HomeMy WebLinkAbout020-1005-00-000
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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 506252 0
GENERAL INFORMATION State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Smith, Gerald Richmond, Town of 026-1294-24-000
CST BM Elev: Insp. BM Elev: BM Description: Sectionfrown/Range/Map No:
28.30.18.1506
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing Alt. BM
Aeration Bldg. Sewer
Holding St/Ht Inlet
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic Dt Bottom
Dosing Header/Man.
Aeration Dist. Pipe
Holding Bot. System
Final Grade
PUMP/SIPHON INFORMATION
Manufacturer Demand St Cover
GPM
Model Number
TDH Lift Friction Loss System Head TDH Ft
Forcemain Length F Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Tuid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type Of System: UNIT
Model Number:
DISTRIBUTION SYSTEM
Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s)
Length Dia Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
x Depth of xx Seeded/Sodded xx Mulched
Over x
Depth Over 7Bedp/
Bed/Trench Center rench Edges To psoil
1 • 1 Yes II No Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 1139 134th Avenue New Richmond, WI 54017 (NE 1/4 SW 1/4 28 T30N R18W) Richmond Acres Lot 24 Parcel No: 28.30.18.1506
1.) Alt BM Description =
2.) Bldg sewer length =
- amount of cover =
Plan revision Required? Yes J No
Use other side for additional information.
Date Insepctor's Signature Cert. No.
SBD-6710 (R.3/97)
4
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER C ' eS E kl N
z rRe
ADDRESS
K~Aftle>A LaNe
01
IF K)
SUBDIVISION / CSM C~ Q
LOT
SECTION- -T N-R
- W, Town of 1'T_ ur-)3 I I
ST. CROIX COUN WISCONSIN
IT I
S EVERY HING WITHIN 100 FEET OF SYSTEM
p rZ t, 6 YY'~ ,
N 0rr.e.
N5/,
a
Vaw
33F i I 37 L
i$X -9
Utz q O
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form-
Provide 2 dimensions to center of ~n~r;
BENCHMARK: N W C~~~dve~ OA ) O
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / BOLDING TANK INFORMATION
vlS2~ O(a ~AN~
Manufacturer: Liquid Capacity: ()0~
A.
Setback from: We11oVc(Z House 1 ~J Other
Pump: Manufacturer Mode If size
Float seperation Gallons/cycle:
Alarm Location
-:SOIL ABSORPTION SYSTEM
Width: iL '
Length S 3 Number of trenches
Distance & Direction to nearest prop. line: 3T
Setback from: well: O~ House Other Y
f+'?, AWF 9y.(0 ,99./o
'FN v 934 G 93.% ELEVATIONS
Building Sewer ST Inlet. ST outlet
CPC inlet PC bottom Pump Off ?
_ Header/Manifold Bottom of system 8W
Existing Grade Final grade. \j
DATE OF INSTALLATION: i a 1 i
PLUMBER ON JOB: 4 B "
V ~ o-uw'Z-
LICENSE NUMBER: 3y by
INSPECTOR:
3/93:jt
Wiscbnsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations ST. CROIX
Safety and Buildings Division INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary 268543
31
Permit Holder's Name: ❑ City ❑ Village
Town o : State Plan ID No.:
FREY, CHARLES & ELAINE HUDSON
CST BM Elev.: Insp. BM Elev.: , BM D scription: Parcel Tax No.:
TANK INFORMATION ELEVATION DATA A9600351 - 2'f
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic _ erg, Benchmark 3 co
Dosing
Aeratio C/ 10 Bldg. Sewer
Holding St/Ht Inlet
ll tC c1e~~
TA SETBACK INFORMATION St/XOutlet
Vent
TANK TO P/ L WELL BLDG. A
irito ntake ROAD Dt Inlet
Ar
Septic > N~d` >~S ~S NA Dt Bottom
Dosing NA HeaderlAEZ- 9,117
951 '
Aeration A Dist. Pipe 6k-;2-' 66 `
Holdin Bot. System
PUMP/ SIPHON INFORMATION Final Grade
Ma Demand v
Model Number GPM -65 p C S., s f , l07 5. S
TDH Lift Fr' n System t Sl SF. 7, 90' S -
Force mai ength Dia. Fi Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS a ,5 DI EN I N
SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING anufacturer:
SETBACK CHAMBER
INFORMATION Type Of el Number:
System: lC 7Lc~ 02 >56' 0 OR U
DISTRIBUTION SYSTEM
Head Ii Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length 2 Dia. P/ Length I Dia. Spacing (O
SOIL COVER x Pressure Systems Only xx Mound Or At-Gracte stems Only
Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulc
Bed /Trench Center Bed /Trench Edges Topsoil ! ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: HUDSON.7.29.~9W, SK, SE, KRATLEY RD
d CY7 ~ ,~°~i~.~: u-~ ,~~~.e~ e~ -ems✓.
