HomeMy WebLinkAbout038-1221-07-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
. ` INSPECTION REPORT Sanitary Permit No: 453468 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:
P.C. Collova Builders, Inc. I Star Prairie Townshi 03 8 - 1221 -07 -000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No:
/ M. ID / [M.0 a -Uer <,�. 31.31.18.1207
TANK INFORMATION U ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark S /
a� w( (e O 1 , eo.coo
Dosing U
Aeration 1 13log—Sewer ( Z �O /
Holding St/Ht Inlet 4.90 R�
TANK SETBACK INFORMATION St/Ht Outlet
l� 1 • `fS �
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic 2 r / Dt Bottom
Dosing Header /Man. r
9Z . 8S
Aeration Dist. Pipe 9Z. 90'
Holding Bot. System $:(a 9 • 73
g• 40 4/ O
/
PUMP /SIPHON INFORMATION Final Grade 'I(e • (O
Manufacturer - - -- emand St Cover ' o - - C/O p r
G W1lYb►L .2 / ! 7. qb
Model tuber
TDH Lift Friction Loss System Head TDH t
Forc ain Length 1 Dist. to Well
1
SOIL BSORPTION SYSTEM
RENCH Width / Len th No. Of Trenche PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIM 2
SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR j o d2iu
Type f System: 4 8 4 z / `L l UNIT n n
V.
C Model Number. ' I.O a
DISTRIBUTION SYSTEM 6 ue�i L
Header /Man# if Distribution x Hole Size x Hole Spacing Vent to Air Intake
Pip (s)
Lengt Dia Len Dia Spacin
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Edges Bed/Trench Center BedlTrench Ed Topsoil
g Yes M No [] Yes ls] No
ME TS: (Include c disc e i p rsons present, etc.) Inspection #1 �� i� Inspection #2:
Location: 1876 90th Street Somerset, WI 540 (NE 1/4 NE 1/4 31 T31 R1 8W) Prairie Pond Breaks Lot 7 Parcel No: 31.31.18.1207
1.) Alt BM Description= S
2.) Bldg sewer length = 2 r
r►
- amo nt of over = 2� { Set C,ea,v .
3) 2"s�t.— vet .
Plan revision Required? j Yes No�
Use other side for additional informati y i . N .
• ) i
Date Insepcto Sign tur Cert. No.
SBD -6710 (R.3/97) I� _ f �l t / I _
Safety and Buildings Division County )
201 W. Washington Ave., P.O. Box 7162 ' l
VI �� Madis WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.)
(608) 266 -3151 q5 3 4(o g
Department of Commerce
Sanitary Permit Application Smote Plan --- Ntnnber
In accord with Comm 83.21, Wt$. Adm. Code, personal information you provide
® be used for secondary purposes Privacy law, s l5.04(lxm) f" A�� Project Address (f ditferont than mailing address)
m
L Application Information - Please Print All Information
P I # Bl #
y
=,Swing Property Lot a6on /
�tk. secti
City State Code Phone Numb r cr i l�
7c cjo2 ` T - 31 N; ti � 1 w
II. Type of Building (check all that apply) *7 s vision Name M Number
X 2 Fa
Pub mily uerci Dwelling - Number of BWrooms -� -- =--- --
li mral - Describe Use l _
City Pillage ship of
State owned - Describe Use
UL Type of permit: (Check only one box on line A. Complete line B if applicable)
A. System Iteplaceatatt System Treatment/Holding Tank Replacement Only Other ModtScation to F A
System
List Previous Permit Numb5r imd Dace Issued
B Pcrmit Revision . Permit Renewal Change of Permit Transfer to New b � r 1
BeforeExpitatior Plumber Ownr ��, O
IV. T e of POWTS System (Check all that a 1
S � ' O- - Pressurized in-t:rround Momtd> 24 is of suitable soil Mound <24 in. of suitable soft At -Grade Single Pass Sand Filter
Constructed Weiland Pressurized Lt -Ground Holding Tank Peat Filter Aerobic Treatment Unit Recirculating Sand Filter
Recirculating Synthet Media Filter Chamber Drip Line Giavel -less Pi Other (ex lain)
V. Dispersanreatmnt Area I otma n: . Dis Area roposed (at) S El
Desi Plow (gpd) Design S oil A2P Catum Rate(gpdsf) Drsierspl� RW°ued (sfl
Gl VI. Tank Info Capacity in Total Number Manufacttuer Prefab Site Steel G Plastic Concrete Constru Gallons Gallons of Units
l
14ww Eristing
T Tanks
9 cor Holding Tank
Aerobic Treatment Unit
Dosing CLatnba
VII. Responsibility S tatement- , e and a nsibility for indaU2fIon of for POETS shown on the attached PWM
Business Phone Number
Plumber's use Mp/MPRS N tuber
Plumber's am mrortt
*'/D et, Ci State, zip
ment use Onl vda Date issued Issain Agent Sigttatu o Stamps)
Sanitary Permit Fee e
sapproved Surcharge Fee) mtx Gives R eason for Denial �O LL .
