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• ST. CROIX COUNTY ZONING DEPARTMENT
AS BUILT SANITARY REPORT
Owner
Property Address C. 6 /'c
City /State �•rJ ,�iJ . �z i
Legal Description:
Lot Ir' Block Subdivisio CSM P 9-.2 G �
1 /4 s t /4, Sec.3Z—, T �e N -R , Town of PIN # 0 4 i�2 /a T 56
I
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION:
Tank manufacturer ?n eYaJ e-�l`' ST/PC/O, Setback from: House is Well 110 P/U S
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
Type of system: r rc c(�. Width r Length Number of Trenches _
�s� fresh air intake 6
� Well P/L � " Vent to �`
Setback from: House �_ �_
ELEVATIONS
0
Description of benchmark /-o/,- Elevation
Description of alternate benchmark y h Elevation
Building Sewer Idl QG ST/HT Inlet , /GV� �� ST Outlet ZzgO ; PC Inlet
PC Bottom Header/Manifold 1,?0 , l Top of ST/PC Manhole Cover A
Distribution Lines
Bottom of System
Final Grade
Date of installation 6� Permit number $ State plan number
Plumber's signature License number V �7 7 y r d Date
Inspector _ A- d , �
Complete plot plan �
NOTICE Please : rovide the following:
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• A plan view sketch showing everything within 100 feet of the system.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable.
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PLAN VIEW
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INDICATE NORTH ARROW
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NOTICE Please provide the following:
• A plan view sketch showing everything within 100 feet of the system.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable. / b
PLAN VIEW
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INDICATE NORTH ARROW
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM y:
Safety and Buildings Division Count
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit 8 IX
338883
Personal information you provice may be used for secondary purposes [Privacy La I s.15.04 (1)(m)].
Per rp�t�irplEler�Qla{ti HARVEX C] City Town of: State Plan ID No.:
ST BM Elev_; t tt�
C Insp. IM Elev.: BM Description: WWAAtKtll[Z�r::11VV Parcel Ta No.:
�Po ldD Lb �42- 1087 -50 -000
TANK INFORMATION ELEVATION DATA
T MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Bench DT �. 7 1073
Dosing 1 6 1 /, 3c3
Aeration Bldg. Sewer .p
Holding t / Inlet G,3 (19 cx�} $
TANK SETBACK INFORMATION (t Outlet
Ventto
TANK TO P / L WELL BLDG. Air Intake ROAD Dt Inlet
NA Dt Bottom
Dosing NA Header / Man.
Aeration NA Dist. Pipe ��- .g /0,0-
Holding - Bot. System 7 7 _ f7
PUMP / SIPHON INFORMATION Final Grade /03
Manufacturer De 1 , 5 , /OJ 9
Model Number GPM
TDH L ft Friction em TDH Ft
L
Forcemain Length Did. Dist. To Well
SOIL ABSORPTION SYSTEM
BE / RE Width Length No.Of T enches PIT No. Of Pits Inside Dia. Liquid Dept
DIM I N gd DIMENSION
SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHIN anufatturer:
SETBACK CHAMBE
INFORMATION Type — model Number:
Sys m:gy►v 3 o 7 OR UNIT
DISTRIBUTION SYSTEM JF
Header /Manifold Distribution Pipe(s) ti x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. Length Dia. Spacing �T V" 7
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: WARREN ` 29 J 8 �4�8 6 ', NW S �9 l — STREET - LOT 5
o7*• si Jn kaK4�-_
Plan revision required? ❑ Yes o
Use other side for additional information.
SBD -6710 8.3/97 Date Inspector's S nature
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
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Safety and Buildings Division
' Co nsin SANITARY PERMIT APPLICATION 201 Box Washington Avenue
Vis 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
than 8 112 x 11 inches in size. 5`�
• See reverse side for instructions for completing this application State Sanitar Permit Number
1 ; 4M3
Personal information you provide may be used for secondary purposes ❑ Check if revision to previous application
[Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATI N
Property Owner Name Property Location
H aY've ,� /ye mcL << Coll 41 et W 1r4 �.W 1r4,S l T �q ,N,R / r E(or)&
Property Own is Mailing Address Lot Number
Block Number
9`70 i vC � 6
City, State Zip Code Phone Number Subdivi i n Name or SM Number adt?.2 Al
18-11d .1 17 11. P BUILDING: (check one) ❑ State Owned ? " Nearest Road
Public 1 or 2 Family D welling - No. of bedrooms sL M Town OF ar �t7 �3>ro[ S T
111 BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) L 4 �1 - 2 86A
1 C] Apartment/ Condo
49 4 1:2 /44'T 70
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. g. New 2 ❑ Replacement 3_ ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an
------ System ________System _____________ Tank Only______________ Existing 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. ABSO RPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. 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) Elevation
