HomeMy WebLinkAbout026-1013-70-110
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER 44 ~C/ k
ADDRESS
SUBDIVISION / CSM# y01tkK\-~ LOT #
SECTION / TN-R_Z D W, Town of (mil/yZv.
ST. CROIXC~OUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
N ~r
I
D
~ I
\ I
H
f
INDICATE NO H ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
a
BENCHMARK:
ALTERNATE BM•
c'
SEPTrC TANK PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: e " ~/5 Lia. id capacity: '~z~
Setback from:., Well /yo &Az/Aouse 1
/ Other
Pump: Manufacturer Model# Size
Float seperation r Gallons/cycle:
Alarm Location
SOIL ABSORPTION SYSTEM
Width:--/ 45 Length `fur Number of trenches
Distance & Direction to nearest prop. line:
r ~
Setback from: well:'? J House Other
ELEVATIONS 2 ~l
Building Sewer ST Inlet :9~ J ST outlet:,
PC inlet PC bottom Pump Off
Header/Manifold Bottom of system ~.s 7 ~
Existing Grade
Final grade
DATE OF INSTALLATION: /1,7
PLUMBER ON JOB: ,r 4~~
LICENSE NUMBER: , 9
INSPECTOR:
3/93:jt
r
. Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT ST. CROIX
Safety and kluildings Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION 284260
§T0t*lcWr ]NT,rrAM lid)x.,p,lLiW 11 Town o : State Plan ID No.:
CST BM Elev.: j Insp. BM Elev.: BM Description: Parcel Tax No.:
026-1013-70-110
TANK INFORMATION ELEVATION DATA A970 028 5 2
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark 3.34 le-d, Gll
Dosing I ~R vm . l~• 3 99.
Aeration Bldg. Sewer 52-7
y~ 3S
Holdi St/ V Inlet col ap' 97 /,Z
TANK SETBACK INFORMATION St/)4 Outlet
TANK TO P/ L WELL BLDG. AirI to ntake ROAD Dt Inlet
rl
Septic NA Dt Bottom r
r.
Dosing NA Header-. (Z?~ A0. "IV
Aeration Dist. Pipe y?' 9',,35
Hol Bot. System 7(~' 3 y
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand a= T 791 S3
Model Num GPM
TDH Lift Lriction TDH Ft
Forc4main Length Dia. Dist. To Well
SOIL ABSORPTION SYSTEM
BED /TRENCH Width , Length No. Of Drenches PIS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIME NQ~
adurer:
SETBACK SYSTEM TO P / L BLDG WELL LAKE /STREAM
INFORMATION Type of neA, C",r 2,5• ; -~%HERMoe Num er.
System: "-A OR UNIT
DISTRIBUTION SYSTEM
Header /igami6e Distribution Pipe(s) , x Hole Size x Hole Spacing Vent To Air Intake
Length Ll2,~ Dia. Length -11! Dia. ~ Spacing In
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade e wily
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: RICHMOND 4.30.18.48D NW SW 112TH STREET
Plan revision required? ❑ Yes ❑ No
Use other side for additional information.
SBD-6710(R 05/91) Date Inspector's Signature Cert. No.
s
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER: '
,
I
I
Safety and Buildings Division
'~■~nr. SANITARY PERMIT APPLICATION Bureau of Building Water Systems
201 E. Washington Ave.
In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969
Madison, WI 53707-7969
• Attach complete plans (to the county copy only) for the system, on paper not less County w
than 8 112 x 11 inches in size.
• See reverse side for instructions for completing this application State Sanffa-rf Permit Number
The information you provide may be used by other government agency programs ❑ Check it revisapplication
[Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION
Property Owner Name r c ro ert Location LV2 f a 4 1/4, S T5 , N, R/-O'E (o
Property Owner's ailing Address Lot Num er Block Number
City to r Zip Code o (hone'um k ~ ep Subdivision Nam orCSM Numbers JO/
a
Ill. TYPE OF BUILD[ : (c eck one) ❑ State Owned ❑ Cit Neares Road
Public 1 or 2 Family Dwelling- No. of bedrooms ❑ Towan of / 0,V
III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) J "13_7045
1 ❑Apartment / Condo G~
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recr ational 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. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
SystemSystem 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>rSeepage 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-Fi I I
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/s . ft.) (Min./inch) Elevation
Feet Feet
VII. SANK Capacity gallons Total # of r Prefab. Site Fiber- Ex er.
INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel Plastic p
New Existing strutted glass App.
