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HomeMy WebLinkAbout026-1165-20-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Cr oix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 506147 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)J. Permit Holder's Name: City Village X Township Parcel Tax No: LeQue Builders LLC Richmond, Town of 026- 1165 -20 -000 CST BM Elev: Insp. BM Elev: BM Description: t � — {7 �.�1 Section /Town /Range /Map No: -0 / �i ,j(,�iy�,V� C.A/1ii� Qn. 22.30.18.1286 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. S.CA- Septic Benchmark di z Dosing � / Alt. BM 0 Aeration ✓ J Z � Bldg. Sewer � , � � q2 � Holding G i S /HIln' A Q Z• d TANK SETBACK INFORMATION S Ht O�Uet.. / O/• b3 TANK TO _(( P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 1 Dt Bottom �3 rj I / Dosing / I r/ Y Heade Man. 14 7--^^' t G G S .- -' Aeration Dist. Pipe � 2,. 9 $ q�•�7 Holding B ot. S ystem • O' 49 Final Grade PUMP /SIPHON INFORMATION •7 / ' Manufacturer GPM and St Cover 2 2. fQ Y• p Model Number TDH Lift Friction Los Sy ead TDH Ft y/ S' B t 'yt /QZ. • A Forcemain L Dia. Dist. to Well cs� SOIL ABSORPTION SYSTEM Z, : S BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS Q� .1 � SETBACK SYSTEM TO WW P/L BLD WELL LAKE /STREAM W Manuf t / INFORMATION Typ f System: `��/ �� � Model Number: /' _/j, Q _ _ PJST� IBUTION SYSTEM G1ti Q Hea Manifol Distribution / i- / x Hole Size x Hole Spacing Vent to it Intake I� Pipe(s) ljff��I l� ly Y" Length � i Length V Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth OverN Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center 02 * J Bed /Trench Edges Topsoil Yes No Yes "' No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: Inspection #2: Location: 1423 129th Stre New Richmond, WI 54017 (N 1/2 SE 1/4 22 T30N R18W) Lundy Meadows Lot 20 P q Parcel No: 22.30.18.1286 1.) Alt BM Description = I �p 2.) Bldg sewer length = '' L(1AQJ� C' f / - amount of cover = �� t S = Insepctor's ' Plan revision Required? Yes i INNo Use other side for additional information. ate n atu Cart. No. SBD -6710 (R.3/97 C 14- m 1 6 eonwromoLwI1.90V Safety and Buildings Division = \ 201 W. Washington Ave., P.O. Box 7162 t t( of Conurieree N Madison, WI 53707 -7162 Sanitary Permit Number (110 be filled in by Co.) ■g 'S—V(U/ Sanitary Permit Application State Transaction lumber In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental N unit is required prior to obtaining a sanitary permit. Note: Application forms f Project Address f differeatt than mailing address) submitted to the Department of Commerce. Personal information you provide for in accordance with the Privacy Law, a. 15. 1 tr , Stats. / �Z 3 J a �S f, I. Application Information - Please Print All Information _ Property Owner's Name Parcel # / S C) '(�O / RECEIVED DA b Owner' Mailing Address Property Location vu 15 APR 2 0 2007 Go - • /�� Cit State Zip Code Phone Number I V J_ O ST. l� X OUN (c t t l/L T_ N; R E W Type of Building (check all fhat aPPIY) / Subdivision Name - I or2 Family Dwelling - Number ofBedro-o _ (J)tj _ _ _ -- - A^ Block # ❑ Public/Commercial - �be U � - - - ❑ City of CSM I•Itt�m�ber I village of m ❑ State Owned - Describe Use l" _ Town of � f Q III. a (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ TmatmendHoldmg Tank Replacement Only ❑ Otter Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber 11 Permit Transfer to New Before Expiration Owner I[V. Type of POWTS S tem/Com onent/Device: Check all that a 1 - Non - Pressurized In- Ground ❑ pressurized In Ground ❑ At -Grade ❑/ Mound> 2 to of suitable soi ❑Mound < 24 in of suitable soil ❑ Holding Tank ❑ Otber Dispersal Component (exp1 /� l�� s � treatment ice (explain)_ ` V. Dior r'saUTreatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (s1) ispersal Area Proposed (so Elevation VL Tank Info Capacity in Totid # of Manufacturer Gallons Gallons Units ° New Tanks Existing Tanks U A M Holding Tank i �S, � fi, I p /o VII. Responsibility S went- I, the undersigned, assume naibiliWfor installation of the POVVTS sho the