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Submersible
Effluent Pump
3871 EPO4
05
APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron
Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer,
following uses: • Capable of running lubrication and efficient strength, and durability.
• dry without damage to heat transfer. ■ Motor Cover. Thermo las-
• Homes components. systems components. tic cover with integral handle
Available for automatic and
•Farms Motor: *and float switch attachment
• EPO4 Sin manual operation. Automatic
• Heavy duty sump 115 or 23 0 V, 60 Hz, e: 0.4 0.4 HP HP , models include Mechanical points.
• Water transfer RPM, built in overload with Float Switch assembled and ■ Power Cable: Severe duty
• Dewatering automatic reset. preset at the factory. t.
rated oil and water resistant
• EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower
in
SPECIFICATIONS 115 V, in le phase: FEATURES heavy duty ball bearing
Pump: EPO4 built in overload with construction.
■ EPO4 Impeller: Thermo-
• Solids handling capability: automatic reset. plastic Semi -open design AGENCY LISTING
3 /; maximum. • Power cord: 10 foot with pump out vanes for
;-� • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. Co. CanadanStandaMsAssociation
r . • Total heads: up to 24 feet. with three prong grounding 0 EP05 Impeller: Thermo- C
• Discharge size: 1 NPT. plug. Optional 20 foot plastic enclosed design for (CSA listed model numbers
• Mechanical seal: carbon- length, 16/3 SJTW with end in "F" or "AC ".)
rotary/ceramic - stationary, three prong grounding plug improved performance.
BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged
• Temperature: thermoplastic design provides
104 °F (40 °C) continuous superior strength and
140 °F (60 °C) intermittent. corrosion resistance.
• Fasteners: 300 series METERS FEET
stainless steel.
10 I
• Capable of running !
d
3 1- "�-4
ry without damage to 9 30 L t}
components.
Pump: EP05 8
• Solids handling capability: c 25 ! ZW. '
3 /' maximum. a 7 T
• Capacities: up to 60 GPM. _ ! I !
• Total heads: up to 31 feet. 6 20 3 II !
• Discharge size: 1 z - �— i --
• Mechanical seal: carbon- 0 5 151 !
rotary/ceramic - stationary, a 4 I
BUNA -N elastomers. o + ! -- EP05--7%% +
• Temperature: 3 10 ! !
104 °F (40 °C) continuous
140 °F (60 °C) intermittent. 2 -
5
- Ft -
1 I
_.' i !
0 Oo 10 20 30 40 50 GPM
L L
0 2 4 6 8 10 12 m -/h
CAPACITY
®1995 Goulds Pumps. Inc.
• Effective May, 1995
B3871
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croi
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
430646 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)).
Permit Holder's Name: City Village X Township Parcel Tax No:
Barti , Jeffrey St. Joseph Township 030 - 2101 -50 -000
CST BM Elev: Insp. BM Elev: BM Description: Sectionlrown /Range /Map No:
29.30.19.824
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark , / z 1
Dosing Alt. BM
Aeration Bldg. Sewer Q
Holding St/Ht Inlet 2 0
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic t � Dt Bottom /
30 2 s 12- 19 91. $-
Dosing Header /Man. Q -4 _ 2 I
Aeration 61iet -P��e l
l
Holding Bot. SysterlO
Final Grade
PUMP /SIPHON INFORMATION
Manufacturer Demand St Cover
GPM
Model Number
TD H Lift, gb Friction Loss System Head TDH Ft
b • �(
Forcemain Length _ I Dia. tF Dist. to well
2S
SOIL ORPTION SYSTEM
ftrQft REbjr,A Width ( Lengt No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DI IONS 3 p ZY eQ
SETBACK SYSTEM TO U J P/L JBLDG IWELL LAKE /STREAM LEACHING Type Of System: Manuf�Gt�4r:
INFORMATION CHAMBER OR 'v�E- —
/
. / 3 Model Number. � rr
DISTRIBUTION SYSTEM 10 / 7� UNIT
Header /Manifold �� Distribution x Hol Vent to Air Intake
Pipe(
Length ��5 Dia Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center Bed /Trench Edges Topsoil
Yes iL] No j Yes No
COMM NTS: (Include code discrepencies, persons present, etc.) Inspection #1' / Inspection #2: "
Location 456 Highland View Hudson, WI 54016 (NW 1/4 SE 1/4 29 T3 N R19W) land 24 Parcel N o 2.19.824
1.) Alt BM Description = S =9*03U 2.) Bldg sewer length - amount of cover = 400
Plan revision Required? I - es [ ] No
-- '
Use other side for additional information.
