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Parcel 026-1001-80-100 12/12/2005 03:44
PAGE 1 OF 1
F 1
Alt. Parcel 1.30.18.9A 026 - TOWN OF RICHMOND
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
- -
Tax Address: Owner(s): O -Current Owner, C -Current Co-Owner
O - MAHER, PATRICK J
PATRICK J MAHER
1428 CTY RD GG
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description 1428 CTY RD GG
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 3.000 Plat: N/A-NOT AVAILABLE
SEC 1 T30N R18W PT NE SW LOT 1 CSM Block/Condo Bldg:
8/2188 3 ACRES
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
01-30N-18W NE SW
Notes: Parcel History:
Date Doc # Vol/Page Type
01/28/2005 786015 2738/565 WD
01/11/2002 668032 1813/252 Q" "C
~-I 19~:
07/23/1997 864/304 Wil t Ic
r
Bill Fair Market Value: Assessed wit
2005 SUMMARY , _
95289 148,400 b
Valuations: Last Changed: 06/19/2002
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 45,000 82,300 127,300 NO
Totals for 2005:
General Property 3.000 45,000 82,300 127,300
Woodland 0.000 0 0
Totals for 2004:
General Property 3.000 45,000 82,300 127,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 114
' Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
i 45530`
CERTIFIED--SURVEY MAP
Located in part of th E of the SW .of Section 1, T30N, R18W, Oj
Town of Richmond, St. roix County, Wisconsin. FILED
LEGEND JAN2 3 19900-
Found Aluminum Cap in concrete. JAMSS O'CONNELL
Register of Deeds ~rl
OWNER C~ St Croix Co:, VYI
• Found 1" iron pipe.
Willow,jIiver Joint Venture
Rt. 1 Box 194M O Set 111 x 2411 iron pipe weighing 1.68 pounds per linear foot.
New Richmond, Wi.
54017 -r-.- existing fenceline
SCALE IN FEET
100 50 0 100
unplattedlandsowned-by -platter
N--Bs
N N69°4 ' 2"W
as'? 296.03'
Bearings are referenced to
the west line of the SWI
assumed to bear N00038121"W.
Ic
I'0
m I r
N 1 prt Irt
C.S.M. Vol. 7-P. 1819 o silo
a
N N ~ j
0
0 o barn a
-n o
W I N
Ph 1~
I
co W
g' 1 0
r m o shed F ' f°
Id
W1 Corner M LOT 1 -
Section 1-30-18 _
s w J 130,680 sq. ft.) INCLUDING ROAD RAW w is
t0 I N
3.00 acres )
s 119,890 sq. ft.) Ca
EXCLUDING ROAD R/W
2.75 ac )
house w
N W ~
rt r
~ v+ co
v
N -
7 t0
o 1.5' ± S89°49' 25"E 30 .911
h - - - - - - - C.T.H. n Gu _ L-4
S89°46'22"E 1322.45' S8904612211E ---302.44'
south line of the NW of the SW south line of the NE} of the SW•
z
°o Small Tract
w w
C2
r ,
r+ N • Q Fa r + 4
~VED
ly f
t' ~1' !taF a .r If
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CSC Ir T"..
9. CROIX COuv~ TY , • !
W C0kVWJ*MvF- PAN, 'S F lA-NNINr.
Atd020P>tf4C E:Or A{fl .t
SW Corner
Section 1-30-18lti»'''r~
This instrument was drafted by Douglas Zahler
job number 87-05-189 VOLUME 8 PWGE 2188
PUMP CHAMBER
Manufacturer: Liquid Capacity:
Pump Model: mManufacturer: Pump Size
Elevation of inlet- Bottom of tank elevation:
elevation: Gallons per cycle:
Pump <Mana
Alarer: Alarm Switch Type:
Nu rom nearest property
line: Front, O Side, Rear Ft.
Number of feet from well:
umber of feet from_ building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: Trench:
i
Width: Length: Number of Lines: Area Built: S Q
Fill depth to top of pipe: a
Number of feet from nearest property line: Front, O Side, Rear,0 Ft.
Number of feet from well: ~~21-)
Number of feet from building: ~~t r
(Include distances on plot plan).
SEEPAGE PIT
Size: umber of pits: Diameter:
Liquid depth: Bottom of seepage pit elevation:
Area Built*
Has either drop box O or distribution box O been used on any of the above soil
absorbti sytems? (Check one).