attached plans. PI 's Name (Print) PI tier's Si tore Number Business Phone Number w (. I S1 P is Address (Street, City, State, Zi Code) i i 'T" o V[II. un !De ut Use Onl Permit Fee vv Date Issued Iss g Agent goatum _ pproved ❑ Disapproved $ Given for Denial IX d �Cnnihons diLApprovaUReasons fo isapproval� ` Y5 e tic tank, effluent filter and disperser ce mus a e serviced / maintained as per management plan provided by plumber. �✓ All s etbac k req uirem e nts mu st be maintai as per applicable CQ�1"te Plans for the system and submit to the County only on paper not [en than B )n z 11 inches in atce SBD -6398 (R. 01/07) Valid thru 01/09 s ��oK 1 R +1YY� ®✓ld `.S-1 C I e3 - T Ve -07 8A) -�u f q sic rv, ) n��, {. " A �W 6� )D j 3 4 1 act C,, a Apt i �. u����� L-u (Y) ���c���s 1 a�*At C�) ,� EZ1203H 7 7771ee �, =y"' •;st, �: ~: ". •� N ..ti •:.:: s., ._ 707g47v PP 47 ♦eV -.s." i• h. • • • •'` � �� 0 09Pq fP '1r� :y y x r ..�., r r.: 1• e777ree 12 770 i .. ;� , � i}; • :.i "v. a e-ve. i i t h , ♦• •p 7q0 24 1t a '� s � • »�:' Psw VVV �t { vvv Vww 4.625" e7V ty� `Oe Tey ° ' T Oee 1 Ir 1/2 Circ. = 18.84" wvv V V 77w - V * ter 777 7VV VTV VV vvveegvv V. 7 e4744e T e7eVeTe7rvgv vvvv 9e7TegP r47 eeVge7Pev e fee4PVV V vvvvvvv TT ♦e V4Pf 4 PVe7 VV Pvvvvvr 24 e Bolton, 36 d— 12 -1l2" DIA. CtYP -) t+illnte Area Void Coefficient in Aggm &%M given at 57.4%. - Sidetvall (2 Sidt:tvaflsj 2* 18.84in O.D. of 4" Pipe a 4.625 inches 12in o 3.14 Void vottmrc Per )'attar ft = 3.14 •� Z aft ! • 1ft = 0.I 17 fl' Bosom IB 2.00 O.D. of c"rercylinder= T2.5 inches ! TOW Soft Interface Area 5.14 SQ.FT Void volume in aggregue of center eylinder 3.14 • 6.25in • 2.3125in (t2ar -3 14 5T4 =.422 ft' 13ia /ft �'��• O.D. of outside cylinders - 12 inches Projected Trench Area Void volume in outside 2-3.1' 6ia cylinders = 112in 1 ft j + 574- •90I fN Sidewall Height- 12 in. 0 2 - 2,00 Sq.Ft. Bottom = 36 in. = 3.00 Sq.Ft. Void volume at bottom between eyiinders =[( 24nr + 6in q � 6ui l t26trk 12 inrk) ' { l t� °0.215 ft' Projected Trench Area - 5A RS .Ft, t2infk JJl Void volume at outside bottom corners (In of void volume between cylindars) 0.215 ! 2 x 0.108 fN Totat void volume - 0.117 + 0.422 + 0,90 t + 0.215 + 0, t Og = 1.763 cubic fi f ft Gallons per ft _ 1.763 X 7.48 - 13 2 gallons per tit gallons ti earl 3to /pl ;50 Eial regate System �r�► l Group Park Rd. 3,806 0 FU NAME EZt2t)3H -vst t of I Wisconsin'Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County r Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must cJ ` ` / include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. Q 11 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Pleas Revi e Date Personal information you provide ma� be used fdrstcoadary,purpOsiEs (Privacy Law, s. 15.04 (1) (m)). 3 Q..pCint all informatlQd� -- Property Owner Property Location G�/! • /�� C / �� µ y y ✓ Govt. Lot 1/ _5 - 1/4 S T N R E (o W Property Owner's Mai Address Lot # Block # Subd. Name or M# //' p --- ��' ✓2 e'GZ .� City tate Zi Code hone Number„ , „) ❑City ❑Village ((T Nearest Road New Construction Us • Residential / Number of bedroom Code derived design flow rate_ GPD ❑ Replacement P Public or *nm - Describe: -- Parent material Fl ain elevation " applicable fl• General comments data /x/ and recommendations: � Boring ( Boring # j� Pit Ground surface elev. �[�.� R. Depth to limiting factor - -�-�� rn. 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 7, 1211 y r--, �' , Boring # [], Boring pit Ground surface elev. tf ✓ 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 L� ,n - r < " S " 7 Z sir j m (f f 5 1 7 AA •Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 ' Effluent #2 = SOD ,: < 30 mg/L and TSS < 30 mg/L CST Name (Please Print} i ture CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54 17 — f�__ Q 715 - 246 -4516 7-D Property Owner ( Parcel ID # Page of F3_1 Boring # ❑Boring – Pit Ground surface elev. ft. Depth to limiting factor _.,!LAG.