'Y _e U QD11 ,lJct- ' 7® Feet 103 Feet
Capacit
VII. TANK in allo Total # of r Prefab. Site Fiber- Exper.
INFORMATION New Existin Gallons Tanks Manufacturer s Name Concrete st ucted steel glass Plastic App
Tanks I Tanks
Septic Tank or Holding Tank d e k A.1 12 El El ❑ El El Lift Pump Tank /Siphon Chamber ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plumber's Signature: (No Stamps) /MPRSW No.: Business Phone Number:
s r l r ,sc /► m s- 7 Q t' 7 /.3" - 7-e; l 1
Plumber's Address (Street, City, State, Zip Code): �/)
N •d. L s
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issued Issuing Agent Signature (No Stampsj
Approved [ Given Initial Surcharge Fee)
Adverse Determination e_4:2AL
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD- 6398 (R.11/97) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber
r
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(t), 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 Department of Industry SOIL AND SITE EVALUATION REPORT Page I of 3
L ';ic*•:rcl Human Relations
Di,+ision'of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less th ' 1 lif o a size. Plan must include, but St. Croix
not limited to vertical and horizontal refere , I % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location a nce ton arest ro pending
APPLICANT INFORMATION -PLE RIN FO-RM REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
Harve Hielke a° �,9'? r � N GOVT. LOT NW 1/4 SW 1/031 T 29N ,N,R 18 �at)
PROPERTY OWNERS MA!I_ING ADDRESS ' �` LOT # BLOCK # SUBO. NAME OR CSM #
990 Hillcrest `'�� 5 na csrn endin;
CITY, STATE ZIP CO I ` N MB ❑CITY []VILLAGE 4FOWN NEAREST ROAD
Baldwin Wi. 5400 !7' Warren 93rd. St.
PC] New Construction Use (xj Residential / Number of bedrooms 3 ( j Addition to existing building
j Replacement ( I Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate • 4 bed, 9 pd/ft • trench, gpd/ft
Absorption area required 1125 bed, ft2 900 trench, ft Maximum design loading rate • 4 bed, gpd /ft .5 trench, gpd/ft
Recommended infiltration surface elevation(s) 99.70 ft (as referred to site plan benchmark)
Additional design / site considerations na
Parent material pitted glacial drift Flood plain elevation, if applicable na It
S = Suitable for system I CONVENTIONAL MOUND IN-GROUND PRESSURE AT -GRADE I SYSTEM IN FILL HOLDING TANK
U= Unsuitable for system 1� S ■ U 56 El U I S ■ U A0 S O U I EIS IOU ❑ S ® U
SOIL_ DESCRIPTION REPORT
Boring # Horizon) Depth Dominant Color Mottles Texture ( Structure ConsistencelBoundary Roots GPD /ft
(III in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed TrenLfl
1
1 0 -11 10 r 3/3 none 2 mczhk mfr Q w if .5 .6
2 11 -28 10yr 4/4 none sicl lfsbk mfr qw Ina .2 .3
Ground 3 28 -80 7.5 r 4/4 none sl 1msbk mfr
elev.
103 ft.
Depth to
limiting
factor
+80"
Remarks:
Boring #
1 -10 10yr 3/3 none 1 2msblr, mfr ~w
U 2 10 -27 10 r 4/4 none sic 2msbk .4 .5
3 7 -82 7.5yr 4/4 none sl lmsbk mfr na na .4.5
Ground
elev.
