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HomeMy WebLinkAbout026-1127-36-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division St. Croix INSPECTION REPORT GEAERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Persor5al information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)). 383961 Permit Holder's Name: ❑ City []Village ❑ own of: State Plan ID No.: Luedtke, Bart Richmond Townshi CST BM Elev. : - Insp. BM Elev.: BM Description: Parcel Tax No.: " a 1 026- 1127 -36 -000 TANK INFORMATION U ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV_ Septic e c7 Benchmark 15' 10 0 Alt. BM I 7- O A on Bldg. Sewer Holding t Ht Inlet j'Z TANK SETBACK INFORMATION (9l Ht Outlet f f' TANKTO P/L WELL BLDG. Ventto ROAD Air Intake Septic 3 NA Do NA Header/Man. Aeratio NAN Dist. Pipe Holding Bot. System ^ 9S; PUMP/ SIPHON INFORMATION Final Grade 1%k Y (02 facturer rand - ZTU 6 — ver O Model Number GP TDH I Lift tion S ystem TDH Ft Force ength Dia. It SOIL A PTION SYSTEM BED TR N Width Length , No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth E DIM SYSTEM TO P / L BLDG WELL LAKE / STREAM LEA Man a urer: SETBACK INFORMATION T pe O MBE Mo umber: System: / �� 'r DISTRIBUTION SYSTEM Header / Mani old / � Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Lengthf Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed/ Trench Edges Topsoil Yes [] No ❑ Yes [] No / COMMENTS: (Include code discrepancies, persons present, etc.) i nspection L 6 nspec Ion Location: 1351 144th Street, New Richmond, WI 54017 (NE 1/4 SW 1/4 25 T30N R18W) - 253018846 Richmond Hills -Lot 36 1.) Alt BM Description =`h GvaS 2.) Bldg sewer length = /5" :n S , 4ecx,"5e_ 6 d4 o.f 1&t2coses - amount of cover =y r/ 3')k UJ l( 44 4- rti g Yes Q 6 f e ev— P � s Plan revision required? No Use other side for additional information. Z- Vo ( 1( SBD-671 (R.3/97) Dat Inspector's Sig ture Cert No. y 0 fee N�5LW�vy C &tic.RC I o1�S - e 0 e Li o V i I L I o' Sanitary ermit Ap plication ��' ��_'S ty & Buildings Division Y Wis CEIVE �� I W. Washington Ave. In accord with Comm 83.21, Wis. Adm. C See reverse side for instructions for completing thi a cation PO Box 7302 �.��r�,tr!✓�n Personal information you provide may be used for sec r� pu ison, WI 53707 -7 —lvt 302 Department of Commerce Hi [� 2 §St�Ht44 bom form to coun tf not [Privacy Law, s. 15.04(1)(m)] CRC01 h' state owned. Attach complete plans to the county copy only) for the system, on pa tNXjes s than hes i e. County State Sanitary Permit Number ❑ Check if revision to previ ca iiftper � 3 3 I. Application Information - Please Print all Information i Ni Property Owner N g r tion Q: Lu i d f N � 1 /4 L) 1/4, S,;?S 3 QN, RI �k or W Proper � ®e� Mailing Address � � 3 � l f y y L S,r- Lot Number Block Number 5 3 City, State ' ip Code Phone Number Subdivision Name or CSM Number f'o6 � 5 IAA R1<1 ftxcN Nills j II. Type of Building: (check one) � ❑ City M I or 2 Family Dwelling -No. of Bedrooms : Q r 16L h 5 st� btM',1��� ❑ Village J • Public/Commercial (describe use) :_ P ®'Town of • State -Owned Nearest Road 13 0 Parcel Tax Number(s) �7 - C III. T e of Permit: Check only one box on line A. Check box on line B if applicable) / A) I. 19aNew 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System B) Permit Number Date Issued , ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) Won- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland • Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line • At-grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: ✓ 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. SysI Elevatio 7. Final G e p 9 � O Required Proposed Rate (GalsJday /sq. ft.) (MinJinch) �.7 Elevation J r 506 ��y .5 9 VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks ❑ ❑ F `5 ❑ ❑ VIII. Responsibility Statement I, the undersigned assume res on ibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) Plumber's Signature (no scam s): MP/MPRS No. Business Phone Number 11 1 o Meg %ee !C of a .1 a9 u Plumbers Address (street ity, State, zip C ) l o b H 3 S �- IX. County/Department 10se Only ❑ Disapproved Sanitary Pemvt Fee (Includes Groundwater Date Issued Issuin Agent Signature (No stamps) Approved 13 Owner Given Initial Adverse Surcharge Fee) Determination 1 $ Z Z S O a 3 Z X. Conditions of Approval /Reasons for 1 Disapproval: -I•i��[✓ TO see Ve"Ok / r 6hQinT6llJtieCy �C � ��co�ytll�dQtuDnS. / Sy Ew` elvvgX Ocf ;Dv �o he 3Z 6t�oW a�i �or»~ COK:6t. r l,,g- n.ctr`h�AiY.� � tl�AJovi�Y df lGL[ t/c'v tvt' /aadii�.� ✓4j(. Z tlut. _.J r / , a&l _5 1'd e- cc)1' ncte r,5 . 71, �j 01 - -- . West Fa " k Zr A1�` Q 1, rnprzK 3 -TMNCAS s 3,x w -gu To P of I" Pvc A) NIA s "If ►c r ev- CID 100.00 I S •C ` C? cti N Vi u ° a� x to E ,� ® � -� � iv cv E E� c s x 0) co ZIR ��, W � U ;t U-) Co O M �> 3 v c I U) 0 0 0 C p N N O v_ O N F-- ^ W IFJ N p Nd - O UCn ui cv Lill +- L E -� c x co N - - - — -- N j L C U _ i 0) C ._ - -- U L �.s-,� C rn s a) CO V ♦ U = co \\' �'�vva aav �� vo � O �lL i f Wisconsin be.partment of commerce SOIL EVALUATION REPORT Page 1 _ of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must St • Croix include, but not limited to: vertical and horizontal refere�pwDe�l=tB ;direct ion and Parcel I.D. percent slope, scale or dimensions, north arrow, ardfoatlQlbVcqpfo earest road. pe ndin g Please print all if►fo�.mgtion. Reviewed by Date Personal information you provide may be used for e'ecori'dary purl:�5 ,.r s. 15:44 Property Owner Prop" ocation R J C Develo Lr! SGovt {1 1/4 1/4 S 25 T 30 N R or) W Property Owner's Mailing Address 7 CF {QIx Lot Block # Subd. Name or CSM# ��� ;CJ U 1868 Ct Rd. C na Y Richmond Hills City State Zip Code r hone NumtWiN C ❑ Village ® Town Nearest Road 30th. A New Richmonq WI 1 54017 1 (7I5. .247- 572- " Richmond VL=- . A �] New Construction Use: ❑ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement • ❑ Public or commercial - Describe: Parent material 0l@ a l drift— Flood Plain elevation if applicable ft• Fla General comments and recommendations: trenches spaced to code 3.50' below grade Boring # [] Boring ` a Ground surface eiev. 100 . 3 ft. Depth to limiting factor + 9 0 in. Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fY in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 c 2 9 -26. 10 r 4 w 3 2 0 7.5 r 4 9 -9 2 ] F Boring # r� Boring _ I� Pit Ground surface elev. 10 0 . 3 0 ft. Depth to limiting factor + 8 6 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 2 10-20-1 4/4 none sicl 1c a 3 J Z - 2 64 7.5 fr na 4 64 -8615 r 4/4 na na .5 .9 Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg /L t #2 = BO 5 3 g/L and XS :5 30 mg/L CST Name (Please Print) Signature T Number Gary L. Steel 02298 Address Date Evaluation Conducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 10 -19 -2000 715 - 246 -6200 Property Owner R J C DeVelopMen Inc. Parcel ID it pending Page 2 of 3 a Boring # ❑ Boring ® Pit Ground surface elev. 97-0 7 ft. Depth to limiting factor + 8 6 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-10. none D 2 10 -18 10 scl 2msbk . 