HomeMy WebLinkAbout018-2003-20-000Wisconsin Department of Commerce
Safety and Building Division
PRIVATE SEWAGE SYSTEM
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township
P.C, Collova Builders, Inc. Hammond Townshi
CST BM Elev: Insp. BM Elev: BM Description: ~-
~ h/l l
!, 6h , d a D, 0 ~ ~r
,
TANK INFORMATION
TYPE MANUFACTURER CAPACITY
Septic
Dosing
r
Aeration
Holding
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD
Septic ~ 1 ,r/
Dosing
Aeration
Holding
PUMP/SIPHON INFORMATION
Manufacturer Demand
GPM
Model Nu r
TDH Lift ion System Head T Ft
Forc In Length Dia. Dist. to well
SOIL ABSORPTION SYSTEM IS ro -- ~,1~ -~X
~7LF19/ATION DATA "
County. St. Croix
Sanitary Permit No:
453069 0
State Plan ID No:
Parcel Tax No:
018-2003-20-000
Section/Town/Range/Map No:
18.29.17.914
STATION BS HI FS ELEV.
Benchmark
~- Z
I D (p.
/OD . v
Alt. BM
6
-).I
o~.3
Bldg. ewer /
{o
~t/•
St/Ht Inlet
i.SC~/ ~b ~ ~/
. d
/ Do .
SUHtOutle~~Gy~6 •r7~ (~~
,
Dt Inlet ~ ~
Dt Bottom
_~
Header/Man.
g-
Dist. Pipe 7 Cl
7 C1 pr 2~
/ o
Bot. System
Final Grade
oust r3 3
, z
~o ~.
st ~_==r-- f ~~ /~ ~ io ~ s
BEDITRENCH Width
r Length / No. OF Trenches PIT DIMENSI~IS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 2 l.f ~ ~
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM EACHING IanufaFk er:
INFORMATION CHAMBER OR ~
Ty Of System: ~ IS / -1 ~ ~'/~ 6~
1 / UNIT Model Number: /
L./_
DISTRIBUTION SYSTEM
F1escletl~2nifold
] ~! Distribution / ~ r ~
Pi
e(s)
"n
~ x Hole Size
' x Hole Spacing
!_ V~pY..Se-Aiclatyce_
~
p
"l lii+
t~ ~ 6J~
Length Dia_ I
Length I Dia Spacing
SOIL COVER ,,,,~ x Pressure Systems Onlv xx Mound Or At-Grade Svstems Only "~'~' ~ s~-~
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center ~j Bed/Trench Edges Topsoil
z Yes No
Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/ ~~~ %~ftspection #2: / /
Location: 1577 97th Avenue Hammrond, WI 54015 (NW 1/4 NE 1/4 18 T29N R17W) Crick Bottom Overlook L~ot,20 Parcel No: 18.29.17.914
1.) Alt BM Description =~~ o~ "~ ~ • IN~ SV,S.~-~jy1~ G` wU`T/ ~
2.) Bldg sewer length = 2S ~ /~, /~~ ~ ~ ~ /~~
-amount of cover =~ ~ ~ -:1=~'-~" ~ ~~~~'e?G`f'/Ki~~ J~!/~~
_._~ _---
r ~__
Plan revision Re cared. Yes i,°, No ~ ) / ~/Z~ ~ /_~~~ Qty
~N ~ ~~ ~ ~ lP 1' ~I
Use other side for additional mformahon. II,___- ~_ _._ ___ ~~-~'~i.____ ___~-- ~
__ __
SBD-6710 (R.3/97) Date Insepctor's Sign ture Cert. No.
Safety and BuildingsD O Box 7082
201 W. Washington Ave.,
ons~n ~dt (6082 i~S46 7082
~~~
Department of Commerce
Sanitary Permit Appl1eation
In accord with Comm g3.21, Wis. Adm. Code, personal iafocrrtation you provide
may be used for secondary Put'Poses Privacy Law, s15.04{ I)(m)
I. Application Information - Pleaset Alt Information ~~~ ~ ~~
Property
-,
~ ~~,:1a ,' ~ 2004
,t:, ,
~' ~--
~` !~~ ~
II. ~'ype of Bullding (c eck all that aPP1Y) ~ t~ ~ ~ ~~~ ~A`.L~
r 2 Family Dwelling -Number of Bodrooms~.e ~ad'~w r"~
^ publidCommetcial-Describe Usc
~ State owned -1Xseribc Use ~ D ~-T' e ~z LS w / ~~ C ~ dry
IIL Type of Permit: (Cheek only one box on line A. Complete line B if applicable)
A. ew System ^ Replacement System ^ Treatnteat/Holdiag Tank Replacement Only
^ Change of ^ Permit Transfer to New
8. ^ Permit Renewal ^ Permit Revision Owner
Hefom Expintioa Plumber -
nitary permit Number {to be filled in by Co.)
