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Parcel #: 026- 1308 - 01-000 04/30/2008 03:35 PM
PAGE 1 OF 1
Alt. Parcel #: 26.30.18.1680 026 - TOWN OF RICHMOND
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
12/28/2006 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
O - FERGUSON, RICHARD A & JUDITH
RICHARD A & JUDITH FERGUSON
1373 140TH AVE
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1373 140TH AVE
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 8.560 Plat: 11- 016 - MAJESTIC WATERS 026 -06 LOT 1
SEC 26 T30N R18W PT W 1/2 NE NE; BEING Block/Condo Bldg: LOT 001
MAJESTIC WATERS ('06); LOT 1 (8.560AC)
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
26- 30N -18W NE NE
Notes: Parcel History:
Date Doc # Vol /Page Type
09/28/2007 861339 QC
12/28/2006 841481 11/016 PLAT
01/10/2005 784592 2728/573 LC
10/08/2001 658496 1733/208 EZ -U
2008 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 08/09/2007
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.000 27,000 104,800 131,800 NO
UNDEVELOPED G5 7.560 11,300 0 11,300 NO
Totals for 2008:
General Property 8.560 38,300 104,800 143,100
Woodland 0.000 0 0
Totals for 2007:
General Property 8.560 38,300 104,800 143,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch #:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
tViscons*t Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
' Safety afid Building Divisiun '
INSPECTION REPORT Sanitary Permit No:
399486
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:
Ferguson, Richard Richmond Township 026- 1075 -20 -000
CST BM Elev: Insp. BM Elev: I BM Description:
4
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
1 5-le" /00 U b z
Dosing Alt. BM
0 0 5, 1 s3
Aer Bldg. Sewer
Holding S t inlet
x,13 9• G 5
,9t/Ht 7)ijtlpt
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt I
Septic �� t �S i It-- � 3 _ Dt Bottom
Dosing �s �0 > 75 Header /Man. `s
Aeration Dist. Pipe G .4 2
7.-� 3 G,z
Ho Bot. System 911 NS"O/
L
Final Grade
PUMP /SIPHON INFORMATION �D
Manufacturer Demand St Cover
s GPM
Model Number �p
TDH Lift Friction Loss System Head TDH Ft
1z• 3
Forcemain Length Dia. Dist. to Well I L
20 .<' 1 S ,,
SOIL ABSORPTION SYSTEM T L,
BEDITRENCH Width , Length No, Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS / 5_ Z
SETBACK SYSTEM TO !v P/L BLDG WELL LAKE /STREAM LE Manu actu r.
INFORMATION C MBE R
Type Of System:
Model Nu bar*
DISTRIBUTION SYSTEM
to Air Intake
Header /Manifold Distribution x Hole Size x Hole Spacing Vent Pipes)
Length Dia �i Length GA S Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of eded /Sodded xx Mulched
Bed/Trench Center Bed/Trench Ed es To soil
xx Se
9 Top Yes W] No 0 Yes [N No
COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: jo / ZS /61 Inspection #2:
Location: 1373 140th Avenue New Richmond, WI 54017 (NE 1/4 NE 1/4 2 T30N R1 8W) NA Lot NA Parcel No: 26.30.18.392B
1.) Alt BM Description door S 1
2.) Bldg sewer length = '( 5'
- amount of cover = �1 S1
3 .)6bserv�.�1h., P;p�s ;tisfadr� i�.
Pan revision Required [J Yes $ NNo
Use other side for additional information.
r �Ide�
SBD -6710 (R.3/97) Date Insepct& gnature Cart. No.
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��� - - - � _�• , .uu i...\ Vl \VJJ JL\+11 V1V IIVL JC'L\. .l J. vllii V\J
4" Cl VENT PIPE 12" MIN. ABOVE GRADE & WEATHER PROOF'
25' FROM.DOOR, WINDOW OR D'
JUNCT ON BOX APPROVE
z
FRESH AIR If4TAKE WITH CONDUIT MANHOLE C
41f MIN. Cl RISER
6 — WARNING LABEL
- ---- -�
ABOVE G ADE 4" MIN.
