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HomeMy WebLinkAbout030-2075-20-000 0 o �. r 0) 0 � M :0 13 . 0 7 e 0 ° m[ m§ S I• Z E [\ E m 2 o o/ �_ K E. (D - ¥ ; Q o §t�k �� \ /§§ ) ,§§2G @ kE�w/ ; ■ �� ! 8 # E § ° / / ± ¢ CL § 2 7 2 7 k © 3 0 U cl CD 0 0 "*MA \ \ § § n r (A 2 8 S' i t CZ } CL 0 - i ; § g E § ■ ■ ■ [ § 7 C, <D ) �A10\� �0 i § ; / I . ~ \ = / a) _ § / 0 \ g 0 { { = �- _ $ § CD (D = ) C cc a . \ { (D _ F_ CD � P { \ . ■ � m § « g . . z z CD k m . � / \ / r') ca ) /2$\ { {\ n 0) Z k <�o . m / 0 }/ R� 77 . 0 �} \ sz, CD \� 4 EI ( _ 00 m / § ` § \� �\ Parcel #: 030 - 2075 -20 -000 02/11/2005 08:25 AM PAGE 1 OF 1 Alt. Parcel #: 26.30.20.637 030 - 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): * = Current Owner MERRY E GRAHAM * GRAHAM, MERRY E 1356 15TH ST HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1356 15TH ST SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 0.460 Plat: 1910 - DRECHSLER HGHTS SEC 26 T30N R20W LOT 12 BLK 1 PLAT Block/Condo Bldg: 1 LOT 12 DRECHSLER HGHTS Tract(s): (Sec- Twn -Rng 401/4 1601/4) 26- 30N -20W Notes: Parcel History: Date Doc # Vol /Page Type 10/28/2004 778330 2684/563 PR 10/26/2004 778090 2683/152 PR 10/1512003 743799 2436/491 WD 10/15/2003 743798 2436/490 q mor ... 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 6350 203,300 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.460 39,100 160,900 200,000 NO Totals for 2004: General Property 0.460 39,100 160,900 200,000 Woodland 0.000 0 0 Totals for 2003: General Property 0.460 23,000 130,700 153,700 Woodland 0.000 0 0 Lottery Credit: Claim Count 1 Certification Date: Batch #: 107 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 030 - 2075 -30 -000 02/11/2005 08:25 AM PAGE 1 O F 1 Alt. Parcel #: 26.30.20.638 030 - 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): " = Current Owner MERRY E GRAHAM " GRAHAM, MERRY E 1356 15TH ST HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 0.410 Plat: 1910 - DRECHSLER HGHTS SEC 26 T30N R20W LOT 13 BLK 1 PLAT Block/Condo Bldg: 1 LOT 13 DRECHSLER HGHTS Tract(s): (Sec- Twn -Rng 401/4 1601/4) 26- 30N -20W Notes: Parcel History: Date Doc # Vol /Page Type 10/28/2004 778330 2684/563 PR 10/26/2004 778090 2683/152 PR 10/15/2003 743801 2436/511 WD 10/15/2003 743798 2436/490 C2C mo ... 2004 SUMMARY Bill M Fair Market Value: Assessed with: 6351 9,400 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.410 9,200 0 9,200 NO Totals for 2004: General Property 0.410 9,200 0 9,200 Woodland 0.000 0 0 Totals for 2003: General Property 0.410 5,400 0 5,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Y' Safety and Buildings Division Count St. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitarf$SrgitrNo.: Personal information you provice may be used for secondary purposes [Privacy Law, r (1)(m)1. Permit Holder's Name: ❑ City ❑ V g T of: State Plan ID No.: LaCasse, Pat & Merry �o pfl fownship CST BM Elev.; Insp. BM Elev.: BM Description: Parcel Tax - G2075 -20 -000 I ov •a' " Pvc, =CST T ,KA1 U311 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic O D Benchmark (0. q 0 1 0 (0 4c , Dosing Alt Aeration Bldg. Sewer I^"�^`;k (4 D . ZO' Holding St /Ht Inlet 1 -411' TANK SETBACK INFORMATION St/ Ht Outlet 5� 3 ) p(• 9 }' TANK TO P/ L WELL BLDG. Ai Intake ROAD Dt Inlet ---- Septic > 50' p 3 NA Dt Bottom -- Dosing NA Header / Man. 4 57 Aeration NA Dist. Pipe Z) $ s Holding Bot. System 3) R -qd Z ) �� r PUMP/ WHON INFORMATION Final Grade ` st Manu a e� and cover (, Z 0 .0 Model Number GPM TDH Lift Fri Syste DH Ft ss Forcem Length Dia. H Dist. To well S IL ABSORPTION SYSTEM p� $ NCH Width ! Leng K i N Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION & �� DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION TypeO CHAMBER Moe Number