HomeMy WebLinkAbout022-1080-60-000 Wiscouin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No: 420421 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:
Brown, Thomas & Karen I Kinnickinnic Township 022- 1080.60 -000
CST BM Elev: ' m n Insp. BM Elev: BM Description:
E V, 6 r 6 AL P"
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY S ATI BS HI FS ELEV.
Septic Benc r
5 -4(� Ist►N - 7 'I p 3.�{S rv3•�{ / oU� v
Dosing Alt.
Aeration Bldg. Sewer
Holding / SVHt Inlet '
TANK SETBACK INFORMATION SbHt Outlet 3 jZ
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD nlet '
Septic -1 t ' O I D om / A r / _ ` j v
Do ' Header /Man. ✓ * 9•
I
Aeration Dist. Pipe
Holding Bot. System e „
PUMP /SIPHON INFORMATION mal GradeAa G� (o,S X16 9 3
Manufa urer D and
GP 46u- \0
Model Num r ✓��/ �wsth �� L83,�J �_�'� �? . (�
TDH Lift ion Loss System Head H Ft
Forcemain ength IDist, to Well 1 10? y5 �� +
SOIL BSORPTION SYSTEM
RENCH Width I Lengt 1 No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS (i 1
SETBACK SYSTEM TO 2 � P / /L BL G WELL LAKE /STREAM LEACHIN Manuf cturer:
INFORMATION CHAMBER OR V5 I0 DIF=IF -tt.S60_
Type Of Syv m: �
1 ', �!) I 2--+1 �01 UNIT Model Number: 0 it VAA A n
dILaC
DISTRIBUTION SYSTEM -�
eader/ nifold Distribution x Hole Size x Hole Spacing Ve nt to ' r Intake, - I
Pipe(s) �_-
Length? Dia Length Dia Spa g ---r-
SOIL COVER x Pressure Systems Only x ound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched
[ Yes
Bed/Trench Center Bed/Trench Edges Topsoil - No �j Yes _ ± _ g] No
;, .
-i
COMMENTS: (Include code discr en persgn� p� t, n ett � Insp ctio #1: Inspection #2:
� � S 9, a 5 w. w f �lrler - wt Sf� / Y "� ' Lb `� ' _ /l� �L ( t4 18.P439
Location: 1108 Rifle Range Road R'uEr Falls, WI 54022 (SW 1 4 NW 1/4 28 T28 R1 W) NA t arcel No:
1.) Alt BM Description
2.) Bldg sewer length =
- amount of cover = (p�J l2. l '
t 7- 1 -0
- -- - ,, ' 1 3 _ D 7 ?rl- - --
Plan revision Required? Yes No
j _
F
Use other side for additional information. _ -
Date I�s Sig VV+' G � Cert. No.
SBD -6710 (R.3/97) � ��
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Safety and Buildings Division County
201 W. Washington Ave. P.O. Box 7162
1` Crd
1 *iseonsin Madison, WI 53707 - 7162 Site Address
Department of Commerce 9 -3 o __0 a – 3 KO o J lag R or Pa' "P
e
Sanitary Permit Application Sanitary Permit Number
In accord with Comm 83.21, Wis. Adm. Code, personal information you provide -Z TZ /
may be used for secondary ses Privacy Law, s15.04(1 m
❑ Check if Revision
I. Application Information - Please Print All Information State Plan I.D. Number
Property Owner's Name Parcel Number
Kclyelki B r bkm � . � .... 0 �2 -/ 0 - p - o oa , A)
Property Owner's Mailing Address Property Location
j If 9 C! ( f' 5W uNU) a;So2B Tab N,R 8 E
City, State Zip Code Phone Number Lot Number Blo Number
. P �
Subdivision Name CSM Number
PQ r 3
H. Type of Building (check all that apply)
E 1 or 2 Family Dwelling - Number of Bedrooms
❑'tlIIfage
❑ Public /Commercial - Describe Use JTowrtship & �'tjyj C , c
❑ State Owned Nearest ( Road n �J
III. Type of Permit: (Check o one box on line A (numbering scheme for internal use). Complete line B if applies le)
A. 1 ❑ New 2 Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use
System Tank Onl Existing System
B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued
IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) * w
44`� Non - Pressurized In- Ground 210 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland
22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line
45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other
V. Dis ersaMeatment Area Information:
Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade
Required 9 Proposed 4te6_ G Rate(Gals. /Days /Sq.Ft.) (Min./Inch) - 70, 6 Elevation
}
VI. Tank Info Capacity in Total Number Manufacturer Prefab ire Steel Fiber Plastic
Gallons Gallons of Tanks Concrete Constructed Glass
New Existing
Tanks Tanks
Septic or Holding Tank
Dosing Chamber
VII. Responsibility Statement- I, the undersigned, assrmte responsibility for Installation of the POWTS shown on the attached plans.
