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Home My WebLink About038-1055-60-070 Wisconsin Dep4 ment 4 Commerce Count PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 420758 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan lD 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: Marek, Darin I Star Prairie Township 038 - 1055 -60 -070 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: (� �D &D 7.0 (, — I 13.31.18.238D30 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic I Benchmark Dosing Alt, BM Aeration Bldg. Sewer r Holding St/Ht Inlet b .fin 9 3 • IS r TANK SETBACK INFORMATION St/Ht Outlet L $� 3.60' TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > o t Dt Bottom Dosing Header /Man. (o •9 S 9 3. Aeration rbist. Pipe �� 0 93- 9.3 •z ' Holding Bot. System 92 • SS � 8 •L .L Final Grade PUMP /SIPHON INFORMATION 3. Manufacturer Demand St Cover GPM Model Numb TDH Lift ri ' n Loss System Head TDH Ft Forcemain gth Dist. to SOIL APrt ORPTION SYSTEM 4M9LR Width t Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 1 I Q SETBACK SYSTEM TO I P/L 9LDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type Of S stem: CHAMBER OR 810 0 t f � lZ S& V• 5 32 & 3Zt ----�— UNIT Model Number: 111 I DISTRIBUTION SYSTEM LV r- Header /Maai I � Distribution x Hole Size x Hole Spacing Vent to Air Intake P �ip (s) Lengt Dia � Leng Dia Spacing O 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 N 0 No �,� Yes [E No COMMENTS (Include code discrepancies, persons present, etc.) Inspection #1 ( /, y � 2 - 0 J Inspection #2: �- -..__ Location: 1306 210th Ave New Richmond, WI 54017 (SW 114 SW 14 13 T31N�R118W) NA Lot 5 Parcel No: 13.31.18.238D30 1 Alt BM Description = 5 .T , W.�"'`. _ cow �� r�►�- (�y�"`." "'^ �'� ONI _ " ' 2.) Bldg sewer length = Z $.7 - amount of cover = 7-'f "-� A- -goo 6jr- 4 L-ler . P la n Use other revis Req e No side for additional i or ation. SBD -6710 (R.3/97) !j^`^ Date _ ` Insepctor's Signature / 1 Cert. No. .��ft S t &-, 1 �_ _ 0" �1 4 . Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 f N VIsconsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce ( 266 -3151 4 Sanitary Permit Application State Plan I.D. Number \ In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.04(IXm) Project Address (if different than mailing address) I. Application Information - Please Print All Information - °'° f_ Property Owner's Na me Parcel # r Block # ��a 1 0 , 172Z I ,,, ,2LMU"�' , Property Owner's Wading Address Property Locatio d1 6 3 ,4'1 City, State Zip Code 0 in�t II Type of Building (c11 that apply) V T N; E •� or 2 Family Dwelling - Number of Bedrooms Subdivision Name M Number 7 :Z l0 `� 7 El PubliclCommercial - Describe Use ❑ State Owned - Describe Use - ❑City ❑Village'ownship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal >rTermit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner 1V. Type of POWTS System: (Check all that apply) on - Pressurized 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 24Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Di reatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsl) Dispersal Area Required (sf) Dis al Area Proposed (sf) System Elevatio �c�� s 3 3 e, 9/ � VI. Tank Info Capacity in Total I Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 6 Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersipI responsibility for installation of the POWYS shown on the attached plans. Plumber's Na me (Print Plumber' cure MP/MPRS Number Business Phone Number tS Phunber's Addre ss (Street, City, State, Code) P z�� ' �5` l