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HomeMy WebLinkAbout032-2110-30-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: 395194 GtNERAL 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: Village x Township Parcel Tax No: City Lund go Corporation Somerset Township 032 - 2110 -30 -000 CST BM Elev: Insp. BM Elev: BM Description: q TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / Benchmark - w Q Dosing Alt. BM • �� / Aeration Bldg. Sewer 2 • Q , 36 H ldi F Ht Inlet 3- �- 0 3• o TANK SETBACK INFORMATION Ht O utlet - 7- Z Jd 7— TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt InI Septic 7 i / �— Dt Bot S � Dosing Header /Man. Aera ' Dist. Pipe Holding Bot. System 4 of 7-- S PUMP /SIPHON INFORMATION Final Grade ManuftduLer Demand St Cover M Model Number TDH Lift Fr' Loss System Hea TDH t Forcem ' Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length. No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 L?3� s Z SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM L NG Man fact er: INFORMATION AMB OR - Type Of System: y / T Mod,(Numb r: iii DISTRIBUTION SYSTEM Header /Manifold Distribution I x Hole Size I x Hole Spacing Vent to Air Intake / 5 Lengt Dia Pipe(s) ength 3 S Dia Spacings / S SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of 1 xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:'// Inspection #2: Location: 1781 46th Street Somerset, WI 54025 (NE 1/4 NE 114 5 T30N R19W) Cedar Valley Estates Parcel No: 05.30.19.1031 1.) Alt BM Description = Pt� %o a v n5 Ad (tied ( // 4,J 2.) Bldg sewer length = > I?" i ff mount 9f cover= Z 7.� { �bCr Uct v � fi�n.a.e��Y � , La,�•� Gv� Plan revision Required? ❑ Yes A No Use other side for additional information. ! a 22 Date Insepct is Si nature Cart. No. SBD -6710 (R.3/97) k �� o �_ o k `�� . � � b �/ / `� � �.7 ul I � Sanitary Permit Application Safety 6c Buildings Division 201 W. Washington Ave. In accord with Comm 83.21. Wis. Adm. Code PO Box 7302 �� Scc rcvcrsc side for instructions for completing this application Madison. WI 53707 -730.' `�SCOnS�� Personal information you provide may be used for secondan• purposes Departme of Commerce (Submit completed form to county if r [Privacy Law. s. 15.04(I)(m)] state owner Attach com {etc plans (to the county copy only) for the system. 2RjnDe=kss than 8-1/2 11 incbcs in size. Counry State Sanitary Pemtii Number ❑ Check if rev ot►� a iou5 a Pltc n Stare Plan 1. D. Number - -- . 1. Application Information - Please Print all Information c Location: Property Owner Name L."CIYE } roped) Location A, " e ( Cim N 1 /4, S S Property Owner's Mailing Address (; �i -L t Number Block Number 0 "t-r— ST CAQ; 1 /-j City. State Zip Code Pho a h(ZOMNGOK4 c I lWvulyision Name or CSM Number i' wr �`'r 1I Type of Building: (check one) k ( y O Lill � 1 or 2 Family Dwelling — No. of Bedrooms; .3 a Per P Q `' S O awn of ❑ Public/Commercial (describe use): w.; 4� eets O State ovrrtcd - Soi....e�rvT III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road A) 1. ..New System 2. ❑ Replacement 3. ❑ Replacement of 1 4. ❑ Addition to Parcel Tax Number(s)032 _ 2 //0 - 30 - ovU System Tank On Existing System • 30 . / 3 1B) Permit Number Date Issued ❑ A Sanita Permit