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HomeMy WebLinkAbout026-1167-25-000 Z o �� 0O M N C Q) O I cz N w o 4 C d Y d 2 C Z a LL c cc N O L Q Y � i N Z y E W ±+ O z E Z N d m ° a m N I- Z C O O Z d c p v _ w y Z O` L L o U) F rn N a) Z c W E .o co N � N • N ED Q) o O L_ a ' Q z z w : n z z d y C N U) a a \l 5 c H m o v O G G a E co J N U d. a U z CL z fA J U O O O !\i z LO L ° 0 O O O E LD C N Q rn ca Q Z <f) m w U 3 :° O O C -j y E �+ °° 3 Ln E ° O Lo N ~ N 7 J° m f0 U a O �. r.- 40. O m 0 O d O d •Q O N J O Z C Y (n • CL .� m a E c c r A (j oU)u f Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and BuilVg Division INSPECTION REPORT Sanitary Permit No: 463398 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: LeQue Builders LLC I Richmond, Town of 026 - 1167 -25 -000 CST BM Elev: Insp. BM Elev: / BM Description Section/Town/Range /Map No: .� CST" $NA. 27.30.18.1327 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark S f (M % / � SSG t2$O •� �4 Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet r TANK SETBACK INFORMATION St/Ht Outlet q w. 99. l TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Z �. ' (CD f 2D / Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holdin Bot. System yy q � PUMP /SIPHON INFORMATION Final Grade -10 1 Manufacturer Demand St Cover M Model Numbe TDH Lift ri ' oss System Head TDH Ft Forcemai Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM RENC Width r Length No. Of re ches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIME S 3 �� (3� SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufa�er INFORMATION Type Of System: ' t � t ' t� 0---* CH U N I T OR Model Nu er wv • O (o . DISTRIBUTION SYSTEM Header /Manifold IDistribution x Hole Size Ix Hole Spaci Vent to Air Intake Pi e(s) ' Length Dia Len Dia pacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil F] Ye L] No 0 Yes o No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 4 70- W inspection #2: Location: 1259 139th Street New Richmond, WI 54017 (N 112 NE 1/4 27 T30N R18W) Lundy's P Parcel No: 27.3 1.) Alt BM Description = �� 6 ��• 2.) Bldg sewer length �•oZ �` .cf3� $.&G = �jS•�oS - amount of cover = $ �M �d, $ • w �. t �. �� a gY.tq t I V1 ,� s ,,�� � o.do = 9'y. Plan revision Required? 0 Yes �<No $ '• 0�, Use other side for additional information. __ t Date -- Insepctor's Signature Cart. No. SBD -6710 (R.3/97) suety and Division 5 all 201 W. Washi O. Box 7162 { . Madin. - 62 ro Sanitary Permit Number (m be filled in by Co-) De artment of Commerce ON) 266 1 Sanitary Permit Application R 1.D. Nrunber In aawnd with Ca=m 63.21. Wis. Ades, Code, persataai i May be rued for swmdary ptupos Provide Law, s15.04oxm) ress (if diffmiu than mail ing address) 1 3 I. A � _ >� >� All Ihtfo�matlaq APR jA 9 Property Owner's Na doe ._ ST. CROIX C Ut __ Lux / :: Block L ,a A 1' / a Ptirperty t.owttotn bolo _i I to 7 2 s- o Coy. State _ _ zip Cade Phone Number. -A)— x• / V - s4.Soctwo --2-:7 -- I o. o 17 1 iS a (a-. j uC d kbeck all that apply) / 1 T _ N: R E o W (. 