HomeMy WebLinkAbout020-1441-71-000 (3) n
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
• • ' INSPECTION REPORT Sanitary Permit No:
430320 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
Bast, Kernon Hudson Township''' e Y
CST BM Elev: Insp. BM Elev: BM Description: /6 Section/Town /Range /Map No:
l 0 /OD 36.29.19. —
TANK INFORMATION E NATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic V 1 (k , ,} _ / Cb Benchmark i / Li , /- / � / O 6`
Alt. BM
g yi � �C Rosin ydAVA---/06 �✓�►� 3 -0 /D /• Vs'- Aeration Bld Sewer
- -- � d a-/-;.. `1,39 9 '1-
Holding St/Ht Inlet ��q 0„. Vo. 1 R-- q 6.95
TANK SETBACK INFORMATION
St/Ht Outlet v v�l
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet , �_
/ U _
tz ` ,..
Septic 41 ` � I 2 3 dei Dt Botto _�
1 /0 Y eAtf
Dosing Header /Man. L , qS q5-
Aeration _ - -- ± � Dist. Pipe t 1 ' P —
ti b'' qr
Holding - — Bot. System
Final Grade r 1- 1 .(/ 9
PUMP /SIPHON INFORMATION ► � i d m c- btfru44.•' y -‘' - 7s
—
Manufacturer Demand St Cover
GPM 3 - t7 /0/ yr
Model ' umber -
TDH (Lift Frri Loss 'System Head TDH Ft
Forcemain -ngth Dia. II . i -
SOIL ABSORPTION SYSTEM f q eko
BED/TRENCH Width / Length I No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS C g 1
SETBACK SYSTEM TO P/L BLDG WE_LI LAKE /STREAM L Man ure/: r
INFORMATION Type f System: �/ N CHA MBER O
UNIT Model Number:
Divtpoor 2- .-1
�� y er
D ISTRIBUTION SYSTEM L s o 2. d
Header /Manifold Distribution f x Hole Size x Hole Spacing // Vent to Ai Intake C
Length Dia 1 Length Si Dia 1/ Spacing / 7 S
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over y ' Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center ' 7 # Bed/Trench Edges Topsoil
� (y��-. Yes No Yes No
0
COMMENTS: (Include cod discrepencies, i encies, persons present, etc.) Inspection #1: q / 10 3 Inspection #2: / /
Location: 668 Mary Jo Court Hudson WI 4016 (NIE 1/4 S�W /4 36 T29N R19 ) Cottonwood Ridge 9st Add Lot � 711 � Parcel No: 36.29.19._
1.) Alt BM Description = 2 > 3 � (A) / S y54- e,14-- . .XX�" d -, 11
2.) Bldg sewer length = ,/!/1Gt4 ia„, 1� ujt
- amount of cover = qt/ ti-- 'a G - *7 36 n �
Plan revision Required? 0 Yes No j
Use other side for additional information. 1 l _ 'v� 6:2412- " - � G, ( � �O ( J c cy
SBD -6710 (R.3/97) Date Insepctor's Sign ture Cert. No.
Safety and Buildings Division County
�- 201 W. Washington Ave., P.O. Box 7082 ` 'S� C r(_y(
` M adison, WI 53707 - 7082 Sani Permit Number (to be filled in by Co.)
