HomeMy WebLinkAbout026-1111-20-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 514995 0
GENERAL INFORMATION 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:
Wilen, Brent & Patty Richmond, Town of 026- 1111 -20 -000
CST BM Elev: Insp. BM Elev: BM Descri Lion: � / _ Section/Town /Range /Map No:
� 6o L o I3��• 5 04.30.18.629
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
G
Septic _ Bench /• 1 /0/ / wd 6
O{ � ��ry✓CJL�C)�
rati I (� 1 C11VI11rc 1Z bidg. S wer
A l Q44 4, 3 9Y-
Ho in SUHt Inlet
TANK SETBACK INFORMATION S t Outlet 56ki 4 o �, 9 , Z
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt InI�Y
Septic ) 20 Dt Bo
43•
D g z �, 3Z / Head r Man. 7• L , L .S 7.._ 93
Aeralbs, Dist. Pip Z g,
i
Holding Bot. System y �,S
Final Grad
PUMP /SIPHON INFORMATION 3.�
Manufacturer Demand St Cover 1 Z •• 0�
.O
Model Number
TDH Lift ction Los Sys Head T Ft 7� S• 7S q3.
Forcemain ii Dia . Dist. to well
SOIL ABSORPTION SYSTEM
BED /TRENCH Width Length No. Of Trench PIT DIMENSIONS No. Of Pits Inside Dia. J quid Depth
DIMENSION 1 /
SETBACK SYSTEM TO P/L BLDG WELL LA ACHI Manufactur /�
INFORMATION Ty Of System: � � -r/ HAMUNIT OR Model Number:
DISTR ION SYSTEM,
Header anifol Distribution a 3 / x Hole Size x Hole Spacing Vent Air Intake
b Pipes) / r Ox
Len th Dia Length Dia Spacin
SOIL COV R x Pressure Systems Only xx Mound Or At - Grade Systems Only
epth Ov / Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Edges Topsoil
BedTrfench Center
5 E] Yes No ❑ Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / /
Location: 1748 Margaret Street New Richmond, WI 54017 (NE 1/4 SW 1/4 4 T30N R18W) Viebrocks Ri er [ley Additi Parcel No: 04.30.188.6n2�9��r
1.) Alt BM Description -
2.) Bldg sewer length =t �!� f — '
amount of cover = Ay/s� • . ( )I(-
Plan revision Required? El Yes No O AdUse other side for additional information. U �1.�/- -� J
SBD -6710 (R.3/97) Date Insepctors Signature Cert. Nr
RECEIVERD
commerce.virl.gav S BuilB�)D�bi " r U ," Co unty t
20 W. gt A'v:, (y. $ox 7162
iseonsin ashi on P.
, WI ' - �P' 'cG UNTY Sanitary PermitNumber filledinbyCo.)
DepubnetttofConan Woe ZONING OFFICE 57
State Trat>saction Number
Sanitary Permit Ap ii 'on
In accordance with S. Comm. 83.21(2), Wis. Adm. Code, submission f this form to the appropriate governmental
unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address)
submitted to the Department of Commerce. Personal information you provide may be used for secondary
ses in accordance with the Privacy Law, a. 15. 1 m , Stars. /
I. A li -ation Information — Please Print All Information 7
r rty O is Naxpe Parcel # rty Owner's Mailing Address P ZD — h' Loeation
Govt. Lot
City, State Zip Code Phone Number y ' V, Section
j C2/ �circie o9�
TN; R U� Ea�W J
II. pe Building (check all that apply) Lot # - v
Subdivision Name
or 2 Family Dwelling - Number of Bedrooms
Block# U� - �,6/ G- llltiliN l��C C
❑ Public/Commercial - Describe Use ❑ City of
CSM Number ❑ Village of
❑State Owned - Describe Use
own of i in. Type Type of Permit: (Cher x on ' A. Complete line B if applicable)
A. ❑ New System �Sy-t-m❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
List Previous Permit Number and Date Issued
B. ❑ Permit Renewal El Pert Revision ❑ Change of Plumber ❑ Permit Transfer to New
Before Expiration I I Owner
W. T e of POWTS S stem/Com onent/Device: Check all that
on- Pressurized In- Ground 11 Pressurized In -Gro d -9_A. At-Grade
Moun suitable soil Mound < 24 in of suite a soil
❑ Holding Tank 11 Other Dispersal Component � >!:/Y► e � C _��%v� u Pretreatment Device (explain) ' $� '
V. Dispersal/Treatment Area Information:
Des* Flow (gpd) Design Soil Application Ra Dispersal Area Required (sf) Dispersal Area Proposed (sf) System El ation
Gov 3 x s 3• a, 17
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Units A U _
New Tanks Existing Tanks
a Fn rn w
Septic or Holding Tank / 1 261
Dosing Chamber �!J
VII. Responsibility Statement - I, the undersigned, anquipipesponsibility for instalt n the POWTS shown on the attached plans.
