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HomeMy WebLinkAbout026-1155-26-000 w § 4 . a � ) % ■� 2;. r > m R)i$� ®#k•o ƒ 1 1 a §, a 2 ' E / . k 0) -E a�- �k�0k §§ 0 °° -E7° ; § �a§7W®0 S ) 0 C _mom ■ d' owe;£ J)�$)g£ ■ Cl) � i W E Z & z ƒ q z B z « \ 2 ■ , _ k 7 k / f ) ; 7 ) � (k� \ ID \ £ \ a 0 Z o 0 < z m z \ / c § B 2 , o C e ` I 7 &k § 13 a n � ƒ to 2 p p p E '2 ' W B § § E m - m a a a k n n ƒ $ 2 # 8 8 W ƒ § § = o f ©° � § / § / K 2 & m - a % % W 4) # A \ a �k, ° , c � 5 E (D § 0 16 § § \ m _ @ o o k k§ s: p: f @ 7 /_ \ 0 k/ 2© 2\ f & B § & ' ( o ; b k � C5 N W\ 0� o z_ a- a / ` { /�/ k/3 / 0 a 2 0$ u f Wisconsin Depah,nent of Commerce.., PRIVATE SEWAGE SYSTEM County: St. Croix Safi tyand Building Division Sanitary Permit No: INSPECTION REPORT 430487 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township Par- ax No: Derrick, Robert I Richmond Township ,mil.; QZd CST BM Elev: Insp. BM Elev: BM Description: / Section/Town /Rang ap No: e)• �vb •O /�� ,�M �✓ 22.30.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic e,1 /�� Bench ark 3 Z 6 o L ®� r1iY 6 0 � O Dosing i , // /1 �DU / / e Alt. BM O y► � S o. � c� Aeration hl�C /'� �-! f " Bldg. Sewer ' �. Holding St/ Ht Inlet a� o RS TANK SETBACK INFORMATION SUHt Outlet f Z W. (p TANK TO P/L WELL BLDG. Vent it Intake ROAD Dt Inlet Septic d f Dt Bottom / f Dosing Header /Man. g ,G� Q Aeration Dist. Pipe 'L Holding Bot. System 2 S ,C Final Grade PUMP /SIPHON INFORMATION 7.7 Manufacturer Demand St Covgr 3 4 Model Number 6G f TDH Lift Friction Lo em Head TDH Ft Forcemain Length Dia. Dist. to SOIL ABSORPTION SYSTEM BEDITRENCH Width 14� Lengt No. Of Tr hes PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 1 ) ` — �— SETBACK SYSTEM TO 111555 P/L BLDG WELL LAKE /STREAM EACHING r nufact . INFORMATION CHAMBER OR Typ Of Syste� X � ' � r 1 / i UNIT Model Number: DISTRIBUTION SYSTEM U►" w V C r � Header/Man old Distribution I I I I x Hole Size 1 75ole'spacing Vent to Air Intake Pipe(s) Lengt Dia Length b Dia Spacin � gb SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only 04, c "" L4P - ' Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil [-a Yes _ No J Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /_j(0 L2 Inspection #2: Location: New Richmond, WI 54017 ( E 1/4 NE 1/4 22 T30N Pondv'ew Meadows 11s Add of Parcel No: 22.30.18. _ST CO �1� L W ✓, u (if�t.e.c/h'`►vt. IF(IiUL locafis 1.) Alt BM Description - �1 n 2.) Bldg sewer length = �Q t" f s�sjVy� Q �c v h 1,0/ - amount of cover = rl O L tfn n;e&k..( 'r ru%u y et- P �� t r f 03 4 ❑ - - -T (1 �- — -- 1 - - -- - - -� -- - __ Plan revision Required? es � No _ Use other side for additional information. SBD -6710 (R.3l97) Date Insepctor's Si nature Cent. No. 1 ?�� �5Z Q� Z� ,6 \ 3 -7V) �� I Safety and Buildings Division County ` 201 W. Washington Ave., P.O. Box 7082 Madison, WI 53707 - 7082 Sanitary Permit Number (to be filled in by Co.) ,�mOi�sI Department of Commerce 08)261.6546 �J i Sanitary Permit Application Sta Plan 1.D. Number � ('l In accord with Comm 93.2 1, Wis. Adm. Code, personal information you provide (Vi Y may be used for secondary purposes Privacy Law, s15.04(t)(m) Project Address (if different than mailing address) I. Application Information - Please Print All Information Property Owner's Name Pa rcel # Lot # Block # Property Owner's Mailing Address Property Loc 'on VA, Section City, State Zip