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HomeMy WebLinkAbout038-1221-32-000 Wisconsin Depa FO rce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Buildi INSPECTION REPORT sanitary Permit No: D 463377 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, Town of 038 - 1221 -32 -000 CST BM Elev: Insp. BM Elev: BM Description: W� Section /Town /Range /Map No Gyq\ W r`�i°^ ^ 32.31.18.1232 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Be nchmark M ff � =s.w. Q , 4 /1.Y1. /dc5 A-wo Alt. BM d Aeration Bldg, Sewer Holding St /Ht Inlet J 9q. S TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL i BLDG. Vent to Air Intake ROAD Dt Inlet \ ,� Septic Z r / Dt Bottom Dosing Header /Man. p Aeration Dist. Pipe 1 93 Holding 'Bot. System n // Final Grade 1 � PUMP /SIPHON INFORMATION '�' °I Manufacturer Demand St Cover 1 �� Model Nu r er TDH Li Friction Loss System He TDH Ft ., Forcemain th Dist. to Well Y � SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches _ n PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 1 (o9 6—) Z F ev�G�ll�] ` \ SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: / / UNIT Model Number: (� C �hwe 1 — �(J 33 /v ! a vjur DISTRIBUTION SYSTEM 1 I ec, ZZ, 4-6 r Q Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake `` Pipe(s) \ \ \ Length i Dia Length Dia Spacing \ . ✓� Z SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only t}� QSd Depth Over ' Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center `-7 Bed/Trench Edges \ Topsoil \ ��e No .' Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: Location: 919 189th Avenue Star Prairie, WI 54026 (NW 1/4 NW 1/4 32 T31N R18W Prairie Pond Breaks Lot 32 Parcel No: 32.31.18.1232 1.) Alt BM Description p ' 2.) Bldg sewer length - amount of cover = L4 - -- - - -- r - -- Plan revision Required? No q ? Use other side for additional Inform ation. Date In is Sig ture Cart. No. SBD -6710 (R.3/97) Safety an uil ' s Div' ion County 201 W. Washin P. . Box Madison, I 7162 t. it Number (to be filled in by Co Isconsin (608) 6- '1 635 77 e, LA Department of Commerce State PIanT.D. umber o7�t Sanitary Permit Application sr CY 0�� 4)/A- In accord with Comm 83.21, Wis, Adm. Code, personal information yo O "� p ro ect Ad (if different than mailing address) may be used for secondary Purposes Privacy Law, sl5.04(1)(m) NiN� 0�� J d c� / I. ApplicationInformat :ton — Please Print All Information ��� D ! J Ae- Parcel # Lot # Block # C;L1 Property Owne ' ame 1 �n 3 , C, \ J nK .L`) pro cation is Mailing Address a� Pro e � P O i �� y,, %, Section � !� C ity , irc] one , State Code Phone Number ) �( TV N, A E W 1T Type of Building (check all that apply) a Ci c� `� - �` ' qJ+w� Subdivision Name CSM N er Family Dwelling - Number of Bedrooms J , r ❑ Public /Commercial - Describe Use ❑City_ ❑Village ship of ❑ State Owned - Describe Use III. Typ of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal rmit Revision El change of E] p erm i t Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV T e of POWTS System: (Check all that apply) on - Pre ssurized 1n El Mound > 24 in. of suitable soil [I Mound < 24 in. of suitable soil ❑ At - Grade 11 single Pass Sand Filter Constructed Wetland ❑ Pressurized In ound ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculati Filter thetic Media Filte Leac ' g Chamber ❑Drip Lin [0 rav 1 -less Pipe ❑ er (ex in) Recirculating Syn y V. Dis ersal/Treatment Area ormaiion: uired (� Dispe ea oposed (sf) Sys" le vatio Design Flow (gpd) Design S il Application Rate(gpdsf) Dispersal ea e9 (�(KCX11 i Manufacturer Prefab Site Fiber Plastic VI. ank Info apa in Total Number Concrete Constructed Glass Gallons Gallons of Units New Existing Ta s Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility ent- 1, the undersigne , some responsibility for installation Of the e POWTS shown on the nessP P lugs s Name Plumber's afore <7 / J �� ✓ �� 4. Plumber's Address (S eet, City S te Zip C Coun /De artment Use Onl �, / Sanitary Permit Fee (includes Groundwater Date sued Issuing Agent S' a (No . ) I,� Approved ❑ D r Surcharge Fee) / r „ > ❑ Given Reason o enial (0 � PL Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1. Septic tank, effluent filter and dispersal cell must all be services / makMainad as per management plan provided by pNn*W. 2. AN setback requirements mast be mairlt k* as per appliable code / ordkwnces. 