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HomeMy WebLinkAbout030-2004-40-000 o 0 0 N ~ 0 -0 0 4 0 ti j g w s °o 0~ N c6 :r Lr) C m x O E N C E U 0 s o ca Y y E f0 O Y •i O) y C O O .O. N O co w N p ZO c c c 7 6 N O c LL O N T E L U C 'p 76.2 N ~p y N co E Q 7 ~n w ~ U ~ M a _ N E Z Op p ° a m Cl) M H U) c O C C9 ~ N O Z d c Gl z :t U) F- r O aci Z O m N M N CL 3 c O ~ c N L L O C C O U o a z Z N z 7 co m E N N O ` • 2 % C ~l 06 O d - 0 06 It V lf) O. a+ r+ U) N d O O -0 E m N o o a I E ) O O z c ~aaa IL 3 0 U) m 0) N J U rn rn N N y p N Op iC1 O E N N a N a N to N m N O O O w N CD U) Q O wp o 00 3 Y w c O _ O H c V a rn O d) O 10 M O Y N\ N O O~ N W O N E C14 c N N N W O y ~ U M .rte. Z Y~1 N M M N O d 0 Z' c N O CO co L r • O O M U) a N 0 Z C U) v V~ 0 R E a 5#t c `ate r`Iv E c c 3 0 o U-) 00 0 IL STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER~~ ~~/S ADDRESS / y„ S% dun _s~,~ .~y0/ SUBDIVISION / CSM#- AJ ~ LOT SECTION,~T30N_R/_W, Town of S/~ r7ds~~irl ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM NO • Pr L W~ ~1 EX/S7//VG s ysTet? ~ y's r/•r& pRl UL r~ Q~ , EX/s7 A G- J /p0~ G-L S• i, 4y SGA4C / y0' sZ `5 X 5~ T/t E/Vc/~FS 8r? 'Tap Ctrs rsAre 0 ~5v r-AP , C-4. /00.0 At r. 0/7 l®& . F3 INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole coves- . BENCHMARK: L;,oQ C1Ejy7- GAR E)C15-71A-6- S VS ALTERNATE BM: /p,Q So rozp,Yaoie oo= j3ai~ c de' ` oL~4R/tU/h SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: UA(M/DUl/1/ Liquid Capacity: 1006 Setback from: Well ~Q7- House So ` Other Pump: Manufacturer ffA Modelt size &A Float seperation off/} Gallons/cycle: Alarm Location AA SOIL ABSORPTION SYSTEM Width: j Length ji- ? Number of trenches Distance & Direction to nearest prop. line: eyFsr Setback from: well: -_52) f House Ro Other ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet /4 - PC bottom NA - Pump Off NA Header/Manifold 934„3 Bottom of system 9,,25 Existing Grade Final grade 9 5 DATE OF INSTALLATION: 0 - 9y PLUMBER ON JOB: LICENSE NUMBER: 3,205 INSPECTOR: 3/93:jt L ` Wa,joJapartmentofindustry, PRIVATE SEWAGE SYSTEM Count Labor and Human Relations Y: Safety and Buildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Permit Holder's Name: ❑ City ❑ Village ❑ Town o : State PI ROGER D & KAREN X CST BM Elev.: Insp. BM Elev.: B Description: ST. JOSEPH Parcel T AR.: 2004 40-000 TANK INFORMATION .ELEVATION6ATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ry, Benchmark /ol.S O D Dosing Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet Vent TANK TO P/ L WELL BLDG. A ir Ito ntake ROAD Dt Inlet Septic ~ ~2S ' >5ol >50' NA Dt Bottom Dosing NA Header/Man. S,a 7 43,,) 3 to %3.~ y Aeration NA Dist. Pipe g•~{a 77.or ,ya- 93,v8 Holding Bot. System 9.aG 9a,/y CIA, PUMP / SIPHON INFORMATION Final Grade 77.01 Manufacturer Demand Model Number GPM TDH Lift Fri oss ction System TDH Ft Forcemain Length Dia. H Dist. To Well SOIL ABSORPTION SYSTEM DIMENRENN H Width / Length - r No. Off T~hes PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER Mode Number: INFORMATION -Type Of b >SO r 1/j( UNIT Syste OR 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 Depth Over j xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges d Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 11 C /a Sri LOCATION: ST. JOSEPH 33.30 19. 