System: �. > 501 J7 o f OR UNIT - L DISTRIBUTION SYSTEM Header ! Ma Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air intake Length Dia. 3 fl SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over r h Over xx Depth Of xx Seeded / Sodded xx Mulched Bed/Tr ench Center Tren ch Edges Topsoil ❑Yes ❑ No [I Yes [I No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: JZ /08Eft Inspection #2: Location: 1356 15th Street, Houlton, WI 54082 (SE 1E 1 /4NW,1 /30 R20WJ - 263020637 Dreschler Heights -Lot 12 1.) Alt BM Description 2.) Bldg sewer length = 35.0 - amount of cover a,¢ -- WIKUAQ-- ���• "�- Plan revision required? ❑ Yes No Use I ther sid fora ditional infor 12 I Sft97)et Date Inspedor'sSigr�atur� n rt.No. t C�tJO�IRr' dF I a �u�� r u H L ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: t � [ W _ , T T E { J 3 { I F e � F t _ _ t o b � 3 { emu. . �. � � � �-__ �- m�� C Al, Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21. Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 Vvi sconsin Personal information you provide may be used for secondary purposes Madison. WI 53707 - 730^ Department of Commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if r state owner Attach com fete plans (to the county co only) for th e sys er not less than 8 -1/2 x 11 inches in size. Court { State Sanitary Permit Number ❑ Che �o *v u placation State Plan I. D. Number I. Application Information - Please Print all Information ' Location: gpe;y can er ame ' � -y ;; I l- Property Location 1/4 Jl1 /4, S 6T 3L�N, R o W All Property Owner's Mailing Address ► Lot Number Block Number -� ST C City, State Zip Code one E ` i Subdivision Name or CSM Number L A-t :f II Type of Building: (check one) �`�: �_ _� ❑ City 1 or 2 Family Dwelling — No. of Bedrooms: ❑ Village 13 C3 Public/Commercial (describe use): ' (1 �Yfown of ❑ State -owned III Type of Pert -it: (Check onl A. Check box on line B if applicable) Nearest Road fi A) I I. ❑New System fAReplacement 3 ❑ Replacement of 4. ❑ Addition to Parcel T umber s) _ S stem Tank Only Existing System � c 30 — p� D 75 6 — D� B) Permit Number Date- Faaeed ❑ A Sanitary Permit was pre vious issued �v. 7 jv. v�o • 3 IV. Type of POWT System: (Check all that apply) krNon-pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland Pressurized In - ound 11 Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ✓ J — ❑ obi'ePreatt�ent Unit___ ecirculating ❑ Other: V Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. DispersalArea 3. Dispers pp [cation 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate ( Is. /day /§q. ft.). (Min. /inch) 3 _ „y� Elevation VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks S / C0 / ❑ ❑ ❑ ❑ ❑ VII Responsibility Statement I, the undersigned, assume res o. ibility fer installation of the POWTS sho the attached plans. Plumber's Name (print) I Plu P PRS No. Business Phone Number /3 �l mber's 'gnat a (n s p ab 3 s 7 iS Plumber's Address (Street, City, State, Zip Code) VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing ent Si ture (No stamps) Approved ❑ Owner Given Initial Adverse Surcharge Fee) , S Determinations D� IX. Conditions of Approval /Reasons for Disapproval: C ° � N ; 1 0 - o�rcQ �oa �J�nq .1.� � S,•�2.. l eua?1oo C.�.wn�.�ojv sY ,- 9T 0 ;air p / .ems y am. ire tsAw.- t.,^a.