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HomeMy WebLinkAbout030-1040-80-150 0 m f a f 3 d c d vl m 3 c > > 0 3 v v' qt m m m rA ( ft ) fT r. O c d o o y o O w I chi � �� v y , o ° m' � � m ° w �• m 0.am m � C - m o w° N C N° °o' 3 3 N m 1 N n °' N °' s ` o p o� O o m m' m ° c m c °° o o D° iv h 3 a a o a 3 > >° 5 w w! N N go N N ) 7 O O 0 m C- l p m co' D v' a 0 m co ? IN a W m W s c a C o o w l c n \°o D O p l 3 O o o CD ° ° (D Z w v CL p a 0 2 °° D CO w w 3 ca mI c OI 0 00 0I a OOO�j• 3 (A (1) to o 3 ti N N o D o v G 0 z 3 cr C O 00 p ID Er 7 M m < 7 m � N f� y A OD rr O D� 7 O D O w v s+ v N m m m m o m �• cn to CD m -N v V �. a �. a N 3 3 ° CD �p 7 A Z m w w CL CL A 3 CD m 0 c c z 0 0 N m N m A A A n _ CD 7 X* a 3�, 6 a N n T m N d O � O m '' 3 < a 1 :3 m - p m c m °7 c m o a 00ao o a Zn CA I CL O Co N CL �• N Q fD (D y m - V C1 CD a m O Cl) 0 ° m CL 0 3• °_ o v — � I m (A 2 ) o m, CD ° o ti o °- w v n E �' o0 �, y o 0 ? o 0 0 b CD m oa o I F» O I to O ti A p f C) f 00 n o CL Parcel #: 030 - 1040 -80 -200 11/17/2010 04:38 PM PAGE 1 OF 1 Alt. Parcel #: 19.30.19.144B 030 - TOWN OF SAINT JOSEPH Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner MICHAEL &ANNE KRSIEAN O - KRSIEAN, MICHAEL & ANNE ' 360 144TH AVE HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 19 T30N R19W PT NW SE & NE SW; COM Block/Condo Bldg: W1/4 COR; TH S 88'E ALNG E -W LN 2453.64 FT TO POB; TH CONT S 88'E 563.92FT; TH Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) S 00'W 424.27 FT TO N LN CSM 9/2416; TH 19- 30N -19W S 84'W 15.27 FT TO WLY LN CSM; TH S 00' E ALNG WLY LN TO N LN SD CSM 33 FT; TH more Notes: Parcel History: Date Doc # Vol /Page Type 04/15/2009 893235 WD 08/28/1995 533091 1137/311 WD 2010 SUMMARY Bill M Fair Market Value: Assessed with: 0 030 - 1040 -80 -150 Valuations: Last Changed: Description Class Acres Land Improve Total State Reason Totals for 2010: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2009: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 NVisconsin SOIL EVALUATION REPORT #1564 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 4 Division of Safety and Buildings Schmitt Soil Testing, Inc. Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal referennt (B LA), direction and percent slope, scale or dimensions, north arrow, and localtftnd&tan o n est road. Parcel I.D. 0 jv- D 6' Please print all information. p Revie Dat Personal information you provide may be used for seconda s. 15.04 (1) (m)). 0Z 7 Property Owner Property Location Ness, Mark Govt. Lot NW1 /4, SE1 /4, S19, T30N, R19W Property Owner's Mailing Address qP R 3 0 2007 Lot # Block # ubd. Name or 5878 50th St. SE CSM Pending C'OI'I') P City Stat Zip ST NO{PPn er City [] Village own Nearest Road 1 4 - s - O r�►'tu Delano M 55328 St.Joseph 145Th Ave by New Congf,.hon Use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ❑ Replacement ❑ Public or commercial - scribe: 9 y6b Parent material Pitted glacial drift lood plain evation, if applicable na ft. General comments and recommendations: Area is suitable for a m ound system System elevation is 108.60 based off contour line established at 107.4 Slope is 17 %7 F-1-1 Boring # Boring f Pit Ground surface elev. 107.76 ft. Depth to limiting factor 24 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 0 -8 10yr3/3 none sl 2fsbk mfr as 2f .6 1.0 2 8 -13 10yr4/4 none scl 2fsbk mfr gw if .4 .6 3 13 -24 10yr4 /6 none grls icsbk mvfr cs - - - - -- .7 1.6 4 24 -36 7.5yr4/6 c2 d10 6 / 1 si 2msbk mfr cs - - - - -- 6 1.0 5 36 -52 10yr5 /6 c2d 10yr6 /2 Is lcsbk mvfr cs - - - - -- 4 6 10yr6 /6 3 -52" has restrictive bands of