Pan revision required? ❑ Yes E040
k/W/1/91
Use other side for additional information. 9 SBD-6710 (R 05/91) Date Inspector's Sign ture Cert. No.
ADDITIONAL COMMENTS AND SKETCH .
SANITARY PERMIT NUMBER:
i
It►~ii~ii~~+ Safety o and Building Water Division Systems
~.■~ri■,. SANITARY PERMIT APPLICATION Bureau
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 ,
than 81/2 x 11 inches in size. V
• See reverse side for instructions for completing this application State Sanitary Permit Number
~CQBSN~
The information you provide may be used by other government agency programs ❑ Check it revision to previous application
[Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION
Property Owner ame c r Propert Location Q
)N< U1/4 1/4, s T, N, R 1 1 E (or) W
Property Owner's iling Add ss Lot Number Block ber
Jill
a ARP
City, SUto Zip de Phone Number Subdivision Name or C M Nu a tl*V O Q
61 1 17
II. TYPE F BUILDING: (check one) ❑ State Owned ❑ City Nearest Road
❑ Village Y pp
Public 1 or 2 Family Dwelling - No. of bedrooms Town OF 4 Sat1J KKK F~
111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/Condo 0 000
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. ❑ 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
~ Req fired (sq. ft.) Pro osed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation
S_ /V %Q §60 S 50 Feet p, $ U Feet
VII. TANK Capacity Total # of Prefab. Site
INFORMATION in g Tanks Manufacturer's Name Concrete Con- Steel Fiberglass- Plastic App.
New Existing Gallons strutted
Tanks Tanks
Septic Tank or Holding Tank SOU ❑ ❑ ❑ ❑ ❑
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.
pts ) MP/MPRSW No.: Business Phone Number:
Plumber's Name: (Print) Plumber's Signature: (No Stam
r) vkAr,~ef 3 71S- 3b~'4 0
Plumber's Address (Street, City, State, Zip Code): ,
1 31 gas W sC- s-
IX. COUNTY/ DEPA MENT USE ONLY
❑ Disapproved Sa itary Permit Fee (Includes Groundwater ate sue I ng Agent Signat (No Stamps)'
Surcharge Fee)
Approved ❑ Owner Given Initial o1g
Adverse Determination
X. CONDITIONS OF APPROVAL/ REAS NS FOR DISAPPROVAL:
SBD-6398 (R. 05194) 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 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 1/2 x 11 inches must be submitted to the county. The plans must
includethe 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-
6-7 P L OT AI,1► I~0S5 S E(
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E N A M E C~A~}ei a ~1pir,e 1~4 NNAM ~ rv~ Ntom.p4-f
L 0 C ~T 10 N) ,f rAl LAN I C E N S E.'/f~ _ 3 yuq_
-.M A ID
Weil is 118kr~ go Na& •
Q PLCQJA
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01
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0 pnw4 WP
FRESII A 11 ItJL -rs AND ODSERVA`P1ON PIKE
S SECTION
~..-1 Approved Vent Cap
Minimum 12" Above I g0
Fi na G wile--_l
«1' hLpx ~ I
~
4" Cast Iron
Above Pipe Venn Pipe
