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HomeMy WebLinkAbout026-1130-05-000 County: St. Croix sin Department of Commerce PRIVATE SEWAGE SYSTEM Ay and Building Diyision INSPECTION REPORT Sanitary Permit No: 405175 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. '- Permit Holder's Name: City Village X Township Parcel Tax No: Gagnon, Patrick I Richmond Township 026 - 1130 - 05-000 CST BM Elev. Insp. BM Elev: BM Description: lip t /ice s TANK INFORMATION EL TON DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic /� J � � O � Benchmark � Dosing Alt. BM ) _ - Aeration Bldg. Sewer Holding St/Ht Inlet • Z - SVHt Outlet TANK SETBACK INFORMATION S TANK TO P/L WELL BLDG. Ve t to Al r Intake ROAD Dt Inlet W at A Septic �,.}/ 111944L / .fir s - Dt Bottom Dosing Header /Man. Aeration Dist. Pipe rn. Holding Bot. System 1 0, 1 v Y Final Grade ��!! PUMP /SIPHON INFORMATION L 7- �• S Manufacturer Demand t o er M Model Number TDH Lift Friction Loss System Head TDH Ft F main Length IDist. to well 7-1 SOIL ABSORPTION SYSTEM 30 G / 9.Qae� BEDITRENCH Width � � Length �' No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Mar y�t r , INFORMATION T f System: CHAMBER OR yp y ` / / UNIT Model Number: DISTRIBUTION SYSTEM v Header /Manifold Distribution I x Hole Size I x Hole Spacing Vent to Air Intake 11 Pipe(s) / -? � �� � 1 Length _t aL Dia _ 1 1-ength_ Dia �kdig ✓ I p[ U 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 - (r/ _j Yes ,, No Yes Vii, No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1:/ / y Inspection #2: Location: 1419 140th Ave New Richmond, WI 54017 (NE 1/4 NW 1/4 25 T31N R18W) Red Pine Corne Lot 5 Parcel No: 25.30.18.865 1.) Alt BM Description = O&AM '�� /,'� —roman $1 4A, Sy_44V -1 2 leV'_ (y$2j 2.) Bldg sewer length = t /�} (�Q�� J �O�Ya�cc[fjf rY G� i 6t rn 4 - amount of cover Plan revision Required? Yes o L U/ �l Use other side for additional information. O - SBD -6710 (R.3/97) Date Insepctor's Sidhature Cert. No. � 1 Safety and Buildings Division COMY�� NVisconsin 201 W. Washington Ave., P.O. Box 7162 Madison, WI 53707 - 7162 Site Address Department of Commerce - 7 - z 9 1 yo Sanitary Permit Application Sanita .(Num 571 In accord with Comm 9321. Wis. Adm. code, personal information YOU Provide Check if Revision my be used for secondary purposes Privacy Law. si5. i m L Application Information - Please Print All Information Stan Pion I.D Number Property Owners Name /' Parcel Number ZS , P rop e r t y �•a Mailing RECEIVED —.4 Nhl�Sf ; S ��T '�N. R E City. State �' cede 'J tTb1 3 2002 Number Block Number vision Name CSM Number dl ST. C ZONING FFI EY E ZONING OFFICE II. Type of Building (check all that apply) �j ,. OCity Family Dwelling - Number of Bedrooms 0valap 0 Public/Commercial - Describe Use 0 State Owned Nearest Road a n / CW5 G III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. 