HOLDI TANK
Manufacturer: Capacity:
Number of rings used* Elevation of bottom of tank:
Elevation of inl
Number of fe from nearest property line: Front, O Side, O Rear, O Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Al rm Manufacturer:
D Inspector:
Dated: Plumber on job:
License Number:
3/84:mj
Form- S T C - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP V{ t d\natL6 SEC. T 90 N-I1 g W
ADDRESS ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of I1HR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
4
nl;
q°
C
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used c-4
Elevation of vertical reference point: 100 Propo~s'ed~-slope at site:
SEPTIC TANK: Manufacturer: A26-s- Liquid Capacity: I~ C~ ¢y
Number of rings used: t Tank manhole cover elevation:
-r-
Tank Inlet Elevation: c Tank Outlet Elevation: 7
Number of feet from nearest Road: Front,'', Side,Q Rear, O l feet
From nearest property line Front,0 Side, Rear, O feet
~
Number of feet from: well building: Y
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
DEP, RTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
BUREAU OF PLUMBING
P.O. BOX 7969
MADISON, WI 53707
X91 CONVENTIONAL DALTERNATIVE State Plan l.D.Numb er:
(
Ell Holding Tank O In-Ground Pressure ❑ Mound
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTIO DATE:
e
Gertrude Schmit Rt. 1, New Richmond, WI 54017 - o
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. LEY.: CST REF. PT. ELEV.:
NE SW, Section 1, T30N-R18W, Town of Richmond
Name of Plumber IMP/MPRSW No.: County: Sanitary Permit Number:
Gary L. Steel 3254 St. Croix 88460
SEPTIC TANK/HOLDIN TANK:
MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: IWARNINGLABEL LOCKING COVER
Q PROVIDED: PROVIDED:
SS YES ONO DYES NO
BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: 1PROPERT ELL: BUILDING: ENT TO FRESH
AIR INLET:
JI5
ALARM: FEET FROM LINIV
DYES %NO C DYES NO NEARE WDOSING CHAMBER:
MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
OYES ONO DYES ONO DYES ONO
GALLONS PER CYCLE: MP AND CONTROLS OP ATIO AL: NUMBER OF PROPERTY IWELL- BUILDING. VENT TO FRESH
(DIFFERENCE BETWEEN FEET FROM LINE AIR INLET:
PUMP ON AND OFF) PU DYES NO NEAREST
SOI L ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENGTH DAND MARKING
or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
WIDTH' LENGTH' NO. OF JDISTR. PIPE SPACING'. COVER INSIDE DIA. #PITS LIQUID
BED/TRENCH / / THE C S MATERIAL: PIT DEPTH
DIMENSIONS 61 17'
GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL'. NO. DI NUMBER OF PROPERTY WELL BUILDING: V NT TO FRESH
I _j
BELOW PIPES-. ABOVE COVER ELEV. INLET
ELEV. END: PIPES. FEET FROM LI Q 1 -7 O C" I AI~ 1 EJ
Z , 0 (P v1 NEAREST
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA-
meets the criteria for medium sand. TIONS MEASURED.
DYES ONO
SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS
DYES ONO DYES NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED
CENTER. EDGES'.
DYES ONO DYES 1:1 NO DYES ONO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH'. LENGTH. NO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER
BED/TRENCH TRENCHES:
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING
ELEV.: ELEV.: DIA.. ELEV.. PIPES DIA.:
ELEVATION AND
DISTRIBUTION
HOLE SIZE HOLE SPACING. DRILLED CORRECTLY COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED
INFORMATION PLANS.
DYES ONO DYES ONO
COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: IBUILDING:
FEET FROM LINE
DYES ONO DYES ONO NEAREST
~ s
V
t,
I, t
Sketch System on Retain in county file for audit.
Reverse Side.
SIGNAT TITLE.
DILHR SBD 6710 (R. 01/82)
i
INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT ,
APPLICATION
TO THE APPLICANT:
1. This 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 tFiiCRermit issuing authority. A new permit may qe needed
if there is a change in your building plans, system location, estimated wastewater flow (number of bed-
rooms, etc.), depth of system, or type of system;
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. Private 'sewage systems must be properly maintained. The septic tank(s) should be pumped by `a Ilcansed
pumper whenever necessary, usually every 2 to 3 years;
6. If you have questions concerning your private sewage systern, contact your local code administrator or the
State of Wisconsin, Bureau of Plumbing, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
I. Property owryer' > name and mailing address. Provide the legal description where the system is to be
installed;
li. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat
restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling;
III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or
repair;
IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project
is in conjunction with University of Wisconsin;
V. Absorption system information: Provide all information requested in ##1-6;
VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed,
number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete
for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if
tanks received experimental product approval from DILHR;
VII. 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. Fill in designer name if
applicable;
VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number.
