HomeMy WebLinkAbout002-1059-80-000 ST. CROIX COUNTY ZONING DEPARTMENT
A AS BUILT SANITARY REPORT
Owner �t y r� k 4 S C.-
Property Address 2 L �G e, c - (
P rtY � � �f 4
City /State G Ia U ei W f'
Legal Description:
Lot Block Subdivision/CSM #
- �' /a'' /4, Sec., T 2N -R W, Town of
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION:
Tank manufacturer rl w es ec °.. Size ST/PC 1 2 Setback from: House 6q Well L? P/L
Pump manufacturer Model
Alarm location
(HOLDING TANKS ONLY)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
SOIL ABSORPTION SYSTEM r
Type of system: eG�j (Vidth Length L / Number of Trenches
Setback from: House 1 0 4 4 ? ,90; PE Vent to fresh air intake
ELEVATIONS
Description of benchmark Z o h el 4� 3 /1, l ® Elevation
Description of alternate benchmark Elevation ) 2 .
Building Sewer
u ST/HT Inlet G C ST Outlet �U • 7 PC Inlet
�`.
PC Bottom Header/Manifold G , 2 Top of ST/PC Manhole Cover
Distribution Lines(
Bottom of System
S"
Final Grade
Date of installation U / —v
1 1 l f "�Iermit number i t 7 State plan number
Plumber's signature g&� License number 2 3 L�? s� Date
Inspector c v ri
Complete plot plan �
r
NOTICE: Please provide the following:
sketch h showin everything within 100 feet of the s
A plan view tc Y
p g � g stem.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable.
PLAN VIEW
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INDICATE NORTH ARROW (.'t �-(
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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count
Safety and Buildings Division INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No -: ST CR IX
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 3388
Permit Holder's Name: ❑ City ❑ Village IN Town of: State Plan ID No.:
KOSCH, STEVEN BALDWIN - - - ---
CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.:
, v tot , v � /� G w„�- 002- 1059 -80 -000
TANK INFORMATION A9900111
ELEVATI N DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic 4t 17 Benchmark d 3
Dosing cm 0o
Aeration Bldg. Sewer q,( p Z• 9-0 Holding St /Ht Inlet (t.
TANK SETBACK INFORMATION St/ Ht Outlet 12. L an 17
TANKTO P/L WELL BLDG. Ventto ROAD -9t Wet
Air Intake
Septic > I vp l 5-0 c f l NA
Dosing � NA Header / Man :7. Z3 l b , 2.
�•
Aeratio NA Dist. Pipe(
Holding Bot. System 4A
PUMP/ SIPHON INFORMATION Grade GQ b °D ?S—
Manufacturer Demand - �V �0�
Model GPM �4 . (� INL 12. 1 Lf
TDH Lift Friction S stem TDH Ft
oss
F main Length Dia. Dist. I
SOIL ABSORPTION SYSTEM , u • 6 y = @� ' o
BED ENS Width Length f No. f Trgnch�s PIT No. Of Pi In We Dia. Depth
�r� DIMENSION
I SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHIN anufacturer:
SETBACK
INFORMATION Type O r 1 CHA R Mode mber:
r
System: I �t 7 l S d > 1 UNIT
DISTRIBUTION SYSTEM
I
Header/Manifold u Distribution Pipe(s) v x Hole Size x Hole Spacing Vent To Air Intake
Length ��p�� Dia. Length 6 S r Dia. Spacing > 1 SZ r
`
SOIL 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 E] Yes E] No E] Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: BALDWIN 24.29.16.367,SE,SE 2584 CTY RD D
SPA cbview%
Plan revision required? ❑ Yes No
Use other side for additional information. 1 0 - 5 2Z O I c..Qc JS mE �o
}� SBD -6710 (R.3/97) Date Inspector's Signature Cert No
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ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
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Safety and Buildings Division
201 W. Washington Avenue
Vi scons i n SANITARY PERMIT APPLICATION P O Box 7302
Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302
• Attach complete plans (to the county copy only) for the system, on paper not less County �� i
than 8 v2 x 11 inches in size.
