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HomeMy WebLinkAbout032-2090-40-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanit INSPECTION REPORT Permit No: 487948 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: Schmidt, Robert I Somerset, Town of 032 - 2090 -40 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 15.31.19.891 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI j FS ELEV. w PL SZ Septic U L C 2 �d Benchmark GG 1 JI.V�Y Iil.� �r17 Dosing Alt. BM Aeration Bldg. Sewer , JO ►O�. Holding St/Ht Inlet o �b TANK SETBACK INFORMATION SUHt Outlet �• �`� SZ- r TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ' Z$ 3 p ' Dt Bottom Dosing D Header /Man. 1 114-W • 05 1 Aeration Dist. Pipe i Holding Bot. System s q gs 3 PUMP /SIPHON INFORMATION Final Grade !• Manufacturer Demand St Cover l o g . ( GPM Model Number TDH Lift r' on Loss System Head TDH Ft Forcemain Le th Dia. Dist. to Well SOIL AB ORPTION SYSTEM L2 3) CQuH, WD RENC idth Length + No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIM 3 1 2 2— Q • �2 1 SETBACK SYSTEM I P/L JBLDG IWELL LAKE /STREAM CHA MBER Man r r( INFORMATION Type Of System: r UN T OR Model Number. C ®, V. O + DISTRIBUTION SYSTEM Header /Manifold I t Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length �� Dia 4 Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of TS ] xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil [ l Yes ] No n Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1:T-A t4 11 1 1 2 - 90 6 Inspection #2: Location: 522 217th Avenue Somerset, _54025 (SW 1/4 NE 1/4 15 T31 N R1 9W) Northern Oaks Estates Lot 14 Parcel No: 15.31.19.891 1.) Alt BM Description = 5 - 2.) Bldg sewer length = -46 - amount of cover = , t Zug Ake" p�A/ Plan revision Required? ] Yes No J r , I� �r Use other side for additional information. . 3 Date Insepctor's Signature Cert. No. SBD -6710 (R.3197) S d Buildings Division ounty 201 W. W gton Ave, P.O, flgx �� isconsin Sid 53707 - 7162. i anitary Permit Number (to be filled in by Co.) Department of Commerce g) 266 -3151 Sanitary Permit ?CNING C),=rIC fate Plan I.D. Number Applic In accord with Comm 83.2 1, Wis. Adm. Code, personal information you provide �IA may be used for secondary puiposes Privacy Law, s 15.04(1 Yin) Project Address (i different than mailing address) I. Application Information — Please Print All Information Property Owner's Name Parcel # Lot # Block # a - Q Property wner's Mailing Address Property Location Sect, , City, State Zip Cod Phone Number ' /, _5 AA) V, , / i S o T � N; R c,rcle E or II. Type of Building (checlk all that apply) 0 I or 2 Family Dwelling - Number of Bedrooms Subdivi ion Name �$M Alarm El Publ ic/Commercial -Describe Use ❑ State Owned - Describe Use City El 'lage �ownship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' %.New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. El Permit Renewal El Permit Revision El 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 ap 1 1 4,N - P re s surized 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 f Leaching Cha ber ri Li ❑ Gravel -les Pip ❑ O er (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) ,Spersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation J'c l VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, ume responsibility for installation of the POWTS shown on the attached plans. Plum r' a e (Print )- Plumb is S' ure r MP/MPRS Number Business Phone Number P u r''s Address (Street, City, te, Zip Co ) di VIII. oun /De artment Use Onl V p proved El Disapproved Sanitary Permit Fee (includes Groundwater Dat Issu uing Agent gna re (No to ps) Surcharge Fee) /,� ! D t El Owner Given Reason for Denial U IX. Conditions of Approval/Reasons for Disapproval Y STEM OWntFR 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2, All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) �D �x %�L c���I' 5��.�� �.