~S3 0 i!o ~ --
ire Play LD. Num~er~
eject Address/d(`i'fJdiff/e ent tttail~s a~dd~s
5~ 20U ~ ~"l
ol`b~ .. ~Q.. ~
reel # L/ot~# Hlock #
I"~L. V
1.ocauon
9 ~'
~,ti ~~'~., Seetioa 1
N: ~-,~•E ~r W
^ Odter Modification to Existing system
r t.r Previous Peratit Number and Date Ist
IV. of POWTS 3 stem: Check all that a r
on -Pt~esstuized ln-Grvund ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Ftlter O
Constructed Wetland ^ Pressutitod In round I] Holding Tank ^ Pnt Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter
Qu-irculaGea Svntheac Media Filter ebia Chamber ^ Drip Line ^ Gravel-less P' ^ O expl ) -
_rc.
J !~ 3 ~
VL Tank Info parity in
Galloru
New Exist,
Tanks Tank
Seutie or Holding Taalt ~/
n Rate(gp f) Dispersal Are+ Required (sf) Dispenial nr~ ~av"'~" t"~ -' j
' Manufacturer Prefab Sic 1 P1
Tonal N Concn:u Constrtcted Glass
Oallorrs of Units /~//Iz2~~ ~ `Q (~
VII. ResponslbiU Statement- I, the unders[ga sumo responsibility for installation of the POWYS shown on the B~A s Phone Number
Pl;~ s None (Prier) Plumber' 8°°mn MP/MPRS Number / ~/
Plumber's Address (Stree4 Cityyy~~~ate, Zip ) r C
~ _ 1 JCi e Ill _ n ~ I /n . _ /,/~ e i ~ l~r ~ I G~/ ~ / ~-__
~!(pproved I ^ Disapproved Surcharge Fce;
^ Owner Given Reason for Denial /
IX. Conditions of ApprovaUReasoas for Disapproval _ . r )
iYS;TFIV1 OV'~NEk Lu'~~~ h'~'~ ~'~¢ty~'
ep lc'-to-nk, effluent filter and
dispersal cell must all be serviced /maintained ~~
as per management plan provided by plumber ,
~. All setback requirements must be maintained ~ ~~
as per applicable code/ordinances.
attach eoatokk plans (to eLo County or
ides Groundwater Date lssutd lssumg ng ar .~.~ °Y'~ `
Ito c sys m oa paper sot ks~s than tsd/~s 11 lathes La siu
. ;
~~~ r
SBD-b398 (R. 08102)
r-
PLOT PLAN
PROJECT P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025
N1N 1/4 NE 1/4S 18 /T 29 /R 17 W TOWN Hammond COUNTY ST.CROIX
3/29/04 BEDROOM 3
MPRS Shaun Bird 226900 DATE
CONVENTIONAL )00C IN-GROUN RESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30
,BENCHMARK V.R.P. Top of Survey Irofl /' ASSUME ELEVATION 100 Filter Zabel A-100
^ BOREHOLE O WELL "`H.R.P. SameaSBenchmark ____
-.
