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HomeMy WebLinkAbout030-2122-30-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: 399692 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No Personal information you providemay be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: P.C. Collova Builders, Inc. I St. Joseph Township - /07 G ©d CST BM Elev: Insp. BM Elev: BM Descript%o d (0. v Z rtt- , i....2��rnrLe_ TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 100,b Dosing ! A !d Alt. BM Aeration ti Holding St/Ht Inlet ` q TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BVent to Air Intake ROAD Dt Inlet Septic t Bottom / b Dosing Header /Man. !/• �h• Aeration Dist ipe 1 �r g�•9 r Holding Bot. System 1 Z PUMP /SIPHON INFORMATION Final Grade '(v q(• - 7 Manufacturer Demand St Cov Model Number TDH Lift F ' n Loss System Head TD Ft For main Length SOIL ABSORPTION SYSTEM BEDITRENCH Width L Length / No. Of Trenches PIT DIM NSIONS No. Of Pits Inside Dia. Lquid Depth DIMENSIONS T Z SETBACK SYSTEM TO P1L BLDG IWELL JLAKEfSTRE AM LEACHIN Mc rer' !_•� �/ INFORMATION CHAMBER R !! + �r1K Jr'Y �' ✓� ' Typ f System: ( � / �� UNI Model Number: h P�n7 f bn� �a� CJIJ DISTRIBUTION SYSTEM Header /Manifold r x Hole Size x Hole Spacing Vent to Air Intake (r Ps) ` y Length Dia Length Dia y,� �pac _- SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over r 0 epth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center 5 ed/Trench Edges Topsoil Yes No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection # 0-p— Inspection #2: / Location: 697 West Shore Dr Somerset, WI 54025 (NE 1/4 SE 114 23 T30N R19W) Bass Lake Meadows Loo 3 Parcel No: 23.30.19. 1.) Alt BM Description = f 0 DA I 61;f Z > 3(o " u cif" SCt�►t� 2.) Bldg sewer length " T " J " Z?�/tL ✓P s I ��i �S I "G1� amount of cover = / Ch i ro ' mtd sCGkds Ct C 1'6 �� � �, � .��, (.E'�4'` -S�ls �.Gyvt JpD�d �', _ 5.t1Z Q►'� r'B��eV�'��"^'�► Plan revision Required? Yes No O Use other side for additional Information. _ Qate Insepct is Signature Cert, No SBD -6710 (R.3/97) � 1 1 .y �O s,,� -q, w..r��,, �[- a�C -.-�, E /�, �'/� � • L �f-,�� 2�i'� s �L, tc„�.- !, r�,� 3f., yid`'''y�S' ,v �� '� "V „ .rte ow f4 ab `ter Safety and Buildings Division County * 201 W. Washington Ave., P.O. Box 7162 consirn Madison, WI 53707 - 7162 Site Address Department of Commerce # (pq -- Loe,4— _�A Sanitary Permit Application Sanitary Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal informatio u ��d 1 � 3°► 2 _ � Check if Revisio may be used for secondary purposes Privacy Law, s15. I. Application Information - Please Print All Information O �' to Plan I.D. Number Property Owner' ame 1 7 Number / I � Property Owner's Mailing Address 51 001,7 1 'k; S 2 _-_�> T N, )� City, State Zip Code t Number Block Number Subdivision Name CSM Number H. Type of Building (Check all that apply.) GIh S O City Family Dwelling - Number of Bedrooms O Village O Public /Commercial - Describe Use S • ownshi 0 State Owned ' r r Nearest Road III. Type of Permit: (Check only one box on line A. Numbering is for internal use.) (Complete line B, if applicable.) A. ew 3 0 Replacement of 6 0 Addition to � __ System 2 O Replacement System Tank Ord Existing System For County use B. 0Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. ype of POWT System: (Check all that apply. Numbering is for internal use.lk �(O' P C ---IUD , _on - Pressurized In- Ground 210 Mound 47 0 Sand Filter 50 0 Constructed Wetland 22 0 Pressurized In- Ground 41 Holding Tank 48 0 Single Pass 51 Drip Line 45 0 At -Grade 46 Aerobic Treatment Unit 49 0 Recirculating 30 V. DispersallTreatment Area Inf Design Flow (gpd) Dispersal Ar VM WDhp;ersalAre ' App t ion Percolation Rate Syste levation Final Grade Required te(Gals. /Days /Sq.Ft.) (Min. /Inch) Elevation . Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Dosing Chamber VII. Responsibility Statement- I, the undersigned, apj9ne responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's i e MP /MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zi ode) VIII. Count /De artme Use Onl Disapproved Date Issued su' Agent Si lure (No Stamps) 0 Sanitary Permit Fee (includes G ndwater Ps Approved Owner Given Initial Adverse Surcharge Fee) e %. Sch De on Z•ZS. r.a`� 1X. Conditions Approv Reasons fo Disappr val s�s� C,r w�5kew � `ot16X cru.0n sY Stew , . {o �o,t hs�•. - t ,I�ccowt. mplete (to only only) f r the ystem gpaper not less than 81/2 x it inches in size PLOT LAN PROJECT P.C. Collova Builders Inc. A Ess 705 Ctv Rd E Hudson Wi 54016 NW '1/4 SW 1/4s 2 3 /T 30 N/ W TOWN St. Joseph COUNTY ST. CROIX MFRS Shaun Bird 226900 DATE 1/31/02 BEDROOM 3 CONVENTIONAL )= IN- GROUND R SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE •9 ABSORPTION AREA 514 # of chambers 30 IL BENCHMARK V.R.P. To of Nail in Elm f Top ASSUME ELEVATION 100 Filter Zabel A -100 ❑ BOREHOLE WELL *H. R. P. Same as Benchmark Vent SYSTEM ELEVATION 87.3/87.7 >12" Sidewinder High Capacity Leaching Plans Designed Using ac of Cover Chamber g Conventional Powts Manual Version 2.0 6' Long 16" 34" Grade at System Elevation West Shore Drive a� System elevation set @ 6..0' Below Grade - a Vents >' 4 2 -3' x 94' ce th > 'Spacin ° kn B .#2 180' 45 v t6 40 1 , �p 45' y I x C B.M. #1 4% 30' ST 15' B- Slope 30 Vents Pro 3 Bedroom House * VAd Please note: this soil test was originally done on lot 4 of the plat map, lot lines have moved, the tested area lies on lot 3, dimensions are based upon the site on 1/31/02 by the plumber, please note that the system is being oversized due to banding e soils, also, the system elevation may be ,t at the time of installation, if further testing permits. PLOT LAN PROJECT P.C. Collova Builders Inc. A Ess 705 Ctv Rd E Hudson Wi 54016 NW 1/4 SW i /4s 23 /T 30 N/F W TOWN St. Joseph COUNTY ST. CROIX MPR5 Shaun Bird 226900 DATE 1/31/02 BEDROOM 3 CONVENTIONAL )00( IN- GROUND PR SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .9 ABSORPTION AREA 514 # of chambers 30 ,BENCHMARK Y.R.P. Top of Nail in Elm ASSUME ELEVATION 100° Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark Vent SYSTEM ELEVATION 87.3/87.7 >12" Sidewinder High of Cover Capacity Leaching Plans Designed Using Chamber Conventional Powts Manual Version 2.0 6' Long 16" 3 „ Grade at System Elevation West Shore Drive a� System elevation set @ 6..0' Below Grade B ' Vents 2 -3' x 94' cells with >3'Spacing B.M. #2 180' 45 v 40 ' ' 45' B.M. #1 4 4% ST15' B- Slope 30 , 0' Vents Pro 3 Bedroom House Please note: this soil test was originally i _ done on lot 4 of the plat map, lot lines have. moved, the tested area lies on lot 3, dimensions are based upon the site on 1/31/02 by the plumber, please note that the system is being oversized due to banding the soils, also, the system elevation may be lowered at the time of installation, if further testing permits. �tfM.s N ��--� EPO se�, I' '"`"' n D�artment of Commerce SOI .VALUATIOR Page of 3 ,Division of Safety and Buildings in accordance with Comm 85, wi3. Adm. Code County S4 • Cro, Attad► complete site piap on paper not less than 8112 x 11 hx*m in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ., by Freese Pirtle 811 R to