IX. County/Department Use Only;
X. Comment area for use by county or resaon given when application is disapproved.
Complete plans and specifications not smaller than 8'/z 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; dosing or pumping chambers; 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.
GROUNDWATER SURCHARGE
sN
On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more
commonly known as the. groundwater protection law. This change in statutes was the
result'of overt years of steady negotiation and public debate;'The groundwater bill Groundwater
included the creation of surcharges (fees) for a number of regulated practices which Wiscor~5Ws
can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried f:reasure
is used in your building is returned lc the groundwater through your soil absorption o
system or the disposal site used by your holding tank pumper.
The monies collected through these surcharges are credted to the groundwater fund adminis-
tered by the Department of Natural Resources. These funds are used for monitoring ground- t
v,,ater, grourdwater contamination investigations and establishment of standards. Groundwater,
it's worth protecting.
SBD-6398 (R.03/86)
SANITARY PERMIT APPLICATION COUNTY
In accord with ILHR 83.05, Wis. Adm. Code
:EMILHR
STATE SANITARY PERMIT #
8' D
-Attach complete plans (to the county copy only) for the system, on paper not less than STATE PLAN I.D. NUMBER
8% x 11 inches in size.
-See reverse side for instructions for completing this application. PETITION
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑ YES ❑ NO
PRO RTY O NER PROPERTY LOCATION
' - &7/" V0'/4, S N, R IAF<or)W
PROPERTY. WNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISI NAME
10 tt 014
I A) 4-
Y.'s T ZIP CODE PHONE NUMBER CITY NEAREST OAD LAKE OR LANDMARK
lh'/o' t b_ZO VILLAGE
II. TYPE OF BUILDING OR USE SERVED: J
Number of Bedrooms if 1 or 2 Family f -ORE] Public (Specify):
Ill. PURPOSE OF APPLICATION: (Check only one in #1. Check # 2,3 or 4, if applicable)
1. a. ❑ New b. Replacement c. ❑ Replacement of d. E1 Reconnection of e. E1 Repair of an
System System Septic Tank Only an Existing System Existing System
2. ❑ A Sanitary Permit was previously issued. Permit Date Issued
3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements.
4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy.
IV. TYPE OF SYSTEM: (Check only one in #1 and only one in #2)
1. a.` kconventional b. ❑ Alternative C. ❑ Experimental
2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP
In-Fill Tank
V. ABSORPTION SYSTEM INFORMATION: (Check one)
1. a. ❑ Seepage Bed b. See a e Trench C. ❑ Seepage Pit
2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY:
(Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): 11-V _ 02
rp,5 .~OvJ`_ Feet 54rivate ❑ Joint ❑ Public
VI. TANK CAPACITY Site
in gallons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper.
INFORMATION New xisting Gallons Tanks Concrete glass App.
Tanks Tanks structed
Septic Tank or Holding Tank V606 j 5 ❑
Lift Pump Tank/Si hon Chamber ❑ ❑ ❑
VII. RESPONSIBILITY STATEMENT
1, the undersigned, assume responsibility for install tion of the private sewage system shown on the attached plans.
Plu tier's Name (Print): Plumb ' gnature: (No amp ,A4P/MPRSW No.: Business Phone Number:
.2~4 t ( zo 6_~ 1
L P_ 10- ~ m"~ 3Z? 715 2#614vZOo
Plumber's dress (Street, City, Sttaate, Co eName of Designer:
88 ~
VIII. SOIL TEST INFORMATION
Certi ' oil Tester (CS Name CST #
r #W
Name 4 F_ CST's ADDRESS (Str et, City, State, ip CloV Phone Number:
( e7 1 5 Z - !o 2~ct3
Ledb W% A 4
IX. COUNTY/DEPARTMENT USE ONLY
X❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signature ( o mps)
Approved F-1 Owner Given Initial Sur arge_Fee
mz~
A
dverse Determination X.~
X. COMMENTS/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber
APPLICATION FOR SANITARY PERMIT
STC - 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 fa,~:L..a
Location of Property A) 14 S ~ 14, Section l , T J y N - R W
Township
Mailing Address
~1
Subdivision Name y~
Lot Number yO~ p
Previous Owner of Property
Total Size of Parcel
Date Parcel was Created
Are all corners and lot lines identifiable? Yes No
Is this property being developed for resale (spec house) ? Yes No
Volume ~9 4151 and Page Number ~ 3 as.recorded with the Register of Deeds
INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING:
1. Warranty Deed
2. Land Contract
3.• Other recordings filed with the Register of Deeds Office
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 the Certified Survey Map shall also be required.
