HomeMy WebLinkAbout006-1017-20-001
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STC - 104 c~
AS BUILT SANITARY SYSTEM REPOR Fr^,n
OWNERIL L. o Al Q~9-/x113
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ADDRESS
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SUBDIVISION / CSM# LOT #
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SECTION d __T_3 LN-R_L" Town of ly
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
r/ r SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
N = fig
o
_ s
Lin tv
o s
INDICATE NORTH,ARROW
Provide setback and elevation information on reverse of this form-
Provide 2 dimensions to center of septic tank manhole cover.
I
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BENCHMARK: /d6, 7S
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: Cp,~( o?Lt, P,/~o/ Liquid Capacity:
Setback from: Well House /0 Other
Pump: Manufacturer - Model# Size
Float seperation Gallons/cycle:
Alarm Location
SOIL ABSORPTION SYSTEM
Width: Length 4 Number of trenches
--_Distance Direction to nearest -prop-_-1-ine;__
Setback from: well: Houser Other
ELEVATIONS
Building Sewer ST Inlet: / ST outlet
PC inlet PC bottom Pump Off
v
Header Manifold
/ d Bottom of system
Existing Grade Final grade
I
DATE OF INSTALLATION: _ _2o? j
PLUMBER ON JOB: o/ovt-t
LICENSE NUMBER:
INSPECTOR: _ G #7 p Sc/)/
i
3/93:jt
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT ST. CROIX
SaSety and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION 21 R9n*_3
P EHHoI er-';; a LTON D & SHIRLEY M ❑ City ❑ Village J] Town of: State Plan ID No.:
CST BM Elev.:N Insp. BM Elev.: BM Description: 11ii Parcel Tax No.:
Aa17 A9
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosi ng
Aeration Bldg. Sewer
Holding St/ t Inlet
TANK SETBACK INFORMATION St/ Outlet
TANKTO P/L WELL BLDG. ventto ROAD Dt Inlet
Air Intake
Septic 4 NA Dt Bottom
Dosing NA Header/ ~p~%~ 39,
Aeration Dist. Pipe
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade
Ma errand b~'':i
Model Number M
oss
TDH Lift F ' on Syeste = Ft
oss T-1
Forcemain Length Dia. Head Dist. To Well
SOIL ABSORPTION SYSTEM
BED / Width / Length5Z?,4o No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS S DI EN I N
SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING actur INFORMATION Type O new 0001.11 CHAMBER
, y el Number:
System: 'Lr¢-r, OR UNIT
DISTRIBUTION SYSTEM
Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length ia. Length Z:S: Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over n xx Depth Of xx S ed xx Mulched
Area /Trench Center - ~sd1`french Edges Topsoil F, Yes E] No Yes N
COMMENTS: (Include code discrepancies, persons present, etc.)r T
LOCATION: CyLan-8.31.16W, NE, SE 8 -
Plan revision required? D-Yes ❑ No
Use other side for additional information.
SBD-6 10 (R 05/91) Date _ Inspect is Signatur Cert No.