77ber's Name (Print) Plumbe ature MP/MPRS Number Business Phone Number
L6
Plumber's Address (Street, City, State, Zip e) a . 11
FVII oun /De artment Use Onl
Permit Fee Date Issued Is g Agent Si
proved ❑Disapproved
❑ Owner Given Reason for Denial
SY IX."S"EApproval/111mons for Disapproval YVLGG
� (J �
1 Septic tank, effluent filter and U�� I _ A rG
dispersal cell must all be serviced / maintained 3 �• / p� a& G.e--
as per management plan provided by plumber.
syste nd sub tot sot ss
an only on paper le an S 1/2:11 lathes in size
as per applicable co'Yi4►t8fi4dPY�i�!'as for the
U
SBD -6398 (R. 01/07) Valid thm 01/09 rsy -► U �-+
®A/0 - ,111 ,4-v 414
OT PLAN
PROJECT Brent Wilen ADDRESS 591 Sour Line Circle Hudson Wi 54016
NE 174 SE 1 /4S 4 /T 30 N/R 1 W TOWN Richmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 9/25/08 BEDROOM 4
CONVENTIONAL )00( IN -GROU PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000/261 LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 903 # of chambe D44
IL BENCHMARK V.R.P. Bottom of siding ASSUME ELEVATION 100 Filter BEST Filter
❑ BOREHOLE O WELL *H. R. P. Same as Benchmark
Well is to meet all SYSTEM ELEVATION 93.0/92.9/92.8/92.7
setbacks required by
WDNR
Plans Designed Using , 5'
66 Property Line Found Iron Pipe
Conventional Powts �—
Manual Version 2.0 2 B -1 5'
LJ
Scale is 1 ". = 40'
unless otherwise
noted
B -3 30'
4 -3' X ' cells with >3 spacing 25'
ST
Property Line ST
15' ' Property Line
12'
Deck
B.M. ,-►�
1 0 Wel 5 25'
All neighborin 1EC O P
wells are >100' 4 Bedroom
Ven
from system House
>6" Quick4 Standard -W
of Cover Leaching Chamber
with 20.0 ft2 of Area
4' Long
12" 5.8f A2 /pair of end caps
3 4' Grade at System Elevation
Margaret St.
OT PLAN
PROJECT Brent Wilen ADDR SS 591 S pu r Line Circle Hudson Wi 54016
NE 174 SE 1 /4s 4 /T 30 N/R 1 W TOWN Richmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 9 BEDROOM 4
CONVENTIONAL XXX IN -GROU , #'PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000/261 LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 903 # of chambe 44
IL BENCHMARK V.R.P. Bottom of siding ASSUME ELEVATION 100' Filter BEST Filter
❑ BOREHOLE O WELL *H. R. P. Same as Benchmark
Well is to meet all SYSTEM ELEVATION 93.0/92.9/92.8/92.7
setbacks required by
WDNR
Plans Designed Us 66' Property Line 5 Found Iron Pipe
Conventional Powts �—
Manual Version 2.0 5' B -2 B -1 5
Vent Scale is 1" = 40'
unless otherwise
noted
B -3 30'
4 -3' X 46' cells with >3 spacing 25'
ST
25'
s �, r ki
Property Line ST
15' ' Property Line
12' Deck
B.M.
Well 5' 25'
All neighborin
wells are >100' 4 Bedroom
Ven
from system House
>6„ Quick4 Standard -W
of Cover Leaching Chamber
with 20.0 ft2 of Area
5.8ft^2 /pair of end caps
4' Long 12"
341 Grade at System Elevation
Margaret St.