13�- 1 or 2 Famd Dwell °r a5 � /TcJSR n - Y ung - Number of Bodropms Y bdivisad N CSM Num� Public/Commercial - Describe Use ❑ State Owned - rrbe U r i ICit itla a L�owFUbi of �e' -- Y_ g p i HL Type of 1"attsit: (Cb t k OWY tme INIX an A. Ibne s if applicable) A. New Sysem ❑ fticensent S ❑ TreannendHolding Tank Replacement Only L.) Other Modif abort to Existing System 1 B. �f permit R"W., ❑ Permit Revision L_I Change of n permit Transfer to New List permit Number and Date lssual -__ _I Plumber Owner !V. Type of P0taV'I5 - Non d 1 n Gro+nd U Mound > 24 in. of suitable soil L 1 Mamd < 24 in. of suitable soil L.] At - Grade L l Single Pass Sand Filter ^ ^ - ❑ Coursonrcted Wetland L] Pre'r"Od In Ground U Tank ❑Peat Fiber U Aerobic Treatdratt Unit L Rsxiriutapng Sand Filter Cl Racurcvlutting Sydtha tic Me" Filter ❑ > Chamber ❑ Drip Lunn 10 Gravrt less V Ann hf on. Pipe [) 06e, (expfatnj __ Aow CIO) Desi Soli! Appheawa Raa(gA i) Dispersal Area ReWirrd (sf) Disposal Area Proposed (sf) System levation -- a,oD 0o X1 5' , i � )) `1 L i YI. Tank Info Capacity in Toad Number Manufacturer Prefab Site MCI r �- fstic Gallons Gallon of Units Concrete Constructed Glass New 1 Tanks ra ng smuc Howhw Tank Aerobic TteamKa Unit YII. ,s N Staitesaent 1. tae voy for ' the P0W75 aitowu> en the attached pauut. J s Si cure MFRS Business phone Number - -� Phtatba's Adetre $ - 7 - 1 <7- f ooa. City. State, Zip Code) L9 A �7 t z 0t4 P - ET ❑ v Sanitary permit F- (includes Groundwater Dtute �WV Fee) Issuing Signratti (N DL ❑ Uwne rued Reaso Dedial 30� � Q�� NE 1 Se tic tank effluent filter and 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. i _ _ _ _ _ _ - - - _ Atocr �lMr pr the Co�tY �bf tsr Ms s�wtt� eo proper oat inns udq 3t/2 a It seeMs in size __J I -P�CL IU I / , Nc 1/ s � - r::3 ) 0 A) Ig c.v P -) C, pf, le-S le /I V C--, I AS asp s C - / uo'I "CI - c S'e iC)S � es P r 0 �b i m 09 ' f - - Lu s o u �o as 1 I EZ1203H vv*V t � - -..... We 7...... vvw 24 Vww 12" ww vw' eve 4.625" Vow ,* r 7.. .. 7 ;; r7. 1 „ ` W e ... 7. ..777x7 7 f71 .R7 - . 1 !7.7.7 s 2 4 ,@ �l l ^i 12 -112" DIA. (((/ P at 37.1%_ Ift -siba j r" t ota= hL ICU �9 i 4 a 'ro/'urrc P er laver R= 3. t o -) 2 T t s = 3 ° 12at z 3 14 i t r2a.rs � ' - o.� �� t�• �ft � T2 -S manrs TOW Sea !, Vmd •tae of cto� ( 4_• Sea lwter[aee A tea { 1 erb'de, }- 5,14 St1.F"j� ! `d2" FW "3 to •i t t. 774 . { I.-. ft � a22 H' t U_LT. of CyIr'e 12 tftiwm Yrtwd v°f`um ra o cyt„� . ; • , r °°` t"Olected Trenef Area ( 12m i ft - S *a ,. 401. tt° 1 rn Srdewall H"Vhl - 12 i ( � 2.00 5q.Ft { OX1 '04" Me at butrnv, lktv,.cen c >It,aJery F3ottom = Niw Sb art - lljax(, tarp - l.edi . = 1.00$q.Ft- ! `O$d volume at / rOlecttad Trerc#I Area ! s i><«to+n cw-y� (If? vF va,d vai 5.00 $V Tara! vRet1 vat 1 t I . O '�Y l �nders) 0 21 S ? - 109 0 1 _ x`. 04.y 2 +0.901 I .g 0.108= Gallneu t e+d►.c h ft i ! Re* tl = 1.743 X L88 - i 1 1 � r 1 t 26 X (G _ S c)� 1 EPS Agg ate r- Trench ZZ 1 203H ` j Rk+4 I ndustriQl Gr. !EX o w 6S hndu i Ti. Park Rd. J { - and. TN 38060 �^ ---- _ Ftt•E route Q120.7t+ -.s l I�� Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County � C '-0 I Attach complete site plan on paper not less than 8 1/2 x 1 include, but not limited to: vertical and horizontal reference point ( i Parcel I.D. percent slope, scale or dimensions, north arrow, an n and distance to nearest road. Please print all in i Re vie d by D;7 t j u i o 1 L004 Personal information you provide may be used for seco u (Privacy Law, S. 15. (1) (m)). Property Owner > 7. i lJ ;P(rfy Lpcatio 17 �14 S T N R E (o W �A Property Owners ailing Address Lot # I Block # TuNd . Name g CSM# city State Zip Code Phone Number 0 City ❑ Village wn Nearest R ,5 JI ( o G /I? :G� / yLJ/9Y-C J New Construction Use. Residential / Number of bedrooms Code derived design flow rate j GPD ❑ Replacement _ Public or commercial) DD scribe: - - - -- -- Parent material s���!L f�- t/�e�� `� Flood Plain elev lion if a plicable /�� �/ ^ — ft• General commentscomments; comments; a �[ , .: q q and recomendations: I 2i r r �i Boring # a ring `� 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. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 lvl,4 t a ring Boring # O ��, ( P it Ground surface elev._ ti. Depth to limiting factor in'• Soil App lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf? in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 'Eff#1 'Eff#2 3 �— c�2 r I Effluent #1 = BOD > 30 < 220 mg/L and TSS > 150 mgA- ' Effluent #2 = BOD < 30 mgA. and TSS < 30 mg/L CST Name (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Date Evaluation Conducted Telephone Number Address 715- 246 -4516 1008 192nd Ave, New Richmond, WI 54017 l Property Owner Parcel ID # Page of 5 SoiI Boring # Boring /y- /� Pit Ground surface elev. j 4 ft. Depth to limiting factor ,�` f -- r ,`_ in. Appl ication Ram Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 6-1 1 OLA V - 3J- m f=r �- z 3G 1 c cnr c t r]3 r y/ s � a�na- Boring # F ❑ 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/N in. Munsell Qu. Sz Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring # Boring Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate . GPD/fF Horizon Depth Dominant Color Redox Description- Texture Structure Consistence . Boundary Roots 'Eff#1 'E1f#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - I - J T=1- Effluent #1 = BOD > 30 1220 mg/L and TSS >30' 150 mgA- ' 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. M-8330 (RAM) Soil Test Plot Plan Project Name Environmental Holding L.L.P. Shau Address 706 19th St. S. Hudson Wi 54016 60M #226900 Lot 25 Subdivision Lundy's Preserve Date 5/24/04 N 1/2 NE 1/4S 27 T 30 N/R 1 8 W Township Richmond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 95.6/94.9/94.2 *HRpSame as Benchmark Alternate Benchmark Top of Survey Iron @ 96.0' AL AL 435' Property 491' Line Property Line 100' 98' 96' B -2 Please note:Soil test 45' was done to satisfy county zoning requirement. Soil test may not be 35' suitable for owners B -3 desired building location. 5' 10% Slope IF B -1 Scale is F = 40' 40' unless otherwise t. B.M. * B.M. Ar noted 25' 179' Property Line RECEIVED O JUN 01 2004 Lundy's Preserve Comments: ST. CROIX COUNTY ZONING OFFICE The soils in this subdivision are quite variable and differ across the 80 acres. Some consist of a clean outwash sand, other consist of glacial tills. In certain areas, the medium sands have a very deep red color unlike I have seen in all of St. Croix county. The color does not indicate high ground water because the color is so consistent. If you go through the red sands then the sands turn off white/yellow but not those of a sand stone. In talking with Pam Quinn from zoning, she commented that there could be a different chemical reaction with a sands. I believe this is the case for the sands have a consistent size, and no mottles were found above or below the sands. Sometimes bands were resent, but were very slight, p rY 9 and were mentioned to have the systems sized a little bigger in order to accommodate for any inconsistencies in the soil. Also it is worth mentioning that the intersections of lots 6,7,8, and 9 have a extremely poor soil present not suitable for a mound system. The surveyor and I discussed this condition, and the resulting tests were spaced as far away from this area as possible. All the soils tests were done to the best of my ability and I hold no liability for anomalies and other oddities that can be found on this site. Shaun Bird CSTM #226900 i 5/28/04 I Page ? of OWTS OWNER'S MANUAL & MANAGEMENT PLAN P sYS,ewal