HomeMy WebLinkAbout032-1018-10-050 'Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
514$50 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:
Delaittre, William Somerset, Town of 032 - 1018 -10 -050
CST BM Elev: Insp. BM Elev: BM De cri do ,� r Section/Town /Range /Map No:
80, 2 f"0� --t1' � � / �J � �- � ?AC4` 07.31.19.88A10
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic / B enchma rk ,& y 1
2 { •3 •� 2
Dosing Alt. BM �
Aeration Bldg. Sewer
Holding St/Ht Inlet
SUHt Outlet
TANK SETBACK INFORMATION •-- - 1V S. LL h 3 • �G
TANK TO P/ W�4 BLDG. Vent to Air Intake ROAD Dt Inlet & U ?�
Septic / 2,, 4 Dt Bottom / •-��
Dosing 7V 2 Header /Man. Z �
Aeration Dist �2
S/dt
Holding Bot. System
Final Grade
PUMP /SIPHON INFORMATION " /� - ti� —i1 q7
Manufacturer Demand St Cover
P 2 i �� ✓
Model Number I Q n E(
TDH Lift Friction Loss System Head TDH Ft n-
Forcemain Length Dia. Dist. to Well
OJ bT I /
SOIL ABSORPTION SYSTEM
BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS (/ S =—
SETBACK SYSTEM TO ��!! BLDG WEL LAKE /STREAM LEACH N Manufact�u -- ^ 4 INFORMATION CHAMBE R
Type 9 System: lj Model Number:
DISTRIBUTION SYSTEM -�o I oy S2 a .c eS
Header /Manifold FL,'Pn u tiornn � x Hole Size x Hole Spacing Vent to Air Intake
/ ) J ✓ —�— P �
1 1-ength Dia 1�/ � Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil // Yes " No Yes No
COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: V / � / O ,�Q Inspection
Location: 2301 Timber Road Somerset, WI 54025 (NE 1/4 NE 1/4 7 T31N R19W) NA Lot 1 �� U( Parcel No: 07.31.19.88A10
1.) Alt BM Description 41" 4& aiu& (24 aA —0vul ' M- C 6 ' 4 - PI10
2. ) Bldg sewer length = / h dn., /
amount of cover = 3
ell
Plan revision Required? ] Yes _ I o Z �71
Use other side for additional information.
Date Insepctor's Sign to r e Cert. No.
SBD -6710 (R.3/97)
04/22/08 TUE 09:30 FAX 715 386 4686 Q001
COMryMQi'f ILW11.9av Safety and Buildings Division County �+ i
201 W. Washington Ave., P.O. Box 7162 I C / ) S. n o Madison, WI 53707 -7162 Sanitary Permit Nwnber (to be filled in by Co.)
D of Sanitary Permit Application A State Transaction Number
Tn accordance with s. Comm. 93.21(2), Wis. Aden Code, submission of this form to the go N
unit is required prior to obtaining a sanitary permit. Noon: Apptiealioe forms for sta are Pro s (if dif k-rem than mailing address)
srnbmitted to the Delmlmeat of Commerce. Personal ioforttntion you 'de tray be used for
in accordance with the Law s. 15.04 l m Stus_ T�
L A . atioo Imfonnadem - Please Print AN Tollartaatiori /
Property Owner's Name L✓ m'(`r RECEIVED "— I s 32-
AZI 2tip/ 032- /o..