VIII. Count /De ent Use Onl I Approved ❑Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issu n gent Signature o Stamps) Surcharge Fee} . cc .,, ZZ ❑ n Reason for Denial IX. Conditions o Approv easons for Disapproval rr� Attach complete plans (to the County only) for the system on paper not less than SIC x 11 inches in size SBD -6398 (R. 01/03) So k1W m PLOT PLAN PROJECT Darin Marek 4th St. New Richmond Wi 54017 SW 1 /4 SW 1 /4S 13 /T 31 N Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE3 / 23/03 BEDROOM 4 CONVENTIONAL X)(X IN- GROUND P URE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 933 # of chambers 30 BENCHMARK V.R.P. Top of Foundation ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark L p, SYSTEM ELEVATION 92.0/91.8 >6 Standard Biodiffuser of Co Leaching Chamber with 31.1 ft2 of Area 6' Grade at System Elevation 31+ 310' Property Line Plans Designed Using � � � c � � •l � L �v Conventional Powts J c Manual Version 2.0 �S g� 70 ' 2 -3' X 94' Cells with >3' Spacing 90' B-1 50' 15' Vents 30 45' 10' ST 15 , 2% 0' Slope N 10 B.M. -3 >, ents Pro 4 To o Bedroom r House 210th Ave Wiswnsnf Deparknord of Con SOIL EVALUATION REPORT Pam Z vlvieion of safety and BWdlrgs in accordance vAh Comm 85. Wis.. Adn,. code Attach compete of pan on paper not less trurr a 112 x 11 loches lo size. Plan must � �` / % %f kck,d% but not &mW fo: verftW and horizontd reference point (BM). direction and perrettslops. scale or d ienslons, north . surd locaton and ds mm to nearest road. Pancet IA. Please print all inforrnatlan. by Date Penw" rvbnnWan ym Pr Aft nW be aBal for soomakry pxposm (P*Jacy Law. s. 15.04 (1) 1m)). ` ZZ YOwn PropertyLoc�at , Govk lot j,J 1 1 4 5& 1 114 q/5 T 3 / N R E yoe (� A gross X Subd. Nana or MAN (qq VV City b Skft Zip Code Phone Nunber cky 0 Wage own Nearest Road us idetrtial I Number of bedrooms Code duived design flow rate _� — Gpp O � D P� or oommabat - aes«be: Parent nww al ®GC- Anof i Flood Bash elevallon if applIcable A /"4e tk deed con.rrerMs 0 -�+ F s oft# a Pit Grand surface eiev.� R Depth to bTdbg factor in Sd Apollcoillm Rate Hatimn Depth Dotninarrt Colov Red0K Desaip M Texbse Structure Cadence Boundary Roofs gpeff ir. Wined Qu. Sz. Cont. Color Gr. Sz Sh. 'E1TAk1 'EM2 Z 4 A -7 It Boring RZ• s3 i # 0 Borkvq Pit Ground anslacs elev gZ�1L Depth 10 knM factor Lt sw AppkWm Rata Hovkma Dept, DO *wt Cokx Redox Desaip&m Taxhee Structure Cwdbt roe Boundary Roots GPDNF in. Muraell Qu. Sz. Cork Color Gr. Sz. Sh. 'Eff#1 +EM2 C9411.11- all IF EfAueftt #1= BOD > 30 < 220 a3p < 150 rugA. Etltent #2 = 80D < 30 rrgA, and TSS < 30 ttlglL 2� 0 Address Data Evaluator Conducted Telephone Number Property Owner Parcel ID # Page of # APi t Ground surface ele4 J R Depth to Nmiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW , : in. Munsell Ou. Sz. Cont. Color Gr. Sz Sh. MINI •Ef(#'2 I z- si �- ❑ Boring # ❑ Borin ❑ Pit Ground surface elev. ft. Depth to ranbV factor in. Rate Horum Depth Dominant Color Redox Description TeAure Structure Consistence Boraidary Roots GPDtff In. Munsell Ou. Sz. Cont. Color Gr. Sz Sh. 'Eff#1 'Eff#2 F-1 # Borliv ❑ Boft ❑ Pit Ground surface elev. it Depth to lirruting factor &i Sot Rate Horimrt Depth DomlnantColor Redox Description. Tex4me Structure Consistence Boundary Roots GPD/ff in. Munsell Ou. Sz Cont. Color Gr. Sz Sh. *M1 •Eff#2 • Effluent #1 = BCR > 30 _< 220 mglL and TSS >30 1150 mg& • Effluent #2 = BOD 130 nV& and TSS 130 mgA. 