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Sanitary Permit Application Safety & Buildings Division
In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave.
See reverse side for instructions for completing this application PO Box 7302
NVisconsin Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302
Department of Commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if not
state owned.)
Attach com plete plans (to th e county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size.
County State S i Permit Number ❑ Check if revision to previous application State Plan I. D. Number
3"W
I. Application Information - Please Print all Information Location:
Property Owner Name Property Location
n 1/4 1/4, T N, (or
Property Owner's Mailing Address Lot Number Block Number
City, State Zip Code Phone Number Subdivision Name or CSM Numb
II. Type of Building: (check o
o.� _ ❑City
p ` s 1� �' �.� ❑ Village
1 or 2 Family Dwellin oABedroom's: ...
❑Public /Commercial (d c Town of `ys�j'_' `. ,
❑ State -Owned
Nearest Road
Parce T -be s)
III. Type of Perm hec `onl g line A. Check box on line B if applicable) , J I c f '7
A) 1. 0 New ❑ Rep 3. Replacement of 4. 5. 6. ❑ Addition to
System "f ; Syst Tank Only Existing System
B) r __ . Permit Number Date Issued
11 A Sanitary Permi pr vJo s(y`'sued"
IV. Type of POWT System: ( ec afrthat apply) ,c A- -- 100
® Non - pressurized In- ground ❑ Mound ❑ Sand Filter / ❑ Constructed Wetland
❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line
❑ At - grar 2_) i I ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other:
8
V. Dispersal/Treatment Area Information: �I T'11
1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade
Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation
Clr;d,
S 7 - . " % s�
VII. Tank - Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing crete structed
Tanks Tanks
❑ ❑ ❑ ❑
Z 4irl- A 0 0 0 F
VIII. Responsibility Statement
I, the undersigned, assume responsibility for install ion of the POWTS shown on the attached plans.
Plumber' Name rint) + Plumb eys Sig a (no s ;: MP/MPRS No. Business Phone Number
P umbe s Address (Street, City Zip Code)
IX. County/Department Use Only
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps)
Approved ❑ Owner Given Initial Adverse Surchar Fee)
Determination 2ZS. (M M" 2 cot
X. Conditions of Approval /Reasons for Disapproval:
C t4 o-jc &Fk s• -'/ 1Z
w.>� .
SBD -6398 (R. 07/00)
Wisconsin Aepartment of Commerce
PRIVATE SEWAGE SYSTEM county: St. Croix
Safety and)luilling Division
INSPECTION REPORT Sanitary Permit No:
384161 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:
Swanson, Darrin I Somerset Township 032- 2093 -80 -100
CST BM Elev: Insp. BM Elev: B
�06
TANK INPOWATION EVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic ( Benchmark
Dosing Alt. BM
v
N, To
eration Bldg. Sewer y
� Z
Ho Ht Inlet
z y I e
TANK SETBACK INFORMATION Ht Outlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet tS.2� ps
Septic > 3 3 f Dt Bottom
Dosing ( i , Header /Man.
SO
Dist. Pipe O lot. f S
Ho Bot. System X 4 ;t, 3 f 103.Sr
'7.
Final Grade
PUMP /SIPHON INFORMATION 4► �r P ^^- a YZl7 l0 ,
Manufacturer S Demand T St Cover
GPM
Model Number
TDH Lift Friction Loss System Head TDH Ft
Forcemain Length f Dia. Dist. to Well
2
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3 75-
SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM G Manufa r•
INFORMATION AMBE OR
Type Of System:
> / 0, 1 > 121-1 7 / 2 S 7 �/ Model Number:
1 c
DISTRIBUTION SYSTEM
Header /Manifold IDistribution x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s) C I / / ?
Length S Dia_ Length 7J Dia Spacin
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 rig] No Ful Yes � No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:/ Inspection #2:
Location: 2020 77th St eet Somerset, WI 54025 (SE 1/4 SE 1/4 24 T31 R1 9W NA Lot Parcel No: 24.31.19.917B
o 1.) Alt BM Description � = ?p 0 Ltr�' Gpp ! weu // S
2.) Bldg sewer length = fd / / ' J "te /w5�Jej � `t ►
- amount of cover = 77 �i•� I"o.4 er ave ty�
� &y htr 4 g
3 •�oGs� ✓v�s ��p�s iws><�1�.� .h is %wt��cl /.` � rt
P lanevislo' n Required ? ] Yes No
Use other side for additional informabo "l v1 Lo
Date I Cart. No.