Tanks Tanks
Septic Tank or Holding Tank ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's.Name: (Print)
4~
Plum Signature: ( Stamp MP/MPRSW No.: Business Phone Number:
Plu be ' Address (Street, CI y, State, Zip Cod
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issue Issuing Agent Signature (No Stamps)
Approved surcharge fee)
❑ Owner Given Initial
Adverse Determination 10
X. CONDITIONS OF APPROVAL / REASO S FOR DISAPPROVAL: I/V
SBD-6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Divrion, Owner, Plumber
- s
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, 608-266-3815-
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 1,12 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.
' r a. y r ~'a~ryt ~
PROJECT_ /1
ADDRESS "00
/ ~114 1/4/S . DN/R
N PRS ron Bird rJ'. / WN COUNTY
318 ' DAT~
BEDROOCLASS PERC CC 4IONAL4, IN-GROUND PRESSURE
CONVENTIONAL LIFT M UO N_ HOLDING TA
SEPTIC TANK SIZE LIFT TANK SIZE
DOSE TANK SIZE HOLDING TANK-.SIZE
ABSORPTION AREA
CRC 'RATE._gED SIZE
•
:k Benchmark V.R.P. 'Assume Elevatio 100
Location of Benchmark
* H.R.P. ~u .
h
M Borehole Q Well Scale Feet '
0 Perc Hole
. System Elevation _ ~
Uent
12"
TYPAR COVERING
12" 3' 4 ..s1 0 3I 66 Sewer Rock
.121
~C
554868 £ kJAN 2
ANL &V 199
2 -S c p sN
CERTIFIED SURVEY MAP
IJ
Located in Part of Lot 1 of a Certified Survey Mop recorded in Volume 2, Page 518 and Part t e
Northwest Quarter of the Southwest Quarter all in Section 4, Township 30 North, Range 18 West, F3
of Richmond, St. Croix County, Wisconsin.
Prepared for and at the request of:
OWNER:
Wiillarn & Roxanne Stock NOTE: The parcel shown on this mop is subject to State, County and Township
1748 112th Street laws, rules and regulations ( i.e. wetlands, minimum lot size, access to parcel,
New Richmond, WI 54017 etc.). Before purchasing or developing any parcel, contact the St. Croix County
Drafted by. Kristi A. Eylandt Zoning Office and the appropriate Town Board for advice.
BEARINGS ARE REFERENCED TO THE WEST LINE OF THE
t~tJPtAIT~D-LANDS SW 1/4 OF SECTION 4 TOWNSHIP 30 N., RANGE 18 W. Lt(1?lAITF.D_LAi
WEST 114 CORNER WHICH IS ASSUMED TO BEAR N 01'04'09" W.
SEC. 4-30-18 EAST-WEST 114 LINE SECT 4/114 30008NER
(FND 2" IRON PIPE) SEC. 4-30-18
(SEE TIES SHEET)
S 89'39'13" E 5289.82'-----
----R = S 89'58'56" E 1320.38'----- FND IRON PIPE
----M - S 89'39'13" E 1330.68'-----
t 660.38' t 670.30'
t i t S 56'34'26" E 12.08' 3959, 14"
FOUND NW CORNER OF W I w FROM FOUND IRON PIPE
1 LOT 1 = N 01'05'30" W ' LOT _ 1 DRIVE TYP
3.28' FROM SET IRON
q*
1 I P/PE on o C.S.M. VOL. 2t PG_ 518 -
oN PO EAST LINE OF LOT 1 & I I I
d ~M cnM THE NW 114 OF SW 114 I
LOT 5 o II
of p TOTAL AREA LOT-5. • to N01'07'38"W~ ~''S 89'56'22" E 450.00' -3'1I {
ZS 828,458 SQ. FT. t 37.91' SEPTIC @ 33.08'x-
I 19.02 ACRES 416.92' I
w AREA EXCLUDING R.O. W. 11~t
UJI ~ 826,278 SQ. FT.210.49' o _
O S 87' 'Ei o) o HWY ROW
51 18.97 ACRES
ai ~ R=S8989'5858'56' I o ~
ige4
LOT 2
=X \ TOTAL AREA LOT 2.• ~..~'w
d: ~k 89,979 SQ. FT. -S 89'56'22" E 449.98' 98'-Ii--\ r1{
co 00 2.07 ACRES
4M Z AREA EXCLUDING R.O.W.: r PROVED ~ 416.92' ~I ~I
w
U) 83,366 SQ. FT. t0 , ;33.06%f I
N 1.91 ACRES I °o SETBACK BLDG I °o 1
N ~I{fV
~ J TOTAL AREA LOT 3. JAN 27i o LOT 3 t I~
104, 370 SQ. FT W b 1(`~ " o
P 2.40 ACRES f i33.04 - I V{ 1
P AREA EXCLUDING R.O.W.: . CROIX COLT ~1O I 416.92' ,t IO
P
0 3 96,704 SQ. FT. 1. ' ' II 1
2.22 ACRES Comprehensive Plannir o `--S 89'56'22" E 449.96' 1 01 -Ad W
I
F TOW o-~~-~~'-S 89'56'22" E 44j.95'-~ ~ III C%
Z TOTAL AR A LOT 4: I
PJt+4F tornmittee
U) I - 416.92' ,i
82,641 SQ. FT.