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. seo4s3 OtAMi ' FA -5) Safty and Buildings neon Coady N VIsc 20 1 W. Wasbington Ave, P.O. Box 7082 onsr►n , WI 53707 -7082 Smimy Permit Number ( tobeOWinbyCo) Department of Commerce (08) 261 -6546 Sanitary Permit App ' cation swe Plan I.D. Number In sccord with Carom 83 2l, win Adm code, Manuel ® f may be used for secondary putpruea Privacy . sls. PmjW Addteas (if diff tb 1 ) I. Application Ulbrmatlon - Please Mat All Informattoa [ - 5, V �e Z 1 Ti `�- MAR z 5 2003 Property Owner's Name P mat ST �oix coin ",T 03 ��# B E� -o 0 Property Owner's Mailing Andreas pay Location U CiY + state cale S w. Sasian . �P Plum Number IL Type of Building (check all that apply) v b I or2 Paadly Dwelling- Noorber ofBedoams ub S"Vi$i=Naum -7 0 P> do mmmw— 1b / Use y!1/ &A T 0 same Owow- D.lre a2 A/7 3 , D ❑v III. Type of Pe vdb (Check � box on line A. Cos�lete line B it ) AE A T System ❑ Ti^ tJHoklmg Tsok Replatxaxot O* ❑ odiSicatioa to g System B. 0 Permit Renewal 0 Permit Revision 0 Chsoge of 0 Permit Traosfa to New Previous Permit Number and Dam Issued Be&m Fapir Am Pkm bcr Owner IV. of POWIS ' Check all that - Preasuriaea� Mound >_24 in. ofsnite>,le 0 Moved <24 in, ofsuimb it 0 AtCr-saa 0 s Pas Sand Pater 0 Coustrtrceed wetland ❑ Pussmized to ro kbng rank Pen lrdw 0 Treatmew Unit 0 Rea Sand Plher 0 • Re srrtlasiC Medis ri7ter ❑Drip ❑Gravel- 0 Other ( y � V. tmeat Area 3 D D=* ftm (go) Desigu;Wjr Itau(N" A" I'mPanial fj= VL Tank We in Tea! Number Stall ILU Gallons CAlons of Units �/ Cmctete ell Mrw Tanks !� Septic arHotfaS Talc Aerobic TreatmentUod (/ I/ AoEek IL DwingCbamber VII. Itcaponsibft Statement- I, the a resp asWity for tastalladoa of the POWTS oa the attae Plumber's Name (Print) Pkmrba' MP&tPRS Number B Nnmber � ? Phauba's Address (Baal, City. State. ) 4 !� � s i Dien rtmeat use 0 Diu� Sanitary Permit Foe GVOUmdwater Date Si Swnps) 0 Ow Giver Dmlat -barge Fee) v� ✓ Q 3 IX. Conditions of Apprev for DiLa preval xy z .ma.� -n� pQ� � ��du -QL C�.�• -�..' 3 4fM , J V 3. I3 4 daarxJ ,odd ��a� Attack wee phae Oa the Caaty pb) fir me syem papa net ten am stn x it tneb" in sire SBD -6398 (R. 08/02) 1 s` y,�! t >ase •�t ! e t 14 li PLOT PLAN PROJECT Darin Marek ,DDRESs 2168 134th St. New Richmond Wi 54017 SW 1/4 SW 1 /4S 13 /T 31 N 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 3/23/03 BEDROOM 4 CONVENTIONAL XXX IN- GROUND PR SSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 933 # of chambe 30 _::: BENCHMARK V.R.P. Top of Nail in Bird House ASSUME ELEVATION 100 ilter Zabel A -100 ❑ BOREHOLE O WELL - H. R. P Same as Benchmark SYSTEM ELEVATION 92.9' Alt. BM Top of Nail in Bird House@ 98.4' ' 310' Property Line Vent Plans Designed g Conventional Powts Standard Biodiffuser Manual Version 2.0 80' o over Leaching Chamber with 31.1 ft2 of Area 6' Long 11" 100' B -3 34" Grade at System Elevation 35' 5' Vents .S Vents * B.M. 2 -3' X 94' Cells with >3' Spacin 30' 10' B_1 2% - o Slo � 30' v 6 600 Alt. N M. 0' Pr B oom use 210th Ave PLOT PLAN PROJECT Darin Marek DDRESs 2168 134th St. New Richmond Wi 54017 SW 1/4 SW 1/4S 13 /T 31 N 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE3/23/03 BEDROOM 4 CONVENTIONAL XXX IN- GROUND PRA SSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 933 # of chamber 30 BENCHMARK V.R.P. Top of Nail in Bird House ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE (DWELL - H.R.P. Same as Benchmark SYSTEM ELEVATION 92.9' Alt. BM T op of Nail in Bird House@ 98.4' 110' 'Pro ert Line 14 Vent Plans Designed Using Conventional owts „ Standard Biodiffuser Manual Versio .0 80' of Cover Leaching Chamber with 31.1 ft2 of Area Lo 6' 11" " Grade at System Elevation 100' B -3 34 3 35' Vents a * Vents B.M. 2 -3' X 94' Cells with >3' Spacing a, 30' f 2% -2 0 Slope o°OO Alt. N M. Pro 4 Bedroo House 210th Ave _ __ �� h A�' � �, � +. +►. ..