HomeMy WebLinkAbout030-2139-08-000 eC o 'I, m 4
h c
a
N
� � I
� O I
cn
fy 3
c Z C
rn
. 0
' LL C tq
3 .2
�!
<1 c
I I
v
� � a a I
Z I Z o c N
w i
0 4 c 3
aL v V O
rn `m d 0
co Na
v I U) I,' a m CD
E N M
N C co
o z v o f U
61 Z I i Q C C N O O
Co .0- Z
c d E @ o oa' -a
N MM M
N v w C O
O
� N 4N.8 C
N N 3 i 4) O
j = 9 N > o
C 5 ' C o u ID U
Z O C !�
M :D
Z
C C I
E N
F
d
C
O f0 C .M. d �. cu
d N O
-� �ooa �cn -
a oo o
o a a a
Z
a n
•'��` o N i
U1 J U N o Z
O
N Ln 0
a ° E
O O C, T3
O m N .2 CL
'o N Q � �
CL _d Q Z in p
U 7 a�
c c E
[ Y m C o
p �° _
F� N p Cl)
d N C C N
Cl) N
v O Z C Y U)
w a d
rte• e�
a
o.m.�j m
r A c�a�il,!oaico� �
o R
WisconsiG Department ofCommerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
453349 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:
Coffey, Mike & Stace St. Joseph Townshi
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range /Map No:
0 .67 �(o rMen l 04.29.19.
TANK INFORMATION EL VATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic � _ lZdO Benchm k g2 5. 9 pct
F &+ �'(�' roz . 2 (o • o
Dosing 0 Alt. BM 1
os q� -2
Aeration Bldg. Sewer 6 YD 1
Holding
St/Ht Inlet . r -1 y. i- A
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic � � � � 1 Dt Bottom
Dosing Header /Man.
Aeration Dist. Pipe
Holding Bot. System
Final Grade /
PUMP/ PHON INFORMATION
Manufacturer errand St Cover
GP
Model Num r
TDH Lift on Loss System Head TDH t
F cemain Length Dia Dist. to Well
SOIL A ORPTION SYSTEM iD y �
RENCH Width Length r No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
D1 P2.5>D (e,o►. 3
SETBACK SYSTEM TO P/L PLDG IWELL LAKE /STREAM LEACHING Manuf urer:
INFORMATION CHAMBER OR 1 ODI r—F-U
UNIT
Type Of System: -- r Model Number: •O It
'
DISTRIBUTION SYSTEM
Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
Pip
Length Dia Length Die Spacing
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 g p L� Yes No [ l Yes C No
2 ( IE (Include ode t d , ISCr�e�Fies, persons present, etc.) Inspection #1: / • � � nspection /
Locatldn: 1169 56th St Hudson, W1 54016 ($W 1/4 NE 1/4 4 T 9N R1 W) Park Hol ow Lot Parcel No: 04.29.19.
1.) Alt BM Description = b•�
2.) Bldg sewer length = .L 0 �—
- amount of cover u • 5j
'0.3 —�j �•
3
i t
) 4%6A.Q X -140 E . � l�k�• . ro •�Ep � l
Plan revision Required? Ye No � L� - � — - - -
Use other side for additional ormaUon.
Date O , } Iepp[p+ Signature sl_ �j2�Q...
.W10 3/97) �• R i/ Jw� / /TL la's' �..U_.►��Ci fRA,ti ✓till . S
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building'Divisign
INSPECTION REPORT Sanitary Permit No:
453349 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:
Coffey, Mike & Stacey St. Joseph Townshi
CST BM Elev: Insp. BM Elev: BM Description: Section/rown /Range/Map No:
04.29.19.
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic FC.t� I � Benchmar / D 1
Dosing Alt. BM
Aeration Bldg. Sewer
Holding St/Ht Inlet . 30
TANK SETBACK INFORMATION SUHt Outlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic Dt Bottom
Dosing Header /Man.
Aeration Dist. Pipe
Holding Bot. System
PUMP /SIPHON INFORMATION Final Grade S.(,0
Manufacturer Demand St Cover ► ��
GPM
Model Number
TDH Lift Friction Loss S stem Head TDH Ft
y S,c fo 1 'tq �j'� `ifs to ►
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Man c>iurer.
