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HomeMy WebLinkAbout030-2020-95-000 Wisconsin Department of Commerce Count Safety apd Building Divisio5k � PRIVATE SEWAGE SYSTEM St. Croix INSPECTION REPORT sanitary Permit No: 399586 0 T 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: Rudd, Thomas I St. Joseph Township 030 - 2020 -95 -000 CST BM Elev: Insp. BM Elev: BM Description: AY4 — 5 6k . 0— TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / -2 Benchmark !/, p� !!!. �f lib• Dosing Alt. BM Q r Aeration Bldg. Sewer /o I. S Holding St/Ht Inlet TANK SETBACK INFORMATION C�- e�n•�-t St/Ht Outlet MIA TANK TO P/L WELL DG. Vent to Air Inta a ROAD Dt Inlet Septic > ► •7 t Bottom i Dosing Header /Man. v Aeration Dist. Pipe Holding Bot. System �3 k Final Grade / PUMP /SIPHON INFORMATION ,A t�Gv f/ • .3 G ( Manufacturer _ G em M and St Cover �� � , I pi. 83 C / Model N ber I ' t : TDH Lift ion Loss System Head TDH Ft For In Length Dist, to well SOIL ABSORPTION SYSTEM /// / ,,�-- BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS �f SETBACK SYSTEM TO v P/L BLDG rVELY LAKE/ REAM F LEACHING M cturer. INFORMATION CHAMBER OR D Type f S�y 1_ Jk UNIT Model Number: DISTRIBUTION SYSTEM A i Header /MTifold f Distribution (v ,r x Hole Size x Hole Spacing yen Air Int e r R Pkpe(s)� Q / T N I a _• �' Length Die Length Dia /r Spacin SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodde xx Mulched Bed/Trench e te{ + Ied(if ch Edges Topsoil Yes �, No [] Yes ill No M NTS: (Include ode (liscrepencies, persons present, etc.) Inspection #1: r/ 0 1 Z Z / L Inspection #2: Location: 220 C ve u n, Wl 54016 (NE 1/4 "' T29N R20W) NA Lot -Vo- Parcel No: 01.29.20.427A 1.) Alt BM Description � � /� 2.) Bldg sewer length = l t 2 / v' / Sol Q,� ! tiK (�w►�o -P�f� 1i67YP— 4-o - amount of cover = G-� ` yr�t,r c- rYA4 / '1t, 3.6 r 91 l q 83 > st � n . ► dtc ra Plan revision Required? ! Yes r Use other side for additional information. i -- Date Insepctor's Signature SBD -6710 (R.3/97) J dl ab Sanitary Permit ApplicaK"A*t , ' Safety & Buildings Division In accord with Comm 83.2 1, Wis. Adm. ` 201 W. Washington Ave. D a See reverse side for instructions for completing this application Box 302 I O M Personal information you provide may be used for secondary purposes Madison, WI 1 5 53707 -77302 Departme (Submit Completed form to County if not [Privacy Law, s. 15.04(1)(m)] state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x I 1 inches in size. Count ,C State Sanitary Permit Number ❑ Check if revision to previous application State Plan I. D. Number 1- &P �a I. Application Information - Please Print all Information Location: Property Owner Name Property Location t QS �/ /4 ✓i L iA C! lOrt 1/4 1/4, S 1 T.;;' F.& (off Property Owner's Mailing Address Lot Number Block Number 2 e � ®,� iA- City, State l p Zip Code Phone Number Subdivision Name or CSM Number / H414� 4t — 5�cl1 I ( II. Type of Building: (check one) ❑ city 1 or 2 Family Dwelling - No. of Bedrooms r— ❑Village O Public /Commercial (describe use ):_ Pjown of ❑ State -Owned Nearest Road t ST CROiX Parcel Tax Number( s'O" III. Type of Permit: (Check o on ine A. Check b iv�linIiu8hleJ' • , A) 1. ❑ New 2 ' eplacement �' 3 ❑ Replacemen ; 4. ; ' 5. 