HomeMy WebLinkAbout231-1049-10-000 r*
✓ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safety and Buildings Division Count y St. Croix
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary6TRUNo.:
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)).
Permit Holder's Name: ❑ City ❑ Vi ller�a a wn of State Plan ID No.:
Freeburg, Dave (:ty oenwood
CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Ta o.:
I o L , 23 1049 -10 -000
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic (Z Benchmark S 14'a Dosing � � � ,�� G t
> �
Aer Bldg. Sewer
Holdi St Ht Inlet �.
TANK SETBACK INFORMATION
TANKTO P/L WELL BLDG. Ventto ROAD
Air Intake
Septic { / >�5 3� 3(� NA Dt Bottom Z ,
Dosing ' > 5 f d f f !,/S'� NA Header / Man.
A Dist. Pipe
Bot. System �i 4�z
PUMP / SIPHON INFORMATION Final Grade
t cover "
Manufacturer Demand _ r
IModel Number I C S6 � prM sir %�u c
TDH I Lift Friction S System TDH DH
oss H ead
Forcemain Length � Dia. Dist. To Well
SOIL A RPTION SYSTEM 3
BED rrREN04 Width Length 2! = , Pi' No. f Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DI / 35 DIMEN I N
SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM LE HING Manu a`turer:
INFORMATION Type O r r CHA Mod Number:
System: �/ OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe) , x Hole Size x Hole Spacing Vent To Air Intake
Length 1 S r Dia._ Length ! �3 Dia. Spacing-ii /
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 Bed / Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1. 1 /z4y Inspection #2• if /
Location: 1427 Highway 128, Glenwood City, WI 54013 (NW 1/4 SE 1/4 22 T30N R15W) - 223015769B
1.) Alt BM Description = �i a � �a a.' Y -) P at, '
2.) Bldg sewer length =(pC� 'c��r��{i It, �c Sew er
- amount of cover /x r S7!ctiliv� 4
4J ,�- �.s>l� l/ ;,. su /,� � s l.� �/ �r ���s�Rl /tom/ / > /e (f e 5 (1
<S 4,J 4K r r^����Y' ��(.t;' ` f' jwv l ��✓ /e e.01 le oa
i S �. (✓ Q l S Z 3 3 J L� �C 5 t�`�x -j a y'MT -tA&- A loo S n• - r ,r e IS Z r e )
Plan revision required? ❑ Yes ❑ No
Use other side for additional information. Z, z
SBD -6710 (R.3/97) Dat 1 nspe 's Signature Cert No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
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oZ Zb "�� t ' Sa`cty & t3uildings Division
Sanitary Permit Application I 201 W. Washir.gtut: A ve.
14 SCOnSin ateord �tialt Coirrn 8? 2 i. ��'S :,. AJra. — !! state 'd PO Box 7302
See i verge , a for instructions t7r a�rr,pieung th[it`n Madison, WI 53707 -730%
Persona, nformat,o:i ,you 7rov rdY mad be used for seurposes (Submit compieted form to county if not
t)epartmenr of Commerce (privacy Lai. S. 15.04(i )(m)]
Attach cam lete lans Ilo the county Copy only) for the system, on paper not less than $ - x 1 l inches in size.
County C State Sanitary Perms Number ❑ Check if revision to previous application state Plan 1. D. Number
cJ R C� 1 x I'j
I. Appli cation Information - Ple ase Print all Information Location:
Property Location
Property Owner Name
W1 /a S C U: S ZZT3 C�N, Rl(or
1 of Number Block Number
Property Owner's Mailing Add ress
�2 (gTT' 2C Subdivision Name or CSM Number
City, State Zip Code Phone Number
—� e) p(City
II Type of Building: (chec on o❑ Village
O 1 or 2 Family Dwelling — No. of Bedrooms :� d Town of
0 Public/Commercial (describe use)
❑ State -owned Nearest Road
1 11I Type of Permit: (Check only one box on line A. Check box on line B if applicable) s