Well is to meet all SYSTEM ELEVATION 96.5/96.3 3.5' below grade
setbacks required by
WDNR
Alt. BM Top of 2" Pipe @ 100.0'
Plans i ned Using
l~ ~ ti
Ma rsion 2.0
215 cn+ B-3
Alt. ~3 5'
B
Pro 3
~ ~`'
oS~ ~ o~ Bedroom
House
1Na'1` 5
~ 25'
50' f
B-2
~. 8%
3o Slope
v~ lob- b~A'in1~C~C~
79' Pronekty Line
B-1 a w
~ --~-~J
2-3' X 94' cells with >3' spacing
Vent
>6„ Standard Biodiffuser
of Cover Leaching Chamber
with 31.1 ft2 of Area
6' Long 11 "
_ .._ Grade at System Elevation
PLOT PLAN
PROJECT P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025
NW 1/4 NE 1/4S 18 /T 29 /R 17 W TOWN Hammond COUNTY ST.CROIX
3/29/04 BEDROOM 3
MPRS Shaun Bird 226900 DATE
CONVENTIONAL X)OC IN-GROUN RESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30
,BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100' Filter Zabel A-100
^ BOREHOLE O WELL *H.R.P. Same as Benchmark
-- _ -~
Well is to meet all SYSTEM ELEVATION 96.5/96.3 3.5' below grade
setbacks required by
WDNR
Alt. BM Top of 2" Pipe C 100.0'
Plans Designed Using
Conventional Powts
Manual Version 2.0
Pro 3
Bedroom
House
25'
Vents
215 cn+"L ~ B-3
Alt. ~3 5'
50'
Vents
B-2
,~ 8%
30 Slope
~ J
Z ,~'D -- ~~- - - --_
-~_~
~ lob ~~~~~~~
79' Prone v Line
B-1
2-3' X 94' cells with >3' spacing
,Vent
>6"
of Cover
Standard Biodiffuser
Leaching Chamber
with 31.1 ft2 of Area
' 11"
6' Long
„ , „ Grade at System Elevation
wrsaonSin Depavtrnerrt of commerce
ftii.cirr. of C~fafv Anrl at1N~rKIS
SOIL EVALUATION REPORT
~~~~
E D
'
Attach complete site plan ~ Raper not less than 81/2 x 11 i Yar~Adt
es in ~aA~F
include, but not dmited to: vertical and horizontal n3fererx~
and location
north arrow
scale or dnnensions
t
l (BMj, direction and
art road.
o
nd dis I.D. ~ ' ~~ / . c~ r
~ - Z~ 3 - 2 l ~'
,
,
ope.
percen
s p
M A
Please print ail information. Y
1 2 0 0 3 ~ by Dam
t~ersonel information Y~ Pro'r~ ~Y t» used for secondary ( a 15.04 1 (m .~ ~ W p
p~yp~ ZO
O I ~ ~ ~ ~ ~ppflon
Govt Lot 1/4 1/4 S ~ T N R
E ( W
~p~y Owner' ~~ p~~ ~ Lot # Block # .Name ar t~Mil
G /~
G
~y ~ State Zq~ code Phone Nun~er J
^ City ^ Viflage Town Nearest Road
New Cor~trtactiort Use: / Ntuftber of bedrooms Code derived design flow rate ~ 0 GPD
O ~,t p , ~, - Desaibe: - -
~!~ ~ Flood Plain elevation if app6caNe ~ ~" fL
Parent material
f
General oorrinter>ts ~ // ,. ~ ~~ 3 s~ ~ e r~9
~ n~oorrunendations: ~~ d~'~.~ e l~ t/cC,s~iZGy' '~ ",~ ~ ~~
~ ~ ~ !~
~
i/ JI Y ~~ ~ ~ti i
W.•rtg
Pit Ground surface etev,~° `" ~ _ ~ ~^g ~~ `. in. ~ Rate
Ftorizon Deptft Darrrirtant Redox Description Texture Stnx~ure Consistence Boundary Roots G
in. MtatseR flu. Sz. Cant. Cobr Gr. Sz. Sh. •Etf#1 'Eff#2
~ 6fj,~ ~ , r~ ~ ~
~ ~ ®s .S` .~ I - l~i~ - 7
. 3~~
S
~~- ~ rye-- -
Pit Grog surfaioe elev. - ~E~~ in. SaU RaE
Horizon Oepth Dominant Redox Desaipflon Texture Structure Cor>s~tence Boundary Roots GPDAF
in. Mtms~ flu. Sz. Coal Color Gr. Sz. Sh. ~F~1 ~~
~ -11Dr5 nq n t, ~=Z
. _ _ ~-
.,. ~, __ .
• Ettirrent #1 = eoo > 30_ rzo mgrs and Tss >30
,c~,,,.~
~~ ~~'~~~ ~i~
Etfluerd #2 = BODE < 3o rrrglL artd TSS < ao mgn.
csr Number
~y~l ~ /a -y-.~ cif-a ~6-~~~
Property Owner
~~~Za
Parcel !D #
Pam z ~ 3
# ~ ~n9 ~ .
Pit Groundsurfaceelev. // ' ~ ft. Depth ~ fimitirxl factor Soti R~
Horimrt Depth Dominant Redox Description Texhse Struchrre Consistence eoundazy Roots GPD/ff=
in. Mansell Qu. Sz Cont. Color Gr. Sz Sh. `Et#f7 `EfT#2
-1 Z 3 Z ~-- it t~ ~ , 6
2'3 ~/ .~ ,F ~ w ~' ~ r7
6 _ ~,-~ 1~. n a n a ~~ 1. Z
r
~,
~# ^ ~
^ Pit Ground surface elev. R Depth fo limitm9 factor ar. Soa Rye
Horizon Depth Donr~ant Redouc Desa~lion Textrre Structure Cor>sistelrce Boundary Roots GPD/fF
in. MunseA Du. Sz Cont. Color Gr. Sz Sh. `Eti#'1 'Etf#2
o # ^
^ Pit Ground surface elev. ft. Doh to rsniUng factor in.
