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HomeMy WebLinkAbout032-2110-50-000 , v =;in Department lames Di fount Commerce and Bui ldi n gs PRIVATE SEWAGE SYSTEM y: REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 363861 Permit Holder's Name: ❑ City ❑ Village [3 Town of: State Plan ID No.: J ska Daniel I Somerset Township CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: U A/ 032 - 2110 -50 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic -3 Benchmark D Dosing Alt. BM '0 tlA on Bldg. Sewer Mot S Ing 1 Ht Inlet 9 TANK SETBACK INFORMATION - TANKTO P/L WELL BLDG. Ventto ROAD n et Air Intake septic S� G () _'i" ( &' NA Dt Bottom Dosing c 7I S NA Header /Man. (� NA Dist. Pipe 16(_ 1461 Ing Bot. System a • / 3 ay. PUMP / SIPHON INFORMATION ,� ` Final Grade Manufacturer Demand St cover ,�, 3 P - Model Number 2,(ZGPM 1'� Z. c , 5 c' ,S 5 ti TDH Lift Z Friction System 2 TDH </ Ft Forcemain Length 7 LDia. Z �` Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Len th / N Of Tr nche PIT No. Of Pits Inside Dia. Liquid Depth DIMENSI -� r <L(S DIMEN SYSTEM TO P/L BLDG WELL LAKE /STREAM LEA nufacturer: SETBACK MBER INFORMATION Type O Model System: 7 q X160 OR UNIT DISTRIBUTION SYSTEM Header/ Manifold (/ /( Distribution Pipe(s) t / x Hole Size x Hole Spacing Vent To Air Intake Length Dia 2 Length - Dia. Spacing I rr �� SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Bed / Trench Edges Topsoil ❑Yes [] No ❑Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #l: / 2 1 Inspection dU Location: 1785 46th Street, Somerset, WI 54025 (NE 1/4 NE 1/4 5 T30N R19W) - 05.30.19.1033 Cedar Valley Estates -Lot 15 / l.) Alt BM Description = ~fe d6ov S `� 3,�i.o wP JI eJ 2.) Bldg sewer length - amount of cover = ii, 3.) contour= (� • p � r �� _ qj,�( q)e^ d t,ef a1j0,eAr 4 4c 0 KO��t �W St� twasa �o /•w Plan revision required . ❑ Yes 0 No Use other side for additional inform ion. (, �( SBD -6710 (R.3/97) Dat Inspector's Sigiature Cert. No. f w ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: z t x x t x a s 4 s t a t x 3 { a t v a k 3 k P i x Safety and Buildings Division ` V SCO/1S %I1 SANITARY PERMIT APPL P o B. Washington Avenue Department of Commerce In accord with Comm 83 05, W' . d�h. �.. f Madison, WI 53707 -7302 _ r • Attach complete plans (to the county copy only) for the syst p of (toss Cou n � than 8 112 x 11 inches in size. • See reverse side for instructions for completing this applic tEO t State49nitary Permit Nu r . l I Personal information you provide may be used for secondary purposes X ST (; ❑ if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. � FdRM AYJW _ CpUV FlGE S e an 1. D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL — D (s0 Property O ner Name Pc pert L I n Q e. ,q T 3 ©, N, R /T B�(or) W Property Owner's Mailing Address Lot Nu Block Number City St at Zip Code Phone Numb r Subdivision Name or CSM Nu ber 1,� w � e a Mu s s / > .'_ e i5' G' �,o%h lJ.o� /� ,5 11 . TYPE OF BUILDING: (check one) ❑ State Owned ❑ Cit I Nearest Road Public 1 or Family Dwelling - No. of bedrooms [ ] V i l l a g e OF 7, #n e ,re � T �i u 4- III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) �1r C C) C> 1 ❑ Apartment/Condo 03 07 0 • �� • �� 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. j4 New 2. Q Replacement 3. Q Replacement of 4_ Q Reconnection of 5_ Q Repair of an ...... Sysstem ____ ___System _ ______ ___ ___ Tank Only____________ - _ Exi sting System -------- Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 JA Mound 130 pecify Type 41 ❑ Holding Tank 12 ❑ Seepage Trenc 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit c 43 E] Vault Privy 14 C] System- I n- Fi �q , Z I A I' j4Am VI. ABSORPTIOWWSTEM INFORMATION: / /a�' 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Propose sq. ft.) (Gals/day /sq. ft.) (M n./inch) Elevation // 6� 7 J ;- Required Feet 1 O .'Feet Capacity VII. TANK in Ca gallo s Total # of Prefab. Site Fiber- plastic Exper INF M44TION New Existing Gallons Tanks Manufacturers Name Concrete stun Tanks Tanks Septic Tank or Holding Tank 10b c` s ❑ El ❑ ❑ 1:1 Lift Pump Tank hon Chamber b ❑ El 1:1 1:1 El 11 VIII. PONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Prints) Plumber's Sig ature (No Sta NFWMPRSW No.: Business Phone Number: s, v s ,d a�.