HomeMy WebLinkAbout018-2009-39-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No: 483979 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 Holder's Name: City Village X Township Parcel Tax No:
Cutting Edge Four LLC Hammond, Town of 018 - 2009 -39 -000
CST BM Elev: Insp. BM ev: BM Description: Section/Town /Range/Map No:
9 j b L 7 - 3 G5 , 04.29.17.1023
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER g; A5 CAPACITY STATION BS HI FS ELEV.
r
Septic -- z s Benchmark
kb g� 4-- F� 3 / z,a V. 9 ,s
'14 A lt. BM
t 1 75 i9 e ZS
F �s� & �� 0 ^J arN- a- a{O sue.
Aeration Bldg. Sewer
Holding St/Ht Inlet .. I 93.
St/Ht Outlet
TANK SETBACK INFORMATION S. 3 93, y.
TANK TO P/L WELL BLDG. Vent to Air Intake ' ROAD Dt Inlet
/ 5fle?w -- �._ `�—
Septic 51 AA- 5 / Dt Bottom ----,_
Dosing ___ � Header /Man.
Aeration Dist. Pipe G 97—
?.5 ,1
Holding Bot. System -7.5_ q/
1 g. 90
PUMP /SIPHON INFORMATION Final Grade 4, 2 .6. 9 , 5
Manufacturer Demand St Cover / c�p�
GPM ' ( f -„u,,, �-.i o.e. , O. / O + l
Model N ber
L,Ja`k_ OA— Z,3% 54,. /z
TDH ILi Friction Loss Syste r - - : TD Ft .
Forcemain Length Dia. Dist. to Well C--------- ------------e
SOIL ABSORPTION S YSTEM
BED/TRENCH Width Length ! ; I. , . No. Of Trenches r PIT DIMENSIONS No. Of Pits Inside Dia. (Liquid D epth
DIMENSIONS 3 / ,f,� 6 Z t /� 1
SETBACK SYSTEM TO 1Ll ! P/L BLDG WELL LAKE /STREAM LEACHING / Manufacturer�� r 0.
INFORMATION ( nn ` - CHAMBER OR
G.D.A.Je G/.a�C.. W S A)�
Type Of System: DISTRIBUTION SYSTEM /V 4- UNIT /� , G� LS
Model Number:
'
Header/Manifo}d N Distribution x Hole Size x Hole Spacing Vent to Intake L ec i c a .N.,
q Pipes) `
Length ! Dia 4 Length Dia \ Spacing Ns,
` ry
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
i- -t-`�'
Depth Over �r / Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center C. Bed/Trench Edges ` Topsoil
es In No Yes El No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / /
Location: 1789 119th Ave. Hammond, WI 54015 (SE 1/4 NE 1/4 4 T29N R17W) Hillside Heights Lot 39 Parcel No: 04.29.17.1023
1.) Alt BM Description = r ' 1 Lr ` -- „..5 ¢" 4 -�C.�� o ' er - .
2.) Bldg sewer length = 5 , 1 ,� ■ ( ._ ' 61-4( k n.� 5
amount of cover = 6". n /� l
Plan revision Required? • Yes No O
5 /d Al
605-P
Use other side for additional informati6n.
MM.!
SBD -6710 (R.3/97) Date W Insepctor' ignatur Cert. No.
commerce.wl.gov Safety and Buildings Division [ounY.7[ c W. n Ave., P.O. Box 7162 l
�C ■ ■ C so 53707 - Sanitary Permit Number (to be filled in by Co.)
