HomeMy WebLinkAbout042-1087-50-200 •Wisconsin p epartment of Commerce PRI ATE SEWAGE SYSTEM y:
Safety and Buildings Division Count
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit IX
Personal information you provice may be used for secondary purposes [Privacy La s.15.04 (1)(m)]. 3388
Per Ndln HARVEY El City_C1 lla�c e Town of: State Plan ID No.:
rpitliul�l�h
CST BM Elev.: MA Insp. BM Elev.: BM Description: WA Parcel Tax No.:
3 �► g 042- 1087 -50 -200
TANK INFORMATION EL ATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic I'LL �� � B n:hm
Dosing � (j
Aeration Bldg. Sewer
Holding St /Ht Inlet C) .3o 88.93'
TAN ETBACK INFORMATION St/ Ht Outle
tto
ANK TO P/ L WELL BLDG. Aeintake ROAD Dt inlet
Septic ? 5-0 ' ` NA Dt Bottom -�
r
Dosing NA Header / Man.
g .
Aeration NA Dist. Pi p e
I0•o0
Hol Bot. System
PUMP/ SIPHON INFORMATION Final Grade %.
Manufacturer Demand
Model Number GPM
TDH Lift F ' on m TDH Ft
Force n Length Dia. Dist. To Well
IL ABSORPTION SYSTEM b CIL
NCH Width / Len th No Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMEN I 3 Z- 50 02 DIMENSION
N
SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Marwf� tu rep
_ 5c
SETBACK CHAMBER ZIP
INFORMATION Type Of r , Model Number-
System: > Sb 32 - OR UNIT L;
DISTRIBUTION SYSTEM
Header/ nifold u Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. — T ength Dia. acing ____
3.2
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 31.29.18.486A- 20,SW,SW b-&-Z"93RD_ST-R£ET - LOT 7 q, 0 4
R� = 17-
N/ 2 OD -
Plan revision required? ❑ Yes W No
Use other side for additional information. 441�
SBD -6710 (R.3/97)
Date Inspector's Signature Cert. No
• � 1
Sanitary Permit Application Safety & Buildings Division
In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave.
lVisconsin See reverse side for instructions for completing this application PO Box 7302
Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302
Department of Commerce (Submit completed form to county if not
[Privacy Law, s. 15.04(1)(m _z` state owned.
Attach complete plans to the county copy only) fort oh p a ef nit 1eX than 8 -1/2 x 11 inches in size.
County State Sanitary Permit Number X C e�l`i sion to plevio n State Plan I. D. Number
I. Application Information - Please Print all Information 'j `-/ Location:
Property Owner Names i Property Location /p
C GL (d e _. SCJ 1146 14, T. ,N, RA o W
Property Owner's Mailing Address — I $ I C qp
Lot Number Block Number
City, State Zip Code Number �.1 t , . Subdivision Name or CSM Number
II. Type of Building: (check one) ❑ City
❑ 1 or 2 Family Dwelling - No. of Bedrooms : ❑ Village
J$,Town of
describe use
❑ Public/Commercial ( ) _
❑ State -Owned lVa- *-4-, J
3 X (o 2 5 0 // S Nearest Road
6 5,�4 - W, - d _- '/ GhQ �i e6 Y S Parcel Tax Number(s)
III. Type of Permit: Check only one box on line A. Check box on line B if applicable
A) 1. X New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to
System System Tank Only Existing System
B) Permit Number Date Issued
A Sanitary Permit was previously issued 3 T " 2
IV. Type of POWT System: (Check all that apply)
1 Non-pressurized In- ground ❑Mound
❑ Sand Filter ❑ Constructed Wetland
• Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line
• At-grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other:
V. Dispersal/Treatment Area Information: - °0
1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Appl icahon 5. Percolation Rate 6. System Elevation 7. Final Grade
Requited Proposed Rate (GalsJday /sq. ft.) (Min. /inch) - Elevation
z i �_67 SG3 S ?d z' .vim- a.Yr
VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing crete structed
Tanks Tanks
❑ a ❑ ❑ ❑
VIII. Responsibility Statement
I, the undersigned, assume res on bility for installation of the POWTS sho wDqp the attached plans.
