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STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER 4 n~ Ile
ADDRESS 371 lo, 5f
Sir 7
SUBDIVISION / CSM# LOT #
SECTION 2:7 T J1 N-R__/I(W, Town of
ST. CROIX COUNTY, WISCONSIN
PL VIEW
SHOW EVERYTHING WIT N 100 FEET OF SYSTEM
Q5
!v'
Utti .
~ I
I
y
rL~ ~ ~ M
yc w
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
BENCHMARK:
ALTERNATE BM: A5v
EPTIC TAN / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: Liquid Capacity:
Setback from: Well House Y~'® Other
Pump: Manufacturer Model# Size
Float seperation Gallons/cycle:
Alarm Location
SOIL ABSORPTION SYSTEM
Width: Length 75- Number of trenches l
Distance & Direction to nearest prop. liner-2.
Setback from: well: House-'? Other
ELEVATIONS
Building Sewer ST Inlet ,~Ys ST outlet
PC inlet PC bottom Pump Off
O
Header/Manifold ~b• J Bottom of system
Existing Grade F- Final grade Z61,
_
DATE OF INSTALLATION:
PLUMBER ON JOB:
LICENSE NUMBER:
INSPECTOR:
3/93:jt
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT ST. CROIX
Safety and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION 19
Pef1r11#.H~Isi~r', N~r1g NIS ❑ City ❑ Village 'Town of: State PI o..
CST BBIVI Elev.: llll~~ Insp. BM Elev.: BM Description: 7~ Parcel Tax No.:
0 0 / D 0r~ e.. le r a 1,
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
i r
Septic Benchmark 107,; /00
Dosing ~a (3 a
Aeration Bldg. Sewer
Holding St/ Ht Inlet --7 7
TANK SETBACK INFORMATION St/ Ht Outlet G 3 0,
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
o , NA Dt Bottom
Septic y o fio
Dosing NA Header/Man. c e,
Aeration NA Dist. Pipe -7, 7 gq, e
Holding Bot. System
0
PUMP/ SIPHON INFORMATION Final Grade S g 0/.
Manufacturer Demand S C y, 7 y lb a -117'
Model Number GPM
TDH Lift Friction Syesatem TDH Ft
Forcemain Length Dia. FFii Dist. To well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length '15 No. Of T~rrnches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS R DIMENSIONS Manufacturer:
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING
INFORMATION Type of r 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 I Length Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over 3~`' xx Depth Of xx Seeded/ Sodded xx Mulched
Bed/ Trench Center 4'), Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: Star Prairie.27.31.18W, SW, SW,'Lot 3, V2nd Avenue /L
~ " y- wCij-;P1
c ~y.c.'°'?~vvC QL~!'Y' fia n e d Q J
ftS 6/,(A T
Plan revision required? ❑ Yes p'No 2
Use other side for additional information.
SBD-6710(R 05/91) Date 's 6ecto"s Signature Cert. No
f ~
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 8 112 x 11 inches in size. CJ - ,/x
• See reverse side for instructions for completing this application State Sanniitaarry~PermittNNu ber
The information you provide may be used by other government agency programs ❑ Check If "re4isidn~previolbs application
[Privacy Law, s. 15.04 (1) (m)].
State Plan LD. Number
1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION
Property Owner e r Property Location
/eh 4 1/4, S T , N, R
Propert Own is Mailing Address I of Number Block Number
dl
Cit tate,~ r Zip Code Phone Number Subdivision ame or CSM Number
AzwII. TYPE OF B4W.0 5-1-1,017 1
UILDING: (check one) ❑ State Owned ❑ City r Nearest Road
Village
Public 1 or 2 Family Dwelling - No. of bedrooms Town OF
411. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment / Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining
4 ❑ Church / School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash
5 ❑ Hotel / Motel 9 ❑ Office/ Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT: (Check only one box 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
-______ystem ________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
Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevatio _1 I Z~~_21'p , _ S Fee d/ Feet
Capacity
VII. TANK in gallons Total # of Prefab. Site Fiber- Plastic Exper.
INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass App.
New Existin strutted
Tanks Tanks
Septic Tank or Holding Tank - ❑ ❑ ❑ ❑ ❑
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-
Plumb Name: (Print) Plumb ' ignature: (No ps) MP/MPRSW No.: Business hone Number:
5
Plum s (dress (Street, City, State, Zip Code):
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved S itary Permit Fee (Includes Groundwater FDate Issue Issuing Agent Signature (No Stamps)
Approved ❑ Owner Given Initial Surcharge Fee)
Adverse Determination "~oZ"
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD-6398 (R. 05/94) DISTRIBUTION: original to County. One copy To: Safety & Buildings Divi ion, Owner, Plumber
I
INSTRUCTIONS E ,
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the
Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD-6399) to be submitted to the
county prior to installation
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever
necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of
Wisconsin, Safety and Buildings Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed.
