HomeMy WebLinkAbout018-1033-10-100
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER lo4 ,J av /7 c ,cJ
ADDRESS 1l D 7h A L1 ~
SUBDIVISION / CSM# S'1? LOT
SECTION l-J- T _q!2 N-R17 W, Town of
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
57
7"X G-
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
t r
BENCHMARK: Sim -e 5,
1l5
ALTERNATE BM: 1~,.R ®1,1:7 S1-,'e X- ~a ll
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: m,Liquid Capacity: 1,4, 4,4
Setback from: Well 0 y- House is Other
Pump: Manufacturer Model# Size
Float seperation Gallons/cycle:
Alarm Location
SOIL ABSORPTION SYSTEM
Width: i~ Length J'y Number of trenches r
Distance & Direction to nearest prop. line: oah0 f
Setback from: wells /e'0 4 House ~U r Other
ELEVATIONS
Building Sewer ST Inlet: ST outlet:
PC inlet PC bottom Pump Off
Header/Manifold Bottom of system
Existing Grade Final grade
DATE OF INSTALLATION: z"ZZ ?4
PLUMBER ON JOB:
LICENSE NUMBER:
INSPECTOR: Al `T
3 / 9 3 : j t
Wisconsin Departrnentof Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations
Safety and Buildings Division INSPECTION REPORT ST. CROIX
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION 299031
Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.:
DALTON, JOHN HAMMOND
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
/DJ/ /00' -P- y 018-1033-10-100 61 TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark 10~ O^
Dosing
Aeration Bldg. Sewer
Holding St/Ht Inlet 95.9'
TANK SETBACK INFORMATION St/ Ht Outlet 8x38 q , 9 '
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic >.1 S' NA Dt Bottom
Dosing NA Header / Man. 9 gq, y V
Aeration NA Dist. Pipe g` 8'9 ` 94r.
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade
ot4'~
Manufacturer Demand cl?, 69
Model Number GPM
TDH Lift F ' ion System TDH Ft oss Forcemain 'Length Dia. Fi Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS / 1 L~ `l /I I DIMENSIONS
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING manufacturer: INFORMATION Type O CHAMBER Model Number:
System: 411-0 p ' p' `/60' LA OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length _ Dia. Length Dia. Spacing
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 gBed/ Trench Edges Lf. a,f Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: HAMMONAD~ 15.29.17 , SE, SW 1/846 90TH AVENUE LOT 2
750 ,".x JtK z o. }:.w,? I , . / L ._J .-:F:C. L re
R.
Plan revision required? ❑ Yes ❑ No
Use other side for additional information. /D7 ,Lt< ri'?G Z
SBD-6710 (R 05/91) Date Insp or's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH `
SANITARY PERMIT NUMBER:
r
Visconsin Safety and Buildings Division
SANITARY PERMIT APPLICATION 201 E. Washington Ave.
In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969
Department of Commerce Madison, WI 53707-7969
• Attach complete plans (to the county copy only) for the system, on paper not less County
than 8 1/2 x 11 inches in size. 5 t/a er
• See reverse side for instructions for completing this application State Sanitary Permit Number
o-31
The information you provide may be used by other government agency programs ❑ Check if revision to previous application
[Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
1. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION
Property Owner Name Property Location
~a~ ~o.✓ 1e14 .54) 1/4, S /_I- T go? , N, R ~ 7E (or
Property Owner's Mailing Address Lot Number Block Number
Z7 4'y Uet 2
C
City, State Zip Code Phone Number Subdivision Name or 4SM 7umber ( L
141~_ A" 1W o~ (740 G ll0 / lp
II. TYPE B IL ING: (check one) E] State Owned o !t~ arest Road
❑ VII age
Public 1 or 2 Family Dwelling - No. of bedrooms Town OF
III. BUILDING USE (If building type is public, check altthat apply) Parcel Tax Number(s)
0(F- 14~~ °--&D-ltd 3(P
1 ❑ Apartment/ Condo
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 Iine.A. Check box on line B, if applicable)
A) 1,X 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. ABSORPTION 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
,%S- qd o Feeti 171,6 Feet
VII. TANK Ca
altoac(t s Total # of r Prefab. Site Fiber- Exper.
