HomeMy WebLinkAbout030-1054-95-000 0 � 0 a* 0 0) 0 m
a v ;'►
ID m m U 1
to O
F z o (A) O to E A 0 C/) N) O
.
O O y 0 s :a `G 01 y a) :r I ' , w w `C
D coo _ is ° -, CD CT) cu 0
a Ch
C 7 N (D a N ? D fo Ul
Co n 7 7 cn C1 7
(D CD (D C7 O O
O (D K _{ Cb Cn � O
p _ C. O Q N O r p
J tc cc ^; l�
O O
y cn ? . C A O ."S.
C W 1 1 y Cl) m CD
A'. y N a Q IQ A D a s .fir
a CD (� C
CD
CD = o
w rn C , o o
.. N A o O Z N ONO 0
0 71
co m CD --I o o - - } I '' n r co
CD co co y Cfl 00 N• y CD .4, p N, O
= Z .+ T
Z ll
M 0 a I� a
O O O O O O �.
A Z !rl
0
cn c"
= N N N 3 . 6 fn y y 3
c CD
C7 c
1
N 3 °' 0 o
A
a o y
- z -4
Z - 1 z ° Z Z O
D cD 0
:3 ? n
0
m I m ° CD o 'D •
a y
(n cn Q y
CD C CD
C N
C
@ O C- W (D A a
3 m d 3 7 _
CD CD
o
Z m
o o p
vi r f
�
CL sv a O
p n
3 i
W W � ! 0 0 W W
o a O ` z
3 0 3
o — o r:
3 r. � N �
'o 'a
'O
Cl) p A N
O N
_ N
S O (� C Q CD iS C" 7 0 0 N 0 C a CD
y N `< a .�-. O C O C D 3- 3 3 3 O. K 0 =C 60
CD a CO O T CD C a' ro v N d O . (D M T
CA ] 'O 7 7 0 fD O a N C
m m z o v C a� z G
=^tea o a 3 m 3 N.m o 0 0 'I,
CD a y CD n CD
CL
0 3 Cl) CD z
O 0 3 y O 0)
O N 3 a m y c b
3 O CD = N _
O 3 !n :E CD .: y a
m• N
°a m d 8 ?`• S . o(a Cr a
m -4 � C CD F O
o arow
N d N cc 3 o N (D N
v co n 'O O_ CD p
y B O O O D
0' CD o O i
o 9 w w CD =
N CD
CD Qp y O CD
O N
= C6 J, 'O CD S CD CD O
CO
3
v C) CD ( a
CL O y ? �.
b
CD ro pp w
tv
as O to O
o m o ro
O
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix
Safety-and Buildin'� Division `,
INSPECTION REPORT Sanitary Permit No: 463165 0
GENERALJNFOAMATION (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:
Ohmann, Clyde I St. Joseph Township 030 - 1054 -95 -000
CST BM Elev: Insp. BM Elev: BM Description: Fa Section/Town /Range/Map No:
166 1 1M k C t a 23.30.19.198L
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic N Benchmark
E�� r- 3.�� ro3.l ��
Dosing ` 7 5� Alt. BM L,1 C / 4 - 9 Z
t..1 e, `i
Aeration /) /o Bldg. Sewer
Holding St/Ht Inlet
TANK SETBACK INFORMATION St/Ht Outlet 4 ?. iZ c 3 - )1
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet T
Sept' O Z , i i Dt Bottom \
D� �' / ` / Header /Man. Q � S 93.5
Aeration Dist, Pipe '
Holding Bot. System
a
PUMP /SIPHON INFORMATION Final Grade . 7 3
Manufacturer Demand St Cover
GPM E, �Y, n 4 •46 IV- 2-7
M Number I d
TDH Li Friction Loss System TDH Ft
Tz II•i5 �Z�b I
Forcemain Length Dia. Dist. to Well ; l' �� �� 1 S
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length I No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3 3 —�
SETBACK SYSTEM TO l P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION I CHAMBER OR
Type Of System: ti 5D i i �� UNIT Model Number:
/l C� 6 �i
DISTRIBUTION SYSTEM 7-1 C
Header /Manifold IDistribution x Hole Size x Hole Spacing Vent to Air Intake
Pipes) \ ` \ h-l\ LV
L ` Length Dia Spacing \ � Q �
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 / _ ` 2 "1 Bed/Trench Edges Topsoil I N N,, Yes E] No Yes [: No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2:
Location: 1430 Hidden Oak Trail New Richmond, WI 54017 (NE 1/4 SE 1/4 23 T30 R19W) NA Lot Go / v. 2 Parcel No: 23.30.19.198L
1.) Alt BM Description = U` c �, v` 5 4
2.) Bldg sewer length
- amount of cover =
n�
Plan revision Required? Yes KNo 1\ F / 3 Gf
Use other side for additional information. L _ — l0
Date Insepctor ignat Cart. No.
SBD -6710 (R.3/97)
i
ST. CROIX COUNTY ZONING DEPARTMENT
AS BUILT SANITARY REPORT
Owner C k C e, 0 V Ulbricht & Associates
^.ddi-, - 1�t3 �}�mc tanta
n,&W_ �2 Private Sewage Consul Lift City /State AJFw Ruij�nn0Aj N 5 D!-_ 2812 10th Ave.