♦• X , P . tiy �' +. �Yr . � � �,, a; : r,� '�: �"' '.x� f .. "�.. M`. z!t Z`ij Wisconsin Department of Commerce SOIL EVALUATION REPORT Page , of 3 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 f include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. t percent slope, scale or dimensions, north arrow, and location and distance to nearest road. L A, Please print all information R iewe by Date Personal information you provide may be used f r secondary purr es (Privac Law, s. 15.04 (1) (m)). 02 Property O r Property Location ll r CA_T} Govt. Lot 9'W 1/45(,)1/4 S T N R/ E (o W Property Own 's Mailing A dress L Block # Subd. Name r CSM# City tate Zip Code Phone Number ❑ Village Town Nearest Road ew Construction Use. sidential / Number of bedrooms !� Code derived design flow rate GPD ❑ Replacement ❑ Public or ommercial - Describe: 3 T. Parent material Gt/c�C- Q�f Flood Plain elevation if applicable General comments and recommendations: ,s e t— 1 �()� �� Y' elnni �, ^�1t1MiY Boring Boring # F11 42, g P it Ground surface elew ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 2- .S S /✓/ /�// / . Z- Boring # Boring 9 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 /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I 4-- I * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) Signature CST Number .e C� C;L Address Date Evaluation Conducted Telephone Number ` - y - a/ / s" - - � / SBD -8330 (R07 /00) Property Owner Parcel ID # Page Z of 3_ Boring # F3 [] Boring Pit Ground surface elev j_ ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 -V Z. S 1 2 - 411 F-1 Boring # E] 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 /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 E] Boring Boring # Ground surface elev. ft. Depth to limiting factor in. El pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *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. SBD -8330 (R.07 /00) Soil Test Plot Plan Project Name Dan and Rose Tetzlaff Sha Address 1304 210th Ave New Richmond Wi 54017 #226900 Lot Subdivision ------- Date 10/15/01 S W 1/4 S W 1/4S 13 T 31 N /R W Township Star Prairie ❑ Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Nail in Bird House System Elevation 92.9 *HRPSame as Benchmark Alt. BM T op of Nail in Bird House@ 98.4' Od 110' 310' Property Line 80' 100' B -3 Md 35' 35' 98' 30' 0' a B.M. 97' a 30 ' B -1 2% B -2 Slope 30' 0o t 00 Al N M. 210th Ave a Maintenance and Contingency Plan for a Septic System 0 412-a 7 --9 Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. if system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715 - 246 -5148 Shaun Bird #226900 ST CROW COUNTY 7 / 777/ ° SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM zo - 7 - 5T OwnerBuyer Mailing Address y&l Property Address 3 O (A a (Verification required from Planning Department for new construction)_ City /State Parcel Identification Number 06 /0 1�4 - D 7J LEGAL DESCRIPTION a38 3� Properly Location -�tj %4 ,1`x" V4, Sec . T N -RZ& Town of Subdivision . Lot # Certified Survey Map # �y ° , Volume b Page # Warranty Deed # �� . Volume 2 e Z , Page # 2 Spec houses ❑ no Lot lines identifiable es ❑ 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 fimction 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) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, 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 date. LL�ln 