Plumber's Name (Print) 3:n MPR#H%M mber Business Phone Number
a s J e, p 02 5- `/5' Al; s- . O:r
" Plumber's Address (Street, City, State, Zip Code)
V ti �', a , /' K r ~yon
VIII. Corm /De artment Use Onl
K Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps)
- Surcharge)
❑ Owner Given Initial Adverse
Determination 22S�_
IX. Conditions of asons for Disapproval n c -
S ys-� -k- q2 �4 Q o � ba +� 9lltoQ�2 C �(5� -ol "
1 et4 -� �s dc, Ld
Attach complete plans (to the County only) for the system on paper not less than 81/2 s 11 Inches In size
SM-M /�
'�t'd�"'1P4� PM 1" t.A�zt�3 k►R -Q�►N
+ 5 -• - n ` tN g„t,. a a tw-k� Cz Iuea b
t ^'
a •/ te r" q �
$ t1�L bi�!'1�RLf��J1fU►�l
$0 K
Ofi 13T, F', �+..5� •� S V'�
J4-.
►oo. o ' ory f" z CcNobllMAJM 1>11 VD .
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8 4tr�rf3 rt>= t 2t �'o De - As�r
Q-bM WIIM! � PM C&wLL —
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'Nsconsin Department ofCommerce SOIL EVALUATION REPORT Page� 3
Division of Safety and Buildings of
in accordance with Comm 85, Wis. Adm. Code
County S 1 C Z-01 X
Attach complete site plan on paper not less than 8 1/2 x 11 in hes a �e �Rn la mUSt
include, but not limited to: vertical and horizontal reference pint (BM); �it2t(arrand - e
percent slope, scale or dimensions, north arrow, and locatio and distance to nearest road. /Parcel I.D.
Please print all informatio (i c Reviewed by Date
Personal information you provide may be used for secondary purpo s (Privacy Law, s. 15.04 (1) (m)).
Property l O�wner
P roperty Location
v��'PC�� �7 �� � — _...._. 'Ge _ 114) 1/4 S Z �? T Z8 N R g E (o W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
Von Z 3�S
City State Zip Code Phone Number ❑ City ❑ Village Z Town Nearest Road
T 54UZz y ZS -576(3 �Z bJb� 1 1C`rt) iJJV 1 Czt1 -LiE Kpoi RD
❑ New Construction Use: Residential / Number of bedrooms Code derived design flow rate _ �(� GPD
Replacement ❑ Public or commercial - Describe:
Parent material O k )T Pro, H Flood Plain elevation if applicable rV A ft.
General comments
and recommendations: �� ` Ef 3 5 X So" L-DYVG "J/% L )M- 'S OF Hq 6if C--itPfte- lTY
s O w �Z L�'� eN C41�" ��S p eZ aZL(_.
t3 o7T�3M o F=- C .LS B E 6 2- " .
Boring # ❑ Boring
® pit Ground surface elev. 1 • O ft. Depth to limiting factor l in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz
in. Munseli Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 •Eff#2
1 0 —16 t o- cZ?L — 2�1s b � < i 4 • S . g
Z 1 - Sy
3 6 - C - 7.S `IR
I 2,
EE Boring # r❑ Boring
IL`ll pit Ground surface elev.