— 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 �1 - - S �- �• `� ,,- 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 GPDIfP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring a Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit M Application Horizon Depth Dominant Color Redox Description • Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. Effluent #1 = BOD > 30 <_ 220 mg/L and TSS >30 1150 mg/L ' Effluent #2 = BOD 1 30 mg/L and TSS 5 30 m91L 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. sea8330 ( Soil Test Plot Plan Project Name William Stock/Steve Dalton Shaun 'r Address 1748 112th St. l New Richmond Wi 54017 CS #226900 Lot 20 Subdivision Lundy Meadows Date 8/11/03 N 1/2 SE 1 /4S 22 T 30 N /R W Township Richmond R Boring Q Well PL Property Line ST. C IX BM or VRP Assume Elevation 100 ft. Top of Survey Iron System Elevation 94.8/94.4 *HRpSame as Benchmark Alt. BM Top of 2" Pipe @ 100.2' t B.M. I/ 395' Property Line Cdv� — Please note: Installer must B -1 verify all lot lines and setbacks before installation. 0' 301' Property Line Please Note: Tested area may not be suitable for 99, 30' desired building area. B -2 5 B -3 Check system location before excavating. 4% 98' Slope Scale is 1" = 40' 97' unless otherwise noted i Sep 09 05 01:57p CRLVIN POWERS 715 -246 -5135 p.l ST. CROI K COUNTY SEPTIC TANK MAMMNANCE AGREEMENT AND / OWNERSHIP CERTIFICATION FORM OwnerB L-1p l P f &U (()WA Mailing Address P © go, I c 's - IV e -a) V 1 (•J� �� Property Address /' o JN (Verification requirul from Planning & Zoning Dcpartrumt for new construction.) City /State tin Parcel Identification Number LEGAL DESCRIPTION 1 " Property Location %4 , Sec. TN R W Town of Subdivision Lot # � • Certified Survey Map # , Volume , Page # Warranty Deed # - 7 0 7 MoD , Volume \0 30� , rage # O Spec house (S no Lot lines identifiable & no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle Washes. 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. Owner maintenance responsibilities are specified in §Cormn. 83.52(1) and in Chapter 12 - St Croix Country Sanitary Ordinance. The property owner agrees to submit to St Croix Canty Planning & Zoning Department a certifcaticm 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 full of sludge. Uwe, 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 Natraal Resowces, State of Wisconsin. Certification stating that your septic system has been rmintained must be cmWieted and returned to the St. Croix County Planning & 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. I/we am/are the owner(s) of the property described above, by value of a warranty deed recorded in Registt r of Deeds Office. Number of bedrooms SIGNATURE OF APPLICANTS) DATE ** *Any information that is mid 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 warranty deed (REV, 08 ro5) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ( of FILE INFORMATION SYSTEM SPECIFICATIONS Owner , pr"S Septic Tank Capacity ga l 11 NA Permit # �jb / Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacture I n k ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units NA Pump Tank Capacity a l NA Estimated flow (average) q 6 0 g al/day Pump Tank Manufacturer NA Design flow (peak), (Estimated x 1.5) al /d Pump Manufacturer NA Soil Application Rate al /day /ft2 Pump Model ❑ A Standard Influent /Effluent Quality Monthly average* Pretreatment Unit A Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection Qt er: Pretreated_Efflusnt_Qualitic tbly�v� rage - - -- sparse! Cs!!�s)- ti ASS �` -❑-NA - Biochemical Oxygen Demand (SOD 530 mg /L �ln Ground (gravity) In - Ground ( ressurized) Total Suspended Solids (TSS) 530 mg /L NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) ° cfu /1OOml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y8 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 eve ❑ month(s) (Maximum 3 ears) 13 NA p ry' year(s) y 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: ❑ month(s) (Maximum 3 years) ❑ NA years► Clean effluent filter '� �� t least once every: yeast f(s) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA ❑ year(s) Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: At least once every: ❑ month(s) ❑ NA ❑ 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 cells) 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. 