Spring Valley, WI 54767
Legal Description:
Lot AJL Block _�,_ Subdivision/CSM # _ft1p p-r5 16- pJov�pS
'/" SW 'A _;ML Sec. 2a, T30 N -RAW, Town of ST.Zc�g� r�t�. PIN # 03o- IoTy -9S ooe
SEPTIC; TANK -- DOSE CHAMBEIt — FOLDING TANK INFORMATION:
Aj Tank manufacturer VJt - Size ST/PC 76 D/-- Setback from: House Well PIL76
Pump manufacturer Model � —
Alartn location
(rtOLDJN NKS ONLY)
Setbacks: Service r Water Line
Meter location
A[ar lon
SOIL ABSORI - TION SYSTEM:
V l(sn- F_
Type of system: jDO:: - p Width Length 2? of Trenches 2 1
Setback from: House 5P_ Well A 0 1 -0 P/L q Vent to fresh air intake
ELEVATIONS:
Description of benchmark Tots o � E x�ST ►� T er, k w r) Elevatio /00.00
Description of alternate benclunark ToA crF w211 _ Elevation q9. (W
Building Sewer STAIT Inlet 615'11 ST Outlet S• y`7 PC Inle -1_
PC Bottom _ I 015-ot Top of ST/PC Manhole Cover
Distribution Lines 6) 9 q . 3 ( ) Q y • CQ 8 �) 9 �-(• b 8 -
Bottom of System (g) 3
Final Grade ( ) `(7U • t,� ( ) ( }
Date of installation Permit number - qLQ"3 1 (05" State plan number
A-
I'lumber's signature License number ZZ `7 `��
3 D ate / I
Inspector A. �A
Ulbricht & Associates Cor►grkte plat pier
Private Se wanp f.nncidtantc
ke r
Q
x ,
z�G- 575
S � z NL -�
E x=sr- N CB
�ouSE _
f jw.L v A
o °IS
s'
lU
Irv) 0
VALUf
A � ar 5. 2-
9y -bs
Ulbricht & Associates a 3 C1
Private Sewage Consultants ToQ p 9 � s3
2812 loth Ave. ,��
Spring Valley, WI 54767
L Syske� Sys�e�•,
� S POWT SYSTEM SHALL S3
INCORPORATE PER COMM.
83.44(2)c A PROPER ZABEL
FILTER MODEL # �1 _ oz
� X39`
E
i
i
XT STT N <-" T iU W, A4 '' (( •.
• tt•
cp VI-
hC
E' N a 0:n.. Ulbri & Associate
Private Sewage CoW tggft
2812 101h Ave,
Safety and Buildings Division County ST
201 W. Washington Av P.O. Box 7162
is Madison, WI 5 7 - Sanitary Permit Number (to be filled in by Co.)
consin
Department of Commerce n ( 8> 2 3151 CEO 3
Sari Pe A io H D. Number
3' Off. T 2 b
In accord with Comm 83.21. Wis. Adm. Code, personal informatio you provide 1Q
may be used for secondary purposes Privacy Law, s15. )(m) ST. CRO /X C ` 0 Address (if different than mailing address) I. Application Information - Please Print All Information
OFF /CE 3D • f� s �/� 9 • �
Property Owner's Na me Parcel # J Lot B Block #
Property Owner's M ailing Address Property Location Ail n o
W 2 3
City, State Zip Code P�thone /Number Q r Q�)
J��� � .,� sc /l� ` �U � � , 30 N. R I9 (c ircle W , �1�0/C.►
H. Type of Building (check all that apply) !�
9 1 or 2 Family Dwelling - Number of Bedrooms oS Subdi 3 CS her
❑ Public/Commercial - Describe Use 0 3'X
❑ State Owned - Describe Use 3 1) 1 5! %. CW Lij ❑City_ ❑Village RlTownship of
- S T.
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A ' ❑ New System p g Rep Y
Repl acement System ❑ Treatment/Holdin Tank Rep Onl � Other Modification to Existing System
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Plumber Owner
IV. Type of POWTS stem: (Check all that a I )
9 Non Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter
❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter
❑ Recirculating Synthetic Media Filter Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain)
V. Dis rn!gmatment Area Information.
Design Flow (gpd) Design Soil Applica n Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation n
-5 1 /a.o 1 12-2-0,1 F3.0
VI. Tank Info Capacity in Number Manufacturer Prefab Site Steel -Fiber Plastic
Gallons of Units Concrete Constructed Glass
New Existing
Tanks Tanks
Septic or Holding Tank 7 Q 6 t 2
Aerobic Treatment Unit f 4,A4f • L
Dosing Chamber 4 _ io 66 �
VII. Responsibility Statement- I, the undersigned, assume responsibility for installationn of the POWTS shown on the attached plans.