Code Phone Number _ le t' 1 T�N; R or� II. Type of Building (check all that apply) ��jy, L �,' 2 Family Dwelling - Number of Bedrooms _-- ivisio N7 c,,� CSM N I Z41X-*_7 ❑ Public/Cotrmtercial - Describe Use , t? ❑ state owned - Describe use 3 D S T. C (� t 13 C h ❑city _ ❑viilag2 rib nwnship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) - _ A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. Permit Renewal ennit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued ❑ Before Expiration �+ Plumber Owner q '2 O (l 1 0 1 J IV. a of POWTS System: Check all that appl J L n - Pressurized In -Ground •❑ Mound > 24 in. of suitable soil ❑Mound < 24 in. of suitable soil ❑ At-Grade ❑Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter, Lrj Recirculating Synthetic Media Filter—fLidwhine Chamber 11 Drip Line t Travel -less Pipe m (ex lain) V. Dispersal/Treatment Area I rmation: 6 -- - Design Flow (gpd) ign Soil A plication Rate(gpdsf) Dispersal Are' Required (sf) D:: ro ed Of) Des System Elev ion 0 V / _ _-` 8n T VL Tank Info Capacity in Total Number Manufactuirr Prefab Site Steel Fi Plastic Ga llons Gallons of Units „ r� / � Concrete Constructed Glass New I Existing Tula I Tanks Septic or Holding Tuck v( Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersl , assume responsibility for in stallation of the POWTS sh own on the attached plans. PI pi 's Name (Print) Plumb re MP /hl ?RS umber Business Phone Nu -Z _ Plumber's Address (Street, City, State, Z' C e) _4_JV LjL I Coun fDe st ent Use Onl — Approved ❑Disapproved Sanitary Permit Fee (includes Groundwater Date sued Is mg Age i'o t nips) 1 Surcharge Fee) 1 (t D 0 ❑ Owner Given Reason for Denial -- - IX. Conditions of Approval/Reasons for Disapproval e /0 1 �"/)gy �l q113, dxAl C� Ott 04� Cd)�lu),_,j w" PU 2� / V14 A A complete plans (to the County only) for the system tt paper nut . Juts 111/2 z It Inches In size SBD -6398 (R. 08102) i Property Owner Da Parcel ID # Page of a Bori # ❑ Boring Ground surface face elev. r ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDO in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 E a /✓ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor �n Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `042 F-1 Boring # Pit Boring ❑ Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fF in. Murisell Qu. Sz... Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 a Effluent #1 B , A > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg& and TSS < 30 mg/L = – – -if Commerce is an equal opportunity service provider and employer. If you need assistance to access services or The Departm *d material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.6/oo) PAGE_OF 3 I C 1 Z Q �c� Z NAME �►'! T.OT #LG TEGAT DESCRIPTION � �/ - ,S T 3 ,N,$, 16 SCALE: I"= �O BM 1 ELEVATION 1 00.6 r� BM 1 DESCRIPTION 1pe g y S / e c BM 2 ELEVATION 6 BM 2 DESCRIPTION a i a � SYSTEM ELEVATIONS ';.00 • Y t lQ SYSTEM TYPE CONTOUR ELEVATION h� J� b fo � n l � l L i 'vt SIGNATURE DATE ' Safety and Buildings Division County ` 201 W. Washington Ave., P.O Box 7082 _._. ise on sin Madison, WI 53707 – 7082 Sanitary Permit Number (to filled in by Co.) / d (608) 2 `- f 3 o T Department of Commerce State taa Sanitary Permit App icatio � jl .