Plumber's / Name (print) Plumber's Signature (no stamps): /J RS No. Q Business Phones Number - 3,
r �l ' G� /'! , j ^ w,•• -r k r mod/ �O I / T 7 � `� 3V a
Plumber's Address (Street, City, State, Zip Code)
d G d
IX. County /Department Use Only
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signa (No stamps)
)�_Approved ❑ Owner Given Initial Adverse Surcjjarge Fee)
Determination 6 - LID $ zO
X. Conditions of Approval /Reasons for Disapproval: (_
tk[4 W -cam -e [ -� - j � t�►`c Q ►"L-
w.0 rx
r n
e ee_ / /ar��+ ldf�ns J
y� s 5 7-
✓ ' 100 --''
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v�y1, �n uuparunein or commerce SOIL AND SITE EVALUATION
Divi,. of Safety and Buildings Page ! of __ 3
Bureau df Services in accordance with s. ILHR 83.09, Wis. Adm" Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and S T C'f/o fC
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. it
APPLICANT INFORMATION - Please print all inform Reviewed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
/';, , it . Govt. Lot j tom t/4 j��1 /4,S,3� T,� ,� ,N,R E (or
Property Owner's Mailing Address Lot # Block# Subd. Name or CSM#
.7e5' - J vo a a y
City State Zip Code Phone Number [] City ❑ Village (] Town Nearest Road
I V 5 )spy 5 - 7 ti} Y
® New Construction Use: (Residential/ Number of bedrooms Addition to existing building
❑ Replacement ❑ Public or commercial • Describe:
Code derived daily flow gpd Recommended design loading rate bed, gpolft? c _ C trench, gpd /ft
Absorption area required _ bad, ft J �' trench, ft Maximum design loading rate r 7 bed, gpd/f1 gpd/ft
Recommended infiltration surface elevation(s) �`'� 59 T `j ft (as referred to site plan benchmark)
Additional design/sitkc
Parent material .1c e a( L Z`iJeksh Flood plain elevation, If applicable ft
S = Suitable for system Conventional Mound in-Ground Pressure AT -Grade System in Fill Holding Tank
U = Unsuitable for system 0 S❑ U RL s❑ U K S M u 1 0sou ❑ s z u ❑ s u
SOIL DESCRIPTION REPORT
Bonn # Horizon Depth Dominant Color Mottles Structure P /ft
9 Texture Consistence Boundary Roots
,e F in. Munseil Qu. Sz. Cont. Color Gr, Sz. Sh. Bed Trench
�� � $ �� ,_ � -� y /d o? 02 S';l �y✓rxb � CS" 1� ° � ' ; � •S
_
/a S(:�' S "` ,2 7,41 r C r S
Ground �� le �- _ 5 — % J_
elev.
Flafft.
Depth to ,
limiting
factor
Remarks:
Boring # I
S,' fv" �� f �S
0=�0 � Pub
Ground
lev.
Depth to
limiting
factor
�,In. Remarks:
CST Name (Please Print) Signature Telephone No.
Address Date CST Number
/ ?d aj ` 41
I
SOIL DESCRIPTION REPORT
PROPERTY OWNER Cc 4 Page
o-
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh, Bed Trench
., qN... R...c
Ground Y X & — 5' c
plev
Depth to
limiting
factor
€'3
Remarks:
Boring #
E
-
��- ' 07 �
Ground
elev
Win•
Depth to
limiting
factor
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots D /ft2
in. Munsell Cu. Sz. Cont. Color Gr. Sz, Sh. Bed , Trench
Boring # u 6&
f �P��7r��rbr
afr 1 l i s n�Gl� G F ,•�' '�
Ground
elev
Depth to S"
limiting `f8 e
fa
1�_In• Remarks:
Boring #
;i E, r F�tl AEx�
" e 4 > C
Ground
slev.
Depth to
limiting
factor
' Remarks:
SBD -8330 (R. 07/96)
57
i✓�
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v
J
2 &4
r
c
V
A l seonsin Safety and Buildings Division
SANITARY PERMIT APPLICATION 201 B Washington Avenue
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 1/1 x 11 inches in size. 5rc re / K
• See reverse side for instructions for completing this application State Sanitary Permit Number
y ou p rovide may be used for seconds J� W 4 Personal information
y p y second purpos Check if revision to previous application
(Privacy Law, s. 15.04 (1) (m)1.