INFORMATION in g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App
New Existin strutted
Tanks Tanks
Septic Tank or Holding Tank x / ~Q r t'li~t/ ❑ ❑ ❑ 1:1 El
Lift Pump Tank /Siphon Chamber +0_ El
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite se ge system shown on the attached plans.
Plumber's Name: (Print) Plumber's Signature: (No Stamps) PRSW No.: Business Phone Number:
Plumber's Ac dress (Street, City, State, Zip Code): J /
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Ssue Issuing Agent Signature (No Stamps)
XApproved ❑ / 6 . surcharge Fee)
Owner Given Initial 5
Adverse Determination S
X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL:
SBD-6398 (R.11/96) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber
T c
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.
1 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:
1. 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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Wiscopsih Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
Labor and Human Relations -
Division of Safety & Buildings in accord with I.LHR 83.05, Wis. Adm. Code
COUNTY s•'
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
dimensioned, north arrow, and location and distance to nearest road. h S
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION DBY DATE
U
PROPERTY OWNER: PROPERTY LOCATION
t`~ Y~~ b N -G81f @T-• S E 1/4 S W S T x 1'1 E
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. MPNINGOFFIC
1"1 Ct til O `TN Rv~~ Z - 's-> -v-_t C S
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [$f OWN NNW D
M►~o>v~ ~v1 s4~lS (-)tsnc)6_ Z'Q'C Z
Iv,
. y<
[ New Constriction Use Residential / Number of bedrooms 3 [ ] Addib.Qn to existing building
[ ] Re0acement [ ] Public or commercial describe
Code derived daily flow 4S Q gpd Recommended design loading rate o • S bed, gpd/ft2 L 6 trench, gpolfl2
Absorption area required '3116 03 bed, ft2 S e trench, ft2 Mabmum design loading rate o S bed, gpd/ft2 0 - ~ trench, gWt2
Recommended infiltration surface elevation(s) ct 3 • S It (as referred to site plan benchmark)
Additional design/ site considerations $ ` S o" C c~ z.1 v/`Tt ti+v I~ C ` i~
Parent material S PrrvD~ f ova ~tS)) Rood plain elevation, if applicable q . It
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U=Unsuitable fors stem ®S ❑U ®S ❑LI ®S ❑U ®S ❑U [MS ❑U ❑S OU
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPDlft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Red Trench
10`'tIL Z(.Z -StI Z~'sb wt`~'~. eg 3~ o-S o..l .
<<
~~„~r~ Z tZ-3S ~~`,12 31 - su1 Z'Fs~1Z Yv~.`~h cS Z~ oS o"~
Ground 3 3 S-~!0 . S VIZ 3I y - s \ c-S X12 m U S ] a V o S
elev.
130 ft. y yo -80 S v I-L VA S o S 9 1 0 1
Depth to
limiting
factor Remarks:
Boring #
0-12 Lo`ZIZ z lz St Z`Fs~ rn`FI~ cS 3 o. g
tz-3b 10y2 31~ - s11 `Fsb tin`~1- c s Z~' o. S
3 , 0r3 7.S k2 31y S~ ~Sdk 1mUq~' o.S
Ground
9elev.
y --)-s L72 V/L _ S o s ~ wI 1 0.7 : o. J
It.
Depth to
limiting i
factor
Remarks:
CST Name:-Please Print Arthur L. W e e r e r Phone. 715-425-0165
egerer So'1 Testing & Design Service-P.O. Box 74 River Falls,WI 54022
Signature: Date: CST Number:
X16-8)- Z M00576
PROPERTY OWNER -'Z--> 1'c- 11J SOIL DESCRIPTION REPORT Page?- of ~
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bo~x>dary Roots GPD/ft
in. Munsell ()u. Sz. Cont. Color Gr. Sz. Sh. Bed Tn~nch
Z(Z S1 2 5~ w~~t^ ~S 3~ o• S o 6
k
> o-~Z ti0`ttz
31y - s~Z`~sbk cg Z~. o. s u.>,
Ground 3 26.32 '7•S`72 31y S~ cs~~t YhV ~S 4•y U.S
elev.
