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HomeMy WebLinkAbout032-2151-90-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division z INSPECTION REPORT Sanitary Permit No: 463486 0 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: Santer, John I Somerset, Town of 032 - 2151 -90 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 160 N , C 13.30.19.1322 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 15 4C1— Benchmark 3, 'Q3 / C�-�� 2 1ZCab I Alt. B a l 2.4 Aeration Bldg. Sewer �s Holding St/Ht Inlet �� 5'7 x.31 TANK SETBACK INFORMATION St/Ht Outlet �f ( - cf5• Z 3 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ` 7 A+ A jo / (0 /b4 �t/ _ Dt Bottom .` Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System la, i5 C 13. 7 31 o Ik PUMP /SIPHON INFORMATION Final Grade cp 7 �� ( I Manufacturer Dem and St Cover. Model Nu er TDH Lift Friction Loss Syste d TDHE JFFt Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM BED /TRENCH Width Lengt ! N PIT DIMENSIONS No. Of Pits Inside Dia. Liquid De DIMENSIONS 'Ij Z 11 Q '— SETBACK SYSTEM TO I P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: ` r INFORMATION Type Of System: � 1 1 ,1 1 CHAMBER OR I Ca�� 1 / V � AA— Model Number J`cic— DISTRIBUTION SYSTEM Z3 &.0v, L`( O Header /Manifold i/ Distribution x Hole Size x Hole Spacing Vent to All t Pipe(s) r Length_ 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 /S de xx Mulched Bed /Trench Center �G Bed/Trench Edges \ Topsoil ` Yes No �es No � J COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: Location: 1578 86th Street Somerset, WI 54025 (NW 1/4 NE 1/4 13 T30N R19W)) Nathan H / ills Lot 17 Parcel No: 13.30.19.1322 1.) Alt BM Description I 2.) Bldg sewer length = 1 3 - amount of cover revis Plan Re o 1 — -- Use others de for add - additional information. Date Insepctor's i ature Cart. No. SBD -6710 (R.3/97) Safety and Buildings Division County ` m 201 W. Washington Av S consin Madison, 53 ' San ry Permit Number (to be filled in by Co.) Department of Commerce (608 266 -3i3t' 3 Sanitary Permit Applicati n MAY '° , f�� Stat Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal informati you rovide maybe used for secondary purposes Privacy Law, s15.04( xm) S7 CHOIR. G()w °\ Proje Address (if different than mailing address) ING OFFICE I. Application Information - Please Print All Information /�� Property Owner's Name Parcel # Lot # Block # '� 6. _ 032 z� I - z/ � - o /3 - Property Owner's Address Property Location '/ <,'/,, Section �/,3 City, State Zip Code Phone Number ' _ J_ TN; R , ,(ci roe) II Type of Buil ing (check all that apply) 1 or 2 Family Dwelling - Number of Bedrooms Subdi ision Name C3SM- Number ❑ Public/Commercial - Describe Use SJb«�: a o os ❑ State Owned - DescribeUse Z p\ ❑City ❑Villageowp ship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A New R epl acement stem System ep y ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System y ❑ R S yste m 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 a ppW on - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter 0 Leaching Chamber Gravel - less Pipe ❑ Other (explain) V. Dis ersaUTreatment Area Informatwn: (� Design Flow (gpd) Design Soil Application Rate(gpdsf) ea Required (if) Dispersal Area Proposed (sf) System Elev tion / VI. Tank Info Capacity in ✓ / Total Number anufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units n l � ���� Concrete Constructed Glass New Existing Z . Le Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Respon ' ility Statement- I, the undersigned, a4ultie responsibility for installation of the POWTS shown on the attached plans. Plumb s Ndme nt)k Plumb 's Si MP/MPRS Number Business Phone Number Plum er's ddress (Street, City, S , Zip Cod VIII. Coun /De artment Use Onl pproved ❑ isappr Sanitary Permit Fee (includes Groundwater Date Issue Issuin gent Signs (No S ps) Surcharge Fee) ❑bier 6i a Reaso ial 3(�� .,On 5 ��� IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1> Septic tank, efNueM Mw and dlspersaf cell must an be services / rlyyl as per mannpenwd plant provided by pksMar. 2. AN setback requiremerft loud be lywftabW as per applicable codt / ordnances. Attach complete plans (to the County only) for the system on paper not less than W2 x 11 inches in size SBD -6398 (R. 01/03) b xc ^sNi! !neu'11g ;lnr -! : 1gg2 .gdnufq yd bobvoiq Asir t«gm , .