Property Owner's Mailing address P Dperty Location /$ g A
city, ° "" Cade Phone N PR 2 2 2008 Nt. - motion
S S fat ST. CROIX COUNTY t
cle
or
U. pe of Buiklif� (i beck *0 that apply) pk T / N: R E
2 Family Dwelling- Number of Bedroom Subdivision Name
9 Jb ,n1. EC - �"�sJ4.` Block
O PoblklCommtrerciat - Describe Use �- ❑ city of
❑ State awned - Describe Use CSM Number ❑ Village of
Z - 716q2 Town of �� ^
ill. Type of Permit: (C6eck only box oo liae A. Complete lice B if applicable)
A. System ❑ Replacement System ❑ TiestmendHolding Tank Replacement Only ❑ Other Modification to Existing System (explains)
B. 0 Permit Renewal ❑ Permit Revision ❑ OMW of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner
IV. of POWT3 System a 'a: Check all that ✓ G
rind Inn - Ground ❑ Pressurized In-Ground ❑ At -Grade 0 Wed _> 24 in of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank 0 Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. fre
rsol soeat Area Information: / .-
D> saga Flow (gpd) Design Soil AppIrcgtn Rate(gpdat) D Required i Dispersal Area Proposes (, S em Flevati
VL Tank Info Capacity in Total N of Manufacturer '
Gallons Gations Units `o =
New Tanks FxieftTacks JJ Q q� C u Q C M
a' C X;
Septic or Holding Tank n �D
Dosing Ch nrber
V ill. sibil' Staterotot- L the aadersipeei, anaase ' sty for btstallatim of the POWTS show on the attached plans.
Plu s Name (Print) Plumber's S' MPIMPRS Number Business Phone Ntanber
Plumber's Address (Sheet. City, State. Zip
�Z �7
V 111. Corn rtmtent use On
PI;A-pprovad Permit l Fee p ssrrcd q Issuing r Signature
vrn Reason o iel s �✓'' ee 71 212 / p
IX. CondifijyVf6j0aVV1jffAmns for Disapproval
1. Septic tank, effluent filter and
dispersal cell must all be services / maintained
as per management plan provided by plumber.
2. AN setback requirements must be "011 tailwd
PW canmp ion sjstems and submit to roe Comfy a* p popes ael less than a itt s 11 incmin in sire
SBD -6398 (R. 01/07) Valid thru 01109
LOT PLAN
PROJECT Bill Delaittre AD RESS 2303 Timber Road Somerset Wi 54025
NE 1/4 NE 1/4S 7 /T 31, ` N/ 9 W TOWN Somerset COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 4/22/08 BEDROOM 3
CONVENTIONAL XXX IN -GRO N PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32
kk BENCHMARK V.R Nail in Pine Tree ASSUME ELEVATION 100 Filter BEST Filter
❑ BOREHOLE O WELL - H. R. P Same as Benchmark
SYSTEM ELEVATION 92.2/91.2 4' below qrade
Vent
292' property line
>6» Quick4 Standard -W
of Cover Leaching Chamber Power Pole
with 20.0 ft2 of Area Well is to meet all
12" 5.8ft ^2 /pair of end caps setbacks required by
4' Long WDNR
3 4" Grade at System Elevation plans Designed Using
Conventional Powts
Manual Version 2.0
178'
M. #2
36'
To timber road
30'
6
�0
25'
-
38' Pro 3
ST Bedroom
Power Li 30 , 10% Slop House
by
30'
B '
10' �n.o �,2
ents B -3
B.M. #1 10' 2 -3' X 68' cells
with >3' spacing R cop y 80' property line V°'
�r
LOT PLAN
PROJECT Bill Delaittr AD RESs 2303 Timber Road Somerset Wi 54025
NE 1/4 NE 1/4S 7 /T 31i N/ 9 W TOWN Somerset COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 4/22/08 BEDROOM 3
CONVENTIONAL )00( IN-GRAN PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32
BENCHMARK V.R.P. Nail in Pine Tree ASSUME ELEVATION 100' Filter BEST Filter
❑BOREHOLE O WELL *H. R. P. Same as Benchmark
SYSTEM ELEVATION 92.2/ 4' below qrad
Vent
292' property line
>6" Quick4 Standard -W
of Cover Leaching Chamber Power Pole
with 20.0 ft2 of Area Well is to meet all
5.8ft^2 /pair of end caps setbacks required by
4' Long 12 WDNR
3419 Grade at System Elevation Plans Designed Using
Conventional Powts
Manual Version 2.0
178'
33'
B.M.#2
36'
To timber road
30'
6 '
B -2 25'
38' Pro 3
ST Bedroom
Power Line 30' 10% Slope House
30'
B -1
10'
Vents B -3
B.M. #1 10' 2 -3' X 68' cells
with >3' spacing
480' property line
A,
RECEIVED
Wisconsin Department of Comme rce SOIL VALU PORT Page Of
Division of Safety and Buildings
4t�666didlafi&(Mth Com 85, Wis. Adm. Code
County ,
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must
include, but 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. 6 3 2 - /01 - 1 - (U)
Please print all iMormation.
