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HomeMy WebLinkAbout032-2004-50-110 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER c.1~rrrtS `)~l2~Pr c,d~c° ADDRESS SUBDIVISION / CSM#- LOT # SECTIONT 3C N-R2_W, Town of Sx ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITH N 100 FEET OF SYSTEM S, d yep. INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. I' BENCHMARK: a- ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer. //li..C ' s' Liquid Capacity: Setback from: Well XI/_ House Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM i Width: Length Number of trenches Distance & Direction to nearest prop. line: Setback from: well:- Housed 577 Other ELEVATIONS Building Sewer~/Z2,Qaj ST Inlet: ST outlet: 9Q PC inlet PC bottom Pump Off Header/Manifold-Bottom of system_ Existing Grade Final grade DATE OF INSTALLATION: - - r PLUMBER ON JOB: 'e" 'zZ LICENSE NUMBER: INSPECTOR: 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) sanitary Permit No.: GENERAL INFORMATION 284264 Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.: SCHROEDER JAMES SOMERSET CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 032-2004-50-110 TANK INFORMATION ELEVATION DATA A9700034 L//7/.77 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ;7 Benchmark - DU,uJ Dosi g © , • 73 It' »n . Aeration Bldg. Sewer Hol,&hg St/j0 Inlet & 3 TANK SETBACK INFORMATION St/Outlet SSA Verit TANK TO P/ L WELL BLDG. Air Ito ntake ROAD Dt Inlet Septic NA Dt Bottom Dosing NA Header /IftaEE~- 9105 Aeration NA Dist. Pipe got. Hol Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand N~Ioclel Number GPM TDH Lift Loss ctlon m TDH Ft Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMEN I LEACHI Manufacturer: SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM INFORMATION Type O _ CHA BER Mode IN OR UNIT System: bF o25 7e,2 DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) / Ix le Size x Hole Spacing Vent To Air Intake Length _LZ- Dia. Length ~ Dia. Spacing (I SOIL COVER x Pressure Systems Only xx Mound Or At-G ystems 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: SOMERSET 01.30.19.478C-1, NW, NW 82ND STRETE CD AP,1- Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH , Y'. SANITARY PERMIT NUMBER: Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water System! 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 thecounty copy only) for the system, on paper not less County than 8112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number t~ 0 ~`r7c & t/,/ 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 INFORMATION / Prop rty Owner Na Property L cationS 1/4 N, R (o r1`9 -e Z &Z~~ hj Property Owner's Mailipp Addre Lot Number Block Number ZZg tate Zip Cod Phone Number Subdivision Name or CSM N ber ( ) Q II. TYPE F BUILDING:, (check one) ❑ State Owned ❑ Otyy Nearest Road ❑ Village Public 1 or 2 Family Dwelling - No. of bedrooms Town o III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 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 online A. Check box online B, if applicable) A) 1.4 New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank OnlyExisting 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,l 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 q. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation _e7l 17 3 S Feet ZFeet VII. TANK Ca in altoacits Total # of Prefab. Site Fiber- Exper. INFORMATION g Tanks Manufacturers Name Concrete Con- Steel Plastic New Existing Gallons structed glass App- ❑ ❑ ❑ Septic Tank or Holding Tank - El 11 - Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, th undersigned, assume responsibility fo installation of the onsite sewage system shown on the attached plans. Plu b s Na e: at) Plu e, Si A- Stamos.W MP/MPRSW No.: Business Phone Number: r ~ 7 PI tubers ddress (Street, City, e, Zip co dg): o~ S IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued suing Age Signature (No Sta Surcharge Fee) _ pproved ❑ Owner Given initial Adverse Determination M~~ 3 03 X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe 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- 11 . 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 13 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. /787. ' ~ U° ~ ~ ~~/y. -~l~Jy-S~e./ -~~0~✓:1~/`~~ f _ , abI I I i -1 f i I i i i ~ sel i { i i i t- j i , i i : I i } f j i i + I I I i--{-- ~ r I i I I I 1 i i t} f i j t+ I! I f l ~ i i ! I { f 4 j 1 ri tit ' 03 - SCALET R-QUARTER-SECTf acif sTde large blue square ~ ar s, b y j 60 feet; area of square 10 acres. 400 Ft. 1 Inch Each side small red squares=2.5 chain lo r - 96 lost; waft a - - N WS /095~~~/6 ~ . IBC 2 `/7 23 . WDfo741per. 3 c I d~ R-4 f~ Cr O S S U - 23 5'yN 3"v~ It, o~ dy ~ I ~ ^1j 9 3$'S `fC~ 52x7. ~a ' ~ `0 P47 1 1 0. 47`7, r d1~t? Z 1 ~4~Ih7f~4~2~`L oT t w oa 93~yo t/'/; CSMZJ4a n 9ras_ 0 - s-2a.,5',,.A, % E z 93g:s~v 938~SK o i ~R~ rnwACC ? ~a3 3SZ. 09 IUD pli~So ' Lo r 2 `v .1y1 IJ ~ e'sa~•l7n 86,4559 0 R P Gosso 4 pC~ioa~ ~8 3r Svi ~Y C. a s ~ I Z I , S iV F9°y9'S~' W SCALE FOR QUARTER QUARTER Each side large blue squares= 5 chains, 20 rods, 330 feet; area of square 2.5 acres. SECTION, 200 Ft., 1 Inch Each side small red squares=1.25 chains, 5 rods,82.5 feet; area of square .15625 of 1 acre. PRONTO LAND MEASURE 20-40 MAP SHEET PRONTO LAND MEASURE C.Py,ight, 1967, J,,-2s H:trtti It- Adair, Fl-t, M., it ,l. FILM AUG 171989•. ` JAMES O'CONNELL 4 ~ 450689 SL= Ca s CERTIFIED SURVEY MAP Located in part of the NW h of the NW k and in part of the NE ;4, of the NWa, all in Section 1, T30N, R19W, Town of Somerset, St. Croix County, Wisconsin. OWNER Stanley Hale 6757 Lamar Avenue S. Cottage Grove, MN 55016 LEGEND County Section Monument Found ~o G) • 1" Iron Pipe Found cen Ni Corner of O 111 Rebar Found eo, Section 1 may/ / ys 0, O 1" x 2411 Iron Pipe Set, 1" Iron Pipe ^PCOSos?' :`ey weighing 1.68 lbs. per linear Found ^do ~~do foot / 4 A ~ L 3 J ,89(D / ~ •7 O n N --r 00 fn U ~ O t0 / N Cr) tis 4J ` `n O y So Q N8200 to LOT 1 / 1116.24, 169,307 Sq. Ft. a 0 3.89 Acres _N w C) 0 N 0 t0 •ti N O M I C) N `Y = Cl) C- C- / cp O N 3 N CO v / 't / ^ 4J 4J S} Corner of U-, (Z o 4, 1 O -0 Section 1 o cn o w W CI o v, ° ti f H County Section M U V) Monument LI rnl L ` r- 0 'C 1 N I L 3 3 N 4j d l Z Z L U .fie _1~ o COD 14-1 O I t L N N ~ I D1=PARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION P.O. BOX 76 LABOR AND PERCOLATION TESTS (115) MADISO N WI 3707 HUMAN RELATIONS (H63.090) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/MIX: LOT NO.BLK. NOSUBDIVISION NAME: NW %W/4 1 /T 30 N/R19Lor) W Somerset 4 n/a : n/a COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: St. Croix Richard Volkert R.R.#5, New Richmond, Wi. 54017 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: (PROFILE DESCRIPTIONS: PERCOLATION TESTS: Mesidence 2 n/a iaNew ❑Replace. Il 8-2-89 8-2-89 RATING: S= Site suitable for system U= Site unsuitable for system ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ®S ❑U EIS ❑U A S ❑U ❑ S IfflU ❑ S ®U conventional If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: n/a Floodplain, indicate Floodplain elevation: n) decimal' PROFILE DESCRIPTIONS page 27 0nD2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHXK LEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 1 7.67 100.35 none >7.67 .75bl.1. 