I$" VII
��
INLET i ti
1`
'WATER TIGHT SEALS GAS- `
TIGHTi
4" Aio A SEAL APPROVED
:T PIPE . ; ALM JOINTS 41/ CI
I' ONTO B E PIPE 3' ONTO
30LID _T i ON SOLID SOIL
�
30IL PUMP OFF ELEV. � C FT. a- C i t Of'f A* RISER EXIT
D PERMITTED ONLY
IF . TANK .
MANUFACTURER
HAS APPROVAL
3" APPROVED BEDDING UNDER TANK
CONCRETE PAD
SPECIFICATIONS
SEPTIC / DOSE
TANK MANUFACTURER: �,9 LQc.�,6 NUMBER 'DOSES PER DAY:
rANK SIZES SEPTIC 180Z) GAL. DOSE VOLUME INCLUDING
DOSE (Qom GAL. FLOWBACK: /lS GAL.
NLARM MANUFACTURER: _ E_(, -t CAPACITIES: A = INCHES
MODEL NUMBER: ( (p t µ ,,) �-
SWITCH TYPE: T B = 2 INCHES = � AL.
PUMP MANUFACTURER: �z s� �s C = S,3 INCHES = GAL.
MODEL NUMBER: I � r3o.
7
SWITCH TYPE: D = 1 7 INCHES = t 'w GAL.
REQUIRED DISCHARGE RATE GPM /, PUMP fi ALARM WIRI S PER
owt ►x
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . . FEET
+ MINIMUM NETWORK SUPPLY PRESSURE .. FEET
+ FEET FORCEMAIN X S _FT /100 FT. � FRICTION FACTOR . . /, a FEET
TOTAL DYNAMIC HEAD _ FEET
INTERNAL DIMENSIONS OF PUMP TANK: LENGTH /a.Od
� � ^; WIDTH � ; DIAMETER C�
LIQUID DEPTH
16 19-3
-'� Goulds �' f
Eff luent Pump
3885
APPLICATIONS • Overload protection mast smooth operation Silicon can be operated continuously
Specifically designed for the be provided in starter unit: bronze Impeller available as - without damage.
followin uses: • Shaft: threaded, 400 series an option. y
g ; ■ Bearings: Upper and
• Homes stainless steel ■ Casing: Cast iron volute lower heavy duty ball bearing
Farms •Bearings: bail bearings type for maximum efficiency. construction.
• Trailer courts upper and lower. 2• NPT'discharge adaptable ■ Power Cable: Severe duty
• Power cord: 20 foot ys rated, oil and water resistant.
•
Mo tels for slide rails s yst ems.
• Schools standard length (optional a Mechanical Seat: SILICON Epoxy seal on motor end
• Hospitals lengths available). Industry Single phase: CARgiDE VS. SILICON provides secondary moisture
•
Effluent systems and % HP —1613 SJTO CARBIDE sealing faces. barrier in case of outer jacket
with 115 V or 230 V three Stainless steel metal parts, damage and to prevent oil
prong plug. BUNA-N elastomers. wicking.
SPECIFICATIONS • Y4 -1 % HP —14/3 STO with ! Shag: Corrosion- resistant ■ 0 -ring: Assures positive
Pump bare leads. stainless steel. Threaded sealing against contaminants
• Solids handling capabilities: Three phase: design. Locknut on three and oil leakage.
Y4' maximum. • X4-1 % HP —14/4 STO phase models to guard
• Discharge size: 2 NPT, with bare leads. On CSA against component damage AGENCY LISTINGS
• Capacities: up to 128 GPM. listed models — 20 foot on accidental reverse rotation.