•t� - - -2 SBD -6398 (R. 07/00) U w� 1y�00 T*x 9� C� Wisconsin Department of commerce SOIL EVALUATION REPORT Page __1 of 'I Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code coun St. CRoix Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must Include, but not limited to: vertical and horizontal reference direction and Parcel I.D. 030 2075 - - 000 percent slope, scale or dimensions, north arrow, an a d ifit s�to nearest road. Please print all 1 on _ Reviewed by Date \. Personal information. you provide may be used for ry pu es Law, C (1) (m)). Property Owner Pri�pko Location Pat LaCasse Go' - Ioj SE 114 NW 114 S 26 T 30 N R 20 EA0r) W Property Owner's Mailing Address " ` Lot - Block # Subd. Name or CSW 1356 15th. St. rn ST CROIX. $ ° na na City State Zip Code L N G OFFICE E) Village $] Town Nearest Road Houlton WI 54082 t 1� 49 -6076 r., St. Joseph 15th. St. ❑ New Construction Use: [3 Residential / Number o o 's _ Code derived design flow rate 45n -GPD (Replacement ❑ Public or commercial - Describe: Parent material Outwash Flood Plain elevation if applicable na ft• General comments and recommendations: system 4.00' below grade trenches spaced to code ❑ Boring F7 Boring # [ Pit Ground surface elev. 102. ft. Depth to limiting factor + 90" in. Soil don 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 -14 10yr3 /3 none sl 2m r mvfr Qw 2 14 -27 10 r4 4 none sl 2 3 27 -48 10yr4 /4 none co s Osq ml Qw n 4 4 8-- Q 7.5yr4/4 no ne ms Osg ml na na .7 1.2 96.0 rr 2] Boring # Boring Pit Ground surface elev. 102.2 Depth to limiting factor 90 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDRf' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 1 0 -8 10yr3 /3 none sl 2mgr mvfr gw 2m .5 .9 2 8 -24 10ur4 /4 none is Osq mvfr 3 24 - 45 7.5yr4/4 none co S Osg ml g na .7 1.6 4 45 -90 7.5yr4/4 none ms Osg ml na na .7 1.2 4 0 Effluent #1 BOD > 30 220 mg1L and TSS >30 < 150 mg1L ' Effluent #2 = 5 30 TyLand TS5 5 30 mgfL CST Name {Please Print) Signature ' CST Number Gary L. Steel 0 02298 Address Date Evalua' Conducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 8 -26 -2000 715 - 246 -6200 � 1 Property owner PParcel ID # P. LaCasse 030- 2075 -20 -000 2 3 Page of Boring # E] Boling 3 30 Pit Ground surface elev. 97.0 Depth to IkMV factor + 86 in. Soil AAAcafl Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots. GPDlftT in. Munsell Qu. Sz Cont. Color Gr. Sz Sh. •Eff#1 'Elf#2 1 0 -11 10yr3 /3 none Sl 2mgr mvfr CS 2m .5 .9 2 11-36 10yr4 /4 none S1 2msbk mvfr gw lm .5 .9 3 36 -86 7.5yr4/41 none ms Osg ml na na .7 1.2 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor m• Soil Application 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 'Eff#2 a Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cord. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Effluent #1 = BOD > 30 1220 mgll and TSS >30 < 150 mg1L ' Effluent #2 = BOD < 30 mglL and TSS < 30 mgfL 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- 2648777. sen -saw tn.6roo� STEEL'S SOIL SERVICE Gary L. Steel Pat laCasse 1554 200th Ave. CSTM2298 SE4NW4 S26 T30N - R20W New Richmond, WI 54017 MPRSW -3254 town of St. Joseph (715) 246 -6200 i =40' .= top of 1 pvc p ipe C el. 100.00' t. BM.= top of concrete slab by garage door C el. 107.00' -7. i' nA5 � O � 0 ro n Gary L. Steel 8 -26 -2000 Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567 -P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number 3 Fr - �F Number of Bedrooms � r.�- tom. Design Flow - Peak (gpd) o 0 Estimated Flow - Average (gpd) Septic Tank Capacity (gal) o0 Soil Absorption Component Size (ft) Type of Wastewater Domestic dw Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) a 6b q'.;1 Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Inspect once eve 3 Soil Absorption sp every ears y Septic Tank The septic t s Y t' t hall be maintained b an individual certified to service septic tanks P under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). Theo alter shall be assessed at least operating condition of the tic tank and outlet se f P 9 P once every 3 years by inspection. 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 Management Plan for a Septic Tank and Soil Absorption Component 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. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole 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 one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component soil and dispersal cell, which may lead to onent will reduce diffusion of oxygen into p p xY9 more intense, and earlier, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. Tt 3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND �j� OWNERSHIP C'_ T Ew RTIFICAION FORM uyer / !�1' - rr,z 7�_ Mailing Address Property Address S� 1 --� st, ' U"') / (Verification required from Planning Department for new construction) City /State :S�t ki Parcel Identification Number f).;0 c; CQ_71 ` c� LEGAL DESCRIPTION Property Location SI '/., PO4 '/,, Sec. a , T 3 N -R 'X ) W, Town of 5 //�� ti Subdivision /''c°G,� er -f k°1 Lot # l _ . Certified Survey Map # Volume , Page # Warranty Deed # ��^ �] , Volume Page # Spec house ❑ yes, k no Lot lines identifiable ❑ yes X 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 SL Croix Zoning Department a certification fora, signed by the owner and by a master plumber, journeymanplumber, restrictedplumber or a licensed pumper 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. I/we, the undersigned have read the above requirements and agree to maintain the private �P Y sewage disposal system with the standards set forth, h " as set b e Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification sta M. g that yo s ti has been maintained must be completed and returned to the SL Croix County Zoning Office within 30 y of the y exp' lion date. I NA PLICANT DATE OWNER CATION I (w) c s tements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of operty esc ab , b virtue of a warranty deed recorded in Register of Deeds Office. NA LI DATE * * * * ** Any info tion t 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 _. ,�:. c! . _ k _ =_+ee; r.. ,f '.. " =_ "! .`•, ", ypa.� ` . tb �,"`�'i" '�4 `�'.1,f.:'. "k �k.,':.1�- -d11s "t k"�t`'!Ra�: .St ' a _ � �.,�m :. . +,t`.=,' s ��' :� O • STATE BAR OF WISCONSIN FORM 2 - 1982 570957 WARRANTY DEED DOCUMENT NO. YoL 4j�hA Betty Jean Riemensc hneider, a single person, REGIST R $ 0 FICE ST. CROiX Co , WI RIG'd br ft4Q JAN U 7 1998 conveys and warrants to , e SiNie 1:50 P M pergen R h1N o f THIS SPACE RESERVED FOR RECORDING DATA 7 NAME AND RETURN ADDRESS the following described ma! estate in a C mix _ County, State of Wisconsin: 030 - 2075 -30; 030 - 2074 -80; 0- 4- 5 030-2075-10; QR�i� -- ON NUMBER -9 and 13 Lots 8, 9,10,11 Block "1 ", Plat of Drechsler Hei4its in the Town of St. Joseph, St. Croix aomty, Wisconsin. S Ao9 a V FEE a This i A rv* homestead property. (is not) Exception to warranties: Msements, restrictions and rights -of -way of record, if any. Dated this — I °" day of DeCeMber , A.D., 19 (SEAL) EAL) • Betty earl Rietnensc3 neider (SEAL) (SEAL) i AUTHENTICATION ACKNOW',Z'_ mtENT }~ Signature(s) _ State of Wisconsin, L ss. St. Croix Count. authenticated this day of s Personally came before me this l day of •` i • • • 1��i4 n..,...rbe 19 -9:jL— , the above named TITLE: MEMBER STATE BAR OF W1 Sc 1N ; _� i (If not, — w • — authorized by $706.06, Wis. Stats.) % S . . • 4t.`� to me known to be the person who executed the foregumg instyu m and xknowledge. a sot . THIS INSTRUMENT 'WAS DRAFTED BY Attorney Kristin Oaland Htkdson., WT 54016 _ Notary Public, _ C' n X County. Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (if not, state expiration datr. necessary) 7 )1 F �GU 1 X ) • • Names of persuna signing In any capacity should by typed or pneeed below their stgmturcs. STATE BAR OF WISCONSIN Waunsn le9te 913* Co tnt: •�. WARRANTY DttD Foem Nc. 2 - 1982 6wra,Aee. 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