Ivfs reduces rate to .4 gpd /sgft. 2] Boring # Boring Pit Ground surface elev. 107.76 ft. Depth to limiting factor 29 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 0 -10 10yr3 /2 none sl 2fsbk mvfr as 2m,2f .6 1.0 2 10 -19 10yr4 /4 none grsl 2fsbk mfr gw if .6 1.0 3 19 -29 7.5yr4/6 none Is icsbk mvfr a ivf .7 1.6 4 29-49 10yr5 /3 m 2d5.5y6/2 scl 2fsbk mfr cs - - - - -- 4 6 5 49 -74 5yr4/4 m2d 5yr5/6 scl lmsbk mfr - -- - -- 2 3 5yr6/8 * Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L " Effluent #2 = BOD s30 mg /L and TSS -s mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt �Tyu� , 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 4/4/2007 715- 247 -2941 ssD -8330 (R-07/00) 1 Property Owner Ness, Mark Parcel ID # part of: 030 - 1040 -80 -150 Page 2 of 4 M Boring # Boring Pit Ground surface elev. 103.06 ft. Depth to limiting factor 22 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 *EPf#2 1 0 -8 10yr3 /2 none SO 2fsbk mfr as 2vf .6 .8 2 8 -14 10yr4 /4 none sicl 2fsbk mfr gw 2vf .4 .6 3 14 -22 10yr4/6 none sicl 2msbk mfr cs 2f .4 .6 4 22 -30 7.5yr4/6 m2d 5.5y8/1 sl lmsbk mfr gw - - -- .4 .3 5 30-43 7.5yr4/4 m2d 5yr6j1 5 r5 6 grlvfs imsbk mvfr gw - - - - -- .4 .6 6 43 -64 5yr4 /6 m2d 7.5yr6/1 sl Om mfi - - -- - - - - -- 2 7.5yr6/6 3 F4] Boring # El Boring Pit Ground surface elev. 106.56 ft. Depth to limiting factor 29 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-8 10yr3 /2 none sl 2fsbk mvfr as 2vf .6 1.0 2 8 -23 10yr5 /3 none sl 2fsbk mfr gw lvf .6 1.0 3 23 -29 10yr4/4 none grsl 2msbk mfr gw - -- .6 1.0 4 29-43 10yr5 /6 m2d 7.5yr6/1 7 5 6 grlfs lcsbk mfr C5 - ----- 5 1.0 5 43 -66 2.5y6/3 m2d 7.5yr6/2 sil imsbk mfr - --- - - - -- A .6 7.5y 8 Fs-1 Boring # Boring E Pit Ground surface elev. 108.16 ft. Depth to limiting factor 25 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 1 0 -8 10yr3 /2 none sl 2fsbk mfr as 2m,2f .6 1.0 2 8 -18 7.5yr4/6 none scl 2fsbk mfr cs 2vf .4 .6 3 18 -25 10yr4/6 none Ifs imsbk mvfr a ivf .5 1.0 4 25-45 10yr5/6 m2d 7.5yr6/2 fs1 lmpl mfr a - - - - -- 2 6 7.5 /6 5 45 -84 10yr6/4 m2d 7.5yr6/1 s 0 ml - - -- - - - -- .2 7.5 r6 8 s9 - 6 45 -84" has resrtrictive bands of fsl 1mpl reduces rate of horizon to .2gpd /sqft. ' 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 ([t07100) Schmitt Sol Testing, Inc. i Property Owner Ness, Mark Parcel ID # part of: 030 - 1040 -80 -150 Page 3 of 4 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. 110.86 ft. Depth to limiting factor 26 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 I -EM 1 0 -6 10yr3/2 none sl 2fsbk mfr gw 2m,2f .6 1.0 2 6 -17 10yr4 /4 none scl 2msbk mfr gw 2vf .4 .6 3 17 -26 7.5yr4/6 none sl lmsbk mfr cs lvf .4 .7 4 26 -36 2.5y6/3 m2d 7.5yr6/2 sil ifsbk mfr cs - - - -- .4c .6 7.5yr6/6 5 36 -71 5yr4/6 mXdT-5y-r-6/1 sl Om mfi - - -- - ----- .2 .6 7.5 r6 8 4 5 -84" has resrtrictive bands of fsl Impl reduces rate of horizon to .2gpd /sqft. ❑ 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/tt in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - EfW ❑ 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 - Ef#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 (8.07/00 Schmili Sol Testlng, Inc. Page 4/ of y Conducted by: Conducted For: Schmitt Soil Testing Inc. Name: Mark R Ness Thomas L Schmitt, CST 227429 Address: 5878 50th St. SE 1595 72nd St. City, State, Zip: Delano, MN 55328 New Richmond, WI. 54017 Phone: 715-247-2941 Subd.Name: NA s*Nd„ : �� -� - Lot No.. n8W ^ � � _ 1 5""1 .Z06 . 