� In accord with Comm 83.21, Wis. Adm. Code, personal information up" ide i 2 2 � ; Projec Address (if di ercVt than mailing address) may be used for secondary purposes Privacy Law, s15.04(1 m) I. Application Information — Please Print, All Information ; . P # Block # Prope er's Name �l V/ h r� f l ��,►y - wner's Mailing Address P P Loca J 13 1 Section City, State Zip Code Phone Num crc one) T � N; R JE r W H. Type of Building (check all apply) ,QJ�I� S 2e CSM Num or 2 Family Dwelling - Number of Bedrooms ❑ Public/Commercial - Describe Use t I � []City y ❑Villag ownship of r ❑ State Owned - Describe Use III. Type of Permit: (Check only one box on line A. Comple lin if applicable) A. Other fication to Existing System New er ❑ Replacement System ❑ Treatment(H 'ng Tank Replacement Only B. ❑ Permit Renewal ❑ Permit Revision ❑ Change it Transfer to New Num d List P ous t Before Expiration Plumber Own t IV. TyM of POWTS System: Check all that a 1 o tt t - pressurized in Gro Mound ble it ❑ Mound < 24 in. of s ble soil ❑ At -Grade ❑ Single Pass Sand Filter > 24 in. of suita Constructed Wetland ❑ Pressurized in round C1 Hold' Tank ❑ Peat Filter ❑ Aero eatment Unit ❑ Recircu Sand Fi1te��� ' Tr \ ❑ Drip Line ❑ Gravel -1 Pi ❑Other (ex lain) Recirculating Synthetic Media Filter p Q� V. Dis rsal/Treatment Area I orm on: At Pro d (st) Ele tion Desi Flow (gpd) Design Soil A plicatioa Dispersal Requi (sf) Dispe ✓ J (J i �� Prefab Site Steel Fi Plastic VI. Tank Info n Nt'rnber ! Q o fl crete Constructed Glass Gallons Gallon of Units New Existing Talcs Tanks Septic or Holding Tank Aerobic Treatment Uah oe Dosing Chamber VII. Responsibility Statement - I, the un rs assume responsiblllty for installation of the POWTS shown on the attached plans. MP�N i ber Business Phone Num Plumber's s Name (Pri nt) Plu her' azure 7LJ"- Plumber's Address (Street, City, Star up e) C Coun /De artment Use Onl s Sanitary Permit Fee (includes Gro� ater i sued ing Agent re (N ) ` Approved ❑ Disapproved Surcharge Fee) ^� 7� ❑ Owner Given Reason for Denial `� `— / 3 I Conditions of ApprovaMeasons for Disa proval (,t� r / P��� S STEM OWNER 7 S 4 �+td � O, � 1 Septic tank, effluent filter and ��c& Alkve- dispersal cell must all be serviced /maintained � ���,;�� aAt"e 4, as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. not less than 8112 s 11 laches is size tta Ach complete plans (to the County p only) for the system as aper SBD -6398 (R. 08/02) PL LAN PROJECT Robert Denick/Loren Derrick RESS 1310 Hwv 65 New Richmond Wi 54017 i NE 1/4 NE 1/4s 22 /T 30 N/ W wN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 10/20/03 BEDROOM 3 CONVENTIONAL XXC IN- GROUND P URE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1 gallon LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30 BENCHMARK V.R.P. Top of 1/4" STeel Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL - H. R. P. Same as Benchmark SYSTEM ELEVATION 94.3/94.1/93.9 4.5' below Grade Vent > 6„ Standard Biodiffuser Plans Designed Usin of Cover Leaching Chamber Conventional Powts with 31.1 ft2 of Area Manual Version 2.0 11" 6 Long Grade at System Elevation operty Line Note: Comments of Pam Quinn were used in the design of this system. System is being oversized due to only being 6" into the suitable soi Pro 3 and the person who did the Bedroom test! House B -2 1 ' 10, T B.M. #1 Property Line Vents 4 3% 20' Slope 30 40' 1 ' B -3 20' 10 B.M. #2 B -1 Vents 3 -3'X 63' Cells with >3' Spacing 100' Please note: Benchmarks were place in the driveway area