Loading...
HomeMy WebLinkAbout038-1211-00-000 Wisconsin,Department of Commerce u 1 PRIVATE SEWAGE SYSTEM County: St. Croix S (a INSPECTION and Suilding Division INSPECTION REPORT sanitary Permit No: 488117 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: Marek, Darin I Star Prairie, Town of 038 - 1211 -00 -000 CST BM Elev: Insp. BM Elev: I BM Description: � n I Section/Town /Range /Map No: qq• ( •60 aL� g .t �C 13.31.18.1148 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic � /( (d � Benchmark 2 2- Qa•6or Dosing M dg. I 1 , Aeration ewer �•d� t Holding St ]Ht Inlet b (p0 1 q� 9� S t /Ht Outlet TANK SETBACK INFORMATION � • S� �S. (oS f TANK TO P/L WELL BLDG. V ent o it In I nlet Sept ` ,�! , t Bottom .710 osing Header/Man. ne'4' Aeratio Dist. Pipe o 1ng Bo t. System 10 .1(0 3n 9 2-0 Ina ra e Q J , PUMP /SIPHON INFORMATION C11. anu ac urer a �a over , V- S � • Sr pp , q r o e um er i c io s ys em ea orcem in L e In g i n j uia. \ jast. to vven YE11 lnblufe Uld. F % q uid Depin DIME J MCe 3 r �Z.S or INFORMATION CHAMBER OR 0 UNIT . c� 3l0 v 2. s �/. U Pi e(s) Length Di_ Leng Dia Spac x Pressure Systems Only xx Mound Or At - Grade Systems Only Bed /Trench Center BedlTrench Edges Topsoil I Yes 1 No Yes No C MMENTS: (In de d discrepencies, persons present, etc.) Inspection #1: Inspection #2: s � .L��� �,��� p +�s'S L catwo : • 1$71 21Zth�venu�New Richmond, WI 54017 (NW 1/4 SE 1/4 13 T31N R18W) Northgate II Lot 58 Parcel No: 13.3;18.1148 1.) Alt BM Description = r jT f^�`Qv�N01��� �^'^�"'� " S `� - t � �(Ir 2.) Bldg sewer length = 3(0 M� 1 8Z , 83, 4 • - amount of cover Plan revision Re - cared. s No'2 /T Use other side for addition I i orma on. -- -- SBD -6710 (R.3/97) n T PLAN PROJECT Darin Marek ADDRESS 1306 210th Ave New Richmond Wi 54017 NW 1/4 S E 1/4S 13 J31 N/ R 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/27/06 3 BEDROOM CONVENTIONAL )00( IN -GR PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 650 # of chambers 26 BENCHMARK V.R.P. Top of 1" pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P Same as Benchmark 212th Ave SYSTEM ELEVATION 94.2/94.0 5' below qrade 240' Property Line �l ., 6tr� EiGrade >6» Conventional Powts 35rc 36 Biodiffuser of Cover eaching Chamber ith 25ft2 of Area Plans Designed Using at System Elevation Manual Version 2.0 Well is to meet all setbacks required by Pro 3 W DNR Bedroom House 40' 2 -3' X 65' Cells B -4 B -5 with >3' Spacing ST B -6 10' 48' B -3 Vents 8 ' B -2 �, t 45' 22' A1t.B.M. 22 B.M.* 280' Property Line 45' 45' 45' Wisconsin Department of Commerce L;;C VUA ION REPORT Page of Division of Safety and Buildings in a Comm 85, Wis. Ad .Code 2006 Count Attach complete site plan on paper not less t in h in size. Plan m st include, but not limited to: vertical and horizopoint (BM), d a d Parcel I.D. percent slope, scale or dimensions north arrq&A H1ii WOO r0 nea st road. Please print el Xvi a d by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). AM P Owner Property Location t Govt. Lot 1 /45j� 1/4 S /3 T N R E (o W Property Owner's ailing Address Lot # Block # Subd. Name or CSM# ULKI � s - o('4 6� City tate y Zip Code Phone Number ❑ City ❑ village own Nearest