7 Legal Description: NWl /4 SE1 /4 S19 T30N R19W Backhoe pit Township, County: St. Joseph, St-Croix A Bench Mark El. 100.00' Top of 2" pvc pipe A Alternate Bench Mark EL 100.10' Top of 2" pvc pipe Slope= 17 % Contour Line El. 107.41' Contour Line Length 88' Scale 1" = 40' /y�-f� 4" � lei 0 0 � r Y l � ArcIMS Viewer Page 1 of 1 Ap jvTMTH T —� Length: Leng`i. 7154 FEET 1688 FEET g a ~ 0 t* , $ e LM TJ�T3 113tA11 g R 139C 13gp .14411 121�AU CSM VOL 1 1 PG 299 0 di �24'� Aa N"4 s �d - 'qO xe - MN - SE xv liW� 144410 g T 143A 2097M8 CSM VOL 9 PG 2496 {ea + LOA 144 139 B http: //72.21. 230. 178/ website /LRPortal /ARCIMS /MapFrame.asp ?PIN= 3/17/2007 Parcel #: 030 - 1040 -80 -200 03/12/2008 02:34 PM PAGE 1 OF 1 Alt. Parcel #: 19.30.19.144B 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - NESS, MARK R MARK R NESS 5878 50TH ST SE DELANO MN 55328 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 19 T30N R1 9W PT NW SE & NE SW; COM Block/Condo Bldg: W1/4 COR; TH S 88'E ALNG E -W LN 2453.64 FT TO POB; TH CONT S 88'E 563.92FT; TH Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) S 00'W 424.27 FT TO N LN CSM 9/2416; TH 19- 30N -19W S 84'W 15.27 FT TO WLY LN CSM; TH S 00' E ALNG WLY LN TO N LN SD CSM 33 FT; TH more... Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1137/311 WD 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 030 - 1040 -80 -150 Valuations: Last Changed: Description Class Acres Land Improve Total State Reason Totals for 2008: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2007: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 1 0.00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 515015 0 GENERAL INFORMATION 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: Ness, Mark R. I St. Joseph, Town of 030 - 1040 -80 -150 CST BM Elev: Insp. SM Elev: BM Description Section/Town /Range /Map No: q0 .1 6 2 19.30.19.144A10 TANK INFORMATION ELEVATI N DATA TYPE MANUFACTURER ► CAPACITY STATION BS HI FS ELEV. VV /D ,2 / Septic � Benchmark �D .'7 Dosing �b 1 T� � �f6 b Alt. BM Aeration / ��µCJ� v G"a Bldg. Sewer 3 Holding St/Ht Inlet Sc f 6 / -b 4" 0 14 to L TANK SETBACK INFORMATION S Outlet TANK TO WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > s 0 / Af ! �. Dt Bottom 716-31 Dosing I / Header/ n. -7 O 9� Z /4/ '12— IDD 1 Aeration Dist. Pipe -7- 2.1 9 1 a.Z.1 9 Holding Bot. System 4 9 • Z t g / .ZI Final Grade PUMP /SIPHON INFORMATION /1 Manufacturer Demand St Cover rC� 6 ( g L S 2� GPM Model Number [3N 5 Z .- TDH Lift Friction oss SystegLIjilead TDH Ft 171 7-7-61 Forcemain 71 h Dia. Dist. to Well w 2- l�t� SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 j - (_ n � SETBACK SYSTEM TO ���PPPv P/L BLDG WELL � LAKE/STREAM LEACHING Manufacturer: � INFORMATION CHAMBER OR t� tl Type Of Sit f / / uZ ! UNIT Model Number: �J L DISTRIBUTION SYSTEM Header /Manifold t Distribution x Hole Size x Hole Spacing ent to Airr. Int ` Pipes) `\ \ � rrX Length ` Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only - J: - ^ 4p Depth Over ! Depth Over xx Depth of xx Seeded /Sodded xx Mulched 'Z4 Bed /Trench Center 5 Bed/Trench Edges Topsoil \ Yes ❑ No Yes E] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / 0 Inspection #2: lo / QQ p Location: 360 144th Ave. Houlton, WI 54082 (NW 1/4 SE 1/4 1 k T30N R19W) NA Lot 1 Parcel No: 19.30.19.144A10 / - 1.) Alt BM Description = 6 z 2.) Bldg sewer length = 92. - amount of cover = �) 0 6'e Co. 6._1 11,__ � O J �'� Plan Required? - G Use other de for additional information. No - J �. - -- SBD -6710 (R.3/97) Date Insepctor's Si nature Cart. No. Johish commerce .Wi.gov Safefy and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 St. Croix ' W i sconsin Madison, WI 53707 -7162 Sanitary Permit Number (to be filled in by Co.) epartment of