SBD - 6710 (R.3/97)
Date Insepctors Signature e rg �1
� �)T�cx�� 5���1'� �.i�•
` Safety and Buildings Division County .
201 W. Washington Ave., P.O. Box 7162 J C eal
isconsin Madison, WI 53707 - 7162 Sanitary P rmit Number to be filled in by Co.)
Department of Commerce (608) 266 -3151 �?Q�
Sanitary Permit Application State Plan I.D. Number `�'
In accord with Comm 83.21, Wis. Adm. Code, personal information you provide
may be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address (if different than mailing address)
I. Application Information - Please Print All Information /l' V!C 1
b
Property Owner's Na me Parcel # Lot N Block N
AP ty�tpe air l` 030 - afz " a Y 1-
Property Owner's M ailin Address Property Location
oa # 1l� Ite
C' ,State Zip Code Phone Number �= 'k, J 4. 'k,Section
N, S
e WOO m n. N; R < / JQ (cE ircle ne a
II. The of Building (check all that apply) 4 RECEIVED
>-1 or 2 Family Dwelling - Number of B ooms ' ubdivision Naine CSM Number
lf rJ / ,�
❑ Public /Commercial - Describe Use C h /Q 11111E 2n d �►` I
❑ State Owned - Describe Use ° City_ ❑Village Xrownship of Sy. QsP
III. Type of Permit: (Check only one ox on line A. Comp ete ne B if%ff
` . New S p y Treatment/Holding Tank Replacement Orily Other Modification to Existing System
',� System ❑ Replacement S El
B. El Permit Renewal ❑Permit Revision 11 Change of El Permit Transfer to New
List Previous Permit Number and Date Issued
Before Expiration Plumber Owner
IV. Type of POWTS System: (Check all that a ly) . Z t7n
Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ ❑ 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 p Line avel -less Pipe lain)
V. Dispersal/Treatment Area Information: (- 96. g0 t
Design Flow (gpd) Design Soil Application Rate(gpdsf) D�Area u persal Are oposed (sf) System Elevatio
2 -
VI. Tank Info Capacity in Total Number Manu acturer Prefab Site Steel
Gallons Gallons of Units Concrete Constructed Glass
New Existing
Tanks Tanks
Septic or Holding Tank ��54 a�
Aerobic Treatment Unit
Dosing Chamber
VII. Responsibility Statement- I, the undersigned, assume responsibility for insta POWTS shown on the attached plans.
Plu is Na me (Print) PI gnature MP/ RS Nu Business Phone Number
Plumber's Addre ss (Street, City, tate, Zi Code)
�9 7a Xre )et 1 l� v o.9
VIII. County Department Use Onl
VIt Approved Disapproved Sanitary Permit Fee includes Groundwater Date Issued Issui Agent Signature ( Stamps)
Surcharge Fee)
❑ Owner Given Reason for Denial
IX. Conditions of Approval /Reasons for Disapproval 3)SYS
SYSTEM OWNER: uent filter and � 3 >E Z
1 Set�tit; tr• ;��, �sfil , � � � �� � � •�
d s�1et .; ti ;0"I mu st all M ice _d 1 maintained
ha se I tZ �� � ' o� P
tr a l>yrznt plan provided by plumber. of �
i * 5`
2_ ,�(�, ; "luiromentrs must be maintained �\ 3 � vr. i
,; per appliGable Qodefordinances. J
Q,,,
Attach complete plans (to the County only) for the system on t less t4M 81/2 x 11 ' ch m
SBD -6398 (R. 01/03) n " �'`"� "�'r "�� •
I
A3 -2003 11 40 CPI -GU IDANT 612 582 3215 P.08/06
L. Steel , � r `
33
M2298 N ji 29-T9 RI9W
?RSW 3254 tom of St. Joseph
lot #24- Highland Hills Second Addn. A
Il
34-- top of SW lot stake # el. 100
S4
A
z 2
94 • SO ,
Tom. 2s 9(0 • go
Tr. 3
17 30
TOTAL P.08
9 -2003 1140 CPI - GUIDANT 612 582 3215 P.08/08
L. Steel
v4i of,
i M2298 NWk 29 -T30NLR19Fi
?RSW 3254 town of St. Joseph
lot #24-Highland Hills Second Addn .
