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HomeMy WebLinkAbout020-1220-40-000 R STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER l~~fy ADDRESS o S' SUBDIVISION / C•'S"- LOT # 7 SECTION_L2 T / f N-R z c) W, Town of Z ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM /Vo ©pw >-,A 7 ~pf 1 G1 ~N INDICATE NORTH ARRO 11 Provide setback and elevation information on reverse of thi form. Provide 2 dimensions to center of septic tank manh a cover. BENCHMARK: 7`~ porf ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING.TANK INFORMATION Manufacturer: Liquid Capacity: Setback from: Well_~ House Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location :SOIL ABSORPTION SYSTEM Width: i -L Length CZ Number of trenches I Distance & Direction to nearest prop. line: 1y 7 Setback from: well: IV/ ,e House_ 7y Other p ELEVATIONS M' -1! -VI Building Sewer fo L . > S ST Inlet; ie ) .12 ST outlet b 2 . yz PC inlet PC bottom Pump Off Header/Manifold ?8', 7 Bottom of system F7.' Existing Grade ~o i Final grade /a Z DATE OF INSTALLATION: 2 1 PLUMBER ON JOB: LICENSE NUMBER: 3_- INSPECTOR: 3/93: jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and R01clings Division (ATTACH TO PERMIT) Sanitary Permit No.: 'GENERAL INFORMATION 'Permit Holder's Name: ❑ City ❑ Village Town of: State Plan NO.: DELTA CONSTRUCTION _ 9*7(11-40-onn CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax o. /a0 /D Cvy ~-te _ C'am'p TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic` SrJ Benchmark / 7,-3 /Q 0 . Dosing /k, D~- Aeration Bldg. Sewer ~:461 /W I& Holding St/ Ht Inlet S113 $ 7 TANK SETBACK INFORMATION St/ Ht outlet 51 oy 1,91_66 Verit TANKTO P/L WELL BLDG. Airito ntake ROAD Dt Inlet Ar Septic a~ I9 ` y /q' NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System q,~S 97-~ PUMP/ SIPHON INFORMATION Final Grade 5✓ /0/.8, Manufacturer Demand Si- Number GPM Model TDH Lift Friction System TDH Ft oss ead 7 Forcemain Length Dia. Fi Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width , Length / a No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / a (o DIMENSIONS LEACHING Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION Type O CHAMBER Moe Number: System: l j r",4r OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over ut Depth Over wl xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center ~J Bed /Trench Edges J Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) %3r'~a LOCATION: HUDSON 17.29.19.1216,SE,NE,JESON LANE EAST,LOT 717 Plan revision required? ❑ Yes ❑ No / q L a Use other side for additional information. 7 SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION t~~I~.InIR In accord with ILHR 83.05, Wis. Adm. Code COUNTY S-IL C.-co t x STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than A 'X 997 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. PROPE TY OWNER PROPERTY LOCATION S T , N, R E (orM PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 7 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR£SM-NWM86R eJ~ w o16 116 r ~c al" e. 'e r II. TYPE OF BUILDING: Check one CITY NEAREST ROAD ( ) State Owned VILLAGE H TOWN OF*: s O~ ` ,tst fy ❑ Public 01 or 2 Fam. Dwelling- # of bedrooms 3 PARCEL TAX NUMBER(S) Ill. BUILDING USE: (If building type is public, check all that apply) O~ 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 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. 0 New 2. ❑ Replacement 3.E1 Replacement of 4-E] Reconnection of 51:1 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 Z 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 REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION ySD a 720 , ~p Feet Feet VII. TANK CAPACITY Site in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New xistin Gallons Tanks Concrete structed glass App. Tanks Tanks Septic Tank or Holding Tank G <t 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 Stamp NP/MPRSW No.: Business Phone Number: 2), 7 111 ,01 ' ~4 20 dL~ rMirr's Address (Street, C' , State, p Code): ~ D r o 2 IX. C UNTY/DEPARTMENT USE ONLY ❑ Disapproved S itary Permit Fee (Includes Groundwater Date Issued Issuing ent Sign re (NO St Approved El Owner Given initial surcharge Fee) Adverse Determination 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 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 Saniitary 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. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one 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) DAVE FOGERTY PLUMBING Ucensed Pork Tester & Plumber #3233 #3289 ROBE MS~ONQIRood 4023 Phone 749- 56 3 r-..~,« ~ u c r~J L s6 --~X x A a ^ 0 s = ti ~1 M N 0 IV Sties ~j A~ tr V 4/0 /fffuw c , . I • PB`~ jo.,e Q d~ ~10 ~a~c0 ~ ~ Ca rH~. ~ a f l~iYl s ~ ~•T = /ion ~a/; ~ 3 ,i~ s.7 ~ 7 r ~~r ,y„'H . S'~r-cbc~"S ocrotih~ro0 ~i. a i ~l 1 W M 1r 'IN 2 1 ~ I I w w 14 e7 v i r~ ~ 0 N Im i ; ? Vym ~ Ll 4w~ zo est g° c ZIP 1 J O 1 GWIN & WERTHEIMER, S.C. HUGH H. GWIN The Gwin Building 7134064MIO ROBERT A. WERTHEIMER 430 SECOND STREET FAX 7164301114M S6 P.O. BOX 106 HUGH F. GWIN OsCO1JNBEL HUDSON, WISCONSIN 54016 October 25, 1994 Mr. Virgil Fedorinko Delta Construction Co. 206 Second St. Hudson, WI 54016 Re: Lot 117, Park View Estates Fifth Addition Dear Virgil: Pursuant to the terms of a Vacant Land Offer to Purchase dated March 30, 1994 for the above lot and other lots, I have been authorized by my clients, Darrel and Beverly Wert, to convey the following agreement. The Werts hereby consent and give you permission to build on Lot 117 even though title has not yet changed from their name. By copy of this letter to Tom Nelson, St. Croix County Zoning Administrator, I am informing him of this agreement. It is my understanding that based on the strength of this letter of permission by the Werts, Mr. Nelson will allow you to pull a septic permit on this lot and to proceed with the building of a home thereon. Title to the property will be transferred from the Werts to either you or your company or the eventual buyer at the final closing on the property. I have assumed responsibility of notifying Mr. Nelson of the names and particulars of the eventual buyers so that the information can be put on the septic permit and it can be correctly filed under the name of the eventual owner of the property. Very truly yours, GWIN 0Gwin R S.C.Hugh HHG/en cc: Darrel and Beverly Wert Tom Nelson, Zoning Administrator Attorney Barry Lundeen Jim Henry, Edina Realty Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page _L_ of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but 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 PRINT ALL INFORMATION REVIEWED BY DATE PRO RTY WNER: PROPERTY LOCATION !i~ GOVT. LOT Sf- 1/4/t),- 1/4,S T / N,R~ E (CEO PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # S BD. NAME OR CSM # ~p s /l7 s v { ~c w ~S e1 CITY STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE [9TOWN NEAREST ROAD New Construction Use [ /J Residential! Number of bedrooms -3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow V5-0 gpd Recommended design loading rate ed, gpol0l trench, gpolft2 Absorption area required 72o bed, ft2 5~ trench, ft2 Maximum design loading rate _ _Z__bed, gpd/ft2 . L _trench, gpd/ft2 Recommended infiltration surface elevation(s) E7,80 It (as referred to site plan benchmark) Additional design / site considerations Grp Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND 71N-GSROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable fors stem ❑S []U []S []U []U ❑S ❑U ❑S []U ❑S []U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bouinday Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench le W Ground rd/C ~r s " 5- elev. .1' /03,P ft. 3 Z~ 1s o f s 17 Depth to 6 - 7,.f .7 •l' limiting factor Remarks: Boring # ..........#:ti 3i Ps-y z 1^Z9 ~o- 3 P Ground /elo2'4ft. ~9 D z.s - s'c 2 e 4 6/e - 2 3 o -yb - C ~SPy s~ dk~ s _ o Depth to limiting y- 6 7- 3 s D factor Remarks: ~ Phone: CST Name:-Please Print v~ 7, Address: Signature: Date: CST Number: ~ ~ /y 3z33 PROPERTY OWNER SOIL DESCRIPTION REPORT Page z of. 3 PARCEL I.D. # 107e T Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourd3y Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ,yyM"r ..h 3 0 Ground elev. /02.6 ft. 2 7>- 3 3 /s o I 7 . a' Depth to limiting factor ' o s / - 8 Remarks: Boring # -Y J/ 4v Ground elev. 7 /L[ d k rh ~r a 12 I /02, Q6 ft. Depth to limiting _ factor Remarks: Boring # Ground elev. Z z _ - 3 s ft. s6k 1 v .,r Depth to limiting i factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) GWIN & WERTHEIMER, S.C. HUGH H. GWIN The Gwin Building 715.986-0510 ROBERT A. WERTHEIMER 430 SECOND STREET FAX: 715.386-8456 HUGH F. GWIN P.O. BOX 106 co caps& HUDSON, WISCONSIN 54016 October 25, 1994 Mr. Virgil,'9dorinko Delta Con§k-,Cuction Co. 206 Secop(d St. Hudson, VI 54016 Re: Lot 117, Park View Estates Fifth Addition Dear Virgil: Pursuant to the terms of a Vacant Land Offer to Purchase dated March 30, 1994 for the above lot and other lots, I have been authorized by my clients, Darrel and Beverly Wert, to convey the following agreement. The Werts hereby consent and give you permission to build on Lot 117 even though title has not yet changed from their name. By copy of this letter to Tom Nelson, St. Croix County Zoning Administrator, I am informing him of this agreement. It is my understanding that based on the strength of this letter of permission by the Werts, Mr. Nelson will allow you to pull a septic permit on this lot and to proceed with the building of a home thereon. Title to the property will be transferred from the Werts to either you or your company or the eventual buyer at the final closing on the property. I have assumed responsibility of notifying Mr. Nelson of the names and particulars of the eventual buyers so that the information can be put on the septic permit and it can be correctly filed under the name of the eventual owner of the property. Very truly yours, GW wHEI ER S.C. % Hun HHG/en cc: Darrel and Beverly Wert Two lftlson, Zoning Achttirr stretar Attorney Barry Lundeen Jim Henry, Edina Realty f w 1-94 y £ 1 42N Q 1 3~Q~M1F illy gTi OD A F5 It , ~ w {I V 4• g CD 0 ~ o d 1 1•. /'ita~D~v►. o+ = Is I AA I I`$i~ ii i k , •l1 T~•ts.M 1 0 I V ~w ~ wr$~i( i ai_ Iwoo•os 03 [ i~ 1 I .be >L I .ai >toe.00._ Ip_S ri - - - - - - - - - I'so'0010"w) '~I 1 I I IP _ 8u n ( I o CD j 1 00 1I emu. 1 L -I 1 m ( i r CD; NW IN t IA Z I 1b 1 I w . P w Iw s 1 I a - ------I ~ m M ° i 1 1-4 _ Y ~ ~ 11V a o _ 1 I I :0 r I"'1 L ~~O 04 1 Nu 1. r! • I S• v» I 1 F IK3 Iv ~ ( r ~ i► 1 r O • w~ 10 W I. f 00 11^ar 1 A o I~rn Ir, IC a 1 1-0 r N 1 ^ I~ IOj I 1 26 } ~p K 1 - s•' , I I ' 1E~~~ I~" f' I I •i s ~i • 1~ f 00 U'•• L - 110 • •nsi tit I '30"k, 1= Walk 1-0 1 NO.06 IN N ,i•. I -1 sk > j - r < • r•or o'.o•+ I I N 00.03'03'9 I I ~ 1p I 1 1 160.00' - - - -I I-- r~~~r wi^'• - - 1 • oo ~ P -u WV3 pal w ■ • oe W 1- a 00 JVW f Q0 $ I I o 1Jpyv. m oo ;Pw f a I n~ ~t~sdetp-" It p~ 1 ~ I ~ 858888888 1 ~ 0 N u u~ I-1 i- 1 ^ 11 /mar 1 / / yr • PP- = 10 IV'1 I - NN~yN g ® 6 00 03.03 M ee4•92• - L/ 7bi I •:.Z•' I ' ti Aa Q, ~ _ v 4 'C l i I ~ I S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWN ER/BUY ER..... L/Q.g ADDRESS FIRE NUMBER CITY/STATE ZIP PROPERTY LOCATION:-5t-1/4, Iv~ 1/4, SECTION 11 , T 19 N-R '20 W TOWN OF ~r-~.- , St. Croix County, SUBDIVISION snD~ l 1 LOT NUMBER/1-7 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 a 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. Cro x Co. TZjingofficer within 30 days of the three year expiratio ate. SIGNED: DATE: St. Croix co. Zoning Office• 911 4th St. Hudson, WI 54016 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), thenia 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 Sc 1/4 1/4, Section T_L_L_N-R W Township O` Mailing address ag Address of site Subdivision name ~~-Ire.-^' ~7 Lot no./ Other homes on property? yes No Previous owner of property Total size of parcel Date parcel-was created 7L Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes ~No Volume 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 & 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 County Register of deeds as Document No. Signatur of applicant Co-applicant b _ Z S I Date of Signature Date of Signature p s6o PA'E t3,J I DOCUMENT NO. WARRANTY DEED TNIg sIAC( RESLRV[D FOR RECORDING DATA (I STATE BAR OF WISCONSIN FORM 2-1962 REGISTER'S OF ~ FICE Edna G. Smith, a/k/a Edna Smith, a single I ST. CROIXCa. W1 i woman Reed for Record Ji JAN04 40 G M . f 10: N► conveys and warrants to ...Darrel Wert. a/k/a Darrel..,.- i . Wert,... and. Beverly.. Wert,... a/k/.a..Bexerly---A........ .Wer.t,....hus.band...and..w.ife..as..tenaats...in + erofeeeds _ common..and..not..as...jo 'nt.. -tenants_.... . RETURN TO - G I Gwin & Gwin ~L -P.O. Box 106 _ . . ~ Hudson WI 54016' the following described real estate in St CroiX .............................Count I Mate of Wisconsin: Tax Parcel No I t (See legal description on reverse side) iiv NSFUS 3 r- /O x rM P7 i This iS...n0.t..... homestead property. (ii (is not) Exception to warranties: Dated this day of January........... 19 90 . . ~G~ "`mot - ~'1, rvL G fL _ . - . . . . . . (SEAL) (SEAL) Edna G. Smith I. ....................(SEAL) (SEAL1 r • _ • t' i AUTHENTICATION ACHNOWLEDt~1~j1NT Signature(s) STATE OF WISCONSIN - ' - ss St. Croix .County. authenticated this day of .......................1-119 Personally came before me this ................day of N/p January 19. 90_. the above named Edna G. Smith, a/k/a Edna Smith, • a single woman TITLE: MEMBER STATE BAR OF WISCONSIN (If not............................................................. authorized b - - q § 706.06. Wia. Stats.) to me known to be the person who executed the foregoin instrument and acknowledge the ,ame. THIS INSTRUMENT WAS DRAFTED BY ) Atty....qh._H..-Gwin-,---Gwin..&...Gwin--- 9._Q..se.~o:nd St.,• Hudson, WI 54016 Notary Public ...S ' t Croix County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. I'f not, sante er piration are not necessary:) 1 19 )F 49/ f date: _ . ) -Names of persons signing in am capacity should be typed or pcintrl Mduw th, it nignst.rr,. _ WARRANTY DEED STATE BAR OF WISCONSIN VI--~-in I•Vml it's I FORM N. 2 - I'jp2 4 ~ v~ V S60PAGE339 r A parcel of land located in the Northwest Quarter of the Southeast Quarter (NW1/4 of SE1/4), the Southwest Quarter of the Southeast Quarter (SWl/4 of SE1/4), the Southeast Quarter of the Southwest Quarter (SE1/4 of SW1/4), the Southwest Quarter of the Southwest Quarter (SW1/4 of SW1/4), the Northwest Quarter of the Southwest Quarter (NW1/4 of SW1/4), and the Northeast Quarter of the Southwest Quarter (NE1/4 of SW1/4) of Section Seventeen (17), Township Twenty-nine (29) North, Range Nineteen (19) West, in the Town of Hudson, described as follows: Commencing at the East Quarter (E1/4) corner of said Section 17, thence Westerly along the East-West Quarter Section Line S 89° 18' 41" W, 1,332.98 feet (previously recorded as N 89° 53' 20" W, true beaging, 1,332.90 feet), to the point of beginning; thence0S 00 03' 03" W, 1,747.21 feet (previously recorded as S 0 05' 20" W ,734.97 feet) more or less to a point which is also N 00 03' 03" E, 880.11 (recordeq as 880) feet from the South Lire of Section 17; thence S 89 09' 27" W (recorded as S 88 59' 10" W) and parallel to said South Line of Section 17, 2,983.50 feet more or less to a point which is also on the East line of the Plat of Trout Brook Woods; thence Northerlg along said East line of the Plat of Trout Brook Woods, N 0 41' W, 827.32 feet; thence N 0 36' 40" W, 924.65 more or less to the East-West Quarter Section Line of Section 17; thence Easterly along said East-West Quarter Section Line, 3,006 feet more or less to the point of beginning. This Warranty Deed is given to correct the legal description in two prior deeds between the same parties, the first dated February 20, 1978 and recorded February 23, 1978 in Vol. 569, at Page 612, as Document No. 346777, and the second dated August 30, 1984 and recorded September 5, 1984 in Vol.695, at Page 565, as Document No. 396063, all in the Office of the Register of Deeds for St. Croix County, Wisconsin. This transfer is exempt from a transfer fee pursuant Section 77.25(3) of the Wisconsin Statutes. GWIN & WERTHEIMER, S.C. HUGH H. GWIN The Groin Building 7150510 ROBERT A. WERTHEIMER 430 SECOND STREET FAX: 7154108'6166 HUGH F. GWIN P.O. BOX 106 OF COUNSEL HUDSON. WISCONSIN 54016 February 22, 1995 Tom Nelson St. Croix County Zoning Administrator 1101 Carmichael Rd. Hudson, WI 54016 Re: Lots 117 and 125, Park View Estates Fifth Addition Dear Tom: Pursuant to my letters of May 6, 1994 and May 10, 1994 wherein I indicated I would inform the Zoning office of the buyers of said lots so their names can be put on the septic permits, please be advised that the buyer of Lot 125, Park View Estates Fifth Addition is James Pidgeon and the buyers of Lot 117, Park View Estates Fifth Addition are Bruce and Pam Drost. Very truly yours, GWIN & ER HEIMER, S.C. Hugh Gwin HHG/en ty i 4