R Date / ///
_ ay
Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Locall n
Govt. Lot 114 1/4 S T N Ro
Property Owner's Malling Address Lot# Blo # S . Nam or 3, R Y ��
City Ste<e 'p Code Phone Number ❑ City ❑ Vltage 54Townd Nearest R edQ3 /
® New Construction Use:X Residential / Number of bedrooms _4_ Code derived design flow rate 60 GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material . � ° ,- Flood Plain elevation if appli ble
General comments , W
and recommendations: �•�- g�
e7 U
Boring # Boring
Pit Ground surface elev. ft. Depth to limiting factor > , ! L� in.
Soli Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl?
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#1 I *Eff#2
Q 4
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 GPDifP
in. Munsell Qu. Sz. Qont. Color Gr. Sz. Sh. *Efr#1 *Eff#2
t
4
i
* EfB nt #1 = BOD > 30 < 220 mg/L and TSS >30 150 mg/L f8 ent #2 = BOD < 30 mg/L and TSS < 30 mg1L
CST ease P z7 c Signature CST Nu mber
l 7 �
Address Date Evaluation onduded Telephone Number
i
Property Owner ? ���/9 y �l.E Parcel ID # Page of
13 7 Boring # El Boring
�D Pit Ground surface elev. ,2 7. ft. Depth to limiting factor Z n.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl?
in. Munsell Qu. Sz nt Color Gr. Sz. Sh. *Eff#1 *Eff#2
7
g q
I
❑ Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
i Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDffF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Eff#1 Eff#2
❑ Boring # ❑ Bring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil R
So Application ate
Horizon Depth Dominant Color Redox.Description Texture Structure Consistence Boundary Roots GPDflF
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/L * Effluent #2 = BOD 5 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 /00)
Property Owner ���} /�� Parcel ID # Page of
Boring # ❑ Boring
Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Applicati on Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfF
in. Munsell Qu. Sz. r,,ont Color Gr. Sz. Sh. *Eff#1 "Eff#2
❑ 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 GPDlfF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
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/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
* _
Effluent #1 BOD > 30 < 220 T #2 = < 30 <
��(� and SS >30 < 150 m Effluent ifluerrt BOD m in and TSS 30
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)
3p3 wl e e.,o a `�'? �?
J
-.Y, S
1�
i
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i
w
1��C 'rA�,il�
'CERTIFIED • S ` Nod.
VOLUME PAGE
LOCATED IN THE NORTHEAST 1/4 OF THE NORTHEAST 1/4
AND PART OF GOVERNMENT LOT ' 4 '
SECTION 7, °TOWNSHIP 31 NORTH, RANGE 19 WEST,
I �I TOWN OF SOMERSET, ST. CROIX COUNTY, � WISCONSIN
OWNER:-
Borboro Del0tre
2303 Timber Road
Somerset WI 54025
Z SCALE: 1" =100' 71f�2L' -YooG
3 0
p' 50' 100' 200' NORTHEAST CORNER
z M NORTH 1/4 CORNER SEC.7, T31N,
FOUND ALUMINUM UM
MONUMENT
i `T 3 ^� SEC 7, T31N R19W S89'37 32 "W 2601.20'
o NOTHING SET 1412.75'
H 2 N Lam. ��_ _.._..
