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Home My WebLink About020-1041-24-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division ;~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village x Township Boumeester, Jeff Hudson Townshi ST BM Elev: / , Insp. BM Elev: BM Description: f TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ,~ t sin /OU ° . ng er ion Holding TANK SETBACK INFORMATION TANK TO P/L ~~ WELL a i BLDG. h Vent to Air Intake ROAD Septic S-{-`~vt~ '~IS~ f~ ~-f'~~ 9 ~ , , Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand M Model Number TDH Lift riction Loss System Head TDH Ft Fo emain Length Dist. to well SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 408221 0 State Plan ID No: Parcel Tax No: 020-1041-24-000 STATION BS HI FS ELEV. her a ~r~~ ( S'~ 33 /Ol. 3 DD . ~ `~v Alt. BM 9~-/~3 Bldg. Sewer / (~7~~i~c~G[ ~~ ~/ ~9-~.6 st/Ht~ - / ~ ~9- ~ 3 SUHt Outlet 9 / Dt Inlet ~- ~--~. Dt Bottom ~ Header/Man. S-~ z /2, Z , I'3 Dist. Pipe 3 2 • 3 ~~ 03 Bot. Syste 2. g$. ~ Final Grade 9S ~3. 3 ~ St Cover r (~ rl's~~ `~• Z ~7 1 ~ BEDlTRENCH Widt I ~r Lengjp t No. Of hes PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS h '>~{rj ~ ,~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/BYRE LEACHING M csurer: ~, 7 ~ 1 INFORMATION CHAMBER O . ! b Ty Of System: ' ` ` t ' / U Model Number: h~ 8 I b 7 ~ DISTRIBUTION SYSTEM ~, _ _ n ~ -f-r ~ ~./_, ___ L ,.,, n ~ o~n t/'10~,~.~,L HeadedManifold Distribution x Hole Size x Nole Spacing 7~ ~ I !~ Pipe(s) , 7/ / ~ pt y~ /~ .~ I i L ~' f ~ _.___---- ~`~- ~ Length Dia ength D a Sp~cir g . 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 ~, ~j ~ Bed/Trench Edges Topsoil ~ No ^ Yes ~i [~ Yes ~f No m - COMMENTS: nclude cod di~~crepencies, persons present, etc.} Inspection #1: r Z/ / o Z" Inspection #2: 1 1 Location: 355 C~nty~~~Qson, WI 016 (SW 1/4 NE 1/4 19 T29N R19W) NA Lot ~ Parcel No: 19.29.19.172 51 1.) Alt BM Description = ~` "i v"" ~S ~~' `ms`s~~~~`1 ~ ~`~~~'1/~O w~ ~.Dl~ cD~- ~ 2.) Bldg sewer length = ~. ~ ~ ~'~`~ 3 S k 3/. ~~ ~ /mod ~ ~ -amount of cover = Plan revision Required? = Yes _`; No a ! 'Q ]~~ GG~Z'~LQX_o ` l ~ ~ ~~ Use other side for additional information. ~ _. ~_ ___ Date Insepctor's Sig atun; Cert. No. SBD-6710 (R.3/97) Vent to Air Intake Safety do Buildings Division aa ~ Sanitary Permit Application 201 W. Washington Ave. PO Box 7302 Iseonsin In accord with Comm 83.21, Wis. Adm. Code Madison, WI 53707-7302 ospartment of Commsroe Pers nal information you provide may be used for secondary purposes (Submit completed form to county if not ? ~ 0 Z [Privacy Law, s. 15.04(I)(m)) j,~ L'Sr state owned. Attach com lets a s to the count co onl for the s stem on a r not less than 8 -I/2 x I I inches in siu. County - , Sute Sanitary Permi~ N~mb/er O Check if revision to previous application ~ o - State Plan I. D. Number /~ I. A lication Information -Please Print all In fo rm ation ~~.,,, Location: 3SS- Property Owner Name q~.~ ~ ~~ ~.d operly Location ~j 3 _~'',~_ ~ 11 q~ ert Owne Pro 's M ili A d , ~ ~ 1/4 n~~l/4, S T~9,N R/ (G or W y p r a ng ress G ~ 20 of Number Block Number _.. ~ Q City, State Zip Code Phone Nu `'~ ~^ ~j, ' -'~V:~ r Subdivision Name or CSM Numbu II Type of Building: (check one) 1 2 F il D r n ~~~577 /v G' y~~~'~'~ ^ City O vill or am y welli j g - No. of Bedrooms: ~ O age PublidCommercial (describe use): --~-- ~'I'°"'" of O State-owned - ------- - -- _ ~ III Type of Permit: (Check only one box on line A. Check box on line B if applicable) ' Nesygpt Road A) 1. O New System 2 Replacement 3. O Replacement of 4. ^ Addition to Parcel Tax Numbe (s) S stem Tank Onl Exispn S stem tJ - d~ B) O A Sanita Permit was reviousl issued Permit Number hale Issued __. IV. Type of POWT System: (Check all that apply) 2e,Gr - G~~;d[.t/ [Non-pressurized ln-ground ^ Mound ^ Sand Filter O Cottst en ~J'Pressurized In-ground ^ 1lolding'fank ^ Single Pass O Drip Line /j1i 3~ O At-grade ^ Aerobic'1'reatment Unit ^ Recirculating ^ Other: ' N #~ 0 3/. Q z V Dia ersalll'reatment Area Inf rmatiott: 1. Design Fbw (gpd) 2. Dtspersa a 3. Dispersal r a 4. Soil Application S. Percolation Rate 6. System Elevation 7. Final Gnde Required Proposed Rete (Gals./day/sq. ft.) (Min./inch) Elevation VI Tank Capacity in Total N of Manufacturer Prefab Site Steel Fiber• Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Ta ks Se ~ ~ _ - ~- ------- -_ o __ - 0 0 0 o o ~ o 0 Vti Responsibility Statement 1 the undersi ed assume res nsibilit for installation of the POW'fS shown on the attached tans. Plumber': Na nt) Plum 's no starrrps): ~ MP/MPR S No. Busineu Phone Number n s~ ~ry ' Plumber s Address (Street, City, Slate, Zip Code) VIII County/Depart ant Use Only O Disapproved Sanitary Pexmil Fee (Includes Groundwater Date Issued Issuing grnt Signs (No stamps) Approved D Owner Given initial Adverse Surcharge Fee) c~ Z 5 ~~ 7/ ~ ~ Determination a ~ 0~ G~iric.. IX. Conditions of Approval /Reasons for Disapproval; - G24;~~in~ ~ ~~ti,; u,~f.~t ~. clJc,QQua.,e.l1?rss i) ~~ ~°f ~Ce-~Nt~ ~3' 33,a,6~eddn.. U;IP..Q.L/r au Gttti.c~ it~ -~ wi S.Ph,~~o ~ Mai~¢ su.--e etc - l~ -fY-e (CST-~rl' ~4.e~nlJt Co~t~~lrYw,~e t~wb~ ~) 5-~6ac,P~ ,cam-- ~.; ~Q~-f- ~Qari. ,y,ez~- ~u Cam, rh . ~ 3. ~!3 -(~ rJ2 Sll "Bl z 3 s 5-lerr- elev. m. ~c~OLs`f2~ -f~vc.-k- - ~-2VISl~ ~~ vl,,~-ti~XlCq~f~to,~. ~ ~3-~~~-~Q.~G~-~!~.. - d- ~~ vt~~.avfu;,, ~~G~~ ~, -~~, ~ ~~~.:. ~ .fie ~.~zs.~ ~ ~,~r.,f3.~-.... ~ ~ ~.~"~., . . . K Li . u / t /v .t /'/c_f aid S i.de uii ncle. rs rro e 3 VI e ___AZA_ _ age.a.s4.e!__-- -.-_A7,AM_ L . _ .. _ ,m_ 0u.m.e..e� der .. . . /coca iron _5 ii.i 621.1.Q11-y hi _License LQU. ________- --- . ._.,� .. _ Ia-) w, � 7 . . f Rek. ,,I, mc. _ e'tio A- s 13-4,( , 5n, 5 oir Cl/4 - ID, . 0 0 Lotll ________ J 8)..tx$sIN, )uuu yrl p-1,L Qaa,"y 8�� 9b1 1 t u) pluuf, h« r 1-6 �1er� K6, Iry r 10 Q b — �,f 1-lcy3 �5 -t j< 10 — + )�+� C11 (------) P-40 cx,f IN5 4 f 06� Onywl)f t C tiuJN•J b 35 11 j ;,) \l/ . 1111 8 3).�u ro 5 cu kl ( o • " l_ _ m - w N > c i � .O III I ��.II I cc � JJ �__ ogcu CC � in ii A. > Ec ° LinII�1I w I f HIL C C1 HCI g H N U W� u W dj Ei � _ m t 4 Q 11. o, d � y � x 5Vk ': ` \ U_ woow .. U x c v rn y �//��( ) i, ,, v,, 7 O,— O.O I V MC) h--._. .t0 - - --- --- � �� ,,, v . lL 0 i N N I I ,",, ► a` • • . . in in r 355 Co. Hwy. A City State Zip Code Phone Number _;] City ~ j Village ~~!} Taaun Nest Road Hudson ~ WI 54016 715-386-3377 Hudson County Hwy. A Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Camm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Please print all information. Personal iMormatbn you provide maybe used for secondary purposes (Privacy L aw, s. 75.04 (1} (mp. Property Owner Property Location RE A.c. Couniy 2QSt. Cro' P ~ 40Z0 ~~41-2 Re.f$yIX COUNTY ZON FICE 1546 Page 1 of 4 . Sal ~ Site Evaluations -000 Date i ~, Jeff Boumeester Govt. Lot SW 1!4 NE 1/4 S 19 T 29 N R 19 W Property Owners Mailing Address Lot # Block # Subd. Name or CSM# ,,;] New Construction lJse: ~ Residential / Number of bedroorr~ _ 5 Replarnt ~ Public or commercial -Describe: Parent material Glacial oufinrash General commer>ts and rer~mmendations: Install froe trenches at elev. = 88.00' using 36 high capacit reach system elevation. -'-"' Code