1. New System 2. C Replacement 3. ❑ Replacement of 4. 01 Addition to Parcel Tax Numbers) aT a -� a.
A) System Tank Onl � Irxistin S stem 3 — &�
Permit Number Date Issued
$) ❑ A Sanitary Permit was previ ously issued
IV. Type of POWT System: (Check all that apply) ❑ Sand Filter ❑ Constructed Wetland
ANon- pressurized In- ground ❑ Mcund
❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line
❑ At -grade tt It ❑aerobic ' ea .ent Unit Cl Recirculating ❑ Other:
-44-✓ A-
V Dis ersaVrreatrnent Area Informa
1. Design Flow (gpd) 2. DispersalArea 7 3. Dispersal Area 4 Soil Application 5. Percolation Rate b. System Elevation 7. Final Grade
Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) I — 9 3 . Elevation
VI Tank Capacity ir. Total *"of Manufacturer Prefab Site Stec, Fiber- Plastic
Con- Can- glass
Inform io� Gallons Gallons I Tanks
New £xistin„ Crete stn,rcted
\" Tanks 'Tanks ❑
�?po
/lit t O c,t) ❑
D n p ❑ ❑
A $�v 0'+'rs N e
VII Responsibility Statement
1 the undersigned, assume res onsibilit for installation of the POW TS shown n th attache Dians. Business Phone Number
Plumbers Name (Print) Plumber's Signature ( stamps)' P MPRS No.
Plum is Address (Street, Cit , State, Zip de)
S �
14F /S'J —
VIII County/Department Use Only -1 6 A. t
ssuing A
❑ Disapproved Sarin Perm Fee (Includes Groundwater Da ssued gent Signature { stamps)
(,Approved ❑ Owner Given Initial Adverse Sur "/{]�(([J ^ ' 1 ' ge 1 Fee) -Z mb
Determination
CD �
Conditions of Approval /Reasons for DisapprovaL•� M 7 Q 7177 Aud W
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SBD -6398 (k. 07!00) '(�
FROM :,NORTHLAND PLUMBING, INC. FAX NO. 715- 643 -2520 Jul. 26 2000 04:42PM P1
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- JWisconsin Department of Commerce ND SITE EVALUATION Pa e _ I _ of 3
Division of Safety and Buildings OR � iWith Comm 83.05, Wis. Adm. Code g
Certified Soil Testing
Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix
percent slope, scale or dimensions, north arrow, and locatio istance to nearest road. - - - -- - -
Parcel 1 1049 -10 -000 (22.30.15.769B)
APPLICANT INFORMATION - Please y f�ria>tbn - -- -- - -- -
Personal information you provide may be used for (Priv taw, s. 13., (1) (m)). Reviewed By Date
Property Owner Prope Location
S T N,R
Friebur g , Dave ? NW 1/4 SE 1/4 22 30 15 W
Property Owner's Mailing AddressI Lot # Block # Subd. Name or CSM#
826 First St. a7
Cit State Zis' h
Ty r� Village
[ ]Town Nearest Road
Glenwood City WI 501, - Glenwood City WSHw 128
New Construction Use: ® Residential / Number of bedr [ _- JAddition to existing building
�! Replacement D Public or commbrcial
Code Derived daily flow 600 gpd Recommended design loading rate -5 bed, gpd/ft' -6 trench, gpd /ft
Absorption area required 1200 bed, ft' 1000 trench, ft' Maximum design loading rate -5 bed, gpd /ft' • t rench, gpd /ft'
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmar
Additional design /site consideration Preliminary - Soils Only - More work necessary after trees are cleared