was rcviousl issued IV. Type of POWT System: (Check all that apply) -I"on- pressurized In- ground ❑ Mound ❑ Sand Filter O Constructed Wetland 13 Pressurized In- ground ❑ Holding Tank ❑ Single Pass D Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating O Other. rnlrL� G(SG cr ' t. A 4 ✓ V Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. DispersalAtea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6, System Elevation 7. Final Gradc Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation ysa S'b 1-1 -$ C4 -L- I. ,,s''✓ ?..1v Iv /r O VI Tank Capacity in Total 4 of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete strutted Tanks Tanks � ❑ D O D -S7_ t^G.rf p ❑ D 0 ❑ VII Responsibility Statement 1, the undersigned assume responsibility for installation of the POWTS shown on the attached Plans. Plumber's Name (print) Plumber's Signature (no stamps): PRS No. Business Phone Number hr : c_.4a f e, C./t 42 ,/.— Plumbers Address (Street, City, State, Zip Code) P V. Ao ?.r-7 A­ e,— rJ.� -j erg VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issu Agent Signature (No stamps) X Approved C) Owner Given Initial Adverse Surcharge Fe ) Determination fP 2 Z.S 00 IX- Conditions of Approval /Reasons ' f o r Disapproval: r / r J * nSy1STel((r �D JL iti // ��� r atti / t / +a✓ k/.S4 sae of � Sa� T�eS�¢G� ava�� OVO4 ''Qrr�P GtY�Gi. FC�Gh7 eh QY�a 5p (w �1Q�H/2TC /0 %k G ✓d N QSSCSS sNr�adr( /�/ OT / J� e' YPP�QCCHteh.� s'] ✓ � 4- Ile) �e .t p•.Q� / .✓ lu6ta�'Ya.CYuY�V`. �EGOw�/hCwd•t'��o•,..5. I - SBD -6398 (R 07/00) o - U) J 2 s� 401. - 4 . 0 S'r- �• r � 10107 V. 4 A N _� i (dr �lit Av�i L a tiS r , u4j :30 G A e sr-ALE 1" — 1{ 0 r I3M 1, T.0 oV, $VIZ ��wrr Wisconsin DepatinetkdCommerce SOIL AND SITE EVALUATION � Page t of 3 Division of Safety and Buidings in accord with Comm 83.05, Wis. Adm. Code Eu vumma w at By Dc.km PUtach c ompkde WW plan on paper not less than 8'% x 11 inches in sae. Plan must CM * wictrde, but not knied to: vertical and hourontall reference Park (BIYB, cirecbon and fit. (anix percent slope, scape or dinemsiune, cwnh arrow and locust and distance to newest road. Parcel I.D.# APPUCANT INFORMATION - P/nase print aU irrlornsebw 032- 2017 -10 Personal i 6arrrato you provide rney be used for secondary purposes vay i.aw, s 15.x34 iii (m)). 1 O Lunberg Mike Gait. Lot NE U4 NE t/4 S 5 T 30 KR l9 W Proms CmffWc Malm Addre" Lot # � Bloch # . Sind. Name or C 2040 Oriole Ave. N 13 - Cedar Valley Estates Gk Stale ZZp Code PhoneNumber 'dam VfAau@ Town Nearest Road Stillwater MN x50$2 `s� daa +t''. @ IM lThAv i Nm Coratcion Ilse ReWwU I Number of 3 exis5ng WAM- Replan Pubic or oornnter+cial Code Derived deify low 450 g km d ng ralB - . ' bed, gpI,V .ti henc gpdIF u rea retriunea 900 bed, >P 750 trench, lP ' rf�la� — bed, WW .6 k encn, WW R� racoon surface elevab*s) X ''' it (as rekmBd b siee plan bewhinar Ad(W design ! site consi � t i Parent maiESial Loess Over Glacial OstWash Flood pW elevaiorl. ff ly Na It S= Suibible tr syslem n Conventional ' mound ii w77ii apwmie I AT -Grade w Systihn it lr tl i ii7� 1 ank LM,lrmbble for MSOU MS[IIU MS0U MSI®U CIS 2:U SMU SOIL DESCRIPTION REPO Depth Dominant Color Mo81es Texture %vcbtre Rom c DIIP fin W lon OR in. Munseli Qu. Sz Cont. Color' ° 'k- 'Sz. Sit. Bed Trench Cod e 1 046 1 ? - Ifs ?tnsttk w ft c¢ ?f 5 6 2 10-56 7.S�rr4l4 - Ifs I' 2 sbk v& stw If .5 .6 , S� P ( 3 56-90 7.5yr4/4 - fs Osg ml - - 5 .6 elev �r 11 6 p S fl M 6 Depth t4 Y X fi Y fi N S G fi Remarks: 2 1 0-11 1 oyr3/2 - Ifs 2msbk mvfr cs 2f _5 6 2 1.1 -58 7.5yr4/4 - Ifs 2m9bk mvfr 9w if .5 .6 5� � 3 58-90. 