6. ❑ Addition to System System Tank Only `` i ` Existing System $) Permit Number Date Issue ❑ A Sanitary Permit was previously issued e heck all that apply) ssuri on- pre=In-ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ressurize in-ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ O . ,V V. Dispersal/Treatment Area Info ; 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. Elevation 7. Final Gr de Required Proposed Rate (Gal . /day /sq. ft.) (Min. /inch) - j UO Elevation 6 •" 57 OV 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 e IZ7 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigned, assu responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) Plumber's Signature (no stamps): MP/MPRS No. Business Phone Number P lumber's Address (Street, City, State, Zip Code) IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) (Approved ❑ Owner Given Initial Adverse Surcharge Fee) Determination �� r jo t r '2�'�I 1 X. Conditions of Approval /Reasons for Disapproval: cc, , 'LXis¢l 6 o Lacy l�wu.1 PG Gt,(rak.ddk.LO� (/Lvl- CO'L� '��`'tnerro`' ���' ��+D,�,t dn°`r7� Cf a � 1`�[ �r G dAe i s Gt 6ttA,� Qi{ t/v►�TD�1 % S 10 7 jw&W,7, 01 = e4 �ltr SBD -6398 (R. 07/00) 0 F� )),, ^ � .y °• Std" jjy��y1 � ` ( \ 1.. �� i 3 � N rl Ae �o7 -Z It "IS fl - t4v 1 Ail tL- A7 VIP f c It XF L � � C i J i ell gay r I� r e ' y � Ul. -L-4 i L y� : p I - I ! i r : 1 -- ---r -- -- � ---- -- :, -_ ._mot- _- } ---1 -- - - - - -�- I ; w N c o_ o Q ° Q C X f oo0OOO �" o00000 �r OOOOOO mac 0 OQOO a N C,) ? V) O) : j ° '� N W? Ch in y N W A yf Q1 ti- y A N W A lJl M V m �. W g a a ° ° e ° �M O O C O t 7 C U O O N 3 ) U d 0 0 t J 0 0 C. 0 I D 3 Ln V c0 cD N n O (-n CT. �1 cD CO Or U ;h y tp t.'1 N �h CJi V tD lD N o m CL C I as as a j a ao cn cs m N v ()o o rn a r co ( 3) Ln cn c,) N Co C) 4- w w (r y W W N tJ) cT. Qi ) I) t- O O ^J 'a � cn O n C W U J? 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V ti ., p N D Vi 0 cn U) Ui to ..► U) u Cl Ln Ln t f' .+► C 6 U Lh U) (r a; L" Cl L)) m m Ln t.1 :r) .� - a1 z M 3 > > x ° o cD n o fe f) m ° C) m n m 7 ti a =r j� -4 w rn n r c� o N N O. n 3 r c n t o) 00 n 3 c N (_q o n 3 cn CD cn m W a C D c Cb00 00 CA) rr c)n .'� fD N N fV -J V V N N O C No fD N N N J n• t N.! 'J �J IJ .� (Q CT (Jl Cr (_n cn to t,I (J) Ln Q C Ul '+ cn Ln (.n U) t.') v ` '' _ cn Cl U) cn U` V w 00 p 00 N p <1i a M a) N ° `7 V Lh cD H O C, wwN rn �, �)W W - l9 'noc j � �,G: ° c:)-• rnaoo0w N N 1 4 N N !�) v �� N N �) N ►�) N N J N V V -4 j N CJ1 U) r� C� V� U) c � to fn <n U+ U) to U) to M U C1) ..h U1 LT to U) i I Z1 /,ao wlsconsin 4epartmarit of commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code AMY 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. Please print all ln/ormation Reviewed by Date Personal Information you provide may be used for secondary purposes (Privacy Law, a. 15.04 (1) (m)). / //Z G CJ Property Owner Property Location Thomas Rudd Govt. Lot 3 1/4 1/4 S 1 T 29 N R 20 Property Owners Mailing Address Lot # I Block # Subd. Name or CSM# 220 Cedar Dr Small tracts City State Zip Code Phone Number []city Elvillage •Town Nearest Road Hudson WI 1 54016 1 ( ) State Hwy 35 ® New Construction Used Residential /Number of s;_ Code derived design flaw rate 600 GPD Replacement Public or commeraDeslx�be: Parent material T .neck over Fes_ Flood Plain elevation if applicable it. General comments and recommendations: BM 1100, BM 2 100.96 d4t IV 1 v 1 Borin g # Boring b _r %l o Filcir Pit Ground surface a 1;9 to ft. De limiting fakxo � Application Rate Horizon Depth Dominant Color Redox Deskxip ioh Texture Structure Consistence Boundary Roots GPDff in. Munsell Qu. Sz. Cont. Gr. Sz. Sh. 'Eff#1 •Eff#2 -t 0 -2 10yr2/1 3 1 !,. 