Personal iMormation you provide may be used f (nbNAcy Lw, s. 16.04 (1) (m)). Z Property Owner r _ RE CEIVE O rt r location Lot N Vj 1/4 4;Co /4 S T g N R I CL E (or Property Owner's Malting ad dress P' r? ( • 1 L # subd. t►e or CSNMI City State zip Codi , . Phone "@#WY ❑ village ® Town Nearest Road F New Constructions Use: Residential / NuftibiW Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: I Parent material It Flood Plain elevation if applicable _ 4 44 fL General comments Sys wx •c ( Y. IM S0 and recommendations: A&-f- C) 4L V'• f5& 40 Z.: Loa nn Sard B e W%c A s3 s+� } S OL (og '• t3or. # Y 5 ho ObS -e rVa. *%'a t,J D n -Q a r I F ' Bonrg # ❑ Boring Pit Ground surface elev. Q 1 • s� . R Depth to limiting factor �, in. Soft Application Rata Horizon Depth Dominant Color Redox Description • Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 - Efr#2 r v� —9 z --, - Fz�- Boring # L ❑ Boring fli Pit Ground surface elev. q 3 • ft. Depth to limiting facto 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. 'Efi#1 'Eff#2 6 10 -- 2 r- ry- F ^ 3 p 4r 4h e ins .5 9 1 .g X2.45 " Effluent #1 = BOD > 30 < 22D mg/L and TSS >30 150 mg1L ' Effluent #2 = BOD < 30 flat and TSS < 30 mglL CST Name (Please Print) gnature CST Number Addiess Date Evaluation Conducted Telephone Number 0 C) of ge Z Property Owner � p 1;1 ft Parcel ID # Pa F-31 Boring # ❑ Borg Pit Ground surface Bleu. 9 3 R Depth to hiniting factor — $-- in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. " Ef W1 *F -fr#2 6-1 to to Z 0— s; 2 ft.Rr r- f yr Z tto -yd 1 4 Si 1 Z=bje n4 i . S S 3 t z t cul 3vc- c — • 2 rrAS — — , /• Z vA - • 3U z ce a 7a•2- ❑ Boring # Boring ❑ Pit Ground surface elev. fL to limiting factor in. r*Efr#1 ication Rats Horizon Depth Dominant Color Redox Description Texture Structure Consi�enoe Boundary Roots GPDW in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. - Efr#2 B"in9 # ❑ Boring El Pit Ground surface Bleu. ft Depth to lirrritirg factor in. Sod Application Rate Horizon Depth Dominant Color Redox D9410"on Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •Efr#'t 'Efr#2 • Effluent #1 = BOR > 30 220 mg/L and TSS >30 < 150 ng/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L o p po rtunity service y ou need assistance to access services or p rovider and employer. er. If The Department of Commerce is an equal ppo ty p p Y Y need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD8330 (Rmroo) PAGE__, _OF _ 3 NAME COI (n Jc, LOT# 4 4 LEGAL DESCRIPTION ,vw �14SW /4,SZ3T 3a,N,R I E (or)� SCALE: I"= (j D BM 1 ELEVATION (00 O BM I DESCRIPTION h a ,* ( e W/ Fl a 5 ' BM 2 ELEVATION (UO - O BM 2 DESCRIPTION Inc In ; (,' n ' P f wl r j �_ ' SYSTEM ELEVATION U X ALTERNATE ELEVATION CONTOUR ELEVATION 1 32 0 , 9 Z. S3 G N � 0� C AI y�o l L • a' a Vk' �A 5 I • 1 63 SIGNATURE DATE r VV`$:onsin Department of Commerce CCl►M , `� LUA�� EPQRT of 3 DM WW of Safety and Buildings W - .. tom+ "S as in accordance with Comm 85, Vft. Adm. Code roi Attach complete:sile plan on paper not less than 81/2 x 11 inches in size. Plan must . Ct include, but not limited to: vertical and horizontal refs oint (BM), direction and Patel I.D. percent slope, scale or dimensions, north a istance to nearest road. by Date Personal information you provide may be ussa iar s. 16.0+ to (m )). fl 2 Property Owner ` ' - roperty Location VIM 4A Lot 1 /4,SC 114 SZ 3 T Q N R I q E Property Owners Mailing Address of # Bloc:k # Subd. Name or CSI# ^ ST CFlOix (, COUNTY 3 City State Zip Code' ., _',Phclr 11 city (3 Village ® Town Nearest Road 51 New Construction Use 0 Residential / morns 