Loading...
HomeMy WebLinkAbout026-1173-25-000 Parcel #: 026.1)73-25-000 05/19/2005 09:31 AM PAGE 1 OF 1 Alt. Parcel #: 20. .18.1379 026 - TOWN OF RICHMOND Current ST. CROIX COUNTY, WISCONSIN Creation Da a Historical Date Map # Sales Area Application # Permit # Permit Type 10/21/2004 00 0 Tax Address: Owner(s): " = Current Owner DAVID J & JULIE A WALDROFF WALDROFF, DAVID J & JULIE A 398 RIVER RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 1437 108TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.819 Plat: 10 /36- WALDROFF MEADOWS IV 020/04 LOTS 2 SEC 20 T30N R1 SE BEING WALDROFF Block/Condo Bldg: LOT 25 MEADOWS IV OT 25 .819AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 20- 30N -18W NE SE Notes: Parcel History: Date Doc # Vol /Page Type 12/20/1999 615773 1479/210 WD 07/23/1997 824/221 12/05/1990 464663 887/615 LC 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 03/14/2005 Description Class Acres Land Improve Total State Reason Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce Count PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division } INSPECTION REPORT sanitary Permit No: 463348 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 Vieregge, Don I Richmond, Town of 026 - 1173 -25 -000 CST BM Elev: Insp. BM Elev: BM Description: n Section /Town /Range /Map No C's _ °- 20.30.18.1379 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 3,� Benchmark Q1 1 Z5b 4. jo 66 Alt. BM tHolding 'Z— (o Z-1 `17.75 Bldg. Sewer St /Ht Inlet S St/Ht Outlet TANK SETBACK INFORMATION (v TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 17 ,737 Septic i Z6,- r Dt Bottom C -. Dosing / / Header /Man. '' 1 - Aeration Dist. Pipe Holding Bot. System 7 5 PUMP /SIPHON INFORMATION Final Grade `a� T Manufacturer emand St Cover PM Model Nu r TDH Lt Friction Loss e TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width / Length / No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ' y • Z fe \ --- ` \ 1 9L SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING CHAMBER OR Manufacturer: INFORMATION INFORMATION Type Of System: I / Tb / / UNIT Model Number: G b.nUe..�t� o N DISTRIBUTION SYSTEM crcaa. P-0 I 1 adzr Header /Manifold / / Distribution x Hole Size x Hole Spacing Vent to>\ tae t / Pipe(s) N ___ Length Dia Length Dia ` Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over i Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center 1 ` Bed/Trench Edges ` Topsoil \ Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1437 108th Street New Richmond, WI 5401 ' 7 L ( ' NE 1/ SE 1/4 20 T�30N R18W) W droff Meadows IV Lot 25 Parcel No: 20.30.18.1379 1.) Alt BM Description 2.) Bldg sewer length = O - amount of cover = /� /s5 X, ��Jw zy r Plan revision Required? I Yes X < No � Use other side for additional information. _._ �_ __� __ - -___ -_ - Date Insepctor's natur Cent. No. SBD -6710 (R.3/97) Safety and B ' s Division County 201 W. Washing[ A , P.O. Box 7162 ' 0 t X- *6consin Madison, 07 - 7 antta Permit Number (to be filled it) by Co.) Department of Commerce coo 6 - 151RECE 433q Sanitary Permit Appli State tan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, perso tion u pro Ait may be used for secondary purposes Privacy L' 5.04(1)( ) �oject ddress (if different than mailing address) ) I. Application Information - Please Print All Information ZONING O 1 Cj Cam. N e� J Property Owner's Na me /Parcel # Lot # ,? S Block N COY1S�" T-06, - t an - (3hrIS h/x VicYe C) SD-- cco: Property ner's M ailing Address Property Location X133 (\(cW Cerrf ur D ✓. 