• Total heads: up to 123 feet length SJTW and STW ■ Motor. Fully submerged in SP CanadlaeSwWards Amdallon
TDH. are standard. high -grade turbine oil for
• Mechanical seal: silicon lubrication and efficient heat Undereftm Laboratories
carbide -rotary seattsilicon FEATURES transfer.
carbide- stationary seat, 300 Impeller Cast icon, semi- ■ Designed for Continuous
series stainless steel metal open, non-dog pump- Operation: Pump ratings are
• Temperature: parts, t elastomers, w out vanes for mechanlcai seat within the motor manufacturer's
�
104 °F (40 continuous protection. Balanced for recommended working limits,
140 °F (60 intermittent. rates FEET
Fasteners: 300 series
stainless steel SERIES: 3M
• Capable of running dry. 25 eo SIZE: S
without damage to - 1 SCPk1 _ RPW
components. 70 " L sFT
Motor 20
Single phase: _
* % HP, 115 V. 200 V, 230 V, I
60 Hz, 1750 RPM; %: HP, Z as
115 V, 60 Hz, 3500 RPM; 0 40
%HP —I%HP, 230V,
60 Hz, 3500 RPM. 10 30
• Built -in overload with
automatic reset. 20
• Class B insulation. s
Three phase: t
• % HP —1'A HP 200/230/ 0 0
460 V, 60 Hz, 3500 RPM. o 10 20 30 40 5o so 7 i L
t oo 110 120 130GPM
• Class 8 insulation. 0 ,0 30 mo
CAPACITY
®1995 Goulds Pumps --R �WN Effective May, 1995
`� e�nec
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 the 1 i cl�psln size. Plan must
include, but not limited to: vertical and horizo int ($M),�diredion and Parcel I.D.
percent slope, scale or dimensions, north ovation and distance to nearest road. 026 - 10675 -20 - 000
Please prin nforgatioar9 q viewed by Date
Personal information you provide may be u secondarpose ' siy Law, s. 1.04 (1) (m)).
Property Owner r , S� ,,• Pro { ertyLocation
Richard Fox SOri F v Govt. Lot NE 1/4 NE 1/4 S 26 T 30 N R18 t (or) W
Property Owners Mailing Address ii f Q Loy# Block # Subd. Name or CSM#
% 1381 H 65 ha na na
City State Zip Code YOorte NLhber ❑ City ❑ Village fC] Town Nearest Road
New Richmond i WI 1 54017 f7` 6-24 at� Richmond I 11401 M�-
Q New Construction Use: ® Residential / Number of bedrooms 2 Code derived design flow rate 300 GPD
❑ Replacement , ❑ Public or commercial - Describe:
Parent material outwash Flood Plain elevation if applicable ft.
General comments
and recommendations:
trenches @ el. 95.00
Boring
1❑ Boring # 99.30 110 in.
® Pit Ground surface elev. ft. Depth to limiting factor Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fg
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 L 2csbk dsh cs if
2 9- 110yr-514 nnni= rail 1csbk dsh qw if .2 3
3 S1 2csbk mfr aw na •5 .9
4 42-1101 7 5 4 na na '7 1'2
4:* CI S. 6
Boring # F1 Boring
2 0 Pit Ground surface elev. 99.80 ft. Depth to limiting factor 110 in Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Vdsh Boundary Roots GPD /ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2
1 -10 10yr3/3 none L 2csbk cs if .5 .8
2 0 -20 10yr5/4 none sil lcsbk if
3 0 -38 5yr4/4 none sl 2 na 5
4 8 -110 7.5 4 6 none na na '7 1'2
5q•4' y
' Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L ent #2 = BO 5 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature . CST Number
Gary L. Steel 02298
Address Date Evaluation Cdbducted Telephone Number
1554 200th. Ave., New Richmond, WI. 54017
9 -6 -2001 715- 246 -6200
Property owner RiChard Ferguson 26 - 1075 -20 -000 uson Parcel ID # Page _2__ of 3
Boring # ❑ Boring
3 Pit Ground surface elev. 99.60 ft Depth to limiting factor 100 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 10 3 3 none L Cs if .5 .8
2 11 -21 10yr5/4 none sil 1 if .2 .3
3 21 -46 7.5ry4/4 none sil /sl 1csbk dsh CrW na .2 .3
4 46 -10 75.ry4/E none ms 0SQ ml na na 1 •7 1.2
s�• z 9i
E 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
❑ Boring E Boring # Ground surface elev. ft. Depth to limiting factor in.
