ - GjmiddotIoSA j~ ~ iJJfVZ It tft~Vmiddotmiddot U ~J ~9
4
JAN-10-2011 MON 0826 AM BEN LEE DIST HEALTH FAX No 2312560225 p 003003
gt ~~7~-----------------------------+----j-----j ____I~ afiar __ hI~ pumpIng 81--- GrMilt iJ ____ ft aftr __ hr~ p~mpintl 1___ (IPM
r~
lt I
~~~-----~~middot--------------~-~---+--~~~------~1~Z7W~E~L~c~~~~~~~~~~~~~~~~~~-~ From ___ ~ ___ ft
1-_~-----_~----_---______--__-l--___-I-____~~~~Cl~mC9nt===~~~-========i==l $Qutoe or poss tile conl8mimlti(ln i
USE A 2111) SHElT IF IlIEI)En
15
R~~Fi_VEDD~C 2 3 1987 17
Type S~=rrtC Dlstsoce ro Wall dlelnflocte9 upon eQmpletlan7 ~ WSamp old w~11 plull9edi D Y9~
Manufctrer~ n_m~ ---4~I-----JpgtLtr=--=t----shy
Mod~1 rlumbe-r --2-Ib-ltJ--_
Length of op Pipe Il--shy
mE ELSvbm~qlbhJ PRESSURI tANK
_Itigt~__ GPM
Msnutacturers name ----1l--t--t---I-J~~=-~-1
LOCAL HEALTH DEPTCOPY
f
DISCLAIMER
TIle infoflnation contained herein and contained in any supplemental documents has been furnished by the seller andor other sources We believe the information is reliable Every effort has been made to provide accurate information However we are unable to guarantee the enclosed and recommend that the purchaser verify all information before closing
OLTERSDORF REALTY LLC
100A S Cedar St PO Box 578 Suttons Bay MI 49682
231-271-7777 or 1-866-271-2200
p 0011003JAN-10-2011 MaN 0825 AM BEN LEE D[ST HEA H FAX No 231 256 0225
GRAD TRIVEISE LEELANAU amp BENZIE DISTRICT HEALTH DEPARJMENT GRAND TRAVEaSELEELANAU COUNTIES BENZIE COUNTY + 4- 155 6
Po a(lX~05 GOVERNMENTAL BUILDING TrilAVERSE CITYjMICHI3AN 49685 Po BOX 335 shy NON-TRANSFEAABLE PEFIMIT
) PHON~iI2246aar BEULAH MICHIGAN 49617 DIAGRAM 5~WAGe IEI1MfT~( PHONE 882middot44QQ
(r~~~~~i~rl~~~~ 115 OF ESTABLltHMrtiOffiS ~~TUl(l V
ROPERTYL i) r ~- Lt c_ ~ 0 OCATIONW~hD~L) f1L-1(ES pqYY UJ-U1 ~ r ~1IlampdsmTOWNSHIP SEcnON----I----_
COUNTY M~l)A-OL 0 JDATE
sOIL i ~tr
S~tj~ middothl)jiivikluJeWf tjl
LINEAL FEET___-__
DRAIN~H)____~__+ 1==-==------- shy
ATiiRSUPPLYI
LINEAL fEET Z512ff 4
SQUARE FEEr 7~5V ~r ~l TYPE ~~t~f7Ji$ IILI LiNes ON ~~cf 2-r I ~ OePTH lV rOJh
pTHEfl I 1alifel(ifvf( APIgtIltOVED _______ ~
Ii PERMIT TO INSTAU CONSTRUCT OR REPLAce e~ EXPIRES 1 YEAR AFTE DATE OF ISSUE
RECEIVEO tftJ- FOR 5~WAGE olP05Al p~ltMrr ___FOR wm PERMIT
AORIllMfNf I HEREBY AGREE TO COMPLY WITH REQUIREMENTgt OF THE SANIT ARY CODE FOR TE COUNTIeS OF GRAND TRAVIiRSIi LEELANAU AND BENZIE AND THE APPLICABLe LAWS OF THE STATE Of MICHIGAN IN THE INSTALLATION OF A SEPTIC TANK SEWAGE DISPOSAL SYSTEM ampOR WELL INSTALLATION ON THE ABOVE IlESCIUBEO PROPflltTY ANP TO CONSTRUCT THE SAME ACCpRPING TO THE PLANS AND SPECIFICATIONS AS DESCRIIlED AND APPROVED AElOVJ orHERWIS~ I UNDERSTAND THE PERMIT Will BE VOID