112 ft Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •EM
I o XZ Q - zLZ — L ?`Fs rn v�F�- C�„ — . s
Z lZ 3S - I.S KQ Zsl — s 1 e sb m fir- C — V
- T
• Effluent #1 = 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) Signature CST Number
Arthur- L. Wegerer Y, p Z— ZO 220254
Address °ate Evaluation Conducted Telephone Number
W e g e r e r Soil Testing & Design Service
421 N. 1-lain St. River rails, WI 54022 715 -425 -0165
Property Owner 'S �' R -ll l ] Parcel ID # Z Z — .6 b —13() Page Z of 3
M Boring # ❑ Boring 1 -- r
® pit Ground surface elev. q 6 - I ft. Depth to limiting factor 7 1 u 3 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
0-1 )byrZztz — L
Z ► -S 2 -� s y2 z.s /3 - 1 1 �sb m V ►- c S 6
3 S2 -\2 - 7•S`M VA
F-1 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 /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
F-1 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
I
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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.
SBD -8330 (R.6100)
• PLOT PLAN Page 3 of 3
Scale 1 '
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Lo C-�� OtJ 01=
3 Z - LZ , l Ol . 2 " 0n1 o'*N W1 Ur S t D ltO ,
OF-
715-425-0 220254 Z -z
CST Signature Date Telephone No. CST Igo. Job No.
SEP -26 -2002 THU 11:21 ID:STEINER PLUMB & ELEC TEL:716 426 8818 P:01
CEiVFD
Sc r' ,) FAX COVER SHEET
6 2002
STEINER PLUMBING AND ELECTRIC INC. ST. CRCIX COUiv`7y
N8230 845774 STREET ZONING OFFICE_
RIVER FALLS, WI 54022
715 - 425 -5544
r1 r425-8818 FAX
SEND TO Fn�n
Company name
.. pale
Alfenffvn 9 —
011lce lodallon O e local
Fax number ��
one number
7154g5-5544
i
Urgent Reply ASAP Please comment U please review �► yowl information
Tole( papas. Including cover.'
y COMMENTS
. ... ... __ ........ .__. __.
SEP -26 -2002 THU 11:21 ID:STEINER PLUMB & ELEC TEL:71S 42S 9819 P:02
AL
STEINER PLUMBING & ELECTRIC
N9230 945TH STREET
RIVER FALLS, WI 54022
(71.5) 425 - 5544
(715) 425 -8818 FAX
OPERATION AND MAINTF,NANCE MANUAL
A. 'Yhe component owner is responsible for the operation and maintenance of the
component. The county, department or POWTS service contractor may make periodic
inspections of the components, checking for surface discharge, treated effluent levels, etc.
B. Design approv4I and site inspections before, during, and after the construction are
accomplished by the county c)r other appropriate jurisdictions in accordance to ch.
Comm 93 of the Wig. Adm. Code.
C. Routine and preventative maintenance aspects:
I
1. Treatment acid disftibution tanks are to be inspected routinely and maintained
when necessary in accordance with their approvals.
2. Inspections of the mound component performance are required at least once
every three years. These inspections include checking the liquid levels in
observation pipes and examination for any seepage around the mound
i component.
3. Winter traffic on the mound is not permitted to avoid frost penetration and to
minimize compaction.
4. A good water conservation Plan within the house or establishment will help
assure that the mound component will not be overloaded.