I
5 .giro i
VWW COUNTY ZONING OFFICE
Certification Statement
For Utilization of an Existing Septic Tank
This is to certify that I have inspected the septic tank presently serving the
residence (previous owner: ) located in:
lv 1 /4,5 1/4, Sec , T N, RJW, town of I
County, Wisconsin. Upon inspection, I certify that I have found the tank and baffles to be in
good condition, and it appears to be functioning properly.
Last time serviced: � 2�
Did flow back occur from absorption system? Yes No (If no, skip next line.)
Approximate volume or length of'time: gallons minutes
Construction: >e, Prefab Concrete Steel Other
Manufacturer (if known): /l ,✓L I ti- u- r✓
Age of tank (if own): 3v -
(Si ure) (Name) Please Print
(Title) (License Number) (Date)
�
Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed
disposer (NR 113 Wisconsin Administrative Code)
------------------------------ I ------------------------------ — ------
--- - - - - -- ---------------------------------------------------------
Plumber (applying for sanitary permit) Certification:
In accepting the above statement regarding existing septic tank condition, I certify that the
tank, to the best of my knowledge, will conform to the requireme of ILHR 83, Wis. Adm.
Code (except for inspection opening over outlet baffle).
Na
me �� Signatur - --
MP /MPRS c: \wp51 \forms \ccnirication 1/97
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer r e U
(�,✓
Mailing Address S`� u C �' r =4 S D�
Property Address
(Verification required from Plan ' g & Zoning Department for new construction.)
City /State Parcel Identification Number o — 00
LEGAL DESCRIPTION �/ �z•.o
Property Location /V 1 /4 , S V. , Sec. / , T 0 N R / / 64 W, Town of
Subdivision
U i i L'/ Lot # �C7
Certified Survey Map # _, Volume "- _, Page #
Warranty Deed # 1� �—� , Volume , Page #
Spec house yes no Lot lines identifiable no
S YSTEM MMARAINTENANCE AND OWNER CERTII
Improp 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 iicanaod pumpe What you put into
m
the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner ma
responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & 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 site
wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the a septic tank is
less than 1/3 full of sludge.
Uwe, the undersigned
have rend 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 Platmmg &
Zoning Department within 30 days of the three year expiration date.
Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the
property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
Number of bedrooms
/aj7 o Il
SIGNATU OF APPLICANTS) DATE
** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department * **
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the watraaty deed.
(REV. 08 105)
' "MM
Maintenance and Contingency Plan for a Septic Systn
Maintenance Plan
1. Septic Tank is to be pumped once every 3 y ears.
2. Effluent filter is to be cleaned once a year. Please note: a larger filter Is being insuftd in
order to extend the maintenance interval of the niter.
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
Contingency Plan
Option #1. if system_fails, determine cause of failure, use alternate area and Install new
stem in replacement area.
Option #2 Install system at a lower elevation, by removing chambers, removing blomat,
i I 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
f
Wisconsin Department of Commerce SOIL AL N REPORT Page of
Division of Safety and Buildings
in accordance with Comm 85, Wis. e
County �
Attach complete site plan on paper not less than 8 1 x 11 i�E�w 1 �ust
include, but not limited to: vertical and horizontal refe ence ) irection and Parcel I.D.
percent slope, scale or dimensions, north arrow, and tion and distance to nearest ro d. 0
Please print all info r atiafE� 2 6 200 R ewed b Date
Personal irdorrnabon you provide maybe used for seconds purposes (Privacy Law, s.
Property Owners Lo ion
r "LOVING r
r i I �N Govt. Lot L 1/4 SE 1/4 S T,30 N R�� E (o W
Property Owner's Mailing Address n Lot # Block # Subd. Name or CSM# /
S � r-- C,r/ cop. �D Ke ,o(ikS� EiJe✓ Ila (/I tccJl
City State Zip Code Phone Number ❑ Cfty ❑ Village To Nearest R d
❑ New Construction Us Residential / Number of bedrooms Code derived design flow rate ( op GPD
Replacement �d ❑ Public or commercial - Describe:
Parent material t0 �-t [.cJ c� Diu Flood Plain elevation if applicable ���7` ft.
General and rec onvnendations:
System Type �D �✓CJ P ✓ System Elevation ?—�< <�/ /o�, x/907- 97
Boring # Boring
1 0 Pit Ground surface elev. �� 3 ft. Depth to limiting factor in.
Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
0 - 8 /0 L' -, - G , C7
Z
c� / /07
Boring # Boring
® a Pit Ground surface elev. '�Y- - -,Z ft. Depth to limiting factor in.
Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDN
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
0 g 3 t z .s /Y1 e'j oa-- /L7
Z -
Effluent #1 = BOD > 30 < 220 mg1L and TSS >30 < 150 mg/L Effluent #2 = BOD 1 30 nV1 and TSS < 30 mg/L
CST Name (Please Print? Signature — Signature CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 715- 246 -4516
i
Property Owner _ Parcel ID # Page of
a Bori
E] Boring L 1 �
� # it Ground surface elev. � � ft. Depth to limiting factor V in.
Soil !GPDtff igtion Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef 'Eff#2
o _ o , 5 6_ , 4� �b
e I !� c.J 14 -
- S O 1 J N
l�
F-1 Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
I
a Boring # ❑ Boring
Ground surface elev. ft. Depth to limiting factor in.
11 Pit
Soil ication Rate
Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/_ • 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.
SB - 9330 (c.6=)
1
Soil Test Plot Plan
Project Name Brent Wilen Sha it
Address 591 Spur Line Circle
Hudson Wi 54016 C #226900
Lot 30 Subdivision Viebrocks Valley View Date 9 /25/08
NE 1/4 SE 1 /4S 4 T 30 N /R W Township Richmond
❑ Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Bottom of Siding
System Elevation 9 3.0/92.9/92.8/92.7 *HRpSameasBenchmark
' 66' Property Line 5 Found Iron Pipe
5 B -2 B-
5'
0% Slope Scale is 1" = 40'
unless otherwise
noted
B -3 30' AL
50'
DW
Property Line ST
15' Property Line
12' Deck
B.M. IF
Well 5 ' 25'
All neighborin
wells are >100' 4 Bedroom
from system House
Margaret St.
Wisconsin Department o'# Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3
Labor and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
n COUNTY
Attach P
complete site Ian on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix
P P
not limited to vertical and horizontal reference point (BM�,.djrection and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distapee tMi gaFepi road, 026 - 1111 - 02 �)
APPLICANT INFORMATION PLEASE P1 I R NT ALL IIFFjNCArTjQN REVIE BY DATE
�l
f 9 /d
PROPERTY OWNER: PROPERTY LOCATION
DAn Kraemer - OVT. LOT NE 1/4 SW 1/4,S 4 T 30 N,R 18 X (or) W
PR NER':S MAILING ? .fob OT # BLOCK# SUE NAM V q R # ,.
1748 Mar - na na ) ID1�6t�K�
Margaret St.
C>
CITY, STA ZIP C E PHONE;N4MK -R /. , ❑CITY OVILLAGE MOWN NEAREST ROAD
New Richmond, WI. 5401 Richmond Mar are St.
[ N 'on Use [ ;j Residential/ Number of,,bb ro1Dltis [ ] Addition to existing building
jx] Replacement [ ] Public or commercial'4escr�
C ode daily flow 450 gpd Recommended design loading rate .7 bed, gpd /ft •8 trench, gpd /ft
e
Absorption area required 643 bed, ft2 563 trench, ft Maximum design loading rate • 7 bed, gpd /ft 8 trench, gpd /11 `
Recommended infiltration surface elevation(s) 95.95' ft (as refer ed to site Ian benchmark) AJ
Additional design /site considerations na f- h'tS� '
Parent material stream terrace Flood plai elevation, if applicable na ft
S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable for s stem I S O U K] S O U KI S O U 93 O U Z O U O S ® U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bour>d3r Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
... m 2m .5 .6
1 0 -12 10 r3 3 none 1 2msbk ... mfr cs
Y /
2 12 -36 10yr4 /4 none sil M na gw if np .2
Ground 3 36 -84 7.5yr4/4 none ms Osg ml na na .7 .8
elev.