derived design fkrw rate 750 GPD Flood plain elevation, if applicable na y leaching chambers. Dosing may be required to a ~~ # ~ Boring jt Pit Gnwnd Surface elev. 94.25 ft. Depth to limiting factor > 118" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlft2 "'Eff#1 *Eff#2 1 0~ 10yt3/2 none sl 1fsbk mvfr as 2f 0.5 0.9 2 4-13 10yr4/4 none Is fill 1 msbk mvfr as 1 f 0.0 0.0 3 13-19 10yr3/3 none Is 1msbk mvfr cs 1f 0.7 1.2 4 19-32 10yr4/4 none Is 1msbk mvfr gs - 0.7 1.2 5 324 7.5yr4/6 none s 0 sg ml gs - 0.7 1.2 6 44-118 10yr5/6 none s Ohs ,_ ml - - 0.7 1.2 A-~- f~fl.o =- ~ S" ^ Boring # .~ Boring Pit Ground Surface elev. 92.10 ft. Depth to limiting factor >97° in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stn-cture Consistence Boundary Roots GP DIft' *Etf#1 *Eff#2 1 0-4 10yr3/2 none sl 1fsbk mvfr as 2fm,1c 0.5 0.9 2 4-20 10yr3/4 none Is 1msbk mvfr as 2fmc 0.0 0.0 3 20-37 10yr4/4 none Is 1 msbk mvfr cs 2f,1 m 0.7 1.2 4 375 10yr5/4 none s t;< gr 1 msbk ml aw - 0.7 1.2 5 45-60 10yr5/4 none .`. 0 sg ml gs - 0.7 1.2 6 60-97 10yr6/4 none s 0 sg ml - - 0.7 1.2 ^~' ~~ !_ ~ . 2 ~ ~ ZM #4 ° 8 nobbles. * Effluent #1 = BOD ~ 30 <_ 220 mglL and TSS 30 < 150 mglL #2 = BOD < 30 mglL and TSS <30 mglL CST Name (Please Print) Sign ~ re: CST Number James K. Thompson _ a- 3602 Address A.C.E. Sal 8~ Site Evaluations Date Evauation Conducted Telephone Number 340 Paulson Lake Lane. Osceaa WI 54 0 5/10/02 715-248-7767 prpp~{y OHmer Jeff Boumeester Parcel ID # 020-1041-24-000 Page 2 of 4 Bonng # ~} ~~ Pit Ground Surface also 91.83 ft. Depth to limiting factor >94" in. ~ pppl~~ Rate Horizon th De Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' p 'Eff#1 'Eff#2 1 0-4 10yr3/2 none sl 1fsbk mvfr as 2f 0.5 0.9 2 4-10 10yr4/4 none Is fill 1msbk mvFr as 1f 0.0 0.0 3 10-16 10yr'3/3 none Is 1 msbk mvfr cs 1 f 0.7 1.2 4 16-29 10yr4/4 none Is 1 msbk mvfr gs - 0.7 1.2 5 290 7.5yr4/6 none s 0 sg ml gs - 0.7 1.2 6 40-94 10yr5/6 none s 0 s ml - - 0.7 1.2 S~' / - o, c t ~v a t~ 1 (f~ ~ ,J goring / Boring # Pit Ground Surface elev. ft. Depth to limiting factor in. ~ Application Rate Horizon Depth Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 `Eff#2 ~~ # ~ Bonng ^~[ Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Deptir Dominant Color Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 'Eff#2 ' Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS <30 mglL and TSS <30 mg/L 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 format, please contact the department at 608-266-3151 or TTY 608-264-8777. SOIL AND SITE EVALUATION 1546 Page 3 of a PROPERTY OWNER: 1effBoumeester PARCEL Lp.# 020-1041-24-000 AC.E. Soil & Site Evaluations REPORT MEMO E>asting system consists 000 gallon septic tank with two drywells down stream. A 5' wide overflow trench exits second drywell at elev. 9 .Specific location and dimentions of trench unknown. It is estimated that the e>asting trench is 5 wl e, located n,elevation of 89.00' and lies appro~amately across the proposed header of northern most trench. Proaosed svstem elevation is below existing svste~r ~v_ation._ Pressurization may be required to allow reuse of existing septic tank. r SOI~ e/Q~GtA.~iOn ~Oit ~ca-lc : / ~ Sao ~.~-~~~ ice- / '~ , / r, ,~ ~ i ``'Y ~ ~ ~` y o~~ 9C e.~', ~ /sy~ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT ,~` .,,' OwnerBuyer Mailing Address Property Address _ ~~~ l~~! `S 77 ~G~` ~o V s ~ (Verification required from Planning Department for new construction) City/State ~~~o ~ f ~ ~~ Pu'cel Identification Ntunber ~~~~~ ~ ~~~~ ~FGAL DESCRIPTION A ~~ Property Location ~ %,, ~vv '/•, Sec. 1~, T,~N-R~W, Town of subdivision Lot # 1'~. Certified Survey Map # :Volume ,Page # Warranty Deed # _ 3~ -~ .Volume . 