PROPERTY OWNER CERTIFICATION
I (We) ee ti6y that att statements on this 6onm ane tAue to the beat of my (out) ,
knowt2edge; that 1 (we) am (cute) the owner(s) o6 the property descAibed in this
injonmation 6anm, by viAtue of a wanAanty deed necoa.ded in the Oj6ice ob the
County Register og Deeds as Document No. ,3.5 3 ; and that I (we)
pneaentty own the pn.oposed site bon the sewage paw system (an I (we) have
obtained an easement, to nun with the above desc4ibed pnopenty, bon the
construction o6 said system, and the same had been du.Ey recorded in the 066.iee
o6 the County Register o6 Deeds, as Document No. 1.
SIGNATU F OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
DATE SIGNED DATE SIGNED
. II
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• MIl1 FN ll. MILWAUKEE 1 1.47
Stxa: u`ulre' Ih•cll un 1'11wrr ur ti:11~~ III Will. FORM 3411 M~ #
(Mbertao, Luther- L. Tr'a Lsev
of the To,,in or Iii i!hmnnd , St. C i'o i x Colml-v, Wi -t on°-1 n
on the ,.ISL day of December , 1952 , made, published and declared his
last will and testament, and by which he appointed Ma t't L n T i'a i. 1e r' and Charles Tra ise r
h 1:; executor' of said will, and therein empowered the said execut o is martin Tra .set' and
Charles T,•aLser
to grant, bargain, sell and convey any and all real estate of which said test tor' might die seised
or possessed, and therein also authorized and empowered said execut or's , upon the sale of any such
real estate, to make, execute, acknowledge and deliver sufficient deeds of conveyance to convey and assure
to the purchaser or purchasers, all the right, title and interest of the said testa for in or to the said
real estate, and
Ulbtrta0, the said test ator died on the 22nd day of January ,
195 , at Hudson, Wisconsin then being an inhabitant of the County of
St . C I •v L x State of Wisconsin, and
Wbtrt10, such proceedings were had in the county court of said County of St . Croix ,
State of Wisconsin, that on the 26th dad of January ,195.E
the said will-of said -'Luther L'-Tr'aiser, was duly allowed and admitted
to probate, as and for the last will and testament of the said Luther L. Tra iser
deceased,and Martin Traiser and Charles Traiser
by said court appointed execut ors of the said last will and testament and letters testamentary
were thereupon duly issued out of and under the seal of the said county court to the said
Martin Traiser and Charles Traiser empowering
them to execute the said will, and carry out all the powers conferred upon the said
execut p r,S therein, and
Wbereao, the said Ma rt' i ii TI° r i „e r- a nd Cha r•1 e-1) T 'ra i,,', c, r' duly qualified
as such execut ovs and Martin Traiser and Charles `braise i' now
acting as such execut or`t:i , and the said execut oro having contracted with
VJ f i l i <:rm P. Sehmlt and Gertrude E. Schmit for the sale and conveyance to
Lhc:ut of the lands herein described, for the sum of
-Ninety rive hundred---------------------- ($9500.00) --------------Dollars,
the same being a full and adequate price therefor.
JRO1p Zberttort, tbiO 3nbenture &UitntoOttb, That the said Martin Traiser and Chia r 1 e s
• Tc'aiser execut ors of
the will oil' Luther L. Traiser part Y of the first part, in pursuance of the said
will and the powers therein conferred, and of said letters testamentary,land in consideration of the sum
Ninety five hundred--------------------- ($9500.00) -------------Dorlars,
to them hand paidby the said 5lilliam P. Schmit acid Gerti.,ude E. Sc paittDol
of the second part, receipt whereof is hereby acknowledged, have granted, bargained, sold and conveyed,
and by these presents do grant, bargain, sell and convey unto the said part i e s of the second part, j
their heirs and assigns forever, all of the following described piece or parcel of land lying
and being in the County of St. Croix , State of Wiscor)Siri
described as follows, to-wit:
The Northeast Quarter `:of ` the Southwe-st- Quarter
(NEt SWJ,) ; ,the Northwest Quarter.of Norstheat
Quarter . (NWt NE fl and the .Southeast .:Quarter of
Northwest Quarter (SEt NW4) of Section One (1)
Township Thirty (30) North of Range Eighteen
(18) West.