State Plan I.D. Number
I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION
Property Owner Name Property Location
/h e ! v S�1/a G>•J 1/4, S 3 ! T o 2q , N, R /,p E (or) VV
Property Owner's Mailing Address Lot Number Block Number
90 //, WCYCS? — 7
City, State Zip Code `hone umber 5ubjii� siggName or CS�� ��� Q
ri y�8 a ��/
11. TYPE 0 z E BUILDING (check one) ❑ State Owned 0 cit Nearest Road
❑ Village
Public 1 or 2 Family Dwelling - No. of bedrooms QL Town OF ,e,0 U
III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 3t. 8. /8. Ono ., _�
1 ❑ Apartment/ Condo 041.2--
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. [W New 2. ❑ Replacement 3_ ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
_ _ __System
-------- ---- ------------- -------- --------- Tank Only Existing S
- --- -- - - -- -- -_------ _ - -_ -__ ng yst Existing em ---- ^--- _
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
V ABSORP SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate S. Perc. Rate E 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation
�s� 510 3 5 c� ` Feet /D/. G Feet
VII Capac +t . TANK in gallo Total # Of Prefab. Site Fiber- Exper.
INFORMATION Manufacturers Name Con- Steel Plastic
New Existing Gallons Tanks concrete strutted glass App.
Tanks Tanks
Septic Tank or Holding Tank Y+. ���Q cveSfeY.c/ ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑
V)ll. RESPONSIBILITY STATEMENT
1, 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) P PRSW No.: Business Phone Number:
�ill'a r � o 2a'J�9D lS - 86- l.� l
Plumber's Address (Street, City, State, Zip Code):
//724 Se�,1g,4eAg4 `
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater a e ssue Issuing Agent Signature (No Stamps)
V Approved []Owner Fee)
Owner Given Initial �WJy �a
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
%(G !a G Cd % /Q VC2 53/ ` 2 y���C.J %6�J.dof� ✓arc L/
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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of _3
uitq` a'nd Human Relations
• Division of Safety & Buildings in aCCOfd with ILHR 83.05, Wis. Adm. Code
COUNTY
St. Croix
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 t d % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and dista '
riE� �� DATE
APPLICANT INFORMATION- PLEASE PIN" LL INFORM
PROPERTY OWNER : OPERTY LOCATION
Harvey Hielkema i " .. < `'` y ' VT. LOT SW 1/4 SW 1 /4,S31 T 29 N,R 18 )egor)W
PROPERTY OWNERS MA!I.ING ADDRESS ��'. � T # BLOCK # SUBD. NAME OR CSM #
990 Hi llcrest . - `,� 7 na csm pending
"111 1 CITY, STATE ZIP COD • RHON 'NUM r.k",. s CITY []VILLAGE Z]TOWN NEAREST ROAD
Baldwin W' . 540 , 4' 1 15 648- 0,` Warren Co. Rd. #N
]x] New Construction Use 3 ] ] Addition to existing building
j ] Replacement ( ] Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate • 7 bed, gpd/ft .8 trench, gpolft
Absorption area required 643 bed, ft2 563 trench, ft Maximum design loading rate • _ bed, gpd /ft • trench, gpd/ft
Recommended infiltration surface elevation(s) 98.17 ft (as referred to site plan benchmark)
Additional design / site considerations na
Parent material pitted glacial drift Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL II MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable for system �S ❑ U 1 Ig O U la O U n ❑ U 0S ❑ S �gU
SOIL DESCRIPTION REPORT
Boring # Horizon) Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. I Bed rer>d1
..,1...... 1 0 -10 10 r3/2 none 1 2msbk mfr qw if .5 .6
2 10-32 10 r4/4 none sic lfsbk mfr qw if .2 .3
Ground
elev.
101 ft.
Depth to
limiting
factor
Remarks:
Boring #
1 0 -8 10 r 3/3 none s1 2msbk mfr w 1f .5:'• .6
2 8 -20 7.5 r 4/4 none is osg mvfr gw if 7 .8
Ground 3 2- r 4/6 none s
i
elev.
10 ft,
!