9 7 00' Code Code derived design flow U d GPD ❑ Replacement ❑ Public or comma Describe: Parent material Flood Plain elevation if ble �! ft General comments yyS 7� r✓t G (•G tf • �f4 and recommendations: A G f . e �.e.N . $ �� Bing # ❑ swing ❑ Pit Ground surface eiev. Q J `_' ft. Depth to limiting facto in Sol n Rate Horizon Depth Dominant Color Redox Description T Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. -EfM '01#2 j bIL 1 2. Sid CS 2 y* CS • 5 • r 5 `1 l .5 . rn — , -7 . tA' sus o - tom• a / 1 1 r Boring Boring ® Pit Ground surface elev. ft: Depth to limiting fe Ilia ` )Q, , Soli Application Rate Horizon Depth Dominant Color Redox n Texture Structure Boundary Roots GPDW in. Munsell Qu. Sz. t Color Gr. Sz. Sh. -Eft#1 *011#2 c t . z id ! S m m _ . 1.2 G,. a to o•Gae• Effluent #1 = BOD > 30 220 m>g& and TSS >30 150 mg/L # Effluent #2 = BOD < 30 m qIL and TSS < 30 mg/L CST Name (Please Print) I Signature CST Number awl -Sc Lcj � e/r Address Date Evaluation Conducted Telephone Number z 113 r - ' L - h /i - S - o c 4 / -6/Uo Property Owner rU Ct Parcel ID # P rL. of 3 3 Boring # ❑ Boring �, � iie -pit Groultif surfaceeiev. L IS . S6 ft P epth to looting factor ! Z in. Rate Horizon Depth Dominant Colo Redox Description Tartu Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. color Gr. Sz. Sh. "Eff#1 I *Efr#2 1 b 2 - S Z 24 1 . 9 CA - ry( Boring ❑ Boring ❑ Pit Ground surface elev. ft Depth to limiting factor in. — SWApplication Rate Horizon Depth Dominant Color Redox description Texture Str Consjr►ce Boundary Roots GPDNF in. Mansell Qu. Sz� Cont Color Gr. Sz Sh. - Efr#1 - Efr#2 Bork # ❑ Pit Ground surface elev. ft Depth to Hmiting factor in. F-1 Soil Rate Horizon Depth Dominant color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. •Eff#1 `E102 • Effkient #1 = BOD > 30 220 mglL and TSS >30:5 150 mg1L " Effluent #2 = BOD, 5 30 mg1L and TSS 5 30 mgrL 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. SOD4330 (R07W) r PAGE__ OF 3 NAME LOT# 3 LEGAL DESCRIPTION MAJ' /45w / <, Z3T 3a ,N,R I gE (or)C -) SCALE: I / BM I ELEVATION (00 O BM I DESCRIPTION ha : ( - 8 ° e) w� !, E BM 2 ELEVATION /00-0 Z Z ✓ BM 2 DESCRIPTION r a ;) i, I Q f) n ,j b U Boc ds r I J SYSTEM ELEV TION i3 cl ALTERNATE ELE TION _W, C� l CONTOUR ELEVATIO q . 3 ". SO c Dr . S3S e6 ai \ 4 Q� SIGNATURE �� - - -- DATE i Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter 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. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 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. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use altemate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715 -246 -4516 ;z� r 1 _ Shaun Bird #226900 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT • AND • OWN CERTIFICATION FORM Owner /Buyer I oVA 6 1 J ►t S A N Mailing Address —70� 00 Lu L " To / (v Property Address '"1 W S (Verification required from Planning Department for new construction) II ,, City /State ���s� -- �.J� Parcel Identification Number w 2-�( —OL \ LEGAL DESCRIPTION Property LocationIE %,, SP, ' /,, Sec.Q, T�N -R_ft_W, Town of PAO r l Subdivision Lot// Certified Survey A1,11) it / Volume Page 8 Warranty Deed It 4 r� Volum /2�/ , Page (f 's Spec hou es ❑ no Lot lines icicntifia ycs ❑ 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 Dcpartincnt a certification form, signed by the owner and by a masterplumber, joumeyman plumber, restrictedplumbcr or a licensed pumper verifying that (f) the on-site wastewater disposal system is is 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 