HomeMy WebLinkAbout032-2156-70-000 t
County: St. Croix
Wisconsin [)epanm.ent of Commerce PRIVATE SEWAGE SYSTEM
Safety and Building Division
INSPECTION REPORT sanitary Permit No
506247
GENERAL INFORMATION (ATTACH TO PERMIT) state Plan to No I
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. f
Permit Holder's Name: City Village X Township Parcel Tax No:
Eral, John Somerset, Town of 032 - 2156 -70 -000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No:
12.30.19.1349
TANK INFORMATION ELEVATION DATA
TYPE I MANUFACTURER CAPACITY STATION BS HI FS ELEV.
i
i
Septic Z �Zav Benchmar4�j Z 5 I
Alt. BM 19 t
Aeration Bldg. Sewer r
3.5 ;95 cr
!
Holding
St/Ht Inlet
57 . 7 5'3 `4
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO I �P /L , WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic l � - A C 76 -7 90 i Dt Bottom
Dosing Header /Man.
TS ',
T
Aeration ✓+ Dist. Pipe - (P Cpl 4
- 7 5 I
Holding - Bot. System 7.
�(• 'f
Ll
8 9'O • S .
Final Grade
z
��•�
PUMP /SIPHON INFORMATION S
Manufacturer Demand St Coverer� ` L
GPM t^ U f • b✓ �7' �5
ModeLAtCamber
i
DH (Friction Loss ;System TDH Ft
4
Forcem t. to Well ! i
{ i
SOIL ABSORPTION SYSTEM
BED /TRENCH Width / Length < No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS J Z_
SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer:
CHAMBER OR
INFORMATION
Typ Of System: / UNIT Model Number ,
DISTRIBUTION SYSTEM pc Z }" Z y� a
Header /Manifold $1
Distribution x Hole Size [Hole pacing V to A' Inta r ..,
Pipes)
r
Length Dia Length Dia Spaciny } j
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over jDepth Over xx Depth of xx Seeded /Sodded ; Xx IVIU,chec
Bed Trench Center �j . (Bed /Trench Edges i Fopsoii rr,y No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:/ / r pection 4_
Location: 883 167th Avenue New Richmond, WI 54017 (SE 1/4 NE 1/4 12 T30N R19W) The Highlands Lot 7 Parcel No: 12.30. 19.1349
1.) Alt BM Description =
Co. G
2.) Bldg sewer length = 9 4 f "A
- amount of cover = ( M n ove d /v1d 40- 1, k, L 7
Plan revision Required? Yes XNo Use other side for additional information. T _�`_ —_
Date risepcto SlgnatUr No
SBD -6710 (R.3/97)
commerce.wl.gov Safety and Buildings Division County
201 W. Washington Ave., P.O. Box 7162 )
C j'� Y! Madison, WI 53707-7162 Sanitary Permit er (to a filled in by Co.)
iepart of Comt»e ��C
tiog Number
Sanitary Permit Application State Transac �
In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental
Unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Addre (if different than mailing address) _ )
Personal information you provide may y(iV
the Department of Commerce. P Y be used for secondary
submitted to Y
P
p urposes in accordance with the Privacy Law, s. 15.04(1 )(m), St a� ,,Q F - 1 FF - Please Print All Informs 'on
�j �N�/
I. Application I nformation
Pro erty Owner's Name ,
Parcel #
P _
2007
, /a
Property Owner's Mailing Address Property Location 3 `t /
/ l /
/0 G, ti { Govt. Lot
City, State Zip 19oci Phone Nu v /., Section
rcle on
ICJ I v 7 v _ N; R/ E W
11. Type of Building (check all that apply) Lot #
7�
Subdivision Name
r 2 Family Dwelling — Number of Bedrooms
I3 e'
y. Block #
El ubl' /Commercial - Describ e Use ❑ City of
CSM Number C1 Village of
C1 State Owned - Describe Use
Town o
Ill. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A. ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) 'J � B. ❑Permit Renewal 11 Permit
Revision ❑Change of Plumber ❑Permit Transfer to New
List Previous Permit Number and Date Issued
Before Expiration Owner
IV. T e of POWTS S stem /Com onenUDevice: Check all that apply) T .
Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mo n > 24 in. o suitable soil ❑ Mound < 24 in. of �soi
x
ment Device
El Holding Tank 11 Other Dispersal Component (e xplain ) ) explain)
V. Dis ersaliTreatment Area Information:
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (st) Dispersal Area Proposed (st) Syst evatio
�-. S
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units 2 ° z
n ti
m V V= N — y
New Tanks Existing Tanks 0.0 rn y iz 0.
