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HomeMy WebLinkAbout040-1036-70-000 JPWi5co!rxi^ Department of Industry, PRIVATE SEWAGE SYSTEM County: Laboi a'Aiuman Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary PermitNo.: GENERAL INFORMATION P DOUGLASNa BRUCE/JUDY ❑ City El Village C7 Town of: State Plan D o.: CST BM Elev.: Insp. BM Elev.: cription: X Parcel Tax No.: BM Des TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. C, / "D 1'') Benchmark Septic k'S Dosing Aeration Bldg. Sewer L/ Sg loq,9? Holding St/ Ht Inlet G-41 /aa, 9 y TANK SETBACK INFORMATION St/ Ht Outlet v,2 7G TANK TO P / L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header / Man. a • S ~z o~ IW.q~ 9s.1 Aeration NA Dist. Pipe aa14 qq, q 1 3,~ at 5, Holding Bot. System r. q,.; PUMP/ SIPHON INFORMATION Final Grade S 9g Kc x•'76 7, Manufacturer Demand Model Number GPM Friction System TDH Ft TDH Lift I Loss Forcemai n Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches 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: OR UNIT DISTRIBUTION SYSTEM Header/Manifold I Distribution Pipe(s) I x Hole Size I x Hole Spacing I 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 Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Troy.8,.28.19W, SE, NW, Lot 6, Red Brick Circl~i ,r ,'.,r Imo- ~ ~ C Plan revision required? ❑ Yes ❑ No - a Use other side for additional information. u BD-6710(R 05/91) Date spector s Signature Cert. No. t~'ILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COU TY STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ o_ 18 t9 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. P ERTY OWNER PROPERTY LOCATION 114 %4 W14, S T , N, R E (orklV l OT # BLOCK # PROPERTY OWNE MAI ArES L V31 Ale N L CS E ZIP CODE PHONE NUMBER SUBDIVISION NAME OR .Z r II. TYPE OF BUILDING: (Check one) CI - NEAREST ROAD ❑ State Owned R TOWN OF: aa 14 J.&Z VILLAGE: ❑ Public Q 1 or 2 Fam. Dwelling-# of bedrooms ~ PARCEL III. BUILDING USE: (If building type is public, check all that apply) O Oil 1 ❑ Apt/Condo 2 ❑ Assembly Hall 60 Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground _ ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 120 Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Fa ry 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applica A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. Redo on 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 ❑ SpecifyType 41 ❑ Holding Tank 12 Z 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) D 9yErJION B 7TV -7 r`D 2 Feet D Feet VII. TANK CAPACITY Site in gallons Total of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App. Tanks Tanks structed Septic Tank or Holdin Tank ike ~ Lift Pump Tank/Si hon Chamber El El F1 L1 I F1 VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Number: Plu is Name (Print): Plumber's Signature: (No Stamp PRSW No.: Business Phone y ,,v ' t` . , rjjl~f 1(7 PlAddress (Street, City tats, ZIpIC e): 30 IX. C LINTY/DEPA ENT USE ON ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Approved El Owner Given Initial _d( Surcharge Fee) e,/2 G Adverse Determination I X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: "9D-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS t 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/Renewaf:Form (SBD 6399) to be submitted to ,the coupty prior to installation. 