°L-1Zft. 3z-VL 1.S `1R ~l` S O S S °
Depth to S6 o I o ►Z s 1, 6 - '~S o s o....5 o L
limiting
factor
>90'
Remarks:
Boring # I s 1 Z S b'~'~ e S 3 v. S o. 6
0-1 S l~H R ?lZ
Z ~S-35 \-I 1Z. 31 - si 2 gbh `F►~ cs Z~' o. S o_ l
k •..v4. n
QS Y O.l( p., S
3 3syou ~.S ~2 Sly sl 1 csb m v~~.
Ground
e S ;o
S D Sj M
elev. ~Ib-S2 ~_S ~11L V//.
q.Lj ft.
S SZ-`t3 t o -fz S IC - 0 3 o S °.L
Depth to
limiting
factor
Remarks:
Boring # o-~y ~b`12 -7-L Z - S L Z `F SbIZ Y►~ ~i- ~-S 3 o. S o.
S Z 1~(3~ ~u`1R 3J sil Z 5 m`~h ~S 2~ o•S o• b
3b_3~ ~•S`tR 31 - S~ 1 c.5b 1MU ~1- C 1t `U.S
Ground
elev. l.$8 S ~2 tI/6 - -s 0 g w~ 1 0.1
qr)- S ft. -
Depth to
limiting
factoSr~
4
Remarks:
Boring #
Ground
elev.
ft
Depth to
limiting
factor
Remarks:
,nn 01,nin nc,n,,
PLOT PLAN Page 3 of 3
SCALE 1"= y0 '
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e'/- VSnNG iJL'ZLL IS too' tiI~J OF 8 3
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y 3° z°lo }
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I j 969 gZ ~e
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LIn.~~
~ - t`L_ 100. p ' o►~l
~m op 40~ kil CH
`rat . P~ ~-sl'tx.
o. 1A S ?n ~
q6-81-?
715 ) 425-n1 65 - M00576
CST Signature Date Signed Telephone No. CST #
FILED
~~8203 AUG 1 5 1996 ® -
KATHLEEN H. WALSH
R~IStet ofCo , DceNIIds y
F CtoCt
CERTIFIED SURVEY MAP
Located in Part of the Southeast Quarter of the Southwest Quarter of Section 15, Township 29 North,
Range 17 West, Town of Hammond, St. Croix County, Wisconsin.
Prepared for and at the request of:
OWNER:
John do Carolyn Dalton BEARINGS ARE REFERENCED TO THE SOUTH LINE
1794 110th Avenue OF SW 1/4 SECTION 15, TOWNSHIP 29 N., RANGE 17 W.
Hammond, WI 54015 WHICH IS ASSUMED TO BEAR N 89'42'12" W
Drafted by. Kristi A. Eylandt
County Section Corner Monument NORTH 1 /4 CORNER of Record, or as shown SEC. 15-29-17
• Set 1" x 24 Iron Pie weighing (RAILROAD SPIKE
a minimum of 1.13 poundsperTO BE RECORDED)
linear foot. NORTH/SOUTH 1/4 LINE
O Found Iron Pipe SEC. 15-29-17
REC = RECORDED AS d
LO
NOTE: The parcel shown on this map is subject to State, County and Township
laws, rules and regulations ( i.e. wetlands, minimum lot size, access to parcel,
etc.). Before purchasing or developing any parcel, contact the St. Croix County j
Zoning Office and the appropriate Town Board for advice. I
I
I
(REC=N 00'49'05" E UNPLATTED LANDS N 89'49'58" E
,.'31.55')
N 89'49'58" E 601.31' Lfi
REC. = S 89'47'33" E 603.11) - N
i 200.45' 200.43' i 200.43'
x--(REC=N90'00'00"W 225')a i w w
r (REC=WEST 225')-IL
I
I WELL r) C)
r
~ c~ll^ I o n s.
