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HomeMy WebLinkAbout026-1173-34-000 Parcel #: 026- 1173 -34 -000 12/06/2007 07:50 AM PAGE 1 OF 1 Alt. Parcel #: 2030.18.1388 026 - TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 10/21/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - AUBUCHON, TOM & LINDA TOM & LINDA AUBUCHON 1437 109TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description " 1437 109TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.700 Plat: 10- 036 - WALDROFF MEADOWS IV 020 -04 LOTS 25M SEC 20 T30N R18W PT NE SE BEING WALDROFF Block /Condo Bldg: LOT 34 MEADOWS IV LOT 34 (1.700AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 20- 30N -18VV NE SE Notes: Parcel History: Date Doc # Vol /Page Type 07/28/2006 830722 WD 04/06/2005 791560 2779/128 WD 12/20/1999 615773 1479/210 WD 07/23/1997 824/221 more 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/09/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.700 26,100 197,200 223,300 NO 02 Totals for 2007: General Property 1.700 26,100 197,200 223,300 Woodland 0.000 0 0 Totals for 2006: General Property 1.700 26,100 0 26,100 Woodland 0.000 0 0 Lottery Credit: C l a i m Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 w o ° o M 1 r � Cam. N O C m > O 3 a m i - C . - C t q L y N s 3 U3 y � w o O N Vf > C N O - 'O U ZI E N N � LL O _LL O N fl- i N c o o E E°- O O 6 O N U a a �x U ( CL 3 h a� 2 i/! Z iii rn Z E c O O Z N w a m a m M H Z O Z d c c U 0' •^- CO � 0 N N 7 N ... OI .N 2f .N 0- COI N N NI O N N� O1 c �I Z Z Z Z (n Z CO N d o @ E m E N R > ` 10 ► O m O - d a +e a (e c � r (D M C a a o 0 a a o a o 0(ncnU) a, tnmtn 2Y S: = o 0 0 o 0 0 •� o a o. a a a a CL O N S 7 O (n O O = r- r O (n J U Y O Z Q2 02 Z m N m `_ W O� o� ° ma m U a W N O 3 �+ Ml+ 3 N N O N C CD a c ° °) ° N Y of N N © O p O O C N N Q) a 7 c m co } m i.n O N 'O - E 4 n co >, O O o m S J (n o �' � Z 2 C) Z Z O e :: E L v1 �, � a (D xt a a >, a r • O. d .0 N C N y C `�1 0 a� O c v 0 in U WwonsiAwartment of Commerce PRIVATE SEWAGE SYSTEM county: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 3 499121 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No On 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 Aubuchon, Linda & Tom Richmond, Town of 026- 1173 -34 -000 CST BM / Ele BM 6pv: Description: �? Section /TuwwRange /Map No LOST QaQ 7 :, = /0p w. �`^�ae _ 2030 18 1388 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY ,-.:b TATION BS HI FS ELE`✓ Septic Ben mark Dosing Alt. BM Oy s4— • C Aeration Bldg. Sewer L� 7 �d 90 Holding SUHt Inlet �• 49 5 - , St/Ht Outlet CC Sp �. y TANK SETBACK INFORMATION �fl fig. 30 f TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ­ Dt Bottom Dosing Header /Man, Aeration Di t P � C � � I � � :� � Holding Bot. System & 10 •� (2•-1 Final Grade p � � 90. Z� � PU /SIPHON INFORMATION O anufa turer Demand St Cover 3io • to q2 , sb Model Nu ber TDH Lift Friction Loss System Head H Ft Forcem ' Length D' SOIL ABSORPTION SYSTEM a EE � NCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS Q (P Z SETBACK SYSTEM TO /L jBLDG WELL LAKE /STREAM LEACHING Manufactur r: INFORMATION CHAMBER OR Type Of System: v. f F/ / UNIT Model Nu ber: -� X&- DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spaci Vent to Air Intake !e Pipe / Length 5 ` - is Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx SeededlSodded xx Mulched Bed/Trench Center Bed /Trench Edges Topsoil Yes No Yes No C w^ME :% Inclu co�deediscre 1 c p r�gp� pr�sgnt etc.) Inspection #1:� D �� Inspection #2: 2,n1[s Jav4,0 ms`s f t t LZea Ion 1 37 09th Street Richmond, W 54017 JNE 1/4 SE 1/4 20 T30N R18W) Waldroff Meadows Lot 34 Parcel No: 20.30.18.1388 wl )Alt BM Description = -�� �G°"7RjQQ 2.) Bldg sewer length 2 . 