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. 01/03) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of Z ' Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County . Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must J "t ` ' 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. 6 3 8 — 1 Z- 7-1 — 3Z - -CiDS Please print all information. Reviewed y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location C ° / / Govt. Lot - 5; - / — 1/4 /(�1/4 S N R (or) Property Owner Mailing Address Lot # Block # Su�0- ,Name or CSM# State � Zip Code Phone Number ❑ City C1 Village Nearest Road Construction Use: Residential /Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable d '�� ft. General comments and recommendations: F � # E] ring �. --Pit Ground surface elev. ' Depth to limiting factor / 2 — D . n. 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 r" `/ b O "' 311- IS '4 Z 1 / S o N • 11 Boring # C] Boring O-Pit Ground surface elev. Depth to limiting factor �-� in. Soil Appli Ra te 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 O — P 13t It Effluent #1 = BOD > 30 220 mg1L and TSS >30 < 150 mgA. Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address ate Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 715- 246 -4516 Property Owner _ { Parcel ID # /� Page of F�a Boring # Boring 7 V (� 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/f? in. Munsell Qu. Sz. Cont. Color `` Gr. Sz. Sh. 'Eff#1 'Eff# f I J V lol Boring # Bonng ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Boring # ❑ Boring F ❑ 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 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 (RAM) Soil Test and System PLOT PLAN PROJECT P.C. Collova Bldrs. Incj3N/R ADDRESS P.O. Box 489 Somerset Wi 54025 1/4 1 /4S W TOWN Star Prairie COUNTY ST. CROIX 5/25/05 BEDROOM 3 MPRS Shaun Bird 226900 DATE CONVENTIONAL )00( IN -GR U 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. Bottom of Siding ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 92.4/92.6 Well is to meet all setbacks required by WDNR Plans Designed Using Pro Town Road Conventional Powts anual Version 2.0 446' o3 B.M. Bedroom 5' House ST 10' Vent 25' B -3 35' 59 >6 » Standard Biodiffuser of Cover Leaching Chamber with 3 1. 1 ft2 of Area 2 -3' X 69' Cells with >3' S 25' Vents 6' Long 1191 kk cing Grade at System Elevation B -1 70' B -2 34" 5 ' 307' 50' Safety and Buildings Division County ( n ` 201 W. Washington Ave., P.O. Box -� �% Air m Madison, WI 537 Sanitary Permit Number (to be filled in by Co.) Vi sconsin �E C� 3 Department of Commerce •` °` Sanitary Permit Ap 5 2005 to Plan I.D. Number Q In accord with Comm 83.21, Wis. Adm. Code, personal inform yo deo 1 1 m Y Pr t Address if different than mailing address maybe used for secondary purposes Privacy Law, s 5. O( �VN 1 ( g ) O\X E I. Application Information - Please Print All Information ZO`•11N J Property Owner's N e Parc6l # # Block # Property Owner's Tin Address r Locatt� P rty g D F , '/< /., Section ( � /23 City, State i Code Phone Number \ Zip VC) -L l �r o cle e) N; E W II. ype of Building (check all that ap V1i � Subdivision Name C914 Number 2 Family Dwelling - Number of Bed lo ❑ Public/Commercial - Describe Use ❑ State Owned - Describe Use pC { ❑City_❑Vill ip of r III. Type of Permit: (Check only one