2msbk mfr cw 2f .5 .8 2 2 -10 10 3/3 �� 2msbk mvfr cw if .7 1.2 3 10-- 10yr5 /4 �f - i�' Osg ml _ - 7 1.2 2 Boring # Boring 98.10 >96 D Pit Ground surface elev. __________ ft. Depth to limiting factor i in. Soil Applicatio Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 1 0 -2 10yr2/1 1 2msbk mfr cw 2f .5 .8 Z 2 2-96 1 3/4 is I 2msbk mvfr - - .7 1.2 i Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L ` E #2 = BOD < 30 mg/L and TSS _< 30 mg1L CST Name (Please Print) Signoture CST Number Thomas Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, Wisconsin 10/27/01 246 -2454 nwn nnnn mnn mm f Rudd 2 3 Property Owner Parcel ID # _ Page of 3] Borin # Boring g >97 pit Ground surface elev. 95.85 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr2/1 - 1 2msbk mfr cw 2f .5 .8 2 8-97 10 3/4 - is 2msbk mvfr - - .7 1.2 7 6(0 Z, 3 - ❑ Boring # Boring Pit Ground surface elev. ft. Depth to Nrrmiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Sfcture Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#1 *Eff#2 Boring Boring # Ground surface elev. _ ft. Depth to limiting factor In. Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAIF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Effluent #1 = BOD, > 30 < 220 mglL and TSS >30 < 150 mg/L * Effluent #2 = BOD, <_ 30 mg/L and TSS _S 30 mgA- 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 60& 2648777. SBD-8330Test (8.07/00) i I i r t CW � r OCJI'lj oto 100 �9 ( a 1 �L A 6 #-Ira of-,% 1� j / 1 t� v �� S \ � �- S' •'1 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 pen nits 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 Des n Specifications Sanity Permit Number 5ffl:s- 8T.0 Number of Bedrooms Design Flow -Peak ( pd) eaw Estimated Flow - Average ( pd) Septic Tank Capacity (al)SZ/ Soil Absorption Component Size (W) Type of Wastewater Domestic Table 2: Soil Absorption Component -Li mits of Reliable o ration Septic Tank Component Soil Absorption CompEent Design Flow - Peak vY3 Maximum Influent Particle Size (in 118 Maximum BOD ( /L) 220 Maximum TSS (m g/1-1 150 I Table 3: Maintenance Schedule Septic Tank Inspect and/ servic 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 T$nk 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 I),e 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 shah 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 113 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 conffned space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the Interior of the tank may be dHfFlcult 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. ration of this component are shown in .The limits o e ftY op po Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and sly stem 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. must be assessed b The soil absorption component's operation Y inspection at least P 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 t sloping sites area s of erosion should be identified and from the component. On steeply , p PIY 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. r9 0 99 g 2 Management Plan for a Septic Tank and soil Absorption component i 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 o b s t r uct wastewater flow. i 3 I CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system; A sultable replacer m area has been evaluated and may be utilized for the Loudon of s replaoelnent soli absorption system. The replacement area should be pro"d from disturbance and compaction and should rwtbe M11114%d upon by required setbacks frorn exlsdng and proposed stmcwm, lot lines and wells. Failure to protect tM replacement area will result in the need for a new soli and site evaivatlon to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that dme. C] A suitable replacement area Is not available due to setback and /or loll IlmlUtiolts. Bartt g advawes in POWTS technolop a holding tank may be Installed as a last resort to reph+a the failed POWTS. 