� -2 .3 .�$ Plumber's Addr ss (St t, City, State, Zip Code): f� c;, a / v Z u C4 c)"S" ' s' IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamps) Surcharge Fee) Approved Q Owner Given Initial' �--- � Adverse Determination S X. CONDITIONS OF A t P PROVAL / REASONS FOP., DISAPPROV L: n►�et� .s s� � Ie,�- C& _ —Q4. s��•e� 1 �,� ��R . — ��.2D�r� � I�.o�.ee� -�, _3 FEZ - SBD -6398 (R. 4/99) DIST IBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary.permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in,ownership or plumhet requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation - 5. Onsite sewage systems must be properly maintained` The septic tank(s) must be pumped by a1icensed'pump6 r•vvhenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608- 266 -3151. - To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the systemist'o be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7- VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR- VIII- Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number.. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 112 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county', E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practice's can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 isconsin www.commerce.state.wi.us l i Tommy G. Thompson, Governor Department of Commerce Brenda J. Blanchard, Secretary April 25, 2000 CUST ID No.232 07 6 ATTN: POWTS INSPECTOR ZONING OFFICE MARTY S SWERKSTROM ST CROIX COUNTY SPIA PO BOX 114 1101 CARMICHAEL RD LUCK WI 54853 HUDSON WI 54016 A RE: CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES. 04/25/2002 Transaction ID No. 306601 Site ID No. 189720 SITE: Please refer to both identification numbers, Site ID: 189720, DANIEL JESKA L above, in all correspondence with the agency. ST CROIX County, Town of SOMERSET; 180TH AVE, SOMERSET 54025 NE114, NEIA, S5, T30N, R19W FOR: MOUND SYSTEM, 450 GPD Object Type: POWT System Regulated Object ID No.: 656868 T 1 �iD,Y �t P , xt� The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes Cho n d 'on r and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. AP C The following conditions shall be met during construction or installation and prior to occupancy or use: 1. This plan action is subject to designer comments on the pla3r. 2. The orientation of the mounds stem must be such that the mound's longest dimension is perpendic Y pRRES to the direction of maximum slope. SEE G 3. Vehicular traffic is prohibited in the area 25' beyond the down slope edge of the mound. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. i Sincerely, f DATE RECEIVED 03/31/2000 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 _ �_-�RICIA L SHANDORF , P TS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (715) 634 -7810, FAX: (715) 634-5150, M -F 7:45 AM 4:30 PM PSHANDORF @COMMERCE.STATE.WI.US WSMART code: 7633 cc: DANIEL JESKA �l• v 1 e N o w w . r el % Y 4 0 w N S `1 i' - �V' - L C o ri &�j 3 G J 'u C� !;4 P NCB i = SPONDENCF 7� joc��o� ks, 1 l: He da. 1 ,r A/U m UC zj y U kii C) �4- to �J 1 Y \.J • Page C2 Of y Straw, Marsh Hay, Or Synthetic Covering j ;u �; ��/ Distribution Pipe /--- -? Medium Sand f o f ' Topsoil 99.E b % Slope 99. Bed Of 2 2 % Force Main Plowed Aggregate From