El Pit 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 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS 5 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 (RAM)
r
STEEL'S SOIL SERVICE
Gary L. Steel 1554 200th Ave.
CSTM2298 Richard Ferguson New Richmond, WI 54017
MPRSW -3254 NE4NE4 S26- T30N -R18W (715) 246 -6200
town of Richmond
1
IN
� 1 " =40'
BM.= top of 1" pvc pipe @ el. 100.00'
"alt. BM. top of 1" pvc pipe 2 el. 99.55'
„ - )0 ..
CO
v”
13•_�
i
Gary L. Steel
9 -6 -2001
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer `
Mailing Address s S o I
Property Address � � ``7 %3 4o &Ve
( required from Planning Department for new construction) �4
„ _
City /State J,n l,_, KLc -h w ,nA c,: 54 ° l Farcel Identification Number O — 0-- 60 0
LEGAL DESCRIPTION
Property Location Or= %,, ' /,, Sec. -ak, T0N -R�W, Town of `
�MO(A-
Subdivision n� , Lot # N
Certified Survey Map # , Volume , Page #
Warranty Deed # a 9 Q Volume Page #
Spec house ❑ yes K1 no Lot lines identifiable Qt 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
master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (I) 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.
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 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
;daof the �threeear e '
NA OF Ai 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
r e?des of a warranty deed recorded in Register of Deeds Office.
SIGNATUIEt OF APPLICA 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 -
a
4
Prhnft Onske iMal;bn vtpttar Treabiwnt Syab n MrnagonMent Plan
S"M Tank And
Gra vity In-Ground 3011 Absorption Component
Pursuant to Comm 83.54 VA& Adm. Code each Private Ora to WOSW*T*r Treatrr*M
System (POWS) shalt include Information and procedures for nheinssirft the system wittlin
the PwWn*Ws of Comm 83 and 84, and the conditions of M*M. by the department, agent,
or urn. The appriow" Plans and permits for system are c n Me ills county
zoning or health department.
TWO pier complies WM Comm 83.54. Wis. Adm. Code, and tlhe irt- (3rohnd
Sal Abeotp* m Camporm" MwwjW for Data floe T
VVaMe�weter rsatrrherrt Systems SBO-
Table 1: Syshm
SanNwy hermit Number 9 wel
l.irrrnfw 9edroorns
Design Flow' • Pic
Edimasisd Flow - A
Tartlt p
Sots SFe 3 +S"
-- - Type of W*dBwdw Uornestc
i
Table 2: Soil Aboorptlan LbrAs of iieadaMe
Tank SONAbso
Flow - Pask
fraurxxn knuertt Ps Size 1/8
Madmum 220
M&AMM i"3S 150
I
Table 3: tMeiAisaaace Sdtedmb
Tarn kupect a wkw service doe 9 years
OutM l once a M and dean at least once evaq 3 years
Sol once w4wy 3 yews
ANN I"
The septic tank stall be mated by an individual certified to service septic tanks
under s. MAO, Stets. The cordank of t+e septic tank shall be disposed of in accordance with
NR 143, Wis. Adm. Code (Servicing Septic or Voiding Tanks. Pumping Chambers, Grease
intervept rs. Seepage Beds, Seepage Pits, Seepage Trenches. Privies. or Portable
Restroor, ).
The operating condition of the and outlet filter stall be assessed at least
once every 3 years by irk. The s had be planned as necessary to enm
proper operation. The Mar cartridge should not be removed unless provbiotns are made to
ref n a the tank that may sbergh kaff the filter Own removed *am its enclosure. If the
Management Plan for a Septic Tank and Sod Absorption Component
filter a equipped with an alarm, the filer shy be serviced If the Warm is activated may.
intemrdderd flitter alarms may indieale surge flows or an Opending continuous alarm. The
Septic tank shat have lb twrrterrts rerttoved when the volume of scum and sludge in the tank
exceeds IM the Nquid volume of the tank. if the contents of the tank are not removed at the
time of an assessments maintenance personnel shall advise the Owner of when the next service
needs to be performed to Main less than maximum scum and sludge accu nuistion in the
tank.
