HomeMy WebLinkAbout020-1361-03-000 wisconslnoepartrnentoflndustry. SOIL AND SITE EVALUATION REPORT Page 3
Labor and Human Relations g 0►_
Division of Safety&Buildngs in accord with ILHR 83.05,Wis.Adm.Code
COUNTY
attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must include,but ST' G2Z IX
not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEL I.D.0OZ O_/3 f-
dimensioned,north arrow,and location and distance to nearest road. o y - ` 0 3�L U
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: 6Lt✓U1J Et 'S tt,.vly ST\ZP%rjr PROPERTY LOCATION •oLI .s^
c io • \3\4 s'r-t .,D OT S. va S W t/4,S 23 T 2.9 ,N,R 19 E(ay.!)
PROPERTY OWNER:S MAILING ADDRESS. LOT d BLOCK 7 SUBD.NAME OR CSM I
\'z-) 5 ov'1-14 b 'Tr+ sr. 3 — C21 i.s \AL.\ 1 _
CITY,STATE ZIP CODE PHONE NUMBER ❑CITY OVILLAGE MOWN • (NEAREST ROAD t'T2-oPosEs
.\O S FY'tLS,^J1 S4JL. . (1tS)L191- 3-6E3 1' rpSoN CR.1I'KcIJVRtW 1ZJ
4 New Construction Use N Residential/Number of bedrooms y [ [ Additign to existing building
i I Replacement I I Public or commercial describe
Code derived daily flow boo gpd Recommended design loading rate •.1 bed,gpd/ft2 •b trench,gpd/ft2
Absorption area required 5 S% bed,ft2 -)SO trench,tt2 Maximum design loading rate •'1 bed,gpd/ft2 •S trench,gpolft2
Recommended infiltration surface elevation(s) S NJ O'T - ft (as referred to site plan benchmark)
Additional design/site considerations IA)Slvttl�1& 31..1p>'-S` 3
Parent material La E 3 o v k`tz Spy .1-1- .,R SN Flood plain elevation,if applicable r.ZA ft
S=Suitable for system I CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM II FILL HOLDING TANK
U=Unsuitableforsystem ®S ❑U I ®S ❑U I ®S ❑U I <x.S ❑U I ❑S 1 U I OS ElU
SOIL DESCRIPTION REPORT
Depth I Dominant Color Mottles I Structure GPO/ft2
Boring# Horizon Texture Consistence Roots
in. Munsell Qu.Si Cont Color Gr. Sz.Sh. ' I Bed ITrEndl
a 4 I o-4 Ity-ta_ )! Z — sit `D2 I dh cs - •s -L
...;:A Z 4--Lb l v'-t 12 3)L — `
S11 =7r1j'0`r^� 0.Sh CS .- •S .L
Ground 3 2..6-sY -)_S Lta 3iy — 3,e l s sll 61 S\i Cw •-, .5b
elev.
1014 ft. Li Sv.)t4 --1.s'r_ 3/y _ s to of \ _ --1 •$1
Depth to
limiting
>1 '.
Remarks:
Boring#
I o--I lotiQ3fZ - si\ z-F1bk1-) C-S - 5 I .6
rz '1- .1. 1ovrz316 - si1 Zw, sh.t as1-1 eS - . s s.;
Ground3 2.1-`!6 ).S 41Z31y - 6r \S O s5 AO) Ckti, - •-> •43
elev. y 46.to3 --)-S4113 -
/y S O s3 c� I - •-) •8
q4=o ft
Depth to
knifing
factor
1
Remarks:
CST Name:-Aease Print Phone:
Arthur L. Wegerer 715-425-0165
' ewserer Soil Testing & Design Service-P.O. Box 74 River Fa11s,WI 54022 .