y13 1
��"'� State Transaction Number
Sanitary Per iced i :
In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this fo . the • • •priate governmental
//A
unit is required prior to obtaining a sanitary permit. Note: Application fo • • for ' ed POWTS are Project Address (if different mailing address)
submitted Department
of Commerce. Personal information you .. vide may ?' . or secondary
bmitted to the o
/
purposes in accordance with the Privacy Law, s. 15.04(1xm), Stars. �d� / 7 /I 1 , /���� � ��
L Application Information - Please Print All Information (�� Parcel # -j
Property Owner's Name "C
a sVitl Property Owne .Mad / ,ng "V " 'vG �„I-`• 0 /0 Pro Location
6/Z3)
97 6 /7/2i-e, 7 2 O.. , r /yam Govt. Lot
City, S Zip Code Phone N ,- O Se v4,/l/E 'A, Section
%F ZQ e
LG /b t t� LA/`-f LA/`-f P b`-� J , -. / U I T / N, R/ lE t(r og
W
II. pe of Building (check all that apply) Lot #
Subdivision Name
or 2 Family Dwelling -Number of Bedrooms o ;1,7_ f
2 13 3 ' a CZ-- Block# , f 7 .6
❑ Public/Commercial - Describe U � . / �-' ❑ City of
w 40 , • -.� .,'
/ i 4 1 e 1 CSM Number ❑ Village of
❑ State Owned - Describe Use ...-- own of � �. /0 /rill(
III, Type of Permit: (Check only one box on line A. Complete line B if applicable)
A System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
List Previous Permit Number and Date Issued
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New
Before Expiration Owner
/ 1V. a of POWTS System/Component/Device: (Check all that apply) 2 , /�! w7Y' of / ' / ��i ,
,��� P ressurized In- Ground 0 Pressurized In- Ground P At -Grade II ound > 24 in. of le ► � ❑fiI °uni� y in. o sµttab tl " (14 c4- ❑ Holding Tank ❑ Other Dispersal Component (explain �
❑ P.f=> bevi e('
e ( p W
V. Dispersal/Treatment Area Information: _ Area ,./.7 -5.- �� �'‘ -2),
De -2 ? (gpd) Design Application Rate(gpdsf) Dispersal -.-.- Required (sf) Dispersal a Proposed ( . 3
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units
New Tanks Existing Tanks 11 al y #.i a
/ . .
Septic or Holding Tank � /i / -/e/e /
Dosing Chamber
VIL Responsibility Statemen - the undersigned, assume - ■ nsibilty for installation of the POWTS shown on the attached plans.
P--5 ' Name (Print) ' Plumber' :' •. tune MP/MPRS Number Business Phone Number
26700 7k° W t!
Plumber's Address (Street, City, State, Zip Co. f /
J e
/ �er-� f ,v- P ,c.ri '/�'l/ /` p / 7
. County /Department Use Only —
Pe Fee Date sued ssuing :ent igna
Approved ❑ Disapproved s 1,7 c i i 4f '(4
-... .,
❑ Owner Given Reason for Denial ta /
IX. Conditions of A I prov : , so , 1r Disapproval C �2�- 41-141)1111" ��eGC_ Cc ,
SYSTEM 0 k _ R: L t --' G�t,t c /- Q � Z
eptic tank, effluent i e an Q�� 1 — �'-
dispersal cell must all Ile crvired / maintained 1
as er management plan provided biy plumber. Oh i( >Q
�u alned
A d L 1 , a � , for the system and submit to the County only on paper not less tban 8112 x 11 inches in dxe
as per applicable c
SBD -6398 (R. 01/07) Valid thru 01/09
PLOT PLAN
PROJECT Cutting Edae 4 LLC ADDRESS 976 170th St. Hammond Wi 54015
SE 1/4 NE 1 /4S 4 /T 29 N/R 17 W TOWN Hammond COUNTY ST.CROIX
MPRS Shaun Bird 226900 DATE 9/8/10 BEDROOM 3
CONVENTIONAL XXX IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32
BENCHMARK V.R.P. Top of 3/4" pvc pipe ASSUME ELEVATION 100' Filter BEST Filter
❑ BOREHOLE O WELL * H. R. P Same as Benchmark
SYSTEM ELEVATION 93.2/92.7 5.5' below grade
Well is to meet all
setbacks required by
WDNR Vent 193'
> 6» Quick4 Standard -W
of Cover Leaching Chamber
Plans Designed Using with 20.0 ft2 of Area
Conventional Powts 5.8ft ^2 /pair of end caps
Manual Version 2.0 4' Long
Grade at System Elevation
34"
Pro 3
Bedroom
House B -2
25, ST 3 0' •
112' 7% Slope
2 -3' X 66' cells with >3' spacing B -3
Vents
63'
AdOO
B -1
385' Property Line B.M.* 5'
70'
4 13' 31'
1
Cover Page
1
Shaun Bird
Bird Plumbing Inc.
