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AS BUILT SANITARY SYSTEM REPORT
OWNER [~,.~,e78
ADDRESS /$a /2 S
s ~4&
SUBDIVISION / CSM9 Lo UI&W RliheA LOT
SECTION. _TTN_R W, Town of-
ST. 6 n~
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 E OF SYSTE
li
30~
01
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
J
BENCHMARK:
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: 444-"/9AUA-. Liquid Capacity: J t~.60
Setback from: Well 319 House a a Other
Pump: Manufacturer Model# Size
Float seperation Gallons/cycle:
Alarm Location-
-..SOIL ABSORPTION SYSTEM
Width• JoZ Len th
g 7 0`1 Number of trenches /
Distance & Direction to nearest prop. line:
t
Setback from: well: 14a House_ ;;~'4 Other
ELEVATIONS
Building Sewer ST Inlet. 0,v ST outlet Zen,
PC inlet PC bottom Pump Off
Header/Manifold 9,7,_? Bottom of system
Existing Grade Final grade,J n
DATE OF INSTALLATION: / p - 7- 9L
PLUMBER ON JOB: caztn
LICENSE NUMBER:
INSPECTOR:
3/93:jt
Wis.Eonsin 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 4
PerDEtRH-QI gLkNa&NSTRUCTION CO, INC ❑ City ❑ Village Town of: State Plan ID No.: PTrHMOND CST BM Etllev.G: Insp. BM Elev.: BM Description: Parcel
Tax No.:
DD 7T "16'i A9600153
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic J Benchmark
Dosing
Aeration Bldg. Sewer
Holding St/Ht Inlet
TANK SETBACK INFORMATION St/ Ht Outlet _ v. J .
TANKTO P/L WELL BLDG. ventto ROAD Dt Inlet
Air Intake
Septic NA Dt Bottom
Dosing NA Header/Man.
Aeration NA Dist. Pipe /b'oa,.
D. d0 ~s~I.oo
Holding Bot. System
b.95' q vs
PUMP/ SIPHON INFORMATION Final Grade.
Manufacturer Demand
Model Number. GPM
TDH Lift Friction System TDH Ft
Forcemain Length Dia. ti Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS /02 r DIMENSIONS
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
SETBACK
INFORMATION Type O CHAMBER Model Number:
System: 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 it Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
Bed/Tr nchCenter 36 Bed/ Trench Edges a 6 30 ~ Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: RICHMOND.1.30.18W,/SE, NW, LOT 7, 144TH STREET
Plan revision required? ❑ Yes ~fNo
Use other side for additional information. 1/0 1,071'94
SBD-6710(R 05/91) Date sp tor' ignature Cert No
Safety and Buildings Division
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
than 81/2 x 11 inches in size. S-
• See reverse side for instructions for completing this application State Sanitary Permit Number
The information you provide may be used by other government agency programs ❑ Check I rTevisla 44;gsap icaJi6n
(Privacy Law, s. 15.04 (1) (m)). //7&,0 /Z/ 41 114-- State Plan I.D. Number
1. APPLICATION INFORMATION -PLEASE PRINT ALL INFc,ORMATII.
PWpert Owner Name Property Location
cam. .v I/~ hc.SE1/4 NW1/4,5 T 3D,N,R 1%'Fr)W
Property Owner's Mailing Address Lot Number Block Number
S O!> w bS
City, State Zip Code Phone Number Subdivis Name or C Number
I ( y 5 W v~-S
N-oxv
S' _7 i
II. TYPE F B IL DING: (check one) ❑ State Owned ity Nearest Road
❑ Village c Zh S~
Public 1 or 2 Family Dwelling - No. of bedrooms own IENof
111. BUILDING SE: (If building type is public, check all that apply) Parcel Tax Number(s) A 30. /9
1 ❑ Apartment/ Condo C) 3kb ` 11 J4 - 100
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. nNew 2. [j Replacement 3. E] Replacement of 4. E] Reconnection of 5. E] Repair of an
System _______System_____________TankOnly______________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 C] 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
bob 9~0 i cR Feet °Y). Z Feet TANK Capacity
VII. NFORMATION in gallonTotal # of 's Name Prefab. Con- Steel Fiber- Plastic Exper.
New Existin Gallons Tanks Manufacturer concrete structed glass App.