INFORMATION CHAMBER OR
Type Of System: UNIT Model Number. ti
DISTRIBUTION SYSTEM
Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
Pip e(s)
Length Dia Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over 1 xx Depth of 1 xx Seeded /Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil
�,p n Yes [] No f ]Yes [�� No
C�1 VI EN,TSy, ( e clo-d_e_, screpencies, persons present, etc.) Inspection #1:� � / 1� Inspection #2: /
oca n: 1169 56th St UakuQwn (SSW 1/4 NE 1/4 4 T29U R 19W Park Hollow Lot $ P No: 04.29.19.
1.) Alt BM Description = -
2.) Bldg sewer length = ,,( + ► 3 �' ,0 . 3
amount of cover + �
_n
Fj_
Plan revision Required? DkY No
Use other side for add itiona rmation. _�
SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No.
Safety and Buildings Division County
W " isc , onsi n
201 W. Wa- Wngton Ave., P.O. Box 7162 Madison, WI 53707 - 7162 Sanitary P 't Number be filled in by Co.)
Department of Commerce (608) 266 -3151 3 3
Sanitary Permit Application State Plan I.D. Number
In accord with Comm 83.21, Win. Adm. Code, personal information you provide
may be used for secondary purposes Privacy Law, s 15.04(i)(m) Project Address (if Afrent than mailing address)
L Application Information - Please Print All Information �
I/ 09 5
Property owner's Name Parcel ik Lot N Block tk
,`k s , o / ('g�
Property owner's Mailing Address S Pro � /) 'on
S ,3 cGYL' �w Sedion�
City, State Zip Cade �t LPh,,w Number
S J Q j_� _ a o )
r , t �"�
II. Type of Bu' mg (check all that apply) T�N: E! W
Subd' " ionN MN
A r 2 Family Dwelling - Number of Bedrooms y_____ , _;,_ , ;;r _ A 171
PublidComrnuzial - Describe Use
State owned - Describe use 3 3 X 62 • $Z) city_ VilhtgeA waship of
)b Type of Permit: (Check only one bo: on line A. Complate4iiit>`&ii#apphcaW°_r
A. Aw System Replacement System Treatrxtetrt/Hohiing Tank Replacement Only Oder Modification to Existing Syskm
B. Permit Renewal Permit Revision Grange of Permit Transfer to New Let Previous Permit Number and Date Laued
Before Expiration Plumber Owner
IV. Type of POWTS System: (Check all that apply)
An -Pressurized In -Ground Mound k 24 in. of suitable soil Mound < 24 in. of suitable soil At -Grade Single Pass Sand Filter
Constructed Weiland Pressurized In Ground Holding Tank Peat Filter Aerobic Treatment Un�t� ecrr)ylating Sand Filter
Recirculating Synthetic Media Filter - g Chamber Drip Line Gmveldess Pi Other (ex in• V. DispemaVfreaftumt Area Information: i
Design Plow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sl) Dispersal Area Proposed (at) System mevati
4 gyg - 1� 19 13 5, 1,9-; Ilf-5 -3
VL Tank Info Cape «ty in Total Number Manufacturer Prefab Site SI&I F Plastic
Gallons Gallons of Units n Concrete Constructed G
New Existing
Tanks Tanks
Septic or Holding Tank o ;K
b L+tiJ
Aerobia Treatment unit
Dosing Chamber
VII. Resp onsibili ty State ment - lire andersi a respousibloty for insta llation of the POWTS shown on the attached
Plumber' Name (Print) Plumber' MPIMPRS Number Business Phone Number
Plumber's Address city, stake !'►) �� � }(./� � � �� Ile
VIII. Coun /D artment Use O!d
roved ro Sanitary Permit Fee (includes Groundwater Date Issued Agent Signature o Stamps)
� Surcharge Fee)
Owner Giv mf6r Denial Z
IX. Conditions of App easons for Disapproval
SYSTEM OWNER:
1 Septic tank, effluent filter and
dispersal cell must all be serviced LMaintalned
as per management plan provided by plumber.
2. All setback requirements must be maintained
as per applicable code /ordinances.