Pump Layer D / l Cross Section Of A Mound System Using E —- `� A Bed For The Absorption Area F " gam G A F t. H l� S Signed: g _ License Number: I 13,, 5 - " - F t Date: J �,�Ft. K 161 O F t , Alternate Position L q 6, / of W ��65 Ft. Force Main �L J Observation Pipe ---,, �. - - - -- --------- - - - - -- ----- ----- ___-- - - - - -- rl Force Main W ° T F�om Pump i Distri lion Bed Of 2— 2 %2 Pipe Aggregate Observation Pipe Permanent Markers I Plan View Of Mound Using A Bed For The Absorption Area ,I Page Of Distribution Pipe Detail For A Four Lateral Network Alternate Position Of End Cap / Force Main , P PVC Force Main PVC Distribution Pipe P Holes Equally Spaced PVC Manifold Pipe On Bottom t �X S {� X 2 * Last Hole Should Be Next To End Cap rY ` P Sip, s Ft. S 3 Ft. X . / Inches Y S/ Inches Signed: Hole Diameter Inch License Number: Lateral Diameter l �y inch(es) Date: / Manifold Diameter Inches A Force Main Diameter Inches # Holes Per Pipe Invert Elevation Of Laterals 106,71 Ft. COMBINATION SEPTIC TANK /PUMP CHAMBER 4" CI Vent Pipe with (No Scale) Approved Cap, +25' Approved Locking Manhole Cover From Buildings ,2 With Warning Label Attached - h Weatherproof Approved I— Warning Label Junction Box Vent Cap ~ —}� 12" Minimum Final Grade G�� Minimum 4" Minimum t ' I Maximum 41, C.I— Quick lg" Minimum Insp. Pipe Disconnect 1 1/4" Weep Hole 7 Baffles n r t i lfr p roved Joint r A /C. I • ''' pe r ,,tendi 3' Al arm ts' B I Approved Joint c>u1� Solid soil / On 6; w /C. I . Pipe rt �� ° ln� n & C c},S'a Extending 3' _ Off Onto Solid Soil CS' , D Conc. Block 3" of Beddinq Under Tank -./ Note: Pump and Alarm Are On Separate Circuits Number of Doses 3 Per Day Gallons Per Day /# o FDoses: ff0 Gallons Volume of Backflow: ....... + /,j; -llons Tank Manufacturer. �e -_� Total Dose Volume: ........ = �7/.3c �,al 1 ons lank Size - Septic /Pump :cvU��6 d y Gallons Alarm Manufacturer: tfec_ fs:,_ic_ ;oriel tlurnber: _ Capacities: Ada,( or 339. allons i --- - - - -�` J + Bi nc he s or 5 �a11 o n s Switch Type : ?yt w w r - - + C j)inches or , /7/.' t Gallons penc l hlanufactur er:_ + D ^inches or�ZGal1ons I.ode Number: hi Total ..... = or -61 ons 11inimum Discharge fTate:_� , /ol•- _ — Vertical Difference Between Pump Off and Distribution Pipe + /f � /Feet piiniimum Required Supply Pressure :.. .................... • . ,5 Feet f�Feet of Force Main x I Friction Factor /lOO Feet: + ::j. Ja F - eet �nch Diameter Force Main Total Dynamic Head: ... J1 Feet p a A i 1►/ ! b. �� Internal Tank Dimensions: Length�p 1 Width 53 "" ; Liquid Depth 3 ? Number Date — l __ 40 Shef40 Performance & Dimensional Data 30 H F4 F W W 20- Y. 10 0 10 20 30 40 50 60 70 GPM 3 -7/8" 6 -5/8" (168.27) (98.42) 5" (127) 1.All dimensions in inches. (Metric for international use). 2. Component dimensions may 3 -7/8" (98.42) vary ± 1/8 inch. t 3. Not for construction purpose unless certified. 3-7/8" DISCHARGE (98.42) 1-112 NP 4. Dimensions and weights are approximate. FLOAT SWITCH 5.We reserve the right to make revisions to our product and their specifications without notice. 113 � r HYDROMATIC (288.92) 10 -3/16 {258.76) G PENTAIR PUMP 3 -5/8" 2'L-(55t0,8) (92.07) 7 AI.M,f4tDN {w71r oa o a"nslev M oD tpl NQU=9 0 Mil 7M1 rl0 SM ftWN 4vu of MNWAUWA aw °' Uf lD► 1 tni 191Ct@t M,5►,t1.lON 3 Q1 Pft 40 i t t !t N y 1 t t t t �-- .,. Q .woN 8 8 t Lb J .. r U l a ${ N r� ' s � n � ,8►'890 3.,IS,8G ,�� g tLZ `�.� j\O. � i �► ��� A r >msainin uepa►unent of inousay, SOIL AND SITE EVALUATION REPORT page 1 of - �._ L,sbor atxl Human Relations Division of safety a Buildings in accord with ILHR 83.05, Wis. Adm. Code CO UNTY Attach complete site plan on paper not less than 8112 x I 1 inches in size. Plan must include, but S 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. 