FINAL INSPECTION REQUIRED BEFORE COVERING ONe DAY NOTI(E SHAll BE GIVEN FOR INSPECTION
WELL jgt~RMIT ~
II t~1f~if(vJ is re4Ci~
f(lbrlo C~7 Sampvr$iS~
ALLOW 1 SLOPE PER 50 FOOT OFTllE
Ihmiddot 17 IN IJIA ClEAI-I amp O~ WASHEDsTONE
4 OF STRAW TO IlE PLACeDSTON UNDER TILE OV~RSTONi
ISOLATION DISTANCES FOR PRIVATE HOMIia SEWAGE DISPOSAL SYSTEM SHALL BE IOCATED AT LEAST 60 FEET FROM ANY POTABLE WATER SUPPLY WELL SPRING OR IlNPROTECTEO WATER SUCTION LINE BURIED OR UNEXPOSED SEWERS OR plps THROUGH WHIOH $iWAGe MAY BACK UP SHALL NOT BE 10CAIliO OIO$e~ fHAN TN (10) IIET FAOM AUY pOTABLe WATER well Oll9UC110N PIPI SUCH seWEFlS OR Pipes SHALL BE CONSTflUCTeO OF 90HE1IUtE 40 OR OTH~ APPROVED (HEALTH DEfT) MATERIAL
-------C-EItT=I=Fic=A=-=T-E-=OFI~NS=P=E-=CT-IO-=-N---~~~--~~middotmiddot-
(PUMIT TO COVIR)
seWeR ~b4) ~EPTIC TANIlt Jl5p cLruhk FINAL DISPOSAL 15 (50 I ISOLATION DI5T-----a~=-_~_
Nom__~_____~_---------_
CONTRACTOR APPROVAL Of A PLAN AND THE JN$rA~lATION CANNOT Be ONSDERED BY THE OWNIiR ~ A GUARANTEE THAT SUCCESSFUL OPERATIO IS A55UR~D THERE AR~MANV WAYS A SYSTEM CAN BE ABUSED CAUSING FAILURE
BEN LEE DI8T HEALTH FAX No 231 256 0225 p 002003JAN 10-2011 MON 0826 AM bullbull lt bull
~I ltp (~ ~~ ~ ~ ~
bull J 1 J f-
1~ bull
IE I l
N~~ wti middot~S ~ I
~ ~ -- ~
ji ~
~ ~ f
bull I bull
bull 1
- bull J Jt rfmiddot~lf~- l-lV
I
_~ l
t ~II ~ i
~ middott bull -~ (
I ~ ~
bull f 1 l bull i lt bull ~
-~ bull
bull J )bullbull
~ -1 ~ t ~-
~ bullbull- ~
A~ e~ J~~L~middot~)~bull ~~i f ~ l)- r~ ~~j ~~ _~ lt~ rr) ~)~ r~- Irii ~ ~ ~~ ~ f~middotmiddotmiddot9middotA
p ~ ~~CA fi -~~A J~~~ ~ ~ ~ r t-middot ~ ~ ~ f~J ~ - GjmiddotIoSA j~ ~ iJJfVZ It tft~Vmiddotmiddot U ~J ~9
4
JAN-10-2011 MON 0826 AM BEN LEE DIST HEALTH FAX No 2312560225 p 003003
gt ~~7~-----------------------------+----j-----j ____I~ afiar __ hI~ pumpIng 81--- GrMilt iJ ____ ft aftr __ hr~ p~mpintl 1___ (IPM
r~
lt I
~~~-----~~middot--------------~-~---+--~~~------~1~Z7W~E~L~c~~~~~~~~~~~~~~~~~~-~ From ___ ~ ___ ft
1-_~-----_~----_---______--__-l--___-I-____~~~~Cl~mC9nt===~~~-========i==l $Qutoe or poss tile conl8mimlti(ln i
USE A 2111) SHElT IF IlIEI)En
15
R~~Fi_VEDD~C 2 3 1987 17
Type S~=rrtC Dlstsoce ro Wall dlelnflocte9 upon eQmpletlan7 ~ WSamp old w~11 plull9edi D Y9~
Manufctrer~ n_m~ ---4~I-----JpgtLtr=--=t----shy
Mod~1 rlumbe-r --2-Ib-ltJ--_
Length of op Pipe Il--shy
mE ELSvbm~qlbhJ PRESSURI tANK
_Itigt~__ GPM
Msnutacturers name ----1l--t--t---I-J~~=-~-1
LOCAL HEALTH DEPTCOPY
f
DISCLAIMER
TIle infoflnation contained herein and contained in any supplemental documents has been furnished by the seller andor other sources We believe the information is reliable Every effort has been made to provide accurate information However we are unable to guarantee the enclosed and recommend that the purchaser verify all information before closing