SANITARY PERMIT APPLICATION COUNTY
• v?I`r■ra In accord with ILHR 83.05, Wis. Adm. Code
St - Croi 3c
STATE SAM TA%PERIT#
-Attach complete plans (to the county copy only) for the system, on paper not less than o 3
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
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER PROPERTY LOCATION
Milton Gehrman NE % SE S 8 T 31 , N, R1 6W E (or) W
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
196.222 Ave
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
eer Park, Wi 54007 1(715-369-5355
II. TYPE OF BUILDING: Check one) CITY NEAREST ROAD
( State Owned VILLAGE on 220 St/222 Ave
TOWN OF
EL TAX NUMBER(S)
❑ Public 911 or 2 Fam. Dwelling-# of bedroom 52_ PARC
III. BUILDING USE: (If building type is public, check all that apply) ~d a 6 0 v /
1 ❑ Apt/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 N/A 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 in line A. Check line B if applicable)
A) 1. x❑ New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.E] 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 M Seepage Trench 22 ❑ )n-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
REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION
300 375 5'x75' .8 NA 93.0 -Feet 95.0 Feet
VII. TANK CAPACITY Site
in as Ions Total # of Prefab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name oncrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holding Tank 8 0 0 800 1
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): Plum r' Signat Starfips) MP/MPRSW No.: Business Phone Number:
Rodney Hendrickson ~7:~ 3470 715-751-3335
Plumber's Address (Street, City, State, Zip Co
Box 261 Dresser, Wi 54009
IX. C LINTY/DEPARTMENT USE ONLY
❑ Disapproved Saq ary Permit ee (Includes Groundwater ate Issued Issuing Ag t Signature s)
yy~p' ~f~b
XApproved El Owner Given Initial Surcharge Fee)
Adverse Determination
X. O ITIONS OF PROVAL/REASONS F R DISAPPROVAL:
i
SBD-6398(0/93) DISTRIBUTION: Original to County, One Copy To: Safety R Buildings Division, Owner, Plumber
INSTRUCTIONS :
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at 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.
III. 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)
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Wisconsin Department of Industry, S I L AND SITE EVALUATION REPORT Page / of J
Labor and, Human Relations 7
Division of Safety Buildings ` 7 d with ILHR 83.05, Wis. Adm. Code
COUNTY
r ST,
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but Aot limited to vertical and horizontal reference point (BM), direction and % of
slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PR0~1/`7~G~%~-`.
PROPERTY LOCATION
(~'r GOVT. LOT g 1145_
- 1/4,S8' T 3 j ,N,R E (or)
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
Z7Z CL-A
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY AV•ILLAGE 4jrOWN NEAREST ROAD
14, k 1-vY s*'7 hir )BLS -S'd %"S- C' y4o 2 ZC0.&7-
kj New Construction Use [ ] Residential / Number of bedrooms Z [ ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow -TOO gpd Recommended design loading rate bed, gpd/ft2 j 0 trench, gpd/ft2
Absorption area required .2°I bed, ft2.7J'_'~ trench, ft2 Maximum design loading rate bed, gpd/ft2-0trench, gpd/ft2
Recommended infiltration surface elevation(s) 3, O ft (as referred to site plan benchmark)
Additional design / site con iderations
Parent material r Flood plain elevation, if applicable ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U=Unsuitable fors stem ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. S z. Cont. Color Gr. Sz. Sh.
Bed Trench
OR, o?s / 3 C~S
a
Ground 90 ?15W >/Z S /7~S
elev.
9s' ft.
Depth to
limiting
~Y', ~a,~ ~.rr+-c
Remarks: 2 Q.i.~ c -3
Boring # l~ /0 2, t~~// S FS VG Qs
Ground
elev
ft.
Depth to
limiting
factor
Remarks:
CST Name:-Pie a P~r~'n ors 'Ile Phone: *7/S-2`7 `X 7
Address: 711 Z -
Signature: Data: 9 v CST Number:
~wv ~ Q
PROPERTY OWNER SOIL DESCRIPTION REPORT Paget of
PARCEL I.D. #
t
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Traich
fyq
sm'; /7n
Ground 41. 99 7.s~/1.yZ S DL 7 12
elev.
Depth to
limiting
facRomtor~
Remarks:
Boring #
Ground
.
4eleele
Depth to
limiting
W.9
Remarks: 2 -z 2
Boring #
0-/y 24-)911 c7s
1,41S90 P4
Ground
elev
ft.
Depth to
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2
Remarks: Z
Boring #
Ground
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ft.