Road � t iI ) 171 ( , -� a1 New Construction Use�esidential / Number of bedrooms v Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: __— Parent material , /�/� Flood Plain elevafi A if_appIi blt ft. General comments and recommendations: Q System Type 6V,1 Yn rlt�M System Elevation O / , Z F-1 Boring # ❑ Boring l F )Rj Pit Ground surface elev/ ' ft. Depth to limiting factor �/ D 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 31 �- :S I 2_ V -36 / C --- - a Boring # E] Boling El 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 1 1 ' Effluent #2 = BOD 1 30 mg/L and TSS < 30 mg/L CST Name (Please Print) S' lure CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Con ucted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 —/ 715 - 246 -4516 Property Owner _ Parcel ID # Page of a Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication 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 T_ F-1 Boring # El Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. — go — ilApplication 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 F-1 E] Boring # Ground surface elev. ft. Depth to limiting factor in. [] Pit Soil Application Rate Horizon ')epth 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 130 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. SOD -9330 (R.6=) Safety and Buildings Division County n L 201 W. Washington Ave., P.O. Box 7162 l �) N VISConsin Madi Sanitary Permit Number (to be filled in by Co.) ff668) dv ED �� g„ -� Department of Commerce Sanitary Permit Appli ( State Plan T.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal in rmation you pidvi2ie 2 06 may be used for secondary purposes Privacy Taw, s15.04(1)(m) Project Address (if different than mailing address) ST. CROIX COU I. Application Information — Please Print All Information ? Y Ave— Property Owner's Name - Parcel # Lot # Block # z) Property Owner's Mailing Address Property 1, on ^ Z o4et ► ►"`°� Nw '/4, �C:: '/4, Section �. J City, State r ^ Zip Code / Phone Number c� � w' Wl � ! ^ T N , R E I W H. Type of Building (check all that apply) OK 3 b aoy„S O V r� o ^ ' � J � Subdivision Name CS M Num Family Dwelling -Number of Bedrooms tr ❑ Public /Commercial - Describe Usle� ❑State Owned - Describe Use Z Icl O� ttJ d- G (� ❑City illag ship o r r 1I1. Type of Permit: (Check only one box on line A. Complete line B if applicable) 12.1 dQ A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal El Permit Revision ❑ Change of El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. a of POWTS System: Check all that appl 1 a 1 - Pre In- Ground ❑ Mound >_ 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter - ❑ Constructed Wetland ❑ Pressurized In- d ❑ Holding Tank [I Peat Filter ❑ Aerobic Treatment Unit 11 Am ulating Sand Filter ❑ Recirculating Synthetic Media Filte Ching Chamber F1 Drip Line ❑Gravel -less Pipe _ 11 Other (explain y' V. Dis ersal/Treatment Ar Information. Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevatio VI. Tank Info Capacity in Total Number Manufacturer Prefab Site S ! Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Edsting Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement - I, the undersign ume responsibility for installation of Ehe POWTS shown on the attached plans. Plumber's Name (Print) Plumber' i ature MP/MPRS Nulnber Business Phone Number Plumber's Address (Street, City, State 'p e) �- ��.�_- > VIII. Court /De artment Use Only Approved pprove Sanitary Permit Fee (includes Groundwater Date ss Issui gent Si o S s) Surcharge Fee} ❑ iv en Reason IX. Conditions of Approval/Reasons for Disapproval n (� SYSTEM OWNER: (�2� �^^ w Qom_ I. Septic tank, effluent filter and C 1 cell must all be.services / maintained as per managem ent pl p rovided w d — umber. P b Y Pf Z. AN setback requirements must be maintained aS per q*NC" code / Ordinances. Attach complete plans (to the County only) for the system on paper not less than 812 x 11 inches in size SBD -6398 (R. 01/03) %ttiU "o?- YG rr rr� wl ..�a �ry.�; 44wl r II S 13N T PLAN PROJECT Darin Marek DDRESS 1306 210th Ave New Richmond Wi 54017 NW 1/4 SE 1 /4S 13 / 1 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/4/06 BEDROOM 3 CONVENTIONAL XXX IN -GRO PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 ,BENCHMARK V.R.P. Top of 1" pipe ASSUME ELEVATION 100 Filter Zabel A -100 ❑BOREHOLE O WELL *H.R.P. Sameasl3enchmark 212th Ave SYSTEM ELEVATION 95.5/95.6 4' below qrade 240' Property Line Please note: a additional boring may need to be done to lower system elevation! Well is to meet all Pro 3 Plans Designed ing setbacks required by droom Conventional P is WDNR H e Manual Vers' n 2.0 ST 30 (0 7 �,ZI .. rc..0 -�N n B -4 Vent B -5 Vents >6„ Standard Biodiffuser of Cover Leaching Chamber with 31.1 ft2 of Area 48 , • = cafsp� 6 11 B -3 Lo 8' Long 34" Grade at Syste levation B -2 I 45' 22' Alt.B.M. 22 ' B.M.* 280' Prop erty Line 45' 45' 45' i'1 k lb IV r 1 Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of$afetq & Buildings .91 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), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 038- 1055 -95 APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION R VIEW D BY DATE PROPERTY OWNER: PROPERTY LOCATION Greenwood Enterprises, Inc. GOVT. LOT NW 1/4 SE 1/4,S 13T 31 ,N,R 18 E�(or) W PROPERTY OWNER':S MAILING ADDRESS LOT # I BLOCK # SUBD. NAME OR CSM # 58 na NorthGate CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE :K:]fOWN NEAREST ROAD Hudson WI. 5401 ) 212th Ave. [ New Construction Use ( ] Residential / Number of bedrooms 4 ( ] Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate _ bed, gpd /ft trench, gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate ._ bed, gpd /ft trench, gpd /ft i Recommended infiltration surface elevation(s) 95.60 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IIIN FILL HOLDING TANK U= Unsuitable fors stem Q S ❑ U _1 S❑ U 6D S ❑ U g $ ❑ U Q S ❑ U ❑ S Q 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 Trench .,.1....'? 1 0 -12 10 r 3 1 2msbk mfr gw if .5 1.6 2 12 -22 10 r 4/4 none sicl lcsbk mfr gw if .2 .3 Ground 3 22 -30 10 r 5/4 none sil lcsbk mfr gw na .2 .3 elev. 9 9.2 ft. 4 30 -84 7.5 r 4 6 none cos Osg ml na na .7 .8 Depth to limiting factor +84 �" q-40 Remarks: Boring # 1 0 -12 10 r 2/2 none 1 2msbk mfr gw if .5 .6 " 2 2 12 -20 10 r 4/4 none sicl lcsbk mfr gw if .2 .3 ' ... Ground 3 20 -84 7.5 r 4/6 none cos osg ml na na .7 .8 elev. ' 9 9.6 ft. i Depth to �, r• .