2 0 Replacement System 3 0 Replacement of 6 0 Addition to For County use Tank _ Only I Existing System Issued B. Cbeck if Sanitary Permit Previously leaved Permit Number b 9 O Z g o-S-1 � IV. of Permit- (Check all that apply)(aumbering scheme is for internal use) /t4 7W 4�lon - Pt,r�ea In- Ground 210 Mound 47 0 Sand Pater so Constructed Weiland 22 0 Pressurized In Grand 410 Holding Tank 48 0 Single Pass 510 Drip Line 45 0 At -Grade 46 0 Aerobic Treatment Unit 49 0 Recirculating 30 0 Otber V. Area Information: Flow (o Area Ana App Ele Percolation Rate System t Grade Design l Required Proposed csals./Days/Sq.FL) (Min.nnch) �J s — VL Tank Info Capacay m Total Number Mama eturer Prefab Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New E lisft Teats Tanis septic or "Im Tank > < - e—lf Doft thunba VII, , Statement- I, the respowili ty for installation of the POWTS shown on the attached plans. Plumber's Name ( Print) plumbers MP/MPRS Number / Business Phone Number / Plumber's Address (Street. City, tta ) VM. me Use Only Sanitary Permit Fee (includes Groundwater Date Issued Iss,hing Agent s igmahre (N stamps) IgApproved 0 Disapproved lam) 0 Owner Given Initial Adverse Determination J �1 EK. Conditions of for Disap proval Attach aamptde plan (a the gusty only) for the system on paper not has am U4 a li finches is she 1 Q'An-A 1 A4R M 05 /011 So' Test and S PLOT PLAN PROJECT . Patra Gavnon DDRESS 964 Wert Rd. Hudson Wi 54016 NE 1/4 NW i /4S 25 :/T 30 R 1 w OWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 5/30/02 BEDROOM 3 )00( CONVENTIONAL X IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE -.5 ABSORPTION AREA 933 # of chambers 30 BENCHMARK V.R.P. T of Fou ASSUME ELEVATIO l00° Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P Same as Benchmark SYSTEM ELEVATION 93.3 Vent >6 „ Standard Infiltrator Plans Designed Using of Cover Leaching Chamber Conventional Powts with 31.1 ft2 of Area Manual Version 2.0 6' Long 12„ 34" Grade at System Elevation 140th Ave � 1 ' "Q A w� 2 -3' X 94' Cells with >3' Spac' Pro 3 Bedroom j ouse 75' . VentsV a � B- 45' 1°l0 45' BBB -2 c0 Slo 50' N Property Line So' Test and System PLOT PLAN PROJECT. Patrick Gavnon DDRESS 964 Wert Rd. Hudson Wi 54016 NE 1/4 NW 1/4s 25 /T 30 R 1 w OWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 5/30/02 BEDROOM 3 CONVENTIONAL XXX IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE ..5 ABSORPTION AREA 933 # of chambers 30 IL BENCHMARK V.R.P. Top of Foundation ASSUME ELEVATIO 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark SYSTEM ELEVATION 93.3 Vent A6" Standard Infiltrator Plans Designed Using Leaching Chamber Conventional Powts with 31.1 ft2 of Area Manual Version 2.0 " 34" Grade at System Elevation 140th Ave 2 -3' X 94' Cells with >3' Spacing a� Pro 3 >' Bedroom a, ouse 75' 1 B.M. T 30' B- 10' Vents Vents a� B-1' 45' 1% 45' B r Slo 00 50' N Property Line Wwoonsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Palos! I.O. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. R by Date Personal inramabon you Provide may be used for secondary Purposes (Privacy Lew. s. 15.04 (1) (m)). 2 '2„ Property Owner Property Location ) Govt. 1/4 A/i) /4 Sc2-T N Rl E Property Owner's Mailing Address Lot # I Block # &M. or CSM# city I State Zip Code Phone Number ❑ City ❑ V ge Nearest New C %GtrucWn Us . Residential / Number of bedrooms J Code derived design flow rate L �J GPD [3 Replacement ❑ Publi or commercial - Describe: - -- --- -- - - -- PareM material 0 ,®gyp. � Flood Plain elevation d applicable _ �/{ - fL General convTwft and ❑ Boring © Boring # Pit Ground surface ele 7 ft. Depth to uniting factor �o in. Soil Application Rate Modem Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 4 � Id C] Boning � ©� # 'q Pit Ground surface elev. ft. Depth to limiting factor /. in. Sot Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell O.u. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 L 7, I Effluent #1 = BOD > 30 < 220 mg& and TSS >30 < 150 ' Eflkuent #2 = BOD < 30 mg/L and TSS < 30 mg1L � (Pe Prxrt _ - re - Number J Xa a , '--) Address to Evaluation Conducted Telephone ne J NUMber r Property Owner Parcel ID # Page of F ;1 Boring # Boring � Pit Ground surface elev. ft. Depth to limiting factor ?---:) Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I 'Eff#2 3 --- -5 L S F-1 # Boring ° Boring ❑ Pit Ground surface elev. ft. Depth to fi nbV factor in. Sod ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAF in. Munsed Qu. Sz. Cont Color Gr. Sz. Sh. •Efl#1 'Eff#2 # °et ❑Pit Ground surface elev. ft. Depth to limiting factor in. F 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. '01#1 `Eff#2 Effluent #1 = BOD > 30 < 220 nxyL and TSS >30 < 150 mg/- ' Effluent #2 = BOD < 30 mg& and TSS < 30 rng/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. sBD4330 (8.600) Safety and Buildings Division °a°`y S • (s !' p 1 201 W. Washington Ave., P.O. Box 7162 is — 7162 Site Address consin • � 53707 s 3/ f 7j / t De artment of Commerce 'Z S '� � Permit Number Sanitary Permit Appli ,f�I V E D o tueck if Revisi� / In accord with Comm 83.21, Vin. Adm. code, pers�sl 1 m tna be used for State Plan I.D. Number L Application Information - please Print An information MAY 3 1 2002 N �'• 30 l d'. �� property owner's Nana / ST. CROIX COUNTY (/� _ 1 E F9 Location Property Awaer's Mailing Address /'� ) silo'/ R E Code phone Number Lot bock Number b City. State Zip .._. Subdivision Name CSM Number II. Type of Btn'Iding (check all that aPP1Y) e Daty *Or r 2 Family Dwelling - Number of Bedrooms ❑ public/Commercial - Describe Use o P N earest Road 0 Star owned wl l ( A&2 _ 3'X &q , � 04A- DL Type of Permit: (Check only one, bbx on line A (numbering scheme for internal use). Complete one B if applicable) A. ew 2 0 Replacement &jsftm 3 0 Replaces of 1 6 0 Addition to For Coumty tree Tank Date Issued B. ❑ Check if Sanitary Permit Previously Issued Permit Number N. Type of Permit: , all that apPly)(numbering scheme is for internal rem): 210 Mound 47 0 Sand Filter 50 0 Constructed Wetblod (- tp!fp Pry ht- Ground 510 Drip Line 22 0 Pressurized h Ground 410 Holding Twk 48 0 Singe Pass 30 ❑ OlhtrJC%(� GCZ 45 ❑ At Cnade 46 0 Aerobic Treatment Unit 49 0 Recirmbft V Area information: Flow cs percolation Rate EI Finad Grade > Area Dispersal Area Ap , Elevation Design l>� Prop Rate(Gals./DayslS9�, c �� ✓ 3 b/ In Total Number Manufacturer Prefab Site Si3ee1 Fiber Plastic VI. Tack Info ' rn Comm Constructed Glass Gallons Gallons of Tanks 'q �uci New Existing (N Tanks Teaks Sepik or Hokft Tack - ot� 0 (i✓ t? 1� S hamber Doing res for of the POWTS shown on the attached puma. VII. Respots�ibiUdy Statement 1, Mp�lylpRS Number Business Phone Number pbnnbers Nam (Print) plumber's Address (sue. itY. State, ) �� / �z� 7 / VIII Use Oni Dam Isan� signature Sumps) Sanitary Permit Fee ( Groundwater Ts . Approved 0 Disapproved S ) 00 0 owner Given Initial Adverse Deternoifla I%. Conditions of A. Pproval/Reasons for DisapP%D d Q 2 � �� pY"` �' d' S J Attach oompkbe p ms 00 the only) the m i?ap� km rhea tiv2: isrLa In sine cy111��4R (R 05 /01) PLO LAN PROJECT• Patrick Gavnon RESS 964 Wert Rd. Hudson Wi 54016 NE 1/4 NW 1/4s 25 /T 30 / 18 W TOWN Richmond COUNTY ST. CROIX 5/30/02 MPRS Shaun Bird 226900 DATE BEDROOM 3 CONVENTIONAL )00( IN -G ND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chamb s 22 BENCHMARK V.R.P. Top of NE lot Stake ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark SYSTEM ELEVATION 96.4/96.0 Vent j !Grade dard Infiltrator Plans Designed Using ver hing Chamber Conventional Powts 31.1 ft2 of Area Manual Version 2.0 12" ong at System Elevation B.M. 34" Pro Town Road 27 63' ' ( 4*lls 67' ' Vents Vents 50' B -1 30' Al t. 1 .M. - lop T S -2 30' M OAT fiZA4-) Pro 3 Bedroom House a� a� a 00 N Wisconsin Department of Commerce SOIL EVALUATION REPORT Page �_ of 3 • Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Cr 0].X Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal refer i JBIA), direction and Parcel I.D. & �� �— C percent slope, scale or dimensions, north arrow, j irfdtt�ea on a d d ta hpe�to nearest road. Please print al) 7 ►nation viewe by / D a ate Personal information you provide maybe used r sec dary p poe 4F� y Law s. 1,5 4 (1) (m)). l {� Property Owner _ P(tp� Location �t, tU G, t NW 1/4 NW 1/4 S T N R (or) W Property Owner's Mailing Address —� Block # Subd. Name or CSM# ST C t UX 1611 H #10 N.E. >> coUN'v TV I na I Red pine Corner City State Zip Code a t�GD11d \ ity ❑ Village @ Town Nearest Road Spring Lake k, NdV. 554 54 0 -49 Richmond 140th. St. a New Construction Use:0 Residential /Number of be 4. y Code derived design flow rate ti(�f1 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material outwa s h Flood Plain elevation if applicable na- ft. General comments and recommendations: trenches @ el. 95.40' F -,I Boring # F] Boring k] Pit Ground surface elev. 9 9 . 4 O ft. Depth to limiting factor + 1 2 0 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 1 Oyr 2/2 none L 2 13 -90 7 5y 4/4 none Krns os M1 na ne Boring # Boring 99.40 + 1 2 0 2 ® 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 /f1= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 I `Eff#2 L 2msbk mf 2 15 -12 7.5yr4/4 none cos 0sq ml na na 7 R(o 3i9 Co �Or ` Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L nt #2 = BOD 0 mg/L and SS < 30 mg/L CST Name (Please Print) Signature ST Number Gary L. Steel 02298 Address a Condicted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 11 -17 -2000 715- 246 -6200 I Y Property Owner DakwrrA T anr9 T)P _ Parcel ID # pmding Page 2 of 3 Boring # ❑ Boring tOn 3 ® pit Ground surface elev. 9 8 • 9 fC Depth to limiting factor + 120 in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfE in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. `Eff#1 •Eff#2 none 2 6 -12 7 5yr 4/6 none cos os M1 n;4 _O 3 �� a� g E Boring # Boring ❑ ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil liption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 F-1 Boring # [] Boring El pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff° in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. `Eff#1 I `Eff#2 Effluent #1 = BOD > 30 220 mglL and TSS >30 < 150 mglL ` Effluent #2 = BOD 5 30 mg& 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. SBD4330 (R.6=) STEEL'S SOIL SERVICE Gary L. Steel Oakwood Land