Manhole risers, access risers and covers should be inspected for water tightrass and
soundness. Amess openings used for service and asse ssniaM shall be NOW vmtertight upon
the cormpWon of service. Any operlfg deerned unsound, defective, or su*d to failure must
be replaced. Exposed access dpmongs greater than 8- inches in diemnew shall be secured tsy
an effective locking device to prevent accidental or unaufhonzed entry into the tank.
Rio oral should anise a seta or otrror &*ab ent or homing fatal for
any r+esaw wont a*" in f w compNomm wNh OSi,Get sbndwds lice
witedng a cow speve. The ah t3hai Sepl+iea Of aelhar
a ash ■nt of A WIN S tank my ooafain Iseel mss, and rosvue of a
person *ow Me kwwkw of Me tank Wray be dMW or hApossi W&
Tank abandonmteM shalt be in acaord2i"with Comm 83.33, Wis. Adm. Codes when the
tank is no konger used as a POWTS component.
Soil mm2mtiom CornaonerM
The soil absorption component serving this structure is desigrOd to accept dom"stic
we3ste3water from a residential facility. The limits of operation of this component are shown in
Table 2.
The longevity of a soil absorption componerd depends greatly on Per and *IWY
rresinterranoe. and !system use within or below the orni#s of miable operation. Good water
oolsaetvation practices by all occupants and the installation of water cor>serving Plumbing
fixtures Oro key facdcxs in extending the useful We of this comrponent.
The soil absorption component's operation must be assessed by inspectlan at least
once every throe years. The wvwoc *M shell include recording the levels of ponding, if any, in
the observaWn pipes. and a visual lion for any evidence of surface seepage or dadorge
fm rn the comrponaa'tt. on stag* sloping sues, areas of erasion should be kkmd dad and
to the owner for repair. The surface discharge of dWW wastewater or sewage
fWM the system is prohibited and considered a human health hazard.
Traffic around or over the Solt aasorption cornponeM s wxM be avoided part;wlarly
during winter rrlWOU. The cWrooction of re wvW of snow cover over the component may lead
to hydraulic fanfare by freea4 Thi type of failure is usually ternp nary, but is difficult or
knpossibie to repair until weather cor>dlions InWavre. In getters!. soil oompaertion over this
component will reduce diffusion of oxygen into the sod and dispersal cell, which may Mead to
more intense, and earlier. organic dogging of the soil.
2
WD 10;26 FAX 715 366 4686 ST CRIL CO ZONINu
ManagWr*M Plan for a S Tat* and 5,0 A13 501 1 5 tiOn C o "V onenl
Pier"s of deep - rooted "M WW shrubs directly over Or *0*' ten meet '0 the
component should be avoided sin" Mot intrusion into the corrWonent may o b*W w gs*water
fk)w.
ST. CHUIX ZJNIILu; = 586-4680
plumber = Calvin Powers - 246-5135
Replacement site will be that soil tested area by
CST (#
Replacement site must be left undisturbed, or
management/ contingency plan must be modified
and filed with the zoning office, outlining the
steps to be taken in event of septic system failure.
