HomeMy WebLinkAbout006-1012-95-200St. Croix County Planning and Zonin
Detail Sanitary Information
Friday, September 23, 2005 at 9:01:08 AM
Page 1 of I
Computer #: 006-1012-95-200 SublPlat: NA Section: 6
Parcel #: 06.31.16.96A10 Lot: 3 TN/RNG: T31N R16W
Municipality: Cylon, Town of CSM: Voi. 19 Pg. 4838 114 1/4: SE 1/4 SE 1/4
Owner: Krueger, Kevin 2076 County Road H Deer Park, WI 54007
State Permit: 463160 Issued: 10/27/2004 POWTS Dispersal: Non-Pressurized in-ground Permit: New
County Permit: 0 Installed: 07/13/2005 POWTS Detail: Bio Diffuser (11") (PSA} Bedrooms: 3 WI Fund:
POWTS Pretreatment: NA
Notes
inspector As Built Plumber Other Requirements Additional Notes Money Owed
Ryan Yarrington >4/1/00 -Required due Bird, Shaun Soils confirmed at time of inspection .7 sands. $0.00
Signed Off: Yes Shaun added a 64 test pit to re-orient system to
north side of house -revised plot plan submitted.
Maintenance
Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification
7/13/2008
Parcel #: 006-1012-95-Z~U 09/23/2005 08:53 AM
PAGE 1 OF 1
Alt. Parcel #: 06.31.16.96A-10 006 -TOWN OF CYLON
Current ~ X j ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
09/27/2004 00 0
Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner
O -KRUEGER, KEVIN &JANEL
KEVIN &JANEL KRUEGER
1076 CTY RDA N
DEER PARK WI 54007
Districts: SC =School SP =Special Property Address(es): * =Primary
Type Dist # Description * 2076 CTY RD H
SC 0119 AMERY
SP 1700 WITC
Legal Description: Acres: 2.160 Plat: 4838-CSM 19-4838
SEC 6 T31 N R16W PT SE SE BEING CSM Block/Condo Bldg: LOT 03
19-4838 LOT 3 (2.160AC)
Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
06-31 N-16W SE SE
Notes: Parcel History:
Date Doc # Vol/Page Type
10/15/2004 777150 2676/546 QC
09/27/2004 775405 19/4838 CSM
08/26/2004 772694 2644/294 QC
07108/2004 768194 2612/133 (~C
mo ...
9f'1f1~ CI IMMARV Bill #: Fair Market Value: Assessed with:
0
Valuations:
Description Class Acres Land
RESIDENTIAL G1 2.160 20,000
Totals for 2005:
General Property 2.160 20,000
Woodland 0.000 0
Last Changed: 07/26/2005
Improve Total State Reason
0 20,000 NO
0 20,000
0
Lottery Credit: Claim Count: 0 Certification Date: Batch #:
Specials:
User Special Code
Category
Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safety and Building-Division c
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
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
Krue er, Kevin C Ion Townshi
CST BM Elev: Insp. BM Elev: BM Description:
6~
~ v~ 1 Gs
TANK INFORMATION
TYPE MANUFACTURER CAPACITY
septic ~ / ~ 3 ~. /dam
Aeration
Holding
TANK SETBACK INFORMATION
TANK TO P/ WELL BLDG. Vent to Air Intake ROAD
Septic ~, ~ ., 1/~ J ,Z~ i L~ ~
Aeration -
Holding
PUMP/SIPHON INFORMATION
Manufacturer Demand
GP
Model Nu
TD Lift Friction Loss System Head TDH Ft
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
ELEVATION DATA
county: St. Croix
Sanitary Permit No:
463160 0
State Plan ID No:
Parcel Tax No:
Section/Town/Range/Map No:
06.31.16.
STATION BS HI FS ELEV.
Benchmark ~ ` O~ /~ /~
Alt. BM
'f; ` ~ ~~
Bldg. Sewer
SbHt Inlet
'7.0
93
SUHt Outlet
Dt Inlet.
`.
1
Dt Bottom ~
Header/Man. ~ ~ ~Z -
Dist. Pipe ~ 7
7, 9Z ~ 3
Z~Z
Bot. System
a
Final Grade
3•Z
`~~•B
St Cover q-7
BED/TRENCH
DIMENSIONS Width t
B Length )
/ _ ~
`9 No. Of Trenches
~7 "';'T'om
G•/
I
I~ PIT DIM\ IONS No. Of Pi, is
\v Inside Dia,\ Liquid gepth
SETBACK
INFORMATION SYSTEM TO P/L
BLD
G WELL LAKE/STREAM LEACHING
CHAMBER OR Manufacturer.//~~ r
~7/(~ 1
Type Of System:
~ Q P~ i ~ /~
/'~'_' UNIT
Model Number.