5. dnsite sewage systems must be properlymaintain8d. 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, Safe~il 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. j 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 performanc6 cur4; pump model and pump manufacturer; D) cross section of the soil absorption system if required by;t~►e cot#nty; E) soil test data on a 115 form; and F) airsizing 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 o1' standards: ' SBD-6398 (R.11/88) 7K - 3GS6 ~w ~/mar r , k- 671 re, ~c 71 22 Spa fy: YO I 4,, jo /y I ty(.r/ p ~ d , Ass N rre 9 7~" S•T. F p4/^ ~ c3~ = wet( T 91.0 - -k ' he 9y~ o - s' X 7 s' 4 cc pH~t Yr~ -f+ r . l (VI x l 01 .1F l jr N 9® 7 ee 1 I y Dave Fogerty Plumbing SEWER SYSTEMS & PERK TESTING _ FOGERTY HEIGHTS ROAD ROBERTS, WISC SIN 54023 a (715) 749-3656 V i v yY .r 4~~'ti 4 jY z" Ar, 1 f Ak-r, x AA i. AT 5" 71 7yAar lot ctiy y0~ 1 I I II _I • 5 VlWbonsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page O 3 Labor and Human Relations s Division of Safety & EMIcli gs in accord with ILHR 83.05, Wis. Adm. Code COUNTY S T 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 pant (BM), direction and % of slope, scale or PARCEL I.D. # cmensioned, north arrow, and location and cstance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION 8'evcE ' Tv©y D,006-14--5 GOVT. LOT SE 114 Nw 1/4,S ? T L? N,R 19 E (o Wi~ PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER []CfTY []VILLAGE [I NEAREST ROAD pSo,.~ ~i• S'/o~G (~~Sl 3~~- 76 z/ ( New Construction Use ( y--Residential / Number of bedrooms (1 Addition to existirg building [ 1 Replacement ( 1 Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 trench. Absorption area required bed, f12 7S6 trench, 11:2 Maximum design loadng rate bed, gpd/it2=trench, W* RecommerKW infiltration surface elevation(s) s-ee PI; 3 R (as referred b site plan benchmark) Additional design / site considerations wsE OaJ S/op E w/ p,Po o /d a x PiS7.PlBu 7-1o,J Parent material 5C5' 711 60e ehfR D r 5"/ -----Flood plaiin elevation, tl Wkable N4- ft 51,46,71. SYST IN Ril HOLOIVG TAN( S : Suitable for system ONAL MOUND IN--G. RHO W PRESSURE AT-GRADE J 97 ❑ U CC'S- ❑ U n ❑ t1 ❑ S U a Unsuitable Or system S ❑ U ❑ S ❑ U 019M SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD Boring Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Roots Bed mnch / ©-IZ to yl2 a~Z JOAM IJ sbk 41- -F [3 11- 5 io yR Y13 S•'( 1,f,s10k -F cs 3 f . 4 •5 Ground C Ls "9Q o y P- y /4 S .00 elev. ft Depth ID limiting "0fa8 p R.I. G 1, qA L Remarks: Boring 6- l am l o y 12 / /oAt.~ r, f s bK -F I' e S z,~. Y S 6 la- I 1 /0 VA y13 1,f, sloK 'W4 I. C S 3 fi , y . S C, ►1-30 /o yR y/( S 0h~, s QQ _ - 7 -S' ~f. c 2- 130 -y io Yoe 51F s ~2 ft Depth to limiting factor 90 , I - I F Remarks: T Narne:-Fieass Print 'R p g e e T- -u L (3 (Z I' e- 14 T" Phone: 715-- 3.06 _ 00 /8s- ress: S S O r N e/ L R,9 - /f U OSD Gv/ S 40/6 /O - N- y 3 e 5TH 2 VPL Date: CST Number: This test site APPROVED for a conventional septic system. 