Tanks Tanks
Septic Tank or Holding Tank aSO ❑ ❑ ❑ ❑ ❑
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: (Prpc Plumber's Signat re: No Stamps) /MPRSW No.:, Business Phone Number:
v , v, 4rr L03 l5 awo 5/
Plumber's Address (Street, City, State, Z C
i ode):
Sc`t`-N PLAVY'o IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater I X~) ate Issued Issuing Age t Si nature ( St ps)
Approved E] Owner Given initial j a" Surcharge Fee)
Adverse Determination
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD-6396 (R. 0"4) DISTRIBUTION: Original to Coumy, One copy To: Safety & Buildings Division, Owner, Plumber
j
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 E 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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5 ~ OF
T Q w~ l (vim fwA-(+&°J--f
rUSS Seellun O r a SyS~en-~
to
Fresh Air Inlets And ODservallon Pipe
C= Approved Vent Cop
Minimum 12* Above
Final Grade
20- 42* Above Pipe _ 4' Cost Iron
To Final Grade Vent Pipe
Math Hoy Or Syntwi, Covering
i win. 2' Aggregate .
Over Plot
Olurlbullan Too
pips 0 0 0 0
! e aPIP PIPe
Beneath Perforated Plot Below
t
-C*Wing Terminating At
Bollom Of Sysltm
Pru(~ose~ ~Ir,wl: cl<
5-1~tJr.7 1 on/%~\
SOIL FILL
DISTRIBUTIOU PIPE
APPROVED S~MTFIETIC COVER
2"oFAGGR~GA'i~ c ~ .r ~ .o e ~ 1S►? NAy9" OF STRAW
OR MAR
-MUM
e
~~.OF l2 -Zl~t AGGREGATE
MEV OF 0IST1115UTIOW PIPE TO BE AT LEAST INCHES BELOW ORIGINAL GRADE
A►JU AT LEASTLO INCHES BUT M0 MORE THAN 42 IMCNES BELOW FINAL GRADE
iMMIMUM DEPTH OF EXCAVATimij FROM OKI&WAL 6KAK WILL BE _C;)y INCIaES
MimmuM gef T-H of EAM/4TIC'm r.ROM. 047\1(v` 1WAL OR4PE WILL BE INCHES
SIGIJED:
LICENSE DUMBER: ~
a DATE' b 9G
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
'Labor ano*Human Relations
Pivision of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code'
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must in ut f oix
not limited to vertical and horizontal reference point (BM), direction and % of slope, sc LLD.
dimensioned, north arrow, and location and distance to nearest road. 026-111 }6
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION 15I R „ I : BY DATE
PROPERTY OWNER: PROPER ION Cr
;iT r
Derrick Construction Co. Inc. GOVT. LOT 1I40il offisgf N,R 18 ior) W
PROPERTY OWNERS MAILING ADDRESS LOT # BLO S CS
1505 H 65 7 na if104 r Meadows
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®f0 NEAREST ROAD
New Richmond, WI. 54017 (715) 246-2320 Richmond 144th. St.
ja~ New Construction Use [ J Residential / Number of bedrooms 4 [ J Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow 600 gpd Recommended design loading rate • 7 bed, gpd/ft2 .8 trench, gpd/ft2
Absorption area required 8fi8 bed, ft2 750 trench, ft2 Maximum design loading rate • 7 bed, gpd/ft2 .8 trench, gpd/ft2
Recommended infiltration surface elevation(s) 96.20 ft (as referred to site plan benchmark)
Additional design / site considerations na
Parent material outwash Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable for s stem IRS ❑ U ®S ❑ U [RS ❑ U fl S ❑ U iD s ❑ U ❑ S ® U
SOIL-DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouaxlary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmrch
1 1 0-15 10 r2/2 none 1 2msbk mfr cs 2f .5 .6
w 1
2 15-30 10 r4/4 none sicl 2msbk mfr gw if .4 .5
Ground 3 30-40 10yr4/4 c2p7.5yr5/6 sicl m na 9w na np np
elev.
99.6 ft. 4 40-84 7.5yr4/4 none s osg mvfr na na .7 .8
Depth to
limiting
factor
+84"
Remarks: *Less than to-o ' H-3
Boring #
1 0-12 10yr2/2 none 1 2cpl mfr cs 2f np .2
12-30 1 r4 4 none sicl 2msbk mfr c1W if .4 .5
Groundv * 3 30-38 10 r5/4 c2 7.5 r5/6 sicl m mfr gw na np np
elev. 4 38-86 7.5 r4 4 none s os mvfr na na .7 , .8
99.6 ft.