DISTRIBUTION SYSTEM ~_1o61--I LJQ
Header/Manifold ~~
~ Distribution
Pipe(s) x Hole Size x Hole Spacing Ventt t~lntake
L
th ~~ Di th ~ Di
L
~ S
i
\ ` ` Z w~
eng
a_ eng
a
pac
ng
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ~~'S
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 discrepencies, persons present, etc.) Inspection #1: ~ /~!~ D.,,,' Inspection #2: / /
Location: 2076. County Road H Deer~Pa"rk, WI 54007 (SE 1/4 SE 1/4 6 T31N R16W) NA Lot 3 t' 1` Parcel No: 06.31 l
p ~ ~ ~. ~-,oJP,~. 1-`~w.,~ ~~ fd J i dcsv /~C',vJ ~~d ~ Ca,~'~. Ivj.~+.l..
1.) Alt BM Descri tion =
2.) Bldg sewer length = Z~ ~rlj`•~'~''
- amount of cover = / (j~ r tl~ ~ ~~ Sa.~~ V/~~
Plan revision Required? C.-~ Yes No ~ i~ ~-
Use other side for additional information. ~ ~~ ~" ~_ ~~ ~~ '~! ~~~
SBD-6710 (R.3/97) Date Insepct s Signat Cert. No.
~-a~E•-
• V 1 1 L L L\
PROJECT Kevin Krueaer ADD Ss 1076 Ctv Rd A Deer Park Wi 54007
SE 1/4 SE 1/4S 6 /T 31 N/R W TOWN Cylon COUNTY ST.CROIX
MPRS Shaun Bird 226900 DATE?/13/05 BEDROOM 3
CONVENTIONAL XXX IN-GR PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE • 7 ABSORPTION AREA 684 # of chambers 22
,BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A-100
^ BOREHOLE O WELL * H.R.P. Same as Benchmark
Well is to meet all SYSTEM ELEVATION 91.0
setbacks required by Plans Designed Using
WDNR Conventional Powts
Cty Rd H Manual Version 2.0
Vent
Scale is 1" = 40'
>6„ Standard Biodiffuser unless otherwise
of Cover Leaching Chamber
with 31.1 ft2 of Area noted
11"
6' Long
„ ~ „ Grade at System Elevation
Line
B-2
35'
35'
5'
10' *B.M~
1%
Slope
B-3
~,
Vents
1 120' 2-3' X 69' Cells with >3' Spacing
Alt. !stop of survey B-4
R M iron @ 95.9' Property Line
_ _ _ __ _ __
r °
' Safety and Buildings Division C°u°ty c
201 W. Washin n Ave., P.O. Box 71 b2
' ~~C~~~~~ Madison, 70? - 7Tb2 ,~ sanita[y ~ 3 tI (p O tto be filled;n by co.)
(60 3151
Department of Commerce
. State Plan I.D. Number
Sanitary Permit Application ~
" In accord with Comm 83.11. Wu. Adm. Code, personal informa0ion you p "de .{~ Project A ress (f diffetient than tttai[iag addtrss)
nay be used for secottdary Purposes Privacy law, s15.t14(lxm ~ ~,(~
~ zo~-~ ~~ - H~
I. Application Infot; rnation -Please Paint All Information S.
ProPeRY 's Mailing F t~
City. State / - ' / 27p Cock Ptronc Number ~,.