. _.. .. _.._ ,
._,._.._.._.. 1320 09' ✓' i
' , ACC P ESS EASEMENT ^ co 66' ACCESS EASEMENT
1'
ce w �„ ( UNALATTE DS BY OWNER '°
w o 1 _ `V � ^ t _ __� N89'37'32 E
Cr '3 U
x d 292.22'
2 Z
1 1'
4� �{! p
/
P
. .t
q q , A)
•
47 SQ• FT.
r, * RES
{ 1'
/
BUILDABLE n z
P
g D
F'3 PR l )( ?P $E'D t�'sr� .
uj
co
r
r i
{:
' f `S89'37'32 "W' 503.30'
UNPLATTED LAND BY OWNER r
i
LEGEND i ( VV��. T
® GOVERNMENT CORNER (AS NOTED) " . ^ iOR
11 .0 x
o ` FOUND 1" IRON PIPE AS WITNESS 'CORNER` ;;',>�A�•
AS PER TIE SHEET
A R G
e SET, 3/4 "X24" REBAR
WEIGHING 1,502 LBS,
PER LINEAL FOOT,
SHADED AREAS ARE SLOP ": ; LESS THAN 207. «'
CEDAR'CORPORATION I
FORM NO. 985 -A
R'tlRLdtll[IY1
F...<........ 794J4�4
Stock No. 26273
VOL 19 PAGE 4952
KATRLE 9 H.
REGISTER OF DEEDS
RECEIVED FOR . RECORD
03/24/2005 12:05PH
CERTIFIED SURVEY MAP
REC FEE: 13.00
COPY FEE:
PAGES: 2
CERTIFIED SURVEY MAP NO 4952
VOLUME 79 , PAGE 4952
LOCATED IN THE NORTHEAST 1/4 OF THE NORTHEAST 1/4
AND PART OF GOVERNMENT LOT 4
N SECTION 7, TOWNSHIP 31 NORTH, RANGE 19 WEST,
TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN
OWNER:
Barbaro Delaittre
2303 Twnber Rood
Somerset WI 54025
SCALE: 1"=100'
J
3 0' 50' 100' 200' NORTHEAST CORNER
a n NORTH 1/4 CORNER SEC.7, T31N, R19W
^ SEC.7, T,31N, R19W / S89'37'32 2601.20' FOUND ALUMINUM MONUMENT
_ n p� NOTHING SET , p
% y6 • i 1412,75'
132D.09'
r E)USTNG 66' ACCESS E �I{{T � v i
z ^ RECORDED N SUL tv 233'�� . Jl 66' ACCESS EASEMENT � j
W Z . ^ i UNPLATTED L&WDS BY OWfft t 1 O i
v i ti N 9'37'32 "E
W
292.22
z /
per` PROPOSED DRIVE
ca
2� ! CV !• � d -: ��'' t � :i.� � ^� 'fir ..�
FT.
1 • a � � � 3 / .�
J� Z O a k x�1a s+ 94 At�ES 3
AES NET BUILDABLE :.1 a
i . 3 3 - 1 1 "
�� �' 4
f • ''� ; / W
/ m
[V
V1
589'37'32 "* 503.30'
LEGEND UNPLATTED i LAND BY OWNER
�o
GOVERNMENT CORNER (AS NOTED] v
o FOUND 1" IRON PIPE AS WITNESS CORNER
AS PER TIE SHEET
e SET, 3/4 "X24" REBAR
WEIGHING 1.502 LSS. = '
PER LINEAL FOOT, n•
B SOIL BORINGS 1 !�
SHADED AREAS ARE SLOPES LESS THAN 20%
CEDAR CORPORATION
604 WILSON AVENUE
MENOMONIE, VA 54751 This instrument WOs drofted by P. Gortmonn
(715) 235 -9081 SHEET t OF 2
Vol. 19 Page 4952
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
Option #1. If 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.
3. Replace any other failing components as needed.
Plumber: Shaun Bird 715 - 246 -4516
St. Croix County Zoning 715- 386 -4680
Pumper Tom Mondor 715- 246 -5148
Shaun Bird #226900
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
/ OWNERSHIP CEATIFICATION FORM
owner/Buyer b r4 L
Mailing Address 713-0 3 / �
Property Address 6
(Verification required from Planning &Zoning Department for new construction) j
City /State Parcel Identification Number
LEGAL DESCRIPTION
�� /a , Sec. , T � N R wn of S
Property Location. —� ; /a ,/ I �. �.. W, To
Subdivision , Lot #
Certified Survey Map # (� �`' / , Volume ! Page #
Warranty Deed # c2 1 , Volume Page #
Spec house y no Lot lines idenffable no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Improper use and maintenance of your septic system could result in its premature failure to bandle 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 Owner maitenance
responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to 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 1/3 full of sludge.