Septic or Holding Tank s' =TL_�
Dosing Chamber !Q
VII. Responsibility Statement- 1, the undersigned, assn ponsibility for installation of the POWTS shown on the attached plans.
Plumber' Name (Print) Plumbe ' ature MP /MPRS Number Businesss Phone Number
Plumber's Address (Street, City, State, Zip Code)
VI11. unt /De artment Use Onl
Permit Fee Date Issued 1 ing Agent S' ature
Approved ❑ Disapproved S !�
❑ Owner Given Reason for Denial . i 2 1 - 7 l
IX. Conditions of Approval/Reasons for Disapproval t
SYSTEM OWNER:
1 Septic tank, effluent filter and
dispersal cell must all be serviced I maintained �U G� -�'��n ..S
d by P lumber.
ac c Yfl�♦rS4flif'I!" and submit to the County only on paper not less than 8 1/1 x t t inches in size
2. All setback requiremel ti � {g �
as per applicable code /ordinances.
SBD -6398 (R. 01/07) Valid thru 01/09
PLOT P
PROJECT John Eral ADD 1436 Trianale Drive Houlton Wi 54048
SE 1/4 NE 1 /4S 12 /T 30 N/R 1 W TOWN Somerset COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 6/26/07 BEDROOM 4
CONVENTIONAL XXX IN- GROUND PRES CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 g Ions LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44
IL BENCHMARK V.R.P. Top of 3/4" pipe
ASSUME ELEVATION
100 ,
Filter BE
ST Filter
❑ BOREHOLE O WELL *H. R. P. Same as Benchmark
SYSTEM ELEVATION 94.0/93.4 4.5' below qrade
40' 60' 35' Pro Town Road
8%
Slope 0'
B -2
5'
B. 2 -3' X 90' Cells with >3' Spacing
20' B -3 Well is to meet all
B -1 setbacks required by
30' 0' Plans Designed Using WDNR
Conventional Powts
Manual Version 2.0
B.M. #1
S
3 '
Pro 4
Bedroom
House
Vent
>6" Quick4 Standard -W
of Cover Leaching Chamber
with 20.0 ft2 of Area
5.8ft ^2 /pair of end caps
4' Long 12"
34" Grade at System Elevation
PLOT P
PROJECT John Eral ADD 1436 Trianale Drive Houlton Wi 54048
SE 1/4 NE 1 /4S 12 /T 30 N/R 1 W TOWN Somerset COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 6/26/07 BEDROOM 4
CONVENTIONAL XXX IN- GROUND PRES CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 g Ions LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44
BENCHMARK V.R.P. Top of 3/4" pipe
ASSUME ELEVATION 100' Filter BEST Filter
❑ BOREHOLE 0 WELL H. R. P. Same as Benchmark
SYSTEM ELEVATION 94.0/93.4 4.5' below qrade
40' 60' 35' Pro Town Road
8%
Slope 0'
B -2
5'
B.M. #2 2 -3' X 90' Cells with >3' Spacing
20' B -3 Well is to meet all
B -1 setbacks required by
30' 0' Plans Designed Using WDNR
Conventional Powts
IL Manual Version 2.0
B.M. #1
S
30'
Pro 4
Bedroom
House
Vent
>6 „ Quick4 Standard -W
of Cover Leaching Chamber
with 20.0 ft2 of Area
5.8ft ^2 /pair of end caps
4' Long 12"
34" Grade at System Elevation
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
i
Owner/Buyer JD4,j e �qti
I
Mailing Address ( 436 T)&A - W bl t:' 80-10C tw L To
Property Address 13'63 1b 405 Vt7 4-Ctfm oX)r) W(
(Verification required from Planning & Zoning Departtnmt for new construction.)