D, Diagrams of components and contact people
1. Diagrams of a components onents and their location,
1 p
1
Plan View
I
2. Names and phone numbers of contact people
A. local public health office Edson 715- 386 -468
B. tank manufacturer _W eiser concrete 1-800-32
C. pump manufacturer Mysrs
�i
D. tank pumpers Darre Dt!ri*► 715 -425 -1025.
ll
E. installer .'te'nor P lumbing 715 - 425 - 5544
I _
SEP -26 -2002 THU 11:21 ID:STEINER PLUMB & ELEC TEL:715 425 9618 P:OS
STEINER PLUMM. C. & ELECTRIC
N8230 945TH STREET
RIVER FALL WI 54022
(715)425-5544
(71 1 5) 425 -8818 FAX
3. Information on periodic maintenance of the component.
alarm push test SW periodically, if it fails to work check with installer
pump r (sec attached sheet)
Mcz -in septic tank will need to be cleaned periodically by license pumper or
installer
distribution cell check for water or soft spots around or on top, if any are found
call installer
4. Notice that the close chamber, if one is utili7.ed, may fill due to flow continuing during
Pump malfunction or power outages. One large dose when the power comes on or when
the Pump is repaired may cause the mound component to have problems. In this
situation, the pump chamber should be pumped by a licensed pumper before pump
cycling begins or other measures shall be used to dose the mound component with only
the proper amount of influent. This may include manual operation of the pump controls
until such time the pump chamber has reached its normal level,
'r-,, Performance monitoring must be performed on mound systems installed under this
manual.
1. The frequency of monitoring must be:
a, at (cast once every three years following installation and,
h. At time of problem, complaint, or failure.
2. The minimum criteria addressed in performance monitoring of mound systems
arc:
a. type of use.
b, age of system
c. type of fill material used.
d, nuisance, factors, such as odors or user complaints
e, mechanical malfunction within the system including problems with
valves or other mechanical or plumbing components.
f.. material fatigue or failure, including problems with valves or other
mechanical or plumbing components.
I,
SEP -26 -2002 THU 11:21 ID :STEINER PLUMB & ELEC TEL:715 42S 8818 P:04
STEINER PLUMBING & ELECTRIC
N8230 945TH STREET
RIVER FALLS, WI 54022
(715) 425 -5544
(715) 425 -s818 FAX
g, neglect or improper use, such as exceeding the design rate, poor maintenance
of vegetative cover, inappropriate cover over the mound, or inappropriate
activity over the mound
h. installation problems such as compaction or displacement of soil, improper
orientation or location
ce, including doing frequency, structural
i. pretreatment component maintenan
integrity, groundwater intrusion or improper sizing.
j. dose chamber maintenance, including improper maintenance, infiltration,
l structural problems, or improper sizing.
k. ponding in distribution cell, prior to the pump cycle, is evidence of
development o f a clogging mat or reduced infiltration rates
1. siphon or pump malfunction including dosing volume problems, pressurization
i problems, breakdown, burnout, or cycling problems,
i m. overllowlseepage problems, as shown by evident or confirmed sewage
eflluent, including backup if due to clogging.
i
4. Reports are to be submitted in accordance with ch. comm 93, Wise Adm. Code.
I RLiFE RENCES
"Wisconsin Mound Soil Absorption System. Siting, Design and Construction."
Converse, J.C., and F.J. Tyler. Publication 15, 22, Small Scale Waste
Management Project„ 1 Agriculture Hall, University of Wisconsin, Madison, Wl.
I
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ST CROIX COUNTY
Y SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owncr/IIuycr h
Mailing Address
Property Address
(Vuifnca(ioa rcqu'rcd from Planning Dcpat mcat for new comtnuction)
City/State _ T� �1��� �S Parcel Idcatification Number 022 Cbcb - 6o - vvo C.
x. EGAL DESCRxPn
Property Location Zip <, %<, Scc. 2 Y T N -R W. Tow, of
Subdivision a,Ut ,v Lot # -
CerMed Sm Tey Map # VoIumc page #
Warranty Deed # 38 S4 L olu
Vme S
3 P
e# 1
Spce.ouse ❑ yes no Lot lints identifiable yes ❑. no
�CS'ILM•�dA��4NCE - -
� �ocof yuarscPtic rys�oavld�bt m its
Consists of F to ltandlew2A=Propermemb=anco
P
can :ffcxttfic of t3�e �� � � � ¢� a ' fit you P�.mLo de system
scp6etaakas.r vtz&eimdC was&.-&
vosaj cysCcur,
lie prupaty -owner ac= to - to St Croix Tag D jr you f du �ow= and .:
- l�i� . �, � by.