3 1 62 7.5 r 4 /61 nr)np lfs �`��` 4 62 -86 , 5• r 4/6 sl 2msb OA # ❑ Boring F4] Bodng ® pit Ground surface elev. 9 8 ' 7 0 ft. Depth to limiting factor +8 in Soil Ap lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 -10 none L DSH cs 2 - .Or 4/4 ninnin sicl 2msbk ' 3 0 -59 " .5 r 4 6 non sl * 4 59- 66'7.5 r4 4 none sl 2cs gw na .5 * 5 66- 86 r ms os PS 36 Z � q 0 Boring # ❑ Boring F] Boring Pit 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. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 * With Less than 50 limestone particles Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. SBD -6330 (R.6 100) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. RJC CSTM2298 NE' Development, IN New Richmond, WI 54017 MPRSW -3254 NET 4 S25- T30N - R1 8W (715) 246 -6200 town of Richmond lot #36- Richmond Hills N 1 =40' BM.= top oft" pvc pipe @ el. 100.000' Alt. BM.= top of 1" pvc pipe @ el. 97.90' r i z n too V O�3��IP Ov � Gary L. Steel 10 -19 -2000 3 -21 -1995 2 =50PM FROM P.1 traGorAODeparbmentorcommetcs SOIL EVALUATION REPORT Pegs, I of 3 Division of � atld Btrdldmgs ' in a=ordancs wph Comm 85, %s. Aft. Cade CWLMW Apse cornpive site plan on paper hot less *tart 612:11 buttes in size. Ran must Indude, but neat tirnfted to: ventral and horizontal retwence POW (BM), dhsadon and Parod I.D. pert ent slope, ware or dintenslons, north OmPW. and location and distance to nearest road. ROAM Please print all information- No"kPAd b y ' Data Persarwl irrfomre" you pmWde may be weed for eeaundwy ptrpo+ea (P*40* law. s. 15.04 (1) (m)1. Propertyo mer PropertyLotadon R �, 004 Lot N-F 1I4 Zia S 2 T N R WW AW Properly Owner's Meft Addness Lot d Blot*( p $Lhd Name or CSW 1868 Ct .. Rd. C �. 36 a Cily Stars Zip ('.ode Rhonte city Village Town Nearest Road Nev Ricbmon NY 54017 715 247 -5721 gjSbMgjd JU Now CorstrucKon Use: C3 PAsidentlel / Number of bedrooms 4 cods derived design now min —�Q GPD ❑ RePlam te. mtsnt ❑ Public or cornmenclal - Dagc pa wil material Flood Plan olevalion If tippY®bla 8• Eta General comments and mu mntenclatione: trenches spaced to code 3.50' below grade �� � ❑ swing . Pit Ground surface elev. 1 0 0. 3 ft. Depth to Nrtft factor ± 0 In. � Roe fta+i Depth Dornk ant, Color Redox Dow won Twdure St+uchua Consistence Boundary Roots In_ Munsell QU. 8z Cont. Color Gr. SL Sh. 'F 1 'E1flr2 3 26-90 7. soft L.--) a Ong Pit Grwnd sto1ace elev. 1) Q Q. 3 0 ft. oepdt •ta ilmtft factor +86_ m. 5011 APPORM Rata Ho Imn Depth Dominant Color Room Description Texture Shudum Consistence Boundary Roots <3PQl� in. Munsell Qu. Sz Cont Cdor Gr. Sz 3h. �E 3 20-64 7.5y as na 'Effluent #1 = WD > -V < 22o ntg& and TW X30 150 "V& • tF1= BW _ and S W mglL CST Norm (Plesse R" SianAkee IJUnifbar Gary L. Steel 02298. Address Date Evakutdon Conducted Telephone Number 1554 200th . Ave., New Richmond, WI. 54017 10-19-2000 715-246-6206- 3 -21 -1995 2 -51PM FROM P.3 Prepe w owner R J G D6NU1 nPM Inc Parcel ID X """ Paige 2 r_. of 3 Boring ®pit Ground clew. 9 7 _ 0 7 rt. Depth to Nmlfintj r8cta .. ± in. Sol on Raw • Horizon Depth Dominant calm Redox Dasalption Tmthrra Struclum Conalslertos Boundary Roots . GPD1tF in. Munsell au. St Cast, COW ' Gr. SY. $h. '001 `EW 1 2 10 -18 QyX 4Z4 scl mfr 14F A .6 3 18 - 7.5 r Ifs 4 62 -86 Syr sl r© F # 4 ] ❑ Boring * $ 6 t3ating ® Pit Groaft4 suttees, elev. 9 $' 7 0 rt. Dep�rto timiurtg fader in _ ScA Icstlon Rttttt Hoftion Depth Dominant Color Redox Descriptlon Texture Structure Consistrruca Boundary Roots GPDN In. Munsell Qu_ Sz. Cont. Color Gr. Sz Sh. 