Commerce 51 50 15 Sanitary Permit Application State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the Na appr governmental project Address (if different than mailing address) unit is required prior to obtaining a sanitary permit. Note: Application forms for state- ed POWTS are submitted to the Department of Commerce. Personal information you provide may a us econdary p urposes in accordance with the Privacy Law, s. 15.04 1 I. Application Information — Please Print All Inf rmatR 360 144' Ave Property Owner's Name I Parcel # Mark R. Ness OCT '16 %� \ � 6 1 030-1040-80-150 Property Owner's Mailing Address T Property Location �' ST. CROIX COIN Y 2214 Merrimac Lane North I ZONING OFFICE Govt. Lot City Zi p Code Phone Number > > n'> p NW �<, SE �., section 19 Plymouth, MN 55447 (612) 810 -5423 T 30 N; R 19 W II. Type of Building (check all that apply) L # El 4 I or 2 Family Dwelling — Number of Bedrooms 1 Subdivision Name ock # ❑ Public /Commercial — Describe Use Na ❑ cit of ❑ State Owned — Describe Use / . CSM Number 1 1 V n e of ' ��( tiJ /5�-ISf- 15f- /$ 41 Vol. 9 P . 2416 '� `°�` of St. Joseph S , III. Type of Permit: (Check onl ne box on line A. Complete line B if applicable) A' ❑ New System Re lacement System y p y ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System (explain) B• 11 Permit Renewal El Permit Revision El Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner VA PI L�. IV. Type of POWTS System /Component/Device: Check all that appl Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: 60 Infiltrator "Q4 W" chambers @ 20.0 sq.ft EISA / chamber + 4 pair end caps @ 5.8 EISA = 1223.20 sq. ft. Four (4) distribution trenches proposed with 15 chambers per trench. Design Flow (gpd) Design Soil Application Rate(gpdsi) Dispersal Area Required (sf) Disper al Area osed (sf) System Elevation 600 gpd � Soil soil 1,200.00 sq. ft. 1, sq. ft. 95.00' & 98.00' VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units ti - New Tanks Existing Tanks r rf ` a U vz U v� w t7 Gs, Septic or Holding Tank 1,200 1,200 1 Wieser doncrete X Dosing Chamber 800 800 1 1 Combination ST/PC X VII. Responsibility Statement- I, the and rsigned, ass me responsibilityfgpinstallation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumb e s Signa MP/MPRS Number Business Phone Number James K. Thompson s---- 30021 715) 248 -7767 Plumber's Address (Street, City, State, Zip Code 340 Paulson Lake Lane, Osceola, WI 54020 -5413 VIII. Coun /De artment Use Onl Approved Disapprove P $ ermit Fee Date Is ued Issuing ent Sign e oc tS Dg ' ner Given Reason man �V O ' � � 7 / on IX. Condit t%"VWq /Reasons for Disapproval L - � , Q a 4 1. Septic tank, effluent filter and 3) 01 ✓ U ( a+ t dispersal cell must all be ser0ces-1 mak G O as per management plan provided by plumber. 2. All setback requirements must be maintained as ` Bode / ordi nances. Attach to complete plans for the system and submit to the County only on paper not less than 8 12 a 11 inches in size SBD -6398 (R. 01/07) Valid thru 01/09 � 4 �y A exi.T &T g raA 2l Pi! 5 Ca le. Y) EX, s &� 0 4uJ YSt 5eyl St 460droc ft - — Ey %sue R. /9cc) Tn. oP5£. Jvse,4X �c s. dance w c.1/ 6 6. & ")/ �s /° c-/ It • fS. E/c N, A� � cap 6 x3el s r. / Irywch , ro 6-e a ab l �a Ga`��8�/'r► PI'o posed d ;s�persa /Ce /% Fei,v (y) S� iQ. � T. rl• �n�; /� �nr' G{s..� bu',S� f/'� -nG/i EItNoF�PP.�. tpP /asr1� \o �' �r• e s = 9 co y � 7 0 -lFk _ Op t CaJI ✓a.�t ? 2 "sc (.'EO 0 C. c 10 - 04 0,esw(?one. /Aeloco "y Q ccmb.:,at s.T110e_ c.