Signature: Cl ail 1.14_ 7-27 t t41, Date: c CST Number:
PROPERTY OWNER i-N-t..f11VI> SOIL DESCRIPTION REPORT Page Z of•-1
PARCEL I.D.ar 0 Z 11 — 11", —10_ II 0
Boring # Horizon Depth Dominant Color MottlesGPD/ft
in. Munsell Qu.Sz.Cont.Color Texture Structurer. . ConsistenceBoudary Roots
• Bed Trench
IA 3 ` 0-6 IpHR 3/7_ - Sl ‘ z.•P314t CIO() eS - . s .6
_.. Z 6-18 tOHcz 3A, — GN- ,it Z Fsbh o1 \1 cg - • S
Ground 3 lB-q9 7.S4R 3/y - Gt- kS v S9 Cash t — ,--) •41
elev.
gn•0ft. V it -Iat' 1.S -1(1._ 3/y - S O vg cQ I — •7 r •6
Depth to
limiting
factor
7I04"
. it
Remarks:
Boring #
[
ovroI O-4, 'A -t i 31 Z - Si I L {I S bk I) C S - •S •
z ?, zy 1p`tR 3/6 — S0 -/ 1•4,rs1k. DIsh C-..S — • s •(.1
Ground 3 2y-1,1e '.S viz 3Iy - \ S b S' A sV) CIJ — .-) ,.B
\c V•Oft. 4 1l%-lO# 1-S viz 3/y - S O Sg al - •-, .�
Depth to —
limiting
factor „
1 0`d
1
Remarks:
Boring #
C)-8 loan 312ki
— s)l Z`{Isb>z �), cs - • s .6
5 ZTzt, . 8 30 Ill t1Z 3/(, sI \ 2.'� S k ds a.3 - •s
Ground 3 30-6D 1-S ylz 3/t/ - 1S 161. (D Sc') pi .0) Cam) - •) .b
elev. V 60-101 7.S(fR 3/y - S G1- U sl ork
99,0 IL
Depth to I .
limiting
factor
>!0-1 1'
Remarks:
Boring #
k":
1
Ma
Ground -
elev.
It. -
Depth to
limiting
factor
Remarks:
PLOT PLAN Page 3 of
•
SCALE 1 "=
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-1• 17=7"Z lb l K.l STft t.L_-12 :
1NJ TM-LA_ Ct`'S L"ybe-N 3 x -i S t L0 J L. )cm t-j-1 6 NN C-P Pt''`t71-r
S1pEi.�l�vD�'R L.V•Te-i CL ftr-t �t1ZS. T JQt1r 8` 60" b EP Pi- TiiE
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�qo_n•-ems TuJoo 22025y
�� 11�t�2' J •1�9L�d��+,t. -7 �� tl� ( 715 ) 425-0164
CST Signature Date Signed Telephone No. CST##�
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix
Safety and Building Division
• INSPECTION REPORT Sanitary Permit No: 420388 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)].
Permit Holders Name-. City Village X Township Parcel Tax No:
Brinkman, William Hudson Township 020-1361-03-000
CST BM Elev Insp.BM Elev: BM Oescripli
/ C)• 0 / OD • v t"�GI- 7z'/ ST/1-eys
TANK INFORMATION ELEVATION DATA
r TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
— U- l mot- -0-1J /0�573 43 ili�r b . a� /o%.o f /ad . o
Dosing Alt.BM f.4i // / /0 9si
/7
Aeration . /1 —/OD `Y 1�� Bldg.Sewer LV /
t •e,Y /02•'-t
Holding St/Ht Inlet
4'.& /D/• 34
TANK SETBACK INFORMATION St/Ht Outlet L p 2
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Sottn-f n/y T �i, --
Septic P�/_ �� /Of "�,..t Dt Bottom l
Dosing / HAAiier/Man. 1}-(3-4/6 d y�
-Aeration Dist.Pipe 5-,„,..i i 8/S' ti7.Holding Bot.System 9.
