HomeMy WebLinkAbout032-2135-60-000 Wisconsin Department of Commerce County:
Safety and Building Division PRIVATE SEWAGE SYSTEM St. Croix
INSPECTION REPORT Sanitary Permit No:
453078 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:
Witter, Allen I Somerset Township 032- 2135 -60 -000
CST BM Elev: Ins p. BM Elev: BM De cri t'on: Section/Town /Ran a /Ma No:
I ' q I • cvn -r, g 23.31.19.1202
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing l/ Alt. BM T
� ---�o J > s� Z, y9
Aeration Bldg. Sewer 3 2
7 I ,
Holding St/Ht Inlet
d ' 7,
TANK SETBACK INFORMATION St/Ht outlet G 0 Z
TANK TO P/L WE;LL BLDG. Vent it Intake ROAD Dt Inlet �-
Lt�j
Septic / � � / � � Dt Bottom
7
Dosing Header /Man.
13' - I
Aeration Dist. Pipe
1 CI 7'
Holding . System G a 10 46f el t7'
Final Grade
PUMP /SIPHON INFORMATION _, o !Q qA �
Manufacturer Demand St Cover 1 �
GP - 3 S.
Model Number
TDH Lift Friction Loss ystem TDH Ft
Forcemain gth Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BED /TRENCH Width Length No_ Of Trench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS t
SETBACK SYSTEM TO P/L JBLDG IWEEL I LAKE /STREAM LEACHING
INFORMATION CHAMBER O ►�
Ty Of System:
3 > ! / \ Model Number:
IBUTION SYSTEM ( myl K� Sf 6 h,&C4_-e_
Header/ nifold ! _ Distribution x Hole Size x Hole Spacing Vent ake S
I (9 N Pipe(s) u y �-
Lengt Dia Length Q Dia Spacing �YD
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth of 1 7Sodded 1 xx Mulched
Bed/Trench Center f �� . Bed /Trench Edges Topsoil Yes No Yes No
COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1:�/ �S / Inspection #2:
Location: 2061 66th Street So ers-et,'WII —/54025 (SW 1/4 NE 1/4 23 T31 R1 9W) Whitetail Trails Lot 23 � Parcel No: 23.31.19.1202
1.) Alt BM Description = V" `C �2�ll� "`�" "'.S d
2.) Bldg sewer length = ZI
- amount of cover
Plan revision Required? i Yes
Use other side for additional information. I `�_ L� _�(��� "'ACC �/�i��l�/�L _ 1 A / L
SBD -6710 (R.3/97) Date Insepctor's gnature Cert. No.
I
Safety and Buildings Division County
r V 201 W. Was ' non Ave., P.O. Box 7162
sconsin Niadi on, - Sanitary Permit Number (to be filled in by Co)
Department of Commerce (608) P � S3 U 7�
Sanitary Permit Appl cat State PIanID.ber
In accord with Comm 83.21, Wis. Adm. Code, persona informat1b bu 0o6de,
may be used for secondary purposes Privacy w, sl $.04(1 xm) < 0 0� Project Address (' different than mailing address)
I. Application Information - Please Print All Information - ----:. j
Property 0 er's Name ' __ ®reel # Lot Block #
Property Owner's Mailing Address - Property Locat on a
g
%, Yti Section �
C' , State Zip Code Phone Number a
r -
E circle p
11. Type of Building (check all that apply) .ZQ_
A I or 2 Family Dwelling - Number of Bedrooms Subdiv' ion Name
❑ Public/Commercial -Describe Use
❑ State Owned -Describe Use — ❑City_ ❑Villa Mrownship of
III. Type of Permit: (Check only one box on line A. Complete line B ' cable)
A. New System y Q Replacement System ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System
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 appl
o - Pressurize 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 ❑ I'cat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑
R rculatin Synthetic Media filter Leaching Chamber U Drip Lent 0 Gravel less Pipe ❑ Other (explain)
V. Dispersal/Treatment Area In ormation:
Design Flow (gpd) Design Soil Application Rate(g Dispersal Area Required (st) Dis srea Propo tent Elevation 3
3 a al A rea
. Tank Info Capacity in Total Number Manufacturer Prefab _--Site Steel Tiber Plastic
Gallons Gallons of Units oncmte Constructed Glass
New Existing /J'
Tanks Tanks
Septic or Holding Tank _
Aerobic Treatment Unit
Dosing Chamber
VII. Res o ibility Statement- I, the undersigned, aliume responsibility for installation of the POWTS shown on the attached plusne
Plum r'
Mt Plumb 's Si at MP/MPRS Number Business Phone Number
r
I ber' Addre s (Street, City State, Zip Co
VIII.Xounty /De artment Use Onl
Approved C1 Disapproved Sanitary Permit Fee (includes Groundwater Date ued uing Age Signs re ps)
Surcharge Fee)
C1 Owner Given Reason for Denial
�. d� LI to 1,
IX ' ft VA oval /Reasons for Disapproval S '� t ad CoaA�_ AA::�L
1 eptic tank, effluent filter and S
dispersal cell must all be serviced / maintained �"-
as per management plan provided by plumber h�
2. All setback requirements must be maintained /
as per applicable code /ordinances.
