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HomeMy WebLinkAbout040-1076-20-100 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER o, R" O i rd E l ADDRESS 7.5 c-4 , ~SUBDIVISION CSM / ~ ~Gt WI ~ S it ~ N► ~ / LOT ~ SECTION T N-R Town of / h ® V ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITH.iN 100 FEET OF SYSTEM ,R b ova _ - - 7? f e~ Jf € S /-aT~'k' ~ tv~..©ru~r1. c+t+-~-l. Ot.a,o INDICATE NORTH ARRO'q Provide setback and elevation information on reverse of t1~is form. Provide 2 d-=imensions to center of septic t-ank mantmle , BENCHMARK l! , t QV DU / ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: W /"hp Liquid capacity: /D©Q g&14- , Setback from: Well-.z House / Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length _ Number of tr1enches Distance & Direction to nearest prop. line: G Setback from: well: House Other ELEVATIONS C$rCrQJU Building Sewer ST Inlet./Q0, ?4 ST outlet /D®.8 PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Firial grade DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR:" 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Permit Holder's Name: ❑ City [I Village ❑ Town of: State Plan o.: RUEMMELE, LARRY X CST BM Elev.: Insp. BM Elev.: BM Description: r rcel Tax No.: ~d /GD. S a ~Ko~ ) n TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV- Septic Benchmark eO ' Dosing 0 (~14 O, ps 73, Aeration Bldg. Sewer ,)1,3 71 Holdi St/ of Inlet 5,25 9 TANK SETBACK INFORMATION St/ GfC Outlet 5 53~ dl). TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header. -Zpzz' 0/ Aeration NA Dist. Pipe 3(, 7 ,2 M Holding Bot. System Z7~ 6.~ PUMP/ SIPHON INFORMATION Final Grade 9 ' ' 3~ Manufacturer mand tJ CY r t~ k.. 70 Model Number GPM I d y TDH Lift-""" Friction H Ft ' ' Loss Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width r Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 1__~ w 17;~ DIMENSIONS SETBACK SYSTEM TO P /L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type 0 iz,,, r CHAMBER Moe Number: System: r r6 Z~ ~3 OR UNIT DISTRIBUTION SYSTEM Header/ & Distribution Pipe(s) i x Hole Size x Hole hg Vent To Ar Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At- a Systems Only Depth Over ' Depth Over r xx Depth xx Seeded/ Sodded xx Mulched avd-/Trench Center WaLkTrench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.)4AS . r lua C(-V- LOCATION: Troy 19.28,.19W, NW, NE, Lot 1, County Road F • 1 , e , , 3; , ~ .t t ~ , 1. r/ ! e~ C„lt ",«r~`- 7~ ~ , ~ ~ / ,~,'1i" , OD /7 Plan revision required? ❑ Yes BNo Use other side for additional information. SBD-6710 (R 05191) Date Inspector's Signature Cert. No. i ADDITIONAL COMMENTS AND SKETCH " SANITARY PERMIT NUMBER: ' DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUN~ • STATE SANITA Y ERMI # -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. ❑ Check if f visi n to pr vious 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 Aex h r Y /f 4f-.~/3~ NW Y. Y., S Q T. N, R P E (O PROPERTY OW ER' MAILING AIDDRESS LOT # BLOCK # ,-Z se- C-ty R,101 F CITY STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER ctcr' L~ s-~fo~3 J 3 ~.rf s P&OhI 1-JE S.