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HomeMy WebLinkAbout032-2006-20-000 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER-- ( ADDRESS --~-~6~- l x'641 SUBDIVISION / CSM# LOT # SECTION_~_T_.2LN-R_ W, Town of__ jW ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM h7~ ~leGSL INDICATE NORTH ARROW Provide setback Ind elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: hLrs Liquid Capacity: Setback from: Well House Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length a Number of trenches 1 Distance & Direction to nearest prop. line: i Setback from: well:_ House Other ELEVATIONS Qj~ ST outlet , - Building Sewer ST Inlet. 9 PC inlet PC bottom Pump Off Header/Manifold ~22 Bottom of system Existing Grade Final grade! DATE OF INSTALLATION: 7 PLUMBER ON JOB: LICENSE NUMBER: ~g INSPECTOR: 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Hurpan Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: PePANAS JKNam~g EVE E] City E] Village [ Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION LEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet q 9 o TANK SETBACK INFORMATION St/ Ht Outlet Vent TANK TO P/ L WELL BLDG. AirIto ntake ROAD Dt Inlet Air Septic /Do ' yss NA Dt Bottom Dosing NA Header / Man. j,3) Aeration NA Dist. Pipe ,J9 al~, 1 Holding Bot. System g)( . PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand j , GrF~ (0 6~ , Model Number GPM TDH Lift Friction Syestem TDH Ft oss Forcemain Length Dia. FFii Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length (5j ;.J No. Of Tre es PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ( DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O CHAMBER Model Number: System: 30U `1b 7 /0S 421A 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 Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges "I Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Somerset.1.30.19W, SW, SE, Lo 1, 170th Avenue al I r V7 1) i- Plan revision required? ❑ Yes ❑ No ~/1 f PPc)-E Use o ther side for additional information. - -7 / SBD-6710 (R 05/91) Date nspector's Signature Cert No. TOIL SANITARY PERMIT APPLICATION HA In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITARY P R IT # -Attach complete plans (to the county copy only) for the system, on paper not less than a a* ~ t -z-- 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. PROPER OWNER PROPERTY LOCATION '/4, S T , N, R (or PROPERTY OWNER'S MAILING DDRESS LOT # BLOCK # 219 Z 'A J~l CI STAT ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER II. TYPE OF BUILDING: (Check one) 1:1 State Owned ❑ VILLLLAGE NEAREST ROAD ❑ Public ®1 or 2 Fam. Dwelling-# of bedrooms ~ PARCEL TAX N 111. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 50 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..13.J 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 [0 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. 'nch) ELEVATION Feet 8 Feet VII. TANK CAPACITY Site in gallons Total #of Pre INFORMATION fab. Fiber- Exper. New Existing Gallons Tanks Manufacturer's Name oncret Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank Lift Pump Tank/Si hon Chamber El I F1 F1 E1 I El Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for install 'on of the onsite sewage system shown on the attached plans. Plumber' Nam (Pri )i Plumber's Si r"6 ) MP/MPRSW No.: Business Phone Number: Plu is Address Street, ty, State Zip Cod r Qlr IX. COON /DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater a e ssue Issuing Agent Signature (No Stamps) Approved El Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety S Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. -Yours2nitary permit may be renewed before the expiration date, and at the time of rene,&•II any new criteria in the WisccriSln Administrative Code will be applicable. 3. All revisions to th re P:;ermit must be approved by the permit issuing authority. 4. Changes in aiwrf:rship or plumber requires a San tary Permi} Transfer/Reneu.al Fcar'ro SBi) 63H.) to be submitte(,' to ttie county prior to installation. 