II. 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 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 ' 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 Warne, indicate prefab or s0e constructed and tank material. Cc ,plete -or ah styptic, pump/siphon and
holding tanks for this systern. Check experimental approval only if tanks receivcA experimema; ,product approval from
DILHR.
VIII Responsibility staternent. Installing plumber is to fill in name, license number \,vilh appropria_e prefix (e.g. MP, etc.),
address and phone number. Plumber must sign application form.
IX_ County / Department Use Only.
X. County/ Department Use Only
y p, L r _ f c,3t s rr ;rr: , han 8 1/2 x "he 'ans must
o%-' 'VI nor Ian, i]r~.vv Scale orvvj Sri J,.... ,~;nk(<_,), septic
IL. >rv;~r~, wells; w: pur;rpors iplton
5i cr,. +.rn ,vstoms; replacer+l._, r rr ~i_iildsng server!;
lose ✓plu,.,l'ti,
_j. er, D) cr"oss section
E) •l riilg information.
GR0UNDWA--ER SURCHARGE
1983 Wisconsin pct 410 included the rreation of surcharges i+ees) i:ar a number cif ~f _iiated a which can
effect r roundvaater.
The me rhos tiroigh these surcharges ar'e used for menitoring grourrdu~al?i rontan ' ~7at:lo- investigations
and establishment of standards.
' PLOT PLAN
PROJECT Dennis Miller ADDRESS 371 S. Washinqton New Richmond, WI 54017
1/4 SW 1/4s 27 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX
MPRS BYRON BIRD JR. 3318 DATE 10/4/95 BEDROOM 3
CONVENTIONAL XXX IN- OUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gal LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 BED SIZE 12 X 75
BENCHMARK V.R.P. Base of White Stake Red Ribbon ASSUME ELEVATION 100'
❑ BOREHOLE (Z)WELL *H.R.P. Same as Benchmark
VENT SYSTEM ELEVATION 98.9
12" GRADE
6TYPAR VERING
1 "K
192nd Ave
330'
Well to be greater than
50' from septic tank
C.
.M.
8%
30' Slope
Bedroom
House
60' B-2 80' B-1
2'
- - - - S 10'
15' ---------~-3--------- 10,
30'
Vent 40'
15'
B-5 80,
B-4
10%
Slope
Wisconsin pepartment of Industry, SOIL AND SITE EVALUATION REPORT Page _ of
Labor anti Human Relations
~oivisi f Safety & Buildings in accord with I LH R 83.05, Wis. Adm. Code
COUNTY ~
. Grb
Attach complete site plan on paper not less tha i Plan must include but
P
not limited to vertical and horizontal reference .pgi~.F ),direction slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to ngarestfbad.
APPLICANT INFORMATION-PLEAS4 PRINT ALL INF6 TIO REVIEWED BY DATE
PROPERTY OWNER: PERTY LOCATION
"V, ~s?, G LOT1/4.514,S T N,R
PROPERTY OWNER':S MAILING DDRE BLOCK # SUED. NAME OR CS #
f
CI ATE P CODE 'R E NUMBER CITY ❑VI LAGE "OWN NEAREST ROAD
[`I(New Construction Use [}Residential /Number of bedrooms [ ] Addition to existing building
j ] Replacement [ J Public or commercial describe
Code derived daily flow SO gpd Recommended design loading rate s bed, gpd/ft2~trench, gpd/ft2
Absorption area requiredV bed, ft2 P trench, ft2 Maximum design loading rate r bed, gpd/ft2 trench, gpd/ft2
Recommended infiltration surface elevation(s) It (as referred to site plan benchmark)
Additional design / site considerations 113-4-44
Parent material Flood plain elevation, if applicable It
S = Suitable for system ENTIONAL MO D I . ROUND PRESSURE T RADE SYSTEM ILL HOLDING, TANK
U= Unsuitable fors stem 1 /4!3 SE U S❑ U S❑ U S❑ U El S U El S U
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
-0, 51-1, CS
o7o
WARN b, Jrl
Ground 3 'f L •2r-- / W414 - 5 -6
elev
Aa. t-
Depth to
limiting
f" Remarks:
Boringl# / • ~ CAS , 5
Iff
C
Ground
elev.
/O/. `t.
Depth to
limiting
fac
Remarks:
CST Name:-Please Print Phone:
Address:
Signature: Date: CST Number:
- -39- 7
PROPERTY OWNER t1 .4 9-UZ2 . SOIL DESCRIPTION REPORT Page, , of
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourtary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tnch
o-1 5141 S
Ground - 9 L TY i , `
ft.