1.90 ACRES i ~P' 33.031 K
AREA M DIN R.O.W.: if not recorded 1 o Phi {r i
76,872 SQ. Fr within 30 da s of 00 Obi L O T 4 1 Ii U„
y o 33.01 dZ i
% 1.76 ACRES approval date C'4 `t I zl
871.56' pProval shall be----
- i 119.92' --M-N8g59114"yy- 33 3~ qq
t~ M = N 89'56'22" W 9 8 ~i R=N3829' 8856"W I { ~I
t - R --=,4...;89'58'56" W {W03 330.00'
1 1 W 2. UNE AIIED-LAl1Q5 +
~,~°`o I nJ
1 Z IM~ zl
ck~ Z'4 CID Zi
v LINE DATA TABLE tP ° T, -;I CD (n
I
1 r ti LINE DIRECTION DISTANCE to oZ 1 °
>1
1 i
1 0 W ~ L1 S 01'07'38 E 38.00' Irn II of
. Z L2 S 01'07'38" E 162.00' 0-; - {
it j v J L3 S 01'07'38" E 232.00 (3I { I
t I O W L4 S 01'07'38" E 66.00' - - _ _ _ _ _ _J {
1 I Uri r) L5 S 01'07'38" E 174.77'
NO TH L6 S 01'07' 1 T' E EAST LINE OF THE I
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Wisconsin Department of Industry, SOIL AND SITE EVALUATION
Labor and ;-luman Relations Page of
Divisiorf of Safety and Buildings in accordance with s. ILHR 83.09, Wis. Adm. Code 9 10
• 1
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 a a
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.
Nov1119%
APPLICANT INFORMATION - Please print all information. Reviewed b Dat
ST cfaotx
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 0"TY
Property Owner Property Locatigrl
)
l l C Govt. Lots 1 /4 5j-_A/4, ~ E (o
Property Owner's Mailing Address Lot # Block# Subd. Name or CSM
;2- - 02 G01
Ci to Zip Code Phone Number
v ~fl El city [__1 Village Town Nearest Road
!j% oZ- ~ Yt► v ~e~ rT~
(New Construction Use: Residential / Number of bedrooms Addition to existing building
❑ Replacement ?Public or commercial - Describe:
Code derived daily flow ~`J~ pd Recommended design loading rate bed, gpd/ft2_ 1Ltrench, gpd/ft2
Absorption area required bed, ft 2trench, f#2 Maximum design loading rate _ bed, gpd/ft2__"trench, gpd/ft2
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design/site considerations
Parent material tc~ 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 Xs ❑ U KS ❑ U S ❑ U S❑ U ❑ S U ❑ S pelf
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
C
Ground
/"v
ft.
Depth to
limiting
factor
4T
Remarks:
Boring #
oV 11
h
orw
Ground
Jr
"Depth to
limiting
Ifa!c Rem arks:
am?(Piaase Print) Si tur Telephone Nda
I Xk_W.117 cl~_ Address ` ( Date CST Number
OWNER All --SOIL DESCRIPTION REPORT Page ' o; r
PROPERTY
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles Structure 2
9 Texture Consistence Boundary Roots
.in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Ground w1v ft
'
Depth to
limiting ,
fact
ff
$ tin.
Remarks:
Boring #
'0 0'
Ground
el ,i
~ft.