{I` i. `
( v. _ y L c./4
Final Grade
PUMP/SIPHON INFORMATION 40.72- 479. 3 z
Manufacturer Demand St Cover
I v 2.3 V3. 71/
Model Number
TDH Lift tion Loss System Head TDH Ft
Forcemain Length Dia.
SOIL ABSORPTION SYSTEM /7.eI a-rc lje/Lo 17/- eitr/L
BED/TRENCH Width f Length No.Of Tren PIT DIMENSIONS No.Of Pits Inside Dia. liquid Depth
DIMENSIONS If/1„ ' \f
SETBACK SYSTEM TO P/L BLD WELLA/jam LAKE/STREA LAMBER yYa�turer�.��� 0/ r
INFORMATION Tye System I �', r CHAMBER OR J31� -'P't(�,y�.1�1 .
!`-� UNIT !Number
v -►4rrr� a I 3 y r
DISTRIBUTION SYSTEM .6.'P4_ 0 t ) c,,d y,
Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
/ //4 Pipes) t !r /
Lengthr3i / / ,4,/v.4.
Dia qT Length (ADia Spacing IL) ' `33 p
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only V�3 a+LOrfc.( L(
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil
�r■7Yes • No • Yes Y No
COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: a// / v 2 Inspection#2: / /
Location: 813 Crimson Valley Road Hudson,WI 54016(S 1/4 SW 1/4 23�T29N R19W) Crimson ey Lot 3 Parcel No: 23.29.19.2133
1.)Alt BM Description= ' ✓il•IAAIL i Owe i�C_!/ ���.ei `i l a/ -aJ - 7 12u / jLLC1-
2.)Bldg sewer length= 7�/ _12.1214.,) f/,� jyh f , --.42•52)2- 8 2, $3 £�8.5,
-amount of cover=7 Z! * ut d.4,44,2h.P yh y r e���,61 (Pt Oh- f p n,�1a
// . Sys. , May ' f r.t. add/•t�--mi Seel 4 Y /
Plan revision Required? ti Yes 4f No l /� L4-7
Use other side for additional information. L l L( L- LGv1'til^ �� ,
Date Insepctors Si ature Cert.No.
SBD-6710(R.3/97)
. i-i-u re-d.)leu .4-ate •
Safety and Buildings Division 4
Cranny
Nt Q 201 W. Washington Ave., P.O. Box 7162 ST eRor' X
SCOT�S/O1 Mtrdison, WI 53707-7162 Site Address n
Department of Commerce �/9��5 i i-D g73 G,P/A1foitJ MA /2 '
Sanitary Permit Application Sanitary Permit Ninnb G
In accord with Comm 83.21,Wis. Ad m48i-
m. Code.personal infontion you provide T Z0 3
may be used for secondary Qii,posee Privacy taw,sIS.04(1,1(m) ❑Cheek If Revision
f. Application Information- Please Print All Information
State Plan I.d.Number
/,l/�
Property Owner's Name "
ll/M . F✓/?%NK Mf}A) Parcel Number("
Property Owners Wailing Address O2'o • /3o0 O j • �� ^�
03 (, /;4.150/v O4/L Property Location
City.Stag 61 Sw 23 zy /9 w
Zip Code Phone Number Lint Number •Z St S T N.R Z_
/�J/.vv(O� /- / J flock Number
J id!• S go/y &5 / ` Subdivision Name
,I. V • q` 49 eiei/(15B Ai U.9//,1CSM Namtxr
II. Type of Building(check all that apply) ns f-
3 t,Q. sLL Only
$1-1 nr 2 Family Dwelling-Number of Bedrooms ,ip�,c
F)PnhNc/Commercial - Describe Use ( �VRlage
I I State Owned
Nearest Road
Roa a d
U Oti
Cz ) 3'x (98.ICI -i- s --- ( z ,, { 6,ej 1 ii P41//)1