Attach complete plant (to the County only) for the system on paper not less than 81d :11 lathes In size -`
SBD -6398 (R. 01/03)
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Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3
Lahr a(h HL". an Relations
Division of safety & Buildings in accord with ILHR 83.05, 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 St. Croix
not limited to vertical and horizontal reference point (BM % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distanc off o ,1 pending
APPLICANT INFORMATION- PLEASE PR L IW 04MATf4N . VIE _ DA
�' 6 d
PROPERTY OWNER: ERTY LOCATION
Forest Oaks Condos, Inc. " + ( O LOT SW 1i4 NE 1 /4,S 23 T 31 N,R 19 E;lLor) W
PROPERTY OWNER':S MAILING ADDRESS 4 0Y OT BLOCK # SUBD. NAME OR CSM #
11160 190th. ave. N.W. ar =�*t'X na lWhitetail Trails
CITY, STATE ZIP CODE PHONE ❑VILLAGE (MOWN NEAREST ROAD
Elk River, M. 55330 6 „441- Somerset 1 205th./ Ave.
(x] New Construction Use tc ] Residential / Numtiehf bedra 4 [ ] Addition to existing building
j I Replacement [ j Public or commercial describe
Code derived daily flow 600 gpd Recommended design loading rate • 3 bed, gpd /ft •4 trench, gpd /ft
Absorption area required 2000 bed, ft 1500 trench, ft Maximum design loading rate • 3 bed, gpd /ft •4 trench, gpd /ft
Recommended infiltration surface elevation(s) 97.20 ft (as referred to site plan benchmark)
Additional design / site considerations trenches spaced to code 3.00' below grade
Parent material outwash over ulacial drift Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable fors stem KI S ❑ U KI S❑ U K S El ®S ❑ U ❑ S O U ❑ S ® U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerxfi
?',...1...:.' 1 0 -10 10yr4/3 none sl 2msbk mfr gw 2f .5 j .6
2 10 -18 10yr4 /4 none sl 2msbk mfr 9w if .5 .6
Ground 3 18 -52 7.5yr4/4 none co s Osy mvfr yw na .7 .8
elev.
10 ft. 4 52 -84 7.5yr4/4 none sl M na na na .3 .4
Depth to • v
limiting
factor
+84
Remarks:
Boring #
1 0 -10 10yr4 /3 none 1 2msbk mfr yw 2f .5 .6
i 2 2 10 -19 10yr4 /4 none sl 2msbk mfr gw if .5 .6
3 19 -6 7.5yr4/4 none co s Osg mvfr yw na .7 .8
Ground
elev. 4 60 -84 7.5yr4/4 none sl M na na na / .4
10 ft.