TWINS ILE lNFOIRMA act<erer ; W r � s� +� ❑ N Tank Manuf Owner _ f Septic p l>� ❑ Holding vol. � o� � 9+d Permit # O NA Tank Manufacturer got PARAiNCiEERS ❑ NA O Septic '13 Dom 0 Holding _ vol- Number of 8edroorns ❑ N A Effluer t Filter Manurial LO DN NA Number of ftAlk Facility Units Ef kwa Fitter !!Model PL 5 Es*MtW (sV flow L3 NA ~) pump Manufacturer Design ( flow a *etimatad x 1.5) C) C) S Application Raft Pump Model ❑ NA unit �p'r Pr etreat Surd { dkn ttEf�nt OuaRW monthly ,rage ❑ San U&vvel Fitter ❑ Pest Fir Fats. on & Grease (FOG) 530 mgn- ❑ Mechanical Aeration D We land Demand (8100 5220 men- ❑ Bioc oxygen Q Dlew"Cow ❑Other: Total Suspended Sow (TSS) 51 SO mall. Monthly average F D NA pretreated Effluent Quality Biochemical Oxygen Dernand (80D 530 men kyrt round �ad1 T S Solids (TSS) 530 mgn. ❑ �` Mound Fecal Goftfortn (gs�'� mean) SiW clullooml 0 Other; y in dia. E3 NA Maximum Effluent Particle Size D ether; t! NA •Vs typical for domest� wastewater and septic efflcrent. NANCE SCHEDULE Servos f►egd fflCY Sssar(ce Extant ( 11111 i&q 3 YOM) ❑ NA °) inspect condition of tankts} At least once OvOf every: sludge and acorn a ons- third (Y,) of tank volume D NA When com of tenk(s) ❑ When high water � is activated Pump out contents rnonih(es) ny}axknul" 3 Yawl ❑ NA At least once every: s) Inspect dispersal colds? At rrwrrdl(s) DNA At least once avert►: s) Clean effluent filter O montt►(s) D NA At least Once every: Q ) 61sp � pump, pip controls &alarm D NA O rrrar�ta) Flush laterals and pressure test At least once every: sl s) 0 NA At West once every: ❑ NA MANTENANCE the fopowmg licenses or cer tifications* fl�;gTRUC7IONS carrying errs of opera (pumper)- an individual O made by Servicing Per . inspections of tanks and dispersal cis shell POWTS d Septa identify cracks or Wumber Restricted Sewer; POWTS inspector, or broken harware. any Master Plumber; Master of the tank {s} to identify any missing of effluent an the ground Tank inspections must include for any back UP for any leaks, measure the volume of s visual sludge and scum and ue nt levels in the observation Pipes and to condition and be via"Y � to check may indicate a failing surface. The dispersal cell { shall The r'►g of effluent on the ground swface surface. requires the immediate no#fmadon of the heat regulatory autlwdW. one -third (y9) or more of the tank volume, When the combined the accumulation of sludge and stun in any treatment tank and disposed of in accordance with chapter NR 113 entire contents of the tank shell removed be r by a Septage Servicing Operator and W- rsc�in Adrranisarative Code. ed components. Pretreatrnen filt mechanical or p Ali other services, inclWwa but not limited to the servicing of effluent Fi a certified pOWTS Maintainer. units, and any servicing at intervals of 512 months, shah be Performed by f motion of any sery ice event. A service report sharM be Provided to the local regulatory Out wdW w 10 days GMW (2102 START UP AND OPERATION Page of For new „ , cornstruction, prior to use of the POWTS check treatment tank(s) for the presence of in ' Chemicals that Pa tKhg Products solvents may impede the treatment , ants or other have the contents of the tanks} removed by p sept and/or damage the son ceglsl. If high concentrations ate detected operator prior to use. System start up shall not occur when sod conditions are frozen at the infiltrative surface. During extended power Outages Pump tanks may fill move normal w ate levels. When waste � en wax is water will bed PO restored the excess d