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HomeMy WebLinkAbout026-1137-39-000 1 County: Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division r INSPECTION REPORT Sanitary Permit N o: 1 404955 0 rr 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)J. Permit Holder's Name: City Village X Township Parcel Tax No: New Horizon Homes Inc. I Richmond Township 026- 1137 -39 -000 CST BM Elev: , Insp. BM Elev: BM Description: v.: tf TAN INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Benchmark Septic t 5�v ICU Dosing Alt. BM Aeration Bld Sewer (o H (�w Holding Ht Inlet C '. d TANK SETBACK INFORMATION Ht Outlet `7Z . TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Septic Dosing Header /Man. L . G 3 , 7 3 _ Z Aeration Dist. Pipe ( . O 9 3 _ A CiU/rY11 �73 r 3 Holding Bot. System 16 �2 u 1 1 Final Grade / PUMP /SIPHON INFORMATION f e5f 0 0 , 1 7 ,A k Manufacturer De and !Cover � Model Number / 7 TDH Lift Fri Loss System Head DH in Ft I Forcema ength Dia. Dist. to Well SOIL ABSORPTION SYSTEM;�,Q �. �Z BED /TRENCH Width Length ) No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. i epth DIMENSIONS �� SETBACK SYSTEM TO jP/L4, IWELL LAKE /STREAM EACHING ," Man fa re 4 INFORMATION CHAMB ✓ Typ Of System: ((� + / Model ber. DISTRIBUTION SYSTEM _Sq /1�Q, L yti �( c - iu�y _ Header /Manifold Distribution ti �� f x Hole Size x Hole Spacing Vent to Air Intake / Ppes) n� L / Dia Spacing f �� SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Depth Over xx Depth of xx Seeded /Sodded xx Mulched Be rench nter 2 /� Bed/T Edges Topsoil a Yes `o,,i No Yes I No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: # / ' / �_ _) Inspection #2: Location: 1470 112th Street New Richmond, WI 54017 (SW 1/4 NW 1/4 21 T30N R1 8W) Golf View Acre Lot 39 Parcel No: 21.30.18.995 +reo 1.) Alt BM Description = 1y', dnV E �du a %a {�,� �(,,x '� cn �� C C�G 2.) Bldg sewer length = 31 1 )p *4tJ,, �l - amount of cover = „ "�- Ig 414J1 - 4l0�t� 1:�o r i,, 4e 4 '/" /�;��' J3-� ��lvn /a %`f� revis Plan No Use other side for additional information. / Date Insepctor's Sig natur Cert. No. SBD -6710 (R.3/97) I 1 Oh i O f Pot L PLOT PLAN PROJECT New Horizon Homes ADDRESS 1475 Hwv 65 New Richmond Wi 54017 SW 1/4 NW 1/4s 21 /T N/R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/30/02 BEDROOM 3 CONVENTIONAL X04( IN -G UND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE (DWELL *H.R.P. Same as Benchmark Vent SYSTEM ELEVATION 93.0 > 12" Sidewinder High of Cover Capacity Leaching Plans Designed Using Chamber Conventional Powts Manual Version 2.0 6' Long 16" 3 4 „ Grade at System Elevation o perty Line RECEIVED 140' B.M. #2 AIR 3 0 2002 ST. CROIX COUNTY O' ZONING OFFICE 220' Property Line Vents 15 0' 112th St. B -3 40' S' 2 -3' X 69' Cells with >3' spacing 01 Pro 3 20' 10 Bedroom T House B -1 Vents�c���� B.M. #1 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County 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. 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 Property Location J r( Govt. Lot_(, 1/ /jZk4 �&T �a N R E or) W Property Owner's Mailing Address n Lot _# Block # Subj. Name or CSM# 4 City V late , Zr "e Phone Number City Village Town Nearest Road 0 ( 1-n a-y I Al V . Construction Uses Residential / Number of bedrooms Code derived design flow rate J GPD Replacement Public or co ercial - Describe: Parent material 2 p� / � J�/� Flood Plain elevation if applicable �N /X ft. General comments and recommendations: .." l © Boring # ❑ Boring R _Pit Ground surface elev. 9, 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 I 'Eff#2 - Z p- /� 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 I 'Eff#2 Efflue 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 (Ple nt) � SignW9 CST Number 6 Ad res a aluation Conducted Telephone Number D d � �� 1 � 7 J „ - -, 7 - , V1 - X) SBD -8330 (R07 /00) y t Property Owner Parcel ID # Page of 1-1 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 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. SAiI Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /11 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # ❑ ❑ Pit Boring Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ' Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.07 /00) �yt• Safety and Buildings Division County ,, 201 W. Washington Ave., P.O. Box 7162 J /,X, isconsin Madison, WI 53707 - 7162 Site Address Department of Commerce s z- D //Z 7 `! 