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HomeMy WebLinkAbout038-1214-00-000 3'o 0 d c � o � V 7! o A c 0 O N y 0 0 O N y 0 O �O d W O• CD CD m o -' m 'm 3 m c 0 4 -{ w w c p o A w w c 3 O o w ti m oo o �1 °O as+ ° ° o d 5 °.p? s \ 0 0 = ° o o = ° f ° 0 3 3 y G C !� M M n ty v co Z (n v D v co Z v? v D a iu D co ? In co cry D � 0 C O 7 co > > -� W c O. Q O CD 3 c c C. 0. O c s N O O O O o w N CD F; Z CD Z O v�n! �V L O a o O CD ( D ° y t D ° O C N r fA c c 3 c Br i Z Z 0003 C c c ° a c v gg° V� I� � o a � o a a� O co co W ca 9 Iii pj CD n n n a C ° v a n O O O =+ D 0 O 0 O j 0 6 !r • 0 0 N 0) N C m w w m n Z m Z CD n ! 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Permit Holder's Name: City Village X Township Parcel Tax No: La Casse, Richard I Star Prairie, Town of 038 -121 -00 -000 CST BM Elev: Insp. BM Elev: BM Descri ion: Section/Town /Range /Map No: 60.Q �(�lJ -O 11.31.18.1171 TANK INFORMATION r ELEVATION DATA TYPE rNUFAC T RER CAPACITY STATION BS HI FS ELEV. Septic Benchmark lZ�v 29A 3. v /03. Z /,90 Dosing � ✓ Alt. BM 3. Aeration Bldg. Sewer , Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION Y S- .Z TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , 2' / Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System r' - ,l Final Grad PUMP /SIPHON INFORMATION �Laea� Manufacturer Demand St Cover GPM > Model Number zcc 720 TDH Lift Friction Loss Sys ead TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM / , j, i Gt. dk W 319 BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth ' DIMENSIONS 3 / SETBACK SYSTE M TO P/L BLDG WELL LAKE /STREAM EACHING Manufacturer• / INFORMATION CHAMBER O Typ Of System: L 'nA I' . Model Number: DI iTF.IBUTION SYSTEM T L V ice[ r e ade anif�ld Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) ngth Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center �// Bed/Trench Ed es Topsoil l(/ , g p Yes 2 N Q Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / Inspection #2: Location: 2224 124th St New Richmond, WI 54017 (SE 1/4 SW 1/4 11 T31 N R18W) River Place Lo 10 Parcel No: 11.31.18.1171 1.) Alt BM Description = S� n � �'" ,, n �� 2.) Bldg sewer length = Of Z / - amount of cover = It / Plan revision Required? 0 Yes k Use other side for additional information. o[ � - -- Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) n ■ o § ' 0 c 2 � $ $g777.k . : � ' ■ � 7 g ƒ } / % w \ \ S Q0 & e _ � /� \����� � Co W § =r - E E e ;% S E g 2 \ R © / §± � \ \ § / 0 C> £. n r ■ « ®& [ � � •• � 3 3 3` Oro R E M 2 \ 7� §a ol @ o > > 0 cn { § c ° / [ E \ I k CL § R � � .. . m : m e g / 2 o ® r 2 \ $ � \ 2 k \0 xw "n m 0 e E �A B 4 { % m 0 . ; § $ ,/ \ k i Parcel #: 038 - 1214 -00 -000 08/09/2005 11:33 AM PAGE 1 OF 1 Alt. Parcel #: 11.31.18.1171 038 - TOWN OF STAR PRAIRIE 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 JASON A & ROBYN COOPER O - COOPER, JASON A & ROBYN 1664 CTY RD A NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 2224 124TH ST SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 1.544 Plat: 2396 -RIVER PLACE 01 SEC 11 T31 N R1 8W PT SE SW LOT 10 RIVER Block/Condo Bldg: LOT 10 PLACE Tract(s): (Sec- Twn -Rng 401/4 1601/4) 11-31N-18W Notes: Parcel History: Date Doc # Vol /Page Type 02/02/2005 786461 2741/601 WD 01/04/2002 667164 1807/158 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.544 35,400 221,900 257,300 NO Totals for 2005: General Property 1.544 35,400 221,900 257,300 Woodland 0.000 0 0 Totals for 2004: General Property 1.544 35,400 221,900 257,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Ll Safety and Buildings Division Enty 20 1 W. Washington Ave., P.O. Box 7162 5 I vi seonsl�n Madison, WI 53707 — 7162 Address ent of Commerce � a Id Sanitary Permit Application �3 q P ermi t Number �` In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Check if Revision may be used for secondary purposes Privacy Law, s15. 1 m I. Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name Parcel Number 6 3,P i W - 4re - 0 00 4 /l. 31. /,P. .Ili Property Owner's Mailing Address Property Location 5� 54 S T 3 N,R I�� �f City, State Zip Code Phone Number Lot Number Block Number Subdivision Name CSM Number 3 V014 11�4 II. Type of Building (check all that apply) ; __ ry $1 or 2 Family Dwelling - Number of Bedrooms ✓ AF pd ' f 0.«..s llag e ❑ Public /Commercial - Describe Use wnship 11 State Owned _7 7010' st Road t4 — / 00 � O �. pox , M. Type of Permit: (Check only one box on line A (numbering )(d*a use). gbm line B if applicable) A. 1 New 2 ❑Replacement System 3 ❑Replacement of 6 n to use --T7 S stem Tank Only Exis Tr% q3 B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. " pe of Permit: (Check all that apply)(numbering scheme is for internal use) 44 W �I on - Pressurized In- Ground 2111 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ ftekcglating 30 ❑ 9ther V. DispersaMeatment Area Information: 19 - Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./ Days /Sq.Ft.) (Min./Inch) Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank la-0 Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for iggapation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's - gnature RS Number Business Phone Number Yt Sao � a/a g- 9 Plumber's Address (Street, City, State, Zip Cod l0 L�� S 60 VIII. Count /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse Z Z 55-: 0� Z U t� Determination 17X. Conditions of Approval/Reasons for Disapproval 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. Maintain well and waterline setbacks per COMM 83.43 (8)(c). 3. There shall be 1 - 8 ft. of cover over the top of the system. 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. 05101) rasp a -15 pxu� I Ph f3- , V L/ .,.-f s 1 - -za o gQ S pz r 3� 0 s 1 1 . 1 �I j I• Z7� Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _ of Division of Safety and Buildings in accordance with Comm 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. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ( 17, Property Owner Property Location Inc. Govt. Lot SE 1/4 SW 114 S1 1 T 31 N R 18 X (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 573 Cty. Rd. "A" 10 na River Place City State Zip Code Phone Number ❑ City ❑ Village $] Town Nearest Road Hudson, WT. 1 54016 ( 715 381 -5405 S prairie �� Way n 1 , [ New Construction Use: W Residential / Number of bedrooms 4 Code derived desig 1a e 00 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material outwash Flood Plain elevation 1 a p cable ft• General comments Q 7_NX and recommendations: c'r ��`�. r trenches @ el. 96.30' C Boring c� a pit Borin # g Ground surface elev. 99.90 ft. Depth to limiting factor 120 I . Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 1 0 -9 10 4 2 none sil 2msbk mfr gw if .5 .8✓ sil 2msbk mfr qw if .5 .8 ✓ 3 27-120 7.5 4/4 none cos osg ml na na .7 1.2 ✓ q3 .Z L` Boring # El Boring 2 © pit Ground surface elev. 99.70 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fl' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 10 r4/2 none sil 2msbk mfr gw 1f .5 .8✓ -3 10 r4 4 none sil 2msbk mfr gw if .5 .8 Ml na na .7 1.2 a� 1.30 40, /. Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg /L I nt#2= BO < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Gary L. Steel � 7�iy 02298 Address Ci ateation Condu a Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 6 -22 -2001 715- 246 -6200 it l Property Owner Lacasse QM L r In c. Parcel ID # Mnrii n Page 2 of 3 ❑ Boring Boring # ❑ 3 © Pit Ground surface elev. 99.80 ft. Depth to limiting factor 120 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 if 5 .8 none q-W 3 . 0 yr4 /4 none FrCos Osg mi na na .7 ✓ 1.2 ✓ 6T 6 3 NL� 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 Boring # E] Boring F E] Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication 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 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD4330 (R.610D) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. LaCasse Dev. Inc. CSTM2298 New Richmond, WI 54017. , MPRSW -3254 sE , s11- T31N -R18w (715) 246 -6200 town of Star Prairie lot #10 -River Place This soil evaluation, was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shOW as per t lot lino o Prot establid3ad at the UM 00 test eras c0uduCt+id. N 1 =40' _ BM.