iscons�m n ((,Og) 261546
Department of Commerce 32—b
Sanitary Permit Application State Ian I.D. Number
In accord with Comm 83.21, Wis. Adm. Code, personal information you provide
may be used for secondary purposes Privacy Law, s 15.04 1 —Project ddress if different than mailing address)
Ft tr ...P y R... l 8� +y!' n «. '" s
S f. ....• m i
I. Application Information - Please Print All Information ./ '
Property Owner's N ame / � _ , lock # - o il er y O amity Block #
Property Ow ner g ' s Mailing Address A '1? t --- - _ .. , .•._. .-, : Pro,_
9 Y gi i Locat ■
K fit -_ S
City, State Number , v - �' � W 1a Section 3
/, J '"�'� Zip Code Phone / �
t(--6 ^ �Y� /‘ �! ii at�� .6'- / / ircle
T N ; R /EOM
I . Type of Building (check all that apply) � e" Ss
lei or 2 Family Dwelling - Number of Bedrooms �/ ubdivision Name CSM Number
❑ Public/Commercial - Describe Use (2) 3' . a -S o ' /1 / f /� /
❑ State Owned -Des. , r � . / - 1 ❑City ❑ Village own_hipo �w
...i; - [- - s ►:I�:.17ll,I!� P,..1■11111
III. Type of Permit: Check only one box on 'ne A. Complete line B if appli 'le) -
A. , New System yst ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only 0 Other Modification to Existing System
List Previous Permit Number and Date Issued
B. ❑Permit Renewal ❑Permit Revision
❑ Change of ❑ Permit Transfer to New
Before Expiration Plumber Owner
IV. Type of POWTS System: (Check all that apply)
1 Non - Pressurized In -Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑
Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑
Recirculating Synthetic Media Filter Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain)
V. Dispersal/Treatment Area Information:
Design lo Flow ® ) Design So Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) tem Elevation /
.. ° is 75 ;3
VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Units Concrete Constructed Glass
New Existing
Tanks Tanks
Septic or Holding Tank QSo /2 eJ nd, i
Aerobic Treatment Unit
Dosing Chamber
VII. Responsibility Statement I, the undersigned, assume responsibility for in Ilation of the POWTS shown on the attached plans.
Pl a e Print) Plumber's :1..: / 40 PRS Number Business Phone Number
l Y Liz J, ' Rd o 3.s 7 w_r - ,?6P 6??_. -
Plumber's Address Street City, State, ( ty, e, Z' . Code
/ D 2 /.0.0
VIII. County/Department Use Only r
4pproved ❑Disapproved Sanitary Permit Fee (includes Groundwater Date Issued km' Agent Signature o Stamps)
(" Surcharge Fee) �` , q
❑ Owner Given Reason for Denial ]r c- 0 i i ZED ),-4.14..... ),-4.14..... - . - _ '
IX. Conditions of Approval/Reasons for Disapproval /) 3` �l " tea Sk Y_ om '
SYSTEM OWNER: I
1 Septic tank, effluent filter and
— _ l—o
dispersal cell must all be serviced !maintained �-� I�
as per management plan provided by plumber. is _ S�'tt.
2. All setback requirements must be maintained
as per applicable code /ordinances.
Attach complete plans (to the County only) for the system so paper sot less them 81/2 z 11 ladles 1a size
SBD -6398 (R. 08/02)
t 7 1 - 6
n-ictO 2, ' " ' 1
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5 Y / 7 36 ( t i t ' ,..-
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7 ? i t 1 /a.5;td ilk- r 2' I
7;17
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Wisconsin Department of Commerce SOIL EVALUATION REPORT / of 3
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
Count
5T CR 0/ ><—
Attach complete site plan on paper not Less than 8 1/2 x 11 inches in size. Plan must
include. but not limited to: vertical and horizontal reference point (BM), direction and Parcel ID. S.e.t, 4G /6 w -X
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. Re ewes by A Date
Personal Information you provide may be used for seconds purposes (Privacy Lim s. 15.04 (1) (m)).