Depth to
limiting
factor
Remarks:
CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200
Address: 1554 200th. Ave., New RichmojAd, WI 54017
Signature: t Date: 6 -14 -2000 CST Number: m02298
PROPERTY OWNER Forest Oaks Condos SOIL DESCRIPTION REPORT Page �
g wf
PARCEL I.D. # ---pending
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell G)u. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
1 -11 10yr4 /3 none sl 2msbk mfr gw 2f .5 .6
2 11 -27 10yr4 /4 none sl 2msbk mfr gw if .5 .6
Ground 3 7 -62 7.5yr4/4 none Co s Osg mvfr 9w na .7 .8
elev.
99 ft. 4 2 -84 5yr4/4 none sl M na na na .3 .4
Depth to
limiting
factor
+84"
Remarks:
Boring #
1 -7 10yr4 /3 none sl 2msbk mfr 9w 2f .5 .6
::....,..4...:.'' 2 -17 10yr4 /4 none sl 2msbk mfr yw if .5 .6
3 17 -58 7.5yr4/4 none Co s Osg ml yw na .7 .8
Ground
elev. 4 58 -84 7.5yr44/ none sl M na na na .3 .4
97.8 ft.
Depth to -
limiting
factor
Remarks:
Boring #
1 0 -8 10yr4 /4 none sl 2msbk mfr yw 2f .5 .6
5 ' <> 2 8 -16 7.5yr4/4 none sl 2msbk mfr yw if .5 .6
3 16 -66 7.5yr4/4 none Co s Osg mvfr gw na .7 .8
Ground
elev. 4 66 -84 5yr4/4 none sl 2msbk mfr na na .5 .6
9 7.7 ft.
Depth to
limiting
fac
Remarks:
Boring #
Ground
elev. j
ft.
f
Depth to
limiting
factor
Remarks:
SBD- 8330(8.05/92)
PROPERTY OWNER Forest Oaks Condos SOIL DESCRIPTION REPORT Pagel .of 3
PARCEL I.D. # pending
Depth Dominant Color Mottles Structure R GPD /ft
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Baxdary Roots
Bed ITrench
1 -11 10yr4/3 none sl 2msbk mfr gw 2f .5 .6
2 11 -27 10yr4/4 none sl 2msbk mfr gw if .5 .6
Ground 3 7 -62 7.5yr4/4 none Co s Osg mvfr ijw na .7 .8
elev.
99 ft. 4 2 -84 5yr4/4 none sl M na na na .3 .4
Depth to
limiting
factor
+84"
Remarks:
Boring # 1 -7 10yr4 /3 none sl 2msbk mfr yw 2f .5 .6
r 2 -17 10yr4 /4 none sl 2msbk mfr 9w if .5 .6
3 17 -58 7.5yr4/4 none Co s Osg mi gw na .7 .8
Ground
elev. 4 8 -84 7.5yr44/ none sl M na na na .3 .4
97.8 ft.
Depth to
limiting
factor
Remarks:
Boring #
............ 1 0 -8 10yr4 /4 none sl 2msbk mfr 9w 2f .5 .6
i 5 2 8 -16 7.5yr4/4 none sl 2msbk mfr yw if .5 .6
3 16 -66 7.5yr4/4 none Co s Osg mvfr gw na .7 .8
Ground
elev. 4 66 -84 5yr4/4 none sl 2msbk mfr na na .5 .6
97 ft.
Depth to
limiting
factor
+84"
Remarks:
Boring #
• fiy•
Ground
elev. j
ft.
Depth to
limiting
factor
j
Remarks:
SBD- 8330(8.05/92)
r �
A
STEEL'S SOIL SERVICE
Gary L. Steel Forest Oaks Condos, Inc. 1554 200th Ave.