4f /4f -70 Sanitary Permit Application C Sanitary Pe Number In accord with Comm 83.21, Wis. Adm. Code, personal information you pr ide RECL .v. __ if R ision YO( q ` may be used for second purposes Privacy Law, sl5.04(1)(m) I. Application Information - Please Print All Information State Plan I.D Number AR . ; "r Property Owner's Name Parcel NumbeT 19 Z Yh ST. CROi ��,YC _ � Lll Property Owner's Mailing Address l Property Z k;SZ T N E Ctty, State Zip Code Phone Number Lot�i unlber r Block Number � r � Subdivision Name CSM Number 11. Type of Building (Check all that apply.) u P� S ❑City or 2 Family Dwelling - Number of Bedrooms ❑ Village ❑ Public /Commercial - Describe Use owns ' ❑ State Owned Nearest L2 3' x V. TK c-4✓&A , cola III. Type of Permit: (Check only one box on line A. Numbering is for internal use.) (Complete line B, if applicable.) A. 3 O Replacement of 6 ❑ Addition to System 2 ❑Replacement System Tank Onl Existin S stem For County use B. ❑Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. TI pe of POWT System: (Check all that apply. Numbering is for internal use.) n - Pressurized In- Ground 21 ❑ Mound 47 ❑ Sand Filter 50 ❑ Constructed Welland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Lin 45 ❑ At -Grade 46 ❑Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑Other V. Dispersal/Tr ent Area I nformat ion: 0 • - s; f v S Design Flow (gpd) Dispersal Area Dispersal Area Soil AT50lication Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals. /Days /Sq.Ft.) (Min. /Inch) � / Elevation �77tt VI. Tank Info Capacity in Total Number Manufacturer Prefab Site 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 and ume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' i re MP /MPRS Number Business Phone Number 2� 6 2 J oo ; d Plumber's Address (Street, City, State, Zip e) t � 1,--�e VE[L Coun Department Use Onl ❑ Disapproved Sanitary Permit Fee (includes G ndwater Date Issued Issuing Agent Signature (No Stamps) Approved Owner Given Initial Adverse Determination Z Z� Surcharge Fee) ZO IX. Conditions of Approval/Reasons for Disa p r - o � a � l f /� � p � , nn I�tC S o 1M / Q l 0/ b0 P ` a��C. C..O @PD jL . _ lAt& T Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size PLOT PLAN PROJECT New Horizon Homes PLOT 1475 Hwv 65 New Richmond Wi 54017 SW 1/4 NW 1 /4s 21 /T 30 IN 18 OWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 3/11/02 BEDROOM 3 CONVENTIONAL XXX IN-GR61 PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 IL BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATIO 1 Filter Zabel A -100 ❑ BOREHOLE O WELL «H.R.P. Same as Benchmark Vent SYSTEM ELEVATION 95.1 ALo Sidewinder High Capacity Leaching Plans Designed Using Conventional Powts Chamber . Manual Version 2.0 " 34" Grade at S ystem Elevation ]Llr operty Line - B.M. #2 140 ; ' g g ✓ �94.43� 0' 220' Property Line Vents _ 10' T Pro 3 ' Bedroom 112th St. B-3 House 4 2 -3' X 69' Cells with >3' spacing Vents B PLO's PLAN PjtOJECT New Horizon Homes DDRESS 1475 Hwv 65 New Richmond Wi 54017 SW 1/4 NW 1/4s 21 /T 30 "N / 18 TOWN Richmond COUNTY ST. CROIX �.! MPRS Shaun Bird 226900 DATE 3/11/02 BEDROOM 3 CONVENTIONAL XXX IN-GR6uo PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATIO 100' Filter Zabel A -100 [:]BOREHOLE O WELL - H. R. P. Same as Benchmark SYSTEM ELEVATION 95.1 2L. Sidewinder High Capacity Leaching Plans Designed Using Chamber Conventional Powts Manual Version 2.0 Grade at System Elevation operty Line -- B.M. #2 14 �Z A1- ✓— ,rev. Ptp,e, �,� 1 �`• 1 0' 220' Property Line Vents 10' 15 T Pro 3 0' Bedroom 112th St. House B� 4 2 -3' X 69' Cells with >3' spacing 0' Vents B-L— L B � M. #1 WisconsinoepartrnentotCommeme