~./ W ~ c5~ ~ 'C~ N: ~ S w
II. Type of Bt:ilding (check all Wat aPP~) A-er 5~~~ _ . .
~or 2 Farmly Da~ellir~g - Number of Bedrooms ~ !l ~' J . I g ~. c f ~~') C~ S~ S
/ PableclComtaercial -Describe Use ~'''~'
CUty Village ownsitrp of
State Owned -Describe Use
IQ. Type of Peratit: (Check only one boz online A. Complete line B if applicable)
A. egC§ystem Rep[aeea~ent System TreattnentlHoldittg Tack Replacement Only Other Modification to F.xistinE System
of Pexrnit Transfer to New List Previous Permit Nambet and Date Issued
H. Pertoit Renewal 1'umit Revision ~Se
Befog Fap"ration Plumber Owner
_ _ on -Pressurized Lrt~round Mound _> Z4 in. of suitable soil Mound < 24 in. of witable soil At-Grade Single Pass Sand f~lt+ei
Coostructed Weiland Pressurized !n-Ground Holding Tank Peat Fitter Aerobic't' t Unit Re cit+ealatin8 Sand Fitter
Recirculatin8 Synthetic Media Filter 1)ri Litre Gravel-less R Offer ( Isin)
~
"
~
S~~
V. Di etsal/rreatment Ares I orma oa:
Desi Plow (gpd) Design Soil Application : DO
~'
'`
~ (
Dispersal Area Rcgaaod (st) Ihspetsal Area ~
_j~4..-1 gZ
~
^~
~ ~ ~ :
c~oit
/
aci to Total
VI. Tank Info ~
~ Number Manufacturer Prefab S Steel rber Plastic
COt1~ CO~h"~ 't"la9s
~
Gallons of Units
YII. ResPOttsibiLitySratement I, the and assrnne respoasibillty for installation of the I'OWTS shmru
-~
rp ppre ed ~ Suteharge Fee) ~ ` _~CI l~U~----
owner Cnvea ~Detual
IIK, Conditions of Approval/Iteasonsfcr Disapproval ~ `~ 5~ ~-~ ~ ~ 2 ~- `` a ~~
SYSTEM OWNER; / ~..~ o .~ d7 Z S ~s ~
1 Septic tank, ei`fluent fitter and ~
dispersal cell must all be serviced /maintained ~ ~- S ~~
as per management plan provided by plumber. ~~ ~ n ~ ~
2. All setback requirements must be maintained (o~ (Z ~~ ,~ ~ ~°^Q. u
as per applicable code/ordinances. -~` -~ '~
to the County only) [or the cysfem, onp'pv n°t ~ t~n~ a~ X !! i
Adacl- complete p~ ( ~,at,,~r" `~~Q,I,t~
l
< PL T PLAN
PROJECT Kevin Krueger ' ADDRESS 1076 Ctv Rd A Deer Park Wi 54007
~E 1/4 SE 1/4S 6 31 N/R 16 W TOWN Cylon COUNTY ST.CROIX
8!25!04 BEDROOM 3
MPRS Shaun Bird 226900 DATE
CONVENTIONAL X)OC IN-G ND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22
,BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A-100
^BOREHOLE O WELL *H.R.P. Same as Benchmark
Well is to meet all SYSTEM ELEVATION 90.2
setbacks required by Plans Designed Using
WDNR Conventional Powts
C d H Manual Version 2.0
Vent cale is 1" = 40'
>6„ Standard 'diffuser unless otherwise
of Cover Leaching Cha ber
with 31.1 ft2 of ea noted
6' Long 11 "
„ , „ Grade at System Elev on
lane
B-2
35'
2-3' X 69' Cells ~'th >3' Spacing
3'
--LJ B-3
35'
Vents
5' 20' T 30'
10' * Alt. !stop of survey
B.M` \R t~lron @ 95.9'
Pro 3
Bedroom
House
pY
~O
operty Line
PL T PLAN
PROJECT Kevin Krueger ADDRESS 1076 Ctv Rd A Deer Park Wi 54007
E 1 / 4 S E 1 / 4S 6 31 N/R 16 W TOWN CylOn COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATER/25`O~ BEDROOM 3
CONVENTIONAL XXX IN-G ND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22
,BENCHMARK V.R.P. Top of Steel Fence POSt ASSUME ELEVATION 100' Filter Zabel A-100
^ BOREHOLE O WELL * H. R. P. Same as Benchmark
Well is to meet all SYSTEM ELEVATION 90.2
setbacks required by Plans Designed Using
WDNR Conventional Powts
Ctv Rd H Manual Version 2.0
vent Scale is 1" = 40'
>6„ Standard Biodiffuser unless otherwise
of Cover Leaching Chamber
with 31.1 ft2 of Area noted
6' Long 11 "
„ ~„ Grade at System Elevation
'r -- v
ie
2-3' X 69' Cells with >3' Spacing
B-2
1%
Slope
35'
3'
B-3
Pro 3
35' Bedroom
Vents House
5' 20' 30'
1 T
10' ~k Alt. 's top of survey
B.M~R Miron @ 95.9' Property Line
y. ~... ~...- ...