Plumber's Na me (Print) Plumber's Si gnature MP /MPRS Number Business Phone Number
lr zz 3 ?�S•77.1
Plumber Ae ss (Saw, C Stag Zip Code) �� (r- �rj ZVI/ • S 7 7 Ce
VIII. oun /De artmentt Use Onl
/',r/ "' `
Approved El Disapproved Sanitary Permit Fee q ncl ides Groundwater Date Issued Issuing A Si gna o Stamps)
Surcharge Fee)
❑ Owner Given Reason for Denial�� 2 a
IX. Conditions of Approval/Reasons for Disapproval
STEM OWNER:
1 eptic tank, effluent filter and " C
dispersal cell must all be serviced / maintained is (/Iti 3 fZD
O
as per management plan provided b �� �//� o � /
All se ac requirements must be maintained / a
as per applicable code /ordinances., ,
Attach omplete plans (to the Co ty or the not 1 than gl/2 x 11 inches in size
SBD -6398 (R. 01/03)
A
1
r
THIS POWT SYSTEM SHALL
INCORPORATE PER COMM.
83.44(2)c A PROPER ZABEL
0 FILTER MODEL * I f — /z5o
/a .I / �,,
s
n "
r
� o
_
1
i I e) 10 lal
C Z G I I 1 1 ( i l
•� � - � I 1 1 1 1 1 I {�
v '
V\ -A% i It
I _
rn
1 v
l� I
Q O I \A
1 I c! 101 1
Irp lot)
S
1 1 0
1
r �
ULBRICHT & ASSOCIATES CO.
2812 10fh Ave. • Spring Valley, WI 54767 Reg. Designees of Engineering Systems
715- 772 -3442 Prmte Sewage CoasWtar►ts
PROJECT INDEX C?! 2 6 P
PLAN ID # N /}�— DATE 2- O D
OWNER CLyQe ohm lo ./V PHONE
ADDRESS IL13 0 f f �Ol��� vf} X 7�e• 1 �p
LEGAL DESCRIPTION /U A4,0.V17 4,1 S VOI �
Gov r Gvf '1-, 5w , 5 mac'. 13 , - 3 OA) R f w
i
TOWN OF ITO r ee ory,
COUNTY
CSTM " l j`1/N /ui� �s�� 2- Z -7 317
-LOCAL AUTHORITY/ SUPERVISION ST � ie0j X �7kY. 70,v I A3
PROJECT DESCRIPTION:
i
ae 4u i Soi f
y4of ,
Uibricht & Associates
R li • �� • Private Sewage Consultants
2812 10th Ave,
Spring Valley, W1 54767
M P Qs z1(e3 - 7 s
P!•I INFILTRATOR SIZING WORKSHEET
P9•2 SYSTEM PLOT PLAN
Pg.3 CROSS SECTION OF SYSTEM, WITH ELEVATIONS.
P9 .' " /
is n n n ��
P9.5 OWNER MANAGEMENT PLANS & ZABEL FILTER SPECS
P9.6 (OPTIONAL) CROSS SECTION AND SPECS FOR DOSING TANK.
PG•7 (OPTIONAL) PUMP PERFORMANCE SPECS.
The atta ched Pions a nd specifications are
Absorption Component Manua based on "I
reatment Systems I For Private Onsite / round
Wa
• (Version 2.0) SBD- 1075_p(NOI otewter
I.
r
THIS POW SYSTEM SHALL
INCORPORATE PER COMM.
c 83.44(2)c A PROPER ZABEL
_O FILTER MODEL # / I — /bp
,
s
I
i
�CZ,� Iii t tv, I I I I
�� i � I , 1 1 � 1 �• 1
i
5 V\ I ; I i ► iti, j I I i-�
Ln
el � l ei
PS
Qt
}
,��f`�/f1 T y '�4v�G l�iP• U,� E4 sE-Ye v l r-
i
rN ►,;
t
t�
A
�A
C� El
ZI
co
cr
CD
F O
r
m
z
z � �
o�
a�
O
k " N
w
v1
c °
ws Ec T/e v
CFo SS SCc 1 ion) 0,,C� TAEW4�
Q o 1' K
4 e,5
w� • / QT.'l��•�'vv �>t,�.c�, Sic TI`oA-)
C,-t mcrr y
Abomileh UF CAjA
. ,v sp� c -
Ill
..
y�•Iv° 9R�fJ S 1. (ot
a �
Z4 UAL �E'r4� p 7'e &Ve<
y
OVER: See Reverse Side for Vent/ Observation Pipe Details. etails.
SEC Tio� 0 /4 1 : 7
Iff
A6D
yam, go
r
9
Wisconsin Department of C4� IL EVALUATION REPORT Page 1 of 3
Division of Safety and Buildings
"in to c I ; � 1✓oCJe My
Cou St. Croix
Attach complete site plan on paper not less than 81 11 inches in size. Plan must
include, but not limited to: vertical and horizontal refer nce p"tjBM) and I Parcel I.D. 030 • �0 Sy' / s 670 percent slope, scale or dimensions, north arrow, and cation
ist�fn� tq'ti2�nest road.