OLTERSDORF REALTY LLC
100A S Cedar St PO Box 578 Suttons Bay MI 49682
231-271-7777 or 1-866-271-2200
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JAN-10-2011 MON 0826 AM BEN LEE DIST HEALTH FAX No 2312560225 p 003003
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R~~Fi_VEDD~C 2 3 1987 17
Type S~=rrtC Dlstsoce ro Wall dlelnflocte9 upon eQmpletlan7 ~ WSamp old w~11 plull9edi D Y9~
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LOCAL HEALTH DEPTCOPY
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DISCLAIMER
TIle infoflnation contained herein and contained in any supplemental documents has been furnished by the seller andor other sources We believe the information is reliable Every effort has been made to provide accurate information However we are unable to guarantee the enclosed and recommend that the purchaser verify all information before closing
OLTERSDORF REALTY LLC
100A S Cedar St PO Box 578 Suttons Bay MI 49682
231-271-7777 or 1-866-271-2200
JAN-10-2011 MON 0826 AM BEN LEE DIST HEALTH FAX No 2312560225 p 003003
gt ~~7~-----------------------------+----j-----j ____I~ afiar __ hI~ pumpIng 81--- GrMilt iJ ____ ft aftr __ hr~ p~mpintl 1___ (IPM
r~
lt I
~~~-----~~middot--------------~-~---+--~~~------~1~Z7W~E~L~c~~~~~~~~~~~~~~~~~~-~ From ___ ~ ___ ft
1-_~-----_~----_---______--__-l--___-I-____~~~~Cl~mC9nt===~~~-========i==l $Qutoe or poss tile conl8mimlti(ln i
USE A 2111) SHElT IF IlIEI)En
15
R~~Fi_VEDD~C 2 3 1987 17
Type S~=rrtC Dlstsoce ro Wall dlelnflocte9 upon eQmpletlan7 ~ WSamp old w~11 plull9edi D Y9~
Manufctrer~ n_m~ ---4~I-----JpgtLtr=--=t----shy
Mod~1 rlumbe-r --2-Ib-ltJ--_
Length of op Pipe Il--shy
mE ELSvbm~qlbhJ PRESSURI tANK
_Itigt~__ GPM
Msnutacturers name ----1l--t--t---I-J~~=-~-1
LOCAL HEALTH DEPTCOPY
f
DISCLAIMER
TIle infoflnation contained herein and contained in any supplemental documents has been furnished by the seller andor other sources We believe the information is reliable Every effort has been made to provide accurate information However we are unable to guarantee the enclosed and recommend that the purchaser verify all information before closing
OLTERSDORF REALTY LLC
100A S Cedar St PO Box 578 Suttons Bay MI 49682
231-271-7777 or 1-866-271-2200
DISCLAIMER
TIle infoflnation contained herein and contained in any supplemental documents has been furnished by the seller andor other sources We believe the information is reliable Every effort has been made to provide accurate information However we are unable to guarantee the enclosed and recommend that the purchaser verify all information before closing
OLTERSDORF REALTY LLC
100A S Cedar St PO Box 578 Suttons Bay MI 49682
231-271-7777 or 1-866-271-2200