SBD -6710 (R.3/97)
Y,
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03/08/2001 17:21 7152473038 BELISLE EXCAVATING I PAGE 01
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PAGE OF
PUMP CRtM5[R CX055 SECT AND SPECIFICA
V E A1T CAP
4 � VENT PIPE WEATHERPROOF APPROVED LOCKING
JUUCTIOM BOX MAWHOLE C OVCK 1NITri
? 25' FROM DOOR, WARNING LABEL
WIJJDOWOA FRESH i2 MIU.
I
AIR ImTAKE
A�l i,RADE I
I y" MIAJ.
- T
�. 1 8' M
COIJDUIT- '� - - _ - - - - - - - - - --
\ -- - - - - - - - -
IIJLET _T AIRTIL iT SEAL
APPROVED JOIM A I I APPROVED J01�.'
I I W/ ' PIPE
CXTEND 3' I I ALARM EXTEWDIUG 3'
0gT0 SOLID SOIL { 1 j OIJTO SOLID SO',
e ( 1
I I/ oN
c
I [.
E LEV. FT, PUMP - -�
b OFF
D
CO►JCRETE DLOCK
R15ER EXIT PERMITTED OJJ1_ "i IF TAIJK t- 1AUUFACTURCR HAS SUCH APPkOVAL
3" r,PPAOVE4 6EDDING Tr.►.1K
SEPTIC t SPEC.IFICATIOQS
DOSE
_T A►JKS MAQUFACTURER: ��� { -- �JU,".DCR OF DOSES: ,PER D"
TAWK SIZE: __ m GALLOUS DOSC VOLUME �
` r,I IMCLUDItiIG 15ACKFLOW:���. J _— GALLON:.
fiLARM MAAIUFACTURGR: ^ �^ � ��
MODEL 1JUM6ER: ,�/S� r/L�1 CAPACITIES: A= c ;2, - IUCRCS "It 4 1 7b l e CALLOUS
SWITCH TYPE: 5=
_, OR a Q$_ GALLO►15
PUMP MANUFACTURER: _ C = INCHES OR /3.1 GALLOUS
MODEL MUMBER: _ � `n,�� _ - D- INCHES OR GALLO►Jt
SWITCH TYPE: ��' Al PUMP AUD ALARM ARE TO DC
MWIMUM DISCHARGE RATE _ GPM INSTALLED OJJ SEPAnATE CIRCUITS
VERTICAL WFFE►.ENCE OETWEEAI PUMP OFF AUD DISTRIBUTIOW PIPE.. FEET
+ , iulMUM KJCTWORK SUPPLY PRESSURE . . . . . . . . . . . FEET
FT'
+ _�66 FEET OF FORCE MAIN X r �"8 .._�o�,T.FRICTIa11 FACTOR. FEET
TOTAL `_QAt°'!L Hi t,D -- / /l FEET
I►JTERKJAL DIMEIJSI NC OF TAQK: LL +JGTF1 miurl{ ;LIQUID DEPTH --
/l � t r i d r � � � - ��.: Vr � r.i ■ ■ • L � +../ 1 f�! / M J ,p er �I � r � �.�� j � � + l
METERS FEET
GO -
!MODEL 3885
C -1SIZE 3 /4" Solids
'�-
70
?0 W E 10H - - -� -
O WE07H
40
10 WE03M - } -- -
_
5 20 — �--
tp —
oL 0
0 10 20 30 40 50 60 70 60 90 1C0 110 120 GPM
0 10 20 a0 m'/h
CAPACITY
`.i r = , . f' M`k,, rC.'f �. "rte 1 p
METERS FEET _
120 — MODEL 3885
35 �--.— l SIZE 1 /, " Solids
110 WE,SHH — — I— t --1 ".� _._�.
--
30
90
25
90 ,
i
70 I — t-
20
O - - --
~ WE05HH - - -1— -- —
40
io
-- - ; TI T
5 20 --t— —1 J
0 10 20 30 40 50 w 70 4, 40 1 W 110 1l0 GPM
0 10 - 30 m'/h
CAPACITY
•1p08 Qcu10c Pvmpa, Inc. jury. I
Clllat
Wi Department of Industry SOIL AND SITE EVALUATION
Page of
''1 nbQr and HuMan Relations E t�
a _ �___
�iwsfon'ot'safery end Buildings - A i n accordance with s. ILHR 83.09, Wis. Adm. Code
Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must
County
:riclude, but not limited to: vertical and horizontal reference point (BM), direction and ,
percent slope. wale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 0
e'4% . tt�
APPLICANT INFORMATION - Please print all information. Reviewed by Date
Personal information you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). ,�, -4,� 240 I
Property Owner Property Location
Govt. Lot Sw 1/4 �' 1/4,S a T 31 ,N.R 17 E (or�
rr� OkrS0h SE y
Property Owners Mailing Address Lot a I Block# Subd. Name or CSMff
9 Mel.e_ Q A :D% Nanson' lurilf- Ilk kf.. W-
j city State Zip Code Phone Number [] City ❑ V41age ® Town Nearest Road
; St. {fib► 1_ t V{ 177 7 NO ^ w ry t �. a Q t.