0 The site has not been evaluated to Identlfy a suitable repiaumesit area. Upon failure of the POWTS a soil and site evaluadon must be performed to locate a suitable replaceRwnt area. if no replacement area Is available a hokOnE tank may be Installed as a last resort to replace the failed POWTS. 0 Mound and it-grade soll absorption syswms may be mconstrueted In place fo40wing lenwval of the biomat at the inflitsative surface. Rxconstructions of such systems miust comply with the Inks In effect at that time. < < WARNING > > SEPTIC, PUMP AND OTHER TREATMENT TAN0 MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM TIR INTSRIOR OF A TANK MAY EE DIFFICULT OR � II+tpC1iCIR1 f;. ADDITIONAL COMMENTS I POWTS INSTALLER POWTS MAINTAINER Name Name Phone SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name A�nry 4- LA , - From. Todd Featherstone To: BRUCE LENZEN HOMES Date: 11/05/2001 Time; 10:54;38 PM Page 2 o! ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ~ TAM I�fln SAT �UtzLUt�1 Mailing Address 2' C.E=cj&�,R- f?'e_ vQ Property Address (Verification required from Planning Department for new construction) City/State Lckscl>-- Parcel Identification Number LF,GAL DESCRIPTION AtsGl- &OUT. Property Location %., r /4, Sec, "r,3 . T 2-!2 a R 20 W, Town of Subdivision 5 M _ � --S Lot # Certified Survey Map # Volume . page # Warranty Deed # _ 3 �/ ' . volume Page # Spec house C] yes no Lot lines identifiable 0 yes ❑ no SYSTRM 1VLAR1`Mt= kupropar use and aaafiftmance of your septic system could result is to beadle anstm Proper anae amsisis of panypiag out dw septic tank every tlrrce yews or sooner; if needed by a Ikensed pumper. What you put into die system can affect tree function of t septic tank as a treaftnest sage in tine waft &spo=l.syst= Tim property aw= agrees to submit to St,. Cmix Zoning Dot: cadfic ation fom signed by tba owner and fiy a aesstes 1 lmmibar;,j0umcy:m=pbunde4 restrictodpWrober or t Hoensedpt nrtper verifying ffiat (1) the an-site wastewatcrdisposal system is is proper operating condition and/or (2) alter inspection mad pumping.Cif necessary), the teptictank is less .thin 1/3 full of sludge. I/W% tau Undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards sot forth, h=in, as sec by tie Depacfineat of Commence and the Department of Natural Resources; State of Wisconsin. CcrdAcation stn ' m that oar has boeu raainta3aod. must be lettxl surd returned to the St. C Z Office vvethi>s 30 Y � camp County � ys du expiration te. 44 1 4 4 10/ OF P- LJCANT DATE +t7�iTN R C �RTIFICA Qri I (we) that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of above, by v tie o tarnty deed recorded in RRe&tcr of Deeds Office. il t CiNA F APP DA� TE s « « * «« Any • ormation that is errs- mprcacatedmay milt is the sanitary permit being revoked by the Zoniag Departmeut.' «« Include with this application: a stamped warranty deed from, the Register of Deeds office a copy of tht certified survey map if reference is made in the warninty deed � x.R•s.F 5 1 DOCUMENT NO i WARRANTY DEED '�' c Nrl.uvcu e. NVIeNL+Ni Ua +a r i STATE LIAR OF WISCONSIN FORK '1 -1962 428 • '71.2 .,. . - I a BOOK 814 457 e��I REGISTER'S OFFICE SHERRILL E. GRUNSTEN, a married person, Grantor ST. CROIX CO., WI Recd for Record .JUN z 3 1988 {i conveys and +:•rrar.ts to . Th RUDD,_ a single person, of 10:15 A.