5. Onsite sew;_tge systems must be propei iy maintained. The tank(s) rni; i be ~ u:~il;fe}+)y Ncensed- pumper wherever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code :Idrr nistrator 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 n,.imber(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 i;weking. 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 replacerriF; ^t, iconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested ir) #1.-7. VII. Tail,- ,,ffDr,3iation. Fill in the capacity of every new and/or exist;-,% tank:, :ist the total g lj.aifs rifjrrluer of tanks an:' i ianufacturer's name. In0ic:ate prefab or site construe e and tank irlaterial )nj,r :tE> for all septic. puf-,°p!siphon and holding tanks for this system. Check exo~ ? ;rne-ital ruprova~' ' _u7ks received experin,lon al product approval from DIL HR. Vlll Resporisihiiity statement.'instailinc dumber is to fill in name., iici-ise ni-mber with 3~) ,rr ari;, L~ prefix (e.g. MP, etc.1, ad d-ess and phone number. Plumber must sign application form. IX. County;De,Par,rnent Use Only. X. County/leer artment Use Only. Cosnp°cf' , r..F .nd specificationc- riot smaller than 51X2 11 inches m- ,J e -ubmitt9: V-v . unty. The ,,,di,-, the following: pint plan. drawn to scale or wit` ,vc 6FII,a - ,s rtti~d.1 of nol h! s?: septic tank(s) or o0ler frea r iment tanks; hCiilding s + £ 'N slei r + .;:i •'t_tgr 'S , Vice; stre,i,r„ iakosti pump or siph+- tar!k; distribution boxes, S-ii I 1"t; :vStern 51 I p. , v _ tiny,=`I systern ar ai ,he location of the bu ng :.erred; 3) horizontal an-,-! : 0 e, ,r= C) complete specifications for pumps nd controls; close volume, f i~ ;.,:tterences t• 1,.,.i: i loss; pump performance curve; pump model and rump manufacturer; D) cross sectirm of the soil ab ,orp'ion 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 s) for c r c n .r ;f regulated pracr :-es wh ch %;a; -fect g n-undwalo The monies collected through . se s :r(7ha je, water f'.Jntamination investlgaiirns ant') "tath:,sill,.t,i t . SBD-6398 (R.11/88) A A _ 3G' ~E lI >yccusi_ PAC. c 0/ • ~ ~ ~ t'v S S' J ~c C 1 ~ 1~ p 1r • ~ r 1 1 • • 1116111, All WeN AA4 0►6stvsp44 PIPS A1Nhif V441 cot 1. • MWww• 12f4ADevo r', ' • ' Its 30•4soAEwoPIP 4'coNyo4 10 1" 'oosso ~ vosl PIP@ r Moto 14 11s40,4114 co..oao 01op14,~1~- ties Too faMO14 III• . • ►•~Iwol•• IIF# YNSv s...... • ~.'C..Nis1 irnlsNlrAt Al ° follow 01 flNooo Pro' o c t) Pin.. rhc14- . ©84MIBUT101.1 PIPE • APPRO`IC0 S`IwT1(f.•TIC COVE 2" OF &GGRE4AlE "--tlhTCRI^I. OF, 1" OF STKA1. OK MARDI. NAB Ae6'eYs-L~/a' AG 6RCGAT[ ELEV. of FE6T--, ELEV. ~ IDIST1tIgUT10U PIPt.TU DE A7 4CA11T _ INCHCS DCLOW ORiWWAI• •cr►o~ A►,1V AT LEN%Tzo IIJC.HLL OUT 1.10 MORC THI,W 42 IuCHCi DELOW FINAL. C,tAOE lW'MUM DEPTH OF EXCAVATIOP FXort OR16WAL 64)~D WILL- 9E <--Z/._ IucHCs 1'UNl11V1~ OrMi OF EACAVATION rAOM, G~t4II1/{L GRAPE Wlt.t. 5c INCHCS LICCUS C UUMBE1j: OAT c Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page / of Labor 4R<,1-luman Relations Nvision 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 4Z 71 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. ®dG APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION GOVT. LOT 1/4Sj 1/4,S T N,R E (or)f ,dg S,e PROPERTY OWNERS (ILI G ADDRESS LOT # BLOC # SUBD. NAME OR CSM # 6,5 1 WN CCITY, STAT ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE NEAREST RED 1 - [ ] New Construction Use W Residential /Number of bedrooms [ ] Addition to existing building ] Replacement [ ] Public or commercial describe Code derived daily flow. gpd Recommended design loading rate 1 bed, gpd/ft2 , s- trench, gpd1ft2 Absorption area required JAS bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/0, S' trench, gpd/ft2 Recommended infiltration surface elevation(s) k9'3 ft (as referred to site plan benchmark) Additional design / site considerations Parent material 66L 466 Flood plain elevation, if applicable ft 7=bun itable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK suitable fors stem ri S ❑ U S ❑ U ®S ❑ U BPS ❑ U ❑ S U ❑ S [Ali SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounckvy Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tmrch S '0-9 Zd 2h Z Alve 44 Ground - , elev ~;Lg ft. a, Depth to limiting factor Remarks: Boring # "9 'y '116,1 _Ts- l,~ r z 4-4 Ground e~le,v/.n ft. g Depth to limiting factor 9, Remarks: CST Name:-Please Print Phone: q Address: Signature: Date: CST Nu b r: 22 PROPERTY OWNER ~SLL SOIL DESCRIPTION REPORT Page of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # 42^ Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) 14 8~s'8 1.7e ~.~v~ sc~ ~sc~ ~s! see T3~.a1, ~t°~9u1 s;, v 75' 30 sa~'Lo K 8s}~Sl. ~uS~ ~ cell 1' Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page _ of Labor and Human Relations 'Divisionfof Safetq,& Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY ~ Attach complete site plan on paper not less than 81/2 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 PROPERT,Yt OWNER: PROPERTY LOCATION ~jre o G L GOVT. LOT 1/4 14,S T p N,R E (o PROPERTY OWNER': MAIL NG ADDR SSA LOT # BLOCK # SUED. NAME OR CSM # C TY, STAT,~L ZIP COD PHONE NUMBER ❑CITY ❑VILLAGE TOWN L NEAREST ROAD ire [ ] New Construction Use [ Residential / Number of bedrooms _ [ ] Addition to existing building Replacement Public or commercial describe c Code derived daily flow aSD gpd Recommended design loading rate _ combed, gpd/ft2 ~ Jr trench, gpd/11:2 Absorption area required ff bed, 112 g212 trench, ft2 Maximum design loading rate _±bed, gpd/ft2_ bench, gpd/ft2 Recommended infiltration surface elevation(s) It (as referred to site plan benchmark) Additional design / site considerations Parent material ~f~7~w--•-.~ Flood plain elevation, if applicable It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem cas [I U aS ❑ U J:'S ❑ U cgs 1:1 U El S OU C] S ®1J 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 Trertdi 2, 0 V, L -4 ' S Ground a a ct/G m r J^r ' 44 el y_ ,Ztt. Depth to limiting factor 3 Remarks: Boring # 511 Ground elev. ~J Depth to cY limiting factor Remarks: CST Name: Please Print Y e) Phone: Address: ' Signature: Date: Z CST Numbe J M PROPERTYOWNER_~/~GV~- SOIL DESCRIPTION REPORT Page of PARCEL I.D. # r Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence B'ounx Roots GPD/ft in. Munsell Qu. Sz. Cont Cola Gr. Sz. Sh. Bed Trench o .x O G w % hu At Ground y7 0 7~L a"'` y~ /Y~ - `F -S elev. ft. Depth to limiting factor .2-G Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) 7- a~ 'WPL 144 w d a I w 1 T.his.instrument drafted by Fran Bleskacek Proj. No. 93-28 UtiP`aTT`~ `a.v~s n 44- \ Bearings are referenced to the south line . 0 0 West line of the of the SE} of Section assumed to bear SE} of Section 1 S8804013211W. N00028'04"W 85th 387' 75 STREET y _ N tr Ct 368.301 \i r °D < 1 1 N00028104f'W c S z C,• c < 0 ~C C~ oy o n ►,b OS = c rr M v 33 33 4- 0) 0 c I- 0 yr Z (D CO o \ - (A 42' 00 CO (D H. 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Ile 'V/TSS aq4 ;o V/TSS aq4 ;o ;aed uT pue V/TSS aq; ;o V/TMS aq; ;o ;aed uT pe4eool puel ;o hoard V :sMollo; se pagTaosap sT paddew pue paAanans lamed puel aq4 ;o Aaepunoq aOTaa;xa aqq grg4 :dew damns paT;T;aQD sTq; Aq pa;uaseadea ST gaTgM laoard purl aq; pagtaosap pue paddew 'paAanans aneq I 'xnseura aaAor pue UOA94S ;o uoT;aaaTp aq4 Aq 4eg4 A;T-4aao dgeaaq 'aoAanans purl uTsuoasTM paaaIstbaa 'uebegdN •D uQIly 'I S,LKOIJILLUX0 S,HOILZAHnS STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ~S+e~~~t, ~F ~nct[,~ekc2.sc~ I~ MAILING ADDRESS ) 70 PROPERTY ADDRESS N 2u) i s Yhoh ;3 c i f (location of septic system) Please obtain from the Planning Dept. CITY/STATE : Zla PROPERTY LOCATION _S 2A) 1/4, 1/4, Section TN-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: C c-z DATE: 7` y St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - loo 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 Gfeo;e,, P0LhCcSc-Je JFVJ~- Location of property`s/ 1/4 .