III. Type of Permit: (Check only one box on line A(numbering scheme for internal rise). Complete line B If applicable)
A. flew
2 I I Replacement System 3 JUPeriacenient of 6(i Addition to For County me
System
Tank Only Existing System _
n. 1 Check If Sanitary Permit Previously Issued Permb Number Date Issued
IV. Type of Permit: (Cheek all that apply)(numbering scheme Lt for Internal use) /}-ioo
44A Non-Pressurized In Ground 11U Moutxl
41 U Sand Filter SO 0 Comtmeted Wetland
22 I-i Prcsmrized In Ground 41 U !foldingTank 48 0 Single Pass SI 0 Drip Line
45 U Al-Grade 46 U Aerobic Treatment Unit 49 U Recirculating 30❑Other
V. I/keys:OfTreatment Arco Information:
Design Mow(gpt) Dispersal Ate* Dispersal Area Soil Application
Required PP Percolation Rate System Etc,/ Final Grade
��� q Proposed Ratr(Gals./Days/Sq'rt.) (Min./Inchl RS•O,
G y 3 ce 0 , J 0 / Elevation
VI. Tank lnftl Capacity in Total (Number /
gallons Manufacturer Prefab Site Steel Fiber
OaIIoro of Tanks Concrete CPleSek
r New existing W/eSCn orotnrcted Glass
Srptie-er 11eMing Tank �Ta7rb Tanks C/,/�J / /
onsing r}amher /VV v /� � �C `�
VII.Responsibility Statement- I,the undersigned,msunie respmaibiIty for Installation of the POWIS shown on the attached plans.
Plumber's Name(Print) j Plumber's SI rnhne
R . 2!/b 2 i �i T I 44P/MPRS Number ^B7mineas Phone Number. s
Phtmbet's Address(Street.City. ��• // 3�G �� S •
/_ Sate, Zip Code) _
p/ zvc/c_ R7• 4LU12Sd . .) Lc>/. $ziv/ C-
viz County/De arlment Use Only
0,Approved U Disapproved ' ` Sanitary Permit Fee(includes groundwater Date Issued I . Agent El Surcharge Fee) g M Signature(No Shops)
Owner Given Initial Adverse S> I
Determination - Z2 � I
IX. Condllt t of -LWA�( f�� IPPrP al/Reatens for DLtapproval [ IL 'u�..�
ypyf(o Uie M( pQ .
•
- ge4 c—0'A lt4A41,, i -{-tom -4( a4 /,t„
ach complete plane Oe the County only)/v the ay*tem ea paw net Is nom$1/2 a II lathes is dui
SBD-6398 (R. 05/01)
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ULBRICHT & ASSOCIATES CO.
655 O'Neil Road • Hudson, WI 54016 Reg. Designers of Fngineerhrg Systems
715 386 l31 f35 Private Sewnge Consuifa,ds
PROJECT INDEX
PLAN ID 11 /— — — N//� DATE �T '3 `
OWNER tU/�9 . /cI Kfr1,1-AJ PHONE 65 ' -2-yt 34196
ADDREss 8f3 C, 'i.113%. PA1/.cy / 1 • #{vPSoA, 55 ce
LEGAL DESCRIPTION Gp]— `# 3 1„.4 S(34.) mdz
se, 56v, S. a3 , 7- 4IV, l2 /f 14.)
/
TOWN OF y-UPSonJ
COUNTY
csTrm . w.e5 4Lt 4- 1•015
LOCAL AUTHORITY/ SUPERVISION 5-T. GZO/ X G7-y
PROJECT DESCRIPTION:
4 P,0p05e 3 /:1, . — s:
w 457(ew6 f L f 7 J " �l.S'a
so,G 5 4 e ��'/-4, rf ( 7 .ri/�
a26614 g45/./v6-- 4/0 P/,/ s-��s �9- --
5 t1 / . ? -- 2tt, 2
BEDT 21G,6ieiG'
THIS POWT SYSTEM SHALL Ulbricht 8 Associates
INCORPORATE PER COMM. private Sewage Consultants
83.44(2)c A PROPER ZABEL e55O'Neil Rd.