7.Syr4/4 - fs Osg cot - - 5 6 lD I liinffm fador Remarks: CST Name (Please Ponta rn;: t. Telephone No. Thownas C. Nelms 715 - 2.46.24554 Address Emsirnnmc nW By Design Dale CST Number Rat# 1432 120Th Strut, New Richmond, W1 540 17 03 /l0/2000 227397 292 PROPERTY OWNER. uwbnd�.. SOIL DESCRiPTION REPORT jl � D Page 2 of 3 PARM F-vk--mW By Desigo Depih Dominat Coioi Molon skcbjfle Roots GPDfiF Gr Sh- Horizm in. Munsd Qu. Sz_ Colt color I Texbxe Sz. 6mW=4 ftmdary Bed Trench 0-8 10yr3/2 I& 2msbk nwfir CS 2f 5 .6 3 2 8-39 7.5yr4/4 Ifs 2msbk Mvfr 9w if .5 .6 5 Ground elev 3 j 3 7.5yr4/4 Wh 2msbk ad 4 .5 Depth to 11MOM facer I Z` . Remarks: 4 1 0-10 1 Oyr3/3 A 2msbk mfr CS 2f .5 .6 2 t W49 7-5yr4A 9 2msbk um 9w If .5 .6 Ground oley -3 j 1- 9-3- 3 5yr414 b 2 2- Mrr gw 3 11,20 4 33-44 5yr4/4 c2d:5yr5/8 sd m Mvii np .2 Depth tD lackw L Remarks: 5 I 1 0-8 1 Oyr3/3 2msbk M& cs Zf .5 -6 j 2 8-20 7.5yr4/4 2msbk i mfr 9w if .5 .6 Ground elev 3 20-32 5yr4/4 sd Icsbk mfr gw -2 .3 qq. 4 132-42 -'Iyr4/4 5 c2d5yr- scl M lftvh np 090 ID Remarks: Ground elev II � B � II Depth lu Remarks: [KV f * P0KA[KTA L 1 1432 120` STREET, NEW RICHMOND, WISCONSIN 715- 246 -2454 Tom Nelson �eN Certified Soil Tester 227387 - -- Registered Sanitarian SR00713 L 1 l � If I 0 15 1 Q 1 q5.7s 6 S �i�•3o C- A ca 2. V a l 't Z s �,L -e s SCALE 1 = y p Tom Nelson BM 1. T'JP o�S�► 1 !i / R�bbun f.1t.J t l�p' BM 2 -ro� WisoonsinDeparwontoflndusuy, SOIL AND SITE EVALUATION REPORT Page iot Labor and Human Relations Division of Safiety & Buildings in accord with ILHR 83.05, Wis. Adm. Code UNTY C Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (13", direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 032-2017-10 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Mike Lundbera GOVT. LOT NE 1/ 1/4,S5 T 30 N.R 19 )ftor) W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 2040 Oriole Ave. N. 13 CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE J9OWN NEAREST ROAD Stillwater, M. 55082 (612 436 -6172 1 Somerset I 180th. Ave. ( New Construction Use W Residential / Number of bedrooms 3 I l Addition to existing budding Replacement ( ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate _. S -- , bed, gpd/ft gpd/ft Absorption area required _ 375 bed, ft trench, 111 Maximum design loading rate --5 _ — bed, gpd/tt - ti -- tre)ch, Recommended infiltration surface elevations) 92.60 ft (as referred to site plan benchmark) Additional design / site considerations system el based on contour line of el 91.60 , Parent material n fterl a t aci a ll drift Flood plain elevation, if applicable ga — ft S - Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U - Unsuitable for s stem ❑ S Eau ®S ❑ U ❑ S flu ❑ S C#u ❑ S [RU ❑ S fl U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell ©u. Sz. Cont Color Gr. Sz. Sh. Bed m ch '` 1 0 -12 l r3 3 none sl 2mcfr mvfr CS 2f .5 ... 