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N 11 1 1 , 5
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17.
Zo babe anb tO 1?0ID the said tract or parcel of land, with the hereditaments and appurtenances there.
unto belonging, unto the said parties of the second part, their- heirs and assigns forever;
? T,
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311353
lSTATE OF WISCONSIN 3t. Croix _ COUNTY COURT PROBATE BRANCH
IN THE MATTER OF THE JOINT TENANCY CERTIFICATE OF TERMINATION
IN ESTATE of OF JOINT TENANCY I
-~.i ] l i am _i. 5C mi t _ I
Deceased.
it
File No.
I'
.i
The petition of-__C1ertrude_ _1__3Chriit ff
!i
for a certificate of the termination of the joint tenancy of I I i aM Pf_SChi i t,.--._--_
in the property hereinafter described, coming on for hearing;
And it appearing that due notice thereof has been given to or duly waived by the Wisconsin Department of Revenue
and the public administrator in accordance with law; ;i
And it satisfactorily appearing by the verified petition of said petitioner, who is legally interested in said matter, j
and by the proof submitted, that such certificate may be issued;
iI
I
Therefore, I, ~;~-fAl>31]eS County Judge County,
- it
i
Wisconsin, do certify that -W31zu:n died domiciled in I
wv. v1~ -County, Wisconsin, on 7;zy-1 j_,_1 i72 ;
Decedent at the time of death had an interest as joint tenant with ~erde~-~~lt-
I
in the property described as follows;
::cuth(:ast quarter of 4"dorthWeE;t quarter aizd ortheaot quarter of southwest
quarter of Section 1, Township 30 it&rtaE? lv •E w,: -
' • CO U ft T
t f
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State of Wisconsin:,
titGI81 ERS UFFICL County of St. Crzx-),:
I hereby certify tIj1L*s dectiment is a fiull,
WIS.
ST. CROIX CO..
tiue and correct c~~,} Df tie.`originaf-on:f~
Reed for Record this-19th- and of record in '.ny 7pffice and'tTd tick
compared by me.~
day of 11,1 T-----A.D.19_7.2
~r
8L_ Attest - 19.
r ter of PEi.
Margaret . M. Schullo,
Register in Probate
Said estate was (not) * subject to an inheritance tax
And the joint tenancy of William, i'. :3cluAit____ in the property was
terminated as of the date of death, and artrude _E.-___Scl nC it
(is) * (wz,%) the surviving joint tenant.
IN TESTIMONY WHEREOF, I have signed
(SEAL) this certificate and affixed the seal of the Court
- ._1tIr.. -'lfFtrd _ - - on Attorney / --y
604
~dc~res l6'~T1a1,1~ ---/J0ph aughe; dge
Recorded in Vol. Page.- _
* Strike as appropriate.
No. 42-A (Rev. 1970) CERTIFICATE OF TERMINATION OF4186 ~~A J~~JJ! ~ S. 867.04
JlJ X. C. RIMER CO , MILWAUKEE
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(RUCTIONS FOR COMPLE. ° FORM 115 - SBD - 6395
To be a complete and accurate soil test, your report Must include:
1. Complete legal description; 2. The use section rmir t clearly indicate whether this is a residence or commercial project;
3. (MAXIMUM nurr,: r - of bedrooms or commercial use planned;
4. Is this a new or nent systern;
B. Complete the s lity rating boxes. A SITE €S SUITABLE FOR A HOLDING TANK ONLY IF ALL
OTHER SYSTEI RULED OUT BASED ON SOIL CONDITIONS;
B. PLEASE use ions shown here for writing profile descriptions and completing the plot plan;
7. 1%`AKE A LEGIBIL rgram accurately locating your test locations. Drawing to scale is preferred. A
ate sheet im ,ed if desired; . ~ sure your I and vertical elevatic. we point are clearly shown, and are permanent;
Olt :e all ; oxes as to dates, ::.tresses, flood plain data, percolation test exemp-
if appropria
1C. information as flood plain, elevation) does riot apply, place N.A. in the appropriate. box;
1 1 . S '-n the form and p' ur current address at our certification number;
12. fr,akv legible cop.' „k `istribute as re(JUir( '%LL SOIL TESTS MUST BE FILED WITH THE
LOCAL AUTHG 1, -THIN 30 DAYS OF ( ' ETION.