Horizon Depfh Dorrimant Redoot Desaiption- Texdxe SUucttme Consistence Botxxiery Roots GPDIIF
in. MunseN Qu. Sz Cork. Color Gr. Sz Sh. 'E~ ~~
` Etiluerk #1 = BOD, > 30 < 220 ntglL and TSS >30 < 150 mglL 'Effluent #2 = BODs <_ 30 rrglL and TSS <_ 30 mglL
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate fom~at, please contact the department at 608-266-3151 or TTY 608-264-8777.
sau-u3on~t
• s ~.
Soil Test Plot Plan 3 ~~3
Project Name P.C. Collova Bldrs. Inc. Shaun B~ ~
Address P.O. Box 487
Somerset Wi 54025 C ~ #226900
Lot 20 Subdivision Crick Bolton Date 12/4/02
1 /4 fVE 1 /4S 18 T 29 N/R17 W Township Hammond
Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Survey Iron
System Elevation 96.5/96.3 *HRpSame as Benchmark
Alt. BM Top of 2" Pipe @ 100.0'
1
i
I.QT~t- CS~11 VOLUME, N 89'33'31" E
~+ ~T-1 PAGE 379 LOT 4 SMALL
. l_ _ LOT 2 ~~--3 986.24'
277.52' _~ 364.35~t 242.05'
m e-+ o ® ~
~~ LOT ®\ \~' LOT 6 /'® IN LOT 4]
Z \ y 72341 aS~. ~ 66731 S.F. e ~ 1 1 76393 S.F.
Ng \~B?x.66 Ac. \ \~, 1.53 Ac. ~q^/ / 4® 1~, 1.75 Ac.
$w + ® \ \' \ \~. ej ~ SHEET ' 1~
.w ® a
f ~ a-2 ~ \ `/ / LOT 5 ~=
o LOT 8 , ~" 1
\ ~ \ 72156 S.F. 1
. 65369 S.F. 1.66 Ac. J
1.50 Ac. > ~ 1
N 8933'31" E ~ \ J
528.00' UNPLATI€D ~NQ~ N 89'33'31' E 329.51' ~ I O'~ 9 ` / ~ ~ ~ QJ
_ 208.01_ 241.28_ 205.21 ~ I /
/ e
® e_t
-2 ®I I LOT 11 ® LOT 10 I ®LOT 9 ~ `"~ '6~ ~
N-' H e-z / OO
.F. ®'z No 98425 S.F. oZ 110616 S.F. l0 89166 S.F. ~ ` \~
=• d 2.26 Ac. d 2.54 Ac. d / / / \
+ 2.05 Ac.
~ ~ IN ~ N I m ~ / ®a LOT 22\ ~.
'" f ~ \ 93180 S.F. W \
F
.Y I~ I+ / ~ ; 3 2.14 Ac. °J~
~ ~ h / ~ro ~ do ~ s
~,@J 102328 S.F. \\F ~
1~ I I 2.35 Ac. s 2
ss m
/ a
J
~~ ,
Y °~ \ ....
• 79.9J' 208.00' _ ~
sr w 41232' ~ i ~ / LO°P 19 „ -$ ~ F
783 S.F~- a-t
7'37r E 41232' i $
_ C ~ \ \ 1.80 Ac. ; ~ ' SEE ,~1EET 1 \~
~ \ \ uo - ,mr _ I \ i\ ~ 9-z
62' 54.00' 7.70' ~~, s y I
--,r-~,--~ ~ ,~,
LOT 18 ~ ?°''~ ~~ ~ I I ~ ,o'~' ~
w LOT 18 LOT 1 \ \ a~ 140783 S.F. `ts~ I y
IS h As 3.23 Ac. 4i'o• ~" ^) ~ LOT 20
® 6 I 102763 S.F.