omplete line B if app licable) A. ' Tank Repla ent Only New System ❑ Replacement System Treatment/Holding ❑Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ ge of ❑ Pe t Transfer to New List Previous Permit Number and Date Issued Before Expiration Plum r O IV vpeofPOWTS System: Check all that apply) on - P ressurized In- Ground ❑ Mound > 24 in. of suitable soil X�p 4 in. of suitable soil El At -Grade ❑ Single Pass Sand Filter El Constru ed Wetland El In- ound 11 Holding Tan El Aerobic Treatment Unit [I Recirculating Sand Filter El Recirculating Synthetic Media Filter Ching C ber ED avel -less Pipe ❑ xpla ) V. Dispersal/Treatment Area nformation: db Design Flow (gpd) Design Soil Application Rate(gpdsf) Di rsal Area R red (sf) Dispe oposed (sf) System Elevat'on Q� J -� y� 69 1 02. VI. Tank Info Capacity in Total Nuroer Manu turer Prefab Site 9teel Fiber Plastic Gallons Gallons of its Concrete Constructed Glass New E)dsting Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit r W Dosing Chamber VII. Responsibility Statement- I, the unde igned, assu a ousibiliity for installation of the WTS shown on the attached plans. PI ;s ame (Pri t) ` PI er's Signet MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, - VIII. oun /De artment Use nl pproved ❑ Disapprov Sanitary Permit Fee (includes Groundwater Da_ I ued sluing Age S ignatu re tamp Surcharge Fee) 4 015 t � ❑ Owner Given Reason for Denial d r `� onditions�of / provaUReasoa for Diwa ), EM WNCF�: 3 • �Z 3 G� 1 Septic tank, effluen filter and jyn dispersal cell must all be serviced / mamtamea as per mana e 7Z0� / e nts must be maintained (/!'! kf requirements � / -�Q 2. se ack req �'�2 1 as per applicable code /ordinances. S f Attach complete plans (to the County onIA for the system on Aper n6t less than 81 11 inches in size SBD -6398 (R. 01/03) F • PROJECT P.C. Collova M T PLAN DRESS P.O. Box 489 Somerset Wi 54025 1 / 4 1 /4 S 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 22690 DATE 4/5/05 BEDROOM 3 CONVENTIONAL XXX IN -GROU 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 o urvey Iron ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL * H. Same as Benchmark SYSTEM ELEVATION 104.3/ 3.5 Alt. BM Top of Steel Fence Post (?P 1 .5' Pro Toib�'ig11�a) me all PI s Designed Using setbacks uired by nventional Powts WD anual Version 2.0 44 Pro 3 Bedroo Hous 20' 30' B -1 2 -3' X 69' Cells 40 with >3' Spacing Vent >6„ Standard Biodiffuser 10% Slope 25' of Cover Leaching Chamber with 31.1 ft2 of Area B -3 30' 6' Long 11 " 70' jo 34" Grade at System Elevation Vents B -2 • M• 200' Alt. 307' T PLAN PROJECT P.C. Collova Bldrs. Inc. Z,ADRESS P.O. Box 489 Somerset Wi 54025 1 / 4 1 /4S /T 31 N 8 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 -7 DATE 4/5/05 BEDROOM 3 CONVENTIONAL XXX IN -GROU 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 ELEVATIO 00' Filter Zabel A -100 ❑BOREHOLE O WELL *H.R.P. SameasBenchmark SYSTEM ELEVATION 1 .3/103.5 Alt. BM Top of Steel Fence st C 103.5' Pro TAM' I - me all Plans Designed Using setbacks uired by Conventional Powts WD anual Version 2.0 446' Pro 3 Bedro Hous 20' a 30' B -1 2 -3' X 69' Cells 40 with >3' Spacing Vent >6 » Standard Biodiffuser 10% Slope 25' of Cover Leaching Chamber with 3 1. 1 ft2 of Area B -3 30' 6' Long 1171 70' Vents 34" Grade at System Elevation B -2 * Alt. B.M. 200' 307' 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 ` ?-\ A V'. (Verification required from Planning Department for new construction) City /State New Richmond WI rY Parcel Identification Number 03$ -- I@-? 1 LEGAL DESCRIPTION SE , IVE 31 18 Property Location /,, /,, Sec. T 31 N -R W, Town fJ" �Z� Subdivision Prairie Pond Breaks / Lot # Certified Survey M ap # p `a 4 - ---- , Volume Page # Z 695417 2021 27 Warranty Deed # 5419 o ume 202 . Page # Spec house ❑ yes 9 no Lot lines identifiable P yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its prcmature.