1 r IL { PROPERiYOWWR ~ovG Ih S SOIL DESCRIPTION REPORT PapeZ a1 3 PARCEL LD. • c s M eN D i OeW Dominant Color Mottles Texture Structure CoWsWw Bwn tary Roots GPI Boring # Horizon In. Munsell Qu. Si. Cont. Cola Gr. Sz. Sh. Bed aendt 3 O-IX /o YR 3 12 S f3~ (~-ISM /o 4R x/13 - 5, ►,f, Sb/K r^~~i` CS Zf :S Ground t3v 31& S-1, "f 5 b K ,,-f p- es ! f , y . S elev. C, )1V- 3J c9 y R y/ y S Q C S . 7 . Dep to /o yp- S!~ - s c,5 d:Q - I 7 Mfv taCtOry,~., Remarks: Boring # 10-/0 /0 yR 3/2-- - log h I . f ,sbk f c s , y •S . S 1/0-/,q /o y2 19^b (o to yk YYlI3 (e ,dwe,-SF ~ c' s Zf .•7 Y mown rc Gmund elev. C z- b-9~ 1 o ye s It Depth b smiling WX Remarks: Boring # 40 b _ 7 !o yp 31;)- /04,-f /J, sd ~t Av\ CS 2 , y •s 13 c , 3 /o y~ y/ y s o, PA, s cs Gmund C i O 95 /o elev. ft. Depth ID facbr ~,5„ EEI Remarks: -Boring # Ground elev. is Deo b g faclor L ILI Remarks: OWN ooenio ncfno. PCa.3of3 x ~tD f.3,pick Cv/• li.F Sit~ ~ 2 - SCALE • /3~~~~oE P'Ts 5v6r 6 EsrED 5y5Yc'M t'LtUhTIONC tLevArloas iN T /0Z• yz' PrkEAr 3z- (33- jay 1 3 2 97'V41, ~+cb-c.. TQc~~.t„ 9~•0 3 /0/' 2'5-' OW TRC-,-JCAv S AO -7 i ' 13M 42- Top of 16( o 51CCE/ p( p e /o1 11(~ . is . 13 5lore 97' 1~3 9d , ~o 3y / - Top of 8y' 13,44 31,y„ 5/E~ P I p¢ /OO.p 1 Sf~kEO ~ 1' 1 ~1 1 Y " P~3of3 s [ d Rap I3,Pi c~ cl;ecl,6C v / lit ',9,4 S~A~~ : ~ yon 2 - SvGGEST~D SyST:~'M t'LEUhTtoNs ELEVATIo-s JAJ l /-0 -x • yz' P+-QFh- 32- - try -3 /0 2--:5-- Ow y l7e,ff ' 2- 5 ioy, 7i' 1311 # 2 Top of Sly .r o ZZ J f~E/ ~J l e Q 101, ti z GOi~ • • /0 'g0 B, 5lopE g1, ~o 3N •~v TREE / - Top of ILI 13m s 31,ys><~~/ Pipe l /oa-o L CERTIFIED SURVEY MAP Located in part of the NEa of the NWh and in part of the SE4 of the NWh, all in Section 8, T28N, R19W, Town of Troy, St. Croix County, Wisconsin. N z i,~.••~` OWNER Bruce C Judith Douglas JS . 0o m oo S 431 Red Brick Road W. t \ Hudson, Wi. 54016 c m to is r! le -3 2- M- m 9 fA N tt= o rt 0 4.1 3 CD -3 Co -h n m co m a o to a c w m rt o m T o rt j ~ IC" A ' m MATCH LINE I 10 lao I I" g 1 1 6 Id C O ROVFD 0) $09o _ m lc~ Lo C' n?, I 1I~' ! / W it Lq Lo LO 1 10 ~n zo np ohensim"mm*0 Ity o g6 I zai*vm* It" m Note: For future Town ; Road purposes I paft CvXmdft6v N 0 40) 1U) 0 4 y H It me fr6ti tip ~ - cn rn d co io..js IH vrw>rk3lcalsvF I LOT 6 ~ ~H W IH W •P 01 7.01 ACRES 1 Z ~ ~ - Ln UJ 305,413 SO.FT. -4& ` A 6. 22 ACRES EXC. R/W l0 271,169SO. FT. ~ I IN to I I I I N88°37'41"E I I N88°37'4111E l W} Corner 1328.10' N8803714111E 468.01' 3512.66' Ej Corner Section 8 East-West 1/4 line of Section 8 ` Section 8 UNPLATTED LANDS CURVE LOT RADIUS CENTRAL CHORD CHORD ARC TANGENT TANGENT NO. NO. LENGTH ANGLE BEARING LENGTH LENGTH BEARING BEARING 1-2 5 425.00' 11°08'14" N7002810311W 82.48' 82.61' N6405315611W N7600211011W 3-4 5 392.00' 09050144" N6904911811W 67.28' 67.36' -N64053156"W N74°44'4011W 5-6 5 280.861 27051128" N75805106"E 135.22' 136.56' N61°0912211E N8900015011E 7-8 6 214.86' 27051128" S75°0510611W 103.44' 104.47' S8900015011W S6100912211W SCALE.IN FEET VOLUME 10 PAGE 2734 , SHEET 2 of 2 SHEETS 0 50 100 200 300 400 513828 CERTIFIED SURVEY MAP Located in part of the.NE4 of the NWa and in part of the SE4 of the NW4, all in Section 8, T28N, R19W, Town of Troy, St. Croix County, Wisconsin. OWNER N FILED Bruce E Judith Douglas co co ao s 431 Red Brick Road w + y w rt ,AAR Hudson, Wi. 54016 CpH{yELL ~ y JAMES FlegisMy l DDGQft rt ~ ~ O F GMtK C r to CD W. -h N I ~ e'o ~ CL_EARV_IE_W_ ADDITION Lp co 0 T CO Cn CD W M LOT 5 LOT 6 I CFR? 1 0 o ~ r.