Please print all Info at /cW C Rev Date
Personal information you provide may be used for second os � i `: it 0`4 (1)
Property Owner ions
r •
Clyde Ohman Govt. Lot 2 1/4 1/4 S 23 T 30 N R 19 E (or) W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
1430 Hidden Oak Trail B Ohman
City 1 G Mpa! a Zip Code Phone Number ity � illage ■ own Nearest Road
. M- 1 Wl 1 54017 1 ( 1 (S ) W & * 5 $ 7s Hidden Oak Trail St IQ-Seph
&9-411 WE on Usejq Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
0 1 r, Public or commercial - Describe:
Parent material Loess over outwash Flood Plain elevation if applicable � ft
General comments Site suitable for a conventional system
and recommendations: * Sand with pockets of loamy fine sand (Ifs)
z
e_3 a
❑ 1 Boring # 0 Boring
Q Pit Ground surface elev. 99.85 ft. Depth to limiting factor >l 10 in
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0 -9 10yr4 /2 1 2msbk dsh as 2f .6 .8
2 9 -27 10 4/3 si 2msbk dsh as if .6 .8
3 27 -34 7.5yr4/4 - ifs Osg ds cw _ .5 1.0
4 34 -54 7.5yr5/4 s Osg dl cw - .7 1.7
5 54 -65 7.5yr5/3 Ifs Osg ds cw - .5 1.0
6 65 -110 7.5yr5/4 fs Osg dl - - .5 1.0
I I
❑ 2 Boring # Boring 99.40 >108
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/f?
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'EtW
1 0-6 1Oyr4/2 sil 2msbk dsh as 2f .6 .8
2 6-19 10 4/4 sil 2msbk dsh cw if .6 .8
3 1942 10yr4/4 sil lmsbk dh cw _ .4 .6
-108 7.Syr5 /4 s* Osg dl /ds* - - 5* 1.0*
Effluent #1 = BOD > 30 220 mg/L and TSS >30 150 mg/L ' Effluent #2 = B D < 30 mg/L and TSS _< 30 mg&
CST Name (Please Print) Signature CST Number
Thomas C Nelson 227387
Address Date Evaluation Conducted Telephone Number
1432 120th Street, New Richmond, WI 9/18/04 715 -246 -2454
ST
Ilk kA 2r�c,6
Property Owner Ohman Parcel ID # Page 2 of 3
3 on ... # Boring
I 99.70 >11U
Q
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 /iF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2
1 0 -9 10yr4 /2 - sil 2msbk dsh as 2f .6 .8
2 9 -32 1 4/4 - sil 2msbk dsh cw if 6 8
3 32 ='60 IOyi4 /4 - sil lmsbk d} .4 6
4 60 -110 7.5yr5/4 - s* Osg dl /ds - - . 5 1.0
7 . 3 - 0 t< w L
F-1 Doting # Hpit Boring
Ground surface elev. ft. Depth to limiting factor in.
Soil A ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fr
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Efr#1 "Eff#2
I
I ,
❑ Boring # Boris
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 /fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Efr#2
" Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD < 30 mg/L and TSS < 30 mg&
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- 8330Ted (R07 /00)
• C C
Clyde Unman
Gov Lot 2 Section 23, T30N =19W
p
d
(r 0 4
� � Q
C1
DA '
ma y- �
ti
�w»tiz owns
scaatel " 3
E M M
BM 1 B M W Pod top 1 00.00 '
BIRU Top of tank cover 10020'
Thomas Nelson 8199 85'
B2 98.46'
83 99.76'
s
DOCUMENT r,0. /� 34 OF WI WARRANTY GEED
�} F�('F l sr�,'re of wlscovsl;v —FORM 9
MIS SPACE RESERVED FOR RECORDING DATA
rims t\, DE,� n1,, e by Thomas ff. Cudd arid Dorn any titiGISTERS
i. Cuoa, nis Wl?e and in her own behalf, ST. CROIX CO.. WIS.
Recd for Record this
grantor S �,( wit. Croix Cou t', AV'iecon 'n, I Cby con and w�arrant� day of _ _ ��'�" ]C
to �1,; d�. :�. Oh,nanrn and wine 1. �rlinann, h u nu
anti w i. f(' as joint tenants, /1 /
tirantee " ,RETURN TO
of (.t�>y.dGiw�O, fair the punt of
�' �z�1�7 ;iC) -1��
the n univ A',l <i ,•:z�in;
i
vri�
_ LU Lill :.I'titl x)11)':' .;l„ �-; v -L L L INT OF
for -'AhC I ir`:Ci ' (I I` _. ;! I' „1: t %l ._' k2s .- _ —
tans 1 iron z) :> 'a . r_ o"_ vI
an
r
(;;i;�'. (Zl7;t?' „r? .,�• ..._ ..,Dill � .,: ,_'�...., ,. ._..... C'1 l _ -` ..� _ _.__., ,
yfr SL a 'J -1 >t �• � d,ti)
F�i�UINNI�JG i' .. ;II '—j
a U1 �1fiC;,, a �iil �,_ . >�•lh�. un uiie shcr�? of
Of s:) f_'f
.:1 cc of
l',1 i ..',. ,..
t L
�\ ,tlI_.. �i - -� -. ..� . I �. •- ._ zJ' -: i,cr_ i ,.�,, ; : ,. z ,_;1':. �I' lis❑ � � zn,l =u. {I .� t}
`;it �N! \ .1 :I: -ALEI) ON t'R EIS EN(:L OF
I'r;OTRau ti. _lG�J�
_. Doro I Cudd
- - - - - - --
1
A.
and Dcrothy I.