-t o6-~''y - -o NEAREST R 4 II. TYPE OF BUILDING: Check one CITY 7 ( ) ❑ State Owned -VILLAGE 'ot ❑ Public L~J 1 or 2 Fam. Dwelling-# of bedrooms=~_ PARCEL AXNUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) y© /07 1 ❑ Apt/Condo 20 Assembly Hall 6 ❑ Medical Facility/Nursing Home 1o ❑ Outdoor Recreational Facility 30 Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 90 Office/Factory 13 ❑ Other: Specify IV. TYPE O PERMIT: (Check only one in line A. Check line B if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4.0 Reconnection of 5.0 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 •7,j ,s0, - o C? ' Q Feet ,70 Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New lExisting Gallons Tanks Manufacturer's Name oncret tructed Con- Steel glass Plastic App Tanks Tanks A 11 Septic Tank or Holdin Tank 7600 Lift Pump Tank/Siphon Chamber VIII. RESPONSIBILITY STATEMENT j 1, the undersigned, assume responsibility for installation of the onsite sewage system shown attached plans. Plum is Name (Print): Plumber's Signature: (No Stamps) M PRSW Business Phone Number: ~Nr~ Plumber's ddress (Street, City, State, Zip Code): 16-0 7 S- AOice' t__ S' Q S IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued I uing Agent Signature (No Stamps) Approved ❑ Owner Given Initial Surcharge Fee) T Adverse Determination o X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sa.rvitary 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 appligtion must include: 1. Property owner's name and mailing address. Proyide 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 Wptem`if i6quired by the county; E) soil test data on a 115 form; and F)> all sizing information. GROUNDWATERt SURCHARdE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. ThEVrnonies collected through these surcharges are used for monitoring groundwater, ground Water contamination investigations and establishment of standards. SBD-6398 (R.11/88) yw y ~ a C 03 r O p Q~ D ZL- 1` m ~ C ~'1 Q U Rl Q tq W 3 b i 0 m c I Q~ m ° c o r 3 Z .p r- m Z L L o rr, W m G o w 1 w rn n - Rj m H R 70 Cn GS I t1) m w 177 fiR m D. 101 5, / 'Q, ^ 1 ~ V ~to~ I w ~ ~d A reed 1 --p f6 w lA as a ;tf~,, N i w Q IT' \N =t Wisconsin Department of Industry, SOIL AND SITE E V A L U A. T P / 3 ap of Labor and Human Relations - Division of Safety & Buildings in accord with ILHR 83.0 M. o OUNTY M ST c/Po /X , 11 Attach complete site plan on paper not less than 81/2 x 11 inches in si n muRNOW10ut t' not limited to vertical and horizontal reference point (BM), direction a slope, scale or CEL I.D.# rnrf dimensioned, north arrow, and location and distance to nearest road. PIEJ APPLICANT INFORMATION-PLEASE PRINT ALL INFORMA • IEWEDBY DATE PROPERTY OWNER: P,ROPEF&ILM 04- G.1} RR y R V EM M E T E `90YT: LOT N U) 14, N £11/4,S 19 T 2 N.R 1 9 E (or}fi) PROPERTY OWNER':S MAILING ADDRESS LOT#.. ' BLOCKI . SUED. NAME OR CSM # Z it•c4CS - o- r 215 C-7-Y. R0. F cs y ,oE•.va,UU o F s.Yo CITY, STATE ZIP CODE PHONE NUMBER QCITY []VILLAGE BrOWN NEAREST ROAD t+ V DSO a t.CJ I S. S y o I Co (-715) 3 FG - 3V011 -r R a t4 -.0 Y. I= [ J'New Construction Use [ "esidential / Number of bedrooms 3 [ J Addition to existing building [ J Replacement [ J Public or commercial describe Code derived daily flow ~lSO gpd Recommended design loading rate S