IX. Conditions of Approval/Remons for Disapproval 1 C UV t S 1 9rQ ; - Tb
SYSTEM OWNER:
1 Septic tank, effluent filter and
dispersal cell must all be serviced) maintained
as per management plan provided by plumber.
2. All setback requirements must be maintained
as per applicable code /ordinances.
Attach compkte tibias (to the county only) for the system on Patter' not kss than "7 x 11 inches is An
- , 431/R Test and System PLOT PLAN
PROJECT P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025
SE 114 NE 1/4S 31 / 1 W TOWN Star Prairie COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 8 /9/04 BEDROOM 3
CONVENTIONAL )00( IN- GROUND RESSURE 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 Foundation ASSUME ELEVATION 100° Filter Zabel A -100
❑ BOREHOLE O WELL *H. R. P. Same as Benchmark
SYSTEM ELEVATION 91.9/91.7
195'
Plans Desit
not enough Conventior
slope to 40 , Manual Ve -- - -- --
establish
contours -- —
Vents
B- 2 - - - -- - - - - -—
Well is to meet all �( a
setbacks required by --
WDNR
35' -- - -- -- -- ——
151 -
2 -3' X 69' Cells with >3' Spacing
T
B.M. 80'
Pro 3
Bedroom
House
Vent
;6' Standard Biodiffuser
Leaching Chamber ,
er with 31.1 ft2 of Area 337
ng 11 "
Grade at System Elevation
1 4 4"
o Town Road
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. ewed by Date
Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). 'r
Properly Property Location
� �� Govt. Lot 1/ J� 4 S,3 J T 3 N R E (or OW
Prope er's Mailing Address Lot # Block # S Name or CSM#
City State Zip Code Phone Number Q C U Village _ Win N 91 ad,
v ov ( ) r
Construction use 'dential / Number of bedrooms Code derived design flow rate J GPD
❑ Replacement Public or co ercial - Describe: __—
Parent material / Flood PI ' levation if applicable
General comments s �4
and recommendations:
12 Boring Ground Boring
it 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 I G . Sz. Sh. 'Eff#1 'Eff#2
Boring # ❑ Boring
�r2it 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 1 150 mg/L 'Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Sig r a CST Number
Bird Plumbing, Inc. Shaun Bird � 226900
Address D e Evaluation o ucted Telephone Number
1008 192nd Ave, New Richmond, WI 540 ;� � -
715- 246 -4516
l
Property Owner _ Parcel ID # Page of
F ❑ Ong # [] Boring
Pit Ground surface elev. ft. Depth to limiting factor in . — do — 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
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
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 I •Eff#2
< > < _ <30 and <30
mglL
'Effluent #1 BOD_ > 30 _220 mg/l. and TSS 30 _ 150 mg/L 'Effluent #2 BOD _ rrxyL an SS
s —
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.
I
SBD -9))0 (R.6100)
Safety and Buildings Division County
201 W. Washington Ave., P.O. Box 7162 "
V Y i Madison, WI 53707 - 7162 Sanitary Pernu�Nutnber (� ba filled in by Co•)
sco�SI n (608) 266 -3151 � / _ S,
Dep artment of Commerce State Plan Ln_Numrx
Sanitary Permit Application �
In accord with Comm 83.21. Wu. Adm. Code, personal information you provide Project A (if different 'ling address)
may be used for secondary Purposes Privacy w sl.S 04(lm). ,..