,.,, ; ! f- ce ;oinc inFtnim' lit z �_nozalr':;e 1
NOTARY
SEAL
Th:, in =tni:n.at Notary Public
HEY WOOD AND HAYES, attorneys, Hu ; Wi s J Dty commission (r. <pire (ty)
(Section 59.51 (1i of the Wisconsin Statutes prorldas that all instruments to be recorded shall have Plainly prtoted er typewritten thereon the
name. of the grantors, granted, witn0.ses and notary).
��
WARRANTY DEED —SL1TE OF Wl1 COASIN, FORM KO. 9
1 W DEED
DOCUMENT NO.
S 'I'ATF. OF WISCONSIN — FORM 9
THIS SPACE RESERVED FOR WORDING DATA
3245fG
- -- - REGISTERS OFFICE
THIS INDENTURE Made by__Joseph II Simon_ and Amelia ST. CROIX CO., WIS.
M.__Simon husband and wife
Recd for Record this_ 1st --
- day of Nov_ember
- -- _A.D.19
- _
grantor S of S t• Cro _ County, Wisconsin hereby conveys and warrants
to Clyde_Ohmann an(1 } lai ne OhmaLnn� hushanc} f II
- - - -- e of Derds
and wife
Regist _
- - _
grantee _S . -_ RETURN TO
of S t . l r o i x _ Count Wisconsin, for the sum of
One dollar and other v:l1u;)hle coil 1lerati OT) g j
- - - - -- - -- Count
the following tract of land in _—
S t. (% r o 1 x y, State of isconsm;
i�
Oommenci-ng at a point which is 686.4'South of the I %ast quarter corner' of
Section 23, ['own s!1 30 P,orth Uan(ur 1.9 Best, SL. Croix County, 1Ji- scor)sin
and 1554.0 feet West and South 16 West 350 feet; thence t;ast, 25 feet
Which is the point of 1,I S22 59 1;eSt, 170 feet; tl�cnce
S 74 25'Eas1, 40 feet', thence IN 22 59' Ea— P) feet; t'ience ' aor).hwe�;t
22 feet to point, o(' hey ilulin��. q
III
,I
ii
FEE
�I
E MPT
I
i
5 vE thai r s
IN WITNESS WHEREOF, the said grantor'___.. ha ____ hereunto set ___ __ ____ hand - and seal s - this
day of ALUg St -- _ -- , A. D., 19 6 ,
SIGN SEAL D IN P EN E OF / �� / ' % y� > > (SEAL) I`
Joseph If. Sir ]oil j
• %r' %C, (SEAL)
_Wm. W. Ward .1mel is N. Simon
(SEAL) l
-
Lor ene Jo hnson (SEAL)
STATE OF WISCONSIN,
ss.
St. Cro County.
Personally came before me, this - 1 1 ___ - -- day of-- —, Auf� A. D., 19 69 — .
the above named __ l}_ Simo and Arne Iia M. Simon husba a nd wi
to me known to be the person swho executed the foregoing instrument and acknowledged the same.
Lorene J rbnson• •j,C y
NOTARY - --
SEAL % •,....•• ^,�
This instrument drafted by Notary Public S't • C r o i x C ly, Wi s.
Wm.W.Ward�Attorney, N My Commission (Expires) (K J an. 23, 1972
r
• - ST. CROIX COUN NING DEPARTMENT = -�
AS BUILT SANITARY REPORT
Owner l ,
Address keddel d A-14 , vu
City /State 199 I..__
Legal Description: hING y1
Fj
Lot Block Subdivision/CSM # ZS
'/, S'tJ ' /, S,C'. Sec. , T N -RL? W, Town of _ S7`�a s e.-Gi PIN #
SEPTIC TANK -- DOSE CHAMBER — HOLDING TANK INFORMATION:
Tank manufacturer Ad2 , �S7`cv,y Size ST/PC/ 0 / Setback from: House Well 3V P/L, V;? Pump manufacturer -Model Alarm location"
(HOLDING TANKS ONLY)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
SOIL ABSORPTION SYSTEM:
Type of system: 7`a��r��l Width S Length S �_ Number of Trenches �L
Setback from: House zl Well &�_.l_ P/L //,P Vent to fresh air intake _ 4s-
ELEVATIONS
Description of benchmark a Elevation /dG . °
Description of alternate benchmark 2!"A4 OE: Elevation 9S- y0
Building Sewer l' ST/HT Inlet G'. 03 ST Outlet? el f4'1 PC Inlet
PC Bottom Header/Manifold S' Top of ST/PC Manhole Cover 17
Distribution Lines () � z l & () ( )
Bottom of System
Final Grade
Date of installation I dL V Permit number 3� ?ld State plan number
Plumber's signature License number ��79/�"d Date 1 /
Inspector ' 401 1 10 d.
/J)�� C)?t ( `4A ZW. Compicte plot plan m*
'Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County:
.Safety and Buildings Division ST . CROIX
' INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit NO.:
Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. 315870
Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.:
OHMANN, CLYDE ST. JOSEPH
CST BM Elev.; Insp. BM Elev.: BM Description: Parcel Ta No.: 54--95 -000
pb OU ? i ro
TANK INFORMATION ELEVATION DATA A9800256
TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV.