® New Construction Use: ® Residential / Number of bedrooms 3 Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flow gpd Recommended design loading rate ._ bed, gpd/ft 900
Absorption area required — 43 bed, ft ft 2 Maximum design loading rate , �1 bed, gpde gptlJftz
Recommended infiltration surface elevation(s) !,1 t 5 0 6 ft (as referred to site plan benchmark)
Additional design/site considerations _—
Parent material Q\ac a L. ,pt,_ w 4_S_ EX Flood plain elevation, it applicable It
S = Suitable for system Conventional Mound In -Ground Pressure AT -Grade System in Fill Holding Tank
U= Unsuitable for s s❑ u S❑ u ®s ❑ u ®s ❑ u ❑ s (� u ❑ s f U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Morales Texture Structure Consistence Boundary Roots GPDIft2
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
(' r tlh Fr Q AF • S ' I
t 1 - e 3_1 S 6
19 -110 fR y Jy — L 2M M ! F .5 ' . S
Ground 3 .a SYR y/ -- -- L 5 - 5q lo ,� •�
elev.
Ib
t_
}-
lo
Depth to
limiting 103
factor
=. 9D - in.
Remarks: -
Boring ## 'b`�� �� .1IZ .S
p -N 3 - -- L 1 �r �>r• �v f� •`�
3 - 7,5YQyJ 1. - fML 1vP M J _ _ 14
Ground y1 �'�"'ra' —L • Q '�
alev.
` atCQ,
Depth to
limiting L)-
factor g -
__11Qin. Remarks: c + �
I CST Name (Please Print) Signature Telephone No.
_ � a n n l� �_�, �ca�N',.�z '71 - X48 -3S $8
Address , U Date CST Number
.�� 1.. t�nt�' S't _`rtri �(r -a ^ t 1,.�'L_ 11 -13 - 9 1. 4 U! 1
vROPERTY bwli ,�� h , an o h SOIL DESCRIPTION REPORT Page of '1
P A RCEL. LD.#
3 onng # Wzon Depth Dominant Color Moto". Structure 2
in. Munseq Ou. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots
Bed ,Trench
'� I o• �o L 6 r �rnvFr CIS F s •'f
JL SL k r^Fr C-
'
Ground 3 I.W 7.5 Q 4�y L s - 6g, I ✓F
� eley. u
l 4 t .-M alt . 7 S1 P. Li tj ----- S -5 v%
Depth to
limiting
factor
qD in. .
Remarks:
Boring #
s o I oYQ 3 IF (or w% vi'r►
Ground
)epM to
Limiting - . - +
factor
Remarks:
Horizon Depth Dominard Color Mottles T6odwe Structure Consistence Bound" (Roots P
in. Munsetl Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring # IbY
L, IF(or Fr F S 1�
Ground y ..� •� .
elev. 4
Depth to
limiting
factor
min' Remarks:
3oring #
(round
aev.
—ft.
Depth to
Actor
i " Remarks:
MDW -8330 (R_ OMS1
t
C..
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S .
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
OwnerBuyer ba t i /
Mailing Address ��� MUI.C�Z� S17L� � j MtiI SS706
Property Address es 77 S hLU t �UVY�e13f
(Verification required from Planning Department for new construction)
City /State J1" r' ef, L(.)- Parcel Identification Number �3 ' - 0 9-f - 80 --lo
LEGAL DESCRIPTION
NE'%Fof ,>ne 5, /y A1W X1 of ,Ae Se ly, S yv of A e Se- Yf , a4j'f'c�- ry 6, >`l►o .f� �5<
Property Location ' /4, '/4, Sec. •%Z� , T 3I/S NO / W, Town of sue
Subdivision V U*, W / Mock.. Z AkiX,o 4c4 Ju� Ina-k1— , Lot # a--
//S Ht3f fi(�
Certified Survey Map # 65 , Volume l , Page # . 3
Warranty Deed # , Volume - , Page #
Spec house ❑ yes 0l no Lot lines identifiable yes ❑ no
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) theon -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 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 the three year expiration dat .