and will be probably be destroyed during Couldesac construction, further testing may be done to provide a new benchmark and better system area i PLO, LAN PROJECT Robert Derrick/Loren Derrick RESS 1310 Hwv 65 New Richmond Wi 54017 i NE 1/4 NE 1 /4S 22 /T 30 N/ 1 W WN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 10/20/03 BEDROOM 3 CONVENTIONAL )00C IN- GROUND P URE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1 gallon LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30 BENCHMARK V.R.P. Top of 1/4" STeel Pipe ASSUME ELEVATION 100° '1 r Z 1 A -1 Fi to abe 00 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 94.3/94.1/93.9 4.5' below grade Vent ji Standard Biodiffuser Plans Designed Usin Leaching Chamber Conventional Powts with 31.1 ft2 of Area Manual Version 2.0 p 34" G rade at System Elevation o e rtY Line Note: Comments of Pam Quinn were used in the design of this system. System is being oversized due to only being 6" into the suitable soi Pro 3 and the person who did the Bedroom test! House B -2 1 ' 400 ' T B.M. #1 Property Line Vents 3% 20' Slope P 40 30 1 , B -3 20' 10' B.M. #2 B -1 Vents 3 -3'X 63' Cells with >3' Spacing 100' Please note: Benchmarks were place in the driveway area and will be probably be destroyed during Couldesac construction, further testing may be done to provide a new benchmark Vx and better system area Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code � County C Y D \ u Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel 1.9. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print b Date Personal information you provide may be used or sec � FEQ Law, s 15.04 (1) (m)). Y� 3 Q 3 Property Owner F roperly Location I �� FEB 2 8 2003 ovt. Lot N [ 1/4,(/ 1/4 S LZ T 3o N R g' (or)40 L_ Property Owner's Mailing Address of # I Block # Subd. Name or CSM# U ST. C Roix COUNTY hp and �° W-CW I S � S _ City StA Zip Code J ❑ City ❑ Village [9 Town Nearest Road I9 New Construction Use:pO42esidential I Number of bedrooms __ Code derived design flow rate Ord GPD ❑ Replacement ❑ Public or commercial - Describe: c �a C Kl Parent material Flood Plain eleva if a ' ble _�1 _ - -� —_ ft• General comments s y 6l+G' /'1^ Gl< <f - /p� • 0O e� w e l I ' Q S and recommendations 132 � 5� tv ❑ Boring # D Boring I ( pit Ground surface elev. _ ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 - I 2 -- S i 2 nm -rr Vf C � 96 ►'D os-e"d I q4- - 3 - 3 0 S d �Z 2 . _j Boring # Boring pit Ground surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff #1 - Eff#2 b - -J ibC lZ Z rnQ rYlQr C5 Z 12 -22 Ib r / — 5.'c I ZmS m �r C S 3 _ m �- Ie / SL sl- y\ J it _ 5 ` Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L * E ent #2 = BOD < 30 mg/L and TSS <_ 30 mg/L CST Name (Please Print) S' a �Z L;23:!>g Number q Address Date Evaluation Conducted Telephone Number Property Owner —J f' r r _ - -- Parcel ID #----------- - - - - -- Page -- of_— Boring # ❑ Boring a ® Pit Ground surface elev. �a. _ ft. Depth to limiting factor 3L— in. Sol Application Rate Horizon Depth Dominant Color Redox Description /ftz Texture Structure Consistence Boundary Roots GPD in. Munseti Qu. Sz. Cont. Color Gr. Sz. Sh. ( 'Eff#1 `Eff#2 a or- C S _ Z f - i0 Icy — I 2r�5bk m�r C _ - 7 TO — mS Esc m — ZmSbK �r 3 9 3 = F] Boring # F1 ring ❑ Pit rf roundsurface elev. ft. Depth to limiting factor _— in. SoI A tion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfi in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Efr#1 `Effil`2 ❑ Boring Boring # Ground surface elev. _ - -_ —__ ft. Depth to limiting factor — — in. F] pit Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlftz in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. `Eff#1 `Eff#2 Effluent #1 = BOD > 30:s 220 mglL and TSS >30:S 150 mglL `.Effluent #2 = BOO < 30 mglL and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608- 264 -8777. seu- 9330(R.07i00) PAGE_OF 3 NAME Pa r! , 'cl- - LOT #Z¢ LEGAL DESCRIPTION ye %vC 1 4 ,S T 36 ,N.R, l8'E(orN SCALE: I"= yd BM 1 ELEVATION Zac • d r BM 1 DESCRIPTION fag a y •� �c e Iro d BM 2 ELEVATION ?f,,570 BM 2 DESCRIPTION a j � 100 1 SYSTEM ELEVATION - ;.00 • Q $Q SYSTEM TYPE CONTOUR ELEVATION to P I I 0 �o 8 �,�► Z SIGNATURE DATE Sep 30 03 10:16a jwf 7157962259 p.2 Sep 30 03 D9 :04a Rick and Bob Derrick 715 - 246 -9893 p.l ST CROIX COUNTY gh , ` g SEPTIC TANG AG�R�NT & 3 7 AND OWNERSHIP CERTIFICATION FORM Owncr/Buyer L *e 9;4 %,A i+sdUng Address N. b N e E ' a 4, m Oil prop Address 'L.4 7-L ?e „ d vita rt r n e (VaWwation required from Plauniog DcpartsQaat for new construction) -. w Parcel Identification Ntunber City/State , rv� =� ��! ,. I I Y S�� pccty I.ocatitm '/� %, Sec. � `� 'T3�6- W, Town of R►. 6 r o d Pro Sumvision Pond Y I t w M < r- k , j+ Lot # Z i ca -dfied Survey Map # Volume �- J Page # Warranty Decd Volume — page # . Spot house - 4 ❑ no Lot lines ideatifiabk� ❑ no ,�(,$TEM M�INTEN reanatu[e fit�urc to beadle wastes. Proper maiotcas.n« me said p ceof you septic system could result i n its p a �. w,st you put ibtto the system caasists of p=pmg out the septic teak every amen yem or sooner. if 000dod by can affect the fnoctiaa of the septic tank as a treaW,01 stage in the wam dkpoml MUM p owner ygeu to submit to SL (koirt ZOO Depar = eat a °a f=m, cipod by the owner and 'Dy a The mpuca h= ber, resmet adpimab cror, ahcenaodpuwpae�YOgthat (L)gwon- s�•arastowaterdispose► system is in r 0pe jot�au0=dW tf act Wary). the geppc trek is less dum 1/3 full of sludge. n is proper operating oundition aadlor (2) slier itvpectiaa said pasapin8 (� bays need dx above tegaire;atents and ague to maintain dw private sewage disposal system *4& d o staaciards llrve, the ttadasigrsc+d State of Wisootssia Cet10QLd0 ; set tort,, bertsin. as set by the Depatimeat of Commerce and dve Dcpsaiaaeat of Nam Qm mi spsting that your �c Us b=maktaincd ewn be completed and attuned to the St. Croix County Zoaiag Office wititn 3L , days of the tbroc yea bon : •' 1 'l /� S1*4ATURB OF Y' LICAN DA'T'E OWNER CERTrRCC AnOI!I 1 (we) certify that all statements on this form ace true to the best of my (Our) lmowiedse• 1 {we) am (arc) the own «(s) c' the property deaartbed by virtue of a warranty deal recordod in Fgoster of Doods Office. .? f ! v log BATE Gt1ATURE OF APPLICANT ••• •• • •' Any information that is mis- represented may te=,It in the sanitary permit being revoked by the Zoning Department. •• Loclude w1th this appUcation: a $tamped w&m=ty deed From the Register of Deeds office a copy of the Omuf ed aysvey snap if reference is made in the warranty doed Plan for a Septic System maintenance and Contingency Maintenance Plan once every 3 years. 1. Septic Tank is to be pumped installed in 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. to limit greases, garbage, and water conditioner discharge into the system 4. Owner agrees . 