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 wastewaterdisposal 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 daft of the three year exp date. C�� lam& Q ( S1 rtU�d P. C. COLLOVA B UILDERS, S, INC. (715) 247 - - 2742 - P.O. Box 489 3 13 6 1 0 -5 SIGNATURE OF APPLICANT SOMERSET, WISCONSIN 54025 DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of th p perry described above, by virtue of a warranty deed COL OVA e BU ILD E R to of D Sd Of fi p (715) 247 -2742 3 �� P.O. Box 489 SII&NATURE OF APPLICANT SOMERSET, WISCONSIN 54025 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 Plan for a Septic System Contingency Maintenance and . Maintenance Plan a d once every 3 years. 1. Septic Tank is to be pump a year. Please note: a larger filter is being installed in 2. Eff luent filter is to be cleaned once f the filter. maintenance interval o end the order to extend ins pections pipes at the ends of 3. Once every 3 years, cells are inspected via the ins to be p the cells. s to limit greases, garbage, and water conditioner discharge into the system. 4.Owner agree 9 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. system. Watershed is to be diverted away from 7. W d as er Comm. 83 8, Discharge into system is not exceed tho se required p Con y Plan 1, stem fails, determine cause of failure, use a srnate afQ and install new Op ion # s Y sys em in tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. pption#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 falling components as needed. Plumber: Shaun Bird 715- 246 - 4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715- 246 - Shaun Bird #226900 ' 4 C i vliiaoonsin DeparWwg of Commerce SO� EVALUATION REPORT Page of Division ofSafetyand BUBOrgs Attadt oorry>fela sloe plae on paper not less than 8 1/2 x 11 inches n a . n m..' . CountyC H+ aooadet�e vim Comm . in a i m . Plan must t O t incNfde. but rat to verticat and hori�ontel reference port (BM). direction and Parcel I.D. 6 parcerN sue. scale ordirrrerwiorrs, north arrow, and location and distance to neared road. 2, Please print an infommwom Dale Perso"M ioarrsu*= you provide may be used for sseondsry purposes (Privacy Low, s. 15.04 (1) (m)). / propertyOwner yin /(/F Govt trot � 114 N R S E ( W propar{yOw"eft q Lat� Bfodc 8 Name or CRY state zip code phone Nurrdw ❑ CRY ❑ village - Town Neared Road JS New Coltdrudion / Number of badroams _ _ Code dwad design Gow rate J rJ t D 0 Replacement ❑ Pubic or cornmerniat- Descrlbe: Parent material / 2 (' L Flood plain elevation if applicable General commends / each s s, 0 -3 0.2, *Z grid / �� . M ° rar ria eidsuoeefev. / L) � � �� . �- ;� 9� w Ho�on Dspth Dominant Redooc Descriplion Texture structure Cor�larw Boundary Rods GPDAF irr. MuneeN Qtr. SL Cat Color Gr. Sz Sh. 'Efill l TIM V � ° Cam• Borir� fi � Grorrrid strtace alev. Depth m Imi ft fww im Sol Applicullog Rate Pit ftimn Depth Dominant fte&K Dwot*on Teiikure structure Coraidence Boundary Roots GPM in• �Npso" am Sz Cont. Cow Gr. Ilk- Sh. 'Eti'if1 'Ef 12 • Eflkrent #1 BOD > 30 = ZW nv& and't SS >30 _< 1g' ' Effluent 02 ; BM <_ 30 mglt. and TSS: 33 m mpll - CST f as b r 6V Address Dale E%vbxdon Cor ducted Tale(ilwrre Number ..�5'Of -:i �rt � .rill,.. i �. r r� _r r nui r � r.. r: i. n i rr�r. r:.« i r� nn -r n ..�.