_... ,,
, )
Wisconsin Department of Com rce A Q~` ~ ~ ~~'~~OI EVALUATION REPORT
Division of Safety and Buildings
' in accordance with Co 85, Wis. Adm. Code
County ~ ~ ~ ~
Attach complete site plan on s•8-•#P- in size. Plan must '~~Z
include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. '^^ '~
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. rJ'" `,~
Please print all information. e ' wed by (
Personal iMonnation you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property owner 1 i Property Locatio
j ~/ ~~ Govt. Lot ~ ~ 1 /4 .~~/4 S ~ T `
Property Owner's Matti Address Lot # Block # Subd. Name or CSM#
. ~ ~-.
City State p Code Phone Number ^ City ^ Vllage own
n
Page of
Date
ot~ 2~ `~
N R E(o W
a~r st Road
`7/J~
ew Construction Us~.Residential ! Number of bedrooms ~-5 Code derived design flow rate ~'`J~ ZJ GPD
^ Replacement /~ ~~ ^ Public or c:o meraal -Describe: ___~___. __ ________.__ __._
Parent material L~'~ 1~~i ~ ~ ~i Flood Plain elevation if applicable '~`~'~/~ ft.
General cor~nents ~•
and r/ecommendations: ~~J~ jJ r~~~/` ~~~ ~ C
sins # Boring ~~,,.,,~
it Ground surface elev. ~ ft. pepth to limiting factor ~~~~.-- in.
Soil lication Rate
Horizon Depth Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots GP D/tF
in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 'Eff#2
Q " i Z . 3~-y. <------ .~~ .yY' - T' ' Ln ~
'
3 ~ ~ 1 ~? ~ .tv+ .S '~~r ~ mot/ ~ 1 ~ ~ /
D.
~~r
it Ground surface elev. 1 ~ ft. Depth to limiting factor l Z y in. Soil Iication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Gonsistence Boundary Roots GP Dfff
in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
'Effluent #1 = BOD, > 30 < 220 mglL and TSS >30 < 150
CST t+{atr-e (Please Print) Sid
Bird Plumbing, Inc. Shaun Bird ~°~%
`,r;.
Address '"
1008 192nd Ave, New Richmond, WI 54017
l Z.
/ ~~ to
P ~
' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L ~ ~~
CST Number
226900
to Evaluation Conducted Telephone Number
°~'i7 .- ~~ 715-246-4516
~`~s )
..
Property Owner
Parcel ID #
Page of
Boring # ~ Boring _ ___,_. ,
Pit Ground surtace elev. ~ ' S ft. Depth to limiting factor l Z in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlFf
in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh, `Eft#1 `Ef!#2
~ 3.6 q~
u
~~~~~D
Boring # ,^d Q.
I~pit Ground surface elev.6~! ~ ft. Depth to IimiGng factor ~~n.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DlFf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2
~ ~ ~ i
~ ~
^ Boring # ^ Boring
^ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil ication Rate
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GP D/ff
in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. `Eff#1 'Eff#2
'Effluent #1 = BOD, > 30 < 22U mg/L and TSS >30 < 150 mg/L `Effluent #2 =GODS < 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3 l5 ( or TTY 608-264-8777.
580.8110 (8.6/00)
~' S ,
..t
Project Name Kevin Krueger
Address 1076 Cty Rd A
Deer Park WI 54007
Lot Subdivision ------- Dat
CS~PM #226900
e 4/10104
SE 1/4 SE 1/4S 6 T 31 N/R16 W Township Cylon
Boring Q Well PL Property Line
BM or VRP Assume Elevation 100 ft.
County ST. CROIX
Top of Steel Fence Post
System Elevation 90.2 *HRPSame as Benchmark
Ctv Rd H
Not enough slope to
establish contours
JB=1
Alt. is top of survey
(~ D ,-,~iron C 95.9'
Soil Test Plot Plan
Shaun
Scale is 1" = 40'
unless otherwise
noted
~~' ~ ~~`~
~~~ J
Prnnenty T .ine
Maintenance and Contingency Plan for a Septic System
Maintenance Plan
1. Septic Tank is to be pumped once every 3 years.
2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in
order to extend the maintenance interval of the filter.
3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of
the cells.
4.Owner agrees to limit greases, garbage, and water conditioner discharge into the system.
5. The owner agrees to save this plan.
6. Do not plant trees nor park nor drive over system.
7. Watershed is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
cy Plan
~'
Option #1. system fails, determine cause of failure, use alternate area and install new
m in tested replacement area.