bed, gpd/ft2 trench, gpolft2 Absorption area required i bed, ft2 -15 0 trench, ft2 Maximum design loading rate • S bed, gpd/ft2 ' G trench, gpd/ft2 Recommended infiltration surface elevation(s) STZ~t P1 • 3 ft (as referred to site plan benchmark) Additional design/ site considerations US& 7Ve-veiev5 - Par material SGS ?I- Pi I loT S(1 . Flood plain elevation, if applicable N • A • ft G Lu a N oo tb S = Suitable for system COONyENTIONAL MOUND IN GROUND U ESSURE AT_GRAD❑ U SY TTEM HO SIN(;TAW U = Unsuitable fors stem L~"S ❑ U as 11 U _ L~ ❑ 2S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bowd3y Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed wnch D• I q /o vie ~-/Z, I o#rrt i f Sbk ,w,vf R S 2 . 5 2 /y-2-1 /o y9 313 10AM I f Sbk nM f R 5 l Uf : 4t . S Ground 3 )1- 3 doll- 31(, (5 l.f, 54 A-%V-F12 ~ i • T • ~ /oelev. ft 1- y9 to yR s/ (o f S 0, S ae S c s . 's Depth to S y' ss -7.s y g 31Y 61 l .f , g R t,,,'F le C 5 . • S limiting - factor M 5 -lo 10 y12 s<<f C_ -5. 01 S d ,e - 8 goo Remarks: Boring # d- Ir{ /e yip V2 -F Silt- nmf R s 2•F . 5 2-• y- /a y/e 2/ 1. U- f. Sk ,w►~ I' s -30 /o Yje 3/3 5*1'/ l sbt•; nit 1^21' S , S Ground elev. W • y7 /0 y9 31lP Si 2 , n•►, bK /V%-f I~t /00'O ft Depth to (7-95 7.5 y le 31y f. Is to I R d S C S 6, limiting •s- 9G /0 voe 515/ factor ~r . 7 Remarks: CST Name.-Please Print Re)a t-R T (3 R c T- Phone: I I S - 3 JF6 - ; /JF>S Address: (e S s d' N el L •RD• f~ V IDS on3 Cc5 I. Sy OI & - 13 -i T CST-,;l ly 6`L Signature: Date: CST Number: ORIGINAL I ~ PROPERTY OWNER L' (2u.e n►.~,.t.e.~ SOIL DESCRIPTION REPORT Page? Of PARCELI.D. G- Boring # Horizon Depth Dominant Color Mottles Texture Structure Rood GPft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed iendh Consistence Bwx* 13 I 0-/0 10ye 2-/2- I. 2 f sbk ~►.•~fR s /of .S 2 /o . 15 10 YR 2- S; 1 I f sbK r►~ ~F R s l of q 5 Ground 3 6- 3y /0 YR Yl -51 If s bK em-f R elev. ,o a ft. y~ Y TS Y R 31`~ • IS 5 l2 S CS . 5 G Depth to -5 yG 0 IR 51y S O, S et-5 .7 limiting = factor Remarks: Boring # l a_ 6 J Z 2 f s b& r►„~ 'f S /U'F S=. z /0VK3/3 fsbr- -F R s /Uf .y .s 13 L 3 /9.14 IOU 3/6 S ~ 1 f 56k ti" f le 5 Ground . elev. y ( 3? T 5 V R 3/ 15 5 4,5 CS 9y. 75 ft. - 7 . Depth to 5 y 9~ YIZ s/~/ . S. O S d S limiting factor Remarks: Boring # o- 12- /0 YR 312- f . ~S I a2 5 S ~f . S El -1J /0 k/ e 313 S I,ShK fj u-fe cS If • `t~ . s (-)q /0 Y12 y/lam 5 Ifs 6,~ r►~-F R r-s t of .5 Ground elev. YG 5 5, , S S c S i. S y ~ /y f /0/. So ft ytaAtD f 5 O, S S ~Q ~t S S •G q,1. y cue s Depth to limiting q /O kI 12 y/(P ST RATi f'i ED 7 factor Co rr Remarks: Boring # [31 Ground elev. ft. ! Depth to limiting facto Remarks: con 007!10 ^CM0. yw y m Q Q o O Q' v, v o 4 * kA v, m 3 0 INN -fi ~ L y r m Z~ ~ Z n H d • to 76 L v+ O` ry Tj- x rv m m m rb\ r-n m e o m n ro 76 Z Z ti ~ ~ Q rn w N G ,e p -c rq -1 o u v aEp~h~e~.F~r ~cc 70 A ieeh- r 1 ~ p m w 0 W Z p G R u W ~ aeae~tws♦*** 20 Il) o O IC ~ ~ w < 1m I Bearings are referenced to the rr Inorth line of the NE} of,Section p, f~ i 119, assumed to bear 90000100"E. IIJJ L___ `C ~t cn r T r T.I-i.