1.42bn.s.si1. .83bn.s.l. 4.67 bn.c.s.& B- 2 7.34 100.53 none >7.34 .67bl.1. 1.17bn.s.l. 5.50bn.c.s.&gr. B-3 6.67 99.25 none >6.67 .67bl.1. 1.08bn.s.l. 4.92bn.c.s.&gr. B 4 6.75 96.00 none >6.75 .42bl.1. .33bn.s.l. 6.00bn -r,}c«&gr. B_5 6.59 95.60 none >6.59 .42bl.1. .25bn.s.1 RECEIVED r° B- decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LE \f- NCHES E MINUTES NUMBER AFTERSWELLING INTERVAL-MIN. PERIOD 1 -PERIOD 2 ER INCH 1 3.85 none 3 6 6 C"TY p- 2 4.03 none 3 6 6 - FFICE P-3 2.7 none 3 6 6 6 <3 P-_ P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 96.50 7 _ i 7 ( ~ t I 1r' i E I t C E ZM - { N r~ , I ~ n o ti. 0 rRUCTIONS FOB? COMPLETING FORM 115 - SBD - 6395 To be a comp` ;orate st y _;I repo u;lude: 3. Comp, 2. The use arly indica -r this is :sidence oi- c;omnier(-iai t)roject; 3. MAXIM; C[,d u red; 4. Is +s G 5. Ct FE IS Si. : FOR A He TANK Y I ALL OJT BASEL ON i )NDITIONS; re for k,~r descriptic completing t plan; cati€ locat;c sc A , tics pcainl ar rner~t; S x a es, floor co: It )n ,.sg exemp- =!O-A ~ppl > the api )x; IL TE, BE FIL THE I aYS OF C) iN_ ABBREVIA7 OR `-.1...~ SOIL TI TexlUr€9s ~v ,is f rned s L GI Y - L -am R ~.n mot y aV VRP V i --ice Point J~e * *-;e, 0/ (gay SAFETY & BUILDINGS pER RTIVENT OF REPORT ON SOIL BORINGS AND DIVISION INDUSTRY, . P.O. BOX 7969 LABOR AND PERCOLATION TESTS (115) MADISON, wl 53707 HUMAN RELATIONS (1-163.09(1) & Chapter 145.0451 L~CA I ON: TOWNSHIP/MX54 LOT NO.: LK. N0.' SUBOIVISI N NAM NW 1/4 N04 1 /T 30 I~/R19J&or) W Somerset 4 n/a nls COUNTY: 5MER'SIBLIVIRI NAME: : St. Croix Richard Volkert R.R.#5, New Richmond, Wi. 54017 USE DATES OBSERVATIONS MADE A JPERCCL PROFILE S: O. BEDR iesidence 2 n/aNawReplace 82-89 8-289 RATING; 5- Site suitable for svs%sm U• Hits unsuitable for systern p: IN UR, : S LL OLDIN K: RE OMMENDED SYSTEM: (optional) ONVE NTIUNA S DU 1 S ®S ❑U CTS )1U S P~ conventional I+ Percoleti0n Tests ere NOT required DESI N RATE: If any portion of the tested area is in tie under s.H63.0915)Ib), lndleare: n/a FloodWaln Indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS a 27 pnD2 BORING TOTA UNO ATER• NCH S CHARACTER 0 161L I HICKN OLOR, TEXTURE. AND DEPTH NUMBER I DEPTH LEVATION TO BE OCK IF OBSERVED SEF ABBRV. ON BACK.1 B 1. 7.67 100.35 none >7.67 .75b1.1. 1.42bn.s.sil. .83bn.s.1. 4.67 bn.c.s.& B- 2 7.34 100.53 none >7.34 ,67bl.l. 1.17bn.s.l. 5.50bn.c.a.6rgr. ~LL 6.67 99.25 none >6.67 .67bl.1. 1.08bn.s.1. 4.92bn.c.s.&gr. a 4 6.75 96.00 none >6.75 .42b1.1. .33bn.s.1. 6.00bn. c.s.&gr. B-5 6.59 95.60 none >6.59 .42bi.1. .25bn.s.l. 5.92bn.c.a.&gr. B• decimal'. PERCOLATION TESTS DEPTH , WATER IN HOLE TEST TIME DROP WA IN HES RATE MINU ES NUMBER 06D67Ii7S AFTER WELLING INTERVAL•MIN. PER INCH 1 3.85 none 3 6 6 P.2 4.03 none 3 6 6 6 <3 27 T none 3 6 < P. p• P• P• _ PLOT PLAN: Show locations of percolation tests, 3011 borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what ere the hori- zontal and vertical elevation reference points and show their locet)on on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 96.50 _ - I ° - E - - - - - _ i _ r - - __T_ 0 9- G ebb 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, ,i fne_15, lIG i II c~v1 f~D E~ Location of property Iy~ 1/4 NVv 1/4, Section `i' 3t7 N-R (q W Township ~h1EiI' Mailing address 17? - 3)"d 5-~-~e- Tj~j- )e ic, ryt on c(, 5~ O 17 Address of site Q me- Subdivision name NSA" _ Lot no. Other homes on property? Yes No Previous owner of property (Iard, Vv Iker1_ _ Total size of property 4~g acre-5 Total size of parcel Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes No Volume 107 and Page Number -93 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMI?NT NUMBLIZ, VOI,urir AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DI CDS . 