Option #2. Install system at a lower elevation, by removing chambers, removing biomat,
and install new system.
Option#3. No adequate area is suitable for replacement area, and system elevation
cannont be lowered. Install holding tank as last resort.
3. Replace any other failing components as needed.
Plumber: Shaun Bird 715-246-4516
St. Croix County Zoning 715-386-4680
Pumper Tom Mondor 715-246-5148
Shaun Bird #226900
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{ V
ST CROIX COUN'T'Y
~-NK ~MA~'TENANCE AGREEMENT
SEPTIC'
:FEND
. ~ OVVNE~HIP CER'T'IFICATION FORM
Oyvner/Buycr
Mailing Adams
~~
~ ~ ~~ ~
Town of
. Lot # 3
Pro erty Address °~ ~ ~ ~ Planau-g Department for new cone
p (Verification required f~
Parcel Identification Nuuiberl
City/State
LEGAL DESCR~TIO-~ ~ ~ ~ N-R 1 ~.,w~
Prop~Y ~~;.
Subdivision ~- `~3~ -
~~ Page #
.~~ p ~' Volume _-
Ce MaP # .. Page # S `~~
-C~a,~,w, ~ ~ ~ , Volume 2~°~°
Deed # es p no
Lot lines idenrifiabl Y
Spec housa~~ 0 no
~/ _ mature failure to handle wastes. Proper maiatenaaoe
,n lf. -~ sum could resin What y P
$Y~- ~ +.r w TN'1'E~ NANCE _ of your seP~C ~' if ceded by a lio~~d pw0°~r~ ou ut into the aystcm
improper use sea three yew or soortcr, osal system.
consists of PumP~ out the septic tank every mnent stage is the waste disp by ~ owner and by a
can affect the functioa.of the septic teak as a tree
~ a oerifcation foam, signed oral system
owner agues to submit to St. Croix Zoning D~~r verifyia8 that (1) the an-site waatewa ~ ~ of sludge.
T~ P1Ope~ lumber restrictedplumber or a licensedpumpe the septic task is less than
masterplumber, jouzneY~P ctioa cad pumping (~ necessary),
crating condition and/or (Z) after iaspe a system, with the standards
~ ~ I~Pa oP eats and grey to maintain the private sewag disposal
a Resources, State of WisconsO~~ 30
Uwe, the undersigned have read the above ofmmcrce and she Dep~ens of Natuzal
set forth, herein' as set by the DeparOm ~m~~ must be completed and returned to the St. Croix County Zo~S
stating that Your tic system has be
~~ f ~ ° expiration date. 4 ~ ~/ D
DATE
~C3NAfURE APP
our) laiowledge. I {we) am (an) the owaer{s) of
nWNER `'ER~ICA'TION oa this form are true to the best of my (
I (we) certtfY that all statements deed recorded in Register of Deeds Office. ~ 7s~ v~,
described above, by virtue of a warcanh'
the property
DATE
OF pPPL "t being revoked by the Zoning Departa-cnt. "`~`«
I NATURE
tion that is mis-represented a~aY mint in the sanisat?' pct
*s:s+~«. Any informs f Deeds office
d warranty deed from the Register o deed
t'` Include with this application: a stampe if reference is made in the warranty
a copy of ~° certified survey map
- ~ U. ~676P 5~i6
STATE BAR OF ~r ISCONSIN FORM 3 - 1999
Document Number QUIT CLAIM DEED
This Deed, made between Donald W. Krueger and Bernice T.
Krueger as trustees of the Donald W. Krueger and Bernice T. Krueger
Revocable hiving Trust dated May 11, 2004,
Grantor, and Kevin Krueger and Janel Krueger, husband and wife as
survivorship marital property, ,~____~_____~_____~._____
Grantee.
Grantor quit claims to Grantee the following described real estate in
St. Croix Counry, State of Wisconsin (if more space is
needed, please attach addendttm):
Part of the Southeast Quarter of the Southeast Quarter (SEl/4 of SEI /4) of on 6,
Township 31 North, Range 1 G West, Town of Cylon, described as follows: Lot 3 f
Certified Survey Map recorded in Volume 19 of Certified Survey Maps at Pale 4838
as Document No. 775405. ~-'
Together with all appurtenant rights, title and interests.
Dated this _ _~_~i. day of October 2004
*
AUTHENTICATION
Signature(s)
authenticated this _ day of
s
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by § 706.06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED BY
Judith A. Remington, REMINGTON LAW OFFICE,
P.O. Box 177, New Richmond, WI 54017
(Signatures may be authenticated or acknawledged. Both are not necessary.)