� _s�3'�3s 99' ,It �� ��� y�I�,�- fo,� �'a'�w���� -� �/9 ' �� �: / �S // �� a � a�$� a� ��� l�i :���3 � ! � � � 1 __ �;�� _ - y i _ \ - _ - g a ul ��� - �� � 1a��Rr �G' ,'rai,'bT �S'b � J��� SSG' / � �✓'�I� 99 fie' / ©� a JJ ®k�C ' Ip� W / / nll O 1349 Wistxxtm Depsrit�rnt of Camnerve �POF T Page 1 of 3 Divi�i0r1 of Safi► and in a000em 47A Alla. Mm. iod ` Tan Sdm�t Attach wmplefe � plan an paiper not less flier 834 x 11 irrdres Y � � 2 � 0 �' "� St. Croix irx ide, but not limited to: vertical and hodmrdal refea+roe pout ( ?, d peroent slope. scale or moons noith amw and bealm and N NT Y P I.D. Ple"oPr tam Inf0MW>Y W' ZG OFFICE ' BY Date Personal uftrrtion you Wovide may be used for secoWay Pspmes (Pmwy LaN. s.15.04 (1) (m)). m Property Owner Property Location Schmidt, Robert Govt. Lot SW 1/4 NE 1A S 15 T 31 N R 19 W Property Owner's Mailin Address Lot # 13bdc # Subd. Name or CSKV P.O. Box 156 �y Northern Oaks Estates City State Zip Code Phone Number City VAlage if Town Nearest Road Somerset Wl 1 54025 1 651 -308 -1270 Somerset 217Th Ave. If New Cornstruction Use: W Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacernerd Public or correrlbeEcial - Describe: Parent maitarial Outwash Flood plain elevation, if NA General commarts and recommendations: Area is sudebte for a conventional system with a 0.7 rate. Possible system eelviation for Asa 1 is r, _ (high trench) 95.6 (towtr�n!ch) 94.10 _ SloPe is 14 rfa' 'f` f 4 0-6 1 0� �►�+�r� i S Boring # Boring of Pit Ground Surface eiew. 98.47 ft to f actor 100+ b. Sod A Rate Horizon Depth Dominant Color Redox Descry Texture Structure Consistence Boundary Roots GPD/ft `Eff#1 `Eff#2 1 0-5 1 Oyr3/3 none Is 1 csbk mvfr as 2m,2f .7 1,6 2 5-26 10yr4/6 none Is 099 ml gw 1 c,2f .7 1.6 3 2647 7.5yr5/4 none s Osg ml cs .7 1.6 4 47 -100 10yf6/4 none s Osg ml — .7 1.6 Boring # Boring of Pit Ground Surface elev. 101.17 ft. Depth to limiting factor 101+ in. Soil Application Rate Horimn Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF •Ef 1 - EtT#2 1 0 -3 1Oyr32 none Is 059 ml as 2m,2c .7 1.6 2 3 -17 7.5yr4/6 none is Osg ml gw 2f,1vf .7 1.6 3 17 -33 1Oyr4/4 none s 08 9 MI gw .7 1.6 4 33 -101 10yr6/4 none s Deg ml — .7 1.6 Effluent #1 - BOO s> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOO <30 mg/L and TSS --W mgfL CST Nan (Please Print) Sigrabue: CST Number Thomas J. Schmitt fl ; ,ice- -�f° 227429 Address Tam Sdunitt Date Evaluation Conducted Telephone Number 1595 72nd St., Now Richmond, Wl 54017 5005 715- 247 -2941 I _ property Owner Schmidt, Robert Parcel ID # Pape 2 of 3 M3 Baft Bo" be Pit Ground Surface etev. 94.24 ft. Depth to kn&g factor 99+ in. Sod Application Rate Hormon depth Dominant Color Redox Description Texture Struchue Carrsisterroe Boundary Root GPDM *EfM *EfW 1 0-5 10yr3/3 none IS 089 ml as 2m .7 1.6 2 5-20 10yr4/6 none is 089 ml 9w 2f .7 1.6 3 20-51 10yr5/6 none s 069 ml Cw .7 1.6 4 51 -99 10yr6/4 none s 089 ml -- — . 7 1 -6 F - I 4 Pit Ground Surface elev. ft. Depth to f°^ith factor in- Sod Applcatimr Rafe Haimn Depth Damirwd Color Redox Description 1 Texture Structure Consistence Boundary Roots GEW *EMI *EIW F P Ground Surface elev. ft. Depth to IrTWg factor in. Sod Appicabon Role Homm Depth Domirmrrt Color Redox Description Texture Struchure Consistence Bourrbry Roots GPDIfF *EfM 'EfIn " Effluent 81 a SOD ? 30 s 220 mWL and TSS a30 c 150 mg/L * Eftluart #2 = l8OD L30 mglt_ and TSS e. 30 mg1L 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 609- 264 -8777. Page 3 of 3 Conducted by: Conducted For: 'Schmitt ,Soil Testing Inc. Name: Robert Schmidt Thomas I Schmitt, CST 227429 Address: P.O. Box 156 1595 72nd St. City, State, Zip: Somerset, Wt. 54025 New Richmond, WI. 54017 Phone: 715- 247 -2941 Subd.Name: Northern Oaks Estates Lot No.: 14 Legal Description: SWl 14 NEI /4 S15 T3 IN RI 9W ® Backhoe pit Township, County: Somerset, St. Croix Bench Mark EL 100.00' Top of 2" pvc pipe Q Alternate Bench Mark El. 94.91 Top of 2" pvc pipe Slope= 14% Scale 1" = 40 -30 ` ��' .3y' 8` ' A� o Q HUDSON WISCONSIN 540 i 6 DATED 4HIS 25TH DAY OF MAY 1979 REVISED THIS 2ND DAY OF JUL�, 1979 UNPLATTED LANDS NW-NW S 89 54'49" W 1920.69' 502.00' 1410.05 r SW-NW w co -0 N N 1 C`' 0 0 2.636 ACRES cn '( � 3 2.775 ACF -- 104.30 _- Y> cp -. __ -- --� 13I.50�___ 19 o �\ s 0 2.842 ACRES , �` �►� 0 x .St. Croix County Map Output Page Page 1 of 1 St. Croix County Mappin cocz sne 0.48 t)mB 502 130 15 14 u, 692 891 1$ Somerset ry 0• 0 