5"y,/1 • Page # Spec house D yes lld'no Lot lines identifiable O yes ^ no ~ySTF.M MAiNTENANCE~ 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 a licensed pumper. What you put into the syateai 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, jouraeymaaplumber, restrictedplumber or alicensed pumperverify-ingthat (1) the on-site wastewaterdisposal rystem is is proper operating condition and/or (2) aRer inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requir+emtnts and agree to maintain the private sewage disposal system with the standards set forth, herein, as set bythe Degartznent of Commerce and the Department of Natural Resources, State of Wisconsin. Certiticadon stn ' that your septic system has been maintained must be completed and returned to•the St. Croix County Zoning Office within 30 da o th~ eye exgiration date. SI NA OF APPLICANT DATE ~~, •;rQWNER CERTIFICATION ~i; ~ i'(we) certify that ail statements on this form are true to the best of my (our) knowledge. th escri a ve, by virtue of a warranty deed recorded in Register of Deeds Office. SIGN OF ' PL'ICANT ~= I (we) am (are) the owner(s) of ~i.~~o DATE +••*•• 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 AND OWNERSHIP CERTIFICATION FORM /. Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shalt include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: System Design Specifications Sanitary Permit Number ~ ~~ ~ Number of Bedrooms S Oesign Flow -Peak (gpd) '7 S b Estimated Flow -Average (gpd) S1~'l- Septic Tank Capacity ( al) ~ U U Soil Absorption Component Size (ftz) I b'? ~ cry , b (, ~ j Type of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow -Peak (gpd) '? ~~` (7 Maximum Influent Particle Size (in) 1/8 Maximum BODE (mg/L) 220 Maximum TSS (mglL) 150 Tab le 3: Maintenance Sciteduie Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the '' ~ Management Plan for a Septic Tank and Soil Absorption Component i filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank maybe difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shad include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 7_ `' ~ Management Plan fora Septic Tank and Soil Absorption Component Plantings of deep-rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. When system fails, we will replace with another system at owner's expense. Alternate area must be left undisturbed. St Croix County Zoning Office 386-4680 Boumeester & Sons Excavating 386-9020 Tri-County Sanitation 386-2130 3 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK v~ This is to certif that I have inspected the septic tank presently serving the ~ residence located at : ~~%, /~~ 1/,, Sec . ~~, T~_N, R~~W, Town of J°~'~ ~~5y~ St . Croix County, Wisconsin. Upon inspection,. I certify that I have found the tank and baffles to be in good condit'on, and it appears to be functioning properly. Last time serviced 3 {tj Od Did flow back occur from absorption system? Yes No (if no, skip next line. Approximate volume or length of tim gallons minutes Capacity: Construction: Prefab Concrete Steel Other Manufacturer (if known): ~ ~ Age o f Tank ( i f known) J r+~ ~y k r, ~-f 3~~~ (Sign~'ya~t~pry~) ( (Name) Please P\,rint 1-1T ICJ ~~~ Tu I . (Title) (License Number) ~, (Date) Form to be completed. by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank, to the best of my knowledge, will conform to the requirements of ILHR 83, Wis. Adm. Code (except for inspection opening over outlet b~a'ffle) . Name ~ 1-^~- ~bH~tS~ Signature MP/MPRS U DOCU~dENT N0. 