ischarged to the dispersal c�(s) in one large dose and +alhl operatirh may overload therm resu • discharge of effluent. in the or surf To avoid this Situation have the � of the pump tank removed by a Septage Servicing Operator ace to restoring power to the effluent pump or contact a Plumber or POWTS Makntainer to assist in prnp controls to restore normal levels within the pump tank. g the purrn)h Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or within 15 feet down slope of any mound or at -grade sod compact. the area Reduction or elimination of the following from the wastewater stream may improve the Performance and prolong the life of e th POWTS: antibiotics, baby wipes: cigarette butts; condoms, Cotton,sw�; degreasers; dental floss; diapers: disinfectants; fat; foundation drain (sump Pump) discharge; fruit and vegetable peelings; 915805m; gam; herbicides; meat scraps; medications, oil; Painting Products; Pte; sanitary napkins; tampons; and wade softener brine. ABANDONMENT When the POWTS falls and/or is permanently taken out of service the following steps shag be taken to insure that the system is Propefi► and safely abandoned in compliance with chapter Gomm 83.33. Wiscaim in Adrninistrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of an tanks and pits shall be removed and property disposed of by a Septege Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with SON, gravel Or another inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compiiarrt replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a system. The replacement arcs should be replacement soil absorption protected from disturbance and compaction acid should not be infriitiped upon by regtared mks from exi"ing. and proposed stucture, lot firm and walls. FA” to Protect the replacement area will result in the nab 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 tachnlology 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 SON absorption systems may be reconstructed in place following removed of the bidxnat at the M iltrative surface. Racmutructions of such systems must Comply with to nd@s in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CON IET iNSiiFRCIENT OXYGEN. DO NOT ENTER A SEPTIC. PUMP OR OTHER TREATMENT TANK UNDER AN A LETHAL GASSES AND/OR NY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DFRCIA.T OR WOSSIRLE. ADDITIONAL COMMENTS PO NTS gUA POWTS MARNTAII R Name ' CO c Name Phone o� f Phone . SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name S roe Phone Phone `] lS 3 Wo document was dratted by the staffs of the Green Lake, Marquette and Wawa County ZonkV and Sanitation agencies in compliance with inaeter Comm 83 .22(21(b)(llidl &(fl and 83.54111, (2) a tad, Wisconsin AdrminiMstive Code. ST CROIX COUNTY SEP l''IC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM owncdsuycr .� ' Gal I I Mailing Address y. l • UUJ( G� ` �a � �l r hrn rSYlr Lt3 L n Property Aft= 01 I 4il � (N«ifiutim =P kW from Plaming Dgwu m for near ) Ciiy/State k p-) ..— Parer Identification Number LEGAL M t'_uzp' ON Praperh+► Location P4 % 1., s, T-3—DN - RJ —6W, Town of Chm 6 - n Subdivision -p,�' p Lot # F . Certified Survey Asap # 7 yotume _ page # wmanty need # 7 25�9 7 / s" vohmle q a7 6s _ page # Spec house O yes ) no Lot tines Meaitifiable �g yes El no m Impaoper nse and ssaWemaxofyoar se�CSys�m c� resault bee its pMMRMM faM= too bindle aras6cs, Proparmaimananaa ca cm Q do fmcdon of g� � -Mr &M � °C mamr, if =w&d by a liceased p� �flirat yoe pw dip go syst m septic talc as a acamwo gwV i the