390.45 13 890 390 z3 18 896 19 896 11 ' ! ` Legend 6fasiic1Pa 6oksvdaries St. Croix County Planning Department 3w,mvsiorw 1101 Carmichael Road Cersyed'slf VeYM0PS Hudson, WI 54016 0 Parcels Phone: (715) 386 -4674 p Co d Xasraad Drai Wage DISCLAIMER : The information contained on this map is advisory. Map Streams accuracy is limited by the quality of the public records from which it was oe „ prepared. It is not intended as a substitute for an accurate field survey. Perreriai Owe=" hiermi Iienl . —_Weam AERIAL PHOTOS : Aerial photography is date - sensitive. Features that exist `'` presently in the County may not be present in the photos. http:/ /72.21.230.178 /servlet/com.esri. esrimap .Esrimap ?ServiceName= StCroixOV &Client... 5/18/2005 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer 1 1 Mailing; Address t ► \ s_ f �' I �l �C� `Q�� Q.� _ Property Address (Vrrilication regLliNd 1rum 1'lanuing Zoning Department for new cansu•uctiolt.) City /State - SZ���_�� Parcel Identification Number a0�� —L 6 � LEGAL DESCRIPTION Property Location - ', '�� , '/.A, Sec. . , T � N R_J?_W, Town of y Subdivision �� �_�� ; Lot # -4t. Certified Survey Map # , Volume , Page # _ W,trrituty Deed # -- ....7. - llrr Volume .�%. - -, Page #t' Spec house yes 60, Lot lines identifiable /yy no SYSTEM MAINTENANCE. AND OWNER CERTIFICATION C � Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of putrtping out the septic tank every tlu•ee years or sooner, if needed, by a licensed pumper. What you put intu the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance y P 6 responsibilities Sanitary Ordinance. nsibilfties are specified in 'Comm 1 . 83,52 and in Chapter 12 - St. Croix County y Po P § () N The roP e rtY owner a to submit to St. Croix Count Planning & Zoning Department a certification form, signed by the P agrees Y owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site em i proper operating condition and/or after in and p umping (if necessary), the septic tank is wastewater disposal syst stop per 2 () p P P g less than 1/3 full of sludge. I/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 stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 clays of the three year expiration date. I /we certify that all statements on this Lunn arc trite 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 rccur&d in Register of Deeds Office. tuber f e o & 1ai �5 'IGNATURE OF APPLI ANT(S) DATE ** *Any information that is inisrepresented 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. 08/05) I POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity ga l ❑ NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer P1,.1 ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units NA Pump Tank Capacity gal I A Estimated flow (average) gal /day Pump Tank Manufacturer WNA Design flow (Peak), (Estimated x 1.51 gal/day Pump Manufacturer J&NA Soil App Pump Model 21-NA lication Rate P PP � gal /day /ft Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ANA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODd _5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) _ _ __ ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L - lit( In - Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L O NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) < " 100m1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other. ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ ea��s�(s► (Maximum 3 years) ❑ NA Y Pump out contents of tanks) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cells) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA year(s) ❑ monthls) ❑ NA Clean effluent filter s /� At least once every: 5 year(s) Inspect um pump controls & alarm At least once eve ❑ month(s) year(s) ANA Ins p pump, p every: ❑ yearls) Flush laterals and pressure test At least once every: ❑ ye ar(s) month(s) "A Other: At least once every: ❑ month(s) ❑ NA ❑ year(s) 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 the 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. I START UP AND OPERATION Page of 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(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to 