� 1 z • . �_r �l limiting � - factor .t. +84 �' ° n s it ` t r x E Remarks: .` `' QTY G ary L. S teel Phone: 7 15-246-6200 CS T Name. - Please Print G S Address: 1554 200th. Av . New RichinoncY WI 54917 Signature: Date: 11 -7 -98 CST Number: m02298 4 " 4 0K. A2�( I � I PROPERTYOWNER Greenwood Enterprise SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # ,'k Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bour>dary Roots GPD /ft .................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends none 1 9,Mshk if ................. .................. ................. .................. ;.:.: ,......... ; >::> 3 1 0-12 1 2 12 -26 10 r 4/4 none sicl lcsbk mfr QW Ground 3 26 -84 7.5 r 4 elev. ft. Depth to limiting factor Remarks: Boring # nnnp :: . : .. 4 ....,:.:. 1 IQYK 2 11 -26 10 r 4 4 none sicl lcsbk mfr aw f .2 La Ground 3 26 - 84 7.5 r 4/6 none cos 0SCI ml na na .7 .8 elev. ft. — Depth to limiting factor Remarks: Boring # 1 0 -11 10 r 2/2 none 1 2msbk m r aw if .6 ` 5 `` 2 11 -28 10 r 4 4 none sicl lcsbk mfr if .2 .3 ................. Ground 3 28 -84 7.5 r 4 6 none cos 0sq ml na na .7 .8 elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) R PRDPERNOWNER G Enterp SOIL DE REPOR PW PARCEL 1.6. # (�f'Ul f' � &A Depth Dominant Color Monies Structure Boring # Horizon Texture C�onoe 8aux#ey Roots in. Munsell Ou. Sz, Cant: Color Gr. Sz. Sh. L 3 11 1QyX 2 2 12 -26 i r sf w Ground eiev. Deo to r timigr}g Remarks: Boring # 4 1F 1 -2 6 1 4 ZA 2 Ground 3 7.5 r 6 none na a .7 $ elev. tt. D" b Remarks: Boring # _1 . mfr if .5- 2 11 -28 1 r 4 none . r �.3 Gtau� 3 8 -84 .5 r 4/6 none COO o9a MI Slft lector i Remarks: Boring # i E3 7 Go it � t o �I�� 1� y STEEL'S SOIL SERVICE Gary L. Steel Greenwood Enterprises, Inc: 1554 200th Ave. CSTM2298 NW4SE4 S13- T31N - R18W New Richmond, WI 54017 MPRSW -3254 town of Star Prarie (715) 246 -6200 lot #58 NorthGate 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 shown as permanent lot lines were not established at the time the test was conducted. N 1 " =40' BM.= top of 1 pvc pipe C el. 100 Alt. BM.= top of 1" pvc p ipe C el. 100.80 d : T ot 2 eo �L Gary L. steel 11 -7 -98 FROM :JOETILTON>> FAX NO. :715- 485 -3773 Apr. 04 2006 08:11PM P1 I• YVI.J I}1 p.t ST. CROIX COL'NTY SEPTIC TANK MAMENA.NCE AGItEE.I/,;E11't' AMD C�k'\'ERaHIP CERTIFICAATI�O�N FORM. OwzlerBuyer� C AT , Z _ S .j! 4aititza Address _ ` C) property Address , ,e .� tVerification regnirpcl iiom P1 n ' & 7.oning f fcrr r,ety u;rtsnwKiutt C-;T ;'State f a'rl Y ��i,✓ ; C � Parcel Ic;entiiu;xtiun � . nnilie: 1 I - 6o - 0 0 G L99A DI:..SCiZIMON Property Locrioa NU) s% , J� :� , Sex:. T 3( N R,A NV, Town of 5( x:L f Subdivision Lot# Certified Survey i'4ltAp # `�f131.luiC _ , page 0 ,__ Warranty Decd # - _ -- _ . Volume , Rage # Spec. Use yes o let lies dtn�F.nb1e au SYSTEM AWNLEN hN M ANb OWNER CERTIFICA ION Ctt>prar.