Septic 3 zvPiJ N P l do U Bench `1•�I.S / ; /5
Dosing .0
ration Bldg. Sewer /� _ 3
Holding Inlet `fa .D
TANK SETBACK INFORMATION S Outlet �.(o �S �
TANK TO P/ L WELL BLDG. quake ROAD Dt Inlet
eptic 4/D 0 '2�� �� NA Dt Bottom
Dosing A Header /Man.
Aerati NA Dist. Pipe ,-, 7
Holdin Bot. System 9.gr� 4 72. G)S/, j c�73
PUMP I SIPHON INFORMATION Final Grade 450
Manufacturer De nd 0 Cote $ (e�F 9% 7
Model Number PM
TDH Lift riction em TDH Ft
Forcemain Length Mest a Dist. To Well
SOIL ABS RPTION SYSTEM
B i R N idth / Length 1 No. Of Trenches PIT No. Of Pits Liquid D th
5 1 DIMEN I N
SYSTEM TO P/ L BLDG WELL LAKE/STREAM L CHING Manufacturer:
SETBACK C
INFORMATION Type / odel Number:
Syste V �/ (r(� - OR UNIT'
DISTRIBUTION SYSTEM 1
Header / Mani old � Distribution Pipe(s) r �/ x Hole Size x Hole Spacing Vent To Air tpke
Length Dia Length Dia Spacing �jGt4 �ST►u( z7Z`T ���
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 E] Yes E] No El Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: ST. JOSEPH 23.30.19.198L,NE,SE 1430 HIDDEN OAK LANE
1, A-1 . 8 M - TT � WYAV
a�
o �
Plan revisionreq /red? Q Yes 2No
Use other side for additional information. °l y F-z Vz 4 1
SBD -6710 (R.3/97) Date Inspector's gnature Cert. No-
i x S
NOTICE Please provide the following:
• A plan view sketch showing everything within 100 feet of the system.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable.
PLAN VIEW
\ R
%GDd
Q s
'^ o
a
� q
INDICATE NORTH ARROW
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
r
E
"
,
s
" e
E
e �
F
3
S
I 4 i
P e
r
i t
e
� m .
m
" 3
r
3
t . F
4 t
{
E
%6 coiis i n SANITARY PERMIT A of E W ashington Ave sion
P.O. Box 7969
Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI W707 -7969
• Attach complete plans (to the county copy only) for the system, on paper not less County
than 8 112 x 11 inches in size. S'T G
• See reverse side for instructions for completing this application State Sanitary Permit Number
Akd 3)T&7o
The information you provide may be used by other government agency programs '❑ Check if revision to previous application
(Privacy Law, s_ 15.04 (1) (m)]. /4 ?0 _1/ i'� 1dC_ r� CIS'/ /i r�'
/ (/ TIgC.�t.[la I �,+L/�. State Plan I.D. Number
1. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION
Property Owner Name Property Location
4,e - 1/4 SC 1/4, S T �d , N, R lQ E (o r)62
Property ner's Mailing Address Lot Number Block Number
73 -S7'_
City, State Zip Code Phone Number Subdivision Name or CSM Number
S "/ gloj 1 V1.2- )1 / y3o .r,'d� ,� 4 !r' A-, l
II. TY PE OF BUILDING: (check one) ❑ State Owned ❑ It Nearest Road
[] Village
Public 1 or 2 Family Dwelling - No. of bedrooms pL Town OF sT,Tas g 4
III. BUILDING USE (If building type is public, check all that apply) p ! Parcel Tax Number(s)
1 ❑ Apartment / Condo 2 • ,:10 - / 9 • / 1 3 a Lam. Of 61
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining
4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash
5 ❑ Hotel/ Motel 9 ❑ Office/ Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable)
A) 1, ❑ New 2. a Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an
....... System ________ System_____________ Tank Only Existing xisting System ________ Existing System
B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non - Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 [,,Seepage Trench 22 ❑ In- Ground Pressure / r 42 ❑ Pit Privy
13 ❑ Seepage Pit r� S x 7 43 ❑ Vault Privy
14 ❑ System -In -Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation
y d .�Q —I r 7 S Feet 57F, a,5' Feet
Capacit
VII. TANK in Ca allons Total # of Prefab. Site Fiber- Exper.
INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- steel glace Plastic App
New Existing structed
Tanksl Tanks.
ptic Tan ( r ,✓ ❑ ❑ ❑ ❑ ❑
Li ump Tank /Siphon Chamber I I 1 ❑ 1 ❑ 1 ❑ ❑ ❑ 1 ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite se age system shown on the attached plans.
Plumber's Name: (Print) Plumber's Signature: (No Stamps) MP PRSW No.: Business Phone Number:
Plumber's Address (Street, City, State, Zip Code):
Q O r O
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater D ate Issued IssuingAgent Signature (No Stamps)
.
Approved ❑ Surcharge Fee) W
Owner Given Initial oo
Adverse Determi 00
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
)IWO-t l l & w► S� hV« ►�I,r�iti► `�� 75 SG7��J4 c - owc r ss L a .
A f is W 400& ✓�
1519101-62198 (R.11/96) L STRIBUTION: Original to County. One copy To: Safety 0 ildings Division, Owner, plumber
1
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the
Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority. .
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD- 63919) to be submitted to the
county prior to installation
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever
necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of
Wisconsin, Safety and Buildings Division, 608 - 266 -3151.