Parent material loess over sandstone Flood plain elevation, if applicable N ft
S= Suitable for system Conventional Mound In Ground Pressure I AT -Grade System in Fill Holding Tank
U- Unsuitable for system S U S U S X U
Y i ❑ ®U ®S ❑U �S(��U D� � �� X
Horizon Depth Dominant Color Mottles Texture Structure jConsisten Boundary oots GPD /ft'
Boring# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed Trench
1 --
0 -1 sill gs 1 f/m .5 .6 S
1 _ _ 0 10YR3/3 _ l_ - � - -_ 2 m gr mvfr
2 ID--27 l OYR 3/3 - sil 2 f sbk mvfr gs 1 m .5 .6 s
Ground 3 27 -38 10YR 3/3 - sil 2 m sbk
mvfr } cs IM .5 .6 . r'
elev - -- — - -- - -- -- - - - - - } - --
4 38 -57 10YR 3/4 - sil 2 m sbk mfr cs - .5 .6 • S
10YR 6/2 sil 1 c sbk
Depth to 5 57-72 1 OYR 4/4 mvfr - .2 .3
limitin g
factor 93.9
i
Remarks horizon 5 gritty w/ some san this area margins y OK for conventional, gravity distributed system in the ground
2 1 0 -12 10YR 3/3 - sil 2 m gr mvfr cs IUrn .5 .6 S
�,n -.... 2 12 -22 IOYR 4/4 - sil 3 f sbk j mvfr cs 1 m 5 6 . S
- __. I _ 1 OYR 4/4 sil 3 rn sbk _ _ _.__ -- -__ -_ mfr cs tin .5 .6
elev . .5-
Ground 4 36 -51 II l OYR 4/4 - sl 1 m sbk � t
t _.
mfr cs I m .4 .5 S�
- fZf`T.SI'R 416 - - - -- -
Depth to 5 51,-56 l OYR 4/4 10YR 6/2 sl 1 e sbk mvfr - - .4 .5
limiting -
factor
F
- / -
Remarks this area marginally OK for in- ground pressure
CST Name (Please Print) Signature: Telephone No.
Henry F . Grote 715- 665 -2681
Certi ied- Sotf'Testiii — -- ------ - - - - -- -
Address g Datg CST Number Ref #
P.O. Box 57, Knapp, WI.54749 6/4/1999 222774 1176
L
PROPERTY OWNER:_Frieburg Dave SOIL DESCRIPTION REPORT Page 2 of '
PARCEL LD ) .# 231- 1049 -10 -000 (22.30.15.769B Certified Soil Tasting
- - - B) - -
Depth Dominant Boundary
Horizon Color Mottles Structure GPD/ftz
in, Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Bounda Roots '' Bed Trench
3 1 i 0 -8 10YR 3/3 - sit 2 m gr mvfr cs 2f1m .5 .6 S
w.0 ... 2 8 -30 l OYR 4/4 - sil 2 f sbk mvfr gs lm .5 .6 S--
Ground
elev 3 30 -56 1 10YR 4/4 - sil 2 in sbk mvfr gs 1 m .5 .6 , S"
4 56-72 10YR 5/6 - siI 1 m sbk mvfr cw lm 2 3 z
Depth to 5 72 -82 l OYR 5/6 - is 0 sg dl - - .7
p 8 ,}
limiting —
factor
- - -- - - - - - --
Remarks: is area sut e c i vt - i u gr un system
t -- -- - - - - -- - - - -- - - -- - - .. r - -
I
Ground i
elev
Depth to --
limiting Taken as a group, three borings indicate that an in- ground pressure system could be installed in this area. Additional work with more soil
factor pits/borings, exact pit locations, elevations, and house location necessary to finalize this work.
Remarks: bite is ae with septic system.
Ground
elev
' I
Depth to - - - --
limiting _ f
factor
I
Remarks:
Ground
I
elev t �
Depth to
limiting
factor -- - � - -- I
I
Remarks:
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vklsconsin Department of Commer SQL EVAN TIOqNFPOt t t ) W / 7 1 /9� Page of -
Divisioepf Safety and Buildings Z) 11
in accordanc�wn* WiS.
