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HomeMy WebLinkAbout026-1124-03-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety ani Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 420774 0 GENERAL INFORMATION 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: Willow River Joint Venture I Richmond Township 026- 1124 -03 -000 CST BM Elev: Insp. BM El BM Description: Section/Town /Range/Map No: l0� -v l d Q , d � 26.30.18.756 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �`� / Benchmark �j 0, /\ Dosing n_ Alt. B A � . t / 10 S � Aeration Bldg ewer [L r r - , 0 Holding St/Ht Inlet '3 - IA 103 �p St/Ht Outlet TANK SETBACK INFORMATION TANK TO ,FyL WELL , BLDG. ven Air Intake ROAD Dt Inlet vJ tw E �- �- Septic ' / Dt Bottom (o o 33 Dosing V ly%5 Header /Man �+ g �/ /D / Aeration Dist. Pipe l9^ S- Holding Bot. System � -3 PUMP /SIPHON INFORMATION Final Grade 1 5. Manufacturer Demand St Cover a CQ 7• �S Model Number-- / TDH Lift Friction System Head TDH Ft Forcemain f ar , , th Dia. Dist. to We SOIL ABSORPTION SYSTEM 5 BED/TRENCH Width / Len th r No. Of Tr DIM eQches PIT ENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS D ' /)�� SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING Mapafa� INFORMATION Type f System: � � � ^O z � � / S�'-on CHAMBER O Model Number: o 1,`' ter/ T e DISTRIBUTION SYSTEM 27 n JJ 3� ° JG ( Q Header /Manifold Distribution / 7 x Hole Size 777!�g— Vent Air Intake P O /r 6� Length q: Dia Length 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 3 S Bed/Trench Edges Topsoil Yes No [] Yes C, No COMMENTS: (Include co a discrepencies, persons present, etc.) Inspection #1: / 0 � Inspection #2: / ! Location: 1317 140th Ave New Richmond, WI 54017 (NW 1/4 NW 1/4 26 T30N R1 8W) Sunrise Meado s 13 Parcel No: 26.30.18.756 1.) Alt BM Description = 0 — lY� h f`��_t2tp� }� C_ 2.) Bldg sewer length = �, / - amount of cover r�! `- wt/� '' ` `�'�h �`C1 i td 4A cr --Iz, f e- lap 67,J dA't" rve� r Plan revision Required? L Yes =j No —T nn Da Use other side for additional information. � 6 D Insepctor's SlIgnature Cert. No. SBD -6710 (R.3/97) r Safety and Buildings Division County ,� ` W 201 W. Washington Ave., P.O. Box 7082 \ `� i ( iscvnsin Madison, WI 53707 — 7082 Sanitary Permit Number (to be lled in by Co.) Department of Commerce (608) 261-6546 ,7Q0 7 — 7 Sanitary Permit Application State Plan I.D. NumbW/f In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, sI5.04(1)(m) Project Address (if diff9fent than mailing address) I. Application Information - Please Print All Information ' t �A'h (7V Property Owner's Name Parcel # Lot # Block # Ila �2,t� Uay -a3 _oo� IUD Property Owner's Mailing Address Property Location '' /, '/., Section a� City, State Zip Code Phone Number /- S t' � n) T�; R )U Eo `ircl II. Type of Building (check all that apply) / W I/ X1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name CSM Number ❑ Public/Commercial - Describe Use APP f l I ?nn� -_ tSQ I 1 `FQOtQ O u� �S ❑ State Owned- Describe Use,-,2 ❑City ❑Village Wownship of III. Type of Permit: (Check only one box on line A. Corn ete line,*K*1VI4F1P10E A ' y (New System ❑ R eplacement System y ep y ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System B • ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that apply) — 19 Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil - de ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ H ding Tank ❑ Peat F: rob'' Treatment Unit El Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ i er El Lin Gravel-less Pipe ❑ Other (explain) 6 �00tix J v V. Dispersal/Treatment Area Infor Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (so Dispersal Area Proposed (sf) System Elevation S© .5 V111, 9co 9Do p ✓ loo. `l VI. Tank Info Capacity in Total Number Manufacturer P efab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New I Existing Tanks Tanks optic Holding Tank Aerobic Treatment Unit losing Chamber VII. Responsibility Statement- 1, the undersigned, ass me responsibility for inq9AhR4Qa of the POWTS shown on the attached plans. Plumber's Name tint) Plumber's Signa re /MPRS umber Business Phone Number QS3 - 'tIS -Q V G-S Plumber's Address (Street, City, State, Zip Code) 5� AU VII oun /De artment Use Onl Approved El Disapproved Sanitary Permit Fee (includes Groundwat Dat Is ed Issuing A ent Signa ( Stamps) Surcharge Fee d g ) ❑ Owner Given Reason for Denial 0 Q ` IX. Conditions of Approval/Reasons for Disapprov I F3. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches In size SBD -6398 (R. 08/02) I i I ' I ' T • r Ll -/1 �c +4G rY -h+k_. 1._- LJ 1 4 1 vn r (( I I I I I I 7 � ' _sue_ i� •es Q_r � �! � fl Jh I Call - -- - X A - 7 4 I L i l l -- ;r � � �� � - - -- ' ` --- l - �� —� - -- -- . -- - - — - -- - -- - -- - - 1 I I I I L 1 r I i 1 I I 1 I 1 I 1 I 1 I _ t • I � I • I , , r - - - -- - - -- — -- — - -- ---- - -- -- : ; i I 1 1 I i : I ; 1 : , I I � I 1 7 I r : I : i I _ r r !� I 1.1� r1�f» IC�vvdJO; U�Pf�►l4 r'-P ht�`c v.�„„p N WV(4 VLQ S C Qko T�?O Aj Q) C), S \.L nr Is-o- ry\ Q-O-Ao cu S t oy` 3 � 000 9c& SOiG.1 lac ('Wi�S�rs) ) 3 1 7 146 e/ /cam eJ r. i / .' m eM i 0 Qua � C � � i '. ', I �. I i .... _ _ 1. _. _...... _ p I EZ Irv,.r -- VV N - • -...; 4.625- rr, •rr ir r rr - r ♦ IV r. rrW V rrr rrr ••• •• I It rrr ... 7/2C •' 'V VV r ev �' s 18. IV. r♦ I V rrrr "r' V •�r1,; r rre *r•• • rrrIV, 4 91 r i ! 36" V oid C ft ffi cftm (.) 0'1)J of4"ON -4623 A- '/aid "°tnmc per liftw ft {2 3 hL Q EL +� a. r a • ( 25;n S'�a1t (" 3'ds'y�tlsi 17 ft, � � 18.8fin !z /or @ • tR > 0.1 = 3. �. of =ct� l 13 12.3 in !$ Vold vohft a 8a! atcr�gra t! Twat Seit " lerrm Area - Of} rytppt,� ' 3, to `� = ) � r l7w I l 0.LT, ate 13 InrACr � r3 � � )" . i22 i"Z' �1d $Q,� - � - Y0fd i ��� to amMtt CNtin{�S a. � • � Q# l t t f . 90l ArOjKtid Trty�.Ci i�rq 77 ti.a - tom sera cvh 2 JJ! "-ft "-ft a Srdrwall "right = 12 in. %) : ZOO ! adcrs --±`_ • } Bottom = S4.Ft. VOW r °!fie at outswila ya m �t2ia�h r2int .aajr: q `0..x.15 R' Pr ojected tn. = 3.44 +q.Ft. j " CO IIl2 { { {{ rojected T nscb S Area ! Toad Void aC "°'d "atumc A r 5.96 0.1 17 + 0.42 + "�y rrs10.215 r 2 a Cf. 3D8 tt Cutllo `� 0.441 0115 0.148 1 F 1 ��r�`1- 7b3X7.3g =`+ frtfi as n r Na r Tren ch Yste E�203H rn Z �ingAndustrial Gr flo 65 lndu fat p oup kiond, ark Rd. sckc 38060 spay - t M 1 tr-Z7 -br r Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Divisjorilof Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 006 19 000 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE 1 PROPERTY OWNER: PROPERTY LOCATION GOVT. LOT NW 1 /4NW 1 /4,S 26T 30 ,N,R 18 Dgor) W PROPERTY OWNERS MAILING ADDRESS LOT BL # OCK # SUBD. NAME OR CSM # 1505 Hy. #65 3 na ' CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN NEAREST ROAD New Richmond, WI. 54017 (715)246 -2320 Richmond I 140th. Ave. 14 New Construction Use [x] Residential / Number of bedrooms 4 [ J Addition to existing building j J Replacement [ J Public or commercial describe Code derived daily flow 600 gp d Recommended design loading rate • 5 bed, gpd /ft • trench, gpd /ft Absorption area required 1200 bed, ft 1000 ,0 , ft 2- Maximum design loading rate .5 J bed, gpd /ft •6 trench, gpd /ft Recommended infiltration surface elevation(s) ea A =100.9 B 99.9 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material Glacial drift Flood plain elevation, if applicable na It L S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDIN7dj = Unsuitable fors stem CAS ❑U CRS ❑U ®S ❑U ZIS ❑U EIS 9: ❑S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft .................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tretxh ................. .................. 