Depth to
limiting
+8
Remarks:
CST Name: — Please Print Gary L. Steel Phone: 715-246-6200
Address: 1554 200t AV6., New Richmond,
Wi. 54017
Signature: Date: CST Number:
I 6Z/A2�4 4 -26 -95 cstm 02298
PROPERTY OWNER H. Melkema SOIL DESCRIPTION REPORT Page of
PARCEL I.D. # pending
Boring# Horizon Depth Dominant Color j Mottles (Texture I Structure IConsistence ,�Roots GPD /ft
in. Munsell f Ou. Sz. Cont. Color I Gr. Sz. Sh. �
I Bed iTmrich
1 -9 10yr 3/2 none 1 2msbk
i
2 -21 10yr 4/4 none sl lmsbk mfr gw If .4 .5
i
Ground 3 21 -78 7.5yr 4/6 none is osg mvfr na na .7 1.8
elev. i
1
Depth to
limiting
factor
+78"
Remarks:
Boring #
1 -11 10yr 3/2 none 1 2msbk mfr qw If .5 .6
4 `??`? 2 11 -28 10yr 4/4 none sicl lfsbk mfr q w if .2 .3
3 8 -78 7.5 r 4/6 none 1s osa I m f
Ground
9 V763 '
Depth to
limiting
+g
Remarks:
Boring #
1 -10 10yr 3/3 none 1 2msbk mfr gw If .6
5 ` "` 2 10 -22 10yr 4/4 none scl 2msbk mfr gw If .4 .5
MEMO
Ground
3 2 -76 7.5 r 4/6 none is os mvfr
�
9 1. 66 f t.
Depth to
limiting
factor
+76"
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting I
factor
Remarks:
SBD- 8330(R.05P92)
PROPERTY OWNER H. Bielkema SOIL DESCRIPTION REPORT Paget of 3
PARCELMS pending
Depth `Dominant Color Mottles (Texture l Structure Consistence Roots GPD /ft
Boring # Horizon in I Munsell Qu. Sz. ConL Color Gr. Sz. Sh. Bed lTrench
k mfr
1 -9 10yr 3/2 none 1 2ms.
2 -21 10yr 4/4 none sl lmsbk mfr gw if .4 .5
Ground 3 1 -78 7.5yr 4/6 none is osg mvfr na na .7 i.8
elev.
1
Depth to
limiting
factor
+ 7811
Remarks:
Boring #
1 -11 10yr 3/2 none 1 2msbk mfr qw if .5: .6
4 '>' 2 11 - 10yr 4/4 none sicl lfsbk mfr Cf w if .2 .3
%k.
A \�Ci'2i'Lt•: i:•i:•ii
3 6 8-78 7.5 r 4/6 none is osa mvfr na na
Ground
9 r. 63
Depth to
limiting
+78
Remarks:
Boring# 1 -10 10yr 3/3 none 1 2msbk mfr gw if .5 .6
5'. 2 0 -22 10yr 4/4 none scl 2msbk mfr w if .4 .5
`" ....,
Ground
3 2 -76 7.5 r 4/6 none is os mvfr na nal .8
9
Depth to
6miang
factor
+76"
Remarks:
Boring #
Ground
elev.
ft.
Depth to
anating
factor
Remarks:
M- MO(R.05M)
I
STEEL'S SOIL SERVICE
Gary L. Steel Harvey Hielkema 1554 200th Ave.
CSTM2298 SW4SW4 S31- T29N - x 18W New Richmond, WI 54017
MPRSW 3254 town of Warren (715) 246 -6200
lot #7
N
1 =40'
BM. =top ofNW lot stake C el. 100'
80
�' st
ly P ' k-(
'I3 '
C
Gary L. Steel
4 -26 -95
• .FIaM P C COLLOVA BLDRS, ?NC PHONE N0. : 715 549 5511 Apr. 14 ' %9 08:06RM P3
• ST CROIX COUNTY
SEPTIC TANK. MA,INTIRNANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Qwner(tuy®r 4,4& i 4 VA
Mailing Address P. C. COLLOVA B UILDERS, INC.
G 2
4
Property Address dt C
5) 549 -5977
County Rd_ E
i
(Verification required from Platuting Department for now construction)
City/staie
P=4 Yde zYtiftatttion Number X 1), 4 , 1
r �rAY �g�,r�oty
sue+ s w
Property Location _ 1., W, 'fa, Sec. I T�N -R 1 �- W: To wn o f WArtR
3 h
SubdivWon
CWdW Survey ll Rp # �� 9' G _ .. _ . Voitttnt: ! d _ _ . _. Page # z0fa
iNaffsnty Died # Voltui9e
Spec itotsse yes C] no Lot line idendSWe es fa no
SYSIM
kimppropts use and aooaiate�aaace: of your setptic syvD.:n could rasttlt in its premzatusefailute to ltaudIe wastes. Pmper mamsteaaraoe
e oms�ls of purupke eat thin septic tank every three yeas or soma, it needed by a I'rou sed pumper. 'What you prat into the system
can affvot the fam tk a of dw aepdo tank as a treatment stager in the waste disposal system.