I
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
Plot Plan
Project Name
C13, p CST#
System Elevation _7_.___._.. 3yp9
Benchmark
H. R. P.
CD Boring Q Well
boo r
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35.294
CERTIFIED SURVEY MAP E 4 Corner
_ TRACKS
Tri---rrT
CHIc;AGO HORTMS' LRN
~ RAILROAD ~
S 87° 33' 53" E
198.95 ;
198.96' arc
1
`rte' Southerly right-of- M I
way line
3 I
1 2 ~7 N
LEGEND 0
LE c
.r co
County Section Corner A 34 ]~78 CR r z
Monument found, 2" pipe 0'
Of ~ ~ Ob ~ 33 33'
0 1"x24" iron pips,, wt. Wue„*
1.68 lineal ft. set 8 v 0 (~Q
= u~v 00
o D r-
a N ~ 0
N •imi
U
n,
4-+ 4-i
SCALE IN FEET H o
' .-rl3
0 ( I"= 50') 100, 2.44 acres ' ( excluding roadway)
3.02 acres (including roadway) b.0 -P
m o I CH
I C
M ~ co
NE-SE Q,
CC co
U) w
I N
a~ APPROVAL OF THIS MINOR SUSDiVISIGN
<
-P r I -P =P
r, s~ DOES NOT M`-'°`N APP,<GVAL FOR
Hi BUILDING S f~ OR SEPTIC 5Y. i1~A, o -f ~ 4-
U)
aI REFER TO H62.20._
i 0
~ w
I H
APPROVED
AU G 2 3 1978
ST. CtO;X C' ; U TY
comp, :EHENSIV GPCOMMILAE NG
AND ZQrMi
33' 33'
~o
o
~ N 67° 26 '20'
w 19:3 97
M Northerly right-of-way i:in
m
M
EXISTING Tgal ROAD
Volume 3 Page 675 I -
P. K. NAIL SE CORNER T~
SECTION S
T31N, R16W`~'
DESCRIPTION
A parcel of land located in the ;\T 4 of the SE4 of Section 8, T 31 N, R 16 W,
Town of Cylon, St. Croix County, Wisconsin, described as follows:
Commencing the E1 cor.ner of said Section 8; thence South assumed bearing
referenced to the East line of-said SE4i bearing South) 736.10' along said
line; thence N 87° 16' 26" W 33.04' to the Westerly right-of-way -line of an
existing town road and the point of beginning; thence South 534.77' along
said right-of-way line; thence N 87° 26' 20" w 198.97' along the Northerly
right-of-way line of another town road; thence North 534.33' to the Southerly
right-of-way line of the Chicago Northwestern Railroad; thence Easterly along
a 5779.65' radius curve concave Northerly whose chord bears s 87° 33' 53" E
198.95' to the point of beginning.
Subject to all- easements of record.
I, James E. Rusch, registered Wisconsin land surveyor, do hereby certify that I
have surveyed and mapped the above described property; that such plat is a true
and correct representation of -the exterior boundaries of the land surveyed; and
that I have fully complied with the provisions of Chapter 236.34 of the Wisconsin
Statutes and the Subdivision Ordinance of St. Croix County to the best of :ny
professional knowledge, understanding, and belief.
James E. Rusch G0
Wisconsin Land rveyo.r 5-1376 SWs,
Stevens Engineers, Inc. ~e
1409 Coulee Road-Box 321 + JAMES E.
Hudson, Wisconsin 54016 RUSCH
August 4, 1978 S 1376 i
River Falls, s
•
r •
This map is hereby approved by the Town Board. WAS'
SOS R J' f
Date Clerk, Town of Cylon
Owner:
W.H. Thompson
Deer Park, Wis. 5400`7
Surveyed for:
Hank Gehrman
Deer Park, Wis. 54007
This instrument was lraft:,d 'by J.E. Rusch
I
t_7
TV
S T C- l o o
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 ~VI l f G~ Yj ~f j/~ / ✓ c j c~ h r -ma 4
Location of property 4 S 1/4, section ' , T_31 N-R_& _W
Township Mailing address 2)-Z/, - =,7 ( J A
rimy- 9_/~~ 7
Address of site dZa
Subdivision name Lot no.
