HomeMy WebLinkAbout030-1089-20-000
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STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER J~ i~1 L~ M /~I
"
ADDRESS C U rJ. E
~-l o u a-to ~ l~J ~ s c.
SUBDIVISION / CSM# LOT
SECTION. _30 _TQ N-R~_W , Town of 5tb J aS Q IA
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHIN WITHIN 100 FEET OF SYSTEM
C~r"l A~ ~o
ab T T T
A t~nl Ate
4y 5~1~"er~ -
3eNG1~
m~~.K pa
I ev =100.0 31 aQjt° $
~V
(Goo "
d
~ e
~ 3 DRoo r
30
40, d1,_ I8 y8al.
Wei
F-.
INDICATE NOR ARROW
Provide setback and elevation information on reverse f th's form.
Provide 2 dimensions to center of septic tank man Ole c er_
11
BENCHMARK:
(p Q
ALTERNATE BM:
SEPTIC TANK / ON
Manufacturer: (melee kS Liquid Capacity: Q ~
g Other
Setback from: Well House
Pump: Manufacturer Model# Size
Float seperation Gallons/.cycle:
Alarm Location
SOIL ABSORPTION SYSTEM
LI Nes
Width: Length Number of
Distance & Direction to nearest prop. line:
Setback from: well: House 8 Other
~euveR 9~-3~ - 9$• 3~
av Qg a~ ELEVATIONS COVeg 100,98
ENn ~8 1 Q lI
Building Sewer ST Inlet; 5 y ST outlet I o~ 1
PC inlet PC bottom Pump Off
Header/Manifold Bottom of system 7.3()
Existing Grade 01• ~PV Final grade V
DATE OF INSTALLATION: o ~8
PLUMBER ON JOB: Cl"Ltfl~'~
LICENSE NUMBER:
INSPECTOR:
3/93:jt
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor Ad Human Relations INSPECTION REPORT ST. CROIX
Safety and Buildings Division
` (ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION
Permit Holder's Name: ❑ City ❑ Village [],Town of: State Plan No.:
LEHMAN, JOHN ~S
CST BM Elev.: Insp. BM Elev.: 7BM Description: / Parcel Tax No.:
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic S y~C Benchmark'
Dosing
Aeration Bldg. Sewer
H4 St/ Inlet
TANK SETBACK INFORMATION St/kA Outlet 22
30-
TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic NA Dt Bottom
Dosing - NA Headert W. ~T 33
Aeration N Dist. Pipe 5 7
Holding Bot. System Q, 35 97
PUMP/ SIPHON INFORMATION Final Grade
M on4faau r Demander ° QS T i d. ~8'
Model Number G
Lift Friction System ~t
Forcemain Length Dia. Fi Dist.Towell
SOIL ABSORPTION SYSTEM
BED/TRENCH Width / O ' Length i No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
a I
DIMENSIONS
LEA urer:
SETBACK SYSTEM TO P / L BLDG WELL LAKE /STREAM
R Moe Nu
INFORMATION Type 0 17e 7T -(hV r OR UNIT
System: 7ne,
DISTRIBUTION SYSTEM
Headed- / y Distribution Pipe(s), r / x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. t Length Dia. Spacing6 ,39 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems
Depth Over Depth Over xx Depth Of xx See Sodded xx Mulched
Bed / T#srreh Center Bed /Ffe0h Edges Topsoil Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: St. Jo eph.30.30.19W, SE, SE, County Road E
P an revision required? e ❑ No 3 101
Use other side for additional information. /
SBD-6710 (R 05/91) Date Inspector's Signat re Cert No
ADDITIONAL COMMENTS AND SKETCH
. o
SANITARY PERMIT NUMBER:
SANITARY PERMIT APPLICATION
~•ia.~7■~7
In accord with ILHR 83.05, Wis. Adm. Code COUNTY
-5f, C,20,
STATE SAhjQ% P_~tj~~c% ERMIT,~,
-Attach complete plans (to the county copy only) for the system, on paper not less than O%[Jv~1COi
8% X 11 inches in size. ❑ Check if revision to previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
L APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER PROPERTY LOCATION
Ukr,v MAN f Y4s IS 30 T v,N,R 9 E(o
PROP O,"E ' ILING ADDRESS LOT # BLOCK #
C C/. o /
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
II. TYPE OF BUILDING: Check one CITY NEARES ROAD
( ) ❑ State Owned ❑ VILLAGE : 5 r
❑ Public1 or 2 Fam. Dwelling-# of bedrooms PA95 TOWN OF: f.