ilia P. � (1)&Ccn- itowastcvv &gx=1gst�
Proper operabing oonditioa:adlor (2) aftcr boa and p m p m g (f y). thc- uptye taak-is
less Ana Il3 full of sllud e.
vw
I die bxm =ad tic abm r q "dc. to maa the
rct 6y foctU. brtein�, �s set dc Deputmr� of x sad the Pd`raL` scwag�c disposal system with 6>a stan,daids
Dq d., t of N at od Rmomm State of W soousin.. 0m6ficah6a
o 6oca mlintaincd mast 6c oamplctcd and tdumcd to the St. Q oix.County Zoning Office within 30
ffiE= Ir iutica date.
SIGMA PUCANT /13 v a '
DATE
OWNTR CEI2ICATTON
the I (we) oatify that all stag on this foam are hue to the best of my (our) knowledge. I (we) am (arc) the owner(s) of
PAY dcsaibod above„ by vkwe of a vnmxa(y flood twotded in Pxgistcr of Deeds Oti"ic, .
SI(CNATUItB OF APPLICANT 1 o a-
DATE
« « « « ««
Any I'll that is mis4cpmScntod may result is the canituy pCZniit being ncvokcd by the Zoning Depart menL
«� Indude wi(tt (tds APplica(Ion: a ctempod waaxnty dood fnom the RX&tcr of Doody o[Yioc
a Copy of the certified mntvcy map if ccfercaec is made in the waman(y decd
DOCUMENT NO. } WAR" N" Bum
3 3 U 0 `1 VOL 550 P, A -t 126 Tnta eraca aoasawaD ► asoa mme DATA t
t
• 'i
TJRE, Made this » Leh March 77 REGISTER O FFICE
THIS INDFNI
,ADt9
REGISTERS day of ... _. ST. CROIX Co WISi.
between ... Herbert�I� Cudd -_and Contanc. [, - d _ _
husband and wUll 4a Dint •• tengn :g, ..... .. . ........ ............. . . . ........ Rec'd. fo
»...._ ...................... r Record this
(Constance M Cudd a k/a Constance Mae - Cudd
... .. _........ .. _.... ».. ».._.. »...... »..» ..... ».-. i -__ ?....._.._....... -- day of Ma h A. D. 1 7 r
of the first part, and
Thomas D. Brown and Karen Brown A M.
».._ .----..__.. _............._.._.. »..... - » ».- .._...- ..d. »_......_. .__._.._...__
» husband and wife as Joint tenants
».. »...._.. ».. ». _.._ _ ---...._ ................ .......... »_.__._.._..__...._..
.». .. .......... » ... .._ ...... _..... .._.._...... ».._.._.._.._..... M�latsr � t)Nis
» _ .._.._......_.._.. » »_.._.»...__ »._ »._ ».._.. »__._.part- ies... of the second part,
Witresseth, 71:t the said part_.le8__ of the first part, for and in consideration
of the sum o f... »�exeA .That�> sand_. F. iue.. li�amdxed -_Aal.1ara.__......_._..». "`�" " "'°
.. ..._.._- _.. » .............._... _.. y _.....__.._._.._.._...._ _ ..._..._........».... �.._.»..._ _
to .. in hand aid b the said part._ies_•- of the second part, the receipt
whereof is hereby confessed and acknowledged. _3 ��
ed a. V' . given, ranted bar ainea old
B B� B B + eased, alteaed,
conveyed and confirmed, and by these presents do...-- give, grant, bargain, sell, remise, release, alien, coavey, and
confirm unto the said partie-S_... of the second part ,...... tIIkiX .... _ ...... _.. -__ heirs and assigns forever, the following
described teal estate, situated in the County of. ........ t,t ... Gr4?4... ».._.._.._. and State of Wisconsin, to-wit:
Part of the SW 1/4 of the NW 1/4 of Section 28, Township 28 N, Range 18 W,
described as follows: Co Certified Survey Map filed February 28, 1977,
in Volume "2 p age 34 5.