stat' your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 ays, of ther expiration date. S NATURE OF APPLICANT 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 owncr(s) of the pr t d critic above, by virtue of a warranty decd recorded in Register of Deeds Offi � 1GNATURE OF APPLICANT ' DATE, *•• * *« Any information that is ntis- 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 decd ei.1574fta 528 STATE BAR OF WISCONSIN FORM 7 - 1998 636669 TRUSTEE'S DEED KATHLEEN H. WALSH • REGISTER OF DEEDS DocumentNun%w ST. CROIX CO., WI • F HELEN E. VAN S .YKF RECEIVED FOR RECORD 01 -11 -2001 11:30 AM TRUSTEES DEED as Trustee of If EXEMPT HET.FN F. _ VAN CT YtcF REVOCABLE TRUST CREATED BY REVOCABLE L CER1 CORY FEE: TRUST AGREEMENT DATED FEBRUARY 21, 1994 COPY FEE: TRANSFER FEE: 1275.00 RECORDING FEE: 10.00 for a valuable consideration conveys without warranty to PAGES: 1 P.C. COLLOVA BUILDERS, INC. i i is nr!cor}rvj Area Grantee. the following described real estate in ST CROIX County. 'N V24 eturn Address OD s cARI, S.C. State of Wisconsin: OCUST STREET, BOX 125 PART OF GOVERNMENT LOT 7 OF SECTION 23, TOWNSHIP 30 NORTH, RANGE 19 WEST AND LOT 1, STEVENS AND SHIRLEY'S PLAT IN THE;; N, W 54016 TOWN OF ST. JOSEPH, ST. CROIX COUNTY WISCONSIN DESCRIBED AS FOLLOWS: LOT 3 OF CERTIFIED SURVEY MAP FILED JULY 24, i t elf Zla S 1978 IN VOL. 3, PAGE 644, DOG. N0, 350360. 030= -Mg=70=002 PART OF NEk OF SE's OF SECTION 22. AND PART OF GOVERNMENT LOT 7 OF SECTION 23, ALL IN TOWNSHIP 30 NORTH, RANGE 19 Par Identification Number (PIN WEST, ST. CROIX COUNTY, WISCONSIN DESCRIBED AS FOLLOWS: LOT 4 OF CERTIFIED SURVEY MAP FILED JULY 24, 1978 IN VOL. 3, PAGE 644, DOC. NO. 350360. ;i PART OF NEk OF SEk OF SECTION 22, TOWNSHIP 30 NORTH, RANGE 19 WEST, DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF SAID SECTION 22; THENCE N00 ° 32'43 "W ALONG THE EAST LINE OF SECTION 22, 1313.35 FEET TO A POINT THAT IS 16.5 FEET NORTH OF THE SOUTHEAST CORNER OF THE NEB OF THE M OF SAID SECTION 22; THENCE N89 ° 47'00 "W, 16.5 FEET NORTH AND PARALLEL' TO THE SOUTH LINE OF THE NEIL OF THE SEA OF SECTION 22, 309.00 FEET TO THE POINT OF BEGINNING OF THIS DESCRIPTION; THENCE CONTINUING N89 ° 47'00 "W, 202.78 FEET TO THE SOUTHEAST' CORNER OF CERTIFIED SURVEY MAP AS RECORDED IN VOL. 2, PAGE 595; THENCE N00 ° 32'43 "W ALONG THE EAST LINE OF SAID CERTIFIED SURVEY MAP 539.09 FEET TO THE SOUTHERLY RIGHT OF WAY;' LINE OF A TOWN ROAD KNO14N AS SUNSET RIDGE; THENCE S89 ° 18'52 "E ALONG SAID SOUTHERLY TOWN ROAD RIGHT OF WAY, 202.81 FEET; THENCE S00 ° 32'43 "E, 537.44 FEET TO THE POINT OF BEGINNING.;,; i day of JANUARY Dated this , )nni j. - - -- (SEAL) . C 4�o c — f� ,y .� t�� (SEAL) ! HELEN E. VAN S Trustee Trustee AUTHENTICATION ACKNOWLEDGMENT ' i; Signature(s) _HELEN E. VAN 9LYKE State of Wisconsin, Si. County. JANUARY 2001 Personally came before me this day of i authenticated this day of 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. Scats.) instrument and acknowledge the same. THIS INSTRUMENT WAS ORAFTEO BY HF.YWoOD 6 CST, S.C. 204 LOCUST STREET, BOX 126 _ HUDSON W I 54016 Notary Public, State of Wisconsin My commission is permanent. (If not, state expiration date: ;Srtinatures may be authenticated or acknowledged. Both are not %,,--f ul prr s.—.K x an raparily must oe ryprA Or pr-eE below rneu s,grucurr. STATE BAR OF WISCONSIN MIC011W L eo Blank CO.. Inc. TRUSTEE'S DEED FORM No. 7 - 1998 Milwaukee, Wre I Z I • w Z SOO 534.65 0 ,Z- o I J o cli cli I LL I I PGE cw.ti Q ¢w I owl"' � -�� z w � I 2a EN,EN � i : a � i j . 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