1V"6 'h,56_'k,Section `� City, State Zip Code Phone Number i�l 2 d y/� wT 6goI (a T _l� N R (ci lee) II. Type of Building (check all that apply) S tn ^ � ,1 or 2 Family Dwelling - Number of Bedrooms 11 VH _ - 'Sfu / bdivision Name CSM Number El t+ Public /Commercial - Describe Use d91V F a (d (A � ead ow / r ❑ State Owned - Describe Use t l _ ❑City_ ❑Village Township of mart III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. )& New System ❑ R System y p y ❑ Treatment/Holding Tank Replacement O y El Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued _j Before Expiration Plumber Owner IV. Ty a of POWTS System: (Check all that a ly) 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 do ❑ Recirculating Synthetic Media Filter Leaching Chamber ❑ Drip ine Gravel -less Pipe Cher (explain) s V. Dis ersal /Treatme t Area Information: WX o, / Design Flow (gpd) resign Soil Application Rate(gpdso Dispersal Area Required (sf) Dispersal Area P ed (sf) System Elevation 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 2 , a 12 7_c Aerobic Treatment Unit L �� Dosing Chamber _ is c� C VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. IVY Plumber's Na me (Print) u ber's Si gnature MPAMPRS Number Business Phone Number (� , Ptru(- Plumber's Addre ss (Street, City, State, Zip Code) 1 ' N z 3� � ti 5 . �11i � i 1 S, (,v� S OZZ VIII. County/Department Use Onl Approved ❑ D prov Sanitary Permit Fee 3(iludes Groundwater Date Issued Iss ing A t Signature o Stamps) Surcharge Fee) 36v _ !� El Owner Given Reasot or Denial IX. Conditions pprov / 1 3),4 ` _„n SYSTEM OWNER: (, �C 1 Septic tank, effluent filter and dispersal cell must all be serviced/ maintainad all per management plan provided by plumber. t I _ I %S n 6.V\ 2. All setback requirements must be maintained t o4�C � - v e.r� q as per applicable code /ordinances S Attach complete plans (to the County only) for the system on pap no than 81/2 x 11 inches in size / SBD -6398 (R. 01/03) S ys - " Cb •; o`, s P/6 t ) SCale I f = 30' o / { ° OD 3 7� � d ( ©u ran 10e,i e ,. t 5'e� ��c Td fc L( +Pisev u v CO PY P/ )21 Scu 1� l' 30' u rcn s 740 ��,( va Tu«r t4,1 PiSer �s ICI Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix 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 I.D. Pending percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposgs#4 Vaay taw, s. 15.04 (1) (m)). Property Owner Property Location ■ David Waldrof Govt. Lot NE 1/4 SE 1/4 S 21 T 30 N R 18 E 0 El Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 398 River Road 25 - Waldroff Meadows IV r! Tudson State Zip Code Pho a Number . ity Village ■ Town Nearest Road WI 1 54016 1 ( J5 - 541 144th Avenue Rkhmond New Construction Used Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD Replacement E] Public or commercial - Describe: Parent material Loess over outwash sands Flood Plain elevation if applicable X ft. General comments * with a irregular large pocket, 3, of sicl, 2.5yr5/3, c2d5yr5 /8, dsh, lmsbk. Recommendation is to install system and recommendations: below this restriction. 