• See reverse side for instructions for completing this application state sanjita ry Perma Number
Personal information you provide may be used for secondary purposes ❑Check if revision to prevwus application
[Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION
Prop rty Owner Name C Property Location
C C. V e- ff Q s rJ�. 1i4 S'Z 1i4, S 2 T 2 N, R / d �(or) W
Pro erty Owner's Mailing Address Lot Number Block Number
� L � / ?d
City, State Zip Code Phone Number Subdivision Name or CSM Number
Wv v d �. l l � L✓ , s 1 1') l Y 1 0/s - ) L 9Y 3uz
II. TYP OF B IL ING: (check one) ❑ State Owned , f 11 -t J Nearest Road
LJ Pub lic 1 or 2 Family Dwelling - No. of bedrooms � °v ows of 13
111 BUILDING SE: (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/ Condo 0 O 2 _ ! v 5 y ' �
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining
4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash
5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify
IV TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable)
A) 1, ❑ New 2. 19 Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
______System System Tank Only System Existing System
B) ❑ A Sanitary Permit was previously issued., Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non - Pressurized Distribution Pressurized Distribution Experimental Other
11 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit 43 ❑ Vault Privy
14 ❑ System -In -Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 12. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) g Elevation
o U S" Feet 9 8• Feet
Capacit
VII. TANK in a allo s
g Total # of Prefab. Site Fiber- Exper-
INFORMATION Gallons Tanks Manufacturers Name Concrete Con Steel glass Plastic App
New Existin struded
T nks Tanks
Septic Tank or Holding Tank ✓ 12ov ( �WC�LC v� ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ 1 ❑ I ❑ 1 ❑ ❑
VI11. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: Print) Plum rs Signature' o Stamps) AAP/IVIPRSW No.: Business Phone Number:
C TOe � -2 3 2
Plumber's Address (Street I y, State, Zip Code
IX. COUNTY / DEPARTMENT USE ONLY
❑ 5 Disapproved itary Permit Fee (Includes Groundwater ue Iss uing Ag nt Signa ure (No S m roved Surcharge fee)
pp ❑ Owner Given Initial Adverse Determination
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD- 6398 (R.11/97) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the
Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the
county prior to installation
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever
necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of
Wisconsin, Safety and Buildings Division, 608 - 266 -3151.
To be complete and accurate this sanitary permit application must include:
I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed.
II: Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is public, check all appropriate boxes that apply.
IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested for numbers 1 through 7.
VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and
manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and
holding tanks for this system. Check experimental approval only if tanks received experimental product approval from
DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.),
address and phone number. Plumber must sign application form.
IX. County/ Department Use Only.
X. County/ Department Use Only.
Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must
include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic
tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon
tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served;
B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume;
elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section
of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information.
----------------------------------------------------------------------------------------------------
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
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Wisconsin Departrnent of IndusUy, SOIL AND SITE EVALUATION REPORT Page of 3
Labor and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but
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. • DGZ _ t
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION 770 BY DATE
PROPERTY OWNER: PROPERTY LOCATION
flojO vs3v5 S X1/4 St 1 /4,S Zy T Z ,N,R 16 E (or W
PROPERTY OWNER'.S MAILING ADDRESS LOT # BLOCK# SUBD. NAME OR CSM #
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN REST ROAD
WoLn3\31 F k)) l sgozb (71s) 69B - 10 ;.1 K3 r C-rtk "
[ ] New Construction Use Residential / Number of bedrooms [ ] Add'tkn to etasting building
Replacement [ ] Public or commercial describe
Code derived daily flow u SO gpd Recommended design loading rate • S bed, gpd/ft — trench, gpd/ft
Absorption area required ° 100 bed, 11: - 1 S O trench, ft Maximum design loading rate S bed, gpd/9 b trench, gpo1ft
Recommended infiltration surface elevation(s) Cl IS. O ' ft (as referred to site plan benchmark)
Additional design /site considerations Vb' X S O' CO�J V i-yK�OAYrL L2t M
Parent material Lo Q5S o \j ft S e; Gv- Flood plain elevation, if applicable M q it
S = Suitable for System CONVENTIONAL MOUND IN- GROUND PRESSURE AT GRADE SYSTEM qJ FILL HOLDING TANK
U= Unsuitable for stem [IS ®U ®S ❑ U ® M ❑ U � S O U EI S O U [IS IO U
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Structure GPD /ft
Boring # Horizon Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont Color I Gr. Sz. Sh. Bed Try
`�"
— , s
13 Z 9 -ZI IO' 37L — S l Z,TS�k S h CS • S b
Ground 3 2 - ) - 3 1 'S`Lfz - 31 Y YA\3 cS
elev. _
q ft - )•S \1 v/6 `FS o S9 l� v fi cs — • s �b
Depth to S 4g- - )•S y R .3 /y
limiting
factor
Remarks:
Boring # n
o -s LOLL R. � ! 2 — S11 Z.n - ►sb� 0(.s cS � , s
E l
Ground
elev. Y bz 7b 1 - S `tiz3! - S n 1
v
qla It ? !.
Depth to _
limiting -� i -,--
facto-r by „ _ , 1 _
w_.