SOIL EVALUATION REPORT Page I of 3 Mision of Safety and Buildings in aeoordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must County S • C r oi x include, but not limited to: vertical and horizontal reference point;{BM), direction and paroel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. X. Reviewed by Date Please print all fpffohmahon. Personal information you provide may be used for ge�orda►Y Purpo4'>I?y Law, 5.15`04 (1) (m)). Zd lu ✓, Property Owner ��. Property Location Govt lfot 1 /4 /4 S Z/ T N R $ 4�L1 Richard e 5 n s w 3 0 E (or) l Property Owner's Mailing Address i ilk' Lot # Block # S". Name or CSM# i�.0 . Cox IOtn2 ' va y 3 eh G ol(:view Acres city State Zip Code Phone N /Cc P City ❑ Village Town Nearest Road f ® New Construction Use: [5g Residential/ Number of bedrooms — 3 _ y Code derived design flow rate 4 5 o / co O o GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material U o Flood Plain elevation if applicable ft. General comments SY v and recommendations: �G 1l C�� U . 95' i0 F ' F1 Boring Boring # ® Pit Ground surface elev. �� - � - �r — ft Depth to limiting factor ) L) ( n 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 t 0 -I6 1 S11 Z wab I 8 Z omb ` '4 loo �� 5`f�Ro 2 Boring # Boring ® Pit Ground surface elev. ft Depth to limiting factor in. [ So: 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 1 0 -1 ) r3lZ '5 Zn-0 - ry\ c5 1 v Z 1/ -4 /6 Vr ` rnRr C 3 n ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD < 30 mg1L and TSS :5 30 mg/L CST Name (Please Print) ignaLure CST Number A,604' , Schu ker - -- 2533CA Address Date Evaluation Conducted Telephone Number 2,�t3 80"-` �4 • Somerse -4 w l 5yo2� O/ 0 15) 2 - L+609 Property Owner N e 150n Parcel ID # Page 2 of 3 F31 Boring # ❑ Ing Pit Ground surface elev. ft. Depth to limiting factor l D O in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtfF in. Munsell Qu. Sz Cont Color Gr. Sz. Sh. *Eff#1 I *Eff#2 2rra k mfr 2 11 -ya a4C41q Si r c-5 rrl �41 0 Boring # E: Boring Ground surface elev. ft Depth to limiting factor in. Soil Application Rate E] pit 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 F -1 Boring # ❑ Boring El Pit Ground surface elev. ft Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtfF 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 mg1L 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. ssn -W30 OL07/00> I PAGE_3_OF 3 NAME iU e 15 0 � LOT# 3 LEGAL DESCRIPTION5w '/4 e 14 SL I T N Ri5s E (or )ffl ,—/'SCALE: I y 0' -- BM I ELEVATION /DO BM I DESCRIPTION BM 2 ELEVATION BM 2 DESCRIPTION } (� a I ' >; (� v r� (J lT SYSTEM ELEVATION 9 5 , 2� 6 ALTERNATE ELEVATION '? 80 CONTOUR ELEVATION n o �o Z N Spa P E 3.z ■ I • I N I /"I l DATE SIGNATURE 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 Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failirg components as needed. . ^ Plumber: Shaun Bird 71!5- 246 -4516 f , l A7 --4// r Shaun Bird #226900 f� - - - -- --- --------- - - - - -- --------- --- -------- - - - - -_ ......_ --- ---------- ` 1 ST C'€t t3lN , { " "1.1'1_ii`v'l'Y SEPTIC TANK i`nAII4r1'1::;NANCtiE A(1R1:L�N E NT .A.ND C:Axlr,ER.`a IP '( S OAV"� - (Verifica ion rcquirrd ti oin Planning Department for ne% constnictwn), q\csA"vtJP Parcol Identification Nwr..bcr VV faror ; -tv .L o :e .n .- '',, �1 /,.. S ec.. - _..... _. i'_30 iv \�r', 'Tu��act :ii .... 2 ev-� c �e S S 1,'),I. tic ►rt 4,. +C'erti. led tits' " ­r Map 4 ,.__..._.__��__....... .. ...__> ` o lun►tr � �.__... Wage � -7 3/ ` _ -_ -- I'it6?" 9 P,_ Spec; louse :_ .,�s no Lot trees iclPntifiai3e es l no Irxrpro c r i:ue and main'ienanceof" your septic system could result in its premature failure to handle wastes. Proper mara.tenance consis!.