1 \4t i-"n 2 12 -20 7.5 r4 4 none al 2m r mvfr aw if .5 .6 Ground 3 1 20-41 5 r4/4 none scl lcsbk mfr _mow na .2 .3 elev. 92_J_ It. 4 1 41-62 5yr4/4 2d5 r5/8 scl m na na na np 1.2 Depth to limiting factor 41" Remarks: Boring # 1 1 0-12 1 r33 none si 2mar mvfr aw 2f .5 .6 (... 2 12 -21 7.5 r4 4 none sl r mvfr if .5 .6 Ground 3 21 -60 7.5 r4 4 none Ifs m na -- .4 -5 elev. Depth to limiting factor 0 In I +60 ~ OR X Remarks: zONINGOFFICE CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 - Address: 1554 200 ve. New AjibP d 54017 Signature:' — Date: 5 -27 -97 CST Number: m02298 1 PROPERiYOWNER Mika T Iln db p ra SOIL DESCRIPTION REPORT Page �bf-1 PARCEL I.D. Boring # H Depth Dominant Color Mottles Texture Structure Consistence Bour�ry Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed �erK#t [10.0 xx` 3 0 -13 10 r3 3 none s1 r mvfr s f .5 .6 2 13 -28 10 r4 4 none s1 2csbk mvfr qw if .5 1 .6 Ground 3 28 -60 7.5 r4/4 none scl m na na na elev. 88.2 ft. Depth th limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground ele+r. ft. Depth to limiting factor Remarks: Boring # Ground Depth elev. ft. to limiting factor Licrosr4e• STEEL'S SOIL SERVICE Gary L . Steel Mike Lundberg '1554 200th Ave. CSTM2298 NEkNEk S5 -T30N R19w New Richmond, W1 54017 MPRSW 3254 town of Somerset {715} 246 -6200 lot #15 -Cedar Valley estates N 1 11 =40 0 BM.= top of NE lot stake @ el. 100 Al.t BM.= 2 pvc pipe C el. 99.70 P 3% 1-3, P�' 2 4-17 lop vGf Gary L. Steel 5 -27 -97 l 08/06/2001 MON 16:34 FAX 715 268 6106 HILL TOP EXCAVATING 1002 a8f06 /O1 MON 15:06 FAX 715_386 4686 ST CRX CO ZONING uvi Private onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Adsorption 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 Desfgn Specifications Sanitary Permit Number Number of Bedrooms Desi n Flow - Peak (gpd Estimated Flow - Average (gpd) Septic Tank Capacity (al) Soil Absorption Component Size (ft) ITV Type of Wastewater Domestic Table 2: Soil Absorption Component - Umits of Reliable Operation Septic Tank Com onent Soil Absorption Component Design Flow - Peak ( pd) ) ^r,71 Maximum Influent Particle Size (in) 1/8 Maximum BOD (m /L) 220 Maximum TSS (m /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 Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. 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). The operating condition of the septic tank and outlet filter shall be assessed at least 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 08!06/2001 MON 16:34 FAX 715 268 6106 HILL TOP EXCAVATING 003 08/06/01 MON 15:07 FAX 715 388 4686 ST CRX CO ZONING uuc 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 impendi g Con us alar septic thehtank the volume o contents removed when e tic tank shall have its a tank are not removed at th p If the contents of th tank. volume of the to t service exceeds 1/3 the liquid v the owner of when the next advise _ personnel e ers sessment, maintenance p of as accumulation in the time o scum and sludge a needs to be performed to maintain less than maximum tank. should be inspected for water tightness and Manhole risers, access risers and covers assessment shall be sealed watertight upon s used for service and asses soundness. Access opening