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) ain (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 atLQ 0 yo and that I (we) presently Deeds as Document No. S own the proposed site for the sewage disposal syz;tem 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 a:; Document No. S.iy nature of Appli ant Co-A icant: i Dc,te of Signature Date of S gnature STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNERIBUYER MAILING ADDRESS ) 7 7 0 S ri? P 1 V e j &~m on d ~J-~S(40 J 7 PROPERTY ADDRESS trS tt OP'n ey'54- O -'5 / (location of septic system) Please obt in from the Plan ing Dept. r CITY/STATE 'G ~t a Sd rn t~ S rYt PROPERTY LOCATION 1/4, _ 1/4, Section T 30 N-R-d-w TOWN OF `ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUME , PAGE , 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 n certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (I ) the on-site wnstewater 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. VWe, the undersigned have read the above requirements and agree to maintain (lie 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 a returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date SIGNEE~ DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 Kati ~ ` A DOCUMENT No. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2-1982 r - -52840 REGISTER"S OFFICE ST. CROIX CO., WI Richard- A. Volkert. and Kristine M. Volkert, husband F'dforRecord . and wife, JAN 4 1995 - - - - 4: 00 P --_1 conveys and warrants to Jafile3-.W.-_Schroeder__and__Br g tte...._.__. t~~~, Schroeder.,_-husband.and_wif2,______________________•_ R"'e~i=of - Deeds - . RETURN TO ames W. & Brigitte Schroeder 5625 45th Avenue North CXy8tn1' 55422 the following described real estate in St. Croix ....County, State of Wisconsin: Tax Parcel No (See Attached Exhibit "A") Sr_, i OW FEE This 1-- not - - - homestead property. - (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. V-'7 Dated this - - - - - - - - day of ---------------Dec . er......-•---------- 19..94-.. - (SEAL)....~t.`... .Lt -..(SEAL) * R' hard A. Volkert (SEAL) . (SEAL) * Kri .tin e.M._-..olkert------------------------- AUTHENTICATION ACKNOWLEDGMENT Signature(s) Richard__A._ Volkert-,- _ STATE OF WISCONSIN Kr S..~.. t•n ......M....... Volkert $g• f - a'~- County. von 1107F-A434 EXHIBIT "A" A part of NW 1/4 of NW 1/4 and part of NE 1/4 of NW 1/4 of Section 1-30-19 described as follows: Lot 1 of Certified Survey Map filed August 17, 1989 in Vol. 11811, Page 2139. Also, part of NW 1/4 of NW 1/4 and NE 1/4 of NW 1/4 of Section 1- 30-19 described as follows: Commencing at the N 1/4 corner of said Section 1; thence S0000812511W 1294.74 feet along the North and South one-quarter line; thence N8200510911W 1116.24 feet; thence N5505212711W 136.74 feet along the southwesterly line of Lot 3 of Certified Survey Map in Vol. 11311, Page 893 to the point of beginning of this description; thence continuing N5505212711W 100.00 feet along said line; thence S2000215911W 461.64 feet along the easterly line of Lot 1 of Certified Survey Map in Vol. 11811, Page 2139; thence S8203813911E 100.00 feet; thence N1905812111E 415.34 feet to the point of beginning. St. Croix County, Wisconsin. r i