Property Owner a a E I V E D Property location NE, op Se t> ,4,v0
NE'/ &/X5 ON out Lot SE 1/4 S 36 T 2y, N R / f , (or) W
Property b CTym y Address i 11 Subd. Name or CS
Ld # Block a , V /N(r ,, j _
' ui: i 0 9 2003 I
"I r1, ry n� S 4 i Ls/ A a cl__
City State Zip Code
Phrino ' 11 C 0 I MI T 0 City ❑ Village It Town Nearest Road .
ffvp.SoN A CV/. 1 50/4 � c_7 S ?�; , o7 HUPS.0 .) I //toy. A
!-New Construct Use: (I Residential / Number of bedrooms 3- y Code derived design flow rate y5 CO OZ, GPD
❑ Replacement ❑ Public or oommerdal - Describe: _
Parent material a c%/ S , ,4) ' OUf1v�f . Flood Plain elevation it applicable Ni� V u _
ft.
ande recommendations: s cO,U�IE.IJT /d v4¢
and 0 AREA-- TL 45 re -s'U /'7`�}Q /E , 4
/4J i 20 o 1, / 0 6 toT5 • ( /3io / / ;e,,ia---/e e / /�S
I / I � # ® � d � Ground surface elev. 79. 3 ft. Depth to limiting factor 7 / in.
•
SoA Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fr
In. Munsed Qu. Sz. Cont. Color Gr. Sz. Sh. 'Elfin 'Elf#2
/ 0.2 /o YR 3/y - L / Fs i /kJ 6e 4.5 2-t • y . C.
2. S /o y' W - -s /c- 21s4 4s i'V q- s / f- . 3 • 8
3 2/•35 7, S 1//2 5' /Ct z5 / 9? ds 2S - .7 A Z.
.15 /o si — 41.,,_ , / S D ' % /.
• r ->
Rs•3a
----- 1—( °7* ( 4 - 1(9
Z ng Pi n9 Ground surface elev, " 35' ft. Depth to limiting factor } f L in.
Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/N
In. Munselt Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef#i 'EN#2
o• /o /oy/t L /7 424 7ee 4 5 2- "F .i' -.,
2- /.0 - 2- /d y/1 py • - Sic. 2-fJ4 ,7C /• z S /f .s .
3 22.3( 7.5 yR %r6 GS . / fA. AS s -- . 7 I. 2
d / i .....ii • S D ,. ,/ ./ ----- . 7 /• Z
, LO, giVirt• 74 .
j • E f f l u e n t #1 = BOD > 30 < 220 mg&L and TSS >30 < 150 mg/t. ' Effluent #2 = BOD, < 30 mg&L Number
and TSS < 30 mglL •
I
CST Nam S � � ��-°� �'
RO l3ER T %' /b/t'/ Gtr T- 21(.."5 S
Address Date Evaluation Conducted Telephone Nunber
Ulbricht & Associates .7))2-C . /4 ..2.40 Z.... 7/5.3496.e/8S
C55 O'Neil Rd.
Hudson, Wis. 5401(5 Pi /Us
0 a 6 • / /6y. yo• dat
NE or
se or /v10 020 / /09.ZC9• .
1
s 1 1�V � p t
agA
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LO 7 7`
02 /0 y. y °•oua
Property owner
Neil.. Wilcox L o x so 0).0 - HO q• 2 . 2 3
L
Parcel ID # Page of
13 1 Boring # }❑ Bonn lit -.Pit Ground surface elev. • 30 ft. Depth to limiting factor �� in.
Horizon (Soli Application Rate
Depth I Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDRf
in. Munsef Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff #1 •Eff#2
• io /d 0 pry --- 4 /7 44 f f 3 f . , . c
2 /9 • )5 /o yie ft --- ,/L /7e SIA- i i,e f4 / 2_ 3
3 /5•3y !TYr -- Cie_ 2,.1, ek 4.11 �i qs. - . s
V 3 /oY mayRo --, s 0, .S 4' -e ---- -- . 7 (. Z
r�
'
i 'c' ti ' °I ' . .
I na# ❑ song
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/ff
In Munsetl Qu. Sz. Cont. Color Gr. Sz. Sh. • c •Eft #1 •Eff#2
I Boring # 0 Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
( Soil Application Rate
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD1W
in. Munsell Qu, Sz. Cont Color Gr. Sz. Sh. •Eff#1 •Efffl2
- 2
•
° Boring
1 � #
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description. Texture Stricture Consistence Boundary Roots GPWff
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
.