365F,NW,SW,52ND STREET r L L }B -->93y Plan revision required? ❑ Yes ❑ No Use other side for additional information. A'], SBD-6710 (R 05/91) Date I spe7.r Signature Cert. No. ,I ADDITIONAL COMMENTS AND SKETCH 4 SANITARY PERMIT NUMBER: li I I, I i J SANITARY PERMIT APPLICATION COUNTY v~l`r■In In accord with ILHR 83.05, Wis. Adm. Code Q,( 0 ~i STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than a 1 YCt q:5 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 W Y4 L 5W S 33 T36, N, R E (o W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # Lj!(6 5:2 r. CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER A• II. TYPE OF BUILDING: (Check one) 1:1 State Owned ❑ VI LAGE NEAREST ROAD rwT6wN8F:*.5r,;Z.Sjg-- ra W.0 5r. ARCELTAX NUMBER(S) ❑ Public 1,9 1 or 2 Fam. Dwelling- # of bedrooms _a P III. BUILDING USE: (If building type is public, check all that apply) 6,30 - DO _ O 1 ❑ Apt/Condo 2 ❑ Assembly Hall 60 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) 11.0 New 2. N Replacement 3. ❑ 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 REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 5'03 570 .13 S Feet y Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. Tanks in Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App INFORMATION New ist Tanks structed Septic Tank or Holding Tank R F1 I [I F1 4F Ej -1 1 F] Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plu s Signature: (No mps) P/MPRSW No Business Phone Number: _jZsf ,5r, -rr ~ - Plumber's Address (Street, City, State, Zip Cod 5"8G IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary. Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) b Approved ❑ Owner Given Initial 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 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. 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 i 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) yK/,U~ vE/vT ~ //vspE~;~on~ PI~~ ,=T S~ AP~/+ov~b cavern K 6., I Lul- am s Ys ~ ~r E~ , 9~. s" P1-7 EL /001 C%op EX/ST/NG- V elv' CAI-J) ()Op /'f-30' Sw coRwe2 of o.P 50CA21,1fj t? r# N Ex isrl)vG ~~LL - s ysrc=/7 D Rl Uc= EX~sT/nr~- 9y~ /000 GC. Sir, XI ST )V a NOusiF 8Z U N, \ At r; . pl,,r 2'SXS'7 E S~E~AG-E ~ i TR~i~rcH E,s - a ~ DRacuIn(G- Fo%'= ~0 ' I3 -YV tJ RAcv~Y~ aOG-62 PA VGI s cZT 586 vA~~E y v~tcv r~. . I g-'/6 SaNO Sr. HU D S ©1v Wj'. 5YO14 ~S o riE~ s Er, Gv/, 5 yo2 s ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT e I FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the floCet Pi411LI-5 residence located at: _114,__,5W 1/4, Sec._ 33 T3-0-N, R L ~ W, Town of STirk g'Qj'~ Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced 2- 79' Did flow back occur from absorption system? Yes NoX(if no, skip next line) Approximate volume or length of time: gallons minutes Capacity: 1600 GL. Construction: Prefab Concrete- Steel Other Manufacurer (if known): Age Tank (if known): (Signature) ~Q,~ ca~lTT (Name) Please Print 12PRS U 7205 (Title) (License Number) /®_77/ U -9V (Date) Farm to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILHR-83, Wis. Adm. Code (except for inspection opening over outlet baffle Name flLJ!l~sJ~/fiTT Signatur M . MPR -205 5/88 PPPP" Wisconsin Department of Industry. SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor•and Human Relations Diviiyn 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 St. Croix 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. 