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HomeMy WebLinkAbout032-2125-40-000 n § o ■ - � c k :e § a 3 T CD , _ 7 � k k [; $ / § �. Z s m g (D § § to CL � $ CL ? [ � k / 2 C:, } o § ) $ 3 E E ! 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BM E v.: BM Descnptan: Parcel Tax No.: TANK INFORMATION ELEVATION DATA , . ' 19, > /ZZ TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic V+G Old Benchmark n, I tu .0 1 Dosing CQ . 41.2.2 Aeration Bldg. Sewer ill ell S`I• 31 Holding St / Ht Inlet )2. TANK SETBACK INFORMATION St /Ht Outlet TANK TO P / L WELL BLDG. ve t take ROAD Ot Inlet 13.12 ?r k o' Septic ^ Y� NA Dt Bottom 6 83. r Dosing NA Header /Man. Aeration NA Dist. Pipe 1 l3 '75% Holding Sot. System 6 • Sv -I(. Zz' PUMP / SIPHON INFORMATION Final Grade 3.1 S 9? • vt ,� g Force cturer (Q� Demand St cove, L Number (�Ep L. GPM Lift 12_1.2 Friction S em TDH Ft LOSS ain I Length 99' D ia. Dist.Towell ' SOIL ABSORPTION SYSTEM / Width Length length f Trenches PIT No. Of Pits Inside Dia. tpuid Depth LEACHING Ma actu er: - „ SETBACK SYSTEM TO P/L BLDG WELL LA LEACHING - .Sda..r• INFORMATION ype , _ CHAMBER a Num r: System: C.MN ��D 1 > 15tH Og' UNIT — u.0 DISTRIBUTION SYSTEM H / and �, Distri ution Pipes x Ho a Size x Ho Spacing Vent To Air Int ke Dia. J a ia. l � 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 ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 435 172nd Avenue, Somerset, WI 54025 (SW 1/4 SW 1/4 5 T30N R19W - -Lot 14 1 eps 1.) Alt BM Description �r'�'" � c- I+�'' `• U / 5.12 6 2.) Bldg sewer length .5 - amount of cover = a) Plan revision requiied$ I��.Y), ❑ o Use other side for additi anf on. C No- 580 -6710 (fL9187) 1 to d CA4U s tune Vol d> e ,� . � 4 7 )''� �, O � ��� I 1 Safety &Buildings Division Sanitary Permit Application 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 isconsin Personal information you provide may be usedf" secondary purposes Madison, WI 53707 -7302 Department of commerce [Privacy Law, s. 1 (14(1)(M)j (Submit completed form to county if not / , state owned.) Attach complete plans (to the county copy only) fbr:,the�syste on pape - f nol.less than 8 -1/2 x 11 inches in size. County J Sta it Number Check i �rev� ID,to' vious p ' tion State Ot�, C Plan I. D. Number t s r i I. Application Information -Please Print all Information Location: Property Owner Name i t r r, t t -� Property Location v T ,N, (o . ` 1/4 1/4, S Pr pertyOwner' ailin dress =Q. , Lot Number Block Number t7N , City, State Zip Code `P one Number Subdivision SM Number fD J . Typo of Building: (check one) is P'r t W ❑ City I or 2 Family Dwelling - No. of Bedrooms : �u,nS , ❑ Village Public /Commercial (describe use):_ Town of ❑ State -Owned Nearest Road Parcel Tax Number(s) III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) A) 1. K New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System B) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) -k - I'M . Non- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. (Min. /inch) Elevation VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the un rsigned, assume responsibility for install ion th e POWTS shown on the attached plans. Plumber's _Ndme (print) Plumb 's SSMignaQs MP/MPRS No. Business Phone Number Plu ber's Address (Street, City, State, Zip e) ` 3 IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved 11 Owner Given Initial Adverse Surc ge Fee) Determination 2, 2 ZO I X. Conditions of Approval /Reasons for Disapproval: .............. P 4AM 'A7-- -� t�'` c e+ �t S CX. 04—/WIGLC $ I'aA ri t wG tea a -- , w W_1�sSL s tnG SBD -6398 (R. 07/00) AJ ! C $3 '°r 5e� ✓� l