SIGNATURE OF AffLICANT DATE
OWNER CERTIFICATION
I (we) 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 virtu o arranty deed recorded in Register of Deeds Office.
31 /0/
IGNATURE OF APPLICANT DATE
* * * * ** Any information that is mis- represented 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 (Iced
v A
w Private Onsite Wastewater Treatment System Management Plan
Septic Tank And Gravity In- Ground Soil Absorption Component
Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment
System (POWTS) shall include information and procedures for maintaining the system within
the parameters of Comm 83 and 84, and the conditions of approval by the department, agent,
or governmental unit. The approved plans and permits for system are on file at the county
zoning or health department.
This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground
Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD-
10567-P (R.6/99).
Table 1: System Design Specifications
Sanitary Permit Number
Number of Bedrooms
Design Flow - Peak (gpd)
Estimated Flow - Average (gpd) CD
Septic Tank Capacity (gal) IbUID t y
Soil Absorption Component Size (W) --9 *
Type of Wastewater D mestic
Table 2: Soil Absorption Component - Limits of Reliable Operation
Septic Tank Component Soil Absorption Component
Design Flow - Peak (gpd) I ftOIN 3 t — 04 yts
Maximum Influent Particle Size (in) 0 1/8
Maximum BOD (mg /L) 220
Maximum TSS (mg /L) 150
Table 3: Maintenance Schedule
Septic Tank Inspect and /or service once every 3 years
Outlet Filter Inspect once a year and clean at least once every 3 years
Soil Absorption Component Inspect once every 3 years
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks
under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with
P P
NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease
Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable
Restrooms).
The operating condition of the se tic tan and outlet filter shall be assessed at least
once every 3 years by inspection. The outlet filte shall be cleaned as necessary to ensure
proper operation. The filter cartridge shou no a removed unless provisions are made to
r6WI n solids in a tank that may slough off the filter when removed from its enclosure. If the
- Management Plan for a Septic Tank and Soil Absorption Component
filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously.
Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The
Y 9 P 9
septic tank shall have its contents removed when the volume of scum and sludge in the tank
exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the
time of an assessment, maintenance personnel shall advise the owner of when the next service
needs to be performed to maintain less than maximum scum and sludge accumulation in the
tank.
Manhole risers, access risers and covers should be inspected for water tightness and
soundness. Access openings used for service and assessment shall be sealed watertight upon
the completion of service. Any opening deemed unsound, defective, or subject to failure must
be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by
an effective locking device to prevent accidental or unauthorized entry into the tank.
No one should enter a septic or other treatment or holding tank for
any reason without being in full compliance with OSHA standards for
entering a confined space. The atmosphere within the septic or other
treatment of holding tank may contain lethal gases, and rescue of a
person from the interior of the tank may be difficult or impossible.
Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the
tank is no longer used as a POWTS component.
Soil Absorption Component
The soil absorption component serving this structure is designed to accept domestic
wastewater from a residential facility. The limits of operation of this component are shown in
Table 2.
The longevity of a soil absorption component depends greatly on proper and timely
maintenance, and system use within or below the limits of reliable operation. Good water
conservation practices by all occupants and the installation of water conserving plumbing
fixtures are key factors in extending the useful life of this component.
The soil absorption component's operation must be assessed by inspection at least
once every three years. The inspection shall include recording the levels of ponding, if any, in
the observation pipes, and a visual inspection for any evidence of surface seepage or discharge
from the component. On steeply sloping sites, areas of erosion should be identified and
reported to the owner for repair. The surface discharge of domestic wastewater or sewage
from the system is prohibited and considered a human health hazard.
Traffic around or over the soil absorption component should be avoided particularly
during winter months. The compaction or removal of snow cover over the component may lead
to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or
impossible to repair until weather conditions improve. In general, soil compaction over this
component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to
more intense, and earlier, organic clogging of the soil.