Developmett 1554 200th Ave. CSTM2298 NW S25 T30N -R18w New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #5 -Red Pine Corner This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 " =40' BM. = top of NE lot stake @ el. 100.00 Alt. BM. top of 1" pvc pipe @ el. 99.40' nn S � Ah q � a� Gary L. Steel 11 -17 -2000 S T' C;E ?OXX f :(.;1UN'T"Y iFF7'1C: TANK i+rI.A1I�TTEIVAI�iC'F_, AtiR1 ;L'�11'f'�tT 1 AND i;AArl, IER.SHIP CERTIk'IC:'ATION FORM 1 Ntat �g "� ,' c :t ' ,ter `�' R • .......! -fz� ? ., .rft✓1.,..x._ °'? t �.G _. _ _. —. - - -- .., .... __ ;._ ......._., _.__.._.. X19 ► � � Prop:—Ay Ac�..� :' ,a . WL '2.... ....�2,rT?.. r �rw= .. r✓!` ,_......,..._ __ -_ _ _ ! ` (Venfica�ion required from Planning Department for new construction ) „_,.� ..,.............,. COP' tat ,.. iv�.�,.�> �,� ,,,r�R I'ttscol Identification Nu.tribur f Propil . L c;. ; : ;.r,rt ns, -.. ” +� r_ w._ %+, See. .5 _._• 'j� ,�v_.... »R...j/ W, Town of, I., 1t: , i V er t i ie Sufi' .y Map H Volunry W'ri.r`s anty I. 'E L.{ P Vwllf17 e ...... +✓ __..... Page ... ».. - .......,...... ,. Spec .louse t.s *no Lot lines identifiable ves [_J no CE Lnpro N-r.� i ate and maiMen;anceof vour septic system could result in its premature failures to handle wastes. Prr.1{x:rftxairs,tenance consis, ;of punpir ; out the se}." is tank every three years of sooner, if needed by a iiecnsed Pumper. .W you put, into tlso. system cab. at:3;xt the Tin i,::rian of the saptic tank as a treatment stage in the waste disposal System - The p;m a ^,:ary owner aji es, to submit to St. Croix Zoning Department a certification furtu„ signed by the.owner.-,t - by a waste.,, olumbc , r rcatrictcdplumbcr or a liccused.pumper verifying that (1) the ou -site +astcwaterdifiptxsi i :systenn is in p .)W op�srr is rq condition and /or (2) after inspection and pumping (if necessary), the septic tank is less than 113 f411 oY Audge. I/we, . is undetsi)n.'i d have react the above requirements and agree to maintain the private sewage disposal system with the f!Agndards set fori>a, herein, .-i stet by the Lsepartrneut of Commerce and the Department of Natural Resow.ces; State of `Wisconsin. Cei- 10ACatiidn statiiip , that Your -m rtio system l;.as been maintained must be completed and returned to the St. Croix County :Coning. Office W'�i hiu 30 days o ' the 6, —r -- 1 • : ar t+cpi.eatin } date. ultrl` J f ! . 1'? I'F� , .... �.N r Zc ry vlv ►wrrf�s, i� • il A M I (wc) o rify that all i.tatements on this form ate true to the best of my (our) knowledge. 1 (we) aw (are) the ovalor(s) of the pr::)erty dvtst ti! nzd above, l: y virtue of a warranty deed recorded in Register of Deedsr Office TATE Any info ;,cr.ration that i:; nus- ..represented may result in the sanitary permit being revoked bv'he Zoning ** llowude with a:1i Is applicati.�In: a stamped warranty .deed froth the Register of Deeds office a copy of the certified suzvey wrap if reference is made iii tbhe wa,rra.ncy deed Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Eflllwd liker is to be dearod once a year. Please note: a larger filter is being inkcMdted in order to extend the rnaunteronce interval of the finer. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the Cells. 4. Owner agrees to 8mit greases, garbage, and water conditioner discharge WI D the system. 