City /State P& a-1 Q- m o#J 0 parcel Identification Number - 0 3 a ,a / — 76 — 0') D
LEGAL DESCRIPTION , 13 (49
Property Location SC '/4 , L' 1/4 , Sec. Z , T 3 D N R W, Town of ��p I/J-� r
Subdivision f'i'l��il ��iV/ / Lot # 7
Certified Survey l%iap # Volume , Page #
Warranty Deed # Volume , Page #
Spec house yes L ot lines identifiable no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
i
Improper use and maintenance of yo 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 i as a treatment stage in the waste disposal system. Owner maintenance
responsibilities are specified in § §Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance_
The property owner agrees to submit tp St. Croix County Planning & Zoning Department a certification form, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site
wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is
less than 113 full of sludge.
I/we, the undersigned Dave read the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, heroin, as sot 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 Planning &
Zoning Department within 30 days of the three year expiration date.
Uwe cer ify that all statements on this f�otm are true to the best of my /our knowledge_ I/we am/are the owner(s) of the
property described above, by virtue of a warranlY deed recorded in Register of Deeds Office..
Number Zooms
G, e__ 1 6 1 2,4 1 67
IGNATURE OF APPLICANTS) DATE
** *Any information that is misrepresented mayl result in the sanitary permit being revoked by the Planning & Zoning Department * **
Include with this application a recorded warrant(§ deed from the Register of Deeds Office and a copy of dm certified survey map if
reference is made in the warranty deed.
(REV. 08105)
i
� d66:Z1 60 8L d.
Maintenance and Contingency Plan for a Septic System
Maintenance Plan
1. Septic Tank is to be pumped once every 3 years.
2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in
order to extend the maintenance interval of the filter.
3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of
the cells.
4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system.
5. The owner agrees to save this plan.
6. Do not plant trees nor park nor drive over system.
7. Watershed is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
Contingency Plan
ption #1� Ystem fails, determine cause of failure, use alternate area and install new
system in tested replacement area.
Option #2. Install system at a lower elevation, by removing chambers, removing biomat,
and install new system.
Option#3. No adequate area is suitable for replacement area, and system elevation
cannont be lowered. Install holding tank as last resort.
Replace an other failing co m p onents 3. Re y 9 as needed. p
p
Plumber: Shaun Bird 715- 246 -4516
St. Croix County Zoning 715 386 - 4680
Pumper Tom Mondor 715 - 246 -5148
Shaun Bird #226900
Wisc,rAin Department ofCommerce SOIL EVALUATION REPORT Page of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must V
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 information ewe by& Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner
R� Property Location
Govt. Lot 5 F 114A 1/4 S Z T 20 N R R E (or):ID
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
135 +x e . e
City State Zip Code Phone Number ❑ City ❑ Village [)q Town Nearest Road
f I.e.� I 1 454 b lo 1 ( 1 ) Somerse.4 i n(Y-' Av
f New Construction Use: Eig Residential / Number of bedrooms 3 Code derived design flow rate SU . O ' "' . GPD
❑ Replacement Public or commercial - Describe:
Parent material h Flood Plain elevation if applicable /v
General comments e` ' .� ,�^ ( ` :'�:A"vE;
and recommendations: �`-� rn � �f'V • ` -94,-w- (O w-er
3Tc,ro,_
❑ Boring # ❑ Boring
® Pit Ground surface elev. ft. Depth to limiting factor i' 1 in
,, ' SnU A pllba ion Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots -----------
