HomeMy WebLinkAbout026-1130-08-000 wisoonsin f)"nment of commerce PRIVATE SEWAGE SYSTEM
��y and � Division County:
INSPECTION REPORT St. Croix
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary PermitNo.:
Personal in(orri ation you prvvice may be used for secondary purposes (Privacy taw. s. i s.0a (1)( 395102
Permit Holder's Name: City Vi I e Town of: State Plan 10 No.:
Pri e, Margaret Richmond Township
CST SM Elev.; Insp. 8M Elev.: SM Description: Parcel Tax No.:
1,00 U U e 26- 1130 -08 -000
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic I Benchmark d
Dosing k1 l. BM 2 (f
Ae Bldg. Sewer D
H ding St Ht Inlet Q 8D
TANK SETBACK INFORMATION
TANKTO P/L WELL BLDG. veinto ROAD
Air Intake
Septic 7�0 �D NA Dt Bottom Z, zo
Dosing (� tit" NA Header /Man. 3
A NA Dist. Pipe
0 O ��- 3�
Holdi Bot. System
PUMP /SIPHON INFORMATION
3 SP, b Final Grade
Manufacturer Demand t over /
Model Number O 30 GPM
TOH Lift2 0 Frictio System TDH23 t Loss Fi ad
Forcemain Length Dia. Z // Dist. To Well
SOIL ABSORPTION SYSTEM /S'_
BED / EN Width Length No. Of Trenches PIT No. Of Pits inside Dia. Liquid Deptt
(ME Z- OIMEN I N
SYSTEM TO , P / L BLDG WELL LAKE/STREAM L CHINE F er:
SETBACK INFORMATION Type / HA er:
System: �p—
DISTRIBUTION SYSTEM
Header / Man fold f Distribution Pipe( s) r x Hole Size x Hole Spacing Vent To Air tak
Length Dia. Length / 3 • � J Dia. Q� Spacing �! / 7
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 I CO Yes Q No ❑ Yes Q No
COMMENTS: (Include code discrepancies, persons presen l1mgiOction #1: / 9 /U Inspection #2: /
Location: 1387141st Street, New Richmond, WI 54017 (NW 1/4 NW 1/4 25 T30N R18W) - 253018868 Red
Pine Corner -Lot 8 rr nn �\ w d(
1.) Alt BM Description = ` o� ` Aa r_ J
2.) Bldg sewer length= 10 !w od - �; • �� C m� ��G�tr �y 46,, J` f /� Y
- amount of cover = -7 h@ ,Rrecw�0' 4d,�,* s
P� p
Plan revision required? �] Yes No
Use other side for additional inform tion. V a
SOD-6710 (R.3/97) Oat Inspector s Sig re
Cert Nc
L)P�u.r•r 5 A.c �i.
s v s� 0&'; s (s 440re.
ts�
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Safety and Buildings Division County
201 W. Washington Ave., P.O. Box 7162 Sr arzit
�seon Madison, WI 53707 - 7162 Site Address -7 c�
Department of Com merce � 7
Sanitary Permit App ' r' Sanitary Pe��
In accord with -Comm 83.21, Wis. Adm.,Code, perso it b lion yot*ovide j�
3q
may be used for secondary purposes Privac w``•
s15.04( Check if Revision
I. Application Information - Please Print All Informati n -..; State Plan I.D. Number
Property Owner's Name J U tv _�� Parcel Number
M
$TCROIX ' oa(e- ll3o of 000
n, COUN 2 f' 3 d - /
Property Owner's Mailing Address ZLWNGOFFI l �.� Property Location
Nkl
'k ff i,4:S 2.5 T,3 N,R
City, State �/ p p Zip Code n� r' Lot Number Block Number
/ v V � G R P \P FS 1� Subdivision Name CSM Number
D�4(o0 EQ P CO
II. Type of Building (check all that apply) ((.. ❑City
1 or 2 Family Dwelling - Number of Bedrooms 3 01� te- p )qv� S S Gcloinn'i tt c�
-� ❑Village
❑ Public /Commercial - Describe Use Township M
❑ State Owned Nearest Road
C IO - T S T
III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable)
A. 1 XN,w 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use
System I I Tank Onl I Existing System
B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued
IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use)
44 X Non - Pressurized In- Ground 2 11 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland
22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line
45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other
V. Dispersal/Treatment Area Information: J t? £�U N /N IL7 - V (;LS
Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade
Required Proposed S /y✓ Rate(Gals./ Days /Sq.Ft.) (Min./Inch) Elevation
yoo sQ -�*- i oo vgiw, , 5
o A 50 ri ✓ tAP -M.R Rs - 3 ✓ '- ?7, 03 ✓ 79: 7
VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Tanks Concrete Constructed Glass
New Existing
Tanks I Tanks
Septic or Holding Tank /000 - O E
Dosing Chamber 0 600
VII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's Sig MP ber Business Phone Number
�j F f 1� Z2 2y2 7
Plumber's Address (Street, City, State, Zip Code)
VIII. Count /De artment Use Onl
Approved Disapproved
t Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps)
❑
Surcharge Fee)
❑ Owner Given Initial Adverse . / -�h Determination 12 S. �v t�
IX. Conditions of Approval/Reasons for Disapproval
SP.'�'EIad, 17/ INCl� d.? Ae iu_Q;lt ��ek a 1 4e Q p
1� 2 .