The above described parcel contains approximately 10.2 acres.
TRAN&
FEE
(I? NECSSSART. CONTINUM DESCRIPTION ON REVERSE SIDS)
Together with all and singular the hereditaments and apputtenances thereunto belonging or in any wise
ap p ertaining ; and all the estate, ri h title interest claim or demand whatsoever, of the said _i . of the
8 t. + art_.
p
first part, either in law or equity, either in possession or expectancy of, in and to the above bargained premises, and
their hereditaments and ap
To Have and to Hold the said premises as above described with the hereditaments and appurtenances, unto
t}- said part..1es., of the second part, and to.,._.. »_._their heirs and assigns FOREVER
e .. _ - _ _
And the said ... _ ... Herbert D. Cudd and Contag�� -- Cudd -a /k[a ,Qptg.Aee - e��d _ _
4.., C... . ... a.,•d ... khl"..,:..._ »..,» h____ txt rit and administrators, do....._._ covenant, grant, bargain, and
agree to and with the said part. e8... of the second part, _.. their-_„__, heirs and assigns, that at the time of the
ensealing and delivery of these presents .. » .. they are „ - _ . _._. well seized of the premises above described, u of a
good, sure, perfect, absolute and indefeasible estate of inheritance in the law, in fee simple, and that the same are
free and clear from all incumbrances whatever, ... _ . ». _. _._ __...__- ._..__•_._ ».. ».. -_.__. _ . _ ...._.- _.. __ .__ _»
- - - - -- ..._...---- ._.........._.._------ - -..__ ..._.. ».._......_. .._._....._ ».. ».._.._ »..__. _.._.. .._.._.......__.. ___.._...._ _..... ._ .
and that the above bargained premises in the Quiet and peaceable possession ; of the said partk -P.11 -._ of the second
part, ..._their _ heirs and assigns, against all and every person or persons lawfully claiming the whole or any part
thereof, ..they_ __ will forever WARRANT AND DEFEND.
In Witness Whereof, the said part�_e8 .. of the first part have hereunto set theit_r�_..._., bandA_ and
seal -s-_ this...____ _ dad of _. _..March _ ._ , A. D,' 9-
SIGNED AND BEALRD IN PRESENCE or �{
.... —..�.
i Herbert A. Cudd
_...(SEAL)
Constance M. Cudd
'.
(SEAL)
State of Wisconsin,
CC oo un Personally cam -e 4efore me, this - _._9th... dap of.._. ».. R�IE ._ »..., A. D. 19...7. ,
the above named .__..�AeL J D. Cudd at r.C, , tance M. Cudd a • * k/a Constance Mae Cudd
'% `.r s . --- ---------•-•-•--------•--
to me known to be the persons who irOct� fg�e�p}n g instr eat and u � same.