03 2-2017-10 APPLICANT INFORMATION- PLEASE PRINT ALL. INFORMATION IUD BY DATE -V ZM PROPERTY OWNER: PROPERTY LOCATION M ik e GOVT. LOT NE 1/4 NE 1/4,S 5 T 30 N,R 19 31 (a) W PROPE BLOCK # S RTY OWNER'.8 MAILING ADDRESS UBD. NAME OR CSM # 2040 Oriole Ave. N. Cedar Valley Esta s CITY, STATE _ 21P CODE PHONE NUMBER rTY OVILLAGE @rOWN NEAREST ROAD Stillwater, M. 55082 (612) 436 -6172 Somerset �] New Construction Use (. Residential / Number of bedrooms (] Addition tD existing bu ilding j ] Replacement (] Public or Comme rcial describe Code derived daily flaw 450 gpd Recommended design loading rate _.4 bed, gpd/ t gpd/4 Absorption area required X75 bed, ft 375 trench, ft Maximum design bath r� bed, /4 bench, � 9 n9 _ _4__ 9Pd 2 .5 gPd* Recommended Infiltration surface elevation(s) 99.95 ft (as referred to site plan benchmark) Additional design/ site considerations system el. based on contour line of el . 28,95 Parent material pitted glacial drift Flood plain elevation, if appkable na ft S - Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSUAE AT -GRADE S`fSTEhA IN FILL HOLDING TANK U = Unsuitable for tem O S ®U 5 ❑ U ❑ S ®U O S E2 U O S Cad! ❑ S ® u SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mom Texture Structure Consistence Ebjndmy Roots GPD /ft g in. Munseli u. Sz. Cont. Color Gr. z. h. Q S S Bed lTmnch 1 1 0 -10 10 r4 3 none si 2msbk mfr 2f .5 .6 2 10 -27 7. r4 4 c ^� 5 2msbk mfr ClW if .4 .5 Ground 3 27 -55 5y"/4 - 8 lcsbk mfr na na .2 .3 v O ete . i Depth to limiting - factor 27 " Remarks: Boring # .t.. £ - 1 10 r4 4 0 s 2 mfr 2f .5 .6 c fr 2 2 11 -27 7.5 r4 4 none s1 2msbk mfr gy if .5 .6 Ground 3 27 -55 5 r4/4� wet G 43" scl m na _ na elev. . � JL 9 ft. ECI IvEO Do to limiting factor 27 11 - 27 IX COL NW Remarks: �- CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 y Address: 1554 200th. e. New is nd WI 54017 Signature: C Date: 5 -28 -97 CST Number: m02298 PROPERTY OWNER Mike Tjjj3db SOIL DESCRIPTION REPORT page _,Z__of PARCEL I.D. 0 Depth Dominant Color Mottles Structure GPDlfi Boring # Horizon in. Munseil f3u. Sz. Cont Color Texture Gr. Sz. Sh. Catsisience Y Roots T Bed " .� 1 3 2 1 -33 10yr4 /4 none s1 2mgr mvfr 9w if .5 .6 Ground 3 3 -50 5 4 Depth etev. to inviting factor 3 " Remarks: Boring # — Ground elev. it Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. Depth to tt. inviting factor STEEL'S SOIL SERVICE Gary L. Steel mike Lundberg 1554 200th Ave. CSTM2298 NEk NEk S5 T30N -Rl9W New Richmond, W 54017 MPRSW 3254 town of Somerset (715) 245 -8200 lot4 Cedar Valley Estates r ti ✓1lv= 40 � .- top of NE lot stake 0 1. 100 t. BM.= top of mid lot suvey stake 0 el. 100.00' to �{ so &0 � Lot d v co �i o.p -A oC , Gary L. Steel 5 -28 -97 ��� Sent,by:FINE ART RENDERINGS May -0300 02:40PM from 6517780819 ->715 386 4 Pa li 1 Tiede i ved May -02 -00 02.: 14r f 715 386 4686 -, FINE AR1' RENDERINGS page 1 05 /02/00 TUR :14:24 FAX 16 386 4686 ST CRX CO ZONING 0001 T CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNER91 -IP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address ( / (Verification required Prom Planning Deparanvat for new construction) City /State F�?�St,.1' � - � Parcel Idenitification Number j)ESCR2TI 0 N Property Location '��, V4, See. , T K-R.) - —W, T of :;592! Subdivision Q—. f1 Lot Certified Surrey Map # f k —?