C 1 "1�cl � del e-rwt tv, e exo- c4 nV ale / 1 ( S p101 e _ A,-o f1 r01/ r N C GJ
�— SC4`fiK 6V C0r al5 .,`n.
Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 Inches in sae
SBD -6398 (R. 05101)
/,b A/I)FTH Won S kL. Rldjlmox1,0 1t/.SP
WDRTP a-RAo epiy&T /CUT L,67 B lL(J PjjjE
cz� RLLT B. M � S �✓
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M +�kS Z2 Z Tt?£t.SCKf;S WI�'rl �D
t11GN �APRCi�y s��E
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3 SEO Qi2biv
A S,A. TaP OF mob MbuSr--
Ltjr SueV£,l STAKE
ELE V /OD 2
Q ALT EXV -To P C5
1 // P V I O- F 4E £LILV gq,90
r3 SOIL ROP- IJL S
SC A��
14C
Wisconsin Department of commerce SOIL EVALUATION REPORT Page 1_ of 3
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County St. Croix
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 reference point (BM), direction and Parcel I.D..
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 3 pending
Please print all infornitatign: -;.._ \ 4)1�aw 1 wed y Date
Personal information you provide may be used for secondary purposes �Pr' a, s. 15.04 (1) (m)). --
ML 6,�2 ,
Property Owner r , `f \Property Location
Oakwood Land Devel
�? ;f�j vt. Lot NE 1/4 NWt /a s T N R (or) W
Property Owners Mailing Address L # Block # Subd. Name or CSM#
1611 H 10 N.E `'• �j ^'rn na Red Pine Corner
City State Zip Code Phone umbpr.,,� City ❑ Village [ITown Nearest Road
I Spring Lake P rk 14N.554 • ( 612) �,; -M0 -4996 . = `1 Richmond
® New Construction Use: ® Residentiaf7;Number of bedrooms. _ Code derived design flow rate 6Qn GPD
❑ Replacement ❑ Public or comm04al r Qegciib�:'
Parent material a 1 a r i al r7 r i f 1 p A " �g g t �� Plain elevation if applicable na ft.
General comments
and recommendations:
trenches @ el. 97.03'
F- Boring F1 Boring
1 g [ pit Ground surface elev. 9.9 ' 7 ft. Depth to limiting factor ` + 8 4 in• Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I 'Eff#1 'Eff#2
L 2msbk mfr
2 5
3 3 -47 7.5yr 4/4 none sl 2msbk mfr aw if
4 7-
a�• �. 0 3 "
G�
F- Boring # E] Boring 99.70 6 8 rr
21 ® Pit Ground surface elev. ft. Depth to limiting factor In Soil AP lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft=
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff92
1 -1 V
2 ✓ ✓
✓ ✓
4 8 -88 Oyr 7/4 none
a� 7 . d 3' Z „
* Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' E ent #2 = BO 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature . CST Number
Gar L. Steel 02298
Address Date valuatio ' onducted Telephone Number
1554 200th. Ave., New Richmond, WI. 54017 11-6-2000 715- 246 -6200
' I
Y'
Property Owner Land De . Parcel ID # pending Page 2_ of _I
Boring #❑ Boring 99, .7 0 76
® 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
1 10yr 3/3 none L 2msbk mfr 9w 2c .5 ✓ .8 ✓
2msb mfr 1M .4-/ .6 -/
19-76 7-5yr 4/6 nongn sl 2msbk mvfr qw na .. 5 .9 ✓
t'cles .0 .0 ✓
7 .0 3
3z
a Boring # ❑ 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
F-1 Boring # F1 11 Pit Boring
Ground surface elev. ft. Depth to limiting factor 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 'Etf#2
Effluent #1 = BOD > 30 _< 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS 5 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 -8330 (RAM)
STEEL'S SOIL SERVICE
Gary L. Steel Oakwood Land Development 1554 200th Ave.