/J? q ST 7 l
L Application Information - Please Print All Informs . @4 i . 3 — Z
ply s
�` Parcel # Bloektf
Namc
�. / / Ov a
fto
Property owner's Mailing Address
` V, Section
City, State Phone Number
Tap T� 1E o W
1Q. T of Building alt that aPPIT) � O i S ion Natue M Number
r 2 Family Dwelling - N r of Bodrooms �/ 0 ,✓t ,_ �_
PublidCommcn'ial - Describe Cie � �(�
state owned - Describe use �/\ r
III. Type of ermiU (heck only one a line A. Complete line B if applicable)
A Replaaatent S Tratiment/Holding Tank Replacement Modification ro r
Permit Issued
B. Permit Renewal Permit Revision Change of PennitTransfe New
Before Expiration P
IV. a of POWTS S : (Check all that a l) a Pass VdrW
in Ground Mound 2: in. of suitable soil Mound < 24 in. o liable soil At-Grade agl
t Filter Aerobic Treatment Unit Filter
Constructed Wedand Pressurized in d Holding Tank
Reeirculatistg gyt�thetic Media Filter Dri Line Gm -less Pi l
V. Di tment Area ormaflon: d S System
(gpd) Design Soil Application gase(gpdaf) Dispersal Area (st) IDi Area pond (sf)
Design Flow � '
'TL �� Prefab Site rber Plastic
VL Tank Info Capacity in Total Number Concrete Constructed Glass
Gallons Gallons of Units
New Existing .
Tanks Tanks
Septic a Holding Teak
0
AF.Z - f-= eat Unit
Dosing Chamber
e btlity for installation of the
II. 1P0 on the attached
and
V Res onsibili I, Statement- the MPlMPRS Number Business Phone Number
Plumbee Name (Print) Plnmbta' J � J ' W —
v
Piwaber': nadrrss (sizeet. city. State. Tip ) y � l .
VIII. Court /De t se Onl ed
)
Sanitary Permit Fee (mcoda Groun rgmtuae
AC71d Disapproved Surcharge Foe) - a
owner Given Reason for
I X . ra1/Reasons fo 'sapproval
1 Septic tank, effluent filter
dispersal cell must all b erviced�b a�
as per management p provide d y plumber.
2. All setback requirements must be maintained
as per applicable code /ordinances. y
per not less than 81/2 s
Attack toatpl plans
(W fbe Count only) for the system oa pa 11 ineltes is sine
i
AW
'w�
LOT PLAN
; PROJECT P.C. Collova Bldrs. Inc. AD ; RESS P.O. Box 489 Somerset Wi 54025
0 (21 1/4 NE 1/4s 31 /T 3 N/R 8 W TOWN Star Prairie COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 8 BEDROOM 3
CONVENTIONAL )XX IN -GRO D 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
IL BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Zabel A -100
❑BOREHOLE O WELL *H. R. P. Same as Benchmark
SYSTEM ELEVATION 99.4/99.0 4' below grade
Alt. BM Top of 2" Pipe C 100.2'
195' B.M.
Alt.
is to meet all Plans Designed Using
setba equired by Conventional Powts
WDNR Manual Version 2.0
n nough slope to establish contours 4
B -2
Vent Vents
1% Slope
>6 " Standard Biodiffuser B -3
of Cover Leaching Chamber
11 0
with 31.1 ft2 of Area 150'
6' Long
" ,
34" Grade at System Elevation 3
2 -3' X 69' Cells with >3' Spacing
30' 0 ,
3
25'
Pro 3
Bedroom
House
37'
Pro Town Road
z �
■
` A�
� .
VN/ PLAN
PROJECT P.C. Collova Bldrs. Inc. DRESS P.O. Box 489 Somerset Wi 54025
i
1/4 NE 1/4s 31 /T 3 8 W TOWN Star Prairie COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE8 /9/04 BEDROOM 3
CONVENTIONAL XXX IN -GRO D 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 survey iron ASSUME ELEVATION 100° Filter Zabel A -100
❑ BOREHOLE O WELL *H.R.P. SameasBenchmark
SYSTEM ELEVATION 99.4/99.0 4' below qrade
Alt. BM Top of 2" Pipe @ 100.2'
195' B.M.
Alt.
M.
Well is to meet all Plans Designed Using
setbacks required by Conventional Powts
WDNR Manual Version 2.0
not enough slope to establish contours
B -2
Vent Vents
1% Slope
>6 „ Standar diffuser B -3
of Cover Leaching Ch er
with 31.1 ft2 of
0' 150'
6' Long 11 " 35'
34" Grade at System Elevatio
2 -3' X 69' Cells with >3' Spacing `
0 '
30' B -110'
25' T
Pro 3
Bedroom
House
37'
Pro Town Road
I
__
�.
..�
�� �Ya.