10 ft,
Depth to
limiting
f actor 821 "
Remarks:
CST Name _ Please Print Gary L. Steel Phone: 715-246-6200
Address: 1554 00th .Ave. New Richmond, Wi. 54017
Signature: Date: CST Number:
4 -26 -95 cstm 02298
PROPERTY OWNER H. Hielke SOIL DESCRIPTION REPORT Page .2 of
PARCEL I.D. # P ending
Boring # Horizon
Depth Dominant Color I Motfles Texture ( Structure I Consistence I l Bourxiary Roots I GPD /ft
in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed iTrerch
3 1 0 -7 10 r 3/3 none 1 2msbk mfr w If . 5 i. 6
2 1 7-24 10 r 4/4 none sicl lfsbk mfr qw na .21 .3
Ground 3 24-65 7.5y 4/4 none sl lfsbk mfr gw na .41 .5
elev. i
103 ft. 4 65-32 7.5yr 4/6 none s Osg mvfr na na .7 .8
Depth to
limiting
f +�
Remarks:
Boring #
A
-12 none 1 2msb mf r a Ty If . 5 .6
>:
4 12-32 10 r 4/4 none sicl lfsbk mfr gw na .2 .3
3 32-8T 7.5yr 4/4 none sl lmsbk mfr na na .4 €.5 '
Ground
elev.
10
Depth to
limiting
factor
+82"
Remarks:
Boring #
1 0 -13 10 r 3/3 none 1 2msbk mfr qw if .5i .6
5 2 13-35 10yr 4/4 none sicl lfsbk mfr gw na .2 .3
3 i35-72
Ground 7.5vr
elev. 4 72-82 7.5yr 4/E none s Osg ml na na .7 .8
10 ft.
Depth to
limiting
factor
+82
Remarks:
Boring #
`k
Ground
elev.
ft.
Depth to
limiting
factor
1
Remarks:
SBD- 8330(R.OM2)
PROPERTY OWNER H. Hielkerna SOIL DESCRIPTION REPORT page of 3
PARCEL I.D. I Ren ding
Boring # Horizon Depth Dominant Color I Mottles I Texture I structure Consistence i��, ed Roots D/t in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. B !Twich
3 1 0-7 10 3/3 none 1 2msbk mfr Cfw if 5 .6
2 7-24 10 4/4 none sicl lfsbk mfr gw na, .21 .3
i
Ground 3 24-65 7.5yr 4/4 none S1 Imsbk Mfr gw na .41 .
elev.
103.65 ft. 4 165-32 7.5yr 4/6 none S Os g mvfr na na .7: .8
Depth to
limiting
facW5,,
+
Remarks:
Boring #
1 10-12, 10yr 3/3- none
2msbk rn r aw if 5: .6
4 2 12-32 10 4/4 none sicl lfsbk mfr gw na 2: .3
3 32-82 7.5yr 4/4 none S1 Imsbk mfr na na .4; .5
Ground
elev.
103. 80ft.
Depth to
firnitiry
factor
+82
Remarks:
Boring #
1 0-13 10 3/3 none 1 2msbk mfr qw if 5 .6
5 2 13-35 10yr 4/4 none sicl lfsbk mfr gw na .2 .3
3 135-72 7.5vr 4/4 none S1 I lmsbk -1 mfr (1w na .4 .5
w
Ground
4 72- . 7'.8
elev. 82 7.5yr 4/E none S Osg M1 na na
103.8 ft.
Depth to
limiting
-factor
+8 2 "
Remarks:
Boring #
Ground
elev. ft.
Depth to
limiting
factor
Remarks:
SBD.8330(R.05/92)
STEEL'S SOIL SERVICE
Gary L. Steel Harvey Hielkema 1554 200th Ave.
CSTM2298 NW-,SW-4 S31 T29N - R18W New Richmond, WI 54017
MPRSW 3254 town of Warren (715) 246 -6200
I lot #5
I
1 =40'
BM.= top of NW lot survey stake C el. 100'
A BM 2,19' �} � � +
N v s
d
Gary L. Steel
4 -26 -95
' FRdrl F C COLLD)I; ?LDRS, INC FR:)HE HO. : 715 549 5911 Apr. 14 1999 oe:06AM pi
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner(Suyer 9.4ftus -V f it (fit fm 1 0 flaua .y'& t �N �
P. C. COLLOVA BUILDERS, INC.
Mailing Address
MN 0 C73 w4 977
!�• m an r���
705 County Rd, E
Property Address , u X _- - �3 d� - —
liUD9CN WISCONSIN 54016
(Verification required from Planning Department for new construction)
city /State _ Parcel Identification Number e9 i'2
LEGA L DESCI IPTx41N
SW 5�
Property I.ocation mil"! r /4, N vy Y4, Sec. . T - N - IL W, Towtx of �A t�2E Al ...�
.;
Subdivision
Certifed Su ey Map # _ 9 a d' . Volume of . Page _ t
Watt muty De # 5 5"a `1 93 Volume 1211 . Page # 1l �
Spec house yes ❑ no Lot lines identifiable es ❑ no
SYSTEM it N'AN CE,
arse and snsinteaanceof your septic system could result in its premataremum to bandlc wastes. Proper maintonancc
camsist of ont the septic tank every tbree years or caner, if needed by a lu eased pumper. What you put into the syamm
cxa affect the on of the septic tank as s treatment stage in the waste disposal system.
The P a%Wft agrees to submit to St. Croix Zordng Department a certification form, signed by the owner and by a
master lumber j uracymanplumber, restrictedplumber or a lleautdpumper verifying that (1) the on -site wastewatesdisposal system
its in proper opera ` condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than I/3 full of sludge.
Uwe, the tmdets ed have read the above requirements and agree to maintain the private acwage disposal system with the standards
set forth, herein. set by the Department of Commere:e and the Department of Natural Rmureos, State of Wisconsim Certification
stating that your ptie system has bccn maintained must be completed and rearmed to the St. Croix County Zoning Office within 30
days of the three ar expired date.
SIGMA Q APPLICA.N'T DATE
O E& C
i (wO fy that all statements on this faiui are true to the best of my (our) latowledgo. l (we) atn (are) the ovrner(s) of
the property demw n bcd above, by vidue of a warranty deed recorded in Register of Deeds Office.
y IAC 1
SIGNA O APPLICANT DATE
* * * * ** Any information that is mis- represented may rerun in the 2%Wtary permit being revoked by the Zoning Department.
'w Include with Otis application: a stamped warmaty deed fraud the Register of Deeds office
a copy of the certified survey trap if reference is made in the warmilty dead
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DOCUMENT 00. WAJ<XAnT DID
55 473 VD 21 O'Ac M 7
Del* Fogsrt , a /k /a Dal• •. Fogerty, conveys and warrants to xarver N. "' t rirl
xialkaee th following described real estate in St. Croix County, State ST Cie ZX CO., Wi
of xi scans i i pp: C'or Rsard
NOV 1 1996
/ A parcc_1 of land located in part of the Southwest Qu cater of the 9 : 30 A. M
Southwest cater (SN 1/1 SW 1/1) and in part of the Northwest Quarter
e of the 9ouc vest Quu SW 1 /e), all in Section Thirty -One �„(f,. -u ;
�7 gg *owns ip Twenty -Nine ( Range Eighteen (18) West, Town
f — Warren, , Croix county, Wisconsin, further described as follows:
mr 1 Pr; .'.r �! �e� :i
Coencinq t the SW corner of said Section 31; thence N88•SI'52•E,
along the th V ne of said SW 1 /1, 1319.62 feet to the SE corner of
the SK 1/1 f the SW 1 /I; thencf N0; aTonq the East line of
said SW 1/4 of the SW 1//, 101' feet to the point of beginning of
this descri tin; thence cant? ag N00 along said East line
of the SW 1 4 of the SW 1/1 and along the East line of said NW 1/1 of
the SW 1 /1, 1218.06 feet to the Souuh line of Certified Survey ?tap,
V
Reg
the
olume 6, P'TSBC;'as recorded in the Office of the St. Croix County
ister of Deeds; thence N89 00 03'M, along said line, 912.76 feet to NME ND A A ReTUR"; ADDRESS
of i re East 2i a of Certified Survey Map, Volume 31 Page 72 corded
in said Register of Deeds; thence 500•55 along said line, 1 Thomas A. McCormack
feet to the centerline of C .T.N. •N•; thence see °29 s
33 o•E, along sa a 990 Hillerest St
�\ centerline, 8.70 feet to the SW corner of Certified Survey Map,
\ Vblune 6, P qe - T'MI as recorded in said Register of Deeds; thence Baldwin, WI 54002
N01•38 along the West line of said Certified Survey Map, 300.15
feet; thenc N89 558 .79 feet to the point of beginning
EECEPT Lot ix (6) of that Certified Survey Map as rec - ded in the St.