CSTM2298 NE4NW4 s25 T3oN - R18w New Richmond, WI 54017
MPRSW -3254 town of Richmond (715) 246 -6200
lot #8 -Red Pine Corner
This soil evaluation was conducted to satisfy a zoning requirement, it may or may
not be suit=able 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 Mid lot survey stake @ el. 100.00'
Alt. BM.= top of 1" pvc pipe @ el. 99.90'
7a
r
U
� d
Gary L. Steel
11 -6 -2000
Page Of
COMBINATION SEPTIC TANK /PUMP CHAMBER
4" CI Vent Pipe with
(No Scale) Approved Cap, +25
Approved Locking Manhole Cover From Buildings
With Warning Label Attached
R Weatherproof Approved
Warning Label Junction Box Vent Cap
L 12 Minimum
Final Grade 6" Mini 4" Minimum
6" Maximum '
_ 4" C.I. � Quick
18" Minimum Insp. Pipe __ Disconnect
I
1/4" Weep
Hole
Baffles
i
Lk
Approved Joint A
w /C.I. Pipe
I Extending 3' Alarm
L Onto Solid Soil B Approved Joint
N
On 6; w /C.I. Pipe
;R C , Extending 3'
Onto Solid Soil
' Off
D
Conc. Block
3" of Bedding Under Tank—/
Note: Pump and Alarm Are On Se')arate Circuits Number of Doses: y Per Day
�L Gallons Per Day / Doses: /jZ,5 Gallons
Volume of Backfl ow:...�14 ;�. +� Gallons
Tank Manufacturer: W)F-S E R Total Dose Volume:... ..... = 1= Gallons
AL Tank Si ze -Septi c /Pump : 1v Do 11,P Gallons
AL Alarm Manufacturer: -TFs,Nk Alf_2T
Model Number 11nl V Capacities: A Z3 inches or 3tl Gallons
AL Switch Type: ME(t1D 2y __ + B — q inches or J Gallons
Pump Manufacturer: C>L)uLbS _ + C — z inches or 3z} Gallons
WA Model Number: i~ 0 + Dom inches or 90 Gallons
Minimum Discharge ate: _Kp GPM Total ..... _ w inches or Gallons
Vertical Difference Between Pump Off and Distribution Pipe: /2 Feet
Minimum Required Supply Pressur ...... ......+ Feet
Ib0 Feet of Force Main x tl riction�Factor /100�Feet: + .5q Feet
Z Inch Diameter Force Main
Total Dynamic Head: ... = 13,SyFeet
Internal Tank Dimensions: Length Width Liquid Depth 9 0`
Si 9 nature r , License Number �Z�Zy2 Date L �
f
i
M ODEL DVP M OD EL
l Vertical sump Pump •04 P0
Su bmersible Effluent Pump
-4
n
#
.1
' r
mp pec cations
METERS FEET
P 0 0 P
10 MODEL 3871
ii Disc a s¢e . NPT : 9
I Soli S. ,' mu"° S
m
7 "! 3 3; -
a °'� �:, rear' T
Single phase 115V
Materials of Contraction a �'
Brass/thermoplastic
features and Benefits EPOS
°
*Top suction eliminates ' 70
impeller clogging. 2
• Corrosion resistant
construction.
A • Float actuated switch. ° 10 20 30 40 w USGPNM
°+ 0 2 4 6 ! 10 12
aaAr
CAPACITY
METERS FEET
7
r, zs
Pump Spec Features and Benefits
MODEL DVP03
•
2° / x and
6 /: HP EPO4 impeller- semi -open design
s Up to 60 GPM with pump out vanes to protect
- `—' 4 18 Maximum head to 32' mechanical seal.
• EP05 im eller - enclosed design
z,°
Discharge size 1 NPT Q 9
° Solids:' /: maximum for improved performance.
2 8 Motor • Rugged glass - filled thermoplastic
' All motors feature ball casing and base design provides
0 °° , 10 „ �, 30 ,� as.crM bearing construction. superior strength and corrosion
Single phase:115V resistance.
° 2 �ACmr 8 8 ��� Materials of Construction ' Cast iron motor housing for
} Cast iron efficient heat transfer, strength,
Thermoplastic and durability.
Stainless steel • Corrosion resistant threaded
., stainless steel shaft.
• Available for automatic and
r* manual operation.
r
• CSA listed models available.