030-2004-40 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Roger Paulis GOVT. LOT NW 1/4 SW 1/4,S33 T 30 N,R 19 -E (or) W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 1246 52nd. St. na na na CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD Hudson, WI. 54016 (115)549-6633 St. Joseph 52nd. St. ( ] New Construction Use:tx] Residential / Number of bedrooms 3 [ ] Addition to existing building bc* Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 7 bed, gpdMI -8 trench, gpd/ft2 Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate • 7 bed, gpd/ft2 .8 trench, gpolft2 Recommended infiltration surface elevation(s) 92.25 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 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 au 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 Tmrttt 1 0-11 10yr3/3 none sl 2mgr mvfr gw if .5 .6 2 11-1 10yr4/3 none sl 2mgr mvfr 9W if .5 .6 Ground 3 19-80 10yr4/4 none co s Osg " ~1t na .7 .8 elev. 94.50 ft. y Vt1A Depth to limiting factor +80" Remarks: Boring # 1 0-9 10yr3/3 none sl 2mgr mvfr 9W if .5 .6 v 2 2 9-17 10yr4/4 none sil 2mgr mvfr 9W if .5 .6 3 17-38 10yr4/4 none is Osg mvfr gW na .7 .8 Ground elev. 4 38-80 10yr4/4 none co s Osg ml na na .7 .8 94.50 ft Depth to limiting factor +80" Remarks: CST Name _Please Print Phone: Gary L. Steel 715-246-6200 1554 h. ave.! N Richmond, WI. 54017 Signature: Date: CST Number: 9-8-94 cstm 02298 PROPERTY OWNER Roger Paulis SOIL DESCRIPTION REPORT Page2c4, 3 _ PARCEL I.D. u 030-2004-40 Boring # Horizon I Depth I Dominant Color I Mottles I Texture I Structure I Consistence ~Bourti ry I Roots Bed DTft2 in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 1 0-9 10yr3/3 none sl 2mgr mvfr 9w if .5 3 2 9-24 10yr4/4 none sil 2mgr mfr 9w if .5 i.6 Ground 3 4-100 7.5yr4/6 none co s Osg ml na na .7 .8 elev. 96.50 ft. Depth to limiting factor +100" Remarks: Boring # >EER Ground elev. ft. Depth to limiting factor Remarks: Boring # &MUM Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. ~ Depth to limiting factor Remarks: SBD-8330(R.05/92) r STEEL'S SOIL SERVICE Gary L. Steel Roger Paulis 1554 200th Ave. CSTM2298 Nw4Sw4 S33-T30N-R19w New Richmond, WI 54017 MPRSSW 3254 town of St. Joseph (715) 246-6200 N 1"=40' BM=top of exsisting system vent cap at el. 100' ALT. BM.= top of sw corner of brick wall of solarium at el. 106.83 Vic e L~ 39~ y 3 ~ 13'y Sa:~wbi~. ~ 10~R8~ 13 g~ 10~~+ log Gary L. Steel 9-8-94 m~ rocooQ _ W t0 W ~1 L~' Co M -.a Z 2 Z Z 2 O', , O c O O V V tJl W'd W .A ,p Lit z ` Ln R of - r+i ~ m m m rn j Y ~ y . o, . ' ~ ?,'S~r ` `01' '.y7r .~4 1 pi.i`.k3.b ~ 4'•' ♦ Fa~ . +r @ „ f _ , u 08W ~1320.07`°~ a w~ 5.ti r s rah'r7 {~~J1rS'< l~ 63t \ „F'\" ~ ~ • 7 ,r~ ~~~T~t k rt ~ y "i✓T+~ r fs*c+,s r r .+,y4f•F 1 ''-M' :y. 1^ iP' f•~j'S _ 1 ' i 1 M..:. . 274 00 - N qd., ~ .r . ~ ~ - ~ [~~f''1aa ~ i i }~i'4Y 3 . 4 Jr x tr'y'; ~r4L`$= n ',}:iF C i LC. YsLiL y. Wig: err VJ n K ~l1 - eg s.ir ,y}nrr~rtrt''--' t des } > £~~P - ~a-{d6i -iVT~1xvv' n. i 4s .u ~ a. _8r- ,~~";~Y`r2 k;Y ~ Gee fi10014 45ya1~ tNc t4_ yAi 7 w;.~ 't nS 7y L ~•F y „~,7 ~1 } - 5(.~] s Z i 1~rve m~. x''(QJWJ tij_~ y D 'L 4` C~ ik~ x n oll ~y 'f~ - SSS J 325.00! X6828' .Y 1 mot, STC- 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County / • Aa JI,S OWNER/BUYER /J / i d e r- .(l 6 1'' /I e, r e rt 1~ MAILING ADDRESS PROPERTY ADDRESS Z Sz 5 / - `i 4 0 YV, (location of septic system) Please obtain from the Planning Dept. CITY/STATE S O n PROPERTY LOCATION,SIIVNW114, 1V514/1/4, Section 3 T 10 N-RW TOWN OF S/+/ J e s A ST. CROIX COUNTY, WI SUBDIVISION nC n r 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. i 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 expirati te. SIGNED: DATE: / D S St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 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. Owner of property 1- ~1 o _ .b s d- ~a re 11 y PA V~ iiS _ a i r Location of ro ert 6)I 