r. 00
0 . 6 ® C5 LOT 3 0 0
OI M N QUSE N III- '::J3ABN i•. N to
I
oleo LOT I o)I 3 LOT 2 0 o HWY SETBACK 0) N it I
IOp r 0)
IIO d ~In N N N I
0 I
C-4 (J II P 4 Q Q c; I
~IM
z 0 I-I
X (-L EXISTING DRIVE 1 • °O .w II z °o 0
v I I~ N
Z N
I O Q U O O p
1 w l
1 1 i O b 10 tr
N1I 1PO I M I p Y i M; MI vl
rn~11 i ~i Ii l-'N 89'42'12" E-.'y~ ,N 89'42'1» E--
12" E- 201.4 r,? 201.43 A ,r - 201.` - - i
o I i -N 89-42-4
u , WY R.O.W. Y (REC = N 90'OU 00" i 380) i~ V) I
r
201.56' - 201.55' - 201.55' - /i z
o
VSOUTH S 89'42'12" W 604.66'----- M
S 89'42'12" W 2623.87'------ 90TH VE. SOUTHWEST CORNER 9 0TH AVENUE
SEC. 15-29-17 ---------SOUTH 1/4 CORNER
(FOUND COUNTY LINE OF SW 1/4 OF SEC. 15 SEC. 15-29-17
MONUMENT) (FOUND P.K • Al I D OUT
UNPLATTED-LANDS PER g4flll
TOTAL AREA LOT 1: TOTAL AREA LOT 2: TOTAL AREA LOT 3: AUG ~S?
61,126 SQ. FT. 61,031 SQ. FT. 60,940 SQ. FT.
1 An ArRFC 1 An ArPPQ 1 An ArPPC i
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER rdlt ,(l to
MAILING ADDRESS yam ®.v~ G~
PROPERTY ADDRESS Z 9- Y O rn
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE
PROPERTY LOCATION 1/4, 1/4, Section 1 T__g ~N-R__L_j W
TOWN OF IzYa bn ec.✓G[ ST. CROIX COUNTY, WI
SUBDIVISION C.5^ LOT NUMBER 2-
CERTIFIED SURVEY MAPS'IV123, VOLUME, PAGES LOT NUMBER
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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank
as a treatment stage in the waste disposal system.
St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost
of replacement of a failing system, which was in-operation prior to July 1, 1978. St. Croix County
accepted this program in August of 1980, with the requirement that owners of all new systems agree to
keep their system properly maintained.
The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner
and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1)
the on-site wastewater disposal system is in proper operating condition and (2) after inspection and
pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum.
I/We, the undersigned have read the above requirements and agree to maintain the private sewage
disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR.
Certification stating that your septic has been maintained must be completed and returned to the St. Croix
County Zoning Officer within 30 days of the three year expiration date.
SIGNED:
DATE:
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
S T C - 100
This application form is to be completed in full and signed by the
owner(s) of the property being developed. Any inadequacies will
only result in delays of the permit issuance. Should this
development be intended for resale by owner/contractor, (spec
house), then a second form should be retained and completed when
the property is sold and submitted to this office with the
appropriate deed recording.
Owner of property x eAA) Q,l ~a
Location of property54-- _1/4 Zj 1/4 , Section j4-, TAN-R /7_W
Township rn~ mac! Mailing address lZgt.l Ila rA 4!J
Via, ,h ~ ,•JG, / 3 D'/ '5-
Address of site
~rye_G0d /'-/T
Subdivision name (f S /oi Lot no.