1 0 -12 10yr3 /3 none 1 2msbk mfr cs 2f .5 1.6 1 2 12 -28 7.5yr4/4 none scl lcsbk mfr gw if .2 .3 Ground 3 28 -42 7.5yr4/4 none sl lcsbk mfr gw if .4 .5 1 el 4 42- 8 10yr5 /4 none 1 fs 0Sg mvfr na na .5 .6 Depth to limiting Yy factor +84" Remarks: Boring # 1 0 -10 10yr2 /2 none 1 lcsbk mfr cs 2f .4 .5 U 2 10 -40 5yr4/4 none sicl lcsbk mfr gw if .2 .3 3 40 -84 10yr5 /4 none 1 fs Osg mvfr na .6 Ground - elev.%' 1 Depth to limiting factor Ra +84" 2 Nry Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Avm. New Richmond I 54017 Signature: Date: 5 -14 -99 CST Number: m02298 PROPERTYOWNER Derrick Const., Inc SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # ' Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft .................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -10 10yr2 /2 none 1 2msbk mfr cs . 3 2 10-21 7.5ry4/4 none scl lmsbk mfr gw if .2 .3 Ground 3 21-35 5yr4/4 none sl lmsbk fmr gw Fna .4 .5 elev. 10 ft. 4 35 -8 10yr5 /4 none 1 fs Osg mvfr na .5 .6 Depth to limiting factor +84" Remarks: Boring # 1 0 -11 10yr2 /2 none 1 lmsbk mfr cs 2f .4 .5 4 2 11-22 7.5yr4/4 none scl lmsbk mfr gw if .2 .3 3 22-80 7.5yr4/6 none 1 fs Osg mvfr na na .5 .6 Ground elev. 1 Q2 -5 ft. — Depth to - limiting factor +80" Remarks: Boring # 1 0 -10 10 r2/2 none 1 lmsbk mfr cs 2f ................. >> 5 =`` 2 10-22 7.5yr4/4 none scl lmsbk mfr gw if .2 .3 3 22 -8 10yr5 /4 none lfs Osg mvfr na na .5 .6 Ground elev. 10 ft. Depth to limiting factor +80" Remarks: Boring # Ground elev. i ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Derrick Construction, INc. 1554 200th Ave. CSTM2298 NW4NW4 S26- T30N - New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #3- Derrick's Plat This soil aluation was conducted to satisfy a zonin requirement, it may or may ev Y Y ! � 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 1" pvc pipe C el. 100.00 Alt. BM.= top of 1 pvc pipe @ el. 98.15' 3 b' ( 7 Nr 11l 4 , L Gary L. Steel 5 -14 -99 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page J— of SYS SPECIFICATIONS MiFORMATiON S r Tan S U Manufac turer k owner ptic 5 ¢ rS ❑ IVA al ❑ Dose ❑ Holding vol. J 0 O p g Permit � (INA Manufacturer pESi(3N PARAMETERS gal 0 NA rELffiuent ic ❑ Dose ❑ Holding VOL g Number of Bedrooms ❑ NA Number of Public Fau3Cr;Y Units NA Fit ter ManufacturerlD`s Estimated (average) flown 3 O cD aU Miter Model 007 alld Manufacturer �' NA Design {peak} flow = (Estimated x 1.5) J � _ gild /ft� lump Model Soul Application Rate o p Unit NA Standard Inf(uent/Eff}u�t Quality avarsge' ❑ P Fitter Fats, Oil &Grease (FOCI 530 mg/L ❑Sand /Grave! Etter Biochemical Oxygen Demand tBODs) 5220 mg/L ❑ NA ❑Mechanical Aeration E3 Wetland ❑ Disinfeu tiort ❑ Other: Total Suspended Sdids (TSS) 5150 m911. Manufacturer IF Pretreated Effluent Quality Monthly average c� Dispersal Celitsl j Biochemical Oxygen Demand (BODsI 530 M1311. *n - Ground (gravity) ❑ In -Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ At -Grade ❑Mound Fecal Coliform (geometric mean) 510` 10Um � NA ❑ Other: Y. in dia. ❑ NA ❑ Drip - Lips Maximum Effluent Particle Size Other: ❑ NA Other: ❑ NA ❑ NA *Values typical for domestic wastewater and septic sank efftver►t. MAINTENANCE SCHEDULJE Service Frequency Service Event ❑ month(s) tM 3 years) ❑ NA Inspect condition of tanks) At least once every: w ar(s) ❑ When combined sludge and scum equals one - third (Y9) of tank volume ❑ NA is activated pump . out contents of tank(s) E3 When the high water alarm is NA ❑ month(s) (Maximum 3 years) Inspect dispersal ceiNs} At least once every: years) ❑ month(s) ❑ NA Clean effluent Filter �}$ /� "� ��$ At, Fast once every: f th ❑ mon ❑ NA Inspect pump, pump controls & alarm At least once every: l3 year(s) ❑ month(s) ❑ NA Flush laterals and pressure test At least once every: ❑ year(s) ❑ month(s) ❑ NA Other. At least Once every: ❑ year(s) ❑ NA MAINTENANCE INSTRUCTIONS one of the following licenses or certifications: Inspections of tanks and dispersal cells shah be made by an individual carrying Sing Operator (pumper). Master Plumber: Master Plumber Restricted Sewer: POWTS Inspector: POWTS