��
.,��
9r
I
i
WlSCOnsin Drr�tt of conxrrerce pop 'of EVALUATION RE Pt�FT
ommon ofsaf wand 8
in acoordanoe vM Cww> 9. tKs Adm. code (�
gttadn oanptees died plan on paper not teas ttnan 8 112 x 11 trxhse in size. Plan must C l,rp r
include. but not mad to verGwi and horimnt� reference pow (BM). direction and p9lud I.D.
panxM slope, scale ordtrnerwicrm norflr arrow. and location and distance to nearest road. Q �j • Z7i ac`St�
Pkmwe priest an infoM,ation. by Carne
p.. ww ...5on you provids mareswed *r oownd rrpv tt'►— rL—. , lZ
propertyOwrt�� A propenyLocatwn 3 N /N�
Gl���t� �r (i• Govt. Lot � 1 /y M T N R j E( W
mang q L" 8 1 8lock# me Na or CSW
I CKY State on
Code Phe Number ❑ city ❑ Yrilage Tovm Neared Road
Sa easei G�i ( ) J S'f , 1
New ConstrucDorr Us e�.tiesidentiN / Number of bedrooms _ Code derived design flaw mle GPD
❑ ❑ Public or aommerdal - Desatm --
Parerrtmalarial Flood PW eWAfon if ale ,fit //. } tt.
Generalcommiants
and
80 . �. PO Groundsuriaaeelan► Depflr factor 0S Soon AppppglM RMe
Worinon Daplh Domi Redox Description Texture skiaxe Considence Bounder„ Roots
in. Munsefl ctu. Sz. Cont Color Gr. Sz. Sh. •ice
,�t cm, Yo
FTI # e OeAV
pit Grotmd sur�ce efenr. /0. 7- �' , in' Sol Rate GPM
Hmtwn FDeplh Domi nant Radon Description Tex4rre urflure Carrsi�erroe Boundary Rooia Munson Qu. Sz. Cont. Color Gr. Sz. Sh. •E 1 MEW
y�L C S
• Effluent In BOD ' 30 :E Zw � and x' –` ECM #2 = BUD <_ 30 mgL and rM 30 mgiL
f Date Evakmflon Condu&,W OTC � Number
nadreas
orb /�•�� �/ 2r
r aT
Soil Test Plot Plan
Project Name P.C.Collova Bldrs. Inc. Sha 'rd
Address P.O. Box 489
Somerset Wi 54025 C M #226900
Lot 7 Subdivision Prairie Pond Breaks Date 4/9/03
E 1/2 NE 1/4S 31 T 31 N /1318 W
N W 1/4 W 32 Township Star Prairie
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 19". Top of Survey Iron
System Elevation 99.4/98.7 *HRPSame as Benchmark
Alt. BM Top of 2" Pipe @ OL -
195' B
.M
not enough slope to establish contours
B -2
n- 3� --
1 Slope
B -3 6
Xl '
35'
30' - 0
37'
Pro Town Road
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer P. C. Collova Builders, Inc
Mailing Address P O Box 489 Somerset, WI 54025
Property Address I T - 4 — CIO`s
(Verification required from Planning Department for new construction)
City/State New Richmond WI parcel Identification Number 03Y — / 0 / -0 -
LEGAL DESCRIPTIO
P'0-
Property Location %., ''V4, Sec. 31 . T 31 N -R 1 8 W, Town of s +6" ' A ..uta
Subdivision Prairie Pond Breaks Lot # .
Certified Survey Map # . Volume , Page #
6417, 2021 27
Warranty Deed # 695419 Volume 2021 . Page # — 29
Spec house yes ❑ no Lot lines identifiable M 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
masterplumber, journeymanplumber, restricted plumber or a licensedpumper 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.
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
da of the three year expiration date.
11 M t'
(' (� P. C. COLLOVA BUILDERS, INC.
lAX �
SIGNATURE OF APPLICANT (7 2 DATE
Box P..00 . B Box 489 9
SOMERSET, WISCONSIN 54025
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
e property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
P. C. COLLOVA BUILDERS, INC.
(715) 247 -2742
SIGNATURE OF APPL'ICANT P.O. Box 489 DATE
SOMERSET, WISCONSIN 54025
* * * * ** 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
Maintenance and Contingency Plan for a Septic System
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
C y Plan
r
Option #1 f system fails, determine cause of failure, use alternate area and install new
m in tested 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
U 2021P 027
STATE BAR OF WISCONSIN FORM 2 - 1999 6 9 S 4 1 - 7.