To Final Gradr- F •
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page r of
Labor ahd Human Relations
Division of safety 3 Buildings in accord with ILHR 83.05, Wis. Adm. Code
CODA
A ach com ete site an on not less than 8 1/2 x 11 inches in size. Plan must include but ~
tt Il a paper J t
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
C Kl -es d N 1Z GOVT. LOT SO 1/4 571E 1/4,S -7 T 2 N,R 4Hor
PROPERTY OWNERS LING ADDRE LOT # BLOCK # SUED. NAME MO i• /7~
3 R pN e I K)
CITY, STATE \l ZIP CODE PHONE ~~N,uuIlMBER OCITY VILLA E OWN N ST D
u uN Q)jG S 0 b ( )1~ ~ ~n~
(j New Construction Use Residential / Number of bedrooms .3 [ J Addition to existing building
Replacement [ ] Public or commercial describe
Code derived daily flow gpd Recommended design loading rate S bed, gpd/ft2 • ` trench, gpd/ft2
Absorption area required „t_ bed, 112 75r0tre , ft2 Maximum design loading rate . s bed, gpd/ft2 ~ ~ trench, gpd/ft2
Recommended kAltration surface Mpation(s) 5" ft (as referred to site plan bench ar
Additional design / site considerations E o- lot 6•~v~ ti 2, a
Parent material j2j3a,,, ,A 4 Flood plain elevation, if applicable ft
S s Suitable for system MENTIONAL ND IN-GIOUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U= unsuitable for ®'S O U Ig s O U I DS ❑ U ~3s O U ❑ S FU 0S
SOIL. DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botndary Roots GPD/ft
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rends
Ground 3 -7t o IDYX /s s41- t -
I O' /0>01 y l S ~ s M/
- J ~
Depth to
limiting
factor Remarks:
Boring #
Z 33
1h We
L ~Ir m c - j4
Ground l
ev. r 3 G D ar S M/ r g
VIA J
Depth to
limiting
factor
a~
Remarks:
T Name: Phone: / S- 3~ ` 9620
Addmss 167V A-)r/
9 G CST Number:
Signature: ~s~~ Date: 1
PROPERTY OWNER SOIL DESCRIPTION REPORT Page _of
PARCEL I.D. #
Depth Dominant Color Mottles Texture Structure Consistence Balxiary Roots GPD/ft
Gr. Sz. Sh. Bed Tn
Boring # Horizon In. Munsell Qu. Sz. Pont color
3 r' , L v G= cv
t.
z G,'=3y D lrt4 Ground Y -j
7
it zw'9LD 7 8
Depth to
Gmiong,
Remarks:
Boring #
Z S` ~
< S
0, Yd V/V
3-yy G 1 S v ✓ 4
Ground I
Depth to
bmiting
faC-~
Remarks:
Boring #
Ground
elev.
ft.
Depth ID
kmiling ...R
factor
Remarks:
Boring #
i
Ground
Nov.
ft.
Depth to
Imidng
lacbr
Remarks:
SBD-q=(R.M"
' 63
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ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF AN EXISTING SEPTIC TANK
This is to certify that I have inspected the septic tank presently serving
the I Up, w -4 f ly residence located at: 5W ; , 5
Sec. T a ~ N, R_Jj_W, Town of kup5ON 11
St. Croix
County, Wisconsin. Upon inspection, I certify that I have found the tank and
baffles to be in good con ition, and it appears to be functioning properly.
Last time serviced g I ~(A
Did flow back occur from absorption system? Yes /No_ (if no, skip next
line.