<'Z 1/4, Section l , TAN-R_,~q-W Township ~E1_c~ f Mail ' ng address Address of site I ID 41 Subdivision name Lot no. Other homes on property? Yes No Previous owner of property S~ o~} Tame f')C 'oky- Total size of property ( n , (o Total size of parcel Date parcel was created 7/7193 Are all corners and lot lines identifiable? _ Yes No Is this property being developed for (spec house) ? Yes X_No Volume 716 and Page Number 3 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. 7 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. Signature of Applicant Co-A licant 7 1'2- Z l qL~ 71ti-) a/gy Date of Signature Date of Signature lV~i! 7VJPnvr23J~ DOCUMENT No. STATE BAR OF WISCONSIN FORM 1- 1982 i! THIS SPACE RESERVED FOR RECORDING DATA ii 43162 WARRANTY DEED ~I II- - - REGISTER'S OFFICE 1 ST. CROIX CO., WI I This Deed, made between Scott__G_.__DuFour__anc~_____________________ Reed for Record I Diane_DuFour, husband__and__wfe_-a_- jQin_t -_tenan-ts- ;i - Oct. 30, 1987 - Gra Grantor, Panasuk--and-. - j~ Gt 10:15 AM and---Steve Panasuk--siA&_Steven_. C, - ~ -------J°yce--R.__Panasuk,--aa--su~r~vo~shzg-=marztal--gropert~r----- i! - - - - Register of Deeds Grantee, ii i VJ triess th, That the said Grantor, for a valuable consideration- One I Dollar 1.00 and other ood and valuable considera ion. conveys to Grantee the following described real estate in j' REru To !I County, State of Wisconsin: Tax Parcel No: Part of SE-4 of Section 1, Township 30 North, Range 19 West described as follows: Commencing at the Southeast corner of said Section 1; thence S. 88°40'32" West along the South line of said Section 1, 1313.64 feet to the point of beginning; thence S. 88°40'32" West along said Section line, 1322.5 feet to the South Quarter corner of Section 1; thence N. 00°28'04" West along the West line of the SF'~, 387.75 feet to the South right-of-way line of the Soo Line Railroad; thence N. 66°28'24" East along said right-of-way line 1437.18 feet; thence S. 00°28'04" West 930.89 feet to the point of beginning. This Warrant Deed is Y given in full satisfaction of that land contract between the parties hereto dated September 23, 1983, and recorded in the office of the St. Croix County Register of Deeds on September 26, 1983 at 8:30 a.m. in Volume 673, at Pages 571 - 572 as Document #388032. I This _.._._.-__is__not----- homestead property. FE~! ( (is not) Together with all and singular the hereditaments and appurtenances thereunto belon Grantors _ _ g~mg~ warrants StrlCt at the title is god, indefeasible in fee simple and free and clear of encumbrances except easements, re liens or encumbrances reservations, created covenants, by acts or if deany of faults record, of the Granteesrights-of-way and and will warrant and defend the same. I Dated this October day of 19. 87..-. (SEAL) -l!~!G1 - (SEAL) I _S t G. DuF ' ~I lip j; -------------•--•----------------------•-----------(SEAL) ~ j; i DanDuFo- I; - AUTHENTICATION ACKNOWLEDGMENT I' ~ i Im ~ ~ h t1 `f'S['1+G1 ji Signature(s) STATE OF ii _ ss. ?0 M5 `eC/ -County. li authenticated this day of. 19 Personally came before me this _ ---------------day of October 19.87-_" the above named SQQtt._G- ._DuFQur."and.-Diane._DuEnur. - ife usba-n aid . _as ~oaxtt telaants__. TITLE: MEMBER STATE BAR OF WISCONSIN (If not- authorized by § 706.06, Wis. Stats.) to me known to be the person5___________ who executed the foregoing instrument and acknowledge the same. it THIS INSTRUMENT WAS DRAFTED BY - Edward -F, _ Vlack, DAVISON_&_ VLACK______ r it i i! 200 E. e---- - -•------Elm.,__-R..iY.__r ~al]s.,-_[^11_.5402.2-.......... Notary Public -------County, IWA# (Signatures may be authenticated or acknowledged. Both My Commissi T t e x iration are not necessary.) D~ I~ ! - _ - - date a' iJ E LLBERT, 19 ) - t14T-ARI 7UffLIC 7v1 - I fNF7E5ESTT _ _ - *Names of persons signing in any capacity should be typed or printed below their signatures. RAMSEY COUNTY My Commission Expires MAR. 12, 1991 WARRANTY DEED STATE, BAR OF WISCONSIN yyyyyyyMyy~ ne. FORM No. I - 1982 nn:~.•, •,No 1 1982