33'823 v~~' ~ ~~ PacE3a7 BY 'CHi9 DEED, _Ge~~~~ A.:__ ~-Qhr~n and_i,inda_~,_,_ -sl4f'1n.SQ I1.a--h,l~~_I~C3~~g' s _ Grantor conveys and warrants to Jeffrey J. BOUfieeSter dIlC2 Marcia_E. Boumeestert husband and wife as ;oint tenants~,_ ____ _ Grantee- STATE BAR OF WISCONSIN-lORM 1 waRaaurr ofso THIS SPACE RESERVED fOR RECOROINt3 DATA REGfSTERS OFFICC 5"i. CROIX CO., WISE Rac'd. for Record this 1(~ttl day of AuQuet /~.D. jq 76 at M. for a valuable consideration 1~!'fURN TV fn, Gilbert s Gwin the following described real estate in St. _ rolX Cnunty,StateofWiaconsin: 30 Seeand Street Parts of the Southwest Quarter of the Northeast 8.,.-colisid 54016 Quarter of Section 19, Township 29 North, Range 19 T•x~er• j West, described as follows: (1) Commencing at the This ie homestead property. intersection of the North right cf way line of the Chicago, St. Paul, Minneapolis & Omaha Railroad and the East line of the Southwest Quarter of t Northeast QliartEr of said Section 19; thence Southwesterly along said right !~ of way line 520 feet to the Southwest corner. of the parcel previously '~ conveyed to Wesley H. Xemis and Lorraine N. xemisr by deed recorded in the ~~ office of the Register of Deeds for St. Croix County in "307", page 619, ~ which is the POINT OF BEGINNING of this description; thence continuing along;{ said right of way line a distance of 100 feet; thence North 37°30' West a ) distance of 520 feet, more or less to the Southerly line of County Trunk Highway "A"; thence Northerly along said Southerly line of County Trunk Highway "A", a distance of 200 feet, more or less to the Northwest corner of the parcel conveyed to Wesley H. Kemis and wife by the above mentioned deed;; thence South 26°10' East to the POINT OF BEGINNING. (2) Commencing at the intersection of the Northerly right of way line of railroad and the East line; of said southwest Quarter of the Northeast Quarter; thence Southwestly on said northerly right of way line 620 feet to the PLACE OF BEGINNING; thei..e Exception to warranties: (Continued on Reverse Side) T~, ,t ~j ~FEB .M l Hudson Wisconsin jf Executed a[_._ r ~____~______~'~-'~___this.__~~th__ day of A11CIU.~t__ ^ 191~t. (( ~ , ~, SIGNED AND SEALED IN PRESENCE OF ~ (SEAL) i~ Gerald A. John n '1 ffii''~~ /~ J ,~,~ i`` ~!YI~sC~ ~. CSC i~r.YL (SEAL) { _ ~ Linda D. Johnson ) (SEAL) I~ 4 ~~ __ __ (SEAL) Signatures o[ r~*-al.d_A....._. a~rthenticated this 16th day of H. Gwin Title: Member State Bar of Wisconsin Authorized under Sec. 7lX>.061IItX__ STATE OF WISCONSIN ss. ---County. JJJ Personally came before me, this day of 19~, tfie above named _._ to me known to be the ~erson_ who executed the foregoing Instrument and acknowledged the same. This instrument wss drafted by ' Atty. Hugh H. Gwin '~ H11~3QIIF-~i3CQn41T1--~40-~ ~ Notery Publu ~ ~ Cotmty, Wis. ^- - ~ - . ~ ~ ~ ~ vot` 5r43~ pa^E 3~8 c~ M :~ North 37°30' West 350 feet, more or less to a point 170 feet from the Southerly line of County Road "A"; thence Southwesterly parallel and 170 feet from the Soutl--crly line of County Road "A" 205 feet; thence South 37°30' East to said Northerly line of railroad; thence Northeasterly on said Northerly line to the PLACE OF BEGINNING. Together with driveway ea:,~:ment 15 feet wide from said parcel of land to said highway, the centerline of said driveway to be 15 feet from the Westerly boundary line of property of Issac W. Mann and Gertrude C. Mann, the grantors named in the deed recorded in Volume 433, page 62, document 288408 in the office of the Register of Deeds for St. Croix County, Wisconsin. ~, ~'`"~ ~ ~ r ~-