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. Y 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715- 246 -4516 St. Croix County Zoning 715- 386 -4680 Pumper Tom Mondor 715- 246 -5148 Shaun Bird #226900 !4''Sy5 t.,,. l "r4�. i,ry" '.. �Y ° 4 ,. �.: ,.,..,,y.- ,r' -rt•, � � a•• }~- , 'I . ft V . AM PM IRG. no vaL 952w-r� 538 °ttw ��t t " x • , • 4839g'� ' : a a 1,UWMM D WARRANTY DUD « • THIS INDENTURE, made thin 21st d d May , 92 AgriBank, FCB, formerly known as REGISTER'S OFFICE 19— Federal Land Bank of St. Paul , .SE CM CO, V4 t, i a federally chartered eorpondos, with a post office address of bed kwRemd 37 Jackson St. Paul , 1� 55101 MAY 2 91992 p arry or the Brat part and Loren 0. Derrick, Rosa H. Derrick Ric hard L. Derrick, Joan L. Derrick, and Robert J. d 10:15 A. M Derrick w 0 U whose post office address is Route N4, Box 48, New Richmond ' a <: RpitNt of Oeeds WI 54017 Pang of the second part, (hereinafter rderted to as party whether singular or _ plural), WITNPSSETH, that the said party of the fuat part, for and in 'consideration of the guru o f Fi Five Thousand Eighty and x, ; _ neourarK tofornwia. 00/ 100----------- - - - - -- --------- - - - - - - DOLLARS, . l 55 ,080.00 ) , to it paid by the said party of the second part, the receipt whereof is hereby acknowledged, does greet. bargain. sea. and convey unto the said Q y of the second part, his/ her /their heirs, successors and assigns forever, the toilowhig described real csoue6 situated in the County d St. Croix an d St o f Wisconsin : E }NE} except Lot I CSM recorded in Volume 4, page 1144 of CSM of Register of Deeds. NWIN21 All in Section 22, T30N, R18W. s r _ EXEWr r +R r r n, .. �, d' - -.. +N - ♦ , rat. ✓ ,I ,y i sW*ct to aB eueracnu.and rights of wayl also subject to elf taxees'on said promises,tbr the year I9 and following yenta. also y subject to an unpaid psiu and iustallmeats or speciar assawnents on said premises which ha a fallen due, or will faB dus hereafka r' '. EXCLUDING there5vm and excepting and reserving tq said party Of the fira pits all mineral and royalty rights, inwtesb eetatea and fifes SF heretalbre reserved of excepted of record by The Federal lard Bank of Saint Paul prior to January 22, 19%. if,uq; with such eaumenti A* Ogress, esteo grad use d surface as mq ba incidental or rtaicesiaty fo usp af;sueh tights. The }pego►ng excusion, eaoeeptiort sad teservatioe' 0 46 .` IW include, but not be Waited to, all oil, gas, hydrocarbons;: coal and. other diinenak of whatsoever uatuve Icing in or under the above- deacrt�ed hpds nod as eoyaky istereatf as to oil, gas and odor mi;6 s produced ante served dwnfrom . k is expressly understand War the said c"p ty of tha Nast pgtt will rnahe so warrsiwy as to die start of lira ownership of minerals,: es as to its thk tfiaeto. # TOGSVIQ�R wiA altard singular the hereditamt:nts and appurdnantces thereat o belonging or in any wise appertaining; and all estate. r4k, 1r :, dda, irgdest, dairs or deuw4_ whaboever; of the said parry of the first par% eidik in law or ewky, eider in possession or expe6taorjy d. in a :� ° - wA to the irrors and s hereditarnern and a i pry = n 70 HAWS AND 70 HOLD the said premises 'as above described, with rite hereditamew and appurtenances ante the said pally of ter second part. and "w his/heridkir, heirs, sucxessnn and assigns FOREVER. - < 4c °,. '_AND THE SAID d the Mat part:. Writs<lf and 'its .success&* does covenant grant. bargain and agree to arc..