% part6rr , ,qa zb b~i;m id Mum atnxrm3m:ryt IA S �o } a �J R S, L Ilk �� o tt a a' �f R b C Wisconsin Department of Commerce SOIL EVALU EP RT Page of Division of Safety and Buildings in accordance with Co &d' ode � Co ty Attach complete site plan on paper not less than 81/2 x 11 in in size. Plan mu include, but not limited to: vertical and horizontal reference point BM), directioQn 4d l Pa I.D. percent slope, scale or dimensions, north arrow, and location an distani�earest ro��N _ _ Please print all informad 1 6g, G U F F�G by Date Personal information you provide maybe used for secondary pu�v W, a. O �s Prope Owner ro erty Location t 114 1/4 S T N R (or Property Owners a ling Address Blo # Subd. ame or City State Zip Code Phone Number ❑ City ❑Village Town Nearest Road New Construction User Residential / Number of bedrooms Code derived design flow rate zz� GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable s ft. General comments and recommendations: s 57 2 , s Boring # Boring Pit Ground surface elev. 2Z;7 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture I Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Pont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 3 A I g . 4 75 9 a Boring # Boring � ® Pit Ground surface elev. - -22-:2 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 �3 Z�n a Effluent - BOD > 30 _ 220 mg1L and TS5 30 150 m pent #2 OD ,:E 30 mgA. and CST Name I Print 1 Signature CST Number 2- 12 �-' Address Da Evaluation Conducted Telephone Number , C° - - Property Owner Parcel ID # ;/5`�/ - -DDD Page of Boring # ❑ Boring Pit Ground surface elev. 9f�" ft. Depth to limiting facto _ 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 I *Eff#2 �• .F s R 9 R V F Boring # F1 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 GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # E] 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/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 150 mg& * 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 (R07 /OD) o 41 o o "Ilk vk F— c OI -33 N 41 S �8• p5 1 ( , �►O ° 99 04 •S7 41 51 3h 161.12 -5 LO a � N z 60 .... 0 N L4 --4 � -4 C P *.soo *s s 440.15' 427.87' TER LINE ' I " E 1548.63' - -�- -- I - L -T - 4 I Ln 00'0733" E 5241.26' I I I I 01 I �I I �I I - f Z'� V . Wisconsin D"rtmwt of Commerce SOIL EVALUATION REPORT Divislcn of Safety and Buildings Page of It' accordance with Comm $5, Wis, Adm. Code Attach comp<eba site plan an County paper not leas than 8 1l2 x 11 inches in size. Plan must � j . r Include, but not limited to: vertical and horizontal reference point (13M), direction and percent slops, scale or dimensions, north arrow, and location and distance to nearest road. Bartel l.D. Pleas® print all Information Reviewed by Data Pa SSW information you provide may be used for secondary purposes (Privacy Low, s. 15.04 (1) (m)), Property Owner Property Location Govt, Lot ��,f 1{� /�� /4 S / T 3 G N R ! LE { ) W Property t)wner's sling ss l Lot # Block # Subxd. Name or CSM# ty s tate . / A ode one Number O CIty ❑Village Town Nearest Road ruec.0 t i )q 01 { ) Construction sidential / Number of bedrooms Code derived design now rate ; ❑ Replacement ❑ Public or ctumrnercisl - Desalbe: �,.r Parent material U�. . d Flood Plain elevation if applicable 1 General ooriments n il and recomrriendations: S y llA.SL a-- &-- IT Boring # Boring /) /1 , c'1 t Ground surfarx3 elev. ft. Depth to limiting factor / �v i I E Ho rizon Depth Dominant Color fiedox Description Texture Structure Consfstence Boundary Roots GPOW Rafe In. Munasll Ckj, Sz. Cont. Color Gr, Sz. Sh. .E •Etftli2 1 r o D 3 !L f mom' , s 2 J �' — l )3x r' 8oring # Boring l t Ground surface play, / 3 1t, Depth to tfmiting factor In. tion oil tlon Rate Horizon Depth Dominant Color Redox Descr! P Texture Structure Ganslstenre Boundary Roots (3 PM OEM in. MunmM Ou. Sz, Cont. Color Gr. Sz. Sh. . t ,E z - o ---- Q l S � �✓ n' 1. 2 " E tuent #1 = BOD > 30 < 220 mg/L and T!! > 150 mg/L uent #2 = 8 00 6 30 /1. and TSS < 3G CST N {Pieaa0 Print) mg MGVL Address (} r ate Evaluation Conducted 1 0„ yf, O {Telephone Number Props"Y owner Parcel id # 1 7L Page �,,,�� pf Boring --^-- Ground surface elev. 1 6 ft. Depth to limiting factor in, FIOffZQft aP ; Color Redox Description Texture Structure Consistence Boun in. Munsetl Q u. Sz. Gont. Color Y Roots OP E 09 - Gr. Sz. Sh. . s /E Q Boring # ❑ Boring ❑ pit Ground surface elay. t, Depth to limiting factor. in. h{erfzon Depth taominant Cotar Redax Description SON Role tin Texture Structure Consistwce Boundary Roots QP in. Munseil Qu. Sz. Cont. Color Ge. Sz. Sh. •EffM1 'E} Bores # [] Bonng ❑ Pft Ground surface elev. ft Depth to limiting factor _,- in. Wolf ilostion