I I (A.
N
1 0=401 007v6
am. top of Sm lot stake 0 el. 100'
//0
�, ve
A-rejo,
72 of lot
Tr• 1 9b • F� �
e. 2s 96
co
TOTAL P.08
in Depa'tment of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3
bor and Human Relations
Division of Safety 8 Buildings
in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
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 (8M), direction and % of slope, scale or PA \
io y�
dimensioned north arrow and location distance to nearest road.
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION ED `<4�y DA
r�
PROPERTY OWNER: PROPERTY LOCATION S* �'j
Joanne Pers' co GOVT. LOT NW 1/4 SE 9�T R 19 )
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NA Q1F,
400 S. Secon S 24 na Hi hla ` is
CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE fgOWN D
Hudson, WI. 54016 (71$ 386 -9 • E"
[ New Construction Use 61 Residential / Number of bedrooms 3 [ ] Addition to existing building
[ ] Replacement [ ] Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate .5 bed, gpd /ft trench, gpd /ft
Absorption area required 900 bed, ft 750 trench, ft Maximum design loading rate .5 bed, gpd /ft .6 trench, gpd /ft
Recommended infiltration surface elevation(s) 97.37 ft (as referred to site plan benchmark)
Additional design / site considerations alt. area trenches C 98.7 & 96.2 ' , area or B -2 & B -3 to be cut to c ie
Parent material Pitted glacial drift Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL 1 HOLDING TANK
U = Unsuitable for s stem ®S ❑ U ® S ❑ U ® S ❑ U u s ❑ U ❑ S �C] U ❑ S [3j
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Structure GPD /ft
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench
..................
1 0 -11 10 r3 3 none si 2msbk rnfr QX 9f -9 -6
2 11 -40 10 r4/4 none sil m na crw 1f np .9
Ground 3 0 -84 7.5 r cos os ml na na .7 .8
elev.
10 ft. '� • '3 ,
VW I
Depth to
limiting
factor - , 3 � of • QO
+84
p 1Cwo
Remarks:
Boring #
1 0 -9 10 r4
2 9 -30 10 r4/4 none sicl 2msbk mfr
Ground 3 30 -62 10 r5/4 none sil m na
elev.
4 62 -100 7.5 r4/6 none cos os ml na na
1
Depth to
limiting
factor
+100
Remarks:
CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -620Q
Add ress: 1554 200t Ave., New RicJimond, WI 54017
Signature: Date: 11 -13 -96 CST Number: m02298
PROPERTY OWNER Joanne Persico SOIL DESCRIPTION REPORT Page 2
PARCEL I.D. #
Lot #24
Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmr&
3.._.! 1 0 -11 10 r4/3 none 1 2msbk mfr cs 2f .5 .6
2 11 -20 10yr4 /4 none sicl 2msbk mfr gw if .4 .5
Ground 3 20 -39 10 r4/4 none sl 2msbk mvfr qw na .5 .6
elev.