+ with the said party d Ply flue second part, his/ber/Weir heirs, successors and sssigns. against al! sad every ppraott or persona lawfully chiming the whole a any put ° thereof br tiroraglt ar under said party, of the first part std now other, n wilt totever WARRANT and DEFEND. ' Y1` 'e 7 x `0 4 a •M k - "' fi' {: y 1 , �e..dt"sT '_'» .,... ..',tt , z -�:.. , ��{..` .) ),,:, v. + Sr�i�' .+r.." �LwvaJl�' i. r_ a� 3 i ._ R, .ya�� ice, zce ,. ... � ,. •.- A. �'4� ' • ' - - -• � x11 VOL 952ME hat id 3 539 ! IN WITNESS WHEREOF, the said party of the first put. has caused these presents to be executed in its corporate name the dqr and year first above written. AgriBank, FCB VI IPNFSSESS: By: A Je Lehne z Regional Vice Presid of Farm Credit Services of Northwest Wisconsin, FLCA Acting as Attorney -in -fact for Farm Credit Bank of St. Paul. or: x t B w i (r,.) (nu,) STATE OF Wisconsin COUNTY OF St. Croix i i M foregoing instrument was acknowledged before me on (dote) May 2 1992 by (n Jerry Lehnertz _ ( Regional Vice President o f .•i�M "Ov dit Services of Northwest Wisconsin,;FLCA 4f' ' ut •btholf o Farm Credit Bank oj ' St. Phut f • n� t f - a II C s Croix Wisconsin 4 -9 • No'°'® Caunty ;Sty conunisston erptres 95 9 STATE OF COUNTY OF —�� The foregoing instrument was acknowledged before me on (date)' by (name) (title) Of on beh4 of said corporation Notary Public, Connry My commission expires Thu instrument was drafted by: > ` ` Far Credit Services of Northwest Wisconsi FLCA R. Anderson, P.O. Box 199 River Falls, W1. 54022 - • Q h f a f t . - - �. A.. :3,nr3�.. _.,. . ��. R.. ..... _. - .6�- .+.�... .x•. � .. -. *3t2k.1;:'.�..: wi dC .;f'k .rs$ea �, 120th St. -1 0 - U - 0 Z 1• ® 1 i ,� y 0 p°cISo; I O � �znnn • ��v v � p ryr- 1, Z C m to O �r�*10 ?� Z =zy0� 7 z C ' 1 p - :Q 0O�t7� .. m Fn 111 ,` v m rn � I r A c �r- Z m >-4 c 00 s M y rrl mr�. z OD 0 o t � S.T.H. SW F NO � m m x � rrn x `N'� 1 I�IC ° z `� x.26 rn I 1 m .��� / 423.61 219 I �� L I 1 45.94, �, _PUBLIC_ / I 45' 9 a 46 ROAD N 2 - 4 v CD O `� Coo �, m m z I Op I r ?� �' Oz P:., m F3 �p :2o I o v c) to W m I m I o' I O z m log rn m I &D C 1 ........ I A I x K� C IC Z m I Z . Z I ' U% ' li c I r 1`° Z 1z ca 0 t� Om I _ ; — �i� m - - -- s,� I = 011= 4T H I I ` • COUNTY PLAT OF: SURVEYOR: PREPARED FOR: LOCATED -iN 7 lm (!! DOUGLAS ZAHLER RICHARD DERRICK OF THE 0E1,14 OF l,lm S &N LAND SURVEYING ROBERT DERRICK COIJNTY� WISt3hNS�N i 2920 ENLOE STREET LOREN DERRICK HUDSON, WI 54016 1310 HIGHWAY "65" NEW RICHMOND, WI 54017 1 �: =# 1 S89°4U4rE 286524 1 � N1/4 COR. b NORTH LINE OF THE NE1 /4 4&4x2 MG." __ H - -'G SEC. 22 V 1299.25' MOND o SW O' 834.76 C.T.H. "C 1, I I / ........................................ ................................. ................................ ....... n ..... . ....... ................... r��� � a� I' �� w 146th Av. HIGH WATER �= ELEVATION ; =981.50 25 24 2C1 1.670 ACRES 2.284 ACI j 2.434 ACRES �_ - -' e SO. FTJ y (98.640 SG w . (106,039 SO. FT.) 5 B-1 �' 1 ... .� `?• IS �� • �� 983.5 M R18W 27 -1`20 DRAINAGE/ 2.008 ACRES UT U1Y EASEMENT (87.475 SO. FT.) 1 1 40 4 I I / 1 �L SURVEY MARKER. TH WNESS S; Of RECORD "'AA OUTSIDE DIAMETER IRON PIPE G /8" OU TSIDE / 7 4ON PIPE OUTSIDE DIAMETER 22 IRON PIPE WEIGHING _A• 1 ACF 3a. / nQ only m