RCEL TAX NUMBER(S)
III. BUILDING USE: (If building type is public, check all that apply)
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
30 Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 120 Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. MNew 2. ❑ Replacement 3.E1 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 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 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 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
145c) REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min /inch) 97.30 ELEVATION
150 75 Feet 01, V Feet
VII. TANK CAPACITY Site
in allons Total # of Prefab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name Concre a Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holdin Tank
F-1- F1 I
I
Lift Pump Tank/Si hon 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): Plumber's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number:
1-4 rn R 5 W. %wvlff 8ij at/VL 3M )3WN0
Plumber's Address (Stree City, State, Zip Code):
01B ).S &W S -o4 s(. S o~
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved San' ry Permit F e (Includes Groundwater Date Issued Issuing Age S ture IN tam
Approved ❑ Owner Given Initial Surcharge Fee)
Adverse Determination jy-
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS 4
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the 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 & 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.
Ill. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in 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 in ##1-7.
VII. Tank information. Fill in the capacity of every new and/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% 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, ground-
water contamination investigations and establishment of standards.
SBD-6398 (R.11/88)
S
6 7 _ PLOT' H 0 S
Q,L..
A M C oh L m NAM ► 01,
5,!L OCAT 10 NJ Co,,
P-1-0 "T
~oh 1Mi~& ~ `7 3 3o ao
asp D. Qv .
Alt do' S tti
yam' •
a•/tl 3$' 180 ~O
~ y
Uz~- 100,0
11 P CR►1~ICA)
~(,.~ell s p~A2t T k AN 0wr~
pti I Ob f FRort 5,35f-pm
co. 19
A'tl: 1tdL[:'l':i~Al)D OBSERVA`f10N'•I'IRE
FRESH
CI:OSS SECTION
Apprtwed Vent! Cap
• ( FI r•lA~ C7RAOR
Minimum 12" Above I Ia1
4" Cast Iron
Above Pipe Vent Pipe
To Cinal Grade-
Marsh llay or -Synthetic Covering
Min. 2" Aggrc(J'';tt
Over Pipe
~c-
'stribut Tee
ion
D1.
I
Pipe •
rer•f.oraLed Pipe. Below
Aggregate _Coupling. Terminat;in4 A
T7, 3~ I)eneath Pipe . a ~ Rol• tom of•-System
13Q d
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
LAIC-',and Human Relations
Division of Safety & Buildings r I HR 83.05. Wis. Adm. Code
COUNTY
'
Attach complete site plan on paper notssan 8 S/2 11 inch` N?' e. Plan must include, but PARCEL I.D. # St. Croix
scale or
not limited to vertical and horizontal r~~ke'`;~rce poi recUon n o of slope,
dimensioned, north arrow, and locatin`2td di 6"nea~r0a 030-1089-20
r c3t REVIEWED BY DATE
APPLICANT INFORMATION PLEASE PRIN ALI FORM N
PROPERTY OWNER: 1 ,C c'r- PROPERTY LOCATION
GOVT. LOT SE 1l4 SE 1/4,S 30 T 30 N,R 19 f(or) W
PROPERTY OWNER':S MAIi_ING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
na na 323A
1366 Brow's Lane i V
CITY, ST T e ZIP CODE ❑CITY ❑VILLAGE EOOWN NEAREST ROAD
[ New Construction Use [x] Residential / Number of bedrooms 3 (J Addition to existing building
] Replacement [ ] Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate 66 bed, gpd/ft2 .7 trench, gpd/ft2
Absorption area required 750 bed, ft2 643 trench, 112 Maximum design loading rate _,7_bed, gpd/ft2_$_trench, gpd/ft2
Recommended infiltration surface elevation(s) _ 97.30 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 I CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN ALL HOLDING TANK
U= Unsuitable for system AA S ❑ U S❑ U S❑ U jaS ❑ U ❑ S ❑ S Qju
SOIL DESCRIPTION REPORT
Depth Dominant Color MOtties Texture Structure Consistence Boundary Roots GPD/ft
Boring # Horizon in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed Trertdt
1 0-1
2 10-27 10yr5/4 none sil lfgr mfr 9w if .2 .3
Ground 3 7-82 7.5yr4/6 none is Osg mvfr na na .7 .8
elev.