5. The owner agrees to save this plan. 6. Do not plant Uses nor park nor drive over system. 7. Watershed is to be diverted away from system. S. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. if system flail, determine cause of IbilurG, use afiemade area and install now system or install system at a lower elevation. 2. Replace any odor failing Components as needed. Plumber. Shaun Bird 715- 246-4516 r-- 7 spy -71j---3cP,6 So Shaun Bird #2269()0 U 1910? 332 STATE BAR OF WISCONSIN FORM 1 –1998 6 81N — 7 Z3 LSH WARRANTY DEED REGISTER OF DEEDS ST. CROIR CO., YI Document Number R R R This Deed, made between Oakwood Land Development. Inc.. a 06_14_2002 4:00 PH Corporation , Grantor, and Patrick D. Gaanon and Alecia M. Gagnon, husband and wife , Grantee. Rwh" KB Grantor, for a valuable consideration conveys to Grantee the following described real estate in St. Croix County State of REC FEE: 11.00 Wisconsin (the "Property"): TRANS FEE: 104.70 COPY FEE: CERT COPY FEE: PAGES: 1 Recording Area Name and Return Address FIRST NATIONAL BANK 109 E 2nd St PO Box 89 New Richmond, WI 54017 26 1072 90 000 Pa ndficalon Number N 3 This Is not homestead property. D (Is) (is not) &Red Corner, St. Croix County, Wisconsin. all appurtenant rights, title and interests. none Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 11th day of June M. (SEAL) (SEAL) Oakwood Land Development, Inc. (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, W ENDY �. �Y Pt tRLiC ) ss, authenticated thi WISCO NSIN St. Croix County Personally came before me this 11th day of June, 2002 the above named Oakwood Land Development, Inc. By: Gregory J. Peterson, Vice President to me known to be the person TITLE: MEMBER STATE BAR OF WISCONSIN who executed the foregoing instrument and (If not, Tckn edge the same authorized by §706.06, Wis. Slats) ( h THIS INSTRUMENT WAS DRAFTED BY Yh Coldwell Banker Burnet Notary Public, Stale of Wisconsin 1301 Coulee Road Hudson, WI 54016 My commission I permanent. (If not, state expiration date: 2 - 20804 b ) (Signatures may be authenticated or acknowledged. Both are not necessary.) Names of Rersons signing in any capacity must be typed or rinted below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. WARRANTY DEED FORM No. 1 –1998 Milwaukee, Wis. ' WFST L/NE OF THE NW 114 I I I I Y CEN7ERL /NE O1 �� 140TH STREET - cn zC - rnz - - - -- 579 . 61 '------ - - - - -- • 133' �\\ — — — — — — — — — — — – `� p�— ' I \ ZD � C — (A 2 I I ___f _n Z O D z OD I rm - -s rn O -► No 3�fo I I,y z .. y � O = rTl N I rn OD 1' I W c > O N I; C 0 C a n = .0 _ rt l D s ? D - Z rn ca \ ........................... Ij I � a' rn C .�� 0 � - II ' I D 0 N rn J cn I O � � 3 00 OD I o = rn ; 33' I cp I mo o ° M M ---- - - - - -- -172.2 - -- Un cow y ° (n Ln 0 �. -- I I ° Z O S00'04'59 "W a � 3 ° O c - TOWN ROADS I 0 j S00'04'59 "W ''ij 0 3" M • -- ---- 172.5W- - - - -- I I < ° Z -' I I n o 0 If � Z O W O No Ssos : f, 't i I fv I 00 i Z cn 0 o Z7 :E w ` I } � pi w I I 1 I � o Z7 (n co zi - z JO z p If ;° 0 c I '� � I � .•k ,ZL'SZZ I I co D , 2 ,°, MNgL.L0.60N i fV O � Z N N I I X i�, 0 i ao i I i SO D C--ID C; ' I m N Vr I cnoo� (Di 1"(A N a , A O I I OD 0')�N 0 I I c (N I C O=M r fTl O 1 z Z o, 278.81' rn ' . _ S00'13'S3 "E 302.61' D D / w I �oogogo c %U V) 0 �GJ EASE LI NW E NW 114, I / 1• • / C) h I