Maintainer, br oken ha rdwa r e, or Tank inspections must include a visual inspection of the testa i dentify for any or up or ponding o effluent on the r ground le measure the volume of combined sludge and scum check for any surface. The dispersal c ell(s) shall be visually inspected to check the effluent trouts in the observation pipes and to condition and uent on the ground surface may indicate a fatting ponding of effluent on the ground surface. The ponding of effl requires the immediate notification of the focal regulatory authority• or more of the tank volume, the When the combined accumulation of sludge and scum in any treatment ta nk eqd d one is of in3accordance with chapter NR 113, entire contents of the tank shall be removed by a Septage Servicing Opera Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatmen' o by POWTS Maintainer. units, and any servicing at intervals of 512 months, shall p y a c per ed b 1 O days of completion of any service event. A service report shall be provided to the local regulatory GMW 12102) START UP AND OPERATION Page - of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals that may impede the treatment process and /or damage the son dispersal ccl(s). If h have the contents of the tanks) removed by a septage ugh concentrations are detected servicing operator prior to use. System start up shag not occur when soil conditions are frozen at the infi trative surface. During extended power outages Pump tanks may fill above nomsal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal call(s) in one large dose and may overload them resulting i I the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage n th e i to restoring power to the effluent pump or contact s Plumber ng Operator prior controls to restore normal levels within the POWTS Maintainer to assist in manually operating the pump pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade son absorption area... Reduction or elimination of the following from the wastewater strearn may improve the performance and rot POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; di p °� the life ;the foundation drain (sump pump) discharge; fruit and vegetable peelings; gasoline; grease; herbicides• ate' disinfectants; fat; painting products; Pesticides; sad n ,meat scraps; medications; oil; �y napkins; tampons; and water softener brine. _ . , ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shag be taken to insure that the system is Property and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • AD piping to tanks and pits shag be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and property disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shag be excavated and removed or their covers removed and the void space filled with son, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant rePlacement system: 14 A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil abso System. The replacement area should be by protected from disturbance aril compaction grid should not be infringed upon by required setbacks from existing and Proposed structure, lot Ines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that tine. ❑ A suitable replacement area Is not available due to setback and/or soil limitations. tank advances in POWTS technology a holding may be installed as a last resort to replace the failed POWTS. j e has t aluated entity a able reps ment a Upon a' re of a PO a soil and site I " e on be rfo ad to o a s ' ble ent area. n re t m P n ea s able a h k be last o reel failed S. ❑ Mound and at -grade son absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNiNG> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER IN CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE iINT'ERIOR OF A TANK MAY 13E DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS 1NST POWTS MAMITAINIR; Name ` Ott p ✓ S Name Plx+ne (S C Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name