Other homes on property? Yes k-"" No Cc.
Previous owner of property C c jUz) C L) ° Yee l
Total size of property 2 /2
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 1~j and Page Number )7 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. q(,,,~-C9 , 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.
w Signature of Applicant Co-Applic t
Date of Signature Date of Signature
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER ! re r"/C ' G cs } Q
MAILING ADDRESS c/h c a cl X ,f f
PROPERTY ADDRESS o~a13~D
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE D L k i LA J 7 S ~/G D 7
nJi A PROPERTY LOCATION ~ 114-, , 5 L 1/4, Section, T_3 / N-RW
TOWN OF ST. CROIX COUNTY, WI
SUBDIVISION LOT NUMBER
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 be completed and returned to the St. Croix
County Zoning Officer within 30 days of the three year expiration date.
SIGNED: Q`
DATE: (9 ' "
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
•
~~.~r-~~ 517876
w . -.0 P PAGE 567
Rw'd fx RaaaM
J U N 1 5 1994 '
15 AFFIDAVIT FOR EXISTING PARCEL
Vol
(This language is to be placed on deed)
hown on this document is being added to the parcel
shown on the document recorded in Vol. 836 Page 173 ,
Document No. 446269 , St. Croix County Register of Deeds Office to
create one parcel, and this transaction is thereby exempt from
Chapter 18 of the St. Croix County Land Use Regulations pursuant to
Sec. 18.05(A)(3).
This affidavit to be recorded for the existing parcel being added
to: The North 145 feet of Lot 1 of CSM filed August 30, 1976 in Volume "3", page
675 being located in part of M,- of M,, Section 8-31-16, St. Croix County,
Wisconsin. AFFIDAVIT
State of Wisconsin )
) ss.
County of St. Croix
Your affiant, being duly sworn, states under oath that:
1. He/she is the owner/part owner of a parcel of land located in
the NE 1/4 of the SE 1/4, Section 8 , T 31 N-R 16 W, shown
on the document recorded in Volume 836, Page 173, Document
No.446269 , St. Croix Register of Deeds office, resulting in a
single parcel.
a part of
2. The above parcel has had added to it /the parcel shown on the
document recorded in Volume 583, Page 163, Document No. 352551,
St. Croix County Register of Deeds O fce, ~ c~ Ia Ia
ich is described as the North 145 feiet of Lot 1 o'MM ec~ ~ug~st
1n Volute "3", paga.675 being located in part of NEk of SFk, Section
l 6, Sc~fCCroix County, iscons in.
Te aditi.on is a transfer exempt from Chapter 18 of the St.
h
Croix County Land Regulations pursuant to Section 18.05(A)(3).
4. The purpose of this affidavit is to notify the public of the
addition and the resulting parcel.
k q-Z-
Mi ton e rman
it ey e rman
This instrument was drafted by: Subscribed and sworn to
before me the /day of
Hilton D. Gehrman 1994
Deer Park, WI 540074-~ L
Notary Public, State of
Wisconsin.
My commission expires:
446269
VOL
,;,~'RiGiSTERS oFTtcE 836 PAsE 1.73
w.
ST. cIZo,x co.,
far S?
i
h1~P211989 Authorization No. Res. Dated
Oct . 30, 1980
10:00 AM
at
q. 0 DEED N0.85895
(register of Deeds
THE GRANTOR, CHICAGO AND NORTH WESTERN TRANSPORTATION
COMPANY, a Delaware corporation, whose principal office is located at
165 N. Canal Street, Chicago, Illinois, for the consideration of ONE
THOUSAND FIVE HUNDRED NINE AND NO/100 DOLLARS ($1,509..00), conveys and
quitclaims to MILTON D. GEHRMAN and SHIRLEY M. GEHRMAN, marital prop-
erty, as joint tenant s u r v i v a I s h i p of Box 179, Route 1, Deer Park,
Wisconsin 54007, GRANTEE, all interest in the following described real
estate situated in the County of St. Croix, and the State of Wisconsin,
to wit:
I A strip of land 100 feet in width extending over and
across the North Half of the Southeast Quarter of Section 8,
Township 31 North, Range 16 West of the Fourth Principal
Meridian, said strip of land being 50 feet in width on each
side of the center line of the main track (now removed) of
the North Wisconsin Railway Company (later the Chicago, St.