Depth to
limiting
factor
+86"
Remarks: * Less than 1 -01 H-3
CST Name:-Please Print Phone:
Gary L. Steel 715-246-6200
Address:
1554 200th AV99 New Richmond, WI. 54017 m02298
Sif*ature: Date: CST Number:
A5-31-96
PROPERTYOWNER Derrick Construction SOIL DESCRIPTION REPORT Page 2 of 3
PARCEL I.D. # 026-1114-60
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trend
h 1 2
3 -
2 12-27 10 r4 4 none sicl 2msbk mfr Cfw if .4 .5
Ground 3 27-88 7.5 r4 4 none s os mvfr na na .7 .8
elev.
99.9 ft.
Depth to
limiting
factor
+88"
Remarks:
Boring #
} 1 0-9 10 r3 3 none 2 9-24 10 r4/4 none sicl 2msbk mfr if .4 .5
3 24-88 7.5 r4/4 none s os ml na na .7 .8
Ground
elev.
100.2ft.
Depth to
limiting
factor
+88"
Remarks:
Boring #
1 0-11 10 r2/2 none 1 2msbk mfr 2f .5 .6
2 11-28 10 r4/4 none sici 2msbk mfr if .4 .5
Ground 3 28-88 7.5 r4 4 none s os ml na na .7 .8
elev.
99.9 ft.
Depth to
limiting
factor
+88"
Remarks:
Boring #
M
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
,
•
STEEL'S SOIL SERVICE
Gary L. Steel Derrick Construction, INc. 1554 200th Ave.
CSTM2298 SE4NW4 S1-T30N-R18W New Richmond, WI 54017
MPRSW 3254 town of Richmond (715) 246-6200
t lot #7-Willow River MEadows
N
1"=40'
BM.= top of 1" pipe C SW lot stake el. 100'
a
N
IN,
Z
1~ V
1
0
to
~X Q
Gary L. Steel
5-31-96
1
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
/60 MtC4~_ Imo.ycZy-S
OWNER/BUYER \A1luaV-,- I4Vtc"'k. )6VVXV ~Ir C_
I
MAILING ADDRESS HW y (0'2 1,11 U-! &0140,w
PROPERTY ADDRESS
l(locaati_ on of septic system) Please btain from the Planning Dept.
CITY/STATE l ~ P., r'_H N&`o y4c>/ `.A` I C'- +0 1-1
PROPERTY LOCATION 5EE: 1/4, 1/4, Section , T '7?0 N-R W
TOWN OF ? L4A 1 /&Ouc) ST. CROIX COUNTY, WI
SUBDIVISION W I V QW 1 ~►+c~t2- 1~1c Q'~V~IS , LOT NUMBER 1
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 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 completed and returned to the St. Croix
County Zoning Officer within 30 days of the three year exp' tion 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 \!«.-ww 'P-y<-t, )<~,vv<r V,;EH- -z6 4o Mtc+ a- I - rr-vcalS
Location of property 1/4 14W 1/4, Section I ,T 'O N-R l8 W
To ship ?1C4-4MobLO Mailingaddress tSoS 1,4\tvay la C7
IO iDox ~~c y~ (~-1 cat i'Ma N p , l 54-01-1
Address of site I-Ito(o 144-T44. s ~~W P11644Mo tilp , \AlI
Subdivision name \t\AL' OW ~\6Crt, M% C-. DOWI Lot no.
Other homes on property? Yes X No
Previous owner of property o'
~ A 1
Total size of property 2 xC-
Total size of parcel 2 A-C... 4-
Date parcel was created [c) - I 'R - 9o
Are all corners and lot lines identifiable? XYes No
Is this property being developed for (spec house) ? X Yes No
Volume VM74 and Page Number 1riR 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. 4 r,-2--7(,-l , 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.
C" b ~l
S
gna
tture of Applicant Co-Applicant
Date of SlanaturP Tla ~cof Ci .ao~ir~
1. 1 1 • 1 1 Ir
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Oudat t f
1.7 6W
2M Aaw.