1008 192nd Ave
New Richmond Wi 54017
715- 246 -4516
Date: 9/8/10
Owner: Cutting Edge 4 LLC
Location:SE1/4 NE1 /4 S4 T29 N,R17W Lot 39 Hillside Heights Hammond
System type: In- ground absorbtion system(conventional)
Manuals Used: In- ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Chamber Cross Section
4 -5. Maintanance and Conti - • ency Plan
6. Filter Specifications S)10
.
Signature _L
License numb: • 26900
PLOT PLAN
PROJECT Cuttina Edae 4 LLC ADDRESS 976 170th St. Hammond Wi 54015
SE 1/4 NE 1 /4S 4 /T 29 N/R 17 W TOWN Hammond COUNTY ST.CROIX
MPRS Shaun Bird 226900 DATE 9/$ /1 O BEDROOM 3
CONVENTIONAL XXX IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 3
BENCHMARK V.R.P. Top of 3/4" pvc pipe ASSUME ELEVATION 100' Filter BEST Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
SYSTEM ELEVATION 93.2/92.7 5.5' below grade
Well is to meet all
setbacks required by
WDNR isio Vent 193'
>6 „ Quick4 Standard -W
of Cover Leaching Chamber
Plans Designed Using with 20.0 ft2 of Area
Conventional Powts 5.8ft ^2 /pair of end caps
Manual Version 2.0 4' Long
34" Grade at System Elevation
Pro 3
Bedroom
House B -2
25' ST 30 ' •
7% Slope
112'
2 -3' X 66' cells with >3' spacing _ B -3
Vents
63'
B -1 •
385' Property Line B.M.* 5'
70'
13' 31'
• Cross Section of Quick 4 Standard -W Leaching Chamber
Typical cross section for 2 of 2 cells
Quick 4 Standard -W Leaching
Chamber with 20.0 ft2 of Area per
Chamber 5.8ft ^2 pair of end plates To be >1' above grade
Finish grade elevation
Typical Installation 98.7'
op Vent Grade 411. ow Vent
4'1 4 „ 4 ,
A30/34 Septic Tank
ID
4' Long 5' 4' Long
Grade at System Elevation
3 4" Grade at System Elevation 3 4"
Spacing 5'
2 -3' X 66' Cells
Same on other end Observation tubeNent
/ 9.5'
A
16 chambers per cell
System elevations:
A__93.2
B
r ........ _,
152
SOIL EVALUATION REPORT Page 1 of 3
1 Wisconsin Department of Commerce Steeps Soil Service, Inc.
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County
Attach complete site plan on papernot less than 8% x 11 inches in size. Plan must
St. Croix
include, but not limited to: vertical andiarizental.,reerence point (BM), direction and parcel I.D. � � — /" 7,( ;
percent slope, scale or dimemsions, north arrow, and location and distance to nearest road.
Please print all information. Reviewed B Date /��
u (Privacy Law, s. (1) (m)). , `,L y.., -�` r / (
Personal information you provide may be used for secondary purposes ( Y _
Property Location
Cutting Govt. Lot n/a SE 1/4 NE 1/4 S 4 T 29 N R 17 W
Cutttting ing E Eddge Four, LLC Lot # Block # Subd. Name or CSM#
Property Owner's Mailing Address 39 n/a Hillside Heights
City 170 TH Street J City V' Town Nearest Road
City State Zip Code Phone Number � J Village Cty Rd T
Hammond 1 WI 54015 715 796 - 2793 Hammond
Use: Residential / Number of bedrooms 4
Code derived design flow rate 600 GPD
f New Construction !
J Replacement _I Public or commercial - Describe:n/a
Parent material Ground and end moraines, pitted glaical drift Flood plain elevation, if app
livable n/a
General comments
and recommendations: Conventional system, system elevation 94.70 ft. Trenches spaced and depth to code 4.00ft below grade.
1 Boring # J Boring 105 in. Soil Application Rate
e pit Ground Surface elev. 98.70 ft. Depth to limiting factor Roots GPcatiOn f#2
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary *Eff#1
in.
Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
1 0.3 10yr3 /1 none
scl 2msbk mfr cs 1f .4
2 3 -40 10yr4/4 none scl 2msbk
mfr cs n/a .4 .6
usiram : 1.6
3 40 -105 `, 10yr6/4
none cos osg
NIIIMIIIIP
X 13 -Z 6,"0 D2
2 Boring # 1 Boring in. Soil Application Rate
e pi{ Ground Surface elev. 98.70 ft. Depth to limiting factor Roots GPDIftZ
Horizon Depth Dominant Color Redox Description Texture �� Sz Sh. Consistence Boundary
*Eff#1 *Eff#2
in. Munsell Qu. Sz. Cont. Color
1 0 -14 10yr3/2 mfr cs .0 .0
fill sl n/a
.0
fill sl n/a mfr cs If .0
2 14 -39 10yr3 /2 mfr cs n/a .6 1.0
3 3944 7.5yr4/4
none si 2msbk
4 44 -110 7.5yr4/6
none Is /cos osg ml n/a n/a .7 1.6
& / roz ,,
*Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L
* Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L CST Number
CST Name (Please Print) ignature:
.00." . 248956
David J. Steel _ /' Date Evaluation Conducted Telephone Number
Address Steels Soil Service, n 9/7/2004 715 - 684 -5680
9994 4 200th 200th St., Baldwwin, , WI 54002
L
• Page 3 of 3
STEEL'S SOIL SERVICE INC.
David J. Steel 994 200`" St.
CST - POWTSM Cutting Edge Four, LLC Baldwin, WI 54002
Lic. #248956 SE1 /4,NE1 /4,S4,T29N,R17W Bus.(715) 684 -5680
Town of Hammond, St. Croix Co. Fax.(715) 684 -3449
Hillside Heights, Lot 39
This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your
use.
Legend
1 " = 40'
• = Benchmark Ele. 100.00Ft
Top of 3/4" pvc pipe
• = Alt Benchmark Ele. 99.80Ft V
Top of 3/4" pvc pipe
❑ = Borings
g
Boring Elevations
B1 = 98.70Ft
B2 = 98.70Ft
B3 = 96.50Ft
It g �jbf/ B4 = 00.00Ft
ga5
193tQ
As p
71 ),F_Di
f , 76
q,
. i — ... _ ' 89 °37'51 � W\ \ � Loy , I si
- - • -141�`i 1 I M. N \. MIN \ - e VI II I�,� /,� • \ I f
r � \ 89 37 51 W 625.185 \ � � \ \ � �
6 .4 1:i \ � \ ,3$3.79 ' -- — v \-,-1 ' II I 1
\ 39 \\ 3 . 3 ir i0
- �� \ \ \ r e v 65499 S.F. - \ l 1 � ` I ! �i / (
\ \ , \ \ a \ 1.50 Ac._ It I • � P ` I >
\ 37 \\ W \ 38 � ; O \ \ N.B. 65/19 .,- J / / 1 e"� J t J \ ' \ \ N.B. 1.50 Ac. 4, / / __A
0 65716 S.F. I 65516 5)F. ,� -P\. -- , _--f- / . / 1� �
.. 1.61 Ac. / o ° / ti . 50 Act —_ ----3 C 7 / / / ._
0 // / / o i / / / T \ I I � ,
B. 60789 . / N 65516 S.F. 1 4 0 / / / J Z '
/
Si. / / -.2
N.B. 1'0 Ac. N.B. 1/0 Ac. W Cr) I 65393 .
J 1 .5C A ' / cp, 2
/ /1 / fib N.B. 65p937S.F. / / I I W (
/ /
/ / / 1 N.B. 1 150( Ac. / / , J
1 64.59' / ` f 16 2' / - L ___N___ -86` I - f- �8i5.9E - -- I C
/ N i49 °28' / / 218_58' / __ii 16[1.407 ( o
g9 w /
\ \// 330.$1' // \ // I I 1 / i T
/ / I I " 1s
\ \ / II 1
/ 1 t \ I 1 I
- / 44 —, t v - / i \ i ,
'
N / 42
I I I o •
• 00 / N ‘c. 1.62 A I / . : 6 792 /S.F. / y' - 6 409 S.F 1 \
�
• / I .