Attach compkk plans (to the County only) for the system ON paper not less than SM x It inches in size
l
PLOT PLAN
PROJECT Mike Co ffev ADDRESS 7753 Joliet Ave S. Cottaae Mn 55016
SW 1/4 NE 1/4S 4 /T R 19 'W TOWN St. Joseph COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 6/24/04 BEDROOM 4
CONVENTIONAL )00( IN -GR ND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 933 # of chambers 30
, BENCHMARK V.R.P. T Of 3/8" Rebar = g ' ( ASSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE O WELL *H. R. P Same as Benchmark
SYSTEM ELEVATION 93.5/93.4/93.3 3.5' below qrade
21' Property Line
A1t.B.M. top nail 20' B. M.
8" Oak Tree @ 90' � 245'
7.76' 40
Vents
45'
B -3
3% Slope 40'
3 -3' X 63' Cells
with >3' Spacing
T
30'
Well is to meet all
setbacks required by
WDNR Pro 4
Bedroom
House 270'
Plans Designed Using Property
Conventional Powts Line
Manual Version 2.0
Vent
> 6„ Standard Biodiffuser co
of Cover Leaching Chamber
with 3 1. 1 ft2 of Area
6' Long 11 "
Grade at System Elevation
34"
174' Property Line
PLOT PLAN
PROJECT Mike Coffev ADDRESS 7753 Joliet Ave S. Cottaae Mn 55016
SW 1/4 NE 1 /4S 4 /T R 19 W TOWN St. Joseph COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 6/24/04
BEDROOM 4
CONVENTIONAL XXX IN -GR ND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 933 # of chambers 30
,BENCHMARK V.R.P. Top of 3/8" Rebar g ' ASSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE O WELL *H. R. P. Same as Benchmark
SYSTEM ELEVATION 93.5/93.4/93.3 3.5' below qrade
21' Property Line
L8 "Oa�k .M. top nail 20' B. M.
Tree @ 90' B 245'
40
Vents
45'
B -3
3% Slope 40'
3 -3' X 63' Cells
with >3' Spacing
T
30'
Well is to meet all
setbacks required by
WDNR Pro 4
Bedroom
House 270'
Plans Designed Using Property
Conventional Powts Line
Manual Version 2.0
Vent
j6'Long Standard Biodiffuser
Leaching Chamber
with 3 1. 1 ft2 of Area
"
Grade at System Elevation
34"
174' Property Line
RECEIVED
1754
Wisconsin Department of Com JAN 1 6 20 ���� VALUATION REPORT Page 1 of 3
Division of Safety and Buildings 1n accordance with C m 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations
ST. GROIX COUNTY County
Attach complete site plan on not I in si . Plan must St. Crob(
include, but not limited to: vertica a onz direction and
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.
Pending from 030 - 1014 -50-000
Please print all information. Pending
tewed By Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z,Z , 2aD`�
Property Owner Property Location
Sam Miller Govt. Lot SW 1/4 NE 1/4 S 4 T 29 N R 19 W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
P.O. Box 151 8 Park Hollow
City State Zip Code Phone Number City Village ✓ Town Nearest Road
Hudson WI 1 54016 1 (715) 386 -2769 St.Joseph I River Road
✓ New Construction Use: ✓ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
Replacement Public or commercial - Describe:
Parent material Glacial outwash Flood plain elevation, if applicable na
General comments �i �S - (�
and recommendations: Install three trenches at elev. 93.50' using 30 leaching chambers. 4-
❑ Boring # Boring
✓ >116" in. Soil Pit Ground Surface elev. 99.13 ft. Depth to limiting factor App lication 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 0-4 10yr3/3 none sil 2fcr ds as 2fmc 0.5 0.8
2 4 -17 10yr4/3 none sil 2fsbk ds cs 2fm,1 c 0.5 0.8
c
q � S p 3 17 -27 10yr5/4 none sil 2msbk dsh cw 1fm 0.5 0.8
4 27 -31 7.5yr4/6 none Is 0 sg dl cw 1vf 0.7 1.2
`'1'� /� 5 31 -54 10yr4/6 none s & gr 0 sg dl gw - 0.7 1.2
6 54 -116 10yr5/6 none strat. s 0 sg dl - - 0.7 1.2 }