'EBN1 I 'Erfn 1 nege D513 2 0-20 si:cl .6 3 0 -59 7 s �4 59--66 7.5 r 91 ' w na s 5 66-§ 7.5,xx AA goring 0 Q WV - ❑ Pit Ground surface slew. R. Depth b Ilrnidrtg isaOr _ in. g� Ilration Rob Ho(km Depth Dw*wW color RedoX Description Texture Souq;Wre Consistence 9oirdpty Roots CIPM in. Munsell QU,' Sx. com COW Gr. Sz. Sm 't?Igf1 'Eft * With Tess thaiz 50% limestone particles Effluent #1 a BOO, % 30:5 220 mgA- and TSS yap 1 150 hVA, ' Effluent 02- bOD _c, 90 mglt. and TSS < 30 rngil The Department of Commerce is an equal opportunity service provider and employer. 'ff you need assistance to scoots services or need material in an alternate format, please contact the department at 608. 266.3.151 or TTY 608- 2648777. saasy�opemaor 3 -21 -1995 2 =51PM FROM P.2 STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 RJC Development, ZNc . New Richmond, WI 54017 MPRSW - 3254 NE *SWI S25- T3oN -R18W (715) 246 -6260 town of Richmond lot #36- Richmond Hills N V' =40' BM.= top oft" pvc pipe @ el. 100.000' Alt. BM-- top of 1" pvc pipe @ el. 97.90' 152 0 55 b J � G - L- Steel 10 -19 -2000 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND O WNERSHIP CERTIFICATION FORM Owner/I34yer ✓ � � Mailing ,Address 5 Ivy �y- f &,)& Wf Set Pmp"' Address I L, h 5 - .... (Verification requited from Planting Department for new cortitruction) City/State _n) t w �1c,h ftJ �1• Parcoi Identification Number LtF�Ai D���Y PropeM Location N � %., S � '/., Sec. a . T 3 () N -R_LLW, Town of V- Q 1Ch Obn Q��`,, _ Subdivision AA Lot # Cerdflat Survey Map # . Volume , Page # lr' : warranty Deed # volume C . Page # S pec house 0 yes I,no Lot lines identifiable K yes 14 no Improper use and mahb. nanceof your septic system could result in its premature failure to handle wastes. Proper m ainteaanee consists WPig out de tic tank every three years or sooner, if needed by a licensed pumper. What you put into the ayate rn GAS affilct the Aknofm of the septic tank a a treatment stage in the waste ditp=1 system. The property owner agrees to submit to St. Croix. Zoning Despertmw a certification. form, signed by do owner and by a msaderpiumben journeyman Plumber, re drietedplundw or a licensed pumper verifying that (I) the on-site wastewaterdisposal syNem is in prrtW opastiag eerrt AdOn and/or (2) Otter iatpection and pumping (if necessary), the septic tank is less than 1/3 fArll of sludge. Uwe, die tedersigned have read the about" r+ngntirewremfs and agree to maintain the private sewage disposal system, wadi the stendads ad f ik mane* as act by the Department of Commerce sad this De patment of Natural Resources, State of Wisrosin. Cettitiartion stating nut your se c ayMn has been maintained, mad be completed and returned to the St. Croix County Zoning OtHce widdu 30 da of the throe you expiration date. 9I0NAnIRE OF APPLICANT DATE 5� (X C I (wa) a that all statements on thin form are true: to the but of my (our) knowledge. I (we.) am (are) Mrs ownes(a) of thre described above, by virtue of a.warranty deed recorded in Register of. Deeds Office. GNAT[ U OF APPLICANT :... D p L�'-�- TE '�'• *s Any information that is mis-ropmesded may tesult in the wAtuy permit being revoked by the Zoning Department. * "'••e hardnebs with thb a4pikation: a stamped.warrpngt deed f om the Register of Deady office a of the certified survey f reference is made in the ate+ Y �P Y deed I Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within a b the parameters of Comm 83 and 84, and the conditio ns of approval y the d agent, ent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number Number of Bedrooms Design Flow - Peak (gpd) 4570 Estimated Flow - Average (gpd) SC3 Septic Tank Capacity (gal) 0 Soil Absorption Component Size (ft �nu Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms ). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding may contain lethal gases, and rescue of a Y 9 person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping slo in sites, areas of erosion should be identified and P P reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 9 99 9 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. s � 1 s w� �j ��► X 71 P N, �, s�-� ��: C til Z DN> p 00 3 �1 16`15 245 STATE BAR Oh WISCONSIN FORM 2 • 1999 X4 237.8 Document Number WARRANTY DEED KATHt E -.H H. WALSH REGISTER OF DEEDS This Deed, made between RJC Development, Inc., a Wisconsin ST., CROIX CO., WI Corporation, ' - - - - - -- RECEIVED FOR RECORD it -- - -,� -' - -- - -- _ 0 4_0 9 -2001 11:00 AN Grantor, and Bart J. Luedtke and Debra L. Luedike, husband and WARRANTY DEED wife, ------- - - - - -- -bus EXEMPT 0 - - - -- - _ - - - -- - CERT COPY FEE: _. - -- - - - - -- - - - - -- _ COPY FEE: - -- - - TRANSFER FEE: 104.10 Grantee. - - - -- '- - -- - - - RECORDING FEE: 10.00 Grantor, for a valuable consideration, conveys to Grantee the PAGES: I following described real estate in St. Croix _ _ State of Wisconsin (if more space is needed, please attach addendum Lot 36, Plat of Richmond Hills in the Town of Richmond, St. Croix County, Recording Area Wisconsin. Name and Return Address t= N T3 026- 112 -3 Parcet Identification Number (PIN) This is not - - - -- - homestead property. Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. N) (is not) Dated this _ _ (i day of April - - - -- 20 01 -- Ric Dev - - - -- - - -- -- - -- — _ ._ _ sr Jo 1�n1 N , c.� wst.S o► ,r 0� - - - -.— AUTHENTICATION ACKNOWLEDGMENT - Signature(s) RJC_ Dev Inc., a W isc o n s in Corporation, STATE OF WISCONSIN by CI-O WV - - - - - -- ) ss. authent'cate hi - -- - - - - -._ County ) day of April _ - - 2001 Personally came before Inc this __- day of ------ - - - - -- - - - - -- . _ _ __ the above named • Kris in _gland - - - - -- -- —_ - - - -- "- --------------- -- TITLE: MEMBER STATE BAR OF WISCONSIN -- f not, _ to nt known to be the person(s) who executed the foregoing authorized by 0 706.06, Wis. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY - -- At K ristina O - -__- - Hudson, }yI N40`Ib - "- -- -- - -- Notary Public, State of Wisconsin -- - - -- (Signatures may be authenticated or acknowledged. Both are not necessary.) My Commission is permanent. (!f not, state expiration date: ' Names of persons signing in any capacity must be typed or printed below their signature. - ) g Information Professgnals ComOany, Fo lac. WI WARRANTY DEED S'fATEBAR OF }YISCONSIN ea ao o -s - essao zf FORM No. 2 - 1999 . F— fY —�- o z ° �z O �o zJ Z � QZt OI �� Z' Ito Q N �( QI W� W �o I Z I J Ai = Q' 0 2 ' 00 9l NOUO3S 30 3N17 YMYVnO KLnOS 1HL2/ON N LS'Zt9Z 3 „£S,£ LOOS ,00'98l ,00' l8l i ou` � / / C! 4 Y bi o / h m W 0 r; vo N ; � ' W oW 3 fah LO oi 00 ~ kN2 J��N z N I � M T I •p •+V I I I I t I �b • p C 4) r X � I- p a V M ... h . • ....................... '0 Own C r•0 :f r• L. C6 on Z C LO O ) o N M Q / tO - -; abo M 04 U `o N :n • _- - - -- 5 *W 3 . • 0!! -- • • '- c U w L N N�1'� �'•O�.ZIN _ ll'99 a o 00 i I ,££ cm I U) N3 }- I 0— 0 LA. (n bi r. O LL Q rW A V !!) 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