� . Ir, r n.. r, .. r. a r t Y Soil Test Plot Plan Project Name P.C.Collova Bldrs. Inc. Shaun Bir Address P.O. Box 489 Somerset Wi 54025 CS #226900 Lot 32 Subdivision Prairie Pond Breaks Date 4/9/ E 1/2 NE 1/4S 31 T 31 N /1318 W Township Star Prairie N W 1/4 W 32 'ng Q Well PL Property Line County ST. CROIX B r VRP Assume Elevation 100 ft. Top of Survey Iron S em Elevation 104.3/102.5 *HRPSame as Benchmark Alt. BM Top of Steel Fence Post @ 103.5' Pro Town Road A r � ,t) C S 446' J 109' C � B -1 107' - ` f �) 40' 10% Slope 25' B -3 1 30' 70 B -2 B.M. 200' L3O7' Parcel #: 038- 1221 -32 -000 04/06/2005 02:49 PM PAGE 1 OF 1 Alt. Parcel #: 32.31.18.1232 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): * = Current Owner * P C COLLOVA BUILDERS INC P C COLLOVA BUILDERS INC PO BOX 489 SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 919 189TH AVE SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 1.820 Plat: 2346 - PRAIRIE POND BREAKS 3/37 '03 SEC 32 18W PT NW NW PRAIRIE POND Block/Condo Bldg: LOT 32 B AKS LOT 32 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 32-31N-18W NW NW Notes: Parcel History: Date Doc # Vol /Page Type 08/14/2003 735549 9/80 PLAT 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 31418 29,100 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.820 30,400 0 30,400 NO Totals for 2004: General Property 1.820 30,400 0 30,400 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 U 2021P 029 is* -e+ i s STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between C Brighton and Cleo Brighton, RECEIVED FOR RECORD husband and wife, 10 - 23 -2002 11:00 AM Grantor, and P. C. Collova Builders, Inc. p -- - - -- -- -- REC FEE: 12.00 - TRANS FEE: 720. Coe) COPY FEE: ----- ...-- -.--- ......_ CERT COPY FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area NW 1/4 ofNWl /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 no t homestead property. 0E) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this Eo day of September 2002 + + Cecil Brighton ti + • Cleo Brighto AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. St. Croix County ) authenticated this, day of D� y Personally came before me this day of a- September 2002 the above named Cecil Brighton and Cleo Brighton, husband and wife, 17 F ' TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me kn to be a on(s) who executed the foregoing instru d le ed the same . authorized by 0 706.06, Wis. Stats.) i THIS INSTRUMENT WAS DRAFTED BY + _ Attorney Kristina Ogland Notary Public, State of Wisconsin Hud WI 54016 _ M C:ommiss' n is permanent If not, state expiration date: (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 ture. Intormetbn wofesuonau company. Fond d, tae. wt STATE BAR OF WISCONSIN 80055.1 21 WARRANTY DEED FORM No. 2- 1999 U 2021P 027 STATE BAR OF WISCONSIN FORM 2 -1999 KATHLEEN H. WALSH WARRANTY DEED Document Number REGISTER OF DEEDS M ST. CROIX Co., )iI This Deed, made between Douglas A. Strohbeen and Eileen RECEIVED FOR RECORD Strohbeen, husband and wife, 10 -23 -2002 11:00 AM WARRAM 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 NE1 /4 ofNEl/4 and part of SEI /4 ofNEI /4 of Section 31, Name and Return Address Township 31 North, Range 18 West, St. Croix County, Wisconsin, described as follows: Lot 1 of Certified S i Mat) filed September 17, 1993, in Vol. 9, Page 268 ,Doc. No. 505678, St. Croix County, - Wisconsin 038 - 1125 -10 -100 & 038 - 1127 -70 -000 \' Parcel Identification Number (PIN) This is homestead property. Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this y of September 2002 " Douglas A. Strrohhbeen " + Eileen Strohbeen AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. St. Croix County ) authenticated this day of a Personally came before me this y of ti� - t� September 2002 the above named Y Douglas A. Strohbeen and Eileen Strohbeen, husband and wife, TITLE: MEMBER STATE BAR OF� I ($� (If not, to me known to be the rson(s) who executed the foregoing instru nd a ged the same. authorized by § 706.06, Wis. Stats. OF Cpl THIS INSTRUMENT WAS DRAFT9B "' • �'�j�' _ Attorney Kristine Ogland Notary Public, State of Wisconsin Hudson, WI 54016 Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ' Names of persons signing in any capacity must be typed or printed below their sisfiiture. information Pmf esaianata company. 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