F 2 ] Boring # Boring ✓ Pit Ground Surface elev. 96.89 ft. Depth to limiting factor >102" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Colo Gr. Sz. Sh. `Eff#1 `Eff#2
1 0 -5 10yr3/3 none sil 2fcr ds as 2fmc 0.5 0.8
2 5 -15 10yr4/3 none sil 2fsbk ds cs 2fm,1c 0.5 0.8 (,
V�
�}b' b� 3 15 -23 1Oyr5/4 none sil 2msbk dsh cw 1fm 0.5 0.8 b
4 23 -30 7.5yr4/6 none gr Is 0 sg dl cw 1vf 0.7 1.2
5 30 -05 10yr4/6 none s 0 sg dl gw - 0.7 1.2
6 65-102 10yr5/6 none s 0 sg dl - - 0.7 1.2
'Effluent #1 = BOD 5 > 30 < 220 mg/L and SS >30 < 150 L ,-'�Effluent #2 = BOD < 30 mg/L and TSS <30 mg/L
CST Name (Please Print) Signature: CST Number
James K, Thompson L _ S> 3602
Address A.C.E. Sal & Site Evaluations Date Evaluation Conducted Telephone Number
340 Paulson Lake Lane, Osceola, WI 54020 11/132003 715- 248 -7767
ILL _ - - -- - - --
� L
t
Property Owner Sam Miller Parcel ID # Pending from 030 - 1014 -50 -000 Page 2 of 3
3] Boring # Boring
✓ Pit Ground Surface elev. 98.37 ft. Depth to limiting factor > 108" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP /
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0 10yr3 none sil 215cr ds as 2fmc 0.5 0.8 .
2 4 -14 10yr4/3 none sil 2fsbk ds cs 2fm,1c 0.5 0.8
3 14-46 10yr5/4 none sil 2msbk dsh ci 1fm 0.5 0.8 , a
4 46 -52 7.5yr4/6 none gr Is 0 sg dl cw 1vf 0.7 1.2
5 52-80 10yr4/6 none s 0 sg dl gw - 0.7 1.2
6 80 -108 10yr5/6 none s 0 sg dl - - 0.7 1.2
❑
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 GPQ
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
F-1 Boring # Boring
Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD
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.
�en fla t; I ; n 8 OcvS'e. SCA /e: /'= �'O
7 74
�! /ot Iola 1�of
• .ZS<S
3 � 3 /opP
W ✓e ctrl R /aC f"I Top cf 3 18 "reba.r
LL SSuM�d ¢!C,e= /G 0.00.
■
�.D' /00.0 "C,or7tp.ci
quo 98.0'
9G.o'
0
lei
1�
Maintenance
and Contingency Plan for a Septic System
Maintenance Plan um d once every 3 years.
1. Septic Tank is to be p Pe
2. Effluent fitter 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: insp ections pipes at the ends of
3. Once ev,3ry $ years, cells are to be inspected via t he ins P
the Celts.
4.Owner a�.rees to limit greases, garbage, and water conditioner discharge into the S
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. omm. 83
8. Discharge into system is not exceed those required as per C
S nvy Plan
If system fails, determine
cause of failure, use alternate area and install new
ested replacement area.
o p tion #2. install system at a lower elevation, by removing chambers, removing biomat,
P
and install new system.
O ipn#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 -5
Shaun Bird #226900
• ST CROIX COUNTY
IC TANK PENANCE AGREEMENT`
SEPT ;POND
0WNEgSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address
Property Addr eP
D artment for new construction)
(Verification required from Planning
Parcel Identification Number
City /State
LEGAL DESCRIPTION
1 , e�' Town of
Property Location Lot #
Subdivision , Page #
�— Volume
Certified Survey Map # 2 Page # S Z
3
S
Volume
Warranty Deed # _ .
❑ no
Lot lines identifiabl
Spec house ❑yes
remature failure to .handle wastes. Proper maintenance
SY STEM 1V( AiN7'ENANCE tics stem could result in its p r What you put into the system
Improper use and ma of your sep ears or sooner, if needed by a licensed pumpe -
ia out the septic tank every three Y e in the waste disposal system
of p umping t stn
consists P tank as a treatment g owner and by a
'on. of the septic ed b the
c an affect the function disposal system
s to submit to . Croix Zoning Department a certification form, sign
owner agree St er verifying that (1) the on -site wastewater of sludge.