XATHLEEN H. WALSH
WARRANTY DEED
Document Number REGISTER OF DEEDS
ST. CROIX CO. WI
This Deed, made between Douglas A. Strohbeen and Eileen RECEIVED FOR RECORD
Strohbeen, husband and wife,
10 - 23 -2002 11:00 AM
WARRANTY DEED
Grantor, and P. C. Collova Builders, Inc. EXEMPT #
REC FEE: 11.00
TRANS FEE: 1260.00
COPY FEE:
Grantee.
CERT COPY FEE:
1
Grantor, for a valuable consideration, conveys to Grantee the PAGES:
following described real estate in St. Croix County,
State of Wisconsin (if more space is needed, please attach addendum):
~ Recording Area
Part of the NE 1/4 of NE 1/4 and par�f SE I/4 of NE 1 /4 of Section 31 Name and Return Address
Township 31 North, Range 18 West, S -, W4eensi ,
. escribed
as follows: Lot 1 of Certified Survey Map filed September 17, 1993, in
Vol. 9, Page 2686, Doc. No. 505678, St. Croix County, Wisconsin.
038- 1125 -10 -100 & 038 - 1127 -70 -000
Parcel Identification Number (PIN)
This is homestead property.
(is) X)foo
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any.
Dated this 2 of September 2002
* * Douglas A. Strohbeen —
i -Gt�G
' * Eileen Strohbeen
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN )
) ss.
St. Croix County )
authenticated this day of
Personally came before me this Py of
V "l, September 2002 the above named
* Douglas A. Strohbeen and Eileen Strohbeen, husband and wife,
TITLE: MEMBER STATE BAR OF)JIR$� s!
(If not, to me known to be the rson(s) who executed the foregoing
authorized by § 706.06, Wis. Slats. instru Wnda the same.
Il OF
W'S
THIS INSTRUMENT WAS DRAFTBD'BY"
Attorney Kristine Ogland Notary Public, State of Wisconsin
Hudson, WI 54016 ommission is permanent. (If not, state expiration date:
(Signatures may be authenticated or acknowledged. Both are not necessary.) , ea—z-D s .)
* Names of persons signing in any capacity must be typed or printed below their sig Information Profeasionata company, Fond du Lac, WI
STATE BAR OF WISCONSIN 800465.2021
WARRANTY DEED FORM No. 2- 1999
U 2021P 029
STATE BAR OF WISCONSIN FORM 2- 1999 6 9 - 1 9
KATHLEEN H. YALSH
WARRANTY DEED
Document Number REGISTER OF DEEDS .
ST. CROIX CO., VI
This Deed, made between Cecil Brighton and Cleo Brighton, RECEIVED FOR RECORD
husband and wife,
10 -23 -2002 11:00"AH
1MRRA0 DEED
Grantor, and P. C. Collova Builders, Inc. EXEMPT #
TRANS NSFEE: 7200
COPY FEE:
Grantee. CERT COPY FEE:
Grantor, for a valuable consideration, conveys to Grantee the PAGES: 1
following described real estate in St. Croix County,
State of Wisconsin (if more space is needed, please attach addendum):
Recording Area
NW I/4 of NW t/4 of Section 32, Township 31 North, Range 18 West, St. Name and Return Address
Croix County, Wisconsin.
038- 1131 -60
Parcel Identification Number (PIN)
This is not homestead property.
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. CK) (is not)
Dated this A6 day of September 2002
+
+ Cecil Bri hton
+ + Cleo Brighton
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN )
a ' �; •. ) ss.
Vii' ?y St. Croix County )
authenticated this day of
Personally came before me this day of
September 2002 the above named
+ `A Cecil Brighton and Cleo Brighton, husband and wife,
OF v11S'Z;
TITLE: MEMBER STATE BAR OF WISCOT' N_
(If not, to me kn to be a on(s) who executed the foregoing
authorized by § 706.06, Wis. Stets.) instru d le ed the same.
THIS INSTRUMENT WAS DRAFTED BY •
Attorney Kristine Ogland Notary Public, State of Wisconsin
Hudson, WI 54016 M Commiss' n is permanent (If not, state expir ion da
(Signatures may be authenticated or acknowledged. Both are not necessary.) )
+ Names of persons signing in any capacity must be typed or printed below their si Lure. tnfortnauon arora,+i«w. c omparry, Fond a, t.e vH
WARRANTY DEED STATE BAR OF WISCONSIN 800-
FORM No. 2 - 1999
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