tJtnQ �c I I /� t�s-I� '� �tQ 11 ° ` tc eFJ a �=� -ate �D _7,5;'J %y -_ s�1 J = T_ 4 AW .o 140 -----► - _ ♦ ?j� -.SAL/ S�J _ 71 ortsb _, /= - - 11 p Chabre Lot 13 & Lot 14 History of Soil Information May 15, 2000 Adam Schumaker conducted original soil test. December 2000 Requested that additional soil borings be verified to determine whether a loamy sand texture was present — preliminary determinations were made by staff that would indicate that the soil texture was sandy loam. January 16, 2001 Staff met Adam Schumaker out at Chabre. An on -site was requested on lot 14. The information obtained was attached to the soil test and the loading rates on the original were reduced. March 2001 During review of the sanitary application for Lot 13, it was determined that the on -site verification may have been on lot 13 instead of 14. April 4, 2001 On -site confirmed that the on -site (1/16/01) was conducted on lot 13 instead of 14. The notes from January 16, 2001 were removed from the soil test for lot 14 and attached to the soil test for lot 13. The loading rates for lot 13 need to be reduced, but the loading rates for lot 14 will remain as previously adjusted to a .5, since it was never proven that a loamy sand texture existed. April, 2001 Adam Schumaker will be meeting with Cal Powers to complete additional borings in order to add additional system area for lot 13. s r Wisconsin Department of Commerce ' rccordance '�� �4LUATION REPORT Page -of Division of Safety and Buildings p ,...� with Comm 85 ' , ;a his. �Adm. Code Coun ty , f l Attach complete site plan on paper no��fess tharE�i f7 � *l �'�ncri siz n must X include, but not limited to: vertical and bfigontal refe�nr�t (BM), ' ecVon and Parcel I.D. percent slope, scale or dimensions, no Ja ow, and IOW&Tl�nd dis cQ nearest road. rin /11 Reviewed y Date Please print lI jb a a ion. �� Personal information you provide may be used for' 'se�c'oaa�fy s P 'vat�y'Law, s. 15.04 (1) (m)). Q Zaj Property Owner .. / Property Location F- !CY(Gt ✓G' � Govt. Lot Sw 1/4 sw 1/4 S S T 3C N R I q E (or)ff Property Owner's Mailin Addree Lot # Block # Subd. Name or CSM# &VCL City State Zip Code Phone Number ❑ City ❑ Village © Town Nearest Road d.5o w( I S q01 41 1 (7 New Construction Use: [g Residential / Number of bedrooms 3 " �� Code derived design flow rate IVro / G 6 o GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material T11 Flood Plain elevation if applicable �rill� ft. General comments syS wN e r'e v. 9 5 80 and recommendations: -e q' �/ 8'6 za-- na( e Mog ❑ Boring # E] Boring 4�nri( [Z Pit Ground surface elev. � '7'30 ft. Depth to limiting factor � � in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 !O G. — 5 4 R6 3 / F-I Boring # E] Boring ® Pit Ground surface elev. q;� ZO ft. Depth to limiting factor � F in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 1 / ()•(3/ - 5,'� 1, WaL61- - )yl C-S lv-C Z , 3 Z is r'3V& - 5L -S In ZQ. B * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 _< 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg/L CST Name lease Print) ignature / CST Number Address Date Evaluation Conducted Telephone Number ( 5 - o t? -s/ Svoa SBD -8330 (1107/00) 1 Property Owner �?Uc�� Parcel ID # Page Z of Boring # [] Boring F 3 - 1 IR Pit Ground surface elev. ft. Depth to limiting factor 9 / in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 2 /Uv/3 /�o S L - z �►-F� — - •<S 9 3y8� F �/] Boring # E] Boring ® Pit Ground surface elev. 9 -7 (dc ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 / U- l 16Y r3/3 — S, 1 1ihube #1 rl S I U 4 Z✓ S Z wo,6i Mme- q4 eo � u F51 Boring # E] Boring