--g--Ln 4- I rt Q CD_ r~ O T -7 CT1 O C7, _0 A O+ O - O 7 N o o-' n 7 9 Z rt r ~ ~ r 7 _ CD a O ® ti n AY' y " o CA Q O m rt CL rn CD N r rh c rn - c tTJ o° fD `C U) m x s G7 rrt IV > t7 rt F... (>J n n w r a < E T t7 0 F j- eo v c o o r o o ((D n of M n > > o 00 (D Q pl v `-rtc O : O rr U N CZ CD CD (D to co CR CR H. P-0 ~ cn rt X rn m Q1 M . • r Fj L O 7 N N v rt n O rOr O+ 'fi M t a O" 2 O (1) D O p O :;v z lv C) v hll -I o s ® - m so (f' T (D F m _n N z a 03 C/) s A~ C Cv rfi r-r-t /A rt, N0100310111W T 2 D 250.001 z Q FILED" z M IC= tT] 183.991 66.0 m rI- I1-c- -7 o 0, I-0 o g ° o~ M ill JAMES O'CONNELL o N o Registor 010oeds I-I _ ° CD IITI ° : r" IITI SL Croix CO., WI 0 =3 3 =N`0 _IV w E u (n U) . z II Ln a P I> (D ? c-) to til 1> F _n r 1; 1 = ~j IG - rt KD rt ICn o. 0 Ln 250.00' o - " S0100310111E IJ~~IDLATTLD e CD ~ 'y'A a I ,4 r {~iic N3 b :r to 4Y. < v (J n C' • x tom] ,r.j\ 01 on r; m ~~VD C ? a 61 N C~ u~ ~a✓ co ro z M (D m 0 VOLUME 10 PAGE 2808 (Continued on following page) STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix CountyA OWNER/BUYER MAILING ADDRESS 7 C, B PROPERTY ADDRESS ZL&u,ds oiY LLl S e a~~ CT14 F` (location of septic system) Please obtain from the Planning Dept. CITY/STATE /h` Gee 1~2 LrCJ.- _ ~ yo/ PROPERTY LOCATION 1/4, 1/4, Section , T_,a~N-R_L2_W TOWN OF 'LL Q X ST. CROIX COUNTY, WI SUBDIVISION ~.-y,.o~ Ru • LOT NUMBER CERTIFIEDSURVEY MAP a o6 ` VOLUME y0, PAGE 790$ , 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: i. DATE: h7 St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 • 8 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. -----------------------------,-p------------------------------------- Owner of property Aa-l-kk Location of property_ j4/&) , Section Township ~~o v Mailing address ? Gv Address of site a qq C,r~ o Sd),L, Subdivision name d.- ay► =s F~ k-E Lot no. Other homes on property? Yes P-' No Previous owner of property -U-C M ma c, Total size of property ,T,00 /49c ,4-r='S Total size of parcel ; t -Do fJ c Date parcel was created -J, S--- FYI Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes f~ No Volume L'.6-2-1yand Page Number 30Z as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. .$"12/ p Q7 , 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. Signs re of Applicant Co-Applicant M /61 y/gy Date of Signature Date of Signature I I DOCUMENT NO. STATE BAR OF WISCONSIN FURlq 3-1982i' THIS SPACE RESERVED FOR RECORDING DATA QUIT CLAIM DEED 520653 - - - , - V S ©FFICE James A. Ruemmele and Colette M. Ruemmele, husband $T. CFd01X CO.v • and wife, Rec'dfofR~xrd - - ! AUG z 5 1994 quit-claims to ___Lawrence__E._--Ruemmele-:and.- Mary_-Anre-andj' 3:00 p. bu~b?nd _aAd._W fe, a~-- >dxv~vor~hi _ Marital__Pro .ert at M L ~tG~ U R,-"gLerof Deeds - the following described real estate in _t-__CS0_ix_________________•-___--_ County, State o Wisconsin: RETURN TO HEYWOOD & CARI A non-exclusive access easement, including the right to 204 Locust St. construct, maintain and use a roadway over the followin Hudson, WI 5401 described 1~ 1 commencing at the N 1/4 corner of Section 19/ fTi~nge N90°00100"E, along the north line of Tax Parcel No~6~/G_--1676-_ G-l the NE 1/4 of Section 19, 49.65 feet to the point of beginning; thence continuing N90°00'00"E, along said north line, 926.42 feet; thence SO.f'03101"E, 66.01 feet; thence 590°00'00"W, 926.32 feet; thence NOrO8'16"W, 66.01 feet to the point of beginning. This easement shall be appurtenant to Lot 1 of the Certified Survey Map filed in the Office of the Register of Deeds for St. Croix County immediately upon the recording of this Deed. I This s_-not homestead property. (is) (is not) Dated this 24th---------------------------_-- day of .