10 ft. 4 39 -98 10 r4/4 none cos osq mvfr na na .7 ;.Q
Depth to
limiting
factor he (v
+98
Remarks:
Boring #
1 0 -12 10yr3 /3 none sil 2msbk mfr cs 2f .5 .6
4 2 12 -22 10yr4 /4 none sicl 2msbk mfr 9w if .4 `.5
3 22 -59 7.5 r4/4 none sl 2csbk mfr Crw na .5 .6
Ground
elev. 4 59 -84 7.5yr4/4 none cos osg ml na na .7 .8
99.2 ft.
Depth to
limiting
factor
_
+84
Remarks:
Boring #
1 0 -8 10 r4 3 none sicl 2msbk mfr cs 2f .4 .5
5 ' °" 2 8 -30 10yr4 /4 none sicl 2msbk mfr gw if .4 .5
3 30 -80 7.5 r4/4 no sl 2csbk mvfr na na .5 E.6
Ground
elev.
9 9.76 ft.
Depth to
limiting
factor
+80
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(8.05/92)
i
a
STEEL'S SOIL SERVICE
Gary L. Steel Joanne Persico 1554 200th Ave.
CSTM2298 NW4SE4 S29- T30N -R19W New Richmond, WI 54017
MPRSW 3254 town of St. Joseph (715) 246 -6200
4 lot #24- Highland Hills Second Addn.
I
N
1 =40'
BM.= top of SW lot stake C el. 100'
8,9
Z-
2 o ,
o
�7 6 �
Gary L. Steel
11 -13 -96
A WED 12:19 FAX 715 986 4686 ST CR% CO ZONING 0 002
YYOWNER Joanne Persico SOIL DESCRIPTION REPORT Page .
3.LD.a
Lot #24
tiring # Horizon Depth Dominant Color Mottles Texture Structure Consis�enw 9arrdaty goats G PD/
In. Munson Qu. Sz. Cont. Color Gr. Sz. Sh. Bed r.6
3 1 0-11 1 r4/3 none 1 2msbk r ca 2f .5
2 11 -20 10yr4 /4 none sicl 2msbk mfr if if .4
Ground 3 20 -39 1 r4/4 none sl 2msbk mvfr na .5
e1ev.
102,,,Z it 4 39 -98 1 r 4 none cos 06 mvfr na na .7 .8
to r
+ 98. .
. tab.
Remarks:
Boring #
1 0-12 10 r3/3 none sh 2msbk mfr cs 2f .5 1.6
4 2 12 - 22 10yr4 /4 none sicl 2msbk mfr gy if .4 `•:.5
Gmund 3 22 -59 7.5 r4/4 no s1 2csbk mfr aw na €.6
9 k 4 59 - 84 7.5 r4j4 none cos as ml na na . 7 .8
to
tlmidng �- °�.3J
factor
+84
Remarks:
Boring #
1 - 1 r4 3 none sicl 2msbk mfr ca 2f .4 }.5
5 2 8 - 30 1 r4 4 none sicl 2msbk mfr gw if .4 .5
Ground 3 3 0 - 80 7.5 r4 /4 none s1 2csbk mvf� na na .5 1 .6
9 9.76 ft
Mnding
facto
+80
Remarks:
Boring #
Ground
ft.
0� b
RMOV
factor
Remarks:
.C: System Management Plan
Put`suant to Comm 83.54, Nis.Adm. Code
Sectic Tank
The septic thntcsf iCbe rma ntained by an individual certified to service septic tar•,ks under S. 291.48, Slats. The contents of the
sepbe tank shall be disposed of in accndartce wfih NR 113, Wis. Adm. Code. The operating condition of the septic tank and
outlet filter 36811 be assessed at least once every 3 years by inspection. Tne outlet filter s. pail be deared as necessary to
ensure proper operation. Tne 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 enc :csure. If the filter is equipped with an alarm, , the filter Shall be serviced if
the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. Tne
septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 the Druid volume of
the tank. If the contents of the tank are not removed at the time of a triennial assessment. � p shall advise
the'ovmrar of when the next service needs to be performed to maintain less than maxmum scam and skudge in
aCZrmcriatfon
the tank. The addition of blologic�t or chemical additives to enhance septic tank perfomrance is gertergy not acquired.