1 156 /Ac. / I I 1
/ � / c N.B. 7t$744 S.F. / / / „ 11.50 Ac.
J / 79894 S.F N.B. Jt.62 Ac. J .B. 677912 S.F. I
/ / / / I 1
/ 1.83 A / \ / / N.B. 1 6 Ac. / / N.B.I 65409 .F. 1
3) / J N. 1.50 A . t
\ / N.B. 79894 S.F. / \ / / / / Nil
I l /C
` \ N .B. 1.83 Ac. / / / Z / I.A0' / / I
��1 -79' , / 50 /--- I
.
/ / N J
•
l �, a ���. ■
v.� I • . lk v II
. ..
, , * 41, 1:),1 • rig • 77; ..:_i 1 p 1 111111k . ...&.
, ''' , M
iii 44 T • Z
N
__ P p
0. 8 * c, 7 • 1 \1 i)
§ 8 a , _ iiim ' r.
------4... \... „„at, .. -, 4
L
N
1 O
O I /, If I�til If, I. tii _
)))))Ai : 0)))/1* 4 - •
ve
rr - ,rr-�i-r -rr wfwwwwwElifif w =' 46:
t ttttttttttt I P
t a . ' I : c1, � l
� Ll L � i
��L ,,,,,,,,,,,,„,,,,,,,„,,,,,,,„,,,,,,,,,,,,,..„,,,,
, ,_-„, ILLL •
JM z �lill fi Gihilii ai i� aliillilil!ilitir
,; I sla �prh�r {i�Iteriltl'!=i�!_�LI'!!h_��I�I ir ri / �.._,.
p r � tgyrr tttt .. ;u � '�'� �
T � l l 1, � � ti F Q j o rn vm ffff(ff111 i ' �� Rl
LL� -n �-I
f�1FJ
z �! triliili�ila�Gl�lii�iill ti aI;ISIli41iII� Ir 0 m n
00o O
• s Ir ai llstrli�i rllrlirll�li� 1 N 9 cs) 9 0
ci
ci T_ t'llRtYttttty tt« P. 7 b 0
p itf.ii•ar.r.'iEa•i•.\i�.a. ∎1'1 v
+�! �l �I GI rl GI �I �I -1i �htl �! il,ai �I'�lir
U,
�!�Il 1111'I,iGilil �litiln i� liili lift. m
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
• AND
OWNERSHIP CERI'it<ICATION FORM
r z � .
Owner/Buyer ,,f,_
Mailing Address , ,ir > ..- d ii, ..! ,,_._, 0 --17---
Property Address -416i i .il a.
(Verification required from Planning & Zoning Department for new won.) "
City/State A i41. MJ Parcel Identification Number O1d` "v7 fl7 ° (/o 2.3)
7
i GAt DESC QN
1
�/ q
Property Location SE Y4 ,/ V4 , Sec. , T J 2/ N R / 717 To of l‘iii, /MA"-, A //G 9
,Lot #3 / •
Subdivision /7 c� l f•
Certified Survey Map # , Volume ,
Warranty Deed — 7 63Iq
1 , Volume 0� 7 -O , P # 3 7
Spec • ACP no Lot lines identifiable CI no
SYSTEM M INTEN4NCE,AND OWNER CERTIFICATION
Improper use and maintenance of your septic system could result prang= failure to handle wastes. Proper
e cons e of the fimc aahn of t h s septic tank as treatment stage in the waste disposal system. Owner maintensuve
the system can affect functio � 12 - St. Croix CouncY Sanitary
responsibilities are in §Comm. 83.52(1) and in Chapter
to submit to St. Croix County Planning & Zoning Department a certification farm, sued by the
1 The property owner agrees owner and by a master plumber, ]animaYman. plumber, restricted phmlber or teak is and pumping (if necessary),
wastewatrar system i s is l operating condition sad/ (2) te
less than 1/3 fell of sludge.
I/we, the undersigrad have the above requirements and agree to maiataim the private sewage dal system with the
standards set feats, herein, as set by the D epartment of Commaroe and the Department of Natural Resources, State of Wisconsin.