� � . Voiumo Warranty Deed # , Volwnt • Pago # Spat house 0 yes 91 Let litres identifiable yes a no improper use and mainteaAace of your septic system could result in it premature failure to handle wastes. PzopoY us4ir►tonaece eonaists of pumping out the septic tank every dwoa years or sooner, if needed by a licensed pumper, What you put into tk system can affect the fuactioo of the septic tame as a treatment stage in the waste dispoul system. Tho property owner agrees to submit to St. Creix Z,oub* Depattmertt a cartiftoatiott form., Biased by the owner and by a a "if,1plutnber, journeyawn plumber, restricted plumber ors licensed pumper v eril'ylag that (1) the oo•aite wastewater disposal system Is in proper operating coadition and/or (2) after inspection and pumping (if neeassary), tbe septic tank is lass titan 1/3 NIT of sludge. Uwe. the undersigned have road tht above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, ss set by the Depantment of Commerce sad the Doparmicat of Natural Resources, State of Wi$0040ia. Cerdticat'an stating that your septic systew ho boon mainrainod must be compiotod and returned to rite St, Croix Cuunty Zoning ofl-tco within 30 a of the three ear a tiott date. J ATtIpat a A PLICANC DATE OVym C- EHXTFICA,; IQN I (we) ce4tiry that all ststcmnts on this form are true to the best of my (out) ltttoWledge. I (we) 611r (ate) the owneO) of the propctty descri d above, by virtue of a warranty davtd rogorded in Registot of Deeds Office, SI A'T'T3R13 019A LICANT DATE *• * *'* Ally information that is mis•reprmanted arty result in the sanitary permit being revoked by We 7maing Dcpattmetlt. •• include with this appliragan: a stamped warmilty decd from the Register of 1?ceds oftine a copy of the cordfied suarvcy map if re#'ereace is zwdo in the wfttranty deed Y waL 1393 PA081. S�S09'9 Warranty Deed KATHLEEN H. REGISTER OF DEEDS DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD This Deed, made between LUNDGO CORP., A MINNESOTA 01-05 -1494 10:45 fM CORPORATION, Grantor(s) NW" DEED and DANIEL J. JESKA AND KATE M. JESKA, HUSBAND CERT MPY Fff; AND WIFE, Granb*s), COPY FEE: TRANSFER FEE: 96.70 RECORDING FEE: 10.00 WITNESSETH, That the said Grantor(s), for a valuable PAGES: 1 consideration conveys to Grantees) the following described THIS SPACE RESERVED FOR RECORDING DATA real estate in ST CROIX County, State of Wisconsin: UAW AND RETURN ADDRESS LOT 15 CEDAR VALLEY ESTATES IN THE TOWN OF c�49 SOMERSET, ST. CROIX COUNTY, WISCONSIN /I 032 - 2110 -50 PARCEL IDENTIFICATION NUMBER This is not liomestead Together with all and singular the hereditamants and appurtenances thereunto belonging; And above named grantors warrant that the title is good, indefeasible in fee simple and free and clear of encumbrances except any easements, restrictions and reservations of record, municipal and zoning ordinances, and will warrant and defend same. Dated: JANUARY 4, tW lv`J9 AL) AL)_ LUNDGO CORP., A M SOTA CORP BY MICHAEL LUNDBERG (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Sigu hae(s) authenticated: State orwkconsln, ) ) SS. ST CROIX county. ) TITLE: MEMBER STATE BAR OF WISCONSIN CORP., cam before = on , the above tuned I.UNDGO CORP., A MINNESOTA CORPORATION to be known to be t In )s) wbo exawted the fore oiog in bumaR and acknowledged THIS INSTRUMENT WAS DRAFTED BY: (type or Pte) KRISTINA OGLAND, ATTORNEY N Public, ST P... County, ,soomin. in ccaunisnioo parttanent. (Tftut, stato oxpitation data: HUDSON, WI 54016 `✓ iJU e (990,9) KVAL. NO wa_owo. cwwwa OR Aw O T#M 527.71' 6 �; a t`� °�� li"MMM M wmw Harr`. AFKA �o w 527.71' t + eq lot sin "e a !. t• N w'�i ad Wt W iaWUtin mu thud my UM S ub. a a vAd � ploy a 811M sub by enne is a Husain of Neon 2 of fiKasi, stair". Kiliq fmwu a bulb nt feet: an foe as in a piuio wan W private twu ailitia W" tle ti¢t to servo do cm 20 3.12 ACRES N t 1T 'f 136,789 SQ — • = S .M. 0 bi 6 LOT I ; V S81`39'04 "E k ���' 193.Oi� i�t 4 e �-•� 11CSt"L � � / 7• $Tf3'1�11 W i 16 ' 3.00 ACgEi � w� (30.72194 n ►,82 " E • ep a SW 24 " W 174.44 17 A7111 LET L. 5, I � tt PLAT _ LOCATION l 1 en 1 --- --,— RE 4STBR'S OFF= ST. CROIX Ca, WI!% N . �' R»o atalt.wam.. a 19 — � - E 5 l�Yt AM RwmW in 4 V011>� d ~ two &Akv, • a _ _ SECTION 5. T30N, R 19W: SHEET .... .rr