R :9 6
2.01. lV''• . ' ~ • • • t~ead~o~~urs
^eo~ Y00•AgM
JISACM
74
305 2 o211on. °b ;
m° 211
s III Apt 243 ACM
ya
at W.13
' 9 10 .141.13 283.14
241 AaIN 2.00 Aa..
2AO Ao1M•1 X22 .Q
Public
2" 23
1 T ' ALM ACM
100 AAM& 1= ACIM
20A.30 24
so4aa ~P 2.00 ACM.
Z 6 ? fib.. ,
r 42545
315 1 25
5
201 A" ' 2A4 Ans
27
440.41• N i 2. 9 ' I= A
CM •
4 w ta,w
10 Aol"• Mar
~,p,st ~ b~ rs so Cdr d Pb1w AkM1oM ~ .
26.
a 3 Est t AOIM
,
HOW
' 2.70 ACfM att
' so~.os .30 ns no
:,1.03 0 2A6 AM
C01/t ft GG
327.2!
32 33 O
CL • N. n 2.20 AtJM qt !s ACr"• '
N O ,
2 31
1.01. An" N 2.03 AOK
• 200.50 32i.J7 t2t..
Highway GG '
(715) 246-232f-
RRICK Route
New Richmonc
1(`. N Wscons i -
Lnn l r.t{.I11 Il i. '1'A1'1"; 13Alt M.' 1V15(;utitilN I'u It Gt I IJN2 „ ,'„I 111'.r,pM116 11AIA
~ • II ~~~~hYXRf RQ
GUARDIAN'S DEED
- i - REGISTER'S OFFICE
i
This Deed, made between $T. CRDIX CO., Hl)
Gertrude E. Schmit by Beverly .Buckner, Gua.rd.i.a Recd for Record
E
Grantor. at 0G i 2111989
and.._M-ichael._.R..___Steve.ns., Will.i.am_..H_....DerX.i•ck, 8:00 A. M
..........W 1l.i.am..M....Derrick,. Thomas E.... Derr i ck and...... nn
Conti
-Rona-ld-•-L-.,_-Derr•i_ck•.a .••t nan-ts_•,i n•„common............ Reg r of Deeds
Grantee,
Witnesseth, That the said Grantor, for a valuable consideration......
-Ge.r.trude._-E..._.Schmi.t. by...Beyer.ly..Buckner
. ne~urrrr rr.
rnnveyg to (:rnnt•ec the following described real erlnle in S.ti,•. r•U i x
County, State of Wisconsin:
Southeast Quarter of Northwest -
Quarter and
Northeast Quarter of Southwest Quarter of
. Tax Parcel No:
Section 1, Township 30 North, Range 18 West
This deed is given pursuant to the Order to Sell, dated October 16,
1989, and the Confirmation of Agreement and Order, dated October 19,
1989, both duly authorized by Order of the Court and whereas the
undersigned, Beverly Buckner, is authorized to sell the same
by Letters of Guardianship certified on October 22, 1989.
i R1~,w FER
This ........z snot homestead property.
(is) (is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
And..... Ger.tr.ud e...E.....S.chmit...by...Bever.ly.. Buc.kn.er
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except
easements, restrictions and rights-of-way of record, if any.
and will warrant and defend the same.
Dated this day of .........October..................................... 1989....
.....................................................................(SEAL)
t (SEAL)
Gertrude`E. Schmit by Beverly
' ...*Buckner l ..GUa•rdtan
(SEAL) (SEAL)
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•
AUTHENTICATION ACKNOWLEDGMENT
SiL-na
ture(s) STATE OF WISCONSIN I
ndair,mv-1 if
ST. CROIX COUNTY
f~ WISCONSIN
ZONING OFFICE
r a r N x n■ Noun, ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 540 1 6-771 0
(715) 386-4680
November 6, 1996
Via Fax: (715) 246-4948
Attn: Steve Derrick
Derrick Construction
RE: SEPTIC INSPECTION FOR PROPERTY LOCATED AT 1760 144TH STREET,
NEW RICHMOND, WISCONSIN
Dear Steve:
An inspection of the septic system for the above address was
conducted on October 7, 1996. This property is located in the SE4
of the NW-'4 of Section 1, T30N-R18W, Lot 7, Willow River Meadows,
Town of Richmond, St. Croix County, Wisconsin. At the time of the
inspection, this septic system was found to be code compliant for
a four (4) bedroom home. Should you have any questions, please
give our office a call.
Sipcerely,
Mary J. Jenkins
Assistant Zoning Administrator
St. Croix County, Wisconsin
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