• o rt Op+ m m ~0L. / soR L 2 8Rr / ~Y APPROVED s3 ~s6, eff s AG. LO APPROVED 8 o S3\~q, \7 J,a 6S9 /AAA 3 00 . GE, GARAU 3 r NOUSE M zx. Cam COUWY No" Zar*V w gfillpf~IMlt wed >r y Faft >ro TrFj BARN L M N 1FiYt ~ / a SIL(~ 6 .6 SURD w*AW 30 4#Ws Of 0 h z .LoT ~AG• IY A~4A 6 apprallf do* 1 rt o 00 I S3 Gov ll~sM bs 1 z 0 0 o` ,v4& void i t I I / LOr 2 o- 1~ N - 1 N 0 O i o(D I d rt CrJ a- LOT 5 to W t0 _ \ T 0) m fD _ 13.15 ACRES INC. R/W - v \ 4 573,018 S0. FT. I J \ ClC77J \ w IU) O I 12.78 ACRES EXC. R/W I.1 555,919 SO. FT. y Ul C7 d w - Ir d - 10 H 1H H W H ~ Ico O H z ~ x i I i MATCH LINE LEGEND 'c V: Aluminum County Section Monument Found 211 Iron Pipe Found Z • 111 Iron Pipe Found Y V Y. ~'41,~su •r• r Y n O 1" x 2411 Iron Pipe Set, r„ ` weighing 1,68 lbs. per ^f"~' rf'' `•i Y' t'-r' linear foot 100' Roadway Setback J O Septic SCALE IN FEET o Well - VOLUME 10 PAGE 2 734 SHEET 1 of 2 SHEETS 0 50 100 200 300 400 ~ w ■ STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER d S 1 ~,~c ~t MAILING ADDRESS PROPERTY ADDRESS S.~~rtE (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION _ 1/4, 1/4, Section, T~N-R. W TOWN OF D ST. CROIX COUNTY, WI SUBDIVISION GfC LOT NUMBER CERTIFIED SURVEY MAP , VOLUME PAGE 273/, LOT NUMBER z~ 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: IJ DATE: 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 J66 re 4- QA 7 , Jk4 5 Location of property 6 1/4 1/4, Section ,T.g~x-R W Township T✓~v~ Mailing address SAS Address of site Subdivision name 14,6ce /C Lot no. _ Other homes on property? Yes_ No Previous owner of property Total size of property -7,01 14 G, 2e 5 Total size of parcel G 5 Date parcel was created Are a71 corners and lot lines identifiable? Yes No Is thi~ property being developed for (spec house) ? Yes _Z__No Volume and Page Number Z~ 3 L 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. lip 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. 46ys-37 y , 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. 70 Signature of Applicant o-A licant Date of Signature Da a of Signature DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1889 vMis s►Act Ntsswto r04t jtgCo DiNS sates • , WARRANTY DFX • 34 REGISTERS OFFICE 5370 8331i"ft T. CR IX Co., W, This Deed, made between --.Kenneth E. Sorensen and - f~ RElt01d Joan--L.••-S-orensen. a husb and wife 9 . B 10198 ~ 1:45 P M Giantor, V and..Hrum.Gurge_.Douglaa.and._su+3ith.A-..Wu glac . , ..----•huaband__and_wife. 