• Effluent #1 = BOD > 30 < 220 mg&L and TSS >30 < 150 mg/L • Effluent #2 = BO; < 30 mg/L and TSS < 30 mgl1
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.
S BO- 11330 (RRAMO)
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POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of 2
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity /oZ 5-Q ga l ❑ NA
Permit # 4 (30 -?2-0 Septic Tank Manufacturer ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer 0-'ter NA
l
Number of Bedrooms ❑ NA Effluent Filter Model "—IOC) ❑ NA
Number of Public Facility Units rJA Pump Tank Capacity gal )6lA
Estimated flow (average) 9 2 6 gal/day Pump Tank Manufacturer 712S1A
Design flow (peak), (Estimated x 1.5) 4 0 0 gal /day Pump Manufacturer FAA
Soil Application Rate / 7 gal / /f tz Pump Model
Standard Influent /Effluent Quality Monthly average* Pretreatment Unit A
Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BOD 5530 mg /L r,n-Ground (gravity) ❑ In- Ground (pressurized)
Total Suspended Solids (TSS) 530 mg /L ❑ NA At -Grade ❑ Mound
Fecal Coliform (geometric mean) 510 cfu /100m1 ❑ Drip -Line ❑ Other:
Maximum Effluent Particle Size Y8 in dia. ❑ NA Other: ❑ NA
Other: ❑ NA Other: ❑ NA
* Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
1 2 0 Inspect condition of tank(s) At least once every: year�)(s) (Maximum 3 years) 0 NA
Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA
Inspect dispersal cell(s) At least once every: a ❑ month (Maximum 3 years) ❑ NA
Clean effluent filter At least once every:/ monthlsl ❑ NA
(• / � m '
year(s)
Insect pump, pump controls & alarm At least once every: ❑ rI
P P P Y ❑ yearls)
❑ month(s)
A
Flush laterals and pressure test At least once every: ❑ yearls)
Other: ❑ month(s)
A
At least once every: 0 yearls)
Other: ;1 NA
MAINTENANCE INSTRUCTIONS '
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank
inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or Teaks,
measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface.
The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding
of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the
immediate notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire
contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment
units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
Page Z of y
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals
that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents
of the tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of
effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring
power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to
restore normal levels within the pump tank.
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area
within 15 feet down slope of any mound or at -grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat;
foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil;
painting products; pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is
properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:
• All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with
soil, gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
replacement system:
A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption
system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by
required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will
result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must
comply with the rules in effect at that time.
❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS
technology a holding tank may be installed as a last resort to replace the failed POWTS.
/� _ _ _ • N alua • • • •• � � - � a -
• a o • mg tank
••••= rlhT —wm•e al e. • • . 19RD44i Tim fbi - A/tsM/ C j5 gUC.nO
❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the
infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time.
< <WARNING> >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
•
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name l �� /t Name
Phone '�ls (2 L g _ 62, Phone
•
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Name ST. ce.O 96 <0vet1•ry 20,J /ow-
Phone Phone -US 3 '(0- ‘../o
This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &1f) and 83.54(1), (2) & (3), Wisconsin Administrative Code.
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer P4 �'
Y
Mailing Address diS,
Property Address
(Verification required from Pl g Department for new construction)
City/State / A//d Parcel Identification Number
LEGAL DESCRIPTION / c� / , l
Property Location , Sec. 3 TL l N -R/ ! C /7'` W, Town of , .
N�i4, 5� %4
Subdivision �iOG� , Lot # 7L.
Certified Survey Map # , Volum ----, Page #
Warranty Deed # 7f 0 g &J , Volume (2) 35 , Page #
Spec house ,�es ❑ no Lot lines identifiable es ❑ no
SYSTEM 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 system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the SL Croix County Zoning Office within 30
days of the three year exp' ;on date.