Certification staling that yoahr septic system
has been naafi mast be con3pleted and returned to the St Croix County Planning
Zoning Department within 30 days of the three year ration date.
I/we certify that all statements on this form are true to the best of my /am knowledge. I/wte amJare the owner(s) of the
property dewed above, by virtue of a warranty deed recorded in Register of Deeds Office.
Number of b ms
,� DAT
IGN�i T. OF APPLICANT(S)
** *A information that is misrepresented may result in the sanitary pennit being revoked by the Planning & Zoning Department. * **
Include with this application a recorded warrant' deed from the Register of Deeds Office and a copy of the certified aprvey map if
reference is made in the warranty deed.
(REV. 08/05)
Maintenance and Contingency Plan for a Septic System
Maintenance Plan
1. Septic Tank is to be pumped once every 3 years.
2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in
order to extend the maintenance interval of the filter.
3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of
the cells.
4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system.
5. The owner agrees to save this plan.
6. Do not plant trees nor park nor drive over system.
7. Watershed is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
• - gene Plan
Option #1. If stem fails, determine cause of failure, use alternate area and install new
stem in - ted replacement area.
Option #2. Install system at a lower elevation, by removing chambers, removing biomat,
and install new system.
Option#3. No 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: Shaun Bird 715 -246 -4516
St. Croix County Zoning 715 -386 -4680
Pumper Tom Mondor 715- 246 -5148
Shaun Bird #226900
_ U 2576P 397 7
STATE BAR OF WISCONSIN FORM 1 – 1998 KATHLEEN H. WALSH
WARRANTY DEED REGISTER OF DEEDS
ST. CROIX CO.. WI
RECEIVED FOR RECORD
Document Number
This Deed, made between John J. Dalton and Carolyn G. Dalton 05/20/2004 09:30A11
husband and wife , Grantor, and Cutting Edcie Four. LLC. , Grantee. WARRANTY DEED
Grantor, for a valuable consideration conveys to Grantee the following EXEMPT *
described real estate in St. Croix County State of REC FEE: 11.00
Wisconsin (the "Property "): TRANS FEE: 2952. 30
COPY FEE:
CC FEE:
PAGES: 1
Recording Area
Name and Return Address
pa .Box •7 (4 7
Sf C_teofx_ c c 1
5
018100690000 018100850000
Parcel Identification Number (PIN)
This is homestead property.
(is) (Is not)
The East one -half of the Northeast Quarter, except that portion of property described as Lot One of Certified
Survey Map filed in Volume 12, Page 3414, and the East one -half of the Southeast Quarter of Section Four (4) all in
Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin.
Together with all appurtenant rights, title and interests.
Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances
except
Dated this O day of May, 2004.
(SEAL) (SEAL)
,` /J
/ /�
J n J. Don Carolyn G$alton �—
(SEAL) (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) State of Wisconsin,
WENDY SWA 1 ZINA St. Croi
} ss.
Croix County �
authenticated thisN OT AiRf p J B I I C=
STATE OF WISCONSIN Personally came before me this day of
May. 2004 the above named
John J. Dalton and Carolyn G. Dalton. husband and wife
to me known to be the arson who executed the
TITLE: MEMBER STATE BAR OF WISCONSIN .fore instrument a acknov ed g a the same.
(If not, \ � g cl ffat {
authorized by §706.06, Wis. Stats) t
THIS INSTRUMENT WAS DRAFTED BY Notary Public, State of Wisconsin
Coldwell Banker Burnet
1301 Coulee Road My commis ion i p anent. (If not, state expiration date:
Hudson, WI 54016 � l �
4 -26689 4`\ ` J • )
(Signatures may be authenticated or acknowledged.
Both are not necessary.)
Names of persons signing in any capacity must be typed or printed below their signature.