s ubject to failure must ve or i opening deemed unsound, defects 1 of service. Any P 9 secured by the completion ter shall be be replaced. Exposed access openings greater than 8- inches in diameter an effective locking device to prevent accidental or unauthorized entry into the tank. oldie tank for ' or other treatment or holding No one should enter a septic on without being in full any reason compliance with OSHA standards for entering a confined space. The atmosphere within the se p tic 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 63.33, Wis. Adm. Code when the tank is no longer used as a POVI/TS component. Soil Absor lion 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 t is d o ff nt May lead to hydraulic failure by freezing. This type of failure is usually temporary, or impossible to repair until weather conditions improve. in general, soil compaction rnoyer this to component will reduce diffusion of oxygen into the soil and dispersal cell, ac more intense, and earlier, organic clogging of the soil. 2 08/06/2001 MON 16:35 FAX 715 268 6106 HILL TOP EXCAVATING JAQ04 0 / o8 /oi MON 15 :07 FAX _715 386 4686 ST CRX CU ZUINiNti A' ana ement Plan for a Septic Tank and Soil Absorption Component M g Plantings of deep - rooted trees and shrubs directly over or within ton feeeh�e w component should be avoided since root intrusion into the component may o flow. 3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer /, vN,6 6--D G) 2 Mailing Address 6 Y<) dl e ,, dl, i F 17 `d 1 4 6 +t, S Property Address , (Verification required from Planning Department for new construction) aJL City /State Parcel Identification Number LEGAL DESCRIPTION Property Location ' /a, ' /s, Sec. . T N -R W, Town of Subdivision ci-Dlgie Lot # � . Certified Survey Map # , Volume , Page # Warranty Deed # ! y Lr.;� ` - 1 , Volume 1 - 3 -: 5 q , Page # s Spec house E yes ❑ no Lot lines identifiable 6'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, property green certification form, signed by the owner and by a The owner a to submit to St. Croix Zoning Departm ent a certi MOW plumber, journeyman plumber, restricted plumber or a hcensedpumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary'), the septic tank is less than 1/3 full of sludge. I/we, 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 y xp' tion date - y SI NATURE OF APPLICANT DATE OWNER CERTIFICATION the owne of I (we) certify that all statement on this form are true to the best of my (our) knowled I ( we ) am (are) the r rty desc ' by A a warranty deed recorded in Register of Deeds Office. 0 ATURE OF APPLICNT DATE « «a * «« A Formation that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. a• 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 Y�L ) PAGE. �? 58Ej,524 Document Numbe( WARRANTY DEED This Deed. made between, Lv\\e11 P Rivaru, a,k /a l.o\vell R. ttl \ard and b'ir_ulia ft Iii\aru Grantor husband and \vi Cc tz and. d _. Lungo Corp. ' Y Grantae i a minnesot ► corporation , pp Witnesseth, That the said Grantor for a valuabl c:)nsdarsbea "f .a astate n other valuable cors,deration conveys to r,' ,tee t, e ow d I �i. Couunty. State of �N�scohs n St . Croix f .a This is not homestead property Together with all and s nereditarnant.