�/fb /Y�eKA-SZS 114 -176r F 1 6fl - c f6 d W4Vr SrF - -/V.l . :� o _ a t d ;.tc�i�C- 4 7 off' 44x' ✓, e. Ile r -- ECOPY e s so, cda/aa 'y A EXis 6T 9 rlaA 5C'a f� gyp,- ,l- i7ess�o�o�w�y, Q 3G0 n X06/ Gsi►� ✓o% 9, � z5� /6, 414Y sEYy, Scc 66. crozx /0 C✓ v= ba�nnefa _40.79' � 97 �. rd � EX.3fi S.T, � d�ywt//. To C I� — a 6s.��4o 7 a,5 ,otr Code- D Msc. w ran Ga .•,nSS/8,rn Pro posedd ;,s,persa /Cep% F o u,(y) �., �, /•d'h 6� cif s,n bsr,S / tr'• -n�i i 8. e 10% ��� ��6.3 h1 .e �onctrtwn �\ 6'fi `. P,-oposed Cone. /,2c0 /oco j f 182. c '• �� curib;naiFrar, s T /,4C. z/ A/ A o,<A s \ ` eff /u�6 F.' /ftr 416 s.T. owt /mot d ` Slnt/rcct STF - -�.f e,ScYas..•�pk.�ria � • `�� C I ' Wisconsin Department of Commerce IL EVALUATI r Page 1 of 3 Division of Safety and Buildings rdance with Comm , Wis. A Co Attach complete site plan on paper no" es an 8 '2 11 i sin size. Ian must St. Croix Include but not limited to: vertical and horizo refere intffl3K, irection and �!;,� Par I I.D. U30- 1040 - -150 Percent slope, scale or dimensions, north arrow, M re to arest �d Please print all inform 'on z p GO UN - y Re ewed a Date o� �d Personal information you provide may be used for secondary purpose vacy Law, s. 15.04 FACE ! Gd D Property Owner Property Location ion Ech e �/ Govt. L NW y, SE Y. S 19 T 3 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 360 144' Ave �j� , � y/ (�, 2 S City State Zip Code Phone ❑ City ❑ Village ® Town' Nearest Road Houlton WI 54082 715 -549 -6394 St, Joseph Co. Hwy. V ❑ New Construction Use: ® Residential / Number of Bedrooms 4 Code derived design flow rate 600 GPD 0 Replacement ❑ Public or Commercial — Describe: Llrvh.c Gr! dA ' h U Parent Material Glacial till/Outwash Flood Plain elevation if applicable NA ft. General comments and recommendations: Recommended loading Rate: 0.5 GPD /sa. ft . Recommended elevation of infiltration surface (T g Boring # ❑Borin ® pit Ground Surface Elevation 100.00 ft. Depth to Limiting factor >103 in. Soil AoDlication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *F-ff#1 *Eff#2 1 0-4 10YR2/2 None SL 2 -f -gr mvfr CS 3f -m 0.6 1.0 2 4 -12 10YR3/3 None GRVSL 1 -f -sbk mfr gs 2m 0.4 0.7 3 12 -36 7.5YR4/4 None GRVSL 2 -m -sbk mfr gs if 0.6 1.0 4 36 -52 7.5YR4/4 None GRLFS 0 - mfr CS 1f 0.5 1.0 5 52 -103+ 10YR4/4 None S 0 -sg ml - 0.7 1.6 ❑Boring 2 Boring # apit Ground Surface Elevation 100.0 ft. Depth to Limiting factor > 102 Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 1 0-6 10YR2/2 None LS 0 -sg dl Cs 2m 0.7 1.6 2 6 -37 7.5YR4/4 None GRVM&CS 0 -sg dl cw if 0.5 0.5 3 37 -54 7.5YR4/4 None GRFS 0 -sg dl cw if 0.5 1.0 4 54 - 102+ 10YR4/4 None S 0 -sg dl - 1co 0.7 1.6 Ir * Effluent # I = BOD,> 30!5 220 mg/L and TSS > 30!5 150 mg/L * Effluent #2 = BOD 5 30 mg/L and TSS <_ 30 mg/L CST Name (Please Print) S CST Number Mar Iverson 46672 Address Date Evaluation Conducted Telephone Number P.O. Box 155 Hammond, WI 54015 September 21, 2005 715- 796 -5664 e of Property Owner Jon Echternacht 13 Boring 1 ID# 030-1040-80-150 P ag 2 3 Boring a Boring # OPit Ground Surface Elevation 103.7 ft. Depth to Limiting factor >105 in. Soil Aoolication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10YR3/2 None LS 0 -sg Mfr Cs 2m 0.7 1.6 2 6 -13 7.5YR4/4 None SL 1 -m -sbk Mfr Gs 1m 0.4 0.7 3 13 -30 7.5YR4/4 None GRS 0 -sg MI Gw 1M 0.7 1.6 4 30-43 7.5YR4/4 None GRLFS 0 -sg MI Gw 1M 0.5 1.0 5 43 -96 7.5YR4/4 None GRLFS 0 -m Mfr Gw - 0.5 1.0 6 96 -105+ 10YR4/4 None GRS 0 -sg ml - - 0.7 1.6 It ,I , ❑ Boring ❑ Boring # EIPit Ground Surface Elevation ft. Depth to Limiting factor in. S oil Molication 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 F] ❑ Boring Boring # OPit Ground Surface Elevation ft. Depth to Limiting factor in. S oil Aoolication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef1#1 *Eff#2 • Effluent #I = BOD > 30:5 220 mg/L and TSS > 30:5 150 mg/L ' Effluent #2 = BOD 5 30 mg/L and TSS S 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. Page 3 of 1 oft. 24 ft. ao ft. 80 ft. N Site Location a 0 House Sect on 19 Ave X Ground elevation at house = 85.4' I ST shed Fence BM#1 - Top of 3 /4 "PV Pi 100.0' 1 • 100. 