CSTM2298 SW4NE4 S23- T31N -R19W New Richmond, WI 54017
MPRSW -3254 town of Somerset (715) 246 -6200
lot #23- Whitetail Trails
N
1 = 40 '
BM.= top of 1" pvc pipe el. 100.00
Alt. BM.= top of 1 pvc pipe C el. 95.70
1 �
r
Gary L. Ste 1
6 -14 -2000
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page[_ of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity a l ❑ NA
Permit #S Septic Tank. Manufacturer r
❑ NA
DESIGN PARAMETERS "' "' ' Effluent Filter Manufacturer O NA
Number of Bedrooms;, ❑ NA Effluent Filter Model O NA
Number of Public Facility Units _'NA Pump Tank Capacity a l ANA
Estimated flow (average) g al/day Pump Tank Manufacturer O NA
Design flow (peak), (Estimated x 1.5) g al/day Pump Manufacturer _12f NA
Soil Application Rats al /da /ft= Pump Model ❑ NA
Standard Influent /Effluent Quality" Monthly average" Pretreatment Unit
Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection O Other:
Pretreated Effluent Quality Monthly average Dispersal Call(s) 0 NA
Biochemical Oxygen Demand' "'(BOD ' 330 mg /L 391n- Ground (gravity) O' In- Ground (pressurized)
Total Suspended Solids (TSS) 530 mg /L NA O At -Grade ❑ Mound
Fecal Coliform (geometric mean) 510 cfu /100mi ❑ Drip -Line ❑ Other:
Maximum Effluent Particle Size Y In dia. ❑ NA Other, O NA
Other: 0 NA Other: 0 NA
`Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA
to y >- Jdo ,:
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every: month(s) (Maximum 3 years) 0 NA
y ear(s ),,
Pump out contents of tank(s) When combined sludge and scum equals one -third %) of tank volume O NA
Inspect dispersal cell(s) At least once eve n'' mu
month(s) (Maxim 3 ears) ❑ NA
earls) y
Clean effluent filter At least once every: ❑ month(s) ❑ NA
ear(s)
Inspect pump, pump controls & alarm At least once every: [I alarm m eaarrls) (s)) ,q
Flush laterals and pressure test At least once every: ❑ month(s) ::: ANA
❑ year(s)
Other: O month(s)
At least once every: C1 ear(s) ANA
Other: O 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
im iediate notification of the local regulatory authority.
W an the combined accumulation of sludge and scum In any tank equals one -third (Y,) or more of the tank volume, the entiro
cc tents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,
W:.consin Administrative Code.. r <
Al )ther services, including but not IlMited to the servioing of effluent filters, mechanical or pressurized components, pretreatment
un i, and any servicing at Intervals of S12 months, shall be performed by a certified POWTS Maintainer.
A - vice repor shall be provided to the local regulatory authority within 10 days of completion of any service event.
GMW (4/01)
Pagqc
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 collie). If high concentrations are detected have She contents
of the tankls) removed by a Septage servicing operator prior to use.
Sy tern 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
dienharged to the dispersal collie) In one large dose, overloading the oell(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 dlspersaf'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 falls 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 now 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
echnology a holding tank.may be installed as a last resort to replace the failed POWTS.
T sit h s of been ova ated to i ntif a suitabl repl ct ea. Upon fai ure a POWTS a soil and site
uat mus be rform to I ate a su able r laceme . If n o replaceme area i o t tank
may b nstall a last reso o replace the d 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 ASEPTIC, 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
aOWTS INSTALLE POWTS MAINTAINER
Na i, Name
Phone Phone
3EPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Name 1
Phone Phone W-5
"his document was drafted in compliance with chapter Comm 83.22(2)(b)11)1d) &(f) and 83.64(1), (2) & ( 3), Wisconsin Administrative Code.
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing :.'s.ddress
Prapeny :zd�iress
(Verification required from Planning Department for new construction)
Parcel Identification Number
LEGAL DESCRIPTION
Property 1.ocati0n ,�_ {4, Y4 Sec— L, Tom_ Town own of iy.ss�
Subdivision ��t '/ Lot �.
Certified Surrey flap # , Volume , Page #
Warraticy Deed # �� ���; L ,Volume, � , Page #
Spec house EJ yosxno Lot lines identifiabl yes D no
SYSTEM MAINT
lrnproper use and maintenanceof your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of purnpul,� 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, juurneyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system
is in proper operatin� 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 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 Zoning Office within 30
days of die three year expiration date.