2
Stock No 1106a
606457
KATHLEEN H. WALSH
1440P REGISTER OF DEEDS
DOCUMENTNO, ST. CROIX CO., WI
RECEIVED FOR RECORD
SATISFACTION OF REAL ESTATE MORTGAGE — BY LENDER 07-09 -1999 9:04 AN
SATISFACTION
EXEMPT N
The undersigned Lendercertifies that the following is fully paid and satisfied: CERT COPY FEE:
COPY FEE:
Mortgage executed by DARRIN SWAN SON AND JOANN HARDEGGER, TRANSFER FEE:
RECORDING FEE: 10.00
PARES: 1
HUSBAND AND WIFE
to Lender and recorded in the office of the Register of Deeds
of ST CROIX County, Doc.
Wis., as No. 598399 Reco arq Area
(Reel) (Records) (image) Nam. and aeWmAddre:e
in (Vol.) 1406 of (Mortg's), on (page) 189 NORTH'
covering the real estate described below: 532 SO WLE E
N CHh10ND WI 54017 \
&"'e. o -f Scrrz, —aka
032 - 2093 -80 -100 & 032 - 2093 - 80-300
HILLS FIRST ADDITION IN THE PART OF OU710T 1, BLOCK 2 S TURTLE LAKE IWD AS CERTIFIED SURVEY MAP FILED DECEMBER 23, 1 I j, P� 31f96 A 4 OF .
SUBJECT TO EASEt�DIiS, RESTRICTIONS AND RESERVATIONS OF RECORD. _
THIS IS NOT THE HOMESTEAD PROPERTY OF THE NORT%MR.
❑ It checked here, real estate description continues or appears on attached sheet.
STATE OF WISCONSIN Dated June 3, 1999
County of St Croix Northwest Savings Bank
NAME ER
This instrument was acknowledged before me
on June 3, 1999 Title Vice President
by Joanne Jackson and Paul A Paulson Jr Joanne Jackson
(Names of peraon(s))
as Vice President and Asst. Secretary Attest
(T of authorky. e.o., 016cw, tn,slee, etc, it any(
o f No wes Savings Bank Title Asst. Secretary
(Name of y m twhaa of whom irulru r4 w execMed)
Paul A Paulson Jr
Joa e a er This instrument was drafted by:
JOANNE M WAGNER
Nola Public Wisconsin in
�' s Notary Public Susan J Blomquist (NWSB)
My Commission
09 -03 -00
Is 6tel
( Exp ires) ( ) / of Wi gconsin (TYPE OR Pill"
'Type or print name signed above.
` State Bar of Wisconsin Form 2 — 1982
532396 WARRANTY DEED
.7V Y 1135PA�E C9
DOCUMENT NO. � n
v 1. L � .� S s, _1 � "r ,, l..•
Richard M. Hansen a /k /a Richard Hansen l;ec`d 1"
an ane A. tiansen, riusband and wire,
AUG 11 1995
J 10:15 A
conveys and warrants to Darrin Swanson, a single person ,
�� tt
JOAnn Harde Qer, a si ngle pe rson,
THIS SPACE RESERVED FOR RECORDING DATA
NAME AND RETURN ADDRESS
the following described real estate in St rni x
County, State of Wisconsin :
(Parcel Identification Number)
(See Attached Exhibit "A ")
M6
This is not homestead property,
(is not)
Exception to warranties: EaSeMents, restrictions and rights -of -way of record, if any.
Dated this
day of Augus , I9 95
�,,,1
(SEAL) (SEAL)
* 'chard a Ri d Hans
(SEAL)
(SEAL)
* J e A. Hanse�r
AUTHENTICATION ACKNOWLEDGMENT
,Signature(s) Richard M. Hansen, a/k/a STATE OF WISCONSIN
Richard Hansen, Jane A. Hansen
A County.
authenticated this August day of u$. , 19 95 Personally came before me this day of
v
19 the above named
• Kristina Ogland
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by §706.06, Wis. Sta(s.) to me known to be the person who executed the
THIS INSTRUMENT WAS DRAFTED BY foregoing instrument and acknowledge the same.
Kristina Ogland
Attorney at Law
Notary Public County, Wis.
(Signatures may be authenticated or acknowledged. Both are not My commission is permanent, (If not, state expiration date:
necessiiry.)
'Names of persons signing in any capacity should be typed or printed below their signatures.
WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc.
FORM No. 2 — 1992 Milwaukee, Wis.