9
Depth to
limiting
factor
Remarks:
Boring # 1 0 -11 10yr3 /3 none 1 2msbk mfr gw 2m .5 .6
2
2 11 -28 10yr4 /4 none sil lcsbk mfr gw 1m .2 .3
3 28 -84 7.5yr4/4 none ms Osg ml na na .7 .8
Ground '
elev. ! r
99.4
Depth to
limiting
v1
factor
ry
Remarks:
F ame: -- Please Print Ga L. Steel Phone: 715- 246 -6200 s: 1554 200th. Av ew Rich nd I 54017 ure: Dat : 8 - 14 - CST Number: m02298
I
PROPERTY OWNER DAn Kraemer SOIL DESCRIPTION REPORT Page 2 of 3
PARCEL I.D.# 026- 1111 -20
Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Twd
'3, 1 0 -15 10yr3 /3 none 1 2msbk mfr gw lc .5 .6
s: >,:
2 15 -36 10yr4 /4 none sil lcsbk mfr gw lm .2 .3
Ground 3 36 -84 7.5yr4/4 none ms sog ml na na .7 .8
elev.
9 9.3 ft.
Depth to
limiting
factor
+84"
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(8.05/92)
•
STEEL'S SOIL SERVICE
Gary L. Steel Dan Kraemer 1554 200th Ave.
CSTM2298 NE4SW4 S4 T30N - R18W New Richmond, WI 54017
MPRSW -3254 town of Richmond (715) 246 -6200
4-
i
N
1 =40'
BM.= top of NW lot stake C el. 100'
Alt. BM.= concrete pad by garage service door @ el. 100.65'
7 0 � 1 16 4' f3
�Xs15-kq,
�
POO
Gary L. Steel
8 -14 -98
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Parcel #: 026- 1111 -20 -000 05/26/2005 10:12 AM
PAGE 1 OF 1
Alt. Parcel #: 4.30.18.629 026 - TOWN OF RICHMOND
Current 'X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): * = Current Owner
*
MICKEY L PUGSLEY PUGSLEY, MICKEY L
1748 MARGARET ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1748 MARGARET ST
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: 2573- VIEBROCK'S RIVER VALLEY VIEW
SEC 4 T30N R1 8W LOT 30 VIE- BROCK'S Block/Condo Bldg: LOT 30
RIVER VALLEY VIEW ADDITION
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
04- 30N -18W
Notes: a istory:
Date Doc # Vol /Page
12/10/2001 664738 1786/453 �y QC
08/28/1998 586028 1352/469 1 WD
07/23/1997 b99/44U
2005 SUMMARY Bill #: Fair Market Value Assessed with:
0
Valuations st Changed: 06/20/2002
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.000 44,600 111,100 155,700 NO
Totals for 2005:
General Property 0.000 44,600 111,100 155,700
Woodland 0.000 0 0
Totals for 2004:
General Property 0.000 44,600 111,100 155,700
Woodland 0.000 0 0
Lottery Credit Claim Count: 1 Certification Date: Batch #: 125
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
i 11111111111 IIIII 111111111111111 Illl 111ii1 Illl 1111
* 8 8 1 7 2 7 2
Return To: � i Tr}7
Brent Wilen It2f
1748 Margaret Street KATHLEEN H. WALSH
New Richmond, WI 54017 REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
09/22/2008 12:45PM
WARRANTY DEED
EXEMPT 1
REC FEE: 13.00
TRANS FEE: 313.50
PAGES: 2
REO #: 7437661655 �-
US Title #: 7 -25081
American Title Services: 07 -03982 -ATSH
SPECIAL WARRANTY DEED
THIS DEED is made and entered into this aL— day of 20 �� by and between
The Bank of New York Mellon Trust Company, NA as successor to JPMorgan Chase Bank, NA
as trustee
hereinafter collectively referred to as "Grantor", and
Brent A. Wilen /�
of the County of S . CX ^tai k State of W I hereinafter referred to
as "Grantee ". The mailing address of the Grantee is
WITNESSETH, that the Grantors, for and in consideration of the sum of Ten Dollars ($10.00) and
other valuable considerations paid to the Grantor, the receipt of which is hereby acknowledged,
does by these presents GRANT, BARGAIN AND SELL, CONVEY AND CONFIRM unto the
Grantee, the following described lots, tracts or parcels of land lying, being and situated in the
County of St. Croix and State WI of to-wit:
Lot 30, Viebrock's River Valley View Addition to the Town of Richmond, St.
Croix County, Wisconsin.
-# O a L.Q -
Subject to easements, conditions, restrictions and limitations of record.