To be complete and accurate this sanitary permit application must include:
Prope: Ly owner's name and mailing address. Provide the legal description and parcel tax numbers) of where the
system is to be installed.
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
Ili. Building use. If building type is public, check all appropriate boxes that apply.
IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested for numbers 1 through 7.
Vil. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and
manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and
holding tanks for this system. Check experimental approval only if tanks received experimental product approval from
DILHR
VIII. Responsibility statement. Installing plumber into fill in name, license number with appropriate prefix (e.g. MP, etc.),
address and phone number. Plumber must sign application form.
IX_ County / Department Use Only.
X. County/ Department Use Only.
Complete plans and specifications not smaller than 81/2 x 11 inches must be submitted to the county. The plans must
include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic
tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon
tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served;
B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume;
elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section
of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information.
---------------------------------------------------------------------------------------------- - - - - --
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
C�y�e �� Ina.y ,r/�y� sE SR, iP /9GJ Ale
�a S s
4
\� Z
� t
6;
w �
lEbd r7`s .n '
cl
y2 r4'uk
Jun— •23 -98 09:14A P_01
OHMUND BASS LAKE TW HOMES
I .
y v
/ d 74 sotbsek
r
9r
%• 1
i
/ 1
i
i
,
I
r
Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page ? of 3
LaSo. -and Human Relations
DW.Jon of Safety & Puddings , in accord with ILHR 33.05, Wis. Adm. Code
COUNTY
St. Croix
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL i.D. #
dimensioned, north arrow, and location and distance to near 030- 1054 -
APPLICANT INFORMATION PLEASE PRINT ALL INFOAMA , D Y" D TE
PROPERTY OWNER: P LOCATION
Clyde Ohmann ` ` GO NE 1/4 SE 1/4,S 2$ T 30 N 19 (or) W
PROPERTY OWNER':S MAILING ADDRESS r , ..JBLOCK # SUBD. NAME OR CSM #
173 W. Robie St. na) na 1430 Hidden Oak Ln.
CITY, STATE ZIP CODE PHONE NUMBER _ rim.. ❑CI VILLAGE tFOWN NEAREST ROAD
St. Paul, MN. 55107 (612) 291- 1`+faZty Joseph Hidden Oak
[ j New Construction Use [xk Residential / Numbe " ` �" (J Addition
Replacement (J Public or commercial des _
Code derived daily flow 300 g pd Recommended design loading rate _ -7 bed, gpd/0 - 8 trench, gpd/ft
Absorption area required 429 bed, 112 375 trench, ft Maximum design loading rate . 7 bed, gpd/ft .8 trench, gpd/ t
Recommended infiltration surface elevation(s) 94.75 ft (as referred to site plan benchmark)
Additional design / site considerations none
Parent material stream terrace Flood plain elevation, if applicable na It
CONVENTIONAL MOUND IN-GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK
S = Suitable to; system
U = Unsuitable for system 06 El ®S ❑ U ®S ❑ U ®S ❑ U 1 ❑ S ®U ❑ S fl U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Du. Sz. Cont Color Gr. Sz. Sh. Bed I Trend
f lx 1 0 -9 10 r3/4 none 1 2msbk mfr aw 2m .5 .6
2 9 -27 10yr4 /6 none sil 2msbk mfr gw lm .5 .6
Ground 3 27-84 7.5yr4/6 none o s Osg ml na na .7 .8
elev.
98 ft.
Depth to
limiting
factor
+84"
Rer iai kS:
Boring #
1 0 -12 10 r3 4 none 2 msbk
24" 2 12 -39 10yr4 /6 none sil lfsbk mfr lm .2 .3
>; .
3 9 -90 7.5yr4/6 none co s Osg ml na na .7 .8
Ground
elev.
98. ft.
Depth to
limiting
factor
+90"
Remarks:
CST Name:— Please Print Gary L. Steel Phone. 715- 246 -6200
Address: 1554 20 h. Ave. , New Richmond, WI. 54017
Signature: Date: CST Number:
8 -9 -94 cstm 02298
PROPERTyOWNER Clyde Ohmann SOIL DESCRIPTION REPORT Page. of 3 . _
PARCELI.D.! 030 - 1054 -95
Boring # Horizon) Depth i Dominant Color I Mottles I Texture I Structure Consistence lBotrdary I Roots 1 B a DT
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh.
3 1 0 -8 10yr3 /4 none 1 2msbk mfr gw 2m 1.5 .6
2 8 -�6 10yr4 /6 none sil lfsbk mfr gw if .5 i.6
Ground 3 36 -84 7.5yr4/6 none sl Osg mvfr na na .7 .8
elev.
98
Depth to
! imiting
factor
+ 84"
Remarks:
Boring #
M
.
Ground
elev.
ft.
Depth to
limiting
factor T-7
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev. 1
ft.
Depth to
limiting
factor i
Remarks
SBD- 8330(R.05P92)
PROPERTY OWNER Clyde Obmann SOIL DESCRIPTION REPORT Paole, 2 of 3.
PARCEL IA ff 030 1054 - 95
Depth I Dominant Color Modw Texture
in.