03. -701 �0. T0 5r •O• 70 20. aP`�GP QO 98 O The proposed system area is located in the woods The property lines are greater than 100 feet the boring locations BM# &Descriptio = k h M Boring Bench B " - Location Elevation w =Well Elevation B 100' g & El ti O Owner: Jon Echternacht Site Information: Completed By: Mark Iverson, PSS #197 360 144th Ave NW 1/4, SE 1/4, S19, T30N, R19W 680 Larcom Street Houlton, WI 54082 Town of St. Joeseph Hammond, WI 54015 St. Croix County 715 -796 -5664 Phone: 715 -549 -6394 CST# 46672 Parcel #: 030 - 1040 -80 -150 t) 0 05/10/2007 04:22 PM PAGE 1 OF 1 Alt. Parcel #: 19.30.19.144A -10 030 - TOWN OF SAINT JOSEPH Current X ST, CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - NESS, MARK R MARK R NESS 5878 50TH ST SE DELANO MN 55328 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 360 144TH AVE SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 25.630 Plat: N/A -NOT AVAILABLE SEC 19 T30N R19W PT NW SE & NE SW BEING Block/Condo Bldg: LOT 1 OF CSM 9/2416 10.00 ACRES ALSO A PARCEL DESC AS COM E1/4 COR SEC 19; TH N Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 88 DEG W 1723.62' POB; TH N 88 DEG W 19- 30N -19W 386.83'; TH S 00 DEG W 424.27'; TH N 84 DEG E 388.77'; TH N 00 DEG E 377.21' POB more Notes: Parcel History: Date Doc # Vol /Page Type 01/02/2004 750532 2484/44 WD 07/23/1997 1214/90 WD 07/23/1997 1062/23 WD 07/23/1997 920/459 2007 SUMMARY Bill M Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/1612007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.000 121,000 122,400 243,400 NO AGRICULTURAL G4 15.630 3,100 0 3,100 NO Totals for 2007: General Property 25.630 124,100 122,400 246,500 Woodland 0.000 0 0 Totals for 2006: General Property 25.630 124,000 122,400 246,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Ness 4 bedroom Dose Conventional Pump Chamber Calculations 1. Force Main: Diameter 2" Length 220' Flow rate 30.00 gal. /min.+ Friction loss 4.27' (220')1.94 ft. /100ft.) = 4.27 ft. 2. Total dynamic head: Min. supply pressure 0.00' Vertical lift 24.00' friction loss 4.27' Total dynamic head = 28.27' 3. Pump selection: Pump will discharge approx. 27.5 gpm at 2.81 ft. /second @ 28.27' TDH Manufacturer: Zoeller Model number: BN 152 4. Dose chamber: Manufacturer & capacity: Wieser WLP1200 /800 MR Comb. ST/PC 36.00" A 22.24 gal. /inch (800.64 gal. actual) A) One day holding capacity: 19.00" = 422.56 gal. B) Alarm setting: 2.00" = 44.48 gal. C) Dose volume: 6.00" = 133.44 g (600gal.)(20% Design flow) + (.164)(220') = 156.08 gal. Max. Dose D) Reserve storage: 9.00" = 200.16 gal. TOTAL 36.00" = 800.64 gal. Dose Tank Information locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and - 10 Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented E--- Alternate outlet location Forcemain diameter Wieser W1250/75OMF Manufacturer 2 in. Capacityl 800.64 Gallons Volume 22.24 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 19.00 422.62 B 2.00 44.48 C P� ump off elevation (ft) C 6.00 133.38 1 76.25 D 9.001 200.16 D Total 36.001 800.64 iF- Dose tank elevation (ft) Y Bedding uncler tank. 75.50 Alarm Manuafacturer I LevelArm -� Alarm Model Number rDL �- Pump Manufacturer jZoell __ Pump Model Number I BN152- N PUMP PERFORMANCE CURVE MODEL 151/152/153 TOTAL DYNAMIC HEAD /FLOW eo PER MINUTE 14 5- 153 EFFLUENT AND DEWATERING ,z 40 ° MODEL 151 152 153 9 35 = 10 152 Feet Meters Gal. Liters Gal. Liters Gel. Liens L) 30 5 1.5 50 189 69 261 77 291 7-5. 