FILTER MODEL# /� Hudson,Wis. 54018
/ > " o„ P&411641/
3t /44,_ .
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OWNER 's MAINTAINCE OF. SEPTIC SYSTEM
POWTS ( landowner ) is reponsible for
proper
maintenance of this system. Regular pe
cpe c nspecn and
ctig
servicing is necessary for the safe healthy operationons of. and
this
system. The owner is required by code to submit all necessary
maintenance/inspection reports to the controlling ,authorities.
SPECIFIC CONTACT AGENTS
* Governmental authority/ inspectors : /
* Licensed installer , responsible for
maintenance "Users" manual . providing an operation/
* Licensed service
/ inspection agent other than installer:
Tiff — C7 -S4 it T io Pu,'tpfA ,(,_ Co .
* Electrician, for pump, electric controls, wiring units :
I
/V4f—
IMPORTANTOWNER MAINTENANCE REQUIREMENTS
I . Winter traffic (sledding, shoveirin the
area shall not be permitted, or frostetc can/willoss penetrate into
the cell , freezing up the system. Discontinues use in the
winter (a vacaction trip, resulting in no water use) can also
lead to freeze ups.
2. Water conservation needs to be exercised , Or system can be
hydrnlically overloaded and destroyed. This evskem was
designed for a maximum wastewater flow of
ysQ gals. daily. _
3. POWTS are not designed to accomodate wastes from a garbage
disposal unit , or any other unnatural sources of waste. •
Any introduction of such waste materials will overload and
destroy this system.
4 . If a power outage occurs, or a
in a temporary overload of effluenb being ut mpedy :d ntouth
cell , which may adversely Impact the cell ( leakage) .
the
recommended that a licensed pumper empty the dosingtank,s
allowing the pump to return to dosing
Consult your installer immediately forthe advicerect amounts .
5 Neglect of the vegetative cover ( the cells insulation &
erosion prevenl.ive
traffic alsor can e ) cnlead to failure. Compaction or heavy
REGULARLY WATER destroy he system. It IS NECESSARY To
lL_ _ TIIE VF.( FTA r►.,.
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page Of 3
Labor and Human Reladbre ag
Division of SafotyS B�ildirx�s in accord with ILHR 83.05,Wis.Adm.Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must include,but S?'. CCC p IX
not limited to vertical and horizontal reference point(BM),direction and%of slope,scale or PARCEL I.D.11
dimensioned,north arrow,and location and distance ton: r,o,d / ,, O?O_ I D 63_ 10-1 I L)'
APPLICANT INFORMATION-PLEASE PRINT • NATION \ R_E'IEWED8Y DATE
,{1(,t�•
PROPERTY OWNER: GLtsUtJ e S tt` i ST-Z PROPER`IYLOCATION
io �AV IS) ST\Z A fvD 'cri[/1 L COVT-E& S E 1/4 S L 1/4,S 2 3 T Z 9 ,N,R 19 E(or)W)
PROPERTY OWNER':S MAILING ADDRESS• Jett]Z-) 5 out T S r. �_i 1 6 , LOT LOCK r SURD.NAME OR CSM a
CRC M SUry V Al�k-`
CITY,STATE ZIP CODE r., N MBsr k DC / VILLAGE ®TOWN NEAREST ROAD L'Rn 'oSt;D
R1J SZ FPrLL.s,Jl S�lJ" tQ1's� w / ` SaN 'NEAREST ROAD
\ten
rvc
IA New Construction Use[xI Residential/Num L,2 [ ] Addition to existing building
[ I Replacement [ I Public or commercial des t
Code derived daily flow b 0 o gpd Recommended design loading rate •I bed,gpd/ft2 •b trench,gpolft2
Absorption area required 5 S bed,ft2 -1 SO trench,ft2 Maximum design loading rate •-I bed,gpd/ft2 •% trench,gpdMt2
Recommended infiltration surface elevation(s) S) rV dT'E "TO ft (as referred to site plan benchmark)
Additional design/site considerations 1AJ S'T+ 'L z. 31.) 9 f}S 3
Parent material \-o I;-s s ce v t'sz S 4 O .11-t../RSIi Flood plain elevation,if applicable NA ft
S=Suitable for system 1 CONVBmONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U=Unsuitable for system I S ❑U ®S ❑U I ®S ❑U I I$S ❑u I ❑S FEUI ❑S ®u
SOIL DESCRIPTION REPORT Nam,, j - Aim, p J (L.