1 /o - amount of cover = �Z N t• 1 O� r�1b Plan Yes y Use other for side additional information. Da ' i Q p In is Signature �(�/ (�r � A e . No. SBD -6710 (R.3/97) 4) 1 ^Q J �_i v I ^^' "�' P &4& Lo y ►t !�J " ChA C4 y Sk"s,,. 94 so-a}- lo - 4-n Safety and Buildings Division County /t ` 201 W. Washington Ave., P.O. Box 7162 Madison, on, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) COnsin (608) 266 -3151 9 9 ) Department of Commerce Sanitary Permit Application In accord with Comm 83.21, Wis. Adm. Code, personal information you prov'de State Plan I.D. Number may be used for secondary purposes Privacy Law, s 15.04(1)(m) Project Address (if different than mailing address) I. Application Infol mation - Please Print All Information 1 0144- N4 Property Owner's Name # Lot # Block ^# - 3 Property Owner's Mailing Address ' o roperty Loca ' 1 / 3 `f�/� 7 Y4 %., Section 2 y City, State Zip Code pmt IVED irc 3 n R �c on Q T j,/ N; E rW hI1.. Type of Building (check all that apply) V AU G 1 6 2006 ubdivision - N - -;- - > der -er 2 Family Dwelling - Number of Bedrooms a /- '' y� ' ve) /❑ Public /Commercial - Describe Use W A � `— ec 4 C ❑City_ ❑VillagaeXownship of ❑ State Owned - Describe Use /Z� I q0 41i III. Type Permit: (Check only one box on 1 A. Complete line B if applicable) OZfo . l 3' 3 A. System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System List Previous Permit Number and Date Issued B. ❑ Permit Renewal El Permit Revision El Change of El Permit Transfer to New Before Expiration Plumber Owner :ioyp of POWTS System: Check all that a l _on - 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- nd ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculatpi Sand Filter ❑ Recirculating Synthetic Media Filter ching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dis ersal/Treatment Are formatio : Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Required (sf) Dis p al Area Proposed (sf) System Elevation 8 l VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Gallons Gallons of Units Concrete Constructed New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement -- the undersi ssume responsibility for installation of the POWTS shown on the attached plans. Plumber' Name (Print) Plum gnature MP/MPRS Number Business Phone Number � C .�.. > ' �� l Plumber's Address (Street, City, State, Z' Glide) / s /l 1 (.f 7VII.Coun /De artment Use Onl Sanitary Permit Fee (in des Groundwater Date Issued Issuing gent Signa o Stamps) pproved ❑ Droved Surcharge Fee) ❑ wner Reason for Denial IX. Conditions of ppro e - 3 SYSTEM OWNER: 1 Septic tank, effluent filter and - nn P dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) PLO AN PROJECT Linda and Tom Aubuchon.. D Ess 1437 109th St. New Richmond Wi 54017 NE 1/4 SE 1 /4S 20 /T 30 N/ W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 8/15/06 BEDROOM 4 CONVENTIONAL XXX IN- GROUND P1 E RE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 900 # of chambers 36 BENCHMARK V.R.P. Top of Survey iron ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREH E O WELL * H. R. P. Same as Benchmark B.M. #2 9.05' SYSTEM ELEVATION 88.5/89.0 4' below qrade 109th St. 150' Not going to use! 182' -300 3 2 ' 250' P.L. 65' 103' Pro 4 1 Vents B.M.