County (' U i
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must
Include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ; JO - 1 U - 6 60
Please print all information. R viewed by Date
Personal Inforn ation you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). ` Z S -
Property Owner Property Location
Qa f Cr I e V b u r Govt. Lot ' W 114 546 S 2 2 T ,�U N R
Property Owners Mailing Add Lot # lock # S
Bubd. Name or CSM#
? r �ir:5 576c - I _ moLI3(0 Pa ISa
City State Zip Code Phone Number 'City ❑ Village [] Town Neare Road
C. U T 5-q 0 13 (1 rS' ads- �a `3 4 I e C. S f1 )y f ze
9 New Construction Use: ❑ Residential / Number of bedrooms q Code derived design Flow rate lod0 GPO
❑ Replacement ❑ Public or comme 1 I - Describe:
Parent material Jo{ S S oy er r S Flood Plain elevation if applicable AAV ft.
General comments
and recommendations: 59-E r e t'v ja� &AS,
Sods (�Or 6 - Conk✓ ry-ved az s � ed n so;► ' C4
5ob m'( �--A (P -4 -a q
F47 Ong # p Boring
Pit Ground surface elev. 0 �" ft. Depth to limiting factor CP-9 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Ex Iure Structure Consistence Boundary Roots GPD/ft'
In. Munsell (]u. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eft #2
6 !? X33 ame r QS O/M -$
13 1U Q3 r� k mV I'^ .5
3 13 0 et Y am clo m r.0 rS 0
y 400
5- i 1614 yto _3 a 'Isas S l rn r I - — LOA 6.3
I I T
Boring # � 1 Boring
tCt pit Ground surface elev. FT.)- ft. Depth to limiting factor _ in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
d Q3 si cc 4 0.S rN 0 .5 O_$
a- -la o i2 e amsa (' C'W .5 -9
3 is - a ix ti (�nx i 1 rnSb v'�,r CW am a� .S -$
a3 lU R 511 ar,5bk
• Effluent #1 a BOD, > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signa a CST Number
" rh a u 7(o I
Address Dace E aluation Conducte Telephone Number
�' D�I�� tt�varn I TT 54757 x-19- ? )1 S (c5 13yq
6LZ
Property Owner Parcel ID # Page of
a Boring # ❑ Boring
pit Ground surface eiev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f 2
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
4
Boring # ❑ 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 GPD/ft'
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
17 Boring # ❑ 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 GPD /ft'
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 = BOD < 30 mg/L 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.
SBD4330 (86/00)
S� iB1 .95:1
33 9S.
a y 2 7.2
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Al"I 56 Sa ;T3 Al Rl S /
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to y Nat Ar SO +-1 19
TDH and.Pump Tank Drawing
Total dynamic -head
Operational head 3.75 ft 1.14 m
Vertical lift 20.75 ft 6.32 m Are laterals the highest point in the
Friction loss 2.23 ft 0.68 m system? Yes ^x' here.
Total dynamic head 26.73 ft 8.15 m If no, what is the highest elevation (ft)
Dose Volume downstream of pump? C
Lateral void volume 20.6 gal 78.0 L
Does forcemain
Minimum dose 150.0 gal 567.8 L drain back to x Yes
Drain back 10.5 gal 39.7 L tank? (xom) 1 No
Dose volume 160.5 gal 607.6 L
Typical Pump chamber Layout
In combination wth state appmued treatment tank. Tank construction as per Comm 83:20(3) WAC.
approved manhole cover with
weather proof warning label and locking device
grade junction box rade levels
levels disconnect g
electric as per NEC 300 and alternate outlet
F
4" vent Pipe —Comm 16.28 WAC location 18" (46 cm) min.