in. Munsell Qu.Sz.Cant Color Gr. Sz. Sh. Bed [Tra
Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Barclay Roots GPD/ft �[Trenchf '
�asa�k> ,
1111.
I o-R )O'-trz - sit iSb2 \, cs - •s •` . S
Z 9-Z.{o LO`I(Z 3)la - S) 1 �h) S1A'rL ash CS _ S .1.
Ground 3 zb-Sy 7.S `-it 3LV — Gv-A s J St a s i c - .51 . 3_
elev. , -
1o1.af< LI S4-to4 .i.S'tr-- 31y _ s o Sa a1 --1i.$ . '4--
Depth to
limiting r -
yfactor t at- 96.3
34' I1- 2
Remarks:
Boring#
I 1::,_-7 10`iR_ .1/Z_ - si\ Z- sb S - .s `
E
Z 27. )D`!R 3)6 - . S .f,
# k SI � z� Sb�� ash � - s
Ground 3 n-v6 -).S 4Iz 3/y - ,r•\s 0 S5 c s h ck, - •- -'6 -
dev. Li 46.101 -7_SctR3/y - '. 0s5 a I - .- •$
q9.0
Depth to - -
limiting
factor
>ro1"
Remarks:
CST Name:-Please Print Phone:
Arthur L. Wegerer 715-425-0165
' egerer Sol'. Testing & Design Service-P.O. Box 74 River Fa11s,WI 54022 .
Signature:
C>!i ``44_ 1,..c/--)7 9Q-LH- 3 Date: --) - 16- 99 CST Number..
20254
PROPERTY OWNER 1 Rf\1VU SOIL DESCRIPTION REPORT Page Z ol•-1
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08/29/2002 08:07 7153815443 CPOIXVET PAGE 01
•
S 1' CROIX UN SEPTIC 'TANK MAINTENANCUCO ATYOREBMBNT
UWNERSIIIP AND
Ownef/Htry� lui CERTIFICATION FORM
•
Mailing Address "--
•
Properly Address R/3 (kin 5 A) U,t/ley. �Q
(Verification'cooked from Planning n rt for new lion)
City/Slate ifr11954 /.
Parcel Identification Number C2 A963 •i0 • //O.
Property Location se 541�hzel
, '/., Sec. 2-3 1' N-R /9 W, Town of Uf_.SD•v
Subdivision O/e .415IN go
, LOIN .3
Certified Survey Map N _
, Volume , Page N
Warranty Deed N GS`f t22
, Volume , Page N
Spec house Cl yes no Lot lines identiliableAyes CI no
SYSJEM MAINTENANCE
Improper use and meintenanceof your septic system could result in its premature failure to handle weals.Proper maintenance
consists of pumping out the septic lank every three years or sooner,if heeded by a licensed pumper. What you put Into the system
can affect the function of the septic lank as a treatment siege in the waste disposal miens.