Remarks:aG Y'
CST Name. Please Print Phone: ` i Z
Arthur L. We erer 715 -42i 16�� -
egerer Soil Trasting & Design Service -P.O. Box 74 River Falls,WI
Signature: Date: CST Number.
vuLs ° 18 Z38 �- 2:� -°fig M00576
PROPERTYOWNER 2►JlfiR RDT SOIL DESCRIPTION REPORT Page 2-of
PARCEL I.D.# 80
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
3 0 - tb� R 312 s Zw, sb �.'F►.. es . s , b
I t
Ground Zy S `1 R �f 6 — TS 1 ck m y C S • S
elev.
Z,� ft o s9 b-i) _ .'� • �
Depth to
i
limiting
factor
>
Remarks:
Boring #
13 prr� »u sS c M s c?-F-ACes o v
i
'"N3 0 V ew bhJ 1,k/
Ground w S
elev. L✓1
ft.
Depth to U �-- I AJ t " My C Z,;v "
limiting
factor }
Remarks:
Boring #
[3
Ground i
elev.
ft.
Depth to '
limiting
factor
1
Remarks:
Boring #
13
I
I
Ground I
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(R.05/92)
PLOT PLAN Pa 3 of 3
SCALE 1 "= 30 '
�w c�
ON \ S v VT" QZ
9''li1GM, ° D,1j_ • o.��/ ��LktvE ELfr 8tez % T;- L
a Lam, a� S \'t CptzrlpyZ S
W.. 98.9' on, 314" V h .
V�nv
0
(715 4 .5 -n1 65 M 00576
CST Signature Date Signed Telephone No. CST #
Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page I of 3
Labor and Human Relations ,
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
` Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference pant (BM), direction and % of slope, scale or. PARCEL I.D. #
dimensioned,, north arrow, and location and distance to nearest road. tZ — 1OSol — $ 0
APPLICANT INFORMATION= PLEASE PRINT ALL INFORMATION RPAEWED BY DATE
lb G �S8
PROPERTY OWNER: PROPERTY LOCATION
C PtR-L R'"b GOW-. te T'• S X1/4 St 1 /4,S Zy T Z ,N,R 16 E (or W�
PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # I SUED. NAME OR CSM #
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE (MOWN NEAREST ROAD
W0ubVI�`F WI S g0Z-i r) IS) LCIa s to '3 iN L IAAKJ C'rb� '' b"
[ ] New Constnxtion Use Vj Residential / Number of bedrooms 3 [ ] Addtdpn to ehdsting building
Pj Replacement [ ] Public or commerdal describe
Code derived daily flow Ll So gpd Recommended design loading rate ' s bed, gpdAt - trench, gpd1ft
Absorption area required °IDO bed, ft 1 S O trench, ft Mandmum design loading rate 5 bed, gpd/ft . � trench, gpcw
Recommended infiltration surface elevations) ° l S • O ' ft (as referred to site plan benchmark)
Additional design/ site considerations l6' X S p' CW \) U MArt- 13 �b
Parent material Lo ass o \ - Flood plain elevation, I applicable ty A It
S = Suitable for System CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN RL•L HOLDING TANK
U= Unsuitable for stem ❑ S O U ®S ❑ U ®S ❑ U 2 S ❑ U EIS O U EIS ® U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bwxfaly Roots GPD /ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rah
C )-9 %'-► L - s i \ Z M S�k s cS
Z 9 -11 l0`-ttZ 31` _ s td Z js� CS � •S .b
Ground 3 2 - 1 -3 cS •Z -8
elev.
fL Y/ 0,3 l� v CS — • 5 �b
Depth to - ).S y R- 3/Y — S �G� O sg 1� S - -7 • $
limiting
factor
Remarks:
Boring #
mSbk S �-'S . s
Z Z o LO`1 iZ 3I6 �t 1 2 �s�1T S� c-S —
S LL
a CA,� Ck W-
Ground
elev. V 6z- 1 -S `tlz3 /y — S C61-
q,2a fL
Depth to
limiting
factor 6 `
Remarks:
CST Name: - Please Print Arthur L. We erer Phone 715 425 - 0165
,W dress:
egerer Soil T sting '& Design Service -P.O. Box 74 River Falls,WI 54022'
S&twe: :� Date: S CST Number
0 _ °1P 7138 �- 2 - °J8 M00576
PROPERTYOWNER SOIL DESCRIPTION REPORT Page o f
PARCEL I.D.# UOZ- LO S 80
Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounday Roots GPD /ft
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tnercfi
Z 8 -z-`f • l b` t� 316 s 1) Z� s�� m`�i- C_ • S
Ground TS 1er�k
elev.
a0 ft y b) -17 ZS`tR 1 - S SG} c�S9 �►,1 - .1 •�
Depth to
limiting
fac tor
j
s
Remarks:
Boring #
13 ?OQZ�, t'tTe Ov U Dq wj Lk/6
Ground S
elev.
ft. St SOL -t_ o S C L✓1
I
Depth to 0 L I � t " MU C Z'�
limiting
factor
Remarks:
Boring #
[31 k
Ground
elev.
ft.