Depth to
limiting
factor
3,
Remarks:
Boring #
X-X
5 cs 5
Ground /
jv~l ft.
Depth to
limiting
factor
1
s
Remarks:
Boring #
Ground 3 Z4 4A
elev.
l ft.
Depth to
limiting
factor
•
2 ~ Remarks:
Boring #
••4•:;•iviiii:•i •
f•::•::•i:?t:•v: ititi:
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
Soil Test Plot Plan
Project Name James Mullin Byro Bird Jr.
Address 1107 192nd Ave
New Richmond Wi 54017 TM #3479
Lot 3 Subdivision Date 9/12/95
SW 1/4 SW 1/4S27 T 31 N/1318 W Township Star Prairie
❑ Boring O Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft.Base of White Stake Red Ribbon
System Elevation 98.9 * H R P Same as Benchmark
192nd Ave
330'
250'
.M.
8%
30' Slope
60' B-2 80' B-1
40'
115' B-3
660' 0'
P.L.
lo~
80' B-4
B-5
10%
Slope
t
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER
l/ L' L~ ~ `::/r7 ~ Er 7 ~'.i ✓C / c/~/. >~'c>.-z~' LC/!' Gf~
MAMING ADDRESS p
PROPERTY ADDRESS
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE
PROPERTY LOCATION 1/4, - 1/4, Section W
TOWN OF ST. CROIX COUNTY, WI
SUBDIVISION LOT NUMBER
CERTIFIED SURVEY MAP ;VOLUME, PAGF,"4, LOT NUMBER _ f
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 f" rth, herein, as set by the Wisconsin DNR.
Certification stating that your septic has been maintained ust be completed and returned to the St. Croix
County Zoning Officer within 30 days of the three year a piration date.
SIGNED: J/ I-L,---- /j N"
DATE: S
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
src - io ~
. This application form is to be completed in full and signed bye 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
Location of property 1/4, Section:' T
Township Mailing address
/yam),
Address of site `
Subdivision name Lot no.
Other homes on property? Yes No
Previous owner of property
Total size of property
Total size of parcel
Date parcel was created
Are all corners and lot lines identifiable? Yes No
Is this property being developed for (spec house) ? Yes _.)~'-No
Volume //Y. and Page Number,~~ 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.
SignatJ ure of Applicant Co-Applicant
Date of Signature Date of Signature
534322
CERTIFIED SURVEY MAP
Located in part of the Southwest Quarter of the Southwest Quarter Section 27, Township 31
North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin.
Being Lot 2 of Certified Survey Map recorded in Volume 10 Page 2965
in the Office of the St. Croix County Register of Deeds.
Prepared for and at the request of
James & Yvonne Mullin FILEp
~I 1107 - 192nd Avenue
w New Richmond WI 54017 Z SFp 28 1995 0 8
I Kf11HLEEN H
N % I Drafted by. James M. Brault ReOjsterot SH
A
0 St Croix eeds
wi S
UNPLATTED LANDS
O
I ~V-" NORTH LINE OF THE SW 1/4 OF THE SW 1/4 SEC. 27 !
S 88'56'43" E 934.20' -
/W
330.00' 331 R 1MD- \\141 66' R/W
F \ 3 604.20' - \
w3 -48.91T, A48.65 - 818'- - -
I - 330.00' - - - - - - 604.
N 88'59'23' W' I N 88'59'23" W a 33' R /W
- - - - - - - - - - - - - - - x
I 100' BUILDING SETBACK LINE FROM R~W Z
7
04
FENCE I DRIVEWAY
I W WELL c~ I X
II
" I g 'LOT 3 '9 HOUSE
j TOTAL AREA m in
\ (SEPTIC
I G 217, 800 sq. ft.
w N j 1 5.00 acres Z SHED -a I g r
I
v
AREA LOT 1
- - ci
XCLUD/NG R.O. W. I r' h
M I C.S.M_
in w 201,702 sq. ff.