----------------August - 19__94_. (SEAL) (SEAL) ame s A. Ruemme 1 e (SEAL) m-- - SEAL) * Colette M. Ruemmele AUTHENTICATION ACKNOWLEDGMENT Signature (s) o_f _ James•• A Ruemmele _ and STATE OF WISCONSIN Colette M. Ruemmele ss. County. / authenticated is _2At%ay of__Au$ust 119.94 Personally came before me this ________________day of 19 the above named : J-o- D. Heywood TITLE: MEMBER STATE BAR OF WISCONSIN (If not, aut orized by § 706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY John D' Heywood _ - - - 204- Locust St. ? Hudsoni WI_ 54016 - - Notary Public - --•---•--Count Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: 19---••••-•) Qum "Aim PEED STATE. ►t.4tt OP WIS('ONSIN Wisconsin Lecal Blank Co. Inc, 15000MENT NO. STATE BAR OF WISCONSIN FORM 3-1982 THIS SPACE RESERVED FOR RECORDING DATA ,r) QUIT CLAIM DEED F.. 5 10J7 n - C F. CROIX CO., WI James A. Ruemmele and Colette M. Ruemmele, F?sc'd for --orb husband-.and- wife-------- - v - S EP 6 1994 quit-claims to --Lawrence E. Ruemmele and _Mary Anne 3.00 P Ruemmele, husband and wife, as Survivorship 6M Mar~t_al Pro - P-e r t-y-- - - - MOSterofDeede the following described real estate in .t . ---C r 9 i x County; - _ j State of Wisconsin: Town of Troy RETURN To - l Heywood & Cari,S.C par part of the NW1/4 204 Locust St. A li parcel of land located in Hudon, WI 554016 of the NE 1/4 and part of the NE 1/4 of the NE 1'/4 s 40 of Section 19, T28N, R19W, St. Croix County, Wisconsin; further described as follows: Tax Parcel No: I Lot 1 of the Certified Survey Map filed in the Office of the Register of Deeds for St. Croix County in Volume 10, Page 2808, Document 520654. j Together with the easement appurtenant,- described in the Quit Claim Deed recorded ii in the office of the Register of Deeds for St. Croix County in Vol. 1092, Page 520, Doc. 520653. I I is not This homestead property. (is) (is not) Dated this 26th - day of August 19. 94 - - I --------(SEAL) - -1..~ .41 (SEAL) - * .9..-Jamens__ A,.. Ruemmee e C ------------(SEAL) - - •---A[L.c11n- !---1 -------(SEAS.) * Colette M. Ruemmele - AUTHENTICATION ACKNOWLEDGMENT Signature(s) _ James A. Ruemmele and STATE OF WISCONSIN Colet.t--te----M-. ------•Ru--el---- ------ete----mm--e--------------------------------- - - - ------•--------County. ss. authenticated this 260day of---August.--_-___ - 19-_94 Personally came before me this •-----------day of 10-27-0,-L 1 19-------- the above named * ohn D. He ood TITLE: MEMBER STATE BAR OF WISCONSIN i (If not, authorized by § 706.06, Wis. StatsJ to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY jl John D. Heywood j 204 Locust St., Hudson, WI 54016 - - Notary Public - - Count , Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration it are not necessary.) date: 19--------•) j sill DEED STA.TV% IIAR OF WISCONSIN Wixronsin I,ezal Blank Co. Inc, FORM No 3 HINk •a:1.......