1 -71 ❑ Boring Boring # ❑ Pit Ground surface elev. 101.05 ft. Depth to limiting factor 23 -60* in. Soil 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 1 0 -12 10yr3/2 - Ifs Osg ds as - .5 1.0 2 12 -23 7.5yr4/6 - sl om dsh ew - .2 .6 3 23 -60 7.5yr4/6 s /sicl* Osg dl cw - .2* 3* 4 6&J20 7.5yr4/6 - s Osg dl - - .7 1.6 5 —2 Boring # Boling 101.60 25 -60 0 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/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -13 10yr3/2 - ifs Osg ds as - .5 1.0 2 13 -25 1 4/4 - sl lmsbk dsh cw _ .4 .6 3 25 -60 7.5yr4/6 * s /sicl* Osg dl cw _ .2* .3* 4 60 -121 7.5yr4/6 - s Osg dl - - .7 1.6 5 * 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 Thomas C Nelson 227387 Address /'V1 / s a M 5t. j C4.' R, 4 0q - -'9 L f ( Date Evaluation Conducted Telephone Number glsl�y -7 %J4 -a Waldroff Meadows : N /411 Lot 25 �� �� r Nod S�oP e 1.3s. 2 �5 g 1b 3 Scale 1 " = 30' BM1 Top of iron pi 00.00 q� B M2 invert of culvert 97.85' B1 101.05 82 101.60' Thomas Nelson B3 99.50' 227387 a LD WA ROFF SOIL E LOCATED IN PART OF THE NORTHEAST QUARTER OF THE NORTHEAST GUAR THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER, PART OF THE is QUARTER OF THE SOUTHEAST QUARTER, AND THE NORTHEAST QUARTER QUARTER OF THE SOUTHWEST QUARTER OF SECTION 21, ALL IN T30N, R18 OF THAT CERTIFIED SURVEY MAP RECORDED IN VOLUME 14,1 I t 0 I LOT 46 ® LOT IN LOT 43 I LOT 45 ® ®LOT 4. �r 0 / ��---- - - - - -- -145th Avenue — - — - - - — , / 2 LOT 37 LOT 27 ,. LOT 25 LOT 26 LOT 28 i �r t� n (1✓ �t w� � ® I 1 LOT 36 / LOT 29 ® ®`'tt / ® LOT 30 / LOT 35 i LOT 31 i i ® j LOT 34 i i � ® i LOT 33 ® / ® i LOT 32 1 i \ Ll i / 1 i i •, i I - POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner � Septic Tank Capacity ❑ NA Permit # 6 Septic Tank Manufacturer Li4, , 1� ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer 6 ) ❑ NA Number of Bedrooms /�/ ❑ NA Effluent Filter Model ( ❑ NA Number of Public Facility Units RNA Pump Tank Capacity j"0 gal ❑ NA Estimated flow (average) j "Q gal /day Pump Tank Manufacturer 1 1 ( k, t. ❑ NA Design flow (peak), (Estimated x 1.5) & o o gal /day Pump Manufacturer 2 //(- ❑ NA Soil Application Rate gal/day Pump Model Z ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit NA Fats, Oil & Grease (FOG) :530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD _ <220 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 :530 mg /L pa�n- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y 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 Inspect condition of tank(s) At least once every: 1 , t p year(s) s) (Maximum 3 years) ❑ 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: L 0 yeast 1(s) (Maximum 3 years) ❑ NA Clean effluent filter At least once every: / mo nth yeaarss) r(1 ❑ NA 1 ) Inspect pump, pump controls & alarm At least once every: � ❑ yeaarr((ss) ) m l ❑ NA Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA 3 i q year(s) Other: ❑ month(s) ❑ NA At least once every: ❑ year(s) Other: ❑ 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 leaks, 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. GMW (4/01) Page of 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. • The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. • 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 S f�' fcc. Name y� /!