99.81 ft.
Depth to
limiting
factor
+82,,
Remarks:
Boring #
1 10-12 10 r4/3 none 1 2msbk mfr
2 2 112-21 7.5yr4/4 none sicl lfsbk mfr if .2 .3
_nw
Ground 3 21-36 7.5 r4 4 none sl 2
elev. 4 36-84 7.5 r4 6 none
l On.7~ift.
Depth to
limiting
factor
Remarks:
CST Name:-Please Print Phone:
Gar L. Steel 715-246-62nn
Address: 1554 20 th. aVe., N w Richmond, WI. 54017
Signature: _ Date: CST Number:
,l -21-94
PROPERTY OWNER John Lehman SOIL DESCRIPTION REPORT Page 2_Yof 3
PARCEL I.D. # 030-1089-20
Boring # Horizon Depth i Dominant Color I Mottles Texture
I Structure Consistence IIBcundary Roots GPD/ft
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh.
Bed ITrencl~
3 0-6 10vr4/'-3 none 1 2msbk mfr if .5 i.6
2 6-14 7.5yr4/4 none sici 1fsbk mfr gw if .2 1.3
Ground 3 14-41 7.5yr4/4 none sl 2msbk mfr gw na .5 .6
101.' ft. 4 41-88 7.5yr4/6 none is Osg mvfr na na .7 .8
Depth to
limiting
factor
+88
Remarks:
Boring #
1 0-8 10 r4 3 none 1 2msbk mfr if .5 .'•.6
4 2 8-26 7.5 r4 4 none sil 2msbk mfr if .5 .6
3 26-86 7.5yr4/6 none sl Osg mvfr na na .7 .8
Ground
elev.
99.69 ft.
Depth to
limiting
factor
+8611
Remarks:
Boring #
<::::4:><:::»< 1 0-9 10 r4/3 none 1 2msbk mfr cs 2f .5 1.6
5 2 9-29 7.5yr4/6 none sl 2msbk mfr gw if
.5 .6
3 29-82 7.5 yr4/6 none is Osg mvfr na na .7 .8
Ground
elev.
inn-
Depth to
limiting
factor
+82"
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
STEEL'S SOIL SERVICE 1554 200th. Ave. DOMMMUCCOM
Gary L. Steel John Lehman
C.S.T. 2298 New Richmond, WI 54017
MPRSW-3254 SE 4SE a S30-T30N-R19W (715) 246-6200
r town of St. Joseph
N
1"=40'
bm=top of 1" pipe at el 100,
alt bm=top of N. lot survey
stake at el. 97.69
yU.