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 (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat 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 system 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 sealed. • 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: 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. • yRyF has t been a ted to ide ify suitable ac ent area. U re of the P e n us be pe rrri to loc a suita acement a replacement area is available a holding tank nstalled l ast resort 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 systems 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. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Name Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY E Name Name Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Parcel #: 032 - 2090 -40 -000 10/20/2005 05:00 PM PAGE 1 OF 1 Alt. Parcel #: 15.31.19.891 032 - 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): O = Current Owner, C = Current Co -Owner O - SCHMIDT, ROBERT J ROBERT J SCHMIDT PO BOX 156 SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description 522 217TH AVE SC 4165 SCH D OF OSCEOLA SP 1700 WITC Legal Description: Acres: 2.836 Plat: 2224 - NORTHERN OAKS ESTATES LOT 14 NORTHERN OAKS ESTATES TOWN Block/Condo Bldg: LOT 14 SOMERSET Tract(s): (Sec- Twn -Rng 401/4 1601/4) 15 -31 N-1 9W Notes: Parcel History: Date Doc # Vol /Page Type 05/26/2005 795969 2809/386 WD 10/21/2003 744396 2440/651 WD 860/92 738/328 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.836 45,400 0 45,400 NO Totals for 2005: General Property 2.836 45,400 0 45,400 Woodland 0.000 0 0 Totals for 2004: General Property 2.836 45,400 0 45,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 FROM : AU FAX N0. :54%480 May. IS 79594S-9 U 2 8 0 9 P 3 8 6 REGIS ER OF DEEDS ST. CROIX CO., WI State Bar of Wisconsin Form 1-2003 RECEIVED FOR RECORD WARRANTY DEED 05/26/2005 10:30AX DDOWMN be DOCOWI tNOW WARRANTY DEED EXEMPT t THIS DERD, made between Dean 1. Lunen and Cheryl K. Lawson, husband a REC FEE: 11.00 TRANS FEE: 136.20 wife COPY FEE: ("Grantor," whether one or more), CC FEE: and Robert J. Schmidt PAGES: 1 ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real Romsdss Ares estate. together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ( "Property") (if mote space is Naea and Reharo Address needed, please attach sddeadaan); WESTCONSIN CREDIT UNION Lot 14, Northern Oaks Eaten in the Town of Somerset, St. Croix County, PO BOX 269 Wisconsin. NEW RICHMOND WI 54017 032. 7090.10-000 Parat Meadlic,tice Nwober This is ha cWW papary. (is) (is not) Grantor warrants that the tide to the Property is good, indefeasible in fee simple and five and clear of encumbrances a xcq*: BEMWa WHITEHEAD Dated QM y $ , 2 O o s Notary Publi C" - 00 e (SEAL) (SEAL) • I. La * Cheryl K. Laursen (SEAL SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) audwiticecd on ) St. Croix COUNTY ) Personally came before me on � I g 0', TITLE: MEMBER STATE BAR OF WISCONSIN the abownamed Dean 1. Lmmen an Cheryl K. Lswaen bribed and wife (1f not' to me known to be the person(s) who executed the foregoing airdwrized by Wis. Stat. 1 706.06) instrument and acknowledged the same. THIS INSTRUMEW DRAFTED BY: + Holly Howard - Far Seasons Title • -- - 206 2 Street, Hudson, W 1. 54016 Notay Public, StaWd VWseensat Me- � I 011 e� My Commission (is permanent) (expires: At1.31. 2f1ag No MOTE: rats H A srnat►wao Fa �Arnr i�ann tcsn men�sn n�a�roiw SHOO v IM CLweLY IDENTIytlta WARRANTY DEED 0 2 STAVE •AR OF WISCONSIN kORM NO. 1 -3607 • Type ame odnw AWUMel. h 4150 AMES E . RMH 5 # STEVENS HERS 114C. BOX 321 iCOULE1t ROAD HUDSON W� 4016 DATED 119 w , MAY 1979 ..� , . REVISED T �dr .0 '19'1`9 UNPLATTEOA, NW-NW NE -NW S 89 54'49" W 1920.69' '9 0.48' 502.00' 130.00' 1410.05 0 SW -NW SE - w 15 1 � :.720 ACRES o O 2.83 ACRES A, o_ rn to � 13 2.77 ACRES )0.45' — — — — — — — — 104.30' — (D -- - DRIVE - -` 131.50'— 0 ,1 1 - \ tiplszo 25 /,r ` o ✓�� CA "o Dc � � 2 is ,a R ° � () 3 2025 I ACRES ui u' o 1 9 0 tc) 2.842 ACRES \ � � In ° O d' ® it / �s O I f ?' @ ami ,� )O' w S 790 - 48 ►6 n o 473 g �� 1 N I i A ° l �' __� ^ �l Vn\ V \ � � V 1( M /