I/we, the undersigned have read the above requirements and agree to maintann the private sewage disposal system with the
standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin.
Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning &
Zoning Department within 30 days of the three year expiration date.
Uwe certify that all statements on this form are true to the best of my /our knowledge. I/we am/are the owner(s) of the
property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
Number of bedrooms
e /
9IGRATURE OF APPLICANT(S) DATE
** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * **
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 08105)
` 792868 �\
U, Z 7$ 8 P 2 O 2 REGISTER OF DEEDS
State Bar of Wisconsin Form 1-2003 ST. CROIX CO., YI
WARRANTY DEED RECEIVED FOR RECORD
Document Number Document Name 84/21/2805 11:00AK
WARRANTY DEED
Ef(E1tPT t 8
THIS DEED, made between Barbara M. DeLaittre, a single person, REC FEE: 11. 00
TRAITS FEE:
( "Grantor," whether one or more), COPY E:
and William A. DeLaittre, a single person, PAGES: 1
( "Grantee," whether one or more).
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 Name and Return Address
needed, please attach addendum):
Maureen A. Wegleitner
Bakke Norman, S.C.
Lot 1 of Certified Survey Map recorded on March 24, 2005, in Volume 19 on Page P.O. Box 308
4952 as Document No. 790424, located in the Northeast Quarter of the Northeast New Richmond WI 54017
Quarter (NE -1/4 of NE -1/4) and part of Government Lot 4 of Section Seven (7),
Township Thirty-one (3 1) North, Range Nineteen (19) West, Town of Somerset St. Part of 032
Croix County, Wisconsin. Parcel Identification Number (PIN)
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, highways, utility rights, reservations and restrictions of record.
Dated 1' 02� D 5
(SEAL) (SEAL)
* Barbara M. DeLaittre
(SEAL) (SEAL)
* *
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) Barbara M. DeLaittre STATE OF WISCONSIN )
authenticated on r ao ) ss.
COUNTY
fin•
* Maureen A. Wegleitner 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:
*
Maureen A. Wegleitner
Bakke Norman, S.C. – New Richmond, WI 54017 Notary Public, State
My Commission (is Wisconsin
permanent) (expires: )
(Signatures maybe authenticated or acknowledge(L Both are not necessary.)
NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 1 -2003
* Type name below signatures.
I
Parcel #: 032- 1018 -10 -050 03/26/2008 12:18 PM
PAGE 1 OF 1
Alt. Parcel #: 07.31.19.88A -10 032 - TOWN OF SOMERSET
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
03/24/2005 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
O - DELAITTRE, WILLIAM A
WILLIAM A DELAITTRE
2303 TIMBER RD
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description ' 2301 TIMBER RD
SC 4165 OSCEOLA
SP 1700 WITC
Legal Description: Acres: 3.940 Plat: 4952 -CSM 19 -4952 032 -05
SEC 7 T31 N R1 9W PT NE NE & PT GOV LOT 4 Block/Condo Bldg: LOT 01
BEING CSM 19 -4952 LOT 1 (3.94 AC)
Tract(s): (Sec- Twn -Rng 40114 160 1/4)
07-31N-19W
Notes: Parcel History:
Date Doc # Vol /Page Type
04/21/2005 792868 2788/202 WD
03/24/2005 790424 19/4952 CSM
07/23/1997 841/75
07/23/1997 8051584
2008 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/05/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.940 52,700 0 52,700 NO
Totals for 2008:
General Property 3.940 52,700 0 52,700
Woodland 0.000 0 0
Totals for 2007:
General Property 3.940 52,700 0 52,700
Woodland 0.000 0 0
I
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