/77 0 201 A
CIO` ~Io K
n' o'
L
Gary L. Steel
4-21-94
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT /
Labor and Human RelationsR511 Page l of 2_
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
o i
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but ('r~
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 PRIN ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER) PROPERTY LOCATION
J 04 ii GOVT. LOT 5"C 1145C 1/4,S 30 T -.7v N,R P% E (or) W
PROPERTY OWNER':S MAILING ADQRESS LOT # BLOCK # SURD. NAME OR CSM #
,7LJr, S t:
CITY, STATE ZIP CODE PHO
72 NE N,UBER ❑CITY ❑VILLAGE OWN NEAREST ROAD
n , e ~F
J
WNew Construction Use' Residential / Number of bedrooms [ ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow f-= =gpd Recommended design loading rate _Z _bed, gpd/ft2 =Y trench, gpd/ft2 1
Absorption area required'
equired bed, ft2
L trench, ft2 Maximum design loading rate __bed, gpd/ft2 trench, gpd
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design / site considerations
Parent material Flood plain elevation, if applicable ft
S = Suitable for system YENTIONAL UND IN-GROUND PRESSURE Al-GRADE SYSTEMIN ILL HOLDING TA K
U= Unsuitable for system i;p D U OS❑ U WS ❑ U "rN S0 U ❑ S ❑ S
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Z
Ground 3 J- Y Z!,2 ~%ylr ~ ~
7- /t
7 .
Depth to
limiting
Remarks:
Boring #
"All
l
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
CST Name.--,P;" Pri h Phone:`
l_SL7C
Address: 0 0
Signature: Date: ST Number::
Z1 / 2L A-11- D
PROPERTY OWNER SOIL DESCRIPTION REPORT
Page _,of
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure
Bouncl3y GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Roots
Bed Trench
Ground
elev.
ft.
Depth to
limiting
factor
I
Remarks:
Boring #
Ground
elev.
ft.
Depth t0
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBp-8330(8.05/92)
. it
hd- hw- 8 to
~y
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Sz O p B1
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STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER J.-) t ~ L r Y~ ~ 1
MAILING ADDRESS(]
PROPERTY ADDRESS _39
(location of septic system /Please obtain from the Planning Dept.
CITY/STATE ZV
PROPERTY LOCATION 51 1/4, 5E 1/4, Section 1 T__SIQ_N-R / y W
TOWN OF ST. CROIX COUNTY, WI
SUBDIVISION LOT NUMBER AllCERTIFIEDSURVEY 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 be completed and returned to the St. Croix
County Zoning Officer within 30 days of the three year expiration date.
SIGNED: 4- fZ ~f
DATE: /q
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
1
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.
wn _ , o f property
~'1►?'I Ct rl
Location of property _,~~-1/4 54' 1/4, Section
3U ~ T_IL_N-R / y W
Township
trailing address
Address of site
0
Subdivision name
Lot no.
Other homes on property? -
------_.Yes_ No
Previous owner of property
Total size of parcel n
Date parcel was created
Are all corners and lot lines identifiable?
Yes No
Is this property being developed for (spec house ?
Xes NO
',.'olume and Page Number '
of Dee:is• as recorded with the Register
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
WAI: RANTY DIED which includes a DOCUMENT NUMBER, VOLUME AND PAGE
NUHI)f:R & Tf1E SEAT. OF THE REGISTER OF DEEDS.
certified survey, if available, would be helpful so as to avoid
lays of the reviewing process. If the deed description
references to u certified survey map, the Certified survey map
shall also be required.
PROPERTY OWNER CERTIFICATION
:e certi:y that all statements on this form are true to the
Y t of My (our) knowledge that I (we) am (are) the owner(s) of
:_~roperty described in this information form, by virtue of a
„~LZanty deed recorded in the office of the County Register ~~-'c~; as Document No. Y gister of
the and that I (we) presently
proposed site for the sewage disposal system or I (we
=ta med an easement, to run the above described propert
)
Y, for
construction of said system, and the same has been duly
recorded in the office of Count
No y Register of deeds as Document
to -e of applican -
Co-applicant
C1 'i
`'ar° of signature - - _ i
Date of Signature
it _
DEC 29 '94 08:16 P.2
1 is
Rt Ytni dPACR RSBtRYCD FOR YlLC41la1NB DATA i
DOCUMENT NO. STATE BAR OF AANCTY'$DE_ ED 1 i I
51985, VOL
`hf~t~1 pp iAn~
~,.~~~PA REGISTEWS This Deed, made between THE McK1NNaN_ AMIIY- RIUSST. CROIXCO., WI
- • . ` Ro'd for Record i
-Gx tor► ' AUG 3x994
.
and..~._ W:..LE,HMAN and MIC'EI.I;E..LEHMAN, husbancl............. E~ 12:00 P.