Rata Norizon Depfh Dort�nant Color Re+dox D�pWn Texture Structure Consistenoe Boundary Roots Munseu Qu. Sz. Cont. Color Gr. Sz. Sh. '15111#1 'Ef1#2 Effluent #1 D00 > 30 < 220 MWL and TSS >30 150 my/L " Effluent #2 ¢ BOO, 130 mg/L and TSS < 30 n9t The Department Of Commerce is an equsI 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. sntw3o tn.oTrou> Soil Test Plo?teC PI Project Name Brian Boardman it Address 824 East 11th St. New Richmond Wi 54017 TM #226900 Lot 15 Subdivision Nathan Hills 10/30/ 01 W 1/2 N E 1/4S 1 3 T 3 0 N /R W Township Somerset R Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 93.4 *HRpSame as Benchmark Alt. BM Top of Survey Iron @ 95.4' Soil test was done to satisfy zoning requirement, test may not be suitable for owner's desired building location 98' 99' 100' a 5% Slope a B -3 N 10' 4 40' B -2 B -1 20' * Alt B.M. Pro Town Road POWTS OWNER'S MANUAL & MANAGEMENT PLAN, Page of FILE INFORMATION - SYSTEM SPECIFICATIONS ) Owner Septic Tank Capacity al N '` Permit # Septic Tank Manufacturer *j St O N DESIGN PARAMETERS Effluent Filter Manufacturer O NA j Number of Bedrooms O NA Effluent Filter Model O NA Number of Public Facility Units NA Pump Tank Capacity a( N ` " Estimated flow (average) gal/day Pump Tank Manufacturer ail. t Design flow (peak), (Estimated x 1.5) al /da Pump Manufacturer ANA Soil Application Rate al /da /ft2 Pump Model N� Standard Influent/Effluent Quality Monthly average* Pretreatment Unit Fats, Oil & Grease (FOG) :30 mg /L O Sand /Gravel Filter O Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA O Mechanical Aeration C3 Wetland Total Suspended Solids (TSS) :150 mg /L ❑ Disinfection 13 Other: Pretreated Effluent Quality Monthly average Dispersal Collis) ❑ Ni 1 Biochemical Oxygen Demand (BOD 530 mg /L 16 In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510' cfu /1001111 Q Drip -Lino Ca Other: ~ Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ Ni Other: ❑ NA Other: C3 NA *Values typical for domestic wastewater and septic tank effluent. Other: O NA MAINTENANCE SCHEDULE Service Event Service Frequency O onth(s) " (Maximum 3 years) ❑ NA Inspect condition of tank(s) At least once every: iear(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Ys) of tank volume © NA ax Inspect dispersal cell O month(s) (M imum 3 years) C3 NA s) At least once every: Oyear(s) Clean effluent filter At least once every: O month(s) C3 N;.. Xyear(s) ❑ month(s)NF Inspect pump, pump controls & alarm At least once every: p oars) O month(s) r ANA Flush laterals and pressure test At least once every: O year(s) 13 month(s) NA Other: At least once every: p ear(sl Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual Inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surfacE. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires thu immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer, A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (410 t -kr Page of I START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) In one large dose, overloading the cell(&) and may result- in-the bookup or surfs" discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator pronto restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually - operating the - pump' controls to restore normal levels within the 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 soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain Isump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; ; - scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the systern is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings �ealed, • The contents of all tanks and pits shall be removed and properly disposed of by a Septage .Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, 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: pq A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be Infringed upon by required setbacks from existing and proposed structure, lot lines 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 time. ❑ A suitable replacement area is not available due to setback and /or soil limitations, Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. r - ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface, Reconstructions of such systoms 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 ANY CIRCUMSTANCES PEAT" MAY RESULT, RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS ,, r...' 4 �+r>"t't`SI {f�,",L ^ ,} •,+ r ;tr)Tsrr,. POWTS INSTALLER POWTS MAINTAINER I Name / Name Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone - his document was drafted In compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.5411), (2) & (3), Wisconsin Administrative Code, ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Addres Oi (Verification required from Planning Department for new construction)— City /State Parcel Identification Number LE GAL DESCRIPTION Property Location ' /., '/4, Sec., TN -R „W, Town of Subdivision �� CLA1 k I l l Lot # Page # Su rvey Ma # , g Certified Su y p Volume , Warranty Deed # / 0 / 9 1 Volume , Page # plti� s [3 no iden e Spec house � es no Lot lines y P yes ZZ 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 master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposa I 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. 1 /we, the undersigned have read the above requirements and agree to 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 PNA� septic system has been m tained trust be completed and returned to the St, Croix County Zoning Office within 30 e year `txpi ation data A /3 165 F APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (o ur) kn owledge. I ( we ) am (are) the owner(s) of h operty crib a ove, by virtue anty deed recorded in Register of Deeds Office. L ( / 13/ 6 SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- rrpresented 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 Parcel #: 032 - 2151 -90 -000 05/18/2005 08:29 AM PAGE 1 OF 1 Alt. Parcel #: 13.30.19.1322 032 - TOWN OF SOMERSET 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 JOHN P SANTER GERMAIN SUSAN L GERMAIN SUSAN L 521 HWY 35/64 SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 1578 86TH ST SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 3.020 Plat: 2192 - NATHAN HILLS 1ST ADD'N 02 SEC 13 T30N R19W NW NE,SW NE LOT 17 Block/Condo Bldg: LOT 17 NATHAN HILLS FIRST ADDITION Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13- 30N -19W NE Notes: Parcel History: Date Doc # Vol /Page Type 11/22/2002 699602 2057/464 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.020 51,100 0 51,100 NO Totals for 2005: General Property 3.020 51,100 0 51,100 Woodland 0.000 0 0 Totals for 2004: General Property 3.020 51,100 0 51,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ,• • t oo, x' G SE�AO 01 !' 0 22 2. 4 30. N 4,0 9 X20 '88 9' S1 16 1.1 2 . _ L7 N18o � /\ •. LO w 00 N WZ . . . . . . . • '•,• P .'. �a v It Or.� V �(zW U c t ") . `J 1� h ea "� Q O CID W s ? °j9 O o N tee J Mi o R �• •s`s \�0 9qo* s1S 248.34' 440.15' 427.87' NORTH —SOUTH QUARTER LINE - - - - - -N 00 E 1548.63' - -� -- - -- ro — I L 0 — T — 4 I Ln I I I N 00 E 5241.26' �- oI I 1 o Oi I JI W -- D f r V A ` N O ' 0 1 • i I • i�� +� �� �` ' ' L c l 1 L L is 996 => S 1 1 \ jj/\It ()I E , I'HLLEN k W A L: _'GISTER Ur DEE' WARRANTV'DEED CROIX CO., W Document Number This Deed, made between Nathaniel Stephen Enterprises, LLC, it RECEIVED FOR RECORD Wisconsin Limited Liability Company, 11/22/2002 39:30AM EXEMPT 4 Grantor, and John P. Santcr and Susan L. Germain, its j, it i,� iants, REC i�'EE: 11.00 TRANS FEE; 193.54:% COPY FEE: CERT COPY FEE: PAGES: I Grantee. ( antor, for a valuable consideration, conveys ii;] warrants to Grantee the folloN\ ing described real estate in St. Croix County, St:,te of W'iscomin: Recording Area Name and Return Address ,1 17, ;fiat ol'N,�than I I ills First Addition in the l'own REMINGTON LAW 01 -IC'! r C", , 1, QX i 032. 2151-90-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is li,)L) N Al� OR "% Exception to warranties: municipal and zoniii ordinances an easvrrtent, of record. this � lay of November 2002 NA'fHA VIEL S'I'EPHEN ENTERPIdSE3, LL By: Brian K. Boardman, Member A UTI I E H CA'11 0 N A CKN 0 NN'l, I'l) UN I L 'l OF WISCONSIN ) ss. Signature(s) ST. CROIX Couili,y. 4 '. Personally came before i ; e this T 2 - - day of 1 authenticated this day of November ) 2002 ine4bove named. Brian K. Boardman, as Member Of )_atlianiel sicP_11" Eatc.rpris-, LLC TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who exec4fed the (If not, instrument and acknowledge the same. authorized by § 706.06 Wis. Stats.) T] HS INSTRUMENT ',VAS DRAFTED BY �������� Judith A. Remington, Remington Law Offices P.O. Box 177, New Richmond, WI 54017 otaty Public, slate of'WiSC (Sif natures may be authenticated or acknowledged. Both are not ',Iy Commission is permanent. (It not, state expiration arc necessary.) • INalim'' I persons signing in any rapaCItyS110LIld be typed or printed bcIoN% then ignutwQs STAICHAR0 WISCONSiN NVARR % I ' 1 DLED JA INI,­ NIAHON, I)FESSIONALSCUNIj