* Names ofpersons signing in any capacity must be typed or printed below thei
x-77 1 5ra
xaT;FII.EEi~ 11, wal.sH
REGISTER OF DEEDS
ST. CROZx CO. , wI
RECEIVED FOR RECORD
10/15/20@9 10:3@AM
Ot1IT CLAIi!1 DEED
EXEMPT t
REC PEE: 11.00
TRANS FEE: 6. @@
COPY FEE:
CC FEE:
PAGES: 1
Recording Area
Name and Return Address
Judith A. Remington
REMINGTON LAW OFFICES
P.O. Box 177
New Richmond, WI 54417
Part of 006-10t2-95-000
Parcel Identification Number (PI1~
This is not homestead property.
(is) (is not)
'` ~ ~.
* DONALD W. KRUEGER, TRUSTEE
.~~ ~
• BERNICE T. KRUEGER, TRUSTEE
ACl{NOW LEDGMENT
STATE OF WISCONSIN ~___)
ss.
ST. CROIX County )
Personally came before me this l 3'`~day of
October
, 2004 •
,,th~eboveiia'ltted
_
Donald W. Krueger and Bernice T. Kru 'i;rdfs trust;, f the
Donald W. Krueger and Bernice_T. Kra
T ~ .' ~ )Ete gp2e i,ivi .
'
~_-
Trust dated May 11, 2004,
~
~ ~': ~" '
'
to me known to be the person(s) whq~ .d Iegbin~
instrument and acknowledged the sarri -$t~" ! : QI' '~ j
•S'
~A,{ ,
Notary Public, State of Wisconsin ....~«+''~
My Commission is permanent. not, state exptrattan ate:
SPATE BAR OF WISCONSIN
QUlT CLAlM DEER FORM No. 3 -1999
.)
Information Professionals Canpany, Fond du tac, WI
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St. Croix County Map Output Page
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St. Croix County Planning Department
1101 Carmichael Road
Hudson, WI 54016
Phone: (715)386-4674
DISCLAIMER :The information contained on this map is advisory. Map
accuracy is limited by the quality of the public records from which it was
prepared. It is not intended as a substitute for an accurate field survey.
AERIAL PHOTOS :Aerial photography is date-sensitive. Features that exist
presently in the County may not be present in the photos.
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REC6IYED FOR RECORD
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CERTfFIED SURVEY MAP SURVEY ttAP
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Locoted in part of the Southeast 1/4 of the Southeost 1/4
of Section 6, Township 31 North, Ranges 16 West, RfiC FEE: 13.00
TRANS IEEE:
Town of Cylon, St. Croix County, Wisconsin EE' ~' ~
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Prepared for and at tha request of: 'EE
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Kevin Krueger PAGES: 2
375 Main North
Deer Pork, Wi 54007 VOL 19 PAGE 4$38
Drafted by. Mike Ouockenbush
Owner:
Donald and Bernice Krueger
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TOTAL AREA:
94,038 sq. ft.
2.18 acres
Af2EA EXC. R-O-W:
87.242 sq. ft.
2.Q0 acres
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Nas•3s'11"w 1365.68' N89'36'11"W 204.67'
SOUTH f 4 CORNER
SEC. 6-31-16
(FOUND SURVEY MARKER NA/L)
-N89'36'11 W 2599.35-'---
R 5896?2"W 2399.78'
UNPLA TTED_LANDS
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Section Corner Monument
of Record
~ Set 1" x 18" Iron Pipe weighing
1.13 pounds per linear foot
O Found 1" O.D. iron Pipe
• • • • • • Building Setback Line (As Noted)
R= Recorded As
JOB # WI057SU167
Prepared by.
~~ Consu/finq Group, /nc.
Phone No. (715) 246-4319
Fax No. (715) 24fi-3830
P.O. box 325
New Richmond, WI 54017
Sheet t of 2
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PAGE 3799
SOUTHEAST CORNER
SEC. 6-3f-16
(FOUND SURVEY MARKER NA/L}
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GRAPHIC SCALE
SCALE IN FEET: 1 inch = 100 feet
BEARINGS ARE REFERENCED TO THE SOUTH LINE OF THE
SE 1/4 OF SECTION 6, TOWNSHIP 31 N., RANGE 16 W.
Y~FiiCH tS ASSUMED TO BEAR N89'36'1 t"W.
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Vol 19 Page 4838