"- - "" _.. GPD /ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
I� -� 3 1 O• 312 ---- S j l 2 t-r - �a_h c s � v�' • 5 .8
2 r3 -39 I 414 5+ Z rr, b. m Lf • 6
3 -II`7 IO rat /c, m5 bs m
Boring # ❑
Boring
0 Pit Ground surface elev. `lp • �D� ft. Depth to limiting factor in.
Soil Application 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 *Eff#2
1
b- ) Z 10 Si I Z'rn rn � c, s I v� • 5
Z
)Z-q/ Ib `t si Z -msbk, m�r C, s —
�
2.3 — S 7 ',
* Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /l- * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L
CST Name (Please Print) Sicnature CST Number
ZS 3
Address Date Evaluation Conducted Telephone Number
2113 '96 5f. S NYW3 4, LAJi 546Z5' 16-30-01 C Zq7 -qWY
SBD -8330 (R07 /00)
Property Owner - 60 4 Parcel ID # Page 2- of �L
F 3 - 1 Boring # F1 Boring
® n Pit Ground surface elev. '7 8.6° ft. Depth to limiting factor 118 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
6 ly 10 yr,312 y Zmabk 5 I v�
Z 1 1p `114 s 2 m5lak n4r
qq, 6y
Boring
F-1 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 /ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2
❑ Boring # ❑ Boring
El 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 /ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2
* Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 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 (R.07 /00)
j
Property Owner — 3L 6 _ 0 4 Parcel I D# Page 2- of _ 3
Boring # ❑ Boring n
L=J ® pit Ground surface elev. '7 ft. Depth to limiting factor I 1 8 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
6- I"4 10 r3 2 2tnabk c5 f v�
Z ly -BI 10 q 141 Sit. 2rn56 myp cS - 1 4
F-1 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 /ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
❑ Boring # ❑ Boring
El Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth I Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
Effluent #1 - BOD 30 22 m / >
s _ 0 mg /L and TSS 30 < 150 mg /L Effluent #2 - BOD < 30 mg /L and TSS < 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 (R.07/00)
PAGE_3_OF T J
. ME S� o LOT# Z LEGAL DESCRIPTION S F X IriE/ S / Z T 30 .N.R. E(or�
SCALE: I"= yo
BM I ELEVATION [Q • Q
BM I DESCRIPTIO 3 j, � vL '�e fi
BM 2 ELEVATION Q ( . 9 D
BM 2 DESCRIPTION�3i
SYSTEM ELEVATION 9y. Sb � G r' q 3.
ALTERNATE ELEVATION 9Z. 56
CONTOUR ELEVATION 9L.6 - 0
o il
A
SIGNATURE DATE
i
• PAGE_:�_OF 3
NAME AriF j�(j y �-- LOT# 7 LEGAL DESCRIPTION 5 6 Y .Vf: 4 ,S / Z T 30 ,N,R, �� ElorX�
SCALE: 1 "=
BM 1 ELEVATION (UO • Q
'X fi
BM 1 DESCRIPTION p o _
BM 2 ELEVATION (o•(9D
BM 2 DESCRIPTION p o � 3i�
SYSTEM ELEVATION 9q. Sb e r q 3. 676
ALTERNATE ELEVATION QZ. SG
CONTOUR ELEVATION SU
6 ,Z Q .sro
c , C6
��
SIGNATURE —� DATE
Jun,26- 2007 2 1OPM No 5781 P - 2/7
ST. CROIX COUNTY
SEPTICITANK MARO ENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
i
Ml ailing Address 1 436 I +'WbK! 6 A -JL MW L, tom, w
Property Address 13'6 116-7 tH rt/t'ytJ � 2�1'rn opt)
(Verification required from PILuning & Zoning Department for now construction.)
City/State
I Parcel Identification Number
Z.EGAL DESCRIPTION �
PropeM Location S,` Y. , /V iG V4 , SeO. �, T .�O N R jW, "1 own of $
Subdivision i` /Ct ��bGl Lot # D
Cerd ied Survey Map # i Volume Pago #
Warranty Deed it Volume page #
Spec house yes ;a, Lot lines identifiable no
SYSTEM RMOMNANCE AND OWNER CERTIFICATION
i
Improper use and maintenance of yo septic system could result in its prematum failure to hurdle wastes. Proper
maintenance consists of pumpin out the Sep ti tank every three years or sooner, if weded, by a licensed pumper. What you par into
the system am affect the function of the septic : as a treatment stage in the waste disposal system Owner maintenance
responsib2ines are specified in §Comet. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit t St. Crone County planning dt Zoning Department a certification fora,, signed by the
owner and by a master phunber, purneyttman pl�nbar, redrk4od plumber or a licensed pamper vedfying that (1) the on site
Wastewater disposal system is in proper operariag condition and/or (2) after inspection and pumping (if neoessarA the septic tank is
less dtan V3 fitll of sludge.
Vwl% the undaeoigoad /rave read the above requirarmants and agree to maintain the private, sewage disposal system with the
standards set fords herein, as sot by the Depnrtrirerst of Commerce and the Department of Natural Resources, Statc of Wiscons=
Certifieatiom stating that your septic system haslbeen mainuined mist be completed and returned to the St Croix County Planning &
Zomimg Department within 30 flays of the three year expiration► date.
1/we certify that all surkment�s an this ` foam are true to tho best of my /our knowledge_ Lwe am/are the owner(s) of the
pwpumty described above, by virtue of a warrsnty deed recorded in Registers of Deeds Office. .