The property 6"10 ages to submit to St. Croix Zoning DqMtrucat a cestificatiact form, signed by the aw ar and by a
maaterPlttmb=, jQ=Mey=anplutnbe:r, rrstnowdplumberor aliceasedp ngmverifying dw(I) ft on-site wastewater ftosal
is in ptopar operating condition "Not (2) aftrr itaspecti®u and rAving (if necessary), the septic tame is Ica the 113 fun of sh*e.
Ilwet, the undenipod have read dLe above tequhm mu and ague to tetaimhtin rite pt'ivatet sewage disposal system; Wi& the standards
eat f+oartlt„ lain, as set by die Department of Commerce and then Depattateci: of N*Vjral Resatucaa, State of Wisconsin. Czar rmdon
elating that yaw septic system bas been mainWAtd wig bo vouiplotod and mtutned to the SL Croix County zWW office wan 30
days
o lbree yar expiration date.
SIQNA F APk'UCANT DATE
W RTIFfCA=
I (we) eettdfy that all statements an this form, arc true. to the but of t„y (our) knowledge, I (we) aut, (ate) the oarnee,(s) of
*0 property detscribed above, by virtue of a warr=Ay deed recorded in Register of Deeds Oft'tce.
$ICiIVA F wp //6 5;
D
rr►rw Any information that it: mis- repremted may remelt in the sanitary p =At beitze mvdwd by the Zoning Department. *"•••:
** Include with this applieation: a stamped warranty died $+ern the Fm&tor of Deeds office
a espy of the certified puvey trop if rafett ut is %A& in the warranty eked
i
DOCUMENT NO.�_ D�
552473 V OL VI 0 OVE 1
Dale foQerty, a /k /a Dole X. regerty. conveys and warrants to .array N.
sialkesa the following described real estate in St. Croix County, State ST C + ivlx co.. va
of Wisconsin. P&:d'oaRs J
Nov 2- 1 1996
A parcel of land located in part of the Southwest Quarter of the 9 A. M
Southwest Quarter (SW 1/4 SW 1/4) and in part of the Northwest Quarter � ' 1
of the Southwest Quarter (NW 1/4 SW 1/4). all in Section Thirty -One '1��f l..-. -�{ 4).4(1,
(31), Township Twenty -Nine (29) North, Range Eighteen (18) Went, Town f?e ^_"crC)'e °:
of Warren, St. Croix County, Wisconsin, further describe: as follows:
Commencing at the SW corner of said Section 311 thence NSB'54'52'E.
along the South 1 of said SW 1/4. 1349.62 feet to the SE corner of
the SW 1/4 of the SW 1141 thencr 1 400 °51 along the East line of
said SW 1/4 of the SW 1/4, 101' feet to the point of beginning of
this description. thence contf. ag N00'51'28'W, along said East line
of the SO 1/4 of the SW 1/4 and along the East line of said NW 1/4 of
the SW 1/4, 1218.06 feet to the Sout." line of Certified Survey Map.
Volume 6, Page 1580, as recorded in the Office of the St. Croix County . . . _
Register of Deeda; thence N89 "00'03'W. along said line, 912.76 feet to UMM AND RaTURY ADDRESS
the East line of Certified Survey Map, volume 3, Page 723, as recorded
in said Register of Deeds; thence 900'55'56'E along said line, 1531.43 Thomas A. McCormack
feet to the centerline of C .T.B. 'N') thence S88 °29'50.8, along said 990 Hillerest St
centerline, 336.70 feet to the See corner of Certified Survey Map, 4 0 0 2
Volume 6. Page 1571, as recorded in said Register of Deeds; thence Ba W
N01'38'32'E, along the West line of said Certified Survey Map, 300.15
feet; thence N89'21 558.79 feet to the point of beginning.
EXCEPT Lot Six (6) of that Certified Survey Map as rec :ded in the St.
Croix County Register of Deeds Office in volume 10. Pages 2924, as
Document Number 529260.