TO HAVE AND TO HOLD the same; together with all rights and appurtenances to the same
belonging, unto the said Grantees, and to His/Her successors and assigns. The said Grantor
1 of 2
hereby covenanting that it and the successors and assigns of such Grantor shall and will
WARRANT AND DEFEND the title to the premises unto the said Grantees, and to the
successors and assigns of such Grantee forever, against the lawful claims of all persons claiming
by, through or under Grantor but none other, excepting, however, the general taxes for the
calendar year 2008 and thereafter, and special taxes becoming a lien after the date of this deed.
IN WITNESS WHEREOF, the said Grantor has hereunto caused this instrument to be signed on
the day and year first above written.
Grantor:
The Bank of New York Mellon Trust Company, NA as successor to JPMorgan Chase Bank, NA
as trustee
BY: AFFIX CORPORATE SEAL BELOW
NAME:
TITLE Ryan Kelly
WN:
Attest
2ylyti r r°fS
L-So
STATE OF
COUNTY OF //� M'Q 5 ) SS
1
On this 2 day of a -( , 20 _ , before me appeared
RVa Kallm tQ m personally known, who, being by me duly sworn, did say that
he /she ss�thethe (title) of The Bank of New York Mellon Trust Company, NA as
successor to JPMorgan Chase Bank, NA as trustee and that the seal affixed to the foregoing
instrument is the corporate seal of said corporation and that said instrument was signed and
sealed in behalf of said corporation, by authority of its board of directors and said
acknowledged said instrument to be the free act and deed of said
corporation.
fN T TIMONY WHEREOF/[ h e hereunto set my hand and affixed my official seal in the
Coy h and State foresaici day and year first written above.
Notary Public: ' � j � �� ! • ~J �f }
My Commission Expires:
ISSA AKIL WILSON
_ r-
?° °= 4 Notary Public. State of Texas
s MV Commission Expires �i. !✓ �' {�� v .
Fobwam as, 2012
Drafted By: Carol Halbach
2of2
- ever V alle y
V iew Additiol
to the
Town of Richmond, St. Croix Co., Wis.
Locate_ d in the N 1/2 - SE 1/4, Sec. 4, T. 30N., R.18 W.
M
P N
I� O
O —
_Vnplatted lands
8' N89 35' E 456. 00'
1 f03' _ �0 22 8. 00' ° In09 228.00' 0—
- 0 3° 1310490 � $ oon e o CURVE LONG CHOW
o o �,. 31 4 l3 32 - 66 .56'
' 0 P I 0. B 70. 7 1'
sr3.o O N O
70 W ° 00 O b >� 2 O 0 O C 58. 10
74 63 95.01 ' 3, 4 a 6� A B ° ', •�' s ° ° 2 c0
s _ D 60.00'
N83 3O / 177.33 E 35.62
0� �.X p ° l �� �•� C ` o, y o�?s ° E s y° y Tangent bearing
6;0 94 0 3 9' �� 700 .s c 00 � b 0� ° BI a p °
M �� 147 ° �� tuN72o3 270 00 .. �40o�p,� N
'`�� Z �� SOO,• 05 ! , M �I 162023'36.. ,._...._VV.
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114 0
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o
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tis s 3 0 0� oh
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l 1 ti ti
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O
26 �� 63 �O< 36- Unplatted� lands fx*
° N926009'W 1060
175.23 ' '
' '09 Is °O9z2.o3' 7 ° 532.90
East °01% East 7'80.17 St
Mor oret 1� _
V East 821.00'
c East 154:73
= p`0 64.730 9'0.00 0 60.00' 1 ° 87. 50' 0 So, 94.00' 94.00' 94.00 4.00' 90.0(
o O i 90 b ' B4
a 0 o 0 O 0
O O O O '
10 -_ °9 8.07 6 5 4 3
} �O
O 07 ° C — N 0
U) C L t*
7 N °,
° L r 270° ° N ° 94.00' 94.00' 94.00' 94.00' 90.Ot
, 5.00' ' 90. 00 $O �0 8 7. 50 �o ° 27 0 °oo West 6 4 6.00'
West o 0
s4 • 375.26 � 0° g7.50'�0 Unplatted_ lands
S t . west o
" S "• ' 22 9 0 so 100 200 300
:e b' 32.50 0
105.00' 105.00' 105.00 90 'J>0 0