The properly owner epees to submit to Sr °nix Zoning Department a certification form, signed by the owrnet and by a
master plumber,Journeyman phmtber,resit tried plumber o►•licensed pumper verifying that(1)the on•sile waalewderdisposal system
Is In proper operating condition.fl&N 2)after Inspection and pumping(if necessary),the septic tank is lees then In Nail of sludge. ,
1/we, the undersigned hove reed the above regnirements and agree to maintain the private sewage disposal system with the standards
art forth,herein,as set by the department of Commerce end the Deportment of Natural Resources,Stab of Wisconsin. Certification •
Mating That your septic system has heen mehrtalned must be completed and returned to the SI.Croix County Zoning Office within 30
days of I three year expire i date
X x Y / 3 /Oz
SIGNATURE Or APPLICAN l' DATE
ICAT N
(we)certify that sit statements on this fumy are tine to the best of my(our)knowledge. I (we)am(are)the ewnet(o)of
the p operty described above virtue of• warranty deed recorded In Register of Deeds Office.
K.
s1ONA IURR or APPLI t DATB
Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department.
as INein&with this appllutton' a stamped warranty deed from die Register of Deeds office
a copy of the certified survey map if reference is made in the warmly deed
VOL i7O71AGE2y
I E.5.41.4322
STATE BAR OF WISCONSIN FORM 2.1999 KATHLEEN H. WALSH
Document Number WARRANTY DEED REGISTER OF DEEDS
ST. CROIX CO., WI
This Deed,made between Marvin A.Burton,a married person RE:EIJED FOR RECORD
06-27-2001 9:50 AN
WIRRANTY NEED
ar
Grantor,and William S.Brinkman and Marjorie L.Brlakmaa, c C ¢
husband sad wife ERT FEE: FEE:
COOT FEE:
TRANSFER FEE: 177.00
RREECEORDING FEE: 12.00
Grantee.
Grantor,fora valuable consideration,conveys to Grantee the
following described real estate in St Croix County,
State of Wisconsin(if more space is needed,please attach addendum):
Recording Ares
Name and Retina Address
Sec Attached Exhibit'A".
Edina Realty Title
400 S.2nd St.,4115
Hudson,,- 331,671
020.1361-03.000
Parcel Identification Number(PIN)
Thit is not homestead prapcnl
Oil to not)
Exceptions to warranties: Easements,restrictions and rights-of-way of record,if any.
Dated this �. day of August 2001
fla g k) i))4
• •Mania A.Borten
• •
AUTHENTICATION ACKNOWLEDGMENT
Signarar<(s) STATE OF WISCONSIN
u.
ST-(4.4 IX, County )
authenticated this day of • L
- -- Personally came before me this 3a�a day of
N
DIANE AAugust •2001 the above named
M.BAAfO Marvin A.Bartow,■married person
y public rt
Onstn
TITLE:MEMBE •"`:r 'A' ' a 'SIN -- -------
(If not. to me known to be the penon(s)who executed the foregoing
authorized by¢706.06,Wis.Stale.) instrument and acknowledged the same.
THIS INSTRUMENT WAS DRAFTED BY .
Attorney Kristin Oglead N 1Public.State of Wisconsin
Hedaee,WI 51016 My Commission is permanent.(If not,state expiration date:
(Signatures may be audteaticaled or acknowledged.Both arc not accessary.) 1)-1.yr sacs O Z. )
•NUM of pawns signing in any capacity must be typed or printed below their signaase. arweaarn mal.ww ea.o.rr.roe a uc va
STATE BAR OF WISCONSIN s00461
WARRANTY DEED FORAI No.E.1999
• vrI 17fl7PAGE 283
EXHIBIT "A"
Parcel 1:
Ca,Crimson Valley,St.Croix County,Wisconsin.
Parcel 2:
Together with an easement for ingress and egress over a parcel of land described as follows:
Commencing at the Southwest cosner of said Lot 3 as the point of beginning;thence East along the South
line of said Lot 3 to the Southeast comer of said Lot 3;thence North along the Easterly line of said Lot 3
a distance of 16 feet; thence Westerly parallel with the Southerly line of said Lot 3 to a point 16 feet
North of the point of beginning;thence South 16 feet along the front line of said lot as it abuts Crimson
Valley Road to the point of beginning.St.Croix County,Wisconsin.
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