= use and niaimctua=e of Your acp - Ac system could resu:t is its premitt -urc faihwc to iandlc wssres. Propsr iritintC. w0c coaswt3 of pulry-ag a;it liar septic tark every tl~tee y_im ('T s if needed, by a 1kc - used' pwnpez. Whai yoc put sue the sys`= Cut 46.0t the Aurelian of the septic, tack a a tr=- icrt stage is tlic waste disposa;. system. Clwnar maintet=e :crcr- sibuitics are specified is ','K'etcrn. 81.5^(:) and in C9iap'Ler 12. St, Croix Cczwy Sanitary Anti l]x proper o•::ner agrees to submit ;u S:. C:ra:x c:curry aianz!M { finitig')eri*t. ant a uerdrwatioa atilt 3irm -d by the owwr !tnd hya macteTpl_tnbc:,.juaz:rymar plumbzr. re+sttastrdrhz6arz ar a licrosca ;u per verifyin; that' I) t: 0a -0.1t wuwwater disposal ,y -m is in ?roper opembrag eor.•diti m an6ar,2) attar impee «or_ and ruining (if recsssxry:, lice sc ptk- *ank is less than l%3 1t U of sludge. tlwe, the undwsaped hsvt rtad the above: requi: etrr_us a::3 ugr: a to nainmin the private sewage disposal systsonn Fitt tur :,r ndurda set forth, :min. is ;,cr by the f cepxrnment of Conmr rice :ind the Depz -.Tun .rn of lalwal Rcwur.:s. a^ta'e o° Wiscoss Ctrtif intion s tar4 Neat yowr septic systtm }:a:; . Seri ':cs:atai i :must c wWl a_•d rntur -ed to the '_+t. Croix C:owity Plar.•mttg & 7.,otrn8 DcV;t%i eui wrthi3 30 days of tbo duee year expvsdort date. "'wc certify lc al.' 5 *&Wmwts eG t_.is icrn 4.uv tree to the best of rr_yylow know•ledgc. �'we asrJar +toe pwtterfs) of tide prepeTry d: s xtfl above, try virtue oi'a cc7ttren ctred.,ecoc detiiu dtc'risscr o: Deods QtLFCe• Numb r o edrooms S OF A.P"? . ANT(S) L'AM'E * "•Arty ine;n iarimt that is raitacpresented u3y rccc.it to 4:c sap:tary permit bgriy :evnkml by the Piantuya &'Luring Departom - « »" :neludo with this appLicatiou s rccordcd •aunnty deed !Nom tt,,t Zo &tat ei Nedtr C EU acid a copy 9f tide eeltificd sut n>aF if refmtnce is made in the wartanry deed. (REV. 08105) Maintenance and Contingency Plan for a Septic S stem Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Eff luent 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 'ngency Plan Option #1. system fails, determine cause of failure, use alternate area and install new S sted replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. 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 FROM :JOETILTON>> FAX NO. :715 -465 -3773 Apr. 04 2006 08:00PM P5 2g 23'6 - — --I- -- 6'3 - - - p 1'10 j - -62 -- ;. 6•g . -.. .- --4.10— •• 1Y9..._._ ....5 owl 1 TF _ Ncw235 7 cw236 •I GW pe510L 1 4g �, r i To N. 105 i I 24 ..._ Yf i 72 11•.._.... . .. . 117 —... — } 1 32 92 - - --1 132 1 in - t. �..f 24 N cw235 b S5 — S. - •� - -..... 14'11. . 4 32 I: z3 m I I ' I f c -1 1'8 6'4 • 6'4•--^1 178 1 I I n 014= 24 sl6 x 461n cw24 = 57 x 48 112 cw23W7 x 41 318 ' 1 owl 3-28 318 x 40112 ` ps510 =71 114 x 80 I t L N �7LL--__ —12'4 J. .... __� � .— .�.._.......... L IVIN A REA _. 23 aq ft I N GOWN ' E � ! ' 1 c.n o 100' o L � W _ 1 oo rU Z O !Tl ti A, t1i 1 S .o ' CD ni N 0'2 4'57' E 311.54' c A. 33 33 1 I v , N O • W • r Nv r Lq CT o C) Z ul I � ,to�o'✓ ° \ ao ro o _. r✓ f C7 ON o CD N o Z � 57 o °. pp ` I CD I ° ° N cDi o rs O' s v� C) (1 cn� `��" Off' % N C) \ C 00 ° / w — - -i 00 ( / � , \ N ui D •� o �! oo � Z 38. o' o Qp ( D F�c� \ f � �� 0 ��� O � oo S 0 52'34'V 6 d r�i & 0 � �� + A v < C7 6 3 t j p r n d I Z CC) � 1 , � f Inv , 8s. I I---. 