M
and wife as snrvivQrshf marltal* ro art
- - - . . . - - Grrantee, ~ Hof Deeds I
h-..... . WitneMeth, That flee said Graator, fox a valuable eonsideration_,____ r
r renvAN TP
~mnvays to Grantee the following described real estate 311 St . _ Croix
State of Wieconain: a QT R~` -
6", 00 ty,
UT
L ti
Tart l+'arcel Not
Part of E-1/2 of SE-1/4 of Section 30-30-19 described as follows. g
1i
at ttae SE corner of Section 30; thence N'OOOOO'01"W, along the east line of
the SE-1/4 of said section, 281.92 feet to the point of Beginning, thence is
continuing Nt]Do00'O1"W, along said cast line, 982.24 feet; thence
~~7t)002'30"W, 532,71 feet; thence S84037'22"W, 130,44 feet; thence
f
S45o05'03"W, 208.95 feet to the center line of County Trunk Highway "E",
thence S3700931"E, along said center line, 1072.83 feet to the point of
curvature of a 1420.46 foot radius curve concave northeasterly, whose central
angle measures 08000'23", whose chord bears S4109142.5"E and measures ;
198.33 fee • alone the a _Qf..said_curv.e.198.49.feot to the
mt of beginning.
EXCEPT that portion of the above-described parcel. lying east of the
existing fence line and west of the west line of the property conveyed ;i
by Warranty Deed recorded in Volume 821, Page 545, as Document Number
441099 in the St. Croix County Register of Deed's Office.
TOGETHER WITH and SUBJECT To reservations, restrictions, easements k~
and rights-of-way of record, if any.
This is not homestead property. ~11!
15th day at July iS.4.._.
Dated this
--~~•-•-c-- FAM Y TRUST
. B wi.il.isaa--N.--McKinnon Co.--Trustee
(SEAM.) - ••--------.~.(BEAL)
-----------------•--.(SEAL) AL)
* * . RbY? 3g l??c1GizukP.~._o-T,&tee
ADTHgNTICATION ACKNOWLEDGWINT
STATE OF 6Y1SCC?l3SrN .
ST:.. CROIX„...,-__county.
county.
7G-I-
laLii
' suthmtica di this day of....------------ 19...... Persou&Uy cams before me this ..............AAY of
jigy 19.. 94. the above named
William N.~ .14=)non, a~sd.,. -
TITLE: MEMBER STATE BAR OF WISCONSIN ,St aw
(Ii not, -
fu -
*uthorlmd by a 106.06. Wis. Stets.) to me knows •fo.. who examted the
the G
THIS INSTRUMENT WAS DRAFTED BY
-
Attorney Harry C. Lundeen •`,eer
MUDGE ~ , ,C - - ...--t 7--------
,a Street Hudson k 54016 County
....~.~.Q.. & ........s.............. Notary Public _ , . ~....o~•'x Wis.
(Signatures may be authenticated or acknowledged. Both My Commission is p 'msnca#.76-not'-state expiration
are not neeeseam) date: November 20 18.,94-•) j
• -
oxanwe at vanes siRninC in any owspaelty dicum be •bna or priatra b was, their six= tarm.
Dww S?ATt}: : OF wmcobvw Viriaaoncia Iwna1 Husk CO. ins.
it WARRANTY BL'.:Af No. 7 ]efiS lyilasv 11-1 'fNfs.
i
■
' DEC 29 '94 08:17 P.3
DOCUMENT NO. STATE "R OF WISCONSIN FORM 3-1 7rns sPRee eeseRVeo FOR RseoROlKa owtw
90
QUIT CLAIM.-DEED
REGISTER' S OFFICE
Wd CR410rgC {~0., M
ftmwd
---~.McKTI.......FAMZI~Y TRUST ST.