10 3.0 45 170 61 231 70 285 8 151 15 4.6 38 144 53 201 81 231 s 20 6.1 29 110 44 167 1 52 197 5 25 7.6 18 81 34 129 1 42 159 t5 30 9.1 - 23 87 1 33 125 4 35 10.7 22 85 10 40 12.2 11 42 2 Shut-off Head: 30 ft. (9.1m) 38 ft. (11.8m) 44 9. (13.4m) - 41 in 4- 5 0145098 0 10 20 30 40 dD 60 80 90 1 GAl1.ONS LffFR3 0 10 8p tll0 150 2 3 �zso �P.o. a t� &-f 5�4 Model 151 Models 1521153 CONSULT FACTORY FOR SPECIAL APPLICATIONS 67/U 91H 9716 1516 3 27132 I • Tuned dosing panels available. • Electrical altemators, for duplex systems, are available and supplied with an alarm. 3718 327132 • Variable level control switches are available for controlling ® 4 � 4 3 716 327/32 single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed QWk -Box available for outdoor installations. See FM1420. • Over 130`F. (54•C.) special quotation required. 1511152/153 Series 11 + v+e 1214 151H521153 MODELS Control selection Model Vdts-Ph Node Amps simplex Duplex s Ire N151 115 1 Non 6.0 1 2or 3 434 4 11 1 8N151 115 1 to 6.0 Included 2 or 3 E151 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 3.2 Included 2 a 3 SK2444 SK2061 N152 115 1 Non 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 a 3 N153 115 1 Non 10.5 1 2 a 3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 230 t Non 5.3 t 2or3 SELECTION GUIDE BE153 30 1 to 5.3 Included 2 a 3 1. Single piggyback variable level float switch or double piggyback variable level float A CAUTION 71 switch. Refer to FMO477. All installation of controls, protection devices and wiring should be done by a qualified 2. See FM0712 for correct model of Electrical Alternator E-Pak. licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). 3. Variable level control switch 10-0225 used as a control activator, Specify duplex (3) or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO P0. BOX 16347 -- -- - - - - - -- �ir lir\ir'�/Vo oulsvilla. 49 C Ky 40258-0347 SHIP T0: 38ane Run Road Manufacturers ol. . Loulsvl8e, KY 40211 -1961 rLW/TY Pl WS SNCE INN , L htlp:1Avww.zoellereom PuMp �0 (502) 7782731. 1(800) 928 PUMP FAX (50 7 74 362 © Copyright 2004 Zoeller Co. All rights reserved. Dose Conventional POWTS Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD- 10567 -P (R.6/99). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every two years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is not recommended. Soil compaction may hinder aeration of the infiltrative surface within the system and will promote frost penetration during cold weather months. Cold weather installations (October - February) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Contineency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by removing biologically clogged adsorption and dispersal media and replacing said components as deemed necessary or by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to Jim Thompson at (715) 248 -7767 or your County Zoning inspector. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ro — Mailing Address a0 f M E/Zl 1 fv\ A C—'- �A) ' `' ' / " Property Address . (Verification required from Planning & Zoning Department for new constructio .) S > City /State Parcel Identification Number C00' 1 LEGAL DESCRIPTION Property Location I7 4 - ' '/a , '/a , Sec. d_, T JO N R 19 W. Town of Subdivision , Lot # Certified Survey Map # Volume , Page # a7 Warranty Deed # ��� , Volume , Page # Spec house Lot lines identifiable yes SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification 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 Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed 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 virtue o a warranty deed recorded in Register of Deeds Office. Num er of bedrooms .