Approximate volume or length of time: gallons minutes
Capacity: TpN~- - JUuy
Construction: Prefab Concrete Steel Other
Manufacturer (if known):
Age of Tank (if known): N
1
11 o 4 n- ~-T r~ a u y~ e 1~~ (Z
(Sign ure) (Name) Please Print
mp~~fti fl b'MbU (L 3y0`-)
(Title) (License Number)
(Date)
Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or
licensed disposer (NR 113 Wisconsin Administrative Code)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Plumber (applying for sanitary permit) Certification:
In accepting the above statement regarding existing septic tank condition, I
certify that the tank, to the best of my knowledge, will conform to the
requirements of ILHR 83, Wis. Adm. Code (except for inspection opening over
outlet baffle).
Name J 1 M bbl Yv~ r~'f- Signature
MP/MPRS 3 yoy
i
1 ,
y~
{
1 sTC - 105
i
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNEWBUYER /~V~ f .z1f21 S l~= 2QV-- - -
i
t MAII,IIVG ADDRESS .5Y,;2, _ 16W7-7_Z40 I ~ w
PROPERTY ADDRESS 3? oZ ~L ~ft/1l Z -
(location of septic system) Plca e obtain: from the Planning Dept.
CITY/STATE_GJ!}5-0/r/
PROPERTY LOCATION -SW 1/4, S~ 1/4, Section 1 0~ y-It
TOWN OF ,,~~a dSDitJ ST. CRODC COUNTY, WI
SUBDIVISION tAt',X P ,eio ig--e LOT NUMBER
r~Jeo
CERTIFIED SURVEY MAP 9-.29 7s , VOLUME PAGE LOT NUMI3ER,_
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.
l/)~< 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.
i
i
SIGNED:
DA 11-1-1
St. Croix County Zoning Office
Government (renter
1101 Carmichael Road
Hudson, AVI 54016 11/93
4
L V V
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.
Ownerofproperty ZIAI,IC ~ e4414l-e5 Jl;~f-U
Location of property jf t 1/4Se 1/4, Section 7 , T,~;2? N-R 19 W
Township /lu0S-0N Mailing address 'I-A N-G
&0_50A) &V / If -I ell 114
Address of site /`S'2H 7'TLf~e 1-4 eve
Subdivision name e-L b16 e_ Lot no. /
Other homes on property? Yes >0 No
Previous owner of property 1ydr2A0&,* G✓eiS
Total size of property 4e ee
Total size of parcel flue
Date parcel was created ' g-a 9 7,S'
Are all corners and lot lines identifiable? Yes No
Is this property being developed for (spec house)? Yes x. No
Volume and Page Number loo 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.
Signature of(Applicaig, Co-Applicant
Date of Signature Date of Signature
D291975
CD t. 329457 APPROVED
ST. CROIX COUNTY - 253015'30"
R,~R N hEt bf PARKS 6 t~WG 165,60
N 160.77
166.50
166.50
3 ~ N
W I 2 -N 0 4 0 TRUE
:0 -a) 1.42 ACRES 3 1.42 ACRES o 1.54 ACRES N N 1.68 ACRES BEARING
T M -0 _M
W.4 - M ° M
'
-ro ai -VI co
M
° O
0 M _ (D O M Ii(' Z
-1 z
Z 12 N O
WEST LINE OF O
THE SE I/4 SW- SE _
POINT OF N
BEGINNING
h 203.90
4,I~5e~ - A
4-~(90'W 354 3°
SCALE
p/• ~~6Q~aooecops~am~ 100 0 50 100
3p., `a,`ve `SG 0 JVS
POINT OF
r
D 0 1 6BEINq
058X30 + WALTER J. S LEGEND
2 4 270'35 o GREGORY
S 89°3$'40"W S S-1224 SECTION CORNER MONUMENT
8.36 • RIVER FALLS, r
t►~ WIS. , oq o I" X 24" IRON PIPE WEIGHING
~iy < N. M...•.•' ~0
1.68#/LINEAL FOOT.