wall of pump approved
chamber or outlet joint
combination tank
A Provide 1/4" weep hole or anti -
alarm on siphon device as necessary
pump on B
Grade levels
PUMP 73.75 ft C - pump tank manhole = W'(10 cm)
off elev. 1 22.481m minimum above finished grade
D - vent = 12" (30.5 cm) minimum
above finished grade
73.00 ft Pump tank elevation
3 " (75 mm) of bedding under tank 22.25 m Bottom of tank
Tank manufacturer Midwestern Precast
Pump tank capacity 21 gal /in
Pump tank volume 800 gal
Inches Gallons
Pump manufacturer JHydromati c c A 22.5 471.5
Pump model number Ishef4O . B 2.0 42.0
C 7.6 160.5
Alarm manufacturer JS&J Electr p D 6.0 126.0
Alarm model number 1101
Project: 4 Bedroom Con
Transaction Number: Page 5 of 7
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SECTION: 3.20.145
QUQl /TY PUMPS �HCE IJ3i / 1 FM 0100
Supersedes
Product information 1099
presented here reflects f 7 �fP
conditions at time of f
publ ication, Consult factory visit our web site:
regard'+ng discrepancies or MAIL T0: P.O. BOX 16347 - Louisville, KY 40256.0347
inconsistencies. SHIP TO: 3649 Cane Run Road • Louisvilb, KY 40211 -1961 http:
(502) 778 -2731 • 1 (800) 928 -PUMP • FAX (502) 774.3624
ZOEhhER ON -SITE WASTEWATER PRODUCTS
mmewrczve rar TRU 016 FLOW ff's"fEff" Hvx
1
Distribution Box System 4• CONNECTIO CP N
�'- (jCH. 4C DR SOF
This innovative D -Box System will evenly split
1 eff luentinto two IQ five 4" lines It is made of two
i major parts: (1) the diverter basin & cover and +
(2) the actual diverter. The basin & cover may
settle as much as 15° front -to back (30° total)
and/or 12" side -to -side (24° total) and the diverterwill
evenly split effluent, when adjusted. This will solve the �,, '``•' -''
problems of distribution boxes settling. The distribution box ry�
�^' -� PATEti'1' PENDING
tee_.
works with low flow as well as high flows. This unique
design has no parts thatwear out and is made of corrosion'
resistance material. The D -Box System is maintainable'
l �
from the surface.
COMPARE THESE FEATURES:
• Will evenly split effluent into two to five 4" lines.
• Tested from ' /1c GPM to 9 GPM flows. �i ll 2 OUTLETS
• Sturdy box to withstand anticipated loads. l SHOWN
• Light weight for quick and easy installations. SK +gee
• Bubble level built in for easy adjustments and
maintenance. SEPTIC TANK OUTLET PIPE_
• D -Box System is maintainable and adjustable from (suPP:EC By OTHERS)
surface after installation.
• Corrosion resistant materials, j rc SURrA'E
• Settling can occur and the diverter will adjust to evenly
spliteftluent. ��� "ter ± ±± 1
• 4" riser easily attached to visually inspect and adjust
thediverter.
• 6 SDR 35 pipe seals included. CouPUNO, RUBBER
(SHOWN) OR PVC J
(SUP°_iED By OT4ER.S)
We recommend using a Zoeller Company septic tank i
filter in conjunction with the distribution box on every
septic system. L 2 TO 5 TRr.NCH PIPES
(SLPP!IED 6'r OTHERS) 8K+97t
5
U
• F�) 6U2 4cw
Distributed by.
0 Copyright 2000 Zoeller Co. All rights reserved.
C -
ST CROIX C01 - TNTI,
SEPTIC TANK MAIN7TENrANE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer ,`r� � �r` e � ✓
Mailing Address aZLe l Sf St 6 le��� C <'�� ec.'1
Property Address /ha w y /02
(Verification required from Planning Department for new construction)
City /State � 1p-q"woed? _ CI'& &L).Z Parcel Identification Number ,p� 3�; iy -ly -vim
L +'GAL PM!Q8RT10N
Pro Lo Ne 1 i 2 z 3 b !- �i 6 , d
Property cotton /,, /,, Sec. . T.N -R,. W, -of _ 1 �c u ��9D
Subdivision . Lot #
Certified Survey Map # . Volume , Page #
Warranty Deed # � 1�/.5� , Volume Al--5 . Page # iz
Spec house Cl yes Il no Lot Lines identifiable 0 yes G no
SYSTEM — MAMNANCE
Improper use and makftance 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 fbnetion 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 force, signed by the owner and by c
master plumber, journeyman pLtmber, 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.
llwe, the undorWgued 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 St. Croix County Zoning Office within 30
days of the throe year expiration date.