��M�� ' Grantee. %WSW of Dads St. Croix -- - - -- -- -- - - - - - - -- the following described real estate in State of Wisconsin: Tax Parcel No: .............................. i e l Part of Government Lot -3, Section 1, Township 29 North, Range 20 West, Town of St. Joseph, St. Croix County, Wisconsin, described as follows: Commencing at the center of said Section 1: thence West, along the North line of Government Lot 3, 48.0 feet: thence S_38 0 45'W, 1000 feet, to the POINT OF BEGINNING; thence continuing S'8 °45 "W, 702 feet to an iron pipe an the high waterline of Lake St. Crnix; thence continuing S38°45'W, to the waters edge of Lake St. Croix: thence Northerly, along the waters edge of Lake St. Croix, 75C► feet, more or less, to a point 760 feet South of the North line of Government Lot 3; thence East, parallel with Said North line , of Government Lot ?, 850 feet, more or less, to the POINT OF BEGINNING. TOGETHER WITH easements appurtenant thereto recorded in Vol. 527, page 504, as Doc. No. 328860, Vol. 527, rlage 505, as Doc. No. x•28861, and Vol. 527, page 507, as Doc. No. 3 TOGETHER WITH AND SUBJECT TO easements, reservations, restriction and right -of-ways i of record, if any. I E,. rey ;E•�R it is v. 0 e This hornnarad pronort_ a F :xerpti: t.. warranties: ! n,1tt•d this 21st day June 19 88 (SF:ALp 0 A f � w q / (SEAI.I ye SHERRILL E. G UNSTEN r�F.: \[.i (SF:A1.1 j AUTHENTICATION ACKNOWLEDGMENT Sign& (! Sherril E. Grunsten STATE OF WISCONSIN 3 •-- - - -• -• -• -• - -- . • ...... .................... St_ . Croix i I+ r - - - - . ... ...... ......_County. + a a cal t' a of - -- - - -- l9 -.... Pevzonally came before me this ..... . dav of x K ......................... 19-- ------ the above named !+ •- ----------- - .... .. ..... .. _... - . ... ....... . •....K ............ .... .... . TITLE: }IE:KRFR STATE PAR OF W IS( SIN s.. -<; (if not. - -- --•------ ........... - ....... - ------ - - - p ' authoriTed by a 706.06, Wia, Siabt.) to me knma'n to he the e•r�on _ wh.� c•secutcd the i rore•troin, instninwnt and acknowlelltre the snlne. T-1.5 INSTRUMENT WAS DRAFTED AY Attorney Robert W. Mudge - ,. - . <. GILB ERT, MUDG>u, -- PO11I'EK LUNDEEN - 1 LID -- Second- .Street,_.Hudson,_WI..S4016_... Public _ ('.,ar.t % Wig. (Siirnatures may be authenticated or arknowled•*Prl. Roth �I`.' (' "m ,i =inn i.; nerr.ln•.rnt. l [r not, t +te r• ;n r ltirn. w are not nere.gnrv.) d ttr 1 1 .1 •:fan!M of per.nns a'Rr ink in ary canec;ty shwa ho t•:p 4 .....! +. '. :h - .. 'WARRAWTT DEED STAFF. BAR ()F WFAC N'z_N W .. I'.c... ! DOCUMENT NO -- I � STATE BAR OF WISCONSIN FORM 3 -1983! *1418 GO-ACC ttcsasvau FOR eccoeoINa DATA Cu1T CLAIM DEED !, a 451'71.11 vs _ rig f 09 REGION'S OPPIC �I .....T Ruaa .............. ! 5T. CRQIY Co•, WI Rae'd far %"Fd !� . ...................------...-----................................................ ........-- •-- .................. APR 0 2 19 M quit- elatms to ._ Paxx.ilr.i�a..Furl.ang ..undivida,3 o.ne n..... �t f half ... i,ruores_t. as ... tenant . is zommon --- with .............. ...... Thomas..R.udd ........ .._ ................................... ............................... ............................ ....................................................... I IboiM9rai I the following described real estate in ......S.t.... Croix . .................. _ County. – -- - - - -- — State of Wisconsin: IIsAT TO �- {j Part of Government Lot 3, Section 1 Townshi ! 29 North, Mange 20 West, Town of St. Joseph, St. Croix County, Wisconsin, described as follows: Commencing at the center of said Tax Parcel No: ........................ ' Section 1; theme West, along the North li e of Government Lot 3, 48.0 feet; thence S38 45'W, 1000 feet, to the POINT � "'. OF BEGINNING; thence continuing S38 45'W, 702 feet to an ir8n pipe on ' the high waterline of Lake St. Croix; thence continuing S38 45 W, to !' the waters edge of Lake St. Croix; thence Northerly, along the waters edge of Lake St. Croix, 750 feet, more or less, to a point 780 feet South" of the North line of Government Lot 3; thence East, parallel with said North line Gf Government Lot 3, 850 feet, more or less, to the POINT OF BEGINNING. TOGETHER WITH easements appurtenant thereto recorded in Vol. 527, page 504, as Doc. No. 328860 Vol. 527, page 505, as Doc. No. 328861, and Vol. 527, page 507, as Doc. No. 328862. TOGETHER WITH AND SUBJECT TO easements, reservations, restriction and right -of -ways of record, if any. i EXEC This _ .... ....is......