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 betaken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: 0 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: I 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 infiltr surface. Reconstruct of s uch s must co mply 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 INSTA ER POWTS MAINTAINER L N me i QVT3 Name one jf Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name ST C. ` 20r\, Phone Phone Is This document was drafted in compliance with chapter Comm 83.22(20)(1)(d) &(f) and 83.5411), (2) & (3), Wisconsin Administrative Code. I 2 P STATE BAR OF WISCONSIN FORM 2 - 1999 WAIUZANW DEED KATHLEEN H. VALSH Document Number STER OF DEEDS ST. CROIX CO. VI This Deed, made between DaMock, LLC RECEIVED FOR RECORD and _l.e0ue )3tuiders LLC Grantor, 08!03!2004 10:00AK - Grantee. WARRANT DEED Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in .St. Croix County, State of REC FEE: 11.00 Wisconsin (if more space is needed, please attach add TRANS FEE: 174.00 Lot 20, Lundy Meadows, St. Croix County, Wisconsin. COPY FEE: CC FEE: PAGES: 1 Recording Area Nano and Return Address t &k Osce04 cvr X1066- 80-000 Parcel Identification Number (PIN) This is not homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and rights- of-way of record, if tiny. Dated this day of Juty , 2004 LLC Bill Stock, Member - _._ Steven M. Balton, Member AUTHENTICATION ACKNOWLEDGMENT Signature(s) Dalstock LLC STATE OF — ) By: Bi Stock, Mem a nd Steven M. Dalton, Member _— - -- - - -_— -- ) ss. authenticated this y of July _ 2004 - -- - - - County ) -_- -- -- - -- — Personally came before me this - - - - day of the above named Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN - - - - -- (If not. _ to me known to be the person(s) who executed the foregoing _ authorized by § 706.06, Wis. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Oglland Hudson WI 54016 Notary Public, State of - -- My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Bath are not necessary.) ) ' Names of persons signing in any capacity must be typed or printed below their signature. lnfomution Professionals Co.. Fond du 1.2.. W' STATE BAR OF WISCONSIN 800 -655 -2021 WARRANTY DEED FORM No. 2 - 1999 � V ILn Q n o r OD 1 r �t IC► � 11 f. u y R 3� Ti }x A , � s A 4�£ x- c 1 I A LEON, WOMMUS FOR ALL LOTS, WIT! NAVICARE WATER. HAS WHEN ESTAOUO" rM DNS SUROMSION AND K SHOMN GRAPHICALLY HERECN. 17 15 THE INTENT HEREON THAT 910AD THE OMIMART HICH IKATEA MAW OF LUNDY POND RECEDE THAT THE LOT LIES WOULD EXTEND AS SITOWN. IF THE CROOARY MICH WA70 MARK ROM THE LOT LINES MOULD ALSO NOW AS THE LINES OF EACH LOT MTH THE ORDINARY MICH RATER MARK WHO �e1�E 9 66 711E TERMINUS OF USAOIE LAND FOR THE IOTJl0TI N WE>•DOI. TIE STATE OF MSCC%SRN HAS ALL MONTS TO THE NAMGME WATER MELOR THE ORDINARY HIOHT WATER MARK, ALL LOTS MI7M NAVIGABLE WATER ARE %MJECT TO THE TRSCONON TRUST DOCTRINE. THIS 15 BEING GONE 70 GONP! r W17H THE STATE OF WSCONT DEPARTMENT OF NATURAL. RESOURCES NO THE ST. CROIX COIMNW. WSCONSIN, ZONNO Q7710E. THE SI/RVEYOR HAS Q s � � �n � 1 - I � �g ! � � � � � 8 It ALSO CON7ERRIED PATH TIE STATE OF WISCONSIN. DEPARTMENT OF ADMINISTRATION. PLAT REVIEW O SHORING THE LOT UNES it tAIOJ S'a F7. If TIN = 'L7_l lE ai0 ROSES MYfA/".roVM r/d L . N�,s�.� ", --� I '- I q ^i ' , N0037'I0'W + . ,SSS // NOY:T7YON R $ IT. N y r assT -cr 1 > it — b� � ro A $a a it Izz f > M n gy S Z' I " I lam .:; ;; a����a�v _ ...��• - f "a / O �� P4. ^�� \ L - nr- \,o : 08I� \ I : `� GL ja 1 All w.y s ' ( r. � '$' f!A. �•' mb�ib =� $S �Sj • a ' �` ��� I � ;��H � \•• .' � Pip' ~V �� � .. g _ _ � G ir a � '3 8 � � { � �n Rg lit .l sa ^� qi }4 s ? gtsaf li : i! $ a l l - a " ; a . i -', i +r i gi'sz #a 11Wt €g I i m 1 � �' � �NSS w nI � a. IN I. Y�•�� t kd %�a O � _S -- '/ 4� 4 •.,. ms s= p � < : 3a� � � ��•� Qt1[j 4 ; iL ,..•.� '. 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