. AUG $ 1994
- -3OM4 W. LE WIS and IIGIiELL I;E Ald; - - 2030 M
`~hus' a cid' w fe as :sui=vivorship_ maxical::;proper`ty.. at
l eteroleasda
.
the following described real estate in St. __CrQix______________._.. county,
State Of WiseOnsins RETURN TO
Tax Parcel Na:......
Part of B-1/2 of SE-1/4 of Section 30-30-19 desmbed as follows; Commencing
at the SE corner of Section 30; thence NOOOOO'01"W, along the east line of
the SE-1/4 of said section, 281.92 feet to the Point of Beginning; thence
continuing N00000'01"W, along said east line, 982.24 feet; thence
N70o02'30"W, 532.71 feet; thence S8403712211W, 130.44 feet; thence
S45005'03"W, 208.95 feet to the center line of County 'hunk Highway "E";
thence S37o09'31"E, along said center line, 1072.83 feet to the point of
curvature of a 1424.46 foot radius curve concave northeasterly, whose central
angle measures 0$000'23", whose chord bears S4100942.5"E and measures
198.33 fect; thence southeasterly along the arc of said curve 198.49 feet to the
point of beginning.
FFA
is not _
This homestead property.
(is) (is not)
, 19....84
THE Aucgust.........
Dated this 4th..__._................... day or -
M.
ON AHn-T T.
....-•----••---•-•------•---•----------••----------------------.....,(SEAL) - - - - - (SEAL)
w .Bar: illiam N//ff M~gl3n o , Co-Trustee
. (SEAL) SEAL)
. By. Phyllis M. McKinnon, Co-Trustee
AUTHXNTICATION ACRNOWLEVOUNNT
Signature(s) STATE OF ~K
ss.
AYC,1-cic>_/'s----------County.
~ /
authenticated this ay Of_.......................... 19 Personally came before nae this ......day of
r Au ust
19.9... the above named
_
• ~dj,1..am.~i~..xtsrx~ao~a~.~usl
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by 906.06,Wis. Stata.) to me known to e l Z who executed the
foregoing instslttr ttti gn ackkgowiedp the same.
T"13 INSTRYFIBNT WAS DRAFTED BY
Attorney Barry C. Lundeen - - - -
;b: fr
..MIJI)--E P4RTEx. ~ ~umm' . .'g : G" -
_
.--1lD-,Se.4011 -.,C;tx-e-e-C.,--jtal93.s..WI.54016 Not$ blic County, 7m Az
(Signatures may he authenticated or acknowledged. Both My Carom l is - u t Moto expiration
ara not necessary.) date :D!
18....---
4
QillT CL/liM_IlEBD STATnu AR OF WIRCON'sIN Wiuonalm Lpaal Blank Ce. Inc.
.n .~e.............
■
DOCUMENT NO. STATE BAR OF WISCONSIN-FORM 3
QUIT CLAIM DEED
VOL 670 fAbE 14 O~ TH;S SPACE RESERVED FOR RECOnUING DATA
William N. McKinnon and Phyllis McKinnon,_ Husband and 1110., WK
wife - Rat's!. for Reclord this 3rd
quit-claims to Will1s'IR_IY. ~SKlCIS1QlI~II~PtLy]Z1~1tLc~KlIIlli2ll.--- dOY OiF Aug A. D. 19&.
Tenants 4n__COm2tQn_-----___-- - of 11:45 A
Ppitla s
the following described real estate in County,
State of W. consin: RETURN To
Southeast Quarter of the Northwest Quarter(SE} of NW}) of
i
Section Thirty-two (32), Township Thirty (30) North,
Range Nineteen (19) West.
i,
Tax Key No.
I Southwest Quarter of the Northwest Quarter (SW} of NW})
of Section Thirty-two (32), Township Thirty (30) North,
Range Nineteen. (19) West.