c Phone Phone 3 This document was drafted by the staffs of the Green Lake, Marquette and Woushara County Zoning and Sanitation agencies chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1). (2) & (3). Wisconsin Administrative Code. le compliance with ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND ` ` , OWNERSHIP CERTIFICATION FORM Owner/Buyer Y� IL-L a CAJ RI V4ZjL �tJ 6 14 Vk f4 lZ4Z;7 /CHI -1- Mailing Address / Property Address (Verification required from Planning Department for new construction) City /State k fic w / Parcel Identification Number LEGAL DESCRIPTION Property Location AJc V., AJW Sec. '440 , 1 3C? N -R J g W, Town of Jet WlkO KJ Subdivision _ u /.1 e�� ` Lot # Certified Survey Map # Volume . Page # Warranty Deed # ®� '�a . Volume `L l q . Page # j Spec house Kyes ❑ no Lot lines identifiableKyes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and' by a masterplumber, joumeymanplimber, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to ma' gn requirem gre maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification . stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days o e three y expiration date. S&N ATURE OF APPLICANT DATE OWNER CERTIFICATION I e) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pro de abov, ' e of a warranty deed recorded in Register of Deeds Office. SJOI OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed I LU STATE BAR OF WISCONSIN FORM 1 — 1982 6 WARRANTY DEED KATHLEEN H. WALSH QF REGISTER OF DEEDS DOCUMENT NO. VOL 1414PACE595 ST. .CROIX CO. WI '� - RECEIVED FOR RECORD This Deed, made between 03 -30 -1999 3:45 PM Richard A Gillis and Janet L. Gillis, WARRANTY DEED Husband and Wife, and each in their own ri .;ht EXEMPT N Grantor, CERT COPY FEE: and Willow River Joint Venture, a Wisconsi COPY FEE: TRANSFER FEE: 300.00 Partnershi a RECORDING FEE: 10.00 PAGES: Grantee, Witnesseth That the said Grantor, for a valuable considerati $ 1 - ' 0 0 and other valuable consideration St . C iX THIS SPACE RESERVED FOR RECORDING DATA conveys to Grantee the following described real estate in County State of Wisconsin: NAME AND RETURN ADDRESS Willow River Joint Venture P.O. Box A New Richmond, WI 54017 ,SUJ3D. The North One —Half of the North One —Half PARCEL IDENTIFICATION NUMBER of the Northwest One- Fourth, (Nk N of NWq) of Section 26, T20N, R18W This is not homestead property. IM (is not) Together with all and singular the hereditaments and a thereunto belonging; And Richard A. Gillis and Janet L. Gillis warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except no excetions and will warrant and defend the same. Dated this 30th day of March ' 19 99 (SEAL) (SEAL) - A YIJ[A4 M hard A. Gillis anet L Gillis ic (SEAL) (SERI") AUTHENTICATION ACKNOWLEDGMENT State of Wisconsin, Signature(s) ss. St. Croix =--.County.. i sM ee�nem�lw Z961 — I 'ON uuoei Q33(i AZNVIINVM . oul '•oo muele 186en uisuoosym NISNOOSIM 30 2Id$ 3Ld.IS •sainwAs may molaq paiuud io pad Ai Aq pinoys 6tpedeo Aue ui Suidis sumiad Io saweN 66 61 /6Z/01 (,Llessaoau :alup uopundxa awls IOU II) 'Juauuuitad sl uoissitumoo AW 1ou an gtog •padpalmou-jlou to paveopuagine aq katu sumeu`IS •s!M ;4uno0 X T O H O • q S 'oclgnd tiuloN .t TTaput2 •V 3PTx w l8 �(olsvm 1 s agI aBpalMompe 7u uinilsui 8 o l agl „a ► a a o . uostad agI aq of umou� aul oI CSIeIS sIM'90'901§ Aq p azuogmu �{ A 10 }I) .� w NISNODSIM 30 9 3.Ld.LS UggMW G I.LLL JV WIG- z �TTZJ •Z �au�r T .O •� pauiuu a T ` 1.�0 z 2Y1 ;o kap stgl aui atojaq auzua Alleuos'lad 6I ` }o Cep stgl pmopuaglne C � SUNRISE MEADOW S NORTH i 140th Avenue 346' 320' 320' 320' 320' 320' 320' 320' Ln 3 1 2 3 4 5 6 7 8 CM t to � 4.93 ac 4.59 ac 4.59 ac 4.60 ac 4.60 ac 4.60 ac 4.60 ac 4.61 ac *New Richmond 9 ❑ DERRICK OFFICE Highway G N 140th Avenue SUNRISE MEADOWS m A . — 12 Roberts 65 I -94 (715) 246 -2320 1505 Hwy. 65 DERRICK P.O. Box A New Richmond Wisconsin 10 00NSTRUCTIO N