Structure
Oonsis�ejftrctry Roots G P D/ft
Boring # Horizon Munsell Qu. S Cont Cotor Gr. - Sh. Bed iTw&
9w
2msbk mfr 2m .5
0-8 10yr3/4 none
3
1f .5 1 .6
f AIMMU - 2 8-'- 10yr4/6 none Sil 1 f sbk mfr 9w
Ground 3 36-84 7.5yr4/6 none S1 Osg mvf r na na .7 8
elev.
98.2 I t.
Depth to
limiting
factor
+84
Remarks:
Boring #
Ground
elev.
ft.
De" to
limiting
taCtOr
Remarks*
Boring #
!'Us
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
FT -
Ground
elev.
Depth to
firriting
factor
Kemarks:
SBD-8330(R.05/92)
,
,P 2d 2
SLL 'P I
tyl
Gary L. Steel
8-9-94
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address / ?R /,j S 7` ,,/ a ri Q 7
Property Address /'Y3 o :J e a- if 4. '-e
(Verification required from Planning Department for new construction)
City /State ffu , es - a, , O Parcel Identification Number Q - /6 41
LEGAL DESCRIPTION
Property Location ,llC- ' /a, s ' /a, Sec. VS , T 3 N -R I4 W, Town of a.s'P.��
Subdivision 1' /. 6 ,� ,t,� �� AJ , Lot #
Certified Survey Map # , Volume , Page #
Warranty Deed # 3 A 15 �' . Volume �� / , Page # y7
Spec house ❑ yes 0-no Lot lines identifiable ❑ 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, restrictedplumber or a licensedpumper verifying that (1) 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
days of the three year exp date.
SIGNA O CANT 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
the property described above, y virtue of a warranty deed recorded in Register of Deeds Office. �e--
SIGNA APPLICANT 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
i DOCUMENT NO. WARRANTY DEED
i STATE OF WISCONSIN -FORM e
324566 THIS SPACE RFSIRVED FOR RECORDING DATA
THIS INDENTURE, blade by - Joseph Ii. Si mon and Amelia REGISTERS OFFICE.
M. Simon -,_ husband and wife - - ST. CROIX CO.. WIS. j
-
Recd for Record this 1st
des Novemt)er
I� - - - - -- - - -- y --- --- _A.D.197�+
grantor s__ of S t • (I' O 1 X ___ County, R'isconsin, hereby conveys and warrants
to _ — Clyde Ohmann anti 1'lai11 e 01imann�husban(i t--- - : - -P• Q,
and wife
He -ter of Deeds
RETURN TO
of , _ S t . C r n i �c Count Wisconsin for the sum of
Ij -
Onc dolla n
r a(i other vllunl>lt coils 1( erations
the following tract of land in _1 t • ( %r O 1 X County, State of Wisconsin;
0oinIn enci.n� at Iz poini; which is 686.4'8outh of the E Est tlu<trter corner of �
Section, 23, Townshil) 30 P,or +,h IZan)re 19 best, St. Croix County, Wiseonsin,
and 1551.0 feet West and South 1035' West 350 feet; thence 11:ast 2 feet ��
whiel IS the point of he,"inni 111! thence 822 59' Best, 17O feet,; i,h) nee
S 74 25 40 feet; thence N 22 59' h:r(,st 167 feet; thence %orl.hw(• A
22 feet to paint, of be�rinnint�.
FEE
# E MPT
i
I�
IN WITNESS WHEREOF, the said grantor S___. ha �' hereunto set t e i r S S 1 1
_-- hand - --_ -._ and seal _' _. _ this... -_- -_
day of --AI41 s t _ _— A. D., 19 6 r
SI SEAL D IN P SEN E OF -I �} / (SEAL)
' Joseph lI. Szr.)on
(SEAL)
Wrl. W. Wartt Ari lit M. uirnon
(SEAL)
Lorene Johnson
(SEAL)
STATE OF WISCONSIN, 1
S C roi x County. ss
Personally came before me, this _ 11 August 69
--
- -- of _._ � : _.--_ -- - --- . -_ --- A. D., 19. .
the above named 11 :;i,mon and Amel M.._Simon „husband and wife
to me known to be the person S who executed the foregoing Instrument and acknowledged the same.
NOTARY Lorene J ) � ,'1C :1
SEAL
This instrument drafted by Notary Public St. C r oix r CouIty, Wis.
Wm.W. N s. My Commission (Expirea)( Ja n.23�1972
(Sectlop WN (1) of the WlsconaW Statutes provides that all lnstrnmants.sob
grantors, grantees, witnesses and notary). ed ahaD ataly prints0 or typowrittea thereon the
maples Of th E •J
WARRANTY DEED -STATE OF WISCONSIN, FORM NO. 9 BOOK 5 V PA s. c. soon co.. rueeurer
rat {
z�
r
k
MKIM
t 10
«► - g
VAUL
C
F
16 '8# 1
rv_ N'0' , 8
24'
vo I
i Not" 59M
�` x ,,,,- �w z',. .�"', s s �, `p" ' .��,�+G.' e * �'� y -� > ry • •'�.� ''^ ^Mary a _
4,�=
Ju�:23 -98 09:15A P_02
•
I
` A
lower level
G
bedroom
i
IL,
ult
1T4
a