* Bedroom House System may be curved to fit 144' contours 60 6% Slope 40' 295' Property Line ST B -2 2-3' X 90' Cells with >3' Spacing Vent System is to be installed along the >6 ARC 36 Biodiffuser 92.5' tour d 93.0' Leaching Chamber of Cover with 25.0 ft2 of Area 5' Long 11 " 3619 Grade at System Elevation Plans Designed Using Well is to meet all Qp Conventional Powts setbacks required by C Manual Version 2.0 WDNR PL t 1 D A PROJECT Linda and Tom Aubuchon 437 109th St. New Richmond Wi 54017 7 NE 1/4 SE 1 /4S 20 /T 30 N TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 8 BEDROOM 4 CONVENTIONAL XXX IN- GROUND P E RE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 900 # of chambers 36 BENCHMARK V.R.P. Top of Survey iron ASSUME ELEVATION 100° Filter BEST Filter ❑ BOREH E O WELL *H.R.P. Same as Benchmark B.M.#2 9.05' SYSTEM ELEVATION 88.5/89.0 4' below qrade 109th St. 150' Not going to use! 182' _ � -300 3 250' P.L. 65' — 103' Pro 4 'P�_j Vents B.M. * Bedroom House System may be curved to fit 144' contours B -3 60 6% Slope 40' 295' Property Line ST B -2 2-3' X 90' Cells with >3' Spacing System is to be Vent installed along the >6„ ARC 36 Biodiffuser 92.5' and 93.0' contour of Cover Leaching Chamber with 25.0 ft2 of Area 5' Long 11 " Grade at System Elevation 36" Plans Designed Using Well is to meet all Conventional Powts setbacks required by Manual Version 2.0 WDNR 1 �o nod yep � h.g� /lei RECEIVED Wisconsin Department Com 3 1 2006 SOIL EVALUATION REPORT Page of Division of Safety and Bi ildings I�8UN ��ccoo ce ST. CROIX TYn h Comm 85, Wis. Adm, Code County Attach complete site an on per not less than 8 112 x 1 inches in size. Plan must include, but not limit to: ve at ana WrantaMrferende point (BM), direction and parcel I.D. 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 purposes (Privacy law, s. 15.04 (1) (m)). Property Owner qa Property Location O ! Govt. Lot � f F 1/4 SF_ 1 /4 S� T 3 0 N I E (o W Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# lD I ��. City State Zip Code Phone Number ❑ City ❑ Illage Nearest Ro d New Construction Us Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: � Parent material D ° Q P Flood Plai elevation if applicabl ft. General comments ,A r) Of and recommendations: l� / System Type t0 NJ f System Elevation [ifflBorring# ❑Boring Pit Ground surface elev. 1] ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i p 17- .5 r �12 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/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 1220 mg/L and TSS >30 1150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) S.ig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 .:; /V__LD 715- 246 -4516 i s Property Owner _ Parcel ID # Page _of_ Boring # F-1 ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. — 90 — 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 It F ❑ 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 GPDM in. Munsell Qu. Sz. Cont. Colo Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑Boring F Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon 7epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff 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. SOD -8330 (RAM) PL T PLAN PROJECT Linda and Tom Aubuchon DDRESS 1437 109th St. New Richmond Wi 54017 T NE % 1/4 SE 1 /4s 20 /T 30 / 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE8/24/06 BEDROOM 4 CONVENTIONAL XXX IN- GROUND PR S RE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1 5 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 900 # of chambers 36 IL BENCHMARK V.R.P. Top of Survey iron ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREHOLE O WELL H. R. P. Same as Benchmark B.M.#2 99.05' SYSTEM ELEVATION 86.7/86.0 4' below qrade 109th St. 150' Not going to use! 182' -4 250' P.L. B -5 ST 3 40' Pro 4 65' 103' Bedroom House B -1 50 9 Vents B.M.