I
Depth to
limiting
factor I
Remarks:
Boring #
.13 I I
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(R.05/92)
PLOT PLAN Page 3 of : 3
SCALE 1"= SO'
�w
• eLag �.
�'ti.g0
°►a 4� \ Ba
ID0.0' ON
9 "tt1 • °- �2� u�eN-�..t @�- Yale;, WTCL- C" - 1 0
o,
iv wood LP�'f}} S�-
c� euU-mm s
Z.
W., R8.9' ON 3194 k D 1 h .
S`1S`l w ZSQ SW -
c��
0
Cl1-1 -� b"
c 715 ) 475 -0169 M 00576
CST Signature Date Signed Telephone No. CST #
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer `i EV6 Ku ,%c t+ (� /S� (✓ `t 3 - 3 S`EZ
Mailing Address 2 LA44 C4ti JCC Q
Property Address
(Verification required from Planning Department for new construction)
City/State (.vovV�00 i IL- L Z ( Aj I Parcel Identification Number b G 1 U S ?- 0
LEGAL DESCRIPTION
Property Location 1 /s, %., Sec. 2 `� . T LN -RAW, Town of get
Subdivision Lot #
Certified Survey Map # , Volume , Page #
Warranty Deed # S ?,3 U ; Volume Page #
Spec house ❑ yes ❑ no Lot lines identifiable ❑ 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
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.
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
days o the three year expiration date.
SIGNATURE OF APPLICANT 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
the property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
3/ 57
SIGNATURE OF 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
ti*
tiQl. 1 •�. -,• 1" ,.('• �7 593074
rl► KATHLEEN H. WALSH
Document Number W ARRA NTY D EED REGISTEN OF DEEDS
ST. CROIX CO., WI
RELFIVED FOR RECORD
Carl J. Reinhardt and Lois M. Reinhardt conveys and 12-04 -1996 2 :15 Dfl
warrants to Steven E. Kosch and Margery L. Kosch,
husband and wife, holding as survivorship marital property, WARRANTY DEED
the following desc"ibed real estate in St. Croix County, State EX EMPT I FEE:
of Wisconsin: COPY FEE:
TRANSFER FEE: 315.00
RECORDI46 FEE: 10.00
PAGES: I
Rewrdirso Area
Name and Retum Address
WESTCONSIN CREDIT UNION
Post Office Box 160
Menomonie, Wisconsin 54751
002- 1059 -80
(Parcel Identification Numbe()
+ + n Twenty-four 24 Township
r
Southeast Quarter of Southeast Quarter (SE /< of SE/4), Sectlo ty ( ), P
Twenty-nine (29) North, Range Sixteen (16) West, EXCEPT those parcels conveyed to St. ,
Croix County for highway purposes in Volume 257, Page 71; Volume 257, Page 576; Volume
363, Page 540 as Document No. 260295; and in Volume 599, Page 43 as Document No.
358954, St. Croix County, Wisconsin.
Exception to warranties: all easements and restrictions of record, and mortgage from Dairyland
Power Cooperative to United States of America as to a portion of the above premises recorded in
Volume 557, Page 575, which is the subject of a separate Escrow Agreement between the parties on
date hereof.
i
This is homestead property. Dated this it 0 ` day of 1998.
i
i
E
• 'Carl J. einhardt
'Lois hi. Reinhardt
AUTHENTICATION ACKNOWLEDGMENT
-a
Signature(s) STATE OF WISCONSIN A
ST. CF%OIX COUNTY '
Personally came before me this I? day of Lt—L—
authenticated this _day of 1998 the above named Carl J. Reinhardt and Lois M.
Reinhardt to me known to be the prraoigs) vii executed
the foranorg inst , 9 opt and a`ynoMe"e the
� signature
type or print name signal F,
type o pant name _ — –
TITLE: MEMBER STATE BAR OF WISCONSIK Notary Public St. Croix County, Vl�cr nsin.
commission ' c.. ..
(If riot, --
at.thori2ed by §706.06, Wis. Slats.) +on is or . ^.o. �xp slit L'�'�
• • S . ' r,,,.• '
THIS INSTRUMENT WAS DRAFTED BY "
Thomas A. McCormack 'Names of persons signing in any capacity should be typed or
Baldwin, WI 54002 p ^ ^led be signatures
_ o
+,rorraan P*ureworals Company Fond du Lac. Nhscon$- BOJ -.b =`