Paul, Minneapolis and Omaha Railway Company, now the Chicago
and North Western Transportation Company), as said main track
center line was originally located and established over and
across said Section 8.
~~NSFER
Subject to roads and highways, if any.
r'EE
Excepting and Reserving, however, unto the Grantor, its
lessees, licensees, successors and assigns, the right to continue to
protect, ~..iintain; operate, and use any and all existing drainage,
driveways, conduits, sewers, water mains, gas lines, electric power
lines, communication lines, wires and other utilities, and easements of
any kind whatsoever on said premises, including the repair, reconstruc-
tion and replacement thereof.
By the acceptance of this conveyance, the Grantee, for itself
and/or its heirs, successors, transferees and assigns, hereby agrees to
take all steps necessary, at no expense to Grantor, to comply with any
and all governmental requirements relating to land platting and use.
This conveyance is made upon the express condition that the
Grantor will not pay any taxes or special assessments which may be due
or delinquent upon the real estate hereinabove described.
Pursuant to Section 4.4 of each of the Mortgages dated as of
June 29, 1983 and recorded in the Office of the Register of Deeds in
Page 1 of 3 Pages
1
K - VOL 836 F~ E 1.74
DEED NO. 85895
etas. Dated
Authorization No. Oct. 30, 1980
and for St. Croix County as (i) Document Number 50837, in Book 5263 of
Mortgages, ;.t Pages 773-850, and (ii) Document Number 50838, in Book
5263 of Mortgages, at Pages 851-928, the Grantor hereby certifies that
(a) this deed and conveyance is made pursuant to the provisions of Sec-
tion 4.4 of each of said Mortgages, (b) the provisions of said Section
4.4 have been complied with and (c) the property hereby conveyed may be
conveyed free from the liens of said Mortgages, and is hereby conveyed
free from the liens of said Mortgages, and has thereby been automatic-
ally released from the lien of the Consolidated Mortgage dated as of
January 15, 1984, as supplemented and amended, by Chicago and North
Western Transportation Company to American National Bank and Trust
Company of Chicago, as Trustee, pursuant to Article Nine, Section 14
thereof.
i
MATED this 30th day of January 19 89
Signed, Sealed and Delivered in CHICAGO AND NORTH WESTERN
Presence of: TRANSPORTATION,COMPANY
c l
By
RICH B`: B TAYLOR,
Assistant Vice'PTes'ident
A t t e s t
40 ,y
J. J. %TUU AO, Asst - Secretary
Page 2 of 3 Pages
STATE OF ILLINOIS) VOL 836
SS
COUNTY OF C 0 0 K)
I, RICHARD S. KENNERLEY, a Notary Public duly commissioned and
qualified in and for the County and State aforesaid, DO HEREBY CERTIFY
that RICHARD B. TAYLOR and J. J. STOURAC , to me personally known and
known to me to be, respectively, Assistant Vice President and Assistant
Secretary of CHICAGO AND NORTH WESTERN TRANSPORTATION COMPANY, a
Delaware corporation, and the identical persons whose names are sub-
scribed to the foregoing instrument, appeared before me this day in
person, and being first duly sworn by me, severally acknowledged to me
that they are, respectively, Assistant Vice President and Assistant
Secretary of said corporation; that as such officers .hey signed,
sealed and delivered said instrument in behalf of said corporation by
authority and order of its Board of Directors, as the free and volun-
tary act and deed of said corporation, and as their own free and volun-
tary act; that the seal affixed to said instrument is the seal of said
corporation; and that said corporation executed said instrument for the
uses and purposes therein set forth.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my
official seal as such Notary Public, at Chicago, Illinois, this 30th
day of -January 19-a9,
0MCLtLWAL
RICHAMs.KEWPIEY N o t a Publ i c, inn a n d f r t h e C n t
16oT4RT PMC STATE OF 111.11601! of C o k , I n the S t at e of I l l i n is
My COMMM gV. My•&.1"2 RICHARD S. KENNERLEY
My Commission Expires: November 8, 1992
This instrument was prepared by Chicago and North Western Transporta-
tion Company, 165 North Canal Street Chicago, Illinois 60606
L-99-5
Page 3 of 3 Pages
R':U/11.~5'CY DVED
DOCUMENT NO.