3
I
DOCUMENT NO, WARRANTY DEED
1 S'F•%'1'1: 01 %%ISCONSIN —I ORM I
THIS SPACE RESERVED FOR RECORDING DATA
2:0302
1'IIIS INI)F:NA'l)ICF;, N1.1dc lhi �U d:n of
htlwcwl ST. CRCIXi:r, --
i
p:ut 1 t of the lir,t part and dt--_ w------ --
� tl ` I � � � (• �� ReR sf t" o�F f ; ,• ; 1< --
of Iho 'c - loll p.ut, r RETURN TO
NN' i t n eSSc t h, 1 11.1 1 the .ml p.1rI 1 I'- of tht III 'I p.uI, 1 o1 o141 in ron�idcration
of the >un1 0l
o it, h;uul pail he the -aid 1).,iI0 of the st(ond p.ot, the icccipt )rhtreol I-, herehv
t,�nfo� +cd .u1d .irl.n „u Ic 11,1 V I' ei(tn,); r.uil4Il, hanvmntd, sold, I, mi rclee-cd- diened, mli(c%cd and I onhnncd, .lid hr 1 111'c
110 1,,c , r.m1. h.ir,:,00. o11, rtnoi (kr ,, alien, (once} anti rontiun unto ill(' aid p.J t' ` of tht -owl p.irt, n ii..ilu1 a „i ns
hotter. UIt (ollowin!, (1, f ,1 ,1 it i.lo ,itu.,tcd in the County of •,' .; and ' of t \i-m III, to - w,,l
of „1:, I:.II ' I
(It NI'.( CONTINUE: 1)ES(.H11'T10.N ON REVERSE; SIDE)
Fogether with ,ill .uul ,in ul.ir Ili( hcredil.imunts and .tppurten,im- Ihcrcunto belonging or in .inc' wi>c .1pp4rt.lininq; .1n11 .111 th4 I it it(
right, 1 ,tic, "'tire' - T, rl:iinl or (iem.md wh.itsocvcr, of the said part_ 1 (' `�of Ih( lir -t part, 4ithcr in I-i” of 411uit(. oiihtr in
ot, in .old t„ Ill, .1ho%c h.IIC,1liwd prtno and their heredit.Imcnl.:ind ❑pptirten fri(i -
To Ilace and To Hold the -id prcim,c- ea above dc,4rihed witli thr III rcdit.onent- .md .ippurT( 11"n—, Im- the 'id J,ot 1 : o � the
-oml p.ot. "Ild 1,, 1 1. 11r ill And 'l -igns I ORE %ER
Ind the said
Lnr1 tt:1
t„r "I t• 1 I' hairs, cscruior. .u)d adn traitor -. do 111%1 n 1nT. I;rninl, I ., � n, 1n�f .:un” t„ �oul
11 4114 �11�1 rt� ` of t t .rroud 1,,1rt, + I I 1 h heir :iml ., ,_i -,'I t11A ,ii the IIT11C IIf 1114 4 .1IPI 1111 th•. „I t1,( p UTlty
well " /,d of Iho premi,oti .shove de „rih(d, .11 �„l d, 'urn. perk' I, h_„IuiI .1nd i11d, , : -Od( t.of ,
uLcrit.inrt
in Iht L 1i tc4 'inlplc, arms 11, it Ili, ..nor are fret and t1c.ir I] .ill uu w,hr.ow (d).o,N'cr
.'n•I IL, .1h - L,1rl;ainrd prrnli - .. in th4 1lairt and pcare.iblc posse „ion of NIC id 1,.1r(: '_ of tln• - wl p I. 1 0.”, .o'd
.it,uo 1 .dl J)'"oll 1ncfulk rl.,iming The whole or :olc part theriol, A \.Akk :NA I :N \I) Id I I_AI).
In 1Nitnes% Whereof, iln :d p.nt I I `'of the hr,t p.,ri ha. N'('hereunty '/'t - h,in,1 Hill Fr.11 HH,
SI(,NE*I ANI sE, LEI) IN zESFNCE OF
SI :NI.
STATE OF WISCONSIN,
Ss. I
•
ounty. - 1/
II
f before I li
(rsun.dl� came (ore III( ihls 3 O
the il)ove named (Z.0 i... :I . 1. (: W (' ] (' 1'
to me know to be the he foregoing _ -
h person. who executed t )reRoing instrument and ackr�lwlcdRed try s.ime.. �s �
(��
NOTARY
SEAL
This instrument drafted- by ".Votary Public..- 't ...r_- L T' I >
- _. _... -.. Count v, "
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My Commission (Expires) (Is)
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