Depth to
limiting
factor
Remarks:
J* 7 Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring #
.3
/0- mt
1w we e::~
Ground
ele.. ;
ft
Depth to
limiting
fac
1~ in. Remarks:
Boring #
Ground
elev.
ft. '
Depth to
limiting
factor
'n. Remarks:
SBDW-8330 (R. 08/95)
I
l Soil Test Plot Plan
'""rte
Project Name// a c; Byr
x, on Bird Jr.
Address
r,
'14.1 Ile 3479
Lot 4Date
1/41 0/4 S T N/ W Township
0 Boring 0 Well PL Property Count
L BM or VRP Assume Elevation 100 ft.
System Elevation ' *HRP
14
I
PAC,
0
Scale 1/4'.'= 10 Ft. When dimensions'aren't stated
w ~
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix Country
OWNER/BUYER
MAILING ADDRESS
PROPERTY ADDWSS 32 -d /Z
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE
PROPERTY LOCATION 1/491 1/4, Section , T 4~,"N-R~W
TOWN OF ST. CROIX COUNTY, WI
SUBDIVISION , LOT NUMBER
CERTIFIED SURVEY MAPS? L-~rVOLUME
_L_, PAGE ZZ94OT NUMBER 2
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 expir ion te.
SIGNED:
DATE: d- ,z;)- 7- / 7
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
Location of :Zerty,, l 1/4 , SectionTW
Township ~ Mailing dress
Address of site f f~
Subdivision name Lot no. v2
Other homes on property? Yes .X No
Previous owner of property ~i S Sly 4 /~3
Total size of property a. 6 ? ~ Z r S
Total size of parcel azl y .
Date parcel was created
Are.all corners and lot lines identifiable? Yes No
Is this property being developed for (spec house)? _ , Yes No
Volume 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 ce of the County Register of
Deeds as Document No. , and that I (we) presently
own the proposed site for the s wage 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.
/4~ %
Signature of Applicant Co-Applicant
Date of Signature Date of Signature
DKUMENT NO. ~ STATE BAR OF WISCONSIN-FORM I
! WAAl1ANTV DIM
345460A VO THIS SPACE 111URVIO FOR lttCOPPOtNG DATA
REGISTERS OFFICE
BY THIS DEED. Dennis W. Schultz & Rachael ST. CROIX CO., WIS.
Schultz, husband a wife as joiner Rec'd. for Racor., >:;cs 19th
tenants. day of Dec A.D. 19_77
Grantor conveys and warrants to William -Sock-6 Roxanne D. at 800 A. , M.
Stock husband and wife as joint
n ants . James O'Connell
of Deedr
Gl}ranntee cli
for a valuable conaiderati n One DO ar an other ya uable WN TO P
consrderat on REINSTRA 6 VAN DYK, S.C.
the following described real estate in ST. CROIX County. Ststeotwisconsln: New Richmond, WI 54017
0
Tax Key
4
This is homestead property.
A parcel of land located. in the NW 1/4 of the SW 1/4 of
Section 4, Township 30 North, Range 18 West, Town of
Richmond, St. Croix County, Wisconsin, described as follows:
Commencing at the West 1/4 corner of Section 4; thence South
890 581 56" East (assumed bearing) along the center of
Section line 660.38 feet to the point of beginning; thence
continuing South 89° 58' 56" East 660.00 feet; thence South
le 07' 40" East 330.00-feet to a point in the centerline of
the existing Town Road; thence North 890 58' 56" West 660.00
feet; thence North 1° 07' 40" West 330.00 feet to the point
of beginning. Contains 5.00 acres of land subject to existing
Town Road right-of-way over the Easterly portion thereof.
TRAMM
Exception to warranties:
FEE
Executed at New Richmond, Wisconsin this 15 day of December , 19 77,
SIGNED AND SEALED IN PRESENCE OF LL' AAA VA (SEAL)
Dennis W. Schultz
j1Sa~ -P ---(SEAL)
Rachael Schultz
` (SKAL)
(SEAL)
Signatures of Dennis W. Schultz s Rachael Schultz, h band and wif ,
December 7
authenticated this 15 day of
L. R. Reinstra
Title. Member State Ber of Wisconsin VFq%lJPVU9y
STATE OF WISCONSIN'
County. as.
Personally cane before me, this day of 19-s
the above named
to as known to be the perso"^ who executed the foregoing; instrument and acknowledged the same.