Croix Count Register of Deeds Office in Volume 10, Pages 2921, as
I Document Nu 529260.
Parcel Identification Number (PIN)
This Warranty Deed is given in full and final satisfaction of that
otiginal Laid Contract between the parties as dated April 1, 1995. cvc
This is not homestead property.
Exception t waFrantiesr Easements, restrictions and righto -of -way of record, if any.
Dated this (�- day of November: 1996.
(SEAL) (SEAL)
1s
(SEAL) (SEAL)
AVittt�TIG220 AC2ulowlimK am?
Signature(s� of Dale E. Fogerty STATE OF WISCONSIN )
) as.
COUNTY )
authen c to this day of November, 996. Personally came before rte this day of
19 the above narrL-J
1. to rte known to be the person(s) who executed the
Leo A. Beskat m m
foregoing instrument and acknowledge the sae.
�
TITLE, ER STATE BAR OF WISCONSIN
(If not,
authorized by §106.06, Wis. Stats.) • — -- —
TN'S IW"I WAS DRAFTXV art Notary Public County, Wis.
1no A. ins r, Attorney My cormussion is permanent. ( not, expiration date:
RODLI, BEST( , BOLES G KRUEGER, S.C.
219 North in Street
P.O. Box 13
River Falls, WI $1022
FILED
Ol MAY 2 3 1995 ► 4
KATHLEEN H. WALSH
529260
CERTIFIED SURVEY MAP
HARVEY HIELKEMA
Part of the Southwest 114 of the Southwest 114 and the Northwest 114 of the Southwest
114 of Section 31, Township 29 North, Range 18 West, Town of Warren, St. Croix County,
Wisconsin.
Owner's Address:
C.IS VOL 6, PA 1580 Harvey Hielkema
C.S. V Century 21 Premier Group
PAGE 6 I 990 Hillcrest
RRI H Lm,, WI 54002
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t - - - -S8.9-00'03"E 913.74' / 9 /2. 76'1 . - /9.68' I
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/ This instrument drafted by Laurence y
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a • _ I I 24' iron-pipe
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Registered Land Surveyor O
V 1 N 89 28 "£ 557.74 ' 2 ^ W
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approval data R OA D R. O. W. M K /00'
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LANDS
SCALE /" r 200' 1
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025'50'100' 200' 300' 400' 500'
I 2661.
SHEET 1 OF 2
Vol. 10 Page 2924
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
o a
ON nun ,► ■ ST. CROIX COUNTY GOVERNMENT CENTER
_ " " ■ -" 1101 Carmichael Road
Hudson, WI 54016 -7710
(715) 386 -4680
July 27, 1999
P.C. Collova Builders
Attn: Lori
705 County Trunk E
Hudson, Wi 54016
RE: Septic Inspection for Harvey Hielkema located at 628 93' Street, Lot 5,
Town of Warren, St. Croix County, Wisconsin
To Whom It May Concern:
A septic inspection of the above referenced property was conducted on June 22, 1999.
This property is in the NW' /4 of the SW' /A of Section 31, T29N -R18W, Lot 5, Town of
Warren, St. Croix County, Wisconsin. At the time of the inspection, this septic system
was found to be code compliant for a three (3) bedroom home.
If you have any questions regarding this, please contact our office at (715) 386 -4680.
Si erely,
Rod Eslinger
Assistant Zoning Administrator
/sm
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
N p a ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016 -7710
- (715) 386 -4680
July 27, 1999
P.C. Collova Builders
Attn: Lori
705 County Trunk E
Hudson, Wi 54016
RE: Septic Inspection for Harvey Hielkema located at 628 93r Street, Lot 5,
Town of Warren, St. Croix County, Wisconsin
To Whom It May Concern:
A septic inspection of the above referenced property was conducted on June 22, 1999.
This property is in the NW' /4 of the SW' /4 of Section 31, T29N -R18W, Lot 5, Town of
Warren, St. Croix County, Wisconsin. At the time of the inspection, this septic system
was found to be code compliant for a three (3) bedroom home.
If you have any questions regarding this, please contact our office at (715) 386 -4680.
Si erely,
Rod Eslinger
Assistant Zoning Administrator
/sm
J