4 Section 3~ T © N-R P P Y YV &114, 19 W Township J C s e'0 i Mailing address J L SL el cS74 AZ 's 4L Address of site Subdivision name ee )e e r,s Lot no. Other homes on property? Yes_ No Previous owner of property Re x 4 y e r- S Total size of property n Total size of parcel S?, a i Z~ y P Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes _X _No Volume a 41 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 th office of the County Register of Deeds as Document No. ` x 7 7 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 offi~~ce~~ of the County Register of Deeds as Document No. 4- (a .7 Sig ature of Applicant -Appli nt Date of Signature Date of Signature • DOCUMENT N0. STATE BAR OF WISCONSIN-FORM 1 1 f 3 J r, VOL 541 QA SE 11~ WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA THIS DEED, made between Darrel E. Wert and Beverly A. Wert, REGISTERS OFFICE I, husband and wife and ea h in their own right- .-Rex tit,prp $j. CPQlX CO., WIS. I~ and JudyM. Myers, husband and wife an each in their own _ right, Rec'd. for Record this 6th Grantor and Roger v joint tenants, day of _A.D. 19~ afi2,:00 P , M. I~ Grantee, i i t W i t n e s s e t h, That the said Grantor for a valuable considerationNlne Thousand - One Hundred Forty-Five and no 100 ($9,145.00) Dollars - Reyiaf~ ';F7*_ ads li conveys to Grantee the following described real estate in St. roi r County, RETURN TO State of Wisconsin: A parcel of land located in the NWT- of the SW4 A and the SWI of the NW-41 of Section 4 33, Township 30 North, Ran a 19 West, Town of St. Joseph, St. Croix County, Wisconsin, hning further described as follows: Tax Key # - - This is homestead property. Commencing at the Southwest corner of Section • 33, thence West ~ along the South line of S I~ ection 32 a distance of 57.611; thence North 628.9'7'• thence N 870 ' 1' th ° ~ ~ 55 00 E 120-15' ante N 44 48 00 E 444.261; thence N 10 41' 00" E 10 ' - 35.23' tothe point of beginning; ~ thence West 418.70'; thence N 00 22' 08&" W 651.401; thence N 00 46' 15" E 98.03'; thence i East 554.211; thence S 100 42' 00" W 705.661; thence S 10 41' 00" W 56.00' to the point of ~I beginning. i~ j The above described parcel contains 8.312 acres of land subject toile Easterly ~I reserved for the Town Road 33' being I Tii~.~VSFE I Together with all and sin guler the hereditaments and appurtenances thereunto belonging or in any wise appertaining And Darrel I warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except i+ ;i and will warrant and defend the same. I Executed at Hudson. Wisconsin, this 6th day of August 19 ! SIGNED AND SEALED IN PRESENCE OF (SEAL) Darrel E. Wert ,r, a I J (SEAL)I Bever Ay A. Wert II (SEAL) i W. ers i 'I li (SEAL) it ud M Myere ~ - II Signatures of I e i authenticated this day of ii R II Title: Member State Bar of Wisconsin or Other Party i' Authorized under Sec. 706.06 viz. i I STATE OF WISCONSIN ii St. Croix County. } as. ! Personally came before me, this 6 h day of August 1976 j , ! the above named Darrel E. Wert and Beverly A.. Wert and Rex W. Myers and Judy M. Myers i to me known to be the person_S - who execn,gpt4th'e`fdrtgojng instrument d cknowledged the same. S ' , 1 i This instrument was drafted by f Ardell W. James O'Connell Skow : ~ ~ • CZ Attorney at Law = w c7•: ~I Baldwin {111. p Notary Public County, Wis. ff , 54002 r N too _ ti• The use of witnesses is optional. %CQ R ~C rr/I,5; •<<,,..•,`1 ~My Commission (Expires) (I~,~_1fl7 I i Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED-STATE BAR OF-WISCONSIx onou tan . KCMUNrca.puM