= top of NW lot stake @ el. 100.00' alt. BM.= top ofSW lot stake @ el. 93.75' tfi 0 f 4 / c f (p lS O Gary L. Steel (� 9 -22 -2001 ST CROIX COUNTY SUPTIC 'TANK MAIN'I'UNANCU AGRIMMENT AND OW1J1?RS[11I' CI?It'1'll DORM Owner /Buyer 4-.44.2, Mailing Address 4i 7 3 Properly Address Z y (Verification rc(Iuircd lions !Tanning Dcpamucut for new cousinrcaou) _ Cil /State eA , Y , � reel l Y �L 1 , ►rlcnlilication Nun►I)cr LEGAL DESCRIPTION Property Location 5 '/,, /,, S ec, / I' WR / W, 'Town of Subdivision �• �? -{•�. Cerlifietl Survey Ma it 11 _ Vulunrc , Page It Warranty Deed 11 6 39 3 3 Volunfc /vim ©Z , 1'ai;c IE Spec (louse ❑ yes la"no Lot lines identifilible F,-t ❑ tto SYSTEM MAINTIPMANCI!; Improper use and mainlenauceof you, septic system could result in its premalrrre failure to handle wastes. Proper maintenance consists of puutpiug out (lie septic tank every three years or sooner, if needed by a licensed pumper. What you put into file system can affect (he Rotation of (lie septic lank as a treatrrrcrrl stage in the waste disposal system. The properly owner agrees to submit to St. Croix Zoning Deparlmcnt a certification form, signed by Ilia owner and by a rnaslerplutnbcr, joumeynian pluu►ber, restricted pluruber or a licensed pumper verifying that (1) the on -site wastewalerdisposal system is in proper operating condition and1or (2) aver inspection Bull pumping (if necessary), the septic lank is less than 1/3 full of sludge. I /we, the undersigned have toad (lie above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by (lie Departutcat of Conuncrce and the Depatin►cnt of Natural Resources, Stale of Wisconsin. Certification slating !fiat your septic system has been maintained must be congdcicd and rctruncd to the St. Croix Cotu ly Zoning Office within 30 days o o ll►rce care pirali rt (laic. 1 / S NA'I R Or PLICAN'l' UA'I'Lr O�'YNrR CI�R'I'II� ICA'TION I (we) certlfy that all stalcrucnts on Ibis liner Bic true to file best of illy (our) knowledge. I (we) am (are) Ilia owner(s) of Z A& rty dose abed bove by virtue of a warranty decd recorded in Itcgisler of Dccds Office. AM' (� / / DATE An y information that is nris - rc I Presented era y result in file sanilary peunk being revoked by the Zoning Department. * * * * ** ** Include with tills applicaflon: a stan►pcd warranty decd from the Register of Deeds office a copy of the certified survey u►ap if reference is made in the warranty deed POWTS OWNER'S MANUAL • •.••••. 'NFORMATION SYSTEM SPECIFICATIONS C►wner Septic Tank Capacity Za SO al ❑ NA Permit # 7 Septic Tank Manufacturer (,U�- ❑ NA Effluent Filter Manufacturer z r ❑ NA DESIGN PARAMETERS ❑ NA Number of Bedrooms DNA. Effluent Filter Model — �� Number of Commercial Units ❑ NA Pump Tank Capacity gal C3 NA Estimated flow (average) <i ga l/ ay Pump Tank Manufacturer n N Design flow (peak), (Estimated x 1.5) 400 gal /day Pump Manufacturer ^ NA Soil Application Rate / gaUday /ft Pump Model Monthly average* Pretreatment Unit ❑ NA Influent/Effluent Quality ❑ Sand /Gravel Filter ❑ Peat Filter Fats, Oil 8t Grease (FOG) s30 mg/L ❑ Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BODs) :5220 mg /L ❑ Disinfection ❑ Other: Total Suspended Solids ( TSS) :150 mg /L Manufacturer Pretreated Effluent Quality ' ❑ NA Monthly average* * Dispersal Cell(s) Biochemical Oxygen Demand (BODs) :_30 mg/L Ain ground (gravity ) ❑ In- ground (pressurized) Total Suspended Solids (TSS) __ :30 mg/L ❑ At -grade ❑ Mound Fecal Coliform (geometric mean) :510' cfu /100m1 1 ❑ Drip -line ❑ Other: Maximum Effluent Particle Size A inch diameter * Values typical for domestic (non- commercial) wastewater and septic tank effluent. * * Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency At least once every ❑months �dyear(s) (Maximum 3 yrs.) Inspect condition of tank(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (31) of tank volume Inspect dispersal ceil(s) At least once every ❑ months ❑ year(s) (Maximum 3 yrs.) Clean effluent filter At least once every f ❑ months Oyear(s) Inspect pump, pump controls ex.alarm At least once every ❑ months ❑ year(s) ❑ NA Flush laterals and pressure test At least once every ❑ months ❑ year(s) ❑ NA Otter: At least once every ❑ months ❑ year(s) ❑ NA Otter: At least once every ❑months ❑ year(s) 13 NA MAINTENANCE INSTRUCTIONS the following licenses or certifications: Mas Inspections of tanks and dispersal cells shall be muds by an individual M ' aintaine� f Septage Servicing Operator. Tank inspecto Plumber; Master Plumber Restricted Sewer; PO Inspector, must include a visual inspection of the tank(s) to identify n n b k p o ponding of effluent on the ground missing � identify surface. The dispersal volume of combined sludge and scum and to check for y 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. the entire When the combined accumulation of sludge and sc Servicing Operator land disposed o in accordance e ch. 113, Wiscon contents of the tank shall be remove d b p Administrative Code. ts ment components, and The servicing of effluent filters, mechanical or pressurized POWT be performed by a certified POWTS Maintainer. ny other maintenance or monitoring at intervals of 12 months e A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERAT presence of p ainting products or For new construction, prior to use of the POWTS check treatment tank(s) for high concentrations are detected have th the conte that may impede the treatment process and/or damage the dispersal cell(s). Ar r>,o ranlr(Sj ramovPC! by ,; Sentape servicing operator prior to use. Page System start up shall not occur when soil conditions are froten at the Inflltradve surface. During power outages pump tanks may fill above normal highwita levels. When power is restored the excess wastewater will be discharged to the dispersal cell($) In one large dose, overloading the cell(s) and may result In the backup or surface dlscharge of e ffluent. ower to the effluent'Pump situati have contact Plumber POWTS MiIntalner t remov assist in pe ating the pr to rinti conttrob to P restore ncrmal levels within the pump tank. Do not drive or park vehicles over unks and dispersal cells. Do not drive or park over, or otherwise dlswrb or compact, the are, within 15 feet down slope of any mound or at-grade sod absorption area. Reduction or elimination of the following from the wutewater 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; (at; foundation drain (sump pump) water; frult and vegetable peelings; gasopne; grease; herbiddes; meat scraps; medications; oil; painting croducts: oesticides. sanitary naokins: tamaonsi and water softener brine. A$ANDONEMENT shall be taken to Insure that the system is When the POWTS fails and /or Is permanently taken out of service the f steps properly and safely abandoned In compliance with ch. Comm 83.33, Wisconsin AdmInlstr�dvf Coder • All piping to tanks and plu shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and plu shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and plc: shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another Inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, w provide a code compliant replacement system: d A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be Infringed upon by required setbacks from existing and proposed structure, lot pnes and wells. Failure to protect the replacement area will result In the need for a new soil and site evaluation w establish a sultable replacement area. Replacement systems must comply with the rules In effect at that time. O A suitable replacement area Is not avaliable due to setback and /or soil limitations. barring advances in POWTS technology a holding tank may be Installed as a last resort to repiam the failed POWTS- 0 The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a loll and site evaluation must be performed to locate a suitable replacement area. if no replacement area I$ available a holding tank may be Installed as a last resort to replace the failed POWTS. D Mound and at-grade soil absorption systems may be reconstructed In place following removal of the biomat at the Inflivative surface. Reconsuvctlons 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 TO INTERIOR OF A TANK MAY BE DIFFICULT OR IMPnitistl F. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name 1 4 X Na me Phone l — — Piwne _3 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Agency J o • '�J9�PRGE� 639326 Jni STATE DAR 00 WISCONSIN FORM 2.1998 KATHLEEN H. WALSH REGISTER OF DEEDS Document Number WARRANTYDRED ST. CROIX CO., W1 This Deed, made between Kevin Patrick Campeau, Jeffrey Allen RECEIVED FOR RECORD Campeau and John Michael Campeau, as tenants in common, Grantor, and 02 -27 -2001 11:00 AM LaCasse Development, Inc., a Wisconsin Corporation, Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee WARRANTY DEED the following described real estate in St. Croix County, State of Wisconsin (The EXEMPT 11 "Property"): CERT COPY FEE: COPY FEE: TRANSFER FEE: 1290.00 The Northeast Quarter of the Southwest Quarter (NE 1/4 SW 1/4) lying west of the RECORDING FEE: 10.00 Apple River, EXCEPT the west three (3) rods thereof; that part of the Southeast PAGES: 1 Quarter of the Southwest Quarter (SE 1/4 SW 1/4) lying west of the Apple River and east 122' Street; and the Northwest Quarter of the Southeast Quarter (NW 1/4 SE 1/4) lying north and west of the Apple River, all in Section 11, Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin; and Recordin • Area EXCEPT Lot 1 of Certified Survey Map filed November 3, 2000, in Volume 14 Q Name and Return Address Page 3988, as Document No. 632964. F� re lr e-t' e3 K 5 3 a Kn c w (es A je Sc - Above described land is subject to an easement for ingress and egress to said Lot N . �' W ( 4p t'7 1 as described on deed recorded in Volume 1555, Page 37, and subject to all other easements, restrictions and covenants of record. Part of 038 - 1048 -IO & 038-1049-40 Parcel Identification Number (PIN) This is not homestead property. Exceptions to warranties: Subject to all easements, restrictions and covenants of record. V Dated this _ r� y of February, 2001. vin a Ick C (peat 5J.1. MichA.p 'Je y AI en Campeau W AUTHENTICATION ACKNOWLEDGMENT Signature(s) Kevin Patrick Campeau, Jeffrey Allen Caitlpeau and John Michael STATE OF WISCONSIN ) r � PAII ) Ss ' County au ►8t e. day of February , 2001. Personally came befure me this day of 2001 the above named =IC ^ n8' 0 n to me known to be the 3 • E, m B9 S'f TE BAR OF WISCONSIN person(s) who executed the lbregoing instrument and acknowledge 1 • C S (If the same. 1 •a ithorized`by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Hendrik W. Van Dyk ' VAN DYK, O'BOYLE & SILER, S.C. Notary Public, State of Wisconsin My Commission is permanent. Post Office Box 118, New Richmond, WI 54017 (If not, state expiration date: ) (Signatures may be authenticated or acknowledged. Both arc not necessary.) *Names o(persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF WISCONSIN FORM Na. I - 1998 INFORMATION PROFESSIONALS COMPANY FOND oU LAC, WI 808-855 -2021 i r r ' 3 i S � C 1 i g4 T 1 ES ILOT 6 +qD (1:537 AC ES) 1 A . E sC�u - r H LINE 0 THE i A RE ►� 1 4 OF 114E �I l {4 950.3 NE WORTH LINE F T 1 f !9E1 I4 OF TH 6WI, f g 7t j 45.1 948.7 946.7 X 94 .9 X �;vy c� a f, 1 T 0 ACRES 1.644 RE. .� g ACRES (1.54 R � 1 949.2 4� Q X . f. l / l . 943.3 � �..- 945.5 f � � 0 t r.4� Q! � § � / Z 0 ° m 2 Cl) 7 8 CD CD \ / - \ / - ( � f 2 � te E E E § 8 0 : ■ /' a © @§y CL to 3 m \ Z R 0 o �_ ;o o o o 3 �- ol Oro § § § 0 PL \ v v \ % f 10 \ a � § � z ; § f aao 0) 5 9 CO CD J - g E CD m ` _/ k )' 3 k / \ � _ -4 cn a © § § 7 CL 9 � « £ a \ k ' z § A CO § CL 7 z \ 2 � 2G0a \�� cl y \c ,CL E2'F A Z E ; Cf(° ELI E # //7 2 CL m f CD _ C C-) 2 o o N * f * # 8� �) �