STATE uF WISCONSIN--FORM 3
,
1JA ~V 1. 8'J TF'IS BPA:E RES<<1VED FOR R:'_CORUiN3
THIS INDENTURE, Made by...William-Thoripson--atid._--. Received for record
Alice Thompsonl___husband and.wife..----
R&EC3iS1ERS OFFLCE
- St ..--CrO1X...........................--.. ..Count .Wisconsin, 5i. CROIX W., WIS.
grantor...... of - =
yMilton D. - ehran and----..-•--.- Rec'd. for Record tNs 2 to
hereby conveys and warrants to...-..... Shirley M. Gehrmant husband.and wi-~e...... as day of Oc : A.D. 19_'18
'oint tenants
Bralltee.S . of
-
$t . Cro1X County, Wiscorsin for the sum of °-~brs of 0«e.
One Dollar 01.00) and other good al:d valuable... RET RNO Bank o. .fear Lake
consideration. . _ Box -i8, Clear Lake, .~i. 54005
_
-
S
the following tract of land in--. t---..----.C--r-o•-------ix................ County'
Wisconsin :
Part of the Northeast quarter of the Southeast quarter (NEB-SE O ,
Section Eight (8), Township Thirty-one (31), Range Sixteen (16),
St. Croix County, Wisconsin, described as Lot One (1) of Certified
Survey Map dated August 8, 1978, in Volume 3 at Page 675 as Document
No. X51294.
Witness Whereof the said grantor.-.s. have hereunto set..- tr12-l,r hand. S. and seals... this
day of.-.-bctob-X--------- A. D., 19---7.8...
SIGNED AND SEALED IN PRESENCE OF William Thompson
Alice ThomPson
..(SF', L)
State of Wisconsin, l p October A D., 1878
P.Olk County. { Personilly c e before me, this ..19... day of
the above named -..Wllllam T OIItp9oF1? ice Thompson, husband and wife
h
to me known to be the person S.. who exccute4-the arhpn mstrumcnt and ackrtowle'lged the carne.
r 0
THIS INSTRUMENT WAS DRAFTED BY
Bert D. Petersen N01rARy Polk _ County,
Notary Public -
Attorney at Law qFAr
7 '
_L;.. Vii... _....J
Jt, commi:,inn (expires) (is).-._...
- dear-fake SIT--54f}OS
(Section 19.51 (1) of the Wiscons,n Statutes provides th t a!t Irs :ants to be !el shall hav plc zly P i "r ^.p .aces t1 < r
the names of the ~tantors, grantee!, w-tn-s and n,.ta Y Sett n 3 I, i.r a ly v :ey t6at Je a ,f F s.t. ,r g a: -
mentai agency which, drafted such instrument, ,hall .e.1, tt.~t t :pcd~ ,r wr..~e .h<ram' •.n s ^a •.1
WARRA_N2Y DEEn STATE OF s'ti1SCONSIY w r~>tn r.:K'+I ni,nx rna,o,n;
f ,)t<St 9 %I aaul a •41_.. ( Job 32731