Other homes on property? Yes No
Previous owner of property. Total size of property i
Total size of parcel / q
Date parcel was created GLw~ f~ ~y~
Are all corners and lot lines identifiable? _L-Yes No
Is this property being developed for (spec house) ? Yes _Pe_No
Volume I_ and Page Number as recorded with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE
NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a
certified survey, if available, would be helpful so as to avoid
delays of the reviewing process. If the deed description
references to a Certified Survey Map, the Certified Survey Map
shall also be required.
PROPERTY OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the
best of my (our) knowledge that I (we) am (are) the owner(s) of the
property described in this information form, by virtue of a
warranty deed recorded in the office of the County Register of
Deeds as Document No. , and that I (we) presently
own the proposed site for the sewage disposal system or I (we)
obtained an easement, to run the above described property, for the
construction of said system, and the same has been duly recorded in
the office of the County Register of Deeds as Document No.
jo'tzl
S gnature of Applicant Co-Applicant
-~S -9'
Date of Signature Date of Signature
9~5~~~E194 THIS 3IACE RE%ERVED FOR RECORDING OATA
VOL
DOCUMEtiT NO. WARRANTY DEED
STATE. BAR OF WISCONSIN FORM 2 - 190
47350-: REGISTER'S OFFICE
EVELYN C. DUDLEY, a single person, Grantor ST. CROIX CO., Wi
Rsc'd for Record
SEP 161991
ai 3:35 P. M
ARQ-YN DALTO ro
conveys and warrants to JOHN- DALTON and. L
husband . and., wi_f e-..as .s-urvivorahip.. marital...praperty.,.._ V
_Grantees.. Not Iof0"&
.
RETURN T
. . . . ...County,
the following described real estate in _.......St.. ...Cr.
State of Wisconsin:
Tax Parcel No:
(SEE ATTACHED LEGAL DESCRIPTIOP') t
TOGETHER WITH and SUBJECT TO reservations, restrictions, easements and
rights-of-way of record, it any.
This - i.S.-Ilot-._-. homestead property.
(ig) (is not)
Exception to warranties:
September 91
Dated this - 11th .day of
GLN~SEALP
__.(SEAL) EVELYN-C..-DUDLEY
(SEAL) - - (SEAL)
AUTHENTICATION ACHNOW LEDGKBNT
Signature(s) STATE OF WISCONSIN
.
s ss
fit. Croix County.
authenticated this day of.......................... 119 Personally came before me this .11th------ day of
September 19.. 91 the above named
•
Evelyn C. -Dunley
TITLE: MEMBER STATE BAR OF WISCONSIN
authorized by § 706.06, Wis. Stata.) to me known to 'e the per..cn . who executed the
foregoing instrument and acknowllge the same.
. is, y15PAce19
A parcel of land located in the SEk of SA of Section
15-29-17, described as follows: Beginning at a point
on the S line of said Section 15 a distance of 380 feet
W of the SE corner of said SEk of SW'a, thence N parallel
with the E line of said SEz of SWk a distance of 274
feet, thence W a distance of 221, feet, thence S a dis-
tance of 274 feet, thence E along the centerline of the
Town road a distance of 225 feet to the point of beginn-
ing; ALSO all right, title, interest and benefits given
by that certain Agreement b Laurence H. Vrieze and
Magdalene H. Vrieze, husba-ia and wife, as joint tenants,
with Clifford Spooner and Rosella Spooner, husband and
wife, as, joint tenants, dated Aug. 12, 1965 and recorded
Nov. 12, 1965,`in Vol. "418", page 578 (No. 32) in office
of Register of Deeds.
A parcel of land located in SEa of SW: of Section 15-29-
17, Town of Hammond, more fully described as follows:
Commencing at the S4 of said Section 15, the Point of
Beginning of the parcel to be ;:erein described; thence
N90°00`00"W 380 feet (all bearings referenced to the S
lane of the SA of said Section 15, assumed N90°00'00"W);
thence N00°49'05"E 274 feet; thence N90°00'00"W 225 feet;
thence N00°49'05"E 31.55 feet; thence S89°47'33"E 603.11
feet; thence S00°28'03"W 303.34 feet to the Point of
Beginning of the parcel herein described.
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