ABBREVIATIONS FOR CERTIFIED SOIL. TESTERS
Soil Separates and Textures Other Syrnbols
st Stcr (over 10") BR B r4ock
cob C , (3 - 10") SS , ?ne
gr - Gi_ I (under 3") LS ,`_on° *s - Sat ' HGW - h :,h Grou; r
es Coarse Sand Pere - Percolation
coed s - Medium Sand W - Well
fs Fine Sand Bldg - Building
Is - Loamy Sand > - Greater Than
"sl - Sandy Loam < - Less Than
*I - Loarn Bn 'own
sil - Silt Loam BI B!::si - Silt Gy
cl - Clay Loam Y - vV
scl - Sat :'aClay Loam R P ;1
sicl SilLoarn mot - Mottles
sc - & wr' 7
sic - I fff
`c - t CC - c rmor or I` t rnrn - 5,11any, rT
rn - Muck d - distin
p prom
HWL H -ih
Mures sur`
isposal - Bench I
V - 1lert'c.:` rce Point
°r u
t oep in y y eNJU(est
private
order to
H N
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STC - 105 r a
H
SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County z
d
a ~o
OWNER /-R1 Y E R C.~ a,.~ a_ e c~7 ni ;
ROUTE/BOX NUMBER . n l Fire Number
.CITY/STATE dg~ 0146-v'_Va ~LI✓ "I ZIP c 7~CJl~
PROPERTY LOCATION: L if, SO Section ~ T 3 0 N, R_13 W,
Town of St. Croix County,
Subdivision , Lot numberi- et-
I
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes. Proper maintenance con-
sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you pdt into
the system can affect the function of the septic tank as a treat-
ment 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 systems properly
maintained.
The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber,
journeyman plumber, restricted plumber or a licensed pumper veri-
fying that (1) the on-site wastewater disposal system is in proper
operating condition and (2) after inspection and pumping (if nec-
essary), the septic tank is less than 1/3 full of sludge and scum.
Certification form will be sent approximately 30 days prior to
three year expiration. yo E
I/WE, the undersigned, have read the above requirements and agree to
to maintain the private sewage disposal system in accordance with x H
the standards set forth, herein, as set by the Wisconsin Depart- Iv
ment of Natural Resources. Certification form must be completed
and returned to the St. Croix County Zoning Office within 30 days
of the three year expiration date.
S IGNED
DATE
St. Croix County Zoning Office
P.O. Box 98,
Hammond, WI 54015
715-796-2239 or 715-425-8363
Sign, date and return to above address.
LDINGS SAFETY & BUD I IVISION
DEPARTMENT OF REPORT ON SOIL BORINGS AND INDUSTRY, C P.O. BOX 7969
LABOR AND PERCOLATION TESTS (115) MADISON WI 53707
HUMAN RELATIONS (1-163.0911) & Chapter 145.045)
LOCATIONS SECTION: TOWNSHIP/r: LOT NO.:BLK. NO.: SUBDIVI ION NAME:
r 1/ w1/a I /T 3op/R l+or, W
COUNT OWNER' 'S NAME: MAILING ADDR SS:
USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILEDESCRIPTIONS: E LA ION TESTS:
`Residence 1 ❑New Replace I 12-
RATING: 3 S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSU70S STEM-IN-FILLHOLING TANKRECOMMENDED SYSTEM:(optional)
S ❑U ❑S oU / 64S ❑ I
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s.H63.09(5)(b), indicate. 1 -1 Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS ' 2g
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SO L WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER ELEVATION OBSERVED EST. HIGHEST- TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
P3 ~L3 /oz 00 -0 B -76 oz.
E2 P, EB2,
Of 00 ~_7
0 k) B-_3 7
B-
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER +NeH2S AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 P R PER INCH
P_ ( ° 3 S ~Yz ~f Yz /
P 2- .3 N 4 3
P- -5 40 61 ire, P
P-
P- _
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope. d2
SYSTEM ELEVATION
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I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative
Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME (print): TESTS WERE COMPLETED ON:
~ f ~ -3f-Bb
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional):
CST
C SIGNAT E:
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) - OVER -
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