Parcel Identification Number (PIN)
This Warranty Deed is given in full and final satisfaction of that
original Land Contract between the parties as dated April 1. 1995. FEE
EXEWT
This is not homestead property.
Exception to wa�rantiesi Easements, restrictions and rights- of-way of record, if any.
Dated this �� day of November: 1996.
(SEAL) (SEAL)
le
(SEAL)
(SEAL)
AVESMIChTION AcKnowumaim
Signature(s) of Dale E. Fogerty STATE OF WISCONSIN )
) ss.
COUNTY )
authen c ted this day of November, 996. Personally came before me this day of
19 the above named
to me known to be the persons) who executed the
foregoing instrument and acknowledge the sane.
* Leo A. Beskar
TITLES MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by §706.06, Wis. Stats.) • — — —
2218 I28l20CM WAS DRAMED 2!; Notary Public County, xis.
Lao A. Reskar, Attorney My conrrussion 1s — permanent. (If not, expiration date:
RODLI, BESRAR, BOLES 6 KRUEGER, S.C.
219 North Main Street
P.O. Box 138
River Falls, xI 54022
. •'�„�'' 11 � '.�
FILED
MAY 2 3 1995 ► 4
KATHLEEN H. WALSH
6 � low
529260
CERTIFIED SURVEY MAP
HARVEY HIELKEMA
Part of the Southwest 1/4 of the Southwest 1/4 and the Northwest 1/4 of the Southwest
114 of Section 31, Township 29 North, Range 18 West, Town of Warren, St. Croix County,
Wisconsin.
Owner's Address:
C.S. C.IS VOL. P /390 Harvey Hielkema
M. VOL.2 I
PAGE 4 I I I Century 21 Premier Group
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EieldYV WI 54002
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I LANDS
SCALE 1 " = 200'
025'30' 100' 200' 300' 400' 300' I N 88' 42' 04 "E 2664.83' R I N 88'34'32 "E
1 2661.211
SHEET 1 OF 2
Vol. 10 Page 2924
1101 Carmichael Road
Hudson, WI 54016
Phone: (715) 386-4680 St. Croix County
Fax: (715) 386 -4686 Zoning Department
Fax
To: Laurie Collova From: Shawna Moe
Fax: 549 -5911 Date: September 25, 2000
Phone: 549 -5977 Pages: 2
Re: Septic verification CC:
❑ Urgent x For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
*Comments:
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
NPNN IN 0 rrrri' ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016 -7710
(715) 386 -4680 Fax (715) 386 -4686
September 25, 2000
P.C. Collova
Attn: Laurie Collova
705 County Trunk E
Hudson, WI 54016
RE: Septic Inspection for Harvey Hielkema located at 619 91st Street, CSM
Vol. 10 Pg. 2924 (Lot 7), Warren Township, St. Croix County, Wisconsin
Dear Laurie:
A septic inspection of the above referenced property was conducted on 08/24/2000. This
property is located in the SW 1/4 SW 1/4 of Section 31, T29N R18W, CSM Vol. 10 Pg.
2924 (Lot 7), Warren Township, 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.
Sincerely,
Kevin Grabau
Zoning staff
/sm
cc: file
Parcel #: 042 - 1087 -50 -200 09/26/2005 10:19 AM
PAGE 1 OF 1
Alt. Parcel #: 31.28.18.486A -20 042 - TOWN OF WARREN
Current X! ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
DANIEL J & KATHRYN L O'BRIEN O - O'BRIEN, DANIEL J & KATHRYN L
619 91ST ST
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): • = Primary
Type Dist # Description
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 3.723 Plat: N/A -NOT AVAILABLE
SEC 31 T29N R18W PT SW SW BEING LOT 7 Block/Condo Bldg:
CSM 10/2924 3.723 ACRES
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
31- 28N -18W
Notes: Parcel History:
Date Doc # Vol /Page Type
11/16/2000 633863 1560/194 WD
11/16/2000 633862 1560/193 WD
11/21/1996 552473 1210/117 WD
1188/388 QC
2005 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 11/20/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.723 44,700 145,000 189,700 NO
Totals for 2005:
General Property 3.723 44,700 145,000 189,700
Woodland 0.000 0 0
Totals for 2004:
General Property 3.723 44,700 145,000 189,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch #: 524
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00