)T 14 ct ~ 7999 S.F. I$ \ \.s~ „~®,ao> .= N Ni
~' ~0T®15 ~ 1.56 Ac. r~, 2.36 Ac. ~ e-a ® ~ o W m u S.F. ~
97~ F. I I ° 6740 S.F. I I ~; ~ - +ar~' \ \,~ a-z ~~° "r \ ~ ~ 2.05 Ac, z
e- ' m m l80 . 1000.5 '~9 e ~ m m to
i5 Ac. 1.55 Ac. ®_ Im ~ g~~ \ i ttgY
ez ~ ~: ~ ~w~ ~ ~wg
~ Iso -1a0e' I a ® ® \ ~ m I o u1
Ij ~{ N ® ® C 5 ~yt]~4.10' 10].75 +V
a~ _ N et9+7~• ® ~ u N
+3 • W ~~8~ SIR . 1~C I)o.s9' JJ7. )s' N W
3 I IqE. 100,6' F,9 /L. +e).te. '.F f~l
ref ~ F LINE.100Y °,P u _ by
TIME -'~ ~~1 ~ 9~~ 'LSYy N. '7yT N 4~c`
_J za.oJ' Fy CF 11NE - 100$ ~ ~ z
14.82' 754.00'„ 154.00' l 4 345.11' 280.65' m
~ 893'24' E 58234 zn.)r ~ -
6=T'~ ~P~T~ ~N~ S 8933'24' W
' 1~3 ~ ~ 692.78'
i R
)7 $.F. ® 1~' 9~.9C N 97'16'32' E
/ ~ 99.70' N
~ AC. ;. w
1005 ~Ai~t ~ W ~ ,
a~~~ ~ F `~ ~ N W N
9 `~ N
'~y ro
/ °yj. 2"~ ti°°~ m
,n[ - tool
i i
i i
785.00'
'ORNER, S 89 33'39' W
T29N, R17W. 828.33' ~-
UNPLATTED LANDS
ort~Fleo er. dwsort vKea6x SHEET 2 OF 3
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
OwnerBuyer P. C. Collova Builders, Inc.
P O Box 489 Somerset, WI 54025
Mailing Address
Property Address (~
(Verification required from Planning Department for new
1` 2
City/State _~f~man~ ~~ Parcel Identification Number ~ ~ ~" -' ~ ~ ''~~
LEGAL DESCRIPTION
Property Location %,, ~ y,, Sec. ~~ . T~q N-R ~ ~' W, Town of ~sa~~ ..
Subdivision ~J1~~C,Q2 ~U~'c5w~ (~~~~ ~~ Lot # ~.
Certified Survey Map # ,Volume .Page #
"q
WatTanty Deed # ~D ~ ~' ~U vv` . Volume ~ Page # o`~ -
Spec house ~1 yes ^ no Lot lines identifiable yes ^ no
SYSTEM MAINTENANCE
Improper use and maintenance of your septic system could result is its prcmaturafailure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner. and by a
masterplumber, jouraeymanplumber, restrictedplumbcror a licensedpumperverifying that (1) the on-site wastewaterdisposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
sea ' that your septic system has beta maintained must be completed and returned to the St. Croix County Zoning Office within 30
da thre e e lion date.
~ / /~/a
P. C. COLLOVA BUILDERS INC
SI NA F APPLICANT
.
(715) 247-2742 ' DATE
SOMERSET, W SCONSIN 54025
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the bast of my (our) knowledge. I (we) am (are) the owner(s) of
the p de 'b ve, by virtue of a warranty deed recorded in Register of Deeds Office.
P. C. COLLOVA BUILDERS, INC. ~ ~ ~iC)
SIGNA OF APPLICANT (715) 247-2742
P.O. Box 489 DATE
SOMERSET, WISCONSIN 54025
****** Any information that is mis-represented may result in the sanitary permit being revoked by
... the Zoning Department. ******
~
** Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
Maintenance and Contingency Plan for a Septic System
Maintenance Plan
1. Septic T~~nk is to be pumped once every 3 years.
2. Effluent fitter is to be cleaned once a year. Please note: a larger filter is being installed in
order to extE~nd the maintenance interval of the filter.
3. Once ev~:ry 3 years, cells are to be inspected via the inspections pipes at the ends of
the cells.
4.Owner ac rees to limit greases, garbage, and water conditioner discharge into the system.
5. The ownE~r agrees to save this plan.
6. Do not plant trees nor park nor drive over system.
7. Watershf~d is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
C9,q#~pgPlan
Option #1. ystem fails, determine cause of failure, use alternate area and install new
^system in tested replacement area.