SOUTH 1/4 CORNER, III ;NO SUR`~ LOT 1 R=1876.86'
SECTION 7, 'f 29 N, R 19 W ~I18o1®s1too Central. Angle = 4°48' 48"
Chord = S87°14'16"W 157.63'
CURVE DATA TABLE CURVE 3-4 R=1876.86' LOT 2 R=1876.86'
CURVE 1-2 R=539.96' Central Angle = 6°03' Central Angle = 1°14'12"
~Central Angle = 27°33'10" Chord S86°37'10"W 198.09' Chord = S84°12'46"W 40.51'
Chord = S69°49'05"W 257.16' Tangent Bearing = S89°38'40"W
Tangent Bearing = S83°35'40"W
DESCRIPTION: A parcel of land located in the SW1/4 of the SE1/4 of Section 7, T29N, R19W,
Town o meson, St. Croix County, Wisconsin described as follows: Camencing at the S1/4
corner of said Section 7; thence N0°13'40"E (true bearing) 324.04' along the West line of
said SE1/4 to the point of beginning; thence N0°13'40"E 369.39' along said West line of the
SE1/4; thence N84°48'30"E 659.361; thence S21°56'E 314.531; thence Westerly 259.65' along a
539.96" radius curve concave Northerly whose chord bears S69°49'05"W 257.161; thence
S83°35'40"W 330.211; thence Westerly 198.18' along a 1876.86' radius curve concave Northerly
• DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RLSLRVLO FOR RECORDING DATA
~
WARRANTY DEED
392910 taw?P~~,r f0
A9G-S i lIRS OFINCE
This Deed, made between .ara-.Paul ine.-J.....Weis........... 5T. CO., w1F.
Paulin-•-Jane. We-- and-- Roman _-W,___Weis t___..._- this 1st
husband_.?nd_Wife.-4s_-3oi~ .tenarkts.......... 4,yy Grantor, May 19 84
,
and------ Char. le.s..1D. Fre.y...and..Zi4.ne..J -.Frey-E
. .
epwlw of DNd~
Grantee,
Witnesseth, That the said Grantor, for a valuable consiideration....
mid- .:1alu? le..OOL1S1I Per I lOTl....._..-- RETURN TO
One-.dollar- and..other..gQod
conveys to Grantee the following described real estate in ._.it<.--CSoize.---•--••--
~q County, State of Wisconsin:
Lot 1 of certified survey maps filed September 29. 1975 in
Volume 1, Page 178 as Document #329457 in the Register Of Tax Parcel No:
Deeds Office for St. Croix County.
r,4
is
This homestead property.
(is) (is not)
Together with all and singular the hereditamenta and appurtenances thereunto belonging;
W- - and. And Weis
that title igood, .his. Romzn -
war: ants Lhat the title is good, inlefeasible in fee simple and free and, clear of encumbrances
and will warrant and defend the same.
30.th day of _..A.prr. - 1981....
Dated this
r~-_ t1`~....... (SEAL)
- - - (SEAL) -
Pauline Jane Weis
-
- ~ /
(SEAL) - ~ G.(SEAL)
_ ~s..<. e4,,....
Rpman W.--Weis......--•--
AUTHENTICATION ACKNOWLEDGMENT
STATE OF WISCONSIN
Signature(s) ss.
St. _ ('t C]l X County.
authenticated this day of--------------------------- 19 Personally came before me thin ...3D-th.---day of
-----April--------------- . 19..84_. the above named
Pauline-Jane-Vuc s and Runaci W..Weis.--.
. ----------------•-----------°---•••-•---•--••--•-----...;..e~- w
we
~~......•..;-q'j
TITLE: MEMBER STATE BAR OF WISCONSIN (If not, - -
authorized by 706.06. Nis. Stats.) to me mown to be the/arson 0Veerted•-)he
foregoi g instrume d a7wle A ne•• ,~11 . ,
r 40
.