_.__.. homestead property. (is) (is not) Dated this .. - - -- - --26.th ............... ... --.. day of... ....:March------ - - - -- -- ................ .............. . ..... (SEAL) .. ........ (SEAL) .......... - - - -... - - - - - -- - - - -- -- - - -- -- ------ • -- Tho - - - - - -. - - -- . -.... ..(SEAL) ... - -- -- - _ .... ...... ......... . . .. . .. .. ...... ..(SEAL • - -- -- ----- ...... - -- -- i AUTHENTICATION ACKNOWLEDGMENT Signature(s) ............................. ............. ................. STATE OF Wf9G'(?idSthF MINNE OTA as. -------------•----•-•------......-•----........---- ...- •-- •------- ••............ Dakota..... county. authenticated this ........ day of ........................... 19...... Personally came before me this ... 26th ---- day of March..... - - -- 199Q - -- the above named --•------------•---------------------•---- •--- ••------ •---- •-- •--- ... - - -• •• - - -- Thomas Rudd . . . . .. ............... ..................................... - •- - - -• -- •--- •-- •--- •- •------- ••--- • - - - -- TITLE: MEMBER STATE BAR OF WISCONSIN ......................................... (I! not. ................. ......... .................. ..................................... •..................... -.................... authorized by 1 706.06, Wis. Stats.) to me known to be the person ------------ who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY .r _ -- ----- --------- -- ---- - - - - -- •: G._.L._. Gay_ lord. .�tL_arney...................... �1 Riv.er...Fa.11s.,.. WI_ - - - -5_ .40.22 ........................ Notary Public.. . o nty,'Mr MN if (Signatures may be authenticated or acknowledged. Both KF Com expiration .) MICHELE I. RUSSELL are not necessary date: - I9.........) NOTaAYPUBtIC= MIlY11ESOtA ° I DAKOTA COUNTY •NAmes of persons visiting in any capacity should be typed or printed below then DiljnatJ M y Cowaiww bps I* 21L 1991 STATE BAR Of WISVONstr- - - -- 4rtcmner FORw No. z 1982 took No. 13003 Parcel #: 030- 2020 -95 -000 02/17/2005 07:48 AM PAGE 1 OF 1 Alt. Parcel #: 1.29.20.427A 030 - TOWN OF SAINT JOSEPH Current X! ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " = Current Owner * THOMAS, &PATRICIA FURLONG RUDD RUDD, THOMAS, &PATRICIA FURLONG 220 CEDAR DR W HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist #1 Description ' 220 CEDAR DR W SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 6.520 Plat: NIA -NOT AVAILABLE SEC 1 T29N R20W PT OF GL 3 DESC AS Block/Condo Bldg: FOLLOWS; COM AT THE CENTER OF SD SEC 1; TH W ALG N LN OF GL 3 48.0 FT; TH S 38 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) DEG W 1000 FT -POB; TH CONT S 38 DEG W 01- 29N -20W 702 FT TO AN IRON PIPE ON THE HIGH WATER- LINE -LAKE ST CROIX; TH CONT S 38 more Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 866/609 07/23/1997 814/457 07/23/1997 733/432 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 5883 1,962,700 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.520 952,000 978,900 1,930,900 NO Totals for 2004: General Property 6.520 952,000 978,900 1,930,900 Woodland 0.000 0 0 Totals for 2003: General Property 6.520 560,000 387,500 947,500 Woodland 0.000 0 0 Lottery Credit: Claim Count 0 Certification Date: Batch #: 310 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i