'A ofDmqc t • Grantee, Witnesseth, That the said Grantor, fora AWuable consideration...... Q}. t.rru~rt to conveys to Grantee the following described real estate in -%..PKQJA County, State of Wisconsin: II 1 Parcel B: - - ' Part of the SE's of the NW1% of Section 8, Township 28 North, Range 19 West' , Town of Troy, St. Croix County, Wisconsin, described Tax Parcel No:-_______ I as follows: Commencing at the NW Corner of said SEh of the NW 14; thence South, on the West line of said SM of the My to the SW corner of said SE's of the NWks thence East, on the South line of said SM of the M, 468.0 feet; thence North, i• parallel with said East line, to the North line of said SE14 of the NIA; thence West, on said North line, 46,' n feet, to the POINT OF BEGINNING. 3 EXEMPT This i_8 n_Ot........ homestead property. (is) (is not) Together with all and singular the hereditzments and appurtenances thereunto belonging; And warrants that the title is good, indefeasible in fee simple and free and clezr of encumt-rantes except and will warrant and defend the same. e 16th - December 88 rDated this day of 19......... (SEAL) - (SEAL) eth E. S srense .............•-----•----._.._..-----•-•--••---•-____--------•---•-•--(SEAL) ;NAA a---- AL) Joan ore e barn J. AUTHENTICATION ACHNOWLED M IMItowica Signature(s) STATE OF WISCONSIN a M1S~ ~f. . ~ IX .............County. authenticated this day of___________________________ 19______ Persona/Ry came before me this .~_._..day of 1X6 19,lfit... the above named . ...1Cenri~Lh_ E.,__Sorensen_ and- ' °-a?I--1.•.:_.~9T.~riS~~, --husband-anti--wife------------- - -TITLE- MEMBER STATE BAR OF WISCONSIN - (If not, authorized by § 706.06, Wis. Stats-) to me known to be the person -S who executed the foregoing instrumer. and acknowledge the same. ' T►~'t~f~3VM86~E~16~1~R~~fBV►'E6f~. _ 1$1) tapir Q_rJ!la--•----....----•---•• r ' Woodbury, IvIN 55125 V Notar ~Pubt;c -C~4. :1' Count., Wis (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (Knot, state eipiration j' are not necessary.) -a- date: V. 19. •Varom of peraons sicninr in any capacity ahould be typed or print.d L•Sow their si esturef. i HCe..+•.e•tu ra-., ~-,n~ 6TA,r IIAR fir wisco ssjN_ it 4 is.: Slork No. 1:50,01 %7 LAPA ODD lDr ba ga',PW ~~d4 /DIG 7a //8~ 51.3828 CERTIFIED SURVEY MAP Located in part of the.NEa of the NW, and in part of the SE; of 1 the NA, all in Section 8, T28N, R19W, Town of Troy, St. Croix ,mow County,v,Wisconsin. OWNER N Bruce C Judith Douglas co „ co 431 Red Brick Road N d d rt ~ A ' 1994 Hudson, Wi. 54016 N = JAMES O'CONNELL ~ Register of Deeds a SL Go.1 W o r Cmtx N w CL_EARVIEW_ ADDITION ° Lp 0 CL co LOT 5 I LOT 6 I c~RT j F ~ r , r+ o rt 1 ~ COL ,SU 2 N64os R/c • ~3 ' Rr 0 APPROVED 1 18 3 -56,; k p ` L S9 r S3S6 W 6 ~ m w 433\\ ;.n~ ~ / A 3 rt t 07i GARAGE, 4S/,~3 ■ U 10 rt NOUSE 3i' . C q= COUNTY o LJ ~ p V Pled A I ZaWng wid Cr rt R?lF -mn if ~rwAftw , SIL(~ 6 O BARN ~~OL• \6 LC`~ S~j~~ a a W"W 30 deyrs of ~ , y ~ LO 1'c• ~9 av911 dab rt W l z . T 16S 'W4& void 0 I Ln / L9T IH 0 c i Cy=]or+ I 0( IIJ & LOT 5 ~D W w IC" a? 0) 13.15 ACRES INC. R/W 1 v 573,018 SQ. FT. I I- \ 1~ r 03 1 12.76 ACRES EXC. R/W 1 555,919 SQ. FT. ~ b W G t:1 H CO 100 p ® z x I I y _ MATCH LINE LEG b ENO Aluminum County Section Monument Found 211 Iron Pipe Found s 111 Iron Pipe Found y F_.. 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