VV 39 20 20' . U l 3�'i
— — 88.2 7' 5 2' � �o v r �
1
\-- - 209 .25= `9 i
S.F. B . M . ELEVAT 1
Ac. r`i co I = 1108.53 CS I 1 � O \ 29
� '\ I 10 / 65526
w
35 \ _ _ ' _ 1.50 A
66657 S.F. H 34 i /
IN
w
1.53 Ac. oo I 7019 S .F. 1 I \ , // ` � � LBO = 1102.o'
- 00I 1.61 Ac. 1 w ( o I \ HWE = 1099.0'
o I — —
II ° I ° --
° o rn� o� 'n - A 86°16'49" E -
z I I I I
I o \ <�
—1 r 1 N I N I ` ` 2 8
02.29' 191.82' 232.25' I ° n I °' I
_ — z 70784
— - 1 S 89°37'51" E 626.36' ° I I �\ 1.62 A(
- ° , - - TOWN ROAD v ' I I I �, , ,NP 0 -�
„
/ N 893751 W 626.11 II Q'e*
/ I Il , "o �P e-�
-1 1 U' H WE = 1099.0' /
) ' 15.62' 303.79 1 1 w LBO = 1102.0'
I i
\ 1 6 ' ' \ 3 �
I - ---I \ -- 1 IN) \ 1 3 9 I \ 6 ' '
1 33 1 ----,2 5 E
. n s I i •2 8 , � � ,
I
_ g i
0 65499 S.F. \ 1 cS A N 6 I
cXJ z
o °- 1.50 Ac. N I 0 \ N ( b
= 1099.0'
r 3 8 0 \ �\ I\ ° \LBo = 1102 0-1 F. o
65516 S.F. I 5 � \ 1 1 \
1\
I\ .P- �P ,
w 1 1.50 Ac. 0 4 54 .20'17 " E 330_ \ \ 1 \ I\ \ o�'P�e`� v, a
N — _ _ � \,ern \,, N �
0 — — \ ,, \ \f1 \ , - , 2, ..8c.. 36 / /
o 40
0 i v 65393 S.F. \ ? o
z c.; 1 Ac. \ cP\u.. \ W
°I c,,, \ � s \ c?,)
B.M. \6'\
B.M. ELEVATION = 1113.11 \ \ W
\ �\� \ N o. N
3 85 . 9 8' Q _ \ -- II ' i 9 ' 166.32' - - 7.40'
18.58 _ 16 \\ �\� 7 ) °28'49" W 330.91' ? -- — - \ \ � ��o W��
,,D\ U; \ (3� \ \ p \
N 9,'
� 70744 S.F. ep\ S\ \ 41 \ ' \ \ \c ( 3 `
N P< 1.62 Ac. .- \
1 \ —
\ \ \ \ \ I O I n -- I-
�'' 65409 S. . \ 1 c.r
W E
44
� > \ \ 42 w \ ` 1.50 Ac. i 1 I I HWE
67792 S.F.
6 7 N�
\ \ I �
)894 S.F. '� I 1 \ a
\ \ V0 \ \ 1 Ac. \ \ \ it w� c 1 I `
. 1. >
. .. ..,... .,..
, .
saw mr-ir 1
.........
1
11
v 1
1----
_
la ,...runsLI, - i i[ r 0
I .
I g r 11 pi„, i.._.........
110-dle i
P i .........-........,
St 1 1,111r4 .
l'a
til ra ciA
.0.
13
,.....................--......
it ! 0 g
1 4 ii
x l'
,p• •
111M : ri • tr mlim a ii INN w........ n
■ r ■11
Ilif IP!. - 1 4 ..
:3, 021
I. 2 I 11!". 11 r
. 4. 1111111 i
it
k r IIPII
1
... 7 r 1111
4
_ -Mr „.... ofh.wie
v-r- II I
. Ti i z g
z ; .,________________,........_......----- I
i I II ij
T ir •
war INILT it
----,
- 1
"Mr ••,....2_..... 7 . 2 mo
r
It 1 Yr
Mi.
111•441" • 1
40
, ..—...
1 '
. ..
u. • • •• -
- -
I ' ' 1111.111.1.1.11111=1.111111111111111
: - r
101■MrrOr .(7..f...."..."' ANI.............1
#
h 1 I 1
1 1
1 1 it 1 .. 1 1
i . 1 IIIHIq y N m N
i I
1 L 1001 a le La 2.
. 411.12111111111111; 01 4 1.‘ '
• ,
ii II R
., .,,....... • . _ ill
111 Ili ar"..001 r i
1 ts Ell 11
111111111 1111111111111
•