GA 3 //6
SIGNATURE O AAPPI CANT DATE
OWNER CERTIFICATION
l (Nve) cerrify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of
the property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
SIGNATURE OF APPLIc:.A�iT DATE
Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.
i
* Include with ttfis 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
U 2 599 - 74530 E3 �(
KATHLEEN H. WALSH
STATE BAR OF WISCONSIN FORM 2 -1998 REGISTER OF DEEDS
. ST. CROIX CO., MI
RECEIVED FOR RECORD
This Deed, made between John T. Cardenas, a single person, Grantor, 10/31/2003 09:30AH
and Allen M. Witter and Janet L. Witter, husband and wife, as survivorship
marital property, Grantee. WARRANTY DEED
Grantor, for a valuable consideration, conveys and warrants to Grantee EXEMPT i
the following described real estate in St. Croix County, State of Wisconsin (The REC FEE: 11.00
"Property "): TRANS FEE: 150.00
COPY FEE:
CC FEE:
Lot 23, Whitetail Trails, St. Croix County, Wisconsin. PAGES: 1
Recordin Area
Estreen & Ogland
304 Locust Street
Hudson, W154016
032- 2135 -60 -000
Parcel Identification Number (PIN)
This is not homestead property. -
I
Exceptions to warranties: Subject to all easements, restrictions and covenants of record.
Dated this 24th day of October, 2003.
/' l�l.R�� o✓b'
*John T. (fardenas
*
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN )
) ss.
St. Croix County )
authenticated this , day of
Personally came before me this 24th day of
October, 2003 the above named John T. Carr enaS
* to me known to be the person(s)
TITLE: MEMBER STATE BAR OF WISCONSIN who executed the foregoing instrument and Ar-knokedge the
(If not, same. ,gdifll.
authorized by § 706.06, Wis. Stats.)���`� 0 8 t
A 1 K
THIS INSTRUMENT WAS DRAFTED BY * jv)a llyn Voelt2 �; ^ 7 ,§ Y�
Hendrik W. Van Dyk -
P.O. Box 118, New Richmond, WI 54017 Notary Public, State of Wisconsin
tSlgnatures may be authenticated or acknowledged. Both are not My Commission is permanent. (IE rrL �s �xplration data:,
necessary.) 12/03/06
*Names of rsons signing in an capacity should he ty or p rinted below their signatures
Pe B B Y P Y YPe P g
WARRANTY DEED rATBB O WISCONSIN
5 AR F S N
FORM N..2 - 1998
INFORMATION PROFESSIONALS COMPANY FOND DU LAC, Wl 810-655.2021
I 1
4 I '1 20' Drainage
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J- , - 707 - S88'45'03 "W ----- - - - - -� I ---- - - - - --
�-------- - - - - -- 285.45'
_ - - -- - x7_29' - -- -- 297.99'- - - - - --
- - - - - -T 224.55' - --
i 1 I __so2U E H.W.L�
\ / _ 37.04
12' UTILITY EASEMENT — — 820.85'- - --
H.W.E.=
.... ............................... .....................:��� ..........
LOT 21 \?
LOT 22 M'
°� 132, 339 SQ. FT '
135 324 SO. FT J. 04 ACRES
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:z 130, 958 SQ. FT N 4`° 328.04
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I
I in n N I I i MINIMUM F.F.E. =48E
} N88'37'54 "E
N 496.05 176 LOT 18
I � 1 p I 292.31•.._... —. Doi ml N
cn 0 I 20' Drcgnage Easement '�9 \tis "�
0 134,241 SO.
Fos �94�2,�, - 3.08 ACRES
_ 1 LOT 17 N ��
►� r o 130, 958 SO. FT
I
.3.01 ACRES H•WE•=468.6 o
1 N .............9e'\� ...............................
66' MINIMUM F.F.E. =472.6
N 11
H. W. L.
I j 12' UTILITY EASEMENT
I I I 4 ^ .
------ - -- - --
li - 328.04' --
- - - -� 33' 33' ---------------- - - - - -- 496.05' --------- - - - - T , 1
-
b!r - S88
S88'37'54 "W 1150.64 = - - - -- -
R LINE — -- --- S88'38'39 "W 1628.41'— -- ----
- — — — — -------------------------- — — — — — — — — — — — — — — — — — — — — — — — — — _p
---- - - - --- S88'38'39 "W 5371.30'-- --- - -- L