All Models are designed for continuous operation and feature stainless steel hardware.
t
ST CROIX COVNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FO RM,
Owner/Buyer � f� 91— 'r kl e r
Mailing Address tQ /UDIf r,*
Pro" Address 13 1 5'F
(Verification required from Planting Department for now construction)
City/Stitt _ Parct:l Identif'icadort Numb6T Lac _ �•
LEGAL Lt ,, QN
Properly Loe4tiou .[ - '/., rMW ' /., Sec. 2 T_'3 N.R_Lf W, Town of Iz nme'
Subdivision kEd i 11 ' t1Dt�/! tP Lot #
Certified Survey Map # (' i k) / � � Volume Page #
Warranty Deed # , Volume . Paso #
Spec house LEI yes 440 Lot lines identifiable K yes 0 no
S'itSMM MADaX
Improper use your septic system could result in its premature failure to iutudle waaoss, ProM mWztenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. 'W'bat you put ktto tba system
can affect the function of the septic tank as a treatment stage in the waste disposal system,
The property owner agr to submit to St. Croix Zoning Departme at a certilycxtion Brut, signed by The owner and by a
master plumber, j==eyman plumber, restrictedplumber ax a licensed pumper vetii'yiag that (1) the on-site wastewater disposal system
is in proper operating condition and/or (Z) after inspection and pumping (if necessary), the septic tank is less than 113 full of sludge.
Vwc, the undersigned have read the above requirement; and agree to maintain the private sewage dispaW system with the sUmdards
set fortb. herein, asset by the Depamncnt of Commerce and the Department of Natural Resources, State of Wisconsin. Cartifiteation
sating that your $eptie sys been maintained must be completed and returned to the St. Croix County Zoning orrice within 30
days o e throe year a on date.
SIGMA A OF APPLICANT DATE
OEM RTMCATION
I (wc) that all tements on this form are true to the best of my (am) knowledge. I (we) am (are) the owner(a) of
the proV4ty dcacnbod abov y virtue of a warranty deed recorded in Register of Deeds Office_
/moo/
S16 OF AI PLICANT DATE
'9040*• Any information that is mis repxesentod may result i the sanitary permit being revoked by the Zoning Department. ••• " "•
Include with this applieatlon: a stamped warruntyy deed from the Register of Deeds offilce
a copy of the certified survey map if rnforonce is made in the warranty deed
TOOfn 5KIX3aDKlDH3 09Z M 9% Xd,d tT:ZO ,NON TO /9Z /90
r 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
the parameters of Comm 83 and 84, and the conditions of approval by the department, agent,
or governmental unit. The approved plans and permits for system are on file at the county
or h ealth department.
artment. h p
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.6199).
Table 1: System Design Specifications
Sanitary Permit Plumber
Number of Bedrooms 3
Design Flow - Peak (gpd) 3D0
Estimated Flow - Average ( pd) If 51)
Septic Tank Capacity (gal) l oon
Soil Absorption Component Size (ft� -SD() 3o CYIW
Type of Wastewater Domestic
Table 2. Soil Absorption Component - Limits of Reliable Operation
Septic Tank Component Sail Absorption Component
Design Flow - Peak (gpd) LJ5D �fSD
Maximum Influent Particle Size (in) 1/8
Maximum BOD, (m ) 220
Maximum TSS (m L) 150
Table 3: Maims S chedule
Septic Tank Inspect and'or service once
Outlet Filter Insp once a a
Soil Abs Component Ins orption Cam pe Y ar_d clean at least once every 3 years
ct once every 3 years
Se tic Tank
The septic tank shalt be maintained by an individual certified to service septic tanks
a
under S. 281.48, Slats. The contents of the septic tank shall be disposed of in accord nce 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
t
i
f
� 05 -01 -00
1 0:32
RECEIVED FROM:715 386 4686
p•02
05, TUE 10: 39 F kX 00.3
Manager'g1r, T'. r1k :!r ,l Sol �.bcsorption Compone-,*
filter is equipped wi-h a 'v !-i
if t" alarm is activated continuously-
Intermittent
ding continuous alarm- The
septic tank shall have il.si J-r, j"o';! wh-i ;file; voiu of scum and sludge in the tank
exceeds 113 the liquid tanK. If the contents of the tank are not removed at the
time of an assessment, M personnel shall advise the owner of when the next service
needs to be performed to maii iess Iran maximum scum and sludge accumulation in the
tank.
Manhole risers, 3'101.1]d be inspected for water tightness and
soundness. Access fcr vj�:e and assessment shall be sealed watertight upon
the completion of servic .
lin deemed u.- defective, or subject to failure must
be replaced. qreate-'than 8-inches In diameter shall .be secured by
an effective locking J Z*, �c 'J-enta! or' uniauthurizsd entry into the tank.