H.awever, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and
t3uridings Division.
Puma Tank
The Pump (dosing) tank she be inspected at least once every 3 years. All switches, alarms, and pumps shall be testbd to
verffy Proper operation. If an effluent Ser is installed within the tank t shall be inspected and serviced as necessary.
At- rade Comoonent and Pressure Distribution S stem
Ho.tre44 'i s ru s s oul be planted or allowed to grow on the component. Plantings may
be made around the perimeter and the component shall be seeded and mulched as necessary
to prevent erosion and to provide some protection from frost penetration. Tra fie (other
than for vegetative maintenance) on the component is not allowed. Cold weather install-
ations require the component to be heavily mulched for frost protection.
Influent quality into the at -grade system may not exceed 220mg /L BODS, 150 mg /L TSS and
30 mg /L FOG. Influent flow may not exceed the maximum design flow specified in the permit
for this installation.
The pr =Jm won system is provided with a flog.
lateral be flushed of amrmolated solids at bad once X918 at the end of each r safes essure test is per and ti is tesomr It s that cacti
compared m the Irulfai test when the �Y 18 n
moths. When a pr formmed t should be
wed d system was installed to detemmine if orifice dogging has occurred and ti orifice cezning is
e4 distribution within the dispersal cell.
Observation pipes within the dispersal cell shall be' checked for effluent ponding.
Poading levels should be reported to the owner and any levels above 4 inches considered'
as an impending hydraulic failure requiring additional, more frequent monitoring in
accordance with-Comm .83.52 (2).
General
pstem shall be operated fa accordance with Comm '82-84 Ris.Adm and shall be
maintained in accordance with it!s component manual SBD 10570- P /99) local and
state rules pertaining to system maintenance and maintenance reporting..
No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death Septic and
P OWM t Components. ank aban�nnhent shag be in accordance e with Comm 83.33, Wis. Adm. Code when the tanks are no monger used as
Septfic or pump tank manhole risers, apes risers and covers should be inspected for water lightness and soundness. Access
openkW used se"'co and assessment shall be sealed watertight upon the completion of service. - Any opening deemed
be w4 defectiv% or subject to f ff= must be replaced. Exposed access o penings Undies in diameter shall
siamad by an egecOve kicking device to prevent acddentai or unauftwr¢ into a tank or
ft Pn?pe
seM . r orb any of Cnrrponents become defective the tank or component shall be repaired or repl�d to keep the
Un operating ,
If the'dosing tink pip, PurnP controls, alarm or rekbd wftg� becomes defective the defective component shall be
k4nsftY or replaced wth a component of the same or equal patanancs.
If -th a grade co'mgonent fails to aecepti �rastewatsr'or�egins - to discharge wasteweter�to
the ground surface, it may be accessary to install as aerobic pre - treatment unit or .
.replace the component. Additional site and soil- evaluations may need to be done: and
additional plans may to bo prepared and approved by the Department of Commerce,
Safety and Buildings* Division. .
Questiona.about the operatiori'or' maintenance of this system sho'ulcl_be directed too
- The County,Zoning Office at Z 6 - )t{ '7 PIRRA%,
The system installer at -) AZ a q S$., hi'Prf�JC _
The tank manufacturer at %1Dp_3Z$_$ $(, %NittTt3trT(t
The effluent :filter' manufacturer at _ kbl� - ZZ1 _ $7 (4Z, ZM� - %eL
n o • .E b 3
ST CROIX COUNTY
• SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
9; e Eir Q 01
Maffing Adam W11 �l','I "
Property Address
—V-
(vuirm6oa m,,,kw from Phan* for now co tntwon
c ityl �° D Pacoel I 3 2 1e o v
ea 'a S D
L g& D& JAN 0 2 2004
Property Location /� s y �, S �?� . �ST. CRO F N E1�'o of C��
Sabi vision vt C � ) M d �dd, Lot # n Cl
(,citified Survey Map #
voimmc
P age
# �--�
Wsm aty Deed volam 7 �/
pag �9
❑ ya ❑ no Lot ii= pi ya ❑. m
oonsis�sofpag f �' ° m " � .rjtsje's.Pmjlr1.aoe
aasffattfe�am�of� ���� :��P!�•�oQ
'itm �•�
�� asorietoaa� facm4, 6ygre ad by. s
isi P a (�a&camdpmmpi�,(f
-Uwe �dQwe�bor�e .