* 144' System may e curved to fit contours 60' 10% SLop -3 Q\ 295' Property Line B -2 2 -3' X 90' Cells with >3' Spacing fA System is to be Vent installed along the >6 ARC 36 Biodiffuser 92.5' tour d 93.0' Leaching Chamber of Cover with 25.0 ft2 of Area 5' Long 11" 36" Grade at System Elevation Plans Designed Using Well is to meet all Conventional Powts setbacks required by Manual Version 2.0 WDNR Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 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 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. Z p ndin � 0 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. /,/ Please print all information. R sewed by Date Personal information you provide may be for OseafPdvacy s. 15.04 (1) (m)). Property Owner "° I Property Location David W 4ldrof Govt. Lot NE 1/4 SE 1/4 S T 30 N R 18 E Property Owner's Mailing Address f , Lot # Block # Subd. Name or CSM# 398 Rive Road 34 - Waldroff Meadows IV City State Zip e ` P 0 ity ■ Village Town Nearest Road Hudson WI 54.01 144th Avenue a New Construction Use Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD ❑ Replacement n Public or commercial - Describe: Parent material Loess over outwash sands Flood Plain elevation if applicable NA �• General comments s y , , S d and recommendations: a Boring # ❑ Boring Q Pit Ground surface elev. 96.45 ft. Depth to limiting factor >90 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -6 10yr3/2 sil 2msbk dsh as 2f .6 .8 2 6 -18 1 4/4 sil 2msbk dsh cw if .6 .8 3 18_27 7.5yr4/4 - sl lmsbk dsh cw - .4 .7 4 27_90 7.5yr4/4 s Osg dl _ - .7 1.6 Boring # Boring 95.85 >91 Q 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -6 10yr3/2 - sil 2msbk dsh as 2f .6 .8 2 6 -21 1 4/4 sil 2msbk dsh cw if 6 8 3 21 -28 7.5yr4/4 - sl lmsbk dsh cw _ .4 .7 4 28 -91 7.5yr4/4 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 Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI September 8, 2004 715- 246 -2454 Waldroff Meadows IV �k Lot 34 CO _ �b Nod 8 b /bb a Scale 1" 10' 2 BM1 Top o iron pipe 100.00' B M2 Top of iron pipe 99.05' ( ( nV AJ B 196.46' 4M B2 95.85' 83 92.45' h' m t Nelson 227387 Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 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 Co cy Plan Option # f system fails, determine cause of failure, use alternate area and install new system in tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install 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 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer L t Is Toth test}fob Mailing Address �T �C� ' St' /L/.- j � Y O) /y.3 7' Property Address fl°l t*M t �.*A -*a. , A (verification required from Planning & Zoning Department for new construction_) City/State R to r l n�o �,� w Z )�art:el Identification Number 1 // LEGAL DESCRIPTION L 2 ° -- .0 !388) Property Location �, u/a , Sty T lY R W, Town of Subdivision j.,��'L� P� - f $ , Lot # Certified Survey Map c # Volume _ Page* Warranty Deed 4t b 0 Z Z Volume `—` page V Spec house yes Lot lines identifiable (!>o SYST -M MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature haure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. Wbat you put into the system can affect the function of the septic rant as a treaunent stage in the waste disposal system, Owner maiwenance responsibilities are specified in §Comm- 83.52(1) and in Chapter 12 - SL Croix County Sanitary Ordinance. The property owner aVxes to submit to St. Croix County planning & Zoning Department a cemficatioa form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary). the septic tank is less than 1/3 fall of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards sec forth, herein, as set by the Department of Comme and the Department of Natural Resoun m State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to Elie St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of mylouur knowledge, Uwe am/aw the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office, SIGNATURE OF APPLI ANT(S) DATE * Any information that is misrelimsented may result in the sanitary permit being revoked by the Muning & Zoning Depattmenc * ** 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 warranty deed. (REV. 08M) l'd dgC;t 00 6Z PO 831Z 7�R KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., NI State Bar of Wisconsin Form 1 -2003 RECEIVED FOR RECORD WARRANTY DEED 07/28/2006 09:55AK Document Number Document Name WARRANTY DEED EXEMPT # REC FEE: 11.00 THIS DEED, made between Chris E. Klohn and Tamera R. Klohn, husband and TRANS FEE: 150.00 wife CC FEE: ( "Grantor," whether one or more) PAGES: 1 and Tom Aubuchon and Linda Aubuchon husband and wife ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real Recording Area estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ( "Property ") (if more space is needed, please attach �N Return Address r , qAdV dum): f t rsf Ai°-4i -- &-I- l" R•c �t /xxd C L04, Waldroff Meadows IV, St. Croix County, Wisconsin PO &--x 89 t.Izv/ RfGAm.a wy _ 026 -1173- 34-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: easements, restrictions and reservations, if any, of record. Dated ..� a. / 28 7 _ ---- -- —'� (SEAL (SEAL) *Chris E. Klohn mera R. Klohn (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) Chris E. Klohn and Tamera R. Klohn, husband and wife STATE OF rntM/�/ 1 ) authenticated on () ` ) ss. @Q,YI COUNTY ) /} * Kristine Oeland &�rs a me before me on TITLE: MEMBER STATE BAR OF WISCONSIN thPa�d VVI \ 1 ! t t o (If not, to me known to be the person(s) who executed the foregoing authorized by W is. Star. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: CSR Kristina Oeland, Estreen & Oeland Notary Public, State of V✓ otary Pubho-- NnnesOte 304 Locust Street, Hudson, WI 54016 My Commission (is permanent) (e fan.31,2010 grass nrnwN (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 C 2003 STATE BAR OF WISCONSIN FORM NO. 1 -2003 * Type name below signatures. INFO - PRO - Legal Forms 800.655 - 2021 www.infoproforms.com loft rll• ..f i'•• . F :... i ............. ............................... LO' LOT 37 -2.4x1 � 107,1E ' 2.198 ACRES c G *4 � I 95,764 SQ. FT. � � o00 YEAR / LIMITS WETLA L.B.O. _ _ ► d a I♦.. _ .. _ LIMITS LOT 28 j = 948.0 / ELEVATION / I i L.B.O. 944.5 / 1.999 ACRES ad ow — "- �� ( / 87,073 SQ. !T. � � � .N 111 H.W.E. _!� y 587'0017 - E 455.37' o / � = 946.0 >� 4_��•.���� I r I DRAINAGE r -- 323.x6 j$ r 1 EASEMEN ro 20' MADE 1 / co z I I 1b I I I "?' __ 3W r LOT 36 04 1 / 2.721 ACRES I ld I I j18,525 SQ. FT.j n I g I 00 1 M I I L.B.O. 948.0 l 0 1 29 CRES / � / / S7 \'� BENCH MARK: �R P RA OF , SQ. FT. / / / 8'33�0 SET 1" DIME 47 0 78. 1 PIPE, ELEVATION 934.5 co 41 / I LOT 35 W 3 . 3.495 ACRES i !� o 152,236 SQ 0 E � 188p >'� . FT. I N N i CA) 1 �., t 51 / / i �•. �'.. L.B.O. - 946.5 I N N 1g• �• '♦ • S h yy �• �� / 1 / ' '•LOT 34 !/ \ , �•''••, .� B i N - FLOOD 100 YEAR I ( z w z `. 74,068 SQ. FT. ' PLAIN I � L.8.0. — 946.5 }/ ELEVATION 4 1 • WETLAND .••' .LOT 33 ( LIMI 1.747 ACRES / I 76,109 SQ. FT. 8� �./ L.B.O. - 946.5 � I SOU1 :AR �' � BENCH MARK: TOP OF 797.52' - - ' / I OF PLAIN - SET 1" DIMETER IRON - N .' • ION ) PIPE, ELEVATION 943.3 > / SW1 / u N89 050'08 "W )4 "W 1312.57' ! : �) 101.59' 1 / e �,�s = $c � L Q d "ao CSCvts•ens UNPLA77ED LANDS I r- i I 20 9 1 - � 1 z,