g I ; 4.63 acres , LOT 4 M VQL19 PGf?9L5_ _
01 z3W1 I \ c4 3::' vii
iI I N TOTAL AREA
-'I I w - - 330.00' 1, 068,905 sq. ft. I p I w a
of i \1 S 88'58'43' E 24.54 acres I w
I r Nrn~
" <I y rr~ y AREA EXCLUDING R.O. W. j 0 z
Z, Z O O 1, 039, 645 sq. ft. O
D 23.87 acres N \o 6
1y~1 I xl
,v alQ~;4~~D I 3 w v3i3X
V) N
i s
0 of o w M 7 ~
0)
U, Z) V) pi
i SE S 88'56'43" E I o of = W
1\ \ - - 382.0l'--- Vc a6 0 I W
NOTE: ~p
ST FEN.CE.LINE MEANDERS 1' TO 3' OVER PROPERTY LINE NCI w Na N
~.3ra J_ E..S SOUTH LINE OF THE SW 1 /4 SEC. 27 j
Sac ,:I r~'ri"uafi;>a
.c I FENCE (SEE NOTE "A") 132263'
------N 88'37'05" W 1322.63'---
2845--- -
r cord;-T N 88'37'05' W
.26'------
%wii'31iin 66UTHWEST CORNER SEC. 27 SOUTH 1/4 CORNER SEC. 27
approved data? UNPLATTED LANDS
a w•61 shall Sao LEGEND
m431A,RJN0S ARE REFERENCED TO THE WEST LINE OF THE $ County Section Comer Monument
SW 1 /4 OF SECTION 27 TOWNSHIP 31 N., RANGE 18 W. of Record
yrz WHICH IS ASSUMEiJ' fi0 BEAR N 00.57'56"E
• Set 1" x 24" Iron Pipe weighing
1.68 pounds per linear foot.
GRAPHIC SCALE
NO). TH 0 150 300 450 600 O Found 1" Iron Pipe
x- x-x Denotes Fence Line
( IN FEET )
1 inch = 300 ft.
NOTE: The parcels shown on this map are subject to State, County and Township cf W1,9 0.
laws, rules and regulations ( i.e. wetlands, minimum lot size, access to parcel, A,~ O
etc.). Before purchasing or developing any parcel, contact the St. Croix County flOU~LM I y~
Zoning Office and the appropriate Town Board for advice. y XAHLER Z
* 8.2145
A & E LAND SURVEYING FLOOD HAZARD BOUNDARY MAP H-08 HUDSON,
INDICATES THIS AREA TO HAVE MINIMAL Wis.
PHONE # (715) 246-4319 FLOOD HAZARDS. MAP REVISED ~I/~ 0
109 EAST 3RD STREET MARCH 26, 1976. "V
NEW RICHMOND, WI 54017
Sheet 1 of 2
Vol. 11 Page 2994
x _
State Bar of Wisconsin Form 2 - 1982
~~~5 ( WARRANTY DEED j
5 Q
DOCUMENT NO r
I PAGE 9~7
~ww 43
REGISTERS 0F; ,
T. ROIX CO., Viiii
Recd for Record
James J. Mullin and Yvonne E. Mullin,
us and and wife, OCT 1 2 199.5
c1t 9:30 A.
r~z
conveys and warrants to Dennis W. Miller and Laura A."Q'.
Miller, husband and wife, Registarof Deeds
' I I
I~I THIS SPACE RESERVED FOR RECORDING DATA
NAME AND RETURN ADDRESS I;
ICI
j the following described real estate in St.Crni x
County, State of Wisconsin: /OOO P~
I
i
(Parcel Identification Number)
ii
A parcel of land located in the SW1/4 of the SW1/4 of Section 27, Township 31
North, Range 18 West, being a part of Lot 2 of the Certified Survey Map in
Volume 10 of Certified Survey Maps, page 2965, as Doc. No. 531684,
described as follows: Lot 3 of the Certified Survey Map filed September 28,
1995, in Volume 11 of Certified Survey Maps, Page 2994, as Doc. No. 534322,
St. Croix County, Wisconsin.
U"SFER i'
i
~i
is not i
This homestead property.
- W(is not) !
of record, if an
to warranties: Easements, restrictions and rights-of-way Y.
Exception October 95
19
Dated this day of
(SEAL) (SEAL)
James J. ullin
*
(SEAL) (SEAL)
I'I'I
Yvonne E. Mullin
it
I I
AUTHENTICATION ACKNOWLEDGMENT ~I
I
Signature(s) STATE OF WISCONSIN
ss.
St. Croix
County.
authenticated this day of 19 Personally came before me this day of
October 1995 the above named
James J Mullin and Yvonne F.. Mullin_ _
husband and wife,
TITLE: MEMBER STATE BAR OF WISCONSIN
(if not, -
authorized by §706.06, Wis. Stats.) to me known to be the person S who executed the
foregoi ' tru ent and acknowledge the same. jl
THIS INSTRUMENT WAS DRAFTED BY ~ i
Kri Sting ()glnnci i
Attnrnav_at TT.,,gI,,I Notary Public C County, Wis.
(Signatures may be authenticated or acknowledged. Both are not My commission is permanent~~(If not, state expira~tiQod~date:
necessary.)
- Shoemaker
Notary PUbllc
'Names of persons signing in any capacity should be typed or printed below their signatures. State of Wisconsin
WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc.
FORM No. 2 - 1982 Milwaukee. Wis.