7l
A • : F LICANT DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
S'l / P/ ek3
GNATURE OF APPLICANT 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
J 2 1 3 5 P 3 5 5 - 7 125$8sla
WARRANTY DEED KATHLEEN H. WALSH
W
REGISTER OF DEEDS
ST. CROIX CO. , WI
Neil L. Wilcoxson and Mary J. Wilcoxson, a /k/a
RECEIVED FOR RECORD
Mary Jo. Wilcoxson, husband and wife, conveys 02/07/2003 02:00PN
and warrants to Kernon J. Bast the following EXEMPT #
described real estate in St. Croix County, State of
REC FEE: 11. se
Wisconsin: TRANS : 2880.00
FEE:
CERT COPY FEE:
PAGES: 1
Exception to warranties: all easements and restrictions of record.
This is not homestead property.
Parcel Identification Number(s): 20- 1109 -40 -000; 20- 11 -9 -20 -000; 20-
1109 - - 000; and 20- 11 -90 -55 -000
Name and n s to:
A parcel of land located in part of the Southeast V< of the hdiina ealty T
Northwest 1/4 , part of the Southwest' /. of the Northwest 400 South 2nd Street
1/4, part of the Northeast 1/4 of the Southwest 1/4, and part Suite #115
of the Northwest '/, of the Southwest' /., all in Section 36, r lj s on, W f 54016
Township 29 North, Range 19 West, Town of Hudson, St. ``)1V1"t
Croix County, Wisconsin described as follows:
Commencing at the South % corner of said Section 36; thence North 00 degrees 10 minutes, 01 seconds West
along the north-south 1/4 line, 1634.77 feet to the Northeast corner of a parcel of land described in Volume 526,
page 259 at the St. Croix County Register of Deeds Office, being the point of beginning; thence continuing
North 00 degrees, 10 minutes, 01 seconds West along said North -South 1 /4 line, 1977.22 feet to the South line of
the North 350 feet of said Southeast % of the Northwest 1/4; thence South 88 degrees, 49 minutes, 51 seconds
West, along said South line and the Westerly extension of said line, 1324.14 feet; thence South 00 degrees, 09
minutes, 43 seconds East 2,096.73 feet to the centerline of County Trunk Highway "N" being a point on
1,999.00 foot radius curve, concave southerly, whose central angle measures 03 degrees, 00 minutes, 19
seconds, whose chord bears South 80 degrees, 02 minutes, 21.5 seconds East and measures 104.84 feet; thence
Easterly, along the arc of said curve and centerline, 104.85 feet to the point of tangency; thence South 78
degrees, 32 minutes, 12 seconds East along said centerline, 712.54 feet to the West line of said parcel described
in Volume 526, Page 259, thence North 00 degrees, 10 minutes, 01 seconds West along said West line 304.75
feet to the North line of said parcel; thence North 89 degrees, 49 minutes, 59 seconds East along said North line
523.00 feet to the point of beginning, all in Section 36, Township 29 North, Range 19 West, St. Croix County,
Wisconsin.
tit/
Dated this __ day of JOi , 2003.
Vf 1/ ��
�J cA- r
7 � "W il on I o n
L. coxs Mary J. W
ACKNOWLEDGMENT .•t' ' :an4?
STATE OF WISCONSIN ) rY P(j r
COUNTY OF ST. CROIX ) : �t „ O C 'f ,
h 3 of above .= N i . WiI . - 14 �' M ary
Personally came before me t is day o ✓ 7 2003, the acknowledge Neil i i colt3o d `
Wilcoxson to me known t o be the persons who exec th fo oing instrume - • acknowle the time DE8012NH A,
�_ PRESTON
Nota Public � y , /. -6,•,), 4j• 2
This instrument drafted by Robert F. Wall. My commission expires: Wilcox ontoBastWD03 -1 , , / hh WIS - 1: -
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