22z& �' SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION 1 (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 virtue of a warranty deed recorded in Register of Deeds Office. �� _ �.? W1! SIGN O F 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 deed U 2 18 2 P 2 2 2 71 448 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 03/25/2003 11:10AH This Deed, made between, WARRANTY DEED ROSE MARIE TETZLAFF AND EXOPT # DANIEL A. TETZLAFF, WIFE AND HUSBAND REC FEE: 11.00 TRANS FEE: 97.50 COPY FEE: CC FEE: Grantor and, PAGES: 1 DARIN MAREK, Grantee, THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS WITNESSETH, That the said Grantor(s), for a valuable consideration conveys to Grantee(s) the following described real estate in ST CROIX County, State of Wisconsin: Part of SW t /4 of SW t /4 of Section 13, Township 31 North, PIN 038 - 1055 -60 -00 Range 18 West, St. Croix County, Wisconsin described as follows: Lot 5 of Certif d_Rurxe*14ap ilt' September 4, 20Q2 in Vol.. 16, page 4367, Doc. No. 689276. This IS NOT homestead property. Together with all and singular the hereditaments and appurtenances thereunto belonging; And above named grantors warrant that the title is good, indefeasible in fee simple and free and clear of encumbrances except any easements, restrictions and reservations of record, municipal and zoning ordinances, and will warrant and defend same. Dated: March 25, 2003 ` (SEAL) r (SEAL) ROSE MARIE TETZLAFW n 6ANIEL A. T TZLA (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) authenticated: State of WISCONSIN ) ) SS. County. ST. CROIX ) Personally came before me on TITLE: MEMBER STATE BAR OF WISCONSIN MARCH 25, 2003 the above named ROSE MARIE TETZLAFF AND DANIEL A. THIS INSTRUMENT WAS DRAFTED BY: TETZLAFF ESTREEN & OGLAND to X known to he t erson(s) who executed the HUDSON, WI 54016 f r inst t d a ledged the same. KRISTINA OGLAND L. T �' I �, %V Trac y urner (type or print) Notary Public Notary Public, State of Wisconsin My commission is permanent. (If not, state expiration date: �1, 0-) APPROVED ST. CROIX COUNTY P nninn Toni"'. and Parks Commmee sEP 0 4 2 002 If not recorded within 30d VOL 16 —PAGE 436 a�y f !_ approval I FoTBb DRAFTE BY KEVIN REED JOB NO.6144 -01 DATE: 04/17/02 pull ondvold KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI N n RECEIVED FOR RECORD BEARINGS ARE REFERENCED TO THE 1 09 20 02 2. WEST LINE OF THE SW1 /4 OF SECTION CE M x w (f � 13, ASSUMED TO BEAR N01 *13'47'W CO S I ' Z I 0 11 i(� i� ` - - - - - -- PA D v m 1 :I I f D -- — i x 2m 0 I �� 3: 10 z< 1 5• ill m N i I 55' 50' I i i� ism 5� 11 I� I� I I I°� Id I I ° p Z C7 iV ^ -till ,n O O l O Cam I I to I v I V q m$ .g I� m� o H ° i o �A � z� C,T,H. o� irn �NO1 °73�47"W 25 i _ z33 A W� WEST LINE OF THE SW1 /4 -Z �, wm co A N01 0 7 3'47"W 328.27' c fU o Ln 2252.93' n < i � Q (801'01'E) Ut — 0 180.20' c) N / °" -1 0 P ill i WELL 01 @--VENTS 0$ 02 m 0 o �° id III W 010 ��° 0 0 x 5� /� Id I I v I 1 p m r%� 0 \/ Z Z c I-'Z 4 I N ' m ,O d ( 0 1 , r C W c�j i A� �X j i� �] (qi @O �� A NI,.� m m z4 $ z sn? W IPC ro- 0 I I ° W i t 1 ° 03 :@90 Z O • la °' ;� m i ;� ° Im;� w I Im 34.07' 11 291.64' ID A i rl� W m 0 A N V p 601 °13'47 "E 326.71' iO W D Z c C w 0 ' ' w'° t7 � N L �_ 0 i+ $ m 0 N OC m I :F, :@ 111 C� I 6 6' iN Cr 0 _) io ° Z (A Z p r O 3 Z O log , C�C 5 O v i� m �i� mo � ""� i� m cC mix o mO �+ I� v 71 rT n ow K -i Rl I ml ; m Q-D W m �o 3 ' 33I W I DZ g ; m W � v � I � (aa.�s) � m $c o j � I 3x.91' 1 291.1 - - - - -- m o I S01 °13'47 °E 326.06' -I (80011 37•e) "n S1L4 CORION NER 0 S CT 13 Vol. 16 Page 4367