owledged the
•49 ti.J r » .. ». 17. c * ;
THIS INSTRUMGMT WAS DRAMW SY r D + -', erg Y ung
L = 4
Votary Public, Pierce _.._... ».... County, Wis. 1°
Randall P_ ewd .' (expires) » peg �Tsata. a..19
=* t4 commission
(Satioe 39.7t !13 d the wncerria StatWa provides that all inammogob to be recorded shall have plamll po ;ted at eypewrdtea thereoD
the namo d the frantor; garuees. witnema and notary. Section 59.313 similarly requires that the name w L. pet+aa who, s aovee
ateaul aaeaty whub, drafted sauL ioatrameaf, shall be prated. typewritten romped or wripm tbaeon, is' ! ' ttrbte mama. )
WARRANTY OmanSTATIC OR WISCOD9IN + viseoostn Lord alank QomyaD7
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Parcel #: 022 - 1080 -60 -000 03/26/2007 02:11 PM
PAGE 1 OF 1
Alt. Parcel #: 28.28.18.P439A 022 - TOWN OF KINNICKINNIC
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
O - BROWN, THOMAS D & KAREN
THOMAS D & KAREN BROWN
1108 RIFLE RANGE RD
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): " = Primary
Type Dist # Description " 1108 RIFLE RANGE RD
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 10.200 Plat: N/A -NOT AVAILABLE
SEC 28 T28N R18W 10.2A IN SW NW LOT 1 OF Block/Condo Bldg:
CSM VOL 2/345 550/126
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
28- 28N -18W
Notes: Parcel History:
Date Doc # Vol /Page Type
07/23/1997 550/126
2007 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 08/11/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.000 80,000 230,100 310,100 NO
PRODUCTIVE FORST LANDS G6 5.200 32,000 0 32,000 NO
Totals for 2007:
General Property 10.200 112,000 230,100 342,100
Woodland 0.000 0 0
Totals for 2006:
General Property 10.200 112,000 230,100 342,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch #: 303
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
r Loy Ail
ftrIlr rt tttiw CERTIFIED
p {frc GrAdY,
w�,+ HERBERT D. CUDD
OI' b .
of the . SouthVest 1/4 of the Northwest 1/4 of Section 28, Township 28 + .
Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin.
_ — — — — — _ 69.9T
- — — — as — — �8 ° 47' 20fi r — — 132 .39
33
ON �,,;; ' • APPROVED 0
:i _` D OA: + � ^' ..J L ': 't..'` '•} � O Y �.,_ ,, .
LOT FE n 4 .
�
17. g A cries
tV� ST. C COUNTY d' SCA.LG
=uE; COMP2EHENSIVc PARKS PLANNING N {'
AND ZDAING COMMIIIEE
2P
We
6405- 50
\
Ell O
Oct
L OT I �}
T F r
a N ID. rL AGRES tO.2 PtGRGs U) „
i
1:4 •ti jww,'5; II V V
�
!s �
D ID
to
t
Go. /a _ 33
l ' W F.ST I X53 6. 24
w 11 4 C0ZV TOWN fZ.OA�
+ 5E.c•. ze,Y
c3 • Indicates 1" diam. i e found. o Indicates 1 x 24" iron pipe set.
Description:
a P P ?
That". oa tai:: pz�c l u: land located in the SW 1/4 of the NW 1/4 of Section 28 ,
1 28 N. R 18 W Town of Kinnickinn' St. Croix Count Wisconsin more is y, r fully
.. described as follows; Beginning at the West 1/4 corner of said Section.28
thence go N 00 57' 00" W along the West line of said Section 28 a distance of €!
1217.18 feet; thence N 88 47 20" E a distance of 1 325.39 feet; thence
S 01 261 30" E a distance of 1245.41 feet to the South line of said NW 1/4 of
Section 28;'thence due West (assumed bearing) along said South line a distance
of 1336 .24 feet to the Point of Beginning, the above described parcel containing
38.3 acres, including the Westerly 33 feet and the Southerly 33 feet thereof
presently used for Town Road purposes.
i ICI
State of Wisconsin )
County of St. Croix)
I, James L. Murphy, Registered Land Surveyor, do hereby certify that by direction
of the Owner, H.T. Cudd, I have surveyed and divided the lands shown hereon accord-
ing to official records and in accordance with provisions of Chapter 236.34 of
'! Wisconsin Statuted and the St. Croix County Ord inanceislr Viat the map and
description shown hereon are a true and corre reg ,setct�ati,6j" tereof.
'rl •
Dated 8 February 1977 �' 1
}, t
Vol. �• 2 tit Pa( {o 31 c
� 4�, / ,, t, �• . I� ,
Cvril L' • J►trV" Mapaa 4 L;; Mun -ty
.3t.. Cnlix C„utti,Y Itecords l2 iat t i I•itt1�� ,811 vtir
U. Croix t:��tu►t,Y, Wivuun#141