(1) All that part of N 112 of NW 114 of Section 32-30-19 lying Sly and Ely of old
County Trunk Highway "E" EXCEPT W420 feet of N 405 feet of NW114 of NW 114 lying
Sly of centerline of old County Trunk Highway "E" and EXCEPT Certified Survey Map
filed October 27, 1976, Volume "2", page 318 and EXCEPT part to John K. Nash and
Mary C. Nash in Volume "472", on page 116.
(2) All that part of the SW 114 of NW 114 of Section 32-30-19 lying Westerly of
:own Road.
I East one-half of Southeast Quarter (El of SE}) or Section 30, Township 30 North, Range
Nineteen (19) West, except all that part Southwesterly of County Trunk "E", and except
part sold to Cene E. Kelly and Judith F. Kelly recorded in Volume 450, page 606,
#296005, and except part conveyed to Town of St. Joseph for highway purposes.
This _ not homestead property.
(is) (is not)
29th ~
Dated this day of
c
(SEAL)
(SEAL) %illiam N. McKinnon
(SEAL) Phy77ic McWinnnn (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
j Signatures authenticated this ---------day of STATE OF WISCONSIN '
I
- 19 ss.
County.
Personally came befure rr this ______day of
the above named
TITLE.: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by 706.06, Wis. Stats.)
This instrument was drafted by ~tLe known to be the Per-(9
~ _ w}c1-ececuted the fore-
Instrumen! and aclurtedge~ t#~t€ rfe.
(Signatures may be authenticated or acknowledged. Both Nlit. ry Public County WIS.
are not necessary.) 1iy Commission is p"rrvaa gntln ilk gaf,,~Siate expiration
date 04' 11 19 )
I z
,I 0!!1r !'LAIM DFFr) - STAIR HAR OF WISCONSIN. FORM NO 1-11477
-
r. u
ADMINISTRATOR'S DEED
i
To all to whom these presents shall come:
it R. D. Skog, of the Town of Erin, St. Croix County, Wisconsin,
Administrator with the Will Annexed of the Estate of John Sullivan,
Deceased, late of St. Croix County, Wisconsin, send Greeting:
Vhereas, the said John Sullivan, Deceased, in his lifetime
qn(I on the 27th day of November, 1957, eptered into a Oontract for
Deed for the sale of the following described premises to William N.
McKinnon arrl Phvllis M. McKinnon, husband and wife as joint tenants;
WbAregs, by an order made by the County Court of St. Croix.
County, W' ^cnn^in on the 18th day of May, 1961, I, the said R. D.
S110a, in my capacity as Admintstrator with the Will Annexed of said
~stat~, wnc authorized and empowered to convey the said lands, the
-b1'-ct of the contract aforementioned;
And, whereas, all the conditions of said contract have been
frilly performed and the purchase, money has been fully paid according
to t.b- terms thereof;
Now, tb--?fore, know ye, that I, the said R. D. Skog, in my
car~o~ty n~ Ar3Tinistrator with the'41ll Annexed of the estate of
Jnhn Sullivan, deceased aforesaid., by virtue of the power and
authority in me vested as aforesaid, and. in consideration of the
f j , < - Dollars
o
Siam
to mP in Kind raid by the said William N. McKinnon sTid Phyllis M.
Mr,Kinnnn, husband and wife, the r~,ceipt whereof is hereby acknowledged,
do hereby Grant, bargain, sell and convey unto the said William N.
McKinnon and Phyllis M. McKinnon, husband and wife as joint tenants,
and to the survivor, his or her heirs and assigns, all of the
followinu described real estate in the County of St. Croix, State of
Wi!zconsin, to-wit:
The East Half of the Southeast Quarter (Ej of SE1) of
Section Thirty (30), Township Thirty (30) North, of
Aanae Nineteen (19) West, excepting the part thereof
heretofore conveyed to the Town of St. Joseph, St.
Croix County, Wisconsin for highway purposes.
i
-1- i
ro
eooK 378 PACE .i