I
I
f- r S
I, ..Allen C. • Nyhagen, registered Wisconsin Land Surveyor, hereby certify
that by the direction of Darrin Swanson, I have surveyed, mapped and '
described the land parcel which is represented by this Certified Survey
Map; that the exterior boundary of the land parcel surveyed and mapped is
described as follows:
A parcel of land located in part of the N81 /4 of the S81/4, NW1 /4 of the
S81 /4, MI /4 of the S81 /4, 'and $81/4 of the S81 /4 of •''Sectiaa 24, 'T31 N O '
R19W, Town of Somerset, St. Croix County, Wisconsin; being part of Outlot
1, Block 2, plat of Ran en's Turtle Lake Hills First Addition; further
described as follows:
Commencing at the B1 /4 corner of said Section 24; thence S01 "W,
along the east line of the S81/4 of said section, 503.00 feet; thence
N87 "W, 603.00 feet to tIM pmt of begs thence continuing
N87 9 W, along the northerly line of said Outlot 1, 927.94 feet;
thence NO2 "B, along the easterly line of said Outlot 1, 470.00 feet
to the southerly right -of -way of the town road (205th Avenue); thence
N87 0 W, along said right -of -way, 66.00 feet; thence 502 "W,
along the westerly line of said Outlot 1, 470.00 feet; thence
S55 "W, along the northwesterly line of said Outlot 1, 511.59 feet
to a point XX feet more or less from the water's edge of Turtle Lake and
the b - - nnin of a meander.line; thence 808 0 04 1 07"8, along said meander
line, 55.58 feet to a point XX feet more or less from said water's edge;
thence 537 "8, along said meander line, 215.44 feet to a point XX
feet more or less from said water's edge; thence S12 "B, along said
meander line, 254_.05. feet to..a. point XX. feet more or less from said.
water's edge; thence S25 "W, along said meander line, 252.60 feet to
a point XX feet more or less from said water's edge and the end of said
meand er thence 587 22 "B, • along the northerly--line—of that - -land
parcel recorded and described in Volume 1068, Page 433 -434 at the St.
Croix County Register of Deeds office; 1300.24 feet to the easterly line
of said Outlot 1; thence N01 2 8, along said easterly line, 1004.16
feet to the goat of — W"Ie • all those lands lying between
the above described meander line and said water's edge of Turtle Lake
between the extension of a line bearing S55 ■W from said beginning
of meander line and the extension of a line bearing N87 *W from said
end of meander line.
Parcel contains 29.53 (1,286,293 Sq. Ft.) and is subject to all
easements of record.
I. also certify that this Certified Survey Map is a correct
representation to scale of the exterior boundary.surveyed and described;
that I have fully complied with the current provisions of Chapter 236.34
of the Wisconsin Statutes and the Land Subdivision Ordinance of the
County of St. Croix in surveying and mapping same.
Bach parcel shown on.this map (plat) is subject to State, County and
Township laws, rules and .regulations .. (i . e . , wetlands.,... lot . sixe,
access to parcel, etc.). Before purchasing or dew I ping any parcel
contact the St. Croix County Zoning Office and appropriate Town Board for
advice.
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CERTIFIED SURVEY MAP N�ti
gated ^ in part of the NE1 /4 of the SEl /4, =Nwl /4 of the SEl /4, SW114 of the SEI /4, i
'-ion 24, T31N, A19W, Town of Somerset, St.. Croix County,. Wisconsin; being part o!
of Hansen's Turtle bake Hills First Addition. a LBGEND
� OWNER - !Q -Aloof M" Couatjr C
2Q5TN AVEN 0 - 2 0 - jr�wpipe
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_ice o -" x 24" �arP��jre�►.S�t, w - -x-� N87° 57 .' �� :Prairiausly�s4o�`ded diast�
'�-�--- '
HAYSENIS TURTLE LAKE
HILLS FIRST
o
BLOCK 1 o
BLOCK 2
i . L O T 3 LOT 1
a a w LOT 2
LOT 3.
.y �H •
IN FEET ® N67 06"MI 927.941
6�� C
200 ` N87 6 57 0 05 16M 620,04+
TEMPORARY WL -DE -SAC FASElIaiT
�°' 3 N .o Acres
°'• �,
-'B' 1 bg j 3.05 Acres I lIC. Esmt. Inc. Esmt.
3.
'G "E �`�• 3.00 Acres Exc. Esot. 00 Acres °
o Exc. Emt.
3.00 Acrec Exa. Esmt. F _ r^7 w1.:,,: 301.73
(N37 16"1f
(215.69 0 OD
$37 . 21'01 "E
215.40' a° ,•:
(N12"25 '
(254.091) 2
1 • '1 "E .
ZSO.OS' i 19.28 Acres
(N25 -
525 f
252.60'
PARCEL I N Vnt 1 neo
- -RC__ ass