Pit Ground surface elev. �_ ft. Depth to limiting factor 94 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 4`1 FO 30" * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L 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 -8330 (R.07 /00) 1 �7 PAGE_�, NAME LOT #1 7 LEGAL DESCRIPTIONSW ' /a.9...Y4,S S T SQN,R 199E (or) _ SCALE: I"= (2� BM I ELEVATION (d0• y BM I DESCRIPTION t n 1o wz rlaq BM 2 ELEVATION 00 -0 BM 2 DESCRIPTION 4 i IZ e r SYSTEM ELEVATION q "I • V 1 ALTERNATE ELEVATION y / CONTOUR ELEVATION ra cl els C� L � 2 1• / 31 j ��ML B q SIGNATURE - -_- -DATE • r nsia,Department of Commerce F�� sionofSafetyani Buildings H SOIL AND SITE JATION Page [ of Bureau of Integrated Servic : '' 83 :09, Wis. Adm. Code Attach complete site plan on 1 in es' -size. P* fiifst County include, but not limited to: vertical and horizontal reference ps�itlt,(BM), direction ana'- CT-0 percent slope, scale or dimensions, north arrow, and IocatioNand•distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Please print all i�formation: Reviewed by Date Personal information you provide may be used for secondary purposes nvacy Law," s. 15,04 (1) (m)). Property Owner Property Location YU SbA -, Govt. Lots. 1 /4S� 1 /4,S s' T ,N,R �� E (or W� Property Owner's Mailing Address Lot # ' Block# Subd. Name or CSM# 13 Au. i' e Ir 1)-4 City State Zip Code Phone Number ❑ City ❑Village EjO Town Nearest Road New Construction Use: Y Residential/ Number of bedrooms 3- y Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: 3 75'e'! C t'l S C? t'l e P . LO Code derived daily flow 0 0 gpd �, L/ i� �S� rco rpQfrd�d Z�ni�o;ad�Qr n Igading rate bed, gpd /fl gpd/ft Absorption area required bed, ft trench, ft Maxi rat bed, d /ft gp trench, gpd/ft Recommended infiltration surface elevation(s) � O 0 p �U� Ok "T T (as referred o stte plan benchmark) Additional design /site considerations Gji• u ? (!J Parent material _ `! Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ER S El `O ❑ U I S ❑ U FR S ❑ U ❑ ❑ S ,UU SOIL DESCRIPTION REPORT Borin g # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots ry GPD /ft2 in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench L 1 wba nk C 1 Y s mss, C Ground elev. 11 ( < 11e, AL ✓ Depth to d r l''/t limiting 9 ,+ 1 _ Q , GOQ factor Remarks: Boring # I -VT Z Z IZ$`l 1 JICo LS c5 .1 '.aa _..w Ground elev. Ci _zo ft. Depth to limiting actor 'Lin. Remarks: CST Name (Please Print) Signat Telephone No. A oiq m -7iS - z 7- - 5'o0 Fs Address Date umber 3 S �U —V 1 X 0 5 �— /S - ao Zug o SOIL DESCRIPTION REPORT PROPERTY OWNER Page Z .- Of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground elev. Depth to limiting factor Remarks: Boring # L - `f 2rrcibk iY4 c. s - - L 5 rns Ground elev. q 6 0 ft. G(G 4 r'U Yl0. 1.tla duo r' S Depth to CA h _ limiting J o Ov factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ( Q-g `Ji 1 1 Ma k C S \4 Ground eiev. W �•� ft. Depth to limiting factor -9-0 ' Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) 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 C Number of Bedrooms 3 Design Flow - Peak (gpd) ct - D Estimated Flow - Average (gpd) vb Septic Tank Capacity (gal) Lk Soil Absorption Compon Siz (W) 0 - �;r Type of Wastewater DoYnestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) - 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 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, 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). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet filter hall be cleaned as necessary to ensur 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 useful life of this component. fixtures are key actors in extending the use P Y 9 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 will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 I A 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 coin component should be avoided since root intrusion into th e component may obstruct wastewater flow. i 3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer i�r lGtti� Sly. ✓o ^ T Mailing Address 0 5 a ��, �� ��`����; -� Property Address — (Verification required from Planning Department for new construction) City /State Parcel Identification Number !!I ?--'? ,-2—li LE GAL DESCRIPTION Property Location, '/,, ''A, Sec. _ , T -3e N -R 19 W, Town of Subdivision ��� , Lot #. Certified Survey Map # , Volume , Page # Warranty Deed # Z f7 - , Volume /�'�p , Page # _5�,79 Spec house O yes no Lot lines identifiable ;9, yes O no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenarn. consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the sysrcr. 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, restricted plumber or a licensed pumper 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. 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 three ar expiration date. SI TUBE bf AP LJCA DATE OWNER CERTIFICATION 1 (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 pr d cri ed a ve, by virtue of a warranty deed recorded in Register of Deeds Office, J 12o /o U C T 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 STATE BAR OF WISCONSIN FORM 2 - 1998 637E�64 WARRANTY DEED KATHI FEN H. WALSH REGISTER OF DEEDS Document Number .W 1580 528 ST. CRnIX CO-- W RECEIVED FOR RECORD This Deed made between - -. - - -- 01 -30 -2001 10:30 AM RTCH11RI1 Cl RTnrjT and JANET P_ STOUT - -. —. -- - -..— WARR N G GEED husband and Wife, Grantor, EXEMPT N __ _ —_ - -- - - - -- CEP.T COPY FEE: and MARK _A CASEY AS - �} t t� COPY FEE: TRANSFER FEE: 170.70 -- RECORDING FEE: 10.00 — — - — PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate In St (`rni x County, State of Wisconsin: L t 14 Pl of Chabl:g Town of Somerset, Name and Retum Aaaress roix County, Wisconsin. EAGLE VALLEY BANK, N.A. 1301 Coulee Rd Unit 2 Hudson, WI 54016 032 - 2125 -40 -000 Parcel Identification Number (PIN) This i a not- homestead property. (is) (is not) Exceptions to warranties: easements, restrictions, rights —of —way and covenants of record. Dated this d!i:: day of _,_,Tanrtary _ - 001 (SEAL) _ LZ� / (SEAL) • Richard O $nut _ Janet P. Stout (SEAL) _ (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. -- St. Croix - County. authenticated this day of Personally came before me this day of 9 n 01 the above named ;,.h n St gut and Janet —P- Si nut to TITLE: MEMBER STATE BAR OF WISCONSIN — �p�t "' -„ me knowrt to be the person 1S_— who executed the foregoing (If not, • .•`��1t�' Ipstru ent d knowledge the sam % authorized by §706.06, Wis. Stats.) a THIS INSTRUMENT WAS DRAFTED BY 3 �► Janet P. Stout Z 1('_,.aS� 1353 Awatukee Tr. Hudson, WI 5401 6 S �` Lary Public, State of Wisconsin aty �d'^ • -'tiE� y commission is permanent. (If not state expiration date: )rr c,r (Signatures may be authenticated or acknowledged. Both ar2 ^ _ - -- necessary) `Names of persons signing in any capacity must be typed or printed below their signature. . � Wisconsi La n egl clank GoI.. STATE BAR OF WISCONSIN l 131 a C.. wis WARRANTY DEED FORM No. 2 - 11198 122.x8' �'' � �1 r c4 N Z i W2.da xo .... CD :A .. ...... .. H.W.L. = 962. ti i 3. A "V "�B 1 (F � FT o a 0 m 15 e�eo Flr ::;:.::: ;: o ;. ;. 6 , 0 0 24.23' 214.x2' 69.E N80•33 "C 756.9 SCALE IN FEET 1 " = 1 pp 0 200 300