1!eaia.�rsoct �od�axlom�mtamQrepn�rs�auw qp wd =yam dic=dmd�tds
�i' ea�tofQooamc�oc�odQrcDcp :em�aoteE'Nab� S'ca6eofWmooemd, o
1 °'g ap4e tLas6oenao �y,c A=dxdmoodt0theSLQm&C0ltlIyZoaiae4ffioew ndua30
daysrofQn dmx
OF A2 �Or4
DATE
f (w*) oeeEi(jr *4 all oa tbis fQm gm tm `o Hoc best of my (oo kn wkdgc. [ (one am (area owaec( :) of
by vidmm of a v=zdy deod tc 01;kd m Hof Doods Off,
• �� t -2
`� L -`J ■ L DATE
sNNi A � dmt L mQ{�tir`�:iW dmV tt i�14 Y1 do cubaY pm* ,i w l-d by dtc q,•,.;,•,. DcpuA�f N * * *"
� Gtclttdc wIq[ tltL! APPIkR&I : a dmgiod %umq flood fvm dta �"�""�S `"'+'wa"w
a copy of tItC cettitiCd °f Doody oa'ioc
Y �P if trfoacaee is made is t6c wam u" dcod
f Vol. 1492 8 �9
Ea 15807
STATE BAR OF WISCONSIN FORM 2 - 1999 _FF :,y H. WRLSH
Document Number WARRANTY DEED Rc:GZSTFR OF DFFDS
CROTX CO.. Oil
This Deed, made between Highland Hills, A Partn -- RECEIVED FOP RECORD
02-25- 2000 9:00 AM
— "'— WARRANTY DEED
_ - EXEMPT #
Grantor, and Jeffrey T. Bartig and Sara E. Bartig, husband a nd wif CERT COPY FEE:
COPY FEE:
TRANSFER FEE: 199.50
_ RECORDING FEE: 10.00
RAGES: 1
Grantee.
Grantor, for a valuable consideration, conveys to Grantee the
following described real estate in St. Croi _ County,
State of Wisconsin (if more space is needed, please attach addendum):
Recording Area
i Lot 24, at of Highland Hills Second Addition in the Town of St. Joseph, Name and Return Address
ix
vCounty, Wisconsin. j
r L—
030- 2101.80 _
Parcel Identification Number (PIN)
This is not homestead property.
0f) (is not)
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any.
i
Dated this '24 day of February 2000
Highland Hills, A Partnership
• • JoAnn Persico, individually an as Attorney in Fact for Roger
-- — - - -- lir — and Buze Fetersm
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) Highland Hills, A Partnership, by JoAnn Persico, STATE OF WISCONSIN )
individually and as Attorney in Fact for Roger Ruelin an ) ss.
-- _ County )
authenticated th15 21 da y of February 2000 Personally came before me this day of
�/, _ the above named
• Kristina O Ian 1 � � _ -
TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing
(If not, _ _ -- instrument and acknowledged the same.
authorized by § 706.06, W is. Stats.) - -__—
THIS INSTRUMENT WAS DRAFTED BY • —
Attorney Kristina Ogland — —__ Notary Public, State of Wisconsin
Hudson, WI 54016 My Commission is permanent. (If not, state expiration date:
(Signatures may be authenticated or acknowledged. Both are not necessary.) —.)
• Names of persons signing in any capacity must be typed or printed below their signature. N «� a ar P Dress oneb compe Fond 800 i021
STATE BAR OF WISCONSIN
WARRANTY DEED FORM No. 2 -1999
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