Nullnb T oo1n ks
G• � � ! /D
IGNATURE OF APPLICANTS) DATE
** *Any information that is misrepreseenmd maAresult in the sanitary permit being revoked by the Fl niag & Z.onigg Depttt:tm=L s•"
Include withthis application a recorded warraor deed from the I egister of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. DO/05)
�'d d61 =Z6 6Q Bl d'
L i I IlIII!IIIII 11111 11111 11111 lllii 1111 111111 1111 illl
*
State Bar of Wisconsin Form 8 5 4 6 5 0 1 1 -2003 C �� G 0y
WARRANTY DEED J J V
KATHLEEN H. WALSH
Document Number Document Name REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
06/28/2007 03:40PH
THIS DEED, made between Steve Spaulding and Susan Johnson, husband and wife WARRANTY DEED
EXEMPT N
( "Grantor," whether one or more), REC FEE: 11.00
and John Eral TRANS FEE: 222.00
( "Grantee," whether one or more). PAGES: 1
Grantor, for a valuable consideration, conveys to Grantee the following described real Recording Area
estate, together with the rents, profits, fixtures and other appurtenant interests, in St. _
Croix County, State of Wisconsin ("Property ") (if more space is needed, please attach
addendum): LAND TITLE, INC.
Lot 7, The Highlands, Town of Somerset, St. Croix County, Wisconsin 1900 SILVER LAKE RD., STE. 200
NEW BRIGHTON, MN 55112 -1789
W3 17
032 -2156- 70-000
Parcel Identification Number (PM)
This is not homestead property.
(is) (is not)
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free
and clear of encumbrances except: easements, restrictions and reservations, if any, of record.
Dated
(SEAL {SEAL)
" teve Spauldin "Susan Johnson a -( a. lam 5✓ �� l ,L4
(SEAL) (SEAL)
* *
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) Steve Spaulding and Susan Johnson,
husband and wife STATE OF )
authenticated on ) ss.
COUNTY )
* Kristina Ogland Personally came before me on ,
TITLE: MEMBER STATE BAR OF WISCONSIN the above -named
(If not, to me known to be the person(s) who executed the foregoing
authorized by Wis. Stat. § 706.06) instrument and acknowledged the same.
THIS INSTRUMENT DRAFTED BY:
Kristina Oaland, Estreen & Ogland Notary Public, State of
304 Locust Street, Hudson, WI 54016 My Commission (is permanent) (expires: )
(Signatures may be authenticated or acknowledged. Both are not necessary.)
NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
WARRANTY DEED ® 2003 STATE BAR OF WISCONSIN FORM NO. 1-2003
• Type name below signatures. INFO -PR0 Legal Forms 800. 655-2021 www.infoproforms.com
1 of 1
_. ► - -- - ��_ _ -2
1 17
cP 11 11
— — — — � 10- 3.366 ACRES
146,610 SO FT
N83 °3119 21.95'
"W 1 55.34' /
S8321'19"E 155.34' S 0
H.W.L. = 931.0
MIN. FFE = 923.5
o f N85 °37'58 "E
6 .j�
3.000 ACRES
130,686 SO FT ;
o
\\
3.244
3.004 ACRES i ,�' \`� HAL.939.0 \: 141,31
130,855 SO FT in 3.005 ACRES \ MIN.`EFE = 941.0 - - -- --
130,891 SO FT
U Y \\ \`
3 " \
\ / c -
cj
N \
/ i N
/ 1
MIN. FFE = 945.2
H.W.L. = 943.2
., 242.34' 242.32' _1 242 L17 268.
N89 0 38'37 "E 1320.23 SOUTH LINE OF THE N'
U @_O_WB MV r�i [ [ � THE SE1 /4 OF THE NE1
O.H.W.M. ORDINARY HIGH WATER MARK
ESTABLISHED BY ST. CROIX COUNTY
ZONING OFFICE ON 10/30/01.
PIPE � J
�J STORM WATER RETENTION AREA
.ONG IRON `\ �'
\R FOOT
— — — 30' UTILITY EASEMENT
NTED EXISTING FENCE W�sCO
2
ONG IRON
i FOOT PROPOSED DRIVE DO LAS J SZ
ZAH�.ER
H.W.L. HIGH WATER LINE ELEVATION 8
W llfw
e �
L LOT G
. ' c .� -.. fit• ® , -, ��'� f��`a
IML
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