SIGNATURE OF APPI,INT DATE .
OWTIIR, c &izICATION
I (we) certify that all statements on this force an true to the best of my (our) knowledge. I (we) am (are) the owners) of
the property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
4
SIGNATURE OF APPLICANT DATE
+ « « « «« bt being revoked b the Zoning Department.
Any i nformation that is rolls - represented may result in the sanitary per' n8 Y
«' Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey reap if reference is made in the warranty deed
a
1453PAGt299 /o
STATE BAR OF WISCONSIN FORM 2 - 1982 6Q9t�
WARRANTY DEED KATHLEEN H. WALSH
REGISTER OF DEEDS
DOCUMENT NO. ST. CROIX Co., WI
RECEIUED FOR REM
Wesley G Tuttle and Alice M Tuttle husband 09-01 -1999 9:00 AN
-and wife as sUr- v - iXQrship marital prqpgs YARRANfY DEED
EXEIPT I
CERT COPY FEE:
conveys and warrants to David D. Frieburg and Janelle B TW LER R
Frieburg hu band an wife as survivorshi TRAI FEE: 1'OO
&- ! RECORDIil6 FEES 10.00
marital property
PAGES: 1
I
THIS SPACE RESERVED FOR RECORDING DATA
I' NAME AND RETURN ADDRESS
the following described real estate in _ St. C r O i x County,
Stain or Wisconsin: CITIZENS STATE BANK
Part of the Northeast k of the Southeast and 113 W.OdSt
part of the Northwest k of the Southeast k of Glenwood City, WI 54013
Section 22, Town 30 North, Range 15 West, Town
of Glenwood, County of St. Croix, State of
Wisconsin, more particularly described as: 231 - 1049 -70
Commencing at the East k corner of said PARCEL IDENTIFICATION NUMBER
Section 22;
Thence West 891 feet;
Thence South 200 feet;
Thence East 248 feet; i
Thence South 460 feet;
Thence West 862 feet, to the point of beginning;
..
Thence continuing West 550 feet, more or less;
Thence North 220 feet;
Thence West to the Northeasterly right -of -way of State Trunk Highway 128;
Thence in a Southeasterly direction along the North right -of -way of State li
Trunk Highway 128, approximately 1,250 feet to a point that is due South
of the point of beginning; Thence due North 656 feet, more or less, to the''
point of beginning.
IS t)0� i `
This homestead property
as not)
Exception to warranties:
Dated this _ 1
day of A.D„ 1929
(SEAL) (SEAL)
WeQ;ay n, Tuttle
c'
(SEAL) eL %� (SEAL)
• • Alice M. Tuttla
ii
AUTHENTICATION ACKNOWLEDGMENT
Signatures) State of Wisconsin,
J�• lfou Coun[
authenticated this day of 19_ Perso ally came before me this I day of
19 5 1 4 1 the above named
a
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by §706.06, Wis. Scats,) to me known to be the person Who executed the foregoing
inst d ackn ledge the same.
THIS INSTRUMENT WAS DRAFTEE) RY aO'M) L. ut�
an - i a X. Rivard d loiiflin
Menomonie, Wisconsin Notary blic, UiiX County,Wis.
(Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration (late:
necessary.) 1A,1�1.100� 19 )
•Names of persons signing In any opacity should be typed or prinmd below their sgnamr¢s.
WARRANTY DEED STATE BAR OF WISCONSIN 03CM9in LpY Blank Co., kC.
Form No. 2 - 1982 ,p W.