� ,`� u `aim Phone 7/�` y = 3 - y 4 1 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name a wZ Name . CM t\/_ Phone j ` � 2 / Phone S 30a This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer V IEX'p-0 "Ji 11-Ai Mailing Address X x'11 Property Address p (Verification required from Planning Department for new construction) City/State I �E eto kt'd m cf) C. Parcel Identification Numb r ® - ' 0 -- LEGAL DESCRIPTION Property Location t 1 /4, �C '/4, Sec. - 9� 1 T—�LN- R —I-L_ Town of ` Subdivision HIV -. ctk m �'-F ryla ' T, l V . Lot # Certified Survey Map # Volume , Page # Warranty Deed # �� ' O , Volume ? Page # bal Spec house K yes ❑ no Lot lines identifiable f gl yes ❑ 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 mastorplumber, journeyman plumber, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal 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 St. Croix County Zoning Office within 30 days of the three year expiration date. C&.L�YAQ 2 IV20 /3 SIGNATURE OF APPLIC 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. SIGNATURE OF APPLIC 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 r W 'ONI 'S3WOH NISNOOSIM " _ e EO 2 M 1N3W1Nbd30 ONRl33NION3 Q m 80 0 "/�� l8 03AO8ddV yI D 7 1 " ` � Q m Z/1 C-s ---------- 6 l Q r� - " gN 1Z z Lli co r — - 1 1 � / e• � g� I N !Y V V) .Y /t 6 -.S dZ ,Y /l 6 -.Y Z V) zf ; \ , \ 10- O U o a ;�• ° g fk 1�� 4 YYY YYY z gg. rt YIN I ��6 N D a �' O n I I 1 9p�1 1 ��k!7 5 ? v R YR� IY ' IEti I g° n z 0 w w V\ Y I , w w > W 'o ;r S Bow n � I ® 1 l) — I - i i 4 _ 1 l oc ■zL 1 ', � � \ CO W I I � o T-ke Y j co I to 0 v o_ I a � u -,ol a -,ol Jr N ,Y /I YQ O OIR - 3 O .L /I YSx.L /I LC Otl .0 , `d z- WOCHOA .01 3 h� �3 7E3S38rD �\ U, 2 7 3 3 P 6 3 KATHLEEN H. WALSH State Bar of Wisconsin Form 2 -20 3 REGISTER OF DEEDS WARRANTY DEED ST. CROIK CO., WI RECEIVED FOR RECORD Document Number Document Name 01/19/2005 12:30PH WARRANTY DEED EXERT # THIS DEED, made between _David J. Waldroff and Julie A. Waldroff, husband and wife ( "Grantor," whether one or more), REC FEE: 11.00 and Don E Vieregge and Christine R. Vieree2e, husband and wife TRANSFEEFE: 386.10 ( "Grantee," whether one or more). CC FEE: PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Recording Area interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is needed, please attach addendum): Name and Return Address ll � Lots 25, 32 and 44, Plat of Waldroff Meadows IV in the Town of Richmond, St.� Croix County, Wisconsin. L 7 J 5 h I`� _ � C aA� , VZ S q0 026 - 1060 -20- 050;026 - 1060 -50 -000; 026- 1062 -60- 000;026- 1062 -70 -150; 026 - 1064 -40- 000 ;026 -1064- 40-499 Parcel Identification Number (PIN) This is not homestead property. Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated (� S U (SEAL) , (SEAL) * *David J. Waldroff (SE (SEAL) * 4*Je AUTHENTICATION ACKNOWLEDGMENT Signature(s) David J. Waldroff and Julie A. Waldroff, husband and wife STATE OF ) authenticate on ) ss. COUNTY ) *Kristina O land Personally came before me on TITLE: MEMBER STATE BAR OF WISCONSIN the above -named (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: * Attorney Kristina Ogland Notary Public, State of Hudson WI 54016 My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED © 2003 STATE BAR OF WISCONSIN FORM NO. 2 -2003 * Type name below signatures. INFO -PROTm Legal Forms 800 -655 -2021 www.infoproforms.com OUTLOT 1 /' ! I 2.243 ACRES �+�►� 97,693 SQ. FT. .� ., ► .............................. A. co \ � J y. q�ii f ,. .. ............... ... ............................... ....... `�`�' �T `'• LOT 26 . LO 25 ` 2.055 ACRES 7 19 ACRES 89,526 SO, FT. c4 Qi ! 122, FT. w r w ©� LOT 30 p �* 1.926 ACRES 83,916 SQ. FT. LOT 31 . ' 1.964 ACRES • 4 .\ ,. 85,570 SQ. FT. M� t z .