► of purapi;r ; out the SPI.Aic tank every three years or sooner, it needed by a iicensed What you pug: into the. system can. at:. xt the xttr rerun of the se ptic tank as a treatxnent stage in the waste, disposal system. The pro owner ai;;rees to subrait to St. Croix Zoning Depatlruent a certificatron.forni. signed by the. oamer. wd by a tnaste.. olumbe, i t;tt::tneymanvltAmbor. restricttdpluuibcr or a liccnsed,puurper verifying tW (l) the urr -site wastewate,rd apo �(i system is in p epee ►g condition and /or (2) after inspection and pumping (if necessary) full of ., the septic tank is less than V3 fu 3turige. I /wc, it undei:si Nri have rear; the above requirements and agree to maintain the private sewage disposal system with the ;,Isndards set foci >3, heiei:k <i:! ;yet b the Department of Commerce snd the Uepartmcnt of NaLtuml Resomces, State of 'Wisconsin. CerpArat,iou stuint.Ihat your. t;:', aic system I�as been maintained must be completed and returned to the St. Croix Cour►ty Zoning! Office -k4idun, 30 days o rhc. t�.- -c + rr rasp +.eatio a date- �''� : O- T- it7., 5 .n i�i,ir t,.ra ::._ _... 1 DATE is C,"_` EFICATION I (we) c that all i;tatcments on this form are true to the best of my (our) knowled,>e. 1 (we) am (are) die oviaOrf*) of the pr .5erty dcsr Sri! nad above, E virtue: o a warranty deed recorded in Register of Deeds Office * * *'" Any ir�f:w(:)ation that i:, airs - .represented may result in the sanitary permit being revoked by 'he Zoning Depamueri:: " * ** •*1 Ittus,ude with �h It apphcatfi)n: a stamped warranty 'teed from the. Register of Ueeris otf:icc a copy of the certified starvey neap if refbrence is made is► the werrancy decd U 1851P 325 t` • ' STATE BAR OF WISCONSIN FORM 2 - 1999 6 1 7 1 WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX Co., MI This Deed, made between Hillval Dev elopment L a RECEIVED FOR RECORD Minne Limited Liability Partnersh _ 03 -11 -2002 9:30 Ali -- IiWRAfIIRY pEEp Grantor, and New Horizon Homes, Inc., a Wisconsin Corporation, EXDPT i 3 REC FEE: 11.00 TRANS FEE: — COPY FEE: CERT COPY FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. C roix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Lots 38 an 39, olfview Acres, Town of Richmond, St. Croix County, Namc and Re Address Wisconsin. KRISTINA OGLAND ESTREEN & OGLAND This deed is given to correct the legal description of that certain Warranty 304 Locust Deed dated June 25, 2001, recorded June 26, 2001, in Vol. 1668, page 473, Hudson WI 54016 as Doc. No. 649430. Part 026- 1012 -50 Parcel Identification Number (PIN) This is not Ot) (is not) homestead property. Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this 8 th_ day of March — 2002 Hillvale lop nt Li Red oe - -- - - -. ichard S . IS — AUTHENTICATION ACKNOWLEDGMENT Signature(s) Hillvale Development L imited, a Minnesota STATE OF WISCONSIN ) Limite L�rakjjj. 1g�Rrtnership, by Ric S Nelso a n tAA 19 . �''a, — County ) autheuticaietf iy; - -,8fit 3V o f March _ _2 Personally came before me this _ day of the above named MXy '1 dalialo Not @>,ePy lic> P ierce Co . , WII rte; to me known to be the persons) who executed the foregoing instrument and acknowledged the same. authoNYOtlbj "§ 706.06, Wis. 1 . ats.) 12/26/04 THIS INSTRUMENT WAS DRAFTED BY — Attorney Kri stina O gla nd Notary Public, State of Wisconsin Hudson, WI 54016 My Commission is permanent. (If not, state expiration date (Signatures may be authenticated or acknowledged. Both are not necessary.) _— _ _ . ) • Names of persons signing in any capacity must be typed or printed below their signature. w. ­ti- Profesr 1. comps y, rmm a sec 7A STATE BAR OF WISCONSIN WO-655-2021 WARRANTY DEED FORM No.2 - 1999 _ _ l ISOM IS03 ' I 3f1N3/�b' H10b1 - � co a d+ I C a W r, _I LO , o z O -' ` ail I I I ~ II EN w r•�vZ ` M- N a _I � Li , ' I w �r v �. W I of O Q w p 000 w C C c o 1 F- ~ I y �� p.l F =a o ��w to �' N J�� �P w �-�n_3 _ .cc � CC 0 H10 � SONVI 0311 ,00•z0sl 00 I ac ,Zo •L lti .00•66Z - ,00 �d j N Q, N w rn I N v.J �� NO O NU I co N M ° "' J C1 O N .00'L lti 3.L 1.91,69N I I 3yZS 0990 I l cr �' I b p CO N v N O to Di I CV) LO O o N C', in N I O O O N v IN I 000 Z N v c0 O I — ,00t - ---} rn C LO � I 0 .00-Lit, co 3„ L 1.91,69N �8£ M MN C) N u b I ° o U' to tso U') 0 � I N � O N ap v O N O 00 o� I c N • I Q .00'L it 3 „L 1.91,69N CIq I .00 9lZ .00' l0Z ,00'S l� `�� S, M..L 1.9469S cn I I -er c I ��