Option #2. Install system at a lower elevation, by removing chambers, removing biomat,
and install new system.
Option#3. PJo adequate area is suitable for replacement area, and system elevation
cannont be lowered. Install holding tank as last resort.
3. Replace ,any other failing components as needed.
Plumber: ~~haun Bird 715-246-4516
St. Croix County Zoning 715-386-4680
Pumper T~~m Mondor 715-246-5148
Shaun Bircl #226900
U 1950P 52.81
t STATE BAR OF W ISCONSIN FORM 1-1998
1 WARR/WTY DEED `
Husband and wife .Grantor, and P O t;ollova tiurloers. mc. . gar
Grantor, for a valuable consideration conveys to Grantee the folloN
described real estate fn St. Croix County State of
JViscortsin (the "Property'):
Area
Sea Exhibit A attached hereto
tS87242
KATNLEfiB R. 11ALSH
REGISTER OR DEEDS
ST. CROIX CO., YI
RECfiIYfiD FOR RECORD
0t3-16-2002 9:00 AM
EllODT ff ~
REC FEE: 13.00
TRANS FEfi: 1155.00
COPY FEE:
CERT COPY FEE:
PAGES: 2
rceorm noarase
P CoNova Builders. Ina
x Avemrs
mood , YVI 540113
j'~~~ 9s~a 9
0)5-1039-20-•000 / 018-
018 1039 80 000
Percet Identlflcatlon Number (PIN)
This Is not homestead property.
(IS) (IS not)
Together with all appurtenant rights, tlUe and Interests. none
Grantor warrants that the title to the Properties good. Indefeasible in simple fee and free and clear of encumbrances
except
Dated this 15th day of August. 2042.
(S~) (SEAL)
hn J. Iton arolyn G. alton
(SEAL) (SEAL)
• A.t~~~Ci
-. ~ aTE OF WISCO~
Signature(s)
-iRFE~:B~ S`„ ' ZNd
authentlcated this ~~ ~~~~ _
gTA'TE
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by §708.08, Wis. Stets)
THIS INSTRUMENT WAS DRAFTED BY
Cddwell Banker Bumet
1301 Coulee Road
Hudson, WI 54018
2-32a~o
(Signatures may he authenticated or acltnowAedged.
Both are not necessary.)
• Nwmaa of oeraens elanlna In env C8D8CItV must he typed. or I
ACKNOWLEDGMENT
Stets of yYlsconsin,
1~
ei2cCr~ ~ I+o~^,
~V E ~Lb oK
r of 2
} ss.
St. Crobt County
Personally came before me this 1 ~ day of
Aucwt502 the above med
. Da and rol D t ba nd Wif
W w ~kz r~
Notary Public, State of Wisconsin
My commissbn Is pde5mc nt. (It no4 state expiretbn date:
STATE BAR OF WISCONSIN Wisconsin Legel Blank Co, Ina
yyA~gtt7y pgEp FORM No. ! -1998 Milwaukee, Wis.
.. .. .,i~`,~.~:9 S..,Q P. 5`2,~,,.~'.
a:.
:.. ~;..
A part of the NE'/. of the NE /and In part of the NW '/. of the NE'/, and fn part of the SVb!'/, of
the NE '/. of Section 18, Township 29 North, Range 1T Weat, Town of Hammond, St. Croix
County, Wisconsin and more pattkularty described as; Begi~lning ~ the Northeast comer of said
Section 18; thence S89°33'31'W 372:01 feet along the North (Ine of the NE Y. of said Sectlan 18;
thence S89'33'31"VV along the North line of the NE '/. of said Section 18 Tl5.94 feet; ttyance
S00°52'23"E 250.00 feed thence S89'33'31'IN 968.24 foet* thence S00°52'23"E 420.00 feet;
thence S89.33'31'W 528.00 feet; thence S00°52'23'E along t1'te North-South Quarter SecBon line
of said Section 18 1311.77 feet; thence N88°33'39°E 628.33 feet; thence N00°31'25"W 30.23
feet; thence N89'33'24"E 692.78 feet; thence N00'52'23"W along the East line of the SW % ~4f the
NE '/. 330.31 feet; thence N89°33'24'E along the South line of the NE '/. of the NE '/.949.09,' feat
thence N00°52'24'W 1321.19 feet to the Polnt of Beginning.
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345.12' 280.65' 1 6.70'
S 89'33'24" W
692.76'
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