�-- -..._. /d /1V / 0$ SIGNATURE OF APPLICANTS) DATE ** *Any information that is misrepresented 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. 08/05) • �'�''` r te. 4'74862 S H Bearings are referenced to the east — west .:._ ► 0 qp 1/4 line of Section 19, assumed to bear �! o S88 rt '• W N x .- ... N a t-1 f0 O tv d n N C N O y rC A F C Oi (D O m c ' m' Ct W r- rr oY ,� Nest line of the NE} of the SWJ of Section 19 :3 O' t = S00 to D n o v � .P . > 499.62' ,., H W • �n 'r H W K �, .. o rt w ly��yw/��� � I-- rr r .. ^P P R OCT 2 1 1991 0 I o dr Cl OI>. �.OUN7Y = I m 1 -A A ' O ONIpNEi IfiV"1 f> a I I rte rtf?i:S PtJ{{yryn1VC; a • RNp 7_C)tvt O N CO ^N'AITiFF :3 f�Tl UNPLATTED LAN 13> tIj M CA N00 458.47' —— _— ` 1�1, 0 — 425.47 line of t 33.00' I C a ° ;1r '7 p. vs Nest f(n s % / C NN} of the SE} :� I I +� St,,.......,. e;l / r 710 rt !T7 ri' 1 0 --G rt � cyo CL m a. I C BOO o» Ct I f-` m ti v' v v o I "t7 0 •$s m O (D o m 4 in r� F o :3 z tzj :501 n�c •Zf J J f �;.. �.' ` 1'�. f w• i 'n q Q : I I I -- I f' L7 x r� 1f>I 'r „x „ r. 1 1 11 Ca M 1 CJ n 33.00' I i s i c i { J n!-+ U) tt Cn O (D 1 7 C : ltl Q 1 12, i I C7 dt' c ►O � a o .� 1C!) - r Ip O 'c t r o � 0o t •sJ� LJ ' W I!V S00 0 02 1 12 11 W 305.00 11'1 ^1 nYT�D I n Aln <-' N 1 O o .o 0 o Vol. 9 Page 2416 "�.� V 2 4 8 4 P 0 4 4 _7s12) 1_5z32 1 STATE BAR OF WISCONSIN FORM 1 - 1996 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO.. WI Document Number RECEIVED FOR RECORD This 7ee made.between Edward L. Frawley and 01/02/2004 10:00AN Joyce raw ey, A co rus ees o e WARRANTY DEED Edward L. an J oyce K. F rawley Living Trust EXEMPT # 17 _d_at No 16 - —, Grantor, REC FEE: 13.00 and TRANS FEE: Mark R. Ness, a single persons COPY FEE: CC FEE: - _ - -- — -- PAGES: 2 ------- Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County. State of Wisconsin (the "Property"): 2e �;o�cbn�a ntv See legal description attached hereto. Name and Return Address 11 (( P, v This Deed is given in full satisfaction of that Land Contract dated December 31, 2002, recorded December 31, 2002 in Volume 2097, Page 358 as Document No. 704252. 030- 1039 -95 -000 Parcel Identification Number (PIN) This A n 0 t _ homestead property. (is not) Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except C n Dated this I V day of e- M S I w (SEAL) (SEAL) . EDWARD L. FRAWLEY, Co- Truste JOYCE K. FRAWLEY, Co- Trustee (SEAL) (SEAL) / A ` UTHENTICATION ACKNOWLEDGMENT Signature(s) elT' State of Wisconsin, Fwd Soy } =5. 4 A;_ County . authe„ nticated this day of l eG �/` , �� — Personally came before me this day of / /��•} / � n l �! lfZ�i/i7� ,, // r the above named TITLE: MEMBER STATE BAR OF WISCONSIN to (If not, ____ me known to be the person who executed the foregoing authorized by §706.06, Wis. Stats.) Instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY _Cha rles B. Harris, D oar, Dri & Skow . — - - - -- - -- - -- — Notary Public, State of Wisconsin Bal dwin . WI _ ' 54002 My commission is permanent. (If not, state expiration date: (Slgnatures may be authenticated or acknowledged. Both are not __ ) necessary.) — — — 'Names o! persons signing In atty capacity must be typed or printed below their slgrwntre. STATE BAR OF WISCONSIN Wisconsin Lega Blank Co_ Inc. WARRANTY DEED FORM No. 1 - 1998 �Milweukee. Wis.