The property lumber, restrietedplumber or a licensed. the septic tank is less than
masterplumber, journeymanP if necessary),
is in proper operating condition and/or (2) after insp ection and pumping
twin the private sewage disposal system with the standards
ed have read the above requirements and agree tural to main
Uwe, the
undersigned of Commerce and the Department of Na Resources, State of Zonioa� O ff� � 1 � 0
3
set forth, herein. as set by the - Dep�ment feted and returne
stating that to the St. Croix County
c s st has been maintained must be comp
septi Y
t our ep
y
day of the ea ex on date.
DAT
iG PURE OF AP C
OWNER CERTIF
N knowledge* I (we) am (are) the owner(s) of are true to ICATIO of m ( o� '
�
I (we) certify that all statements on this foty deed recorded in Register of Deeds Office. L
the p operty described above virtue of a warranty
DATE
SI NATURE OF APP De De
' that is mis- represented may result is the sanitary Permit being revoked by the Zoning P
An inf ormation
lrcation: a stamped warranty deed from the Register of Deeds office deed
** Include with this app a copy a the certified survey map if reference is made in the warranty
t J 2585 Y 092 764354 �\
a
STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH
WARRANTY DEED REGISTER OF DEEDS
• ST. CROIX CO.. WI
Document Number '..
RECEIVED FOR RECORD
This Deed, made between r a 06/01/2004 09:45AN
sin le rson WARRANTY DEED
EXEWT t
_ rancor. REC FEE: 11.00
an Michael J. Coffe and Stacey D. Coff V, — TRANS FEE: 315.00
n usband an wi e, as survivorship marit COPY FEE:
CC FEE:
Grantee. PAGES: 1
Grantor, for a valuable consideration, conveys and warrants to Grantee the following
described real estate in St. Croix County, State of Wisconsin:
- Ronxd,n� Arr ct
Name and Return Address
First Federal Capital Bank
201 South Second Street
Hudson, Wisconsin 54016
030- 1014 -50 -000
Parcel Identification Number (PIN)
This is not homestead property.
(is) (is not)
z Lot Plat of P ark Hollo in the
own of St. Joseph, St. Croix County,
Wisconsin.
Exceptions to warranties:
Subject to easements, reservations and restrictions of record.
Dated this Of
day of May 2004
(SEAL) (SEAL)
' SAM E MILLER
(SEAL) �S'�r/1..� C� ,t _ - __ - -- (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) State of Wisconsin,
ss.
Si- _ C'rni x Count . yc
authenticated this day of Personally came before me this day of
Ma _ 2004 . the above named
Sam E. Miller,
TITLE: MEMBER STATE BAR OF WISCONSIN _ to
(If not• me known to be the pepp,., -who executed the foregoing
authorized by §706.06, Wis. Stats.) instrument and acknow�@ tt sarA✓yr. "
THIS INSTRUMENT WAS DRAFTED BY
N r t
Stephen J. Dunlap r -+
Notary Pub c St
aV of'W caistril C+ '
Hudson, Wisco My comm stile expiration date:
(Signatures may be authenticated or acknowledged. Both are not
necessary.) 4 •. �' .
• Names of persons signing in any capacity must be typed or printed below their signature.
WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., inc.
FORM No. 2 - 1998 Milwaukee. was.
l
• ^ �,
N
Cd O p p Nos \ ���ti
.c I
j m Z ��� C3
to ry \n ...............
�,••
s
3 „B9,tO.00N 3� ` Z ms`s`
cn
zi
fi g' '' �, •S8 ti
cp �—
Q I � •Sin.•\ j O
r
D O
0-1 ti O o • - -- __ _
oo
D I J ^ O -- -- - - - - - - --
. A
N
14V ,
C',
'
.•' 4j J ^ O
? ^ rj
O W �� c ^ �v) 0)
;M
oe
4, o, `” � • � G � � �'� i i\ \ • ^ ,� ; to
00
O
•� Z ��� F /1/ \ V \ . ... ....... ........................
a 4Z '�� S� S01'1648 "E
m
Gi 0 �• •� ` ..... .
o ��
W
N lb
to p w co r N; J h e}
0 O
o :(6 Z N
aci h
O 3 �; O ? *9,99 ...............................
(o 3 «LF[£.SON
• p 40
II LLJ .......� 8
�-
�'
��a
-�s r � 5
g�,,,�_
���(,
,3 i�
�� � k
�
�ti