3 .8b,6 \ i S0. I D of O STATE BAR OF WISCONSIN FORM 1 —1998 KATHLEEN H. MALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO.. YI RECEIVED FOR RECORD Document Number This Deed, made between Earl L. Mielke, a married person ��'� @8e45AN Grantor, and Darin Marek, a married person , Grantee. WARRANTY DEED Grantor, for a valuable consideration conveys to Grantee the following EXEPPT # described real estate in St. Croix County State of REC FEE: 11. Wisconsin (the "Property "): TRAMS FEE: 112.50 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address RETURN TO: Burnet Title 7550 France Ave. S. First Floor Edina, MN 55435 ATTN: gost 038 - 1211 -00 -000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Lot 58, Northgate II, Town of Star Prairie, St. Croix County, Wisconsin. Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 3rd day of April 2006 (SEAL) (SEAL) Earl L. Mielke (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ) ss. St. Croix County authenticated this day of Personally came before me this 3rd day of April 2006 the above named Earl L. Mielke, a married person tome known to be * the person who executed the foregoing instrument TITLE: MEMBER STATE BAR OF WISCONSIN and acknowledge the sa rrpe) sIM'aa�lnennpw 866E - 'oN WHOA 4334 .UNVNNVM oul `oO �UelB 1e691 ulsuooslM NISNOOSIM d0 MV8 31VIS " ainjeu Is alayl nnolaq peiu!ja jo pa aq ;snw loe eo AUB w ulu Is s saweN , L SIM �O 31b1S ( ;ou eje ylo8 d J�ad10N lao pa}eol;uaylne eq Ae sajn;eu6iS) 3dS 'V Wdd � A � -) E965Z 960t g IM `uospnH :a;ep uol;ealdxa a ;e ;s `;ou ;l) •;uoueuulsi / uo � issiwwooAVq peob aalnoo 60£1 uosloyolN pago�/}aujn8 je� ue9 Ilemploo ulsuooslM ;o a�e;S `allgnd tie ;oN Jl8 a31d"(1 SVM iN3vimAiSN1 SIHl V8 (SIMS 'sIM `90'901§ Aq pezl joglne `;ou 11) Parcel #: 038 - 1211 -00 -000 04/06/2006 01:36 PM PAGE 1 OF 1 Alt. Parcel M 13.31.18.1148 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 EARL L MIELKE O - MIELKE, EARL L 865 CHARLIE RYAN RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description * 1371 212TH AVE SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 1.423 Plat: 2228 - NORTHGATE II 038/01 SEC 13 T31 N R1 8W NW SE LOT 58 NORTHGATE Block/Condo Bldg: LOT 58 I Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13-31N-18W NW SE Notes: Parcel History: Date Doc # Vol /Page Type 06/11/2003 725405 2271/367 WD 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10113/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.423 28,000 0 28,000 NO Totals for 2006: General Property 1.423 28,000 0 28,000 Woodland 0.000 0 0 Totals for 2005: General Property 1.423 28,000 0 28,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 .,, �. �� �, 7sr�irto / @ � k ƒ Q! w m E z c# II e c 2 .. ,� U o m F w - I ± « - ¥ � _ , ; E / C) to § 8 C ; @ 2 § ¥ i ° § \ / E a © ° ® v ± E A e , e CL _ 2 \ 3 0 2 e 2 2\ CD CL 4 ƒ § @ s z - § § z' 0 r ■ . ° / § S CID i & § R 3 i 2 � n . z o o o 3 ■ . 2 2 § § % \' z / R § k Oro 0 $m vv J @ f ) I A §� % -4 2 j / , 0 > 2 0 { %/ /Cn ƒ m @ / c OIQ z }� ■ ° , _ � � g / i \ ¥ z 9 £ P. \ c 0 m § § & m z § C/) / / z n % k . � ( 79± ° @E ,& CD z \CL / . CID 0) c n 0 �0 CID 7 i $ � � \ 0 [ \ 0 j \ ) § w - 0 w } C � , �