wasto dhpasM systua. lu p wpMy owsw agrees to smbmh to St. !.rout ?.aniag Deparft mt a =Wficse f ApW by else ovmw and by a is 000dmon (�ja�crmsperc'on� Ma(l) at -She ard�posa►syA= P (#' ry). &e septic tmk i$ lei !Trees U3 lid! of amlge, Uwe, dw wd bmne sped &a shore mdmgmtDnudutlkfficPrinftwwWdispoW s�,� t6e staadards by>be of CaoaactoeandtheDeparancooafMains! State of Vi bwmsin. C ti%=tioo bees be= mad =s o be compleaod and r+euanmed m �e SL CM& C MMw T,mi$g t� wry 30 :by* dates GNATME OF �� C DATE 2 RHMAMEM MEAMON fy that aR its on !leis � arc true to fire best of my (ow) bwwlcdV- I (me) am (are) the own w(s) of he bed abovq by wkWc of a Mragty decd fccor&d in Register of Dce& Offer. 7 OF APPUCAM DA # # #N AxW k fiw=Mian that is MY result M Oesamtarypcmuf being =Voked by ib ?w...ww flr....w�.�� ' #i #tit • Include with a * Np HOdon_ a stamped wr y deed from the Regi w of Dead: office �°��'� a dopy of the fle ffmd survey map if refrw== is ua& is the'varrautyy deed U 2765P 379 789715 State Bar of Wisconsin Form 1 - 2003 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROI X CO. W Document Number Document Name THIS DEED, made between Environmental Holding Comp an_y, RECEIVED FOR RECORD LLC 03/16/2005 10:00Alt ( "Grantor," whether one or more), WARRANTY DEED and LeQue Builders, LLC EXEMPT I ( "Grantee," whether one or more). REC FEE: 11.00 TRANS FEE: 132.00 COPY FEE: Grantor, for a valuable consideration, conveys to Grantee the following CC FEE: described real estate, together with the rents, profits, fixtures and other PAGES: 1 appurtenant interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is needed, please attach addendum): Lot 25, Lundy's Preserve, Town of Richmond Recording Area Name and Return Address kt { jQ Title Orr@ Premier Group {7 X (S 706 19th eet South Hudson, Wis onsin 54016 ©Sc e at a W sIto Ro part of 026 - 1076 - 10 - 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: Roadways, Easements, and Restrictions of Record. Dated _ G - (SEAL) (SEAL) * Jeff Warren, President * William Sherman, Secretary Environmental Holding Company, LLC Environmental Holding Company, LLC (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ss, authenticated on �=�- (� C) I COUNTY ) NQr Personally came before me on A - 7 - q .. - O 5 the above -named mfr? L YL- r r I?- ✓1 TITLE: MEMBER STATE BAR OF WI S cow �`+ to me known to be the person(s) who executed the (If not, f and c owledged the same. authorized by Wis. Stat. § 706. THIS INSTRUMENT DRAFTED BY: O � WISC�� L �— Michael H. Forecki, Attorney N t ry Public, State of Wisco sin Eau Claire, Wisconsin Commission (is permanent) (expires (Signatures may be authenticated or ackno edged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1 -2003 *Type name below signatures. Attorney Michael H Forecki 3452 Oakwood Hills Pkwy Ste 1, Eau Claire WI 54701.7928 Phone: (715) 835 -3029 Fes. (715)U54112 T5091269.ZFX Title One Premier Group Produced with ZipForm"' by RE ForrnsNet, LLC 18025 Fifteen Mile Road, Clinton Township, Michigan 48035. (900) 383.9605 www.zipform.com LOT 14 S 1 L= AGM ti .4 LOT 11 LOT 6 • " "� ". \` �• LOT 12 LOT 10 ` %� ; � 7alOa s4 FLT - ..,,,."'•'........ _ sum gyp, FC LOT 13 '~••ham'^'••,, � LOT s , i A& — tags ACM I If Arj I b. LOT 24 LOT 25 " "~ /• `• �- i _ / A = an t ,01N AM •'• i aam am m L ••.. l� OT 26 -.. •�� LOT 23 p M LOT 27 ~•.•, LOT �� ` r us Aids a ft ft i ! almSL ura. i� �a LM . I i sm I. s ar smar $ we ws _ ft aWg i flu a0t1M LM OF im S89'3702'W -- -- S89�T02`W 2235.30' �t OF bE W/4 TTE! LANDS