- I nd .lcpu' -n belonging. And Grantor warrants that the title s food, indefeasible in fee slmpia and free and clear o r dress encumbrances except covenants, and restrictions of record, c�t>zens state sa::k easements, r• and will warrant and defend tsame ew Drive Parce'i !denbi�c pen Nua•ber! t 01 - '1017 - 0 -000 54016 • ' : 5" e xcc )t 4> e� All that part of NE I' -1 of Section tit. Croix Count, `�1 "iscon�in. !v;n� ` rrthell\ lf';tatt f - rusk f tg aa) - \\ing descrihed parcels: the follo -, 11 Commencing ; 112 rods youth of tilt Northeast r dint oft the soli �c� `rf til� NE 1 l: thence Nr+rth � I �� rods thence \tic;t � Parcel to Brian R. Rivard. ! 1 rods: thellce St)llth I roll; 111iIlCC I _..�teo I,) )" ut Recoid', (Ill 1 ��-�-�. ' i Parcel to Bryan Rivard dc ill b'ulunl` ; u l IZcCO(d 277 , Iii P:l_� J .i I)�'cunc��t No. 331 . .t Parcel to Bran 1. Rivard d�,cnt.: i nl 4oturnr Sallfl lllll ilia d:� rlt'rd Ill \ oi;u11: " IU t Iteu)rds on on t' :1 t ' —Si .f� I�r ;�ll!Ii Pr1l No. .i 1 ��, r; vo. 3 3` 801. ye 41 : to John S1111111a .1114 1 �� j" of IZ:U/rds +Il P.1_e - ICU U t)f�l'UI11CnI c f :t ;11 d :�:rlbed in V1 lame 6) Lot 1 ctfC ertiticd 5urve% N1.1p m � olull" 7) Lot I and 2 of Certified Sure) flap in �lumc �; �' p i e ,t2O. Ducunlc It No.4'4 8) Parcel to James and Caroline Var-o in Vulunlc All references to Volume. P;roc and Document No. Ale t <)r the �t. Croix Count\ Re istcr rf l)ccrb t_)tlice. Gated this, of ' S l t og? A. Lowell P Rivard.ailc Lowell R. Rivard V'ir��ir�iu � Rivard FEE EXEMPT ACKNOWLEDGMENT AUTHENTICATION STATE OF NN iSCO`SIV Signature(s) COUNTY Personally carne before me this" - day of SfPj .i;Vhe * above named Lowell P. Rhard and to Virginia I( Rivard authenticated ;his _ day of me known to be the person(s) who executed the foregoing n rument and acKnov+,edge t.le same. Signature • �.0 g type or pant name type or print name Notary Public County. • iration *date TITLE. MEMBER STATE BAR OF WISCONSIN My comm:ss; - )n is permanent. (if not, st s :xp (If not �) �i�}},• �`P autnorized by; 706.06. Wis Stats. ) ��,t j_'F THIS INSTRUMENT WAS DRAFTED By 'Names of persons s In any capacity should be ty ' • 0 • � • �� printed below their signatures. Q� �1 Ruben F. Wall *This deed is given in satisfaction of a land Coet3 N% %%%``` (Signatures may be authenticated or acknowle'tyed Beth a not 8/30/96 and recorded 913196 in Vol. "I 198 ", p a g No. 549021 and assigned to Lundgo Corp. dated 8/6/97 and necessary) . recorded 9/8/97 in Vol. "1263 ", Page 35, as Doc. No. 56508 r t ?ES \ 2 O� • P FT rs0 Rj r (913.5) N tiY a 4r) M n i o� g� •�� Cl J J C-7 ,r - - -� (914.1) O ` "' 1 w _ 1 r` no .00' - - - 7.72. -- M I o I4 02 ss (D 1 Go S \ (903.4) Lo 3.53 ACRES U') v'\ 4 C P S88 - 26 , 12 T 22 "w 1 153, 876 SO. FT. r� 1 m 9.87 • ;12 3 . �, — ,) • M - n 3,08 ACRES to RC_ o 134,181 SQ. FT. . o • Z 1 Z R ` \ \ ° (` 129, 87' o O O C 1 N88026'22 IX �F` O 3.00 ACRES _ Z 130,724 SQ. FT. 1 R3 1 -? (897.2) cr 288.87' 220.00' R12 1 R13 224.00' V J J i i 2 0 ' 3.i ACRES i!51,3io So OrT. it 4 si �b b ,3 Qs { 2.23' 13 �• s S4-" ;--iW. 43 t s• ` - 0 - .� \ #7� _ ACR �1 a' w+ 134,1of 5o} F k1 it r 1 3.00 ACRE3 s 130,724 SO. F7. (897.2) t ti 1 ? Y 3