No one shoaf.' C 0! o1 her trea mment or holding tank for
any reason withoas oeing in full compliance with OSHA standards for
entering a call -�paco, The atmosphere within the septic or other
treatment of hojrl[lnr rank may contaln lethal gases, and rescue of a
person f?*r, i G
t 1 - F Vi e lon.'(' may bp, difficult or impossible.
Tank abandoni-n' al in ae- wl;tii Comm 83.33, Wis. Adm. Code when the
tank is no longer used as -
Sri ?ll Abrprption Component
The soil absorption compor.r-ii'L se. this structure is designed to accept domestic
wastewater from a The I of operation of this component are shown in
Table 2.
The longevity c. , componert diapends greatly on proper and timely
maintenance, and systurn u 'nri or b::low the limits of reliable operation. Good water
conservation practices by ali oc-t.;pants a the ins`allation of water conserving plumbing
fixtures are key factors in ex anding the useful life of this component.
The soil absorption c.. - Jr cr Z's cp»4ration rntist be assessed by inspection at least
once every three years, llht: shail include recording the levels of ponding, if any, in
the observation pipes, andl 1-1 vi;,-j r14- for any evidomce of surface seepage or discharge
from the component. On slopirq sites, areas of erosion should be identified and
reported to the owner for repair file: surface discharge of domestic wastewater or sewage
from the system is c* !--d a human health hazard.
Traffic around or otv'ei absorption Component should be avoided particularly
during winter months. Thc� corn p; ic I lon or removal of snow cover over the component may lead
to hydraulic failure by freezing. - fnic- type of failure is usually temporary, but is difficult or
impossible to repair until 1-1-,ncWions improve. In general, soil compaction over this
component will reduce into the soil and dispersal cell, which may lead to
more intense, and earlier, of the Z1
2
05 -01 -00 1 0 : 34 Ft F, I vED FROM 7 15 386 4686 P•03
' 6.49319
STATE BAR OF WISCONSIN FORM 1 - 1998 KATHLEEN H. WALSH
WARRANTY DEED REGISTER OF DEEDS
1'01. 1 �U
��?? ST. CROIX CO., WI
Document Number � PAGE JJ4 RECEIVED FOR RECORD
This Deed, made between Oakwood Land Development, Inc. 06 -25 -2001 12:30 PM
WARRANTY DEED
EXEMPT #
Grantor, CERT COPY FEE:
COPY FEE:
and Margaret M. Price, single RECORDING fEE: 101 0
0 0
PAGES: 1
Grantee.
Grantor, for a valuable consideration, conveys to Grantee the following
described real estate in St. Croix County, State of Wisconsi
(the "Property "): Recording Area
RETURN TO : z/ Name d Return dres
Burnet Title a g et M. ri e
7550 France Ave. S.
First Floor L R d in Co n
Edina, MN 55435 Ne Ri h on 5
ATTN: Post Closin Centr 1 W
026 1130 08 000
Parcel Identification Number (PIN)
This is not homestead property.
Lot 8, Red Pine Corner (is) (is not)
Records of St. Croix County, Wisconsin.
Abstract Property.
Together will all appurtenant rights, title and interests.
none
Grantor warrants that the title to the Property is good, indefeasable in simple fee and free and clear of encumbrances except
Dated this day of Ju G 2001
(SEAL) (SEAL)
Oakwood L nd Development, Inc
(SEAL) (SEAL)
* *
AUTHENTICATION ACKNOWLEDGEMENT
Signature(s)
State Of Wisconsin,
} SS.
St. Croix County.
authenticated this day of Pers p nally came before me this 1,54 day of
,2001 , the above named
Oakwood Land Develo ment Inc.
e 0
TITLE: MEMBER STATE BAR OF WISCONSIN to
(If not, me known to be the person who executed the foregoing
authorized by §70606 t $ J, in ment and acknowledge the same.
THIS INSTRUMENV D W B i 0 0_,.)
Coldwell BarlRAWWWWONM
1301 Coulee Road
Notary Public, State of Wis ons'
Hudson. WI 54016 My commission ent. (If not, state expiratjo ate:
( Signatures may be authenticated or acknowledged. Both are )
not necessary.)
Names of persons signing iLgy capacity must be typed or printed below their signature.
STATE BAR OF WISCONSIN Wisconsin LegalBlank Co.,Inc.
WARRANTY DEED FORM No. 1 - 1998 Milwaukee, Wis.
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