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Home My WebLink About032-2145-70-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No 404910 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 Falardeaux, Jon I Somerset Township 032- 2145 -70 -000 CST BM Elev: Insp. BM Elev: IBM Description: M.ID 1 �! 4ej pi TANK INFORMATION I ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 0 d Dosing Alt. BM I f 40 / o . S'9 Aeration Bldg. Sewer �7+ S IS_ Holding SUHt Inlet 1 ¢ TANK SETBACK INFORMATION St /Ht Outlet S +l 02.43 1 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic -%), 4 2 Dt Bottom Dosing Header /Man. / Aeration Dist. Pipe 1 Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufactur Demand St Cover GPM Model Numb TDH Lift Iction Loss System Head DH Ft Forcemai Length Dist. to Well SOIL ABSORPTION SYSTEM_ SZ R NCH idth t Length jNo, Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMUSNORKS SETBACK SYSTEM TO P/L LDG WELL LAKE /STREAM LEACHING Ma fa to r: INFORMATION CHAMBER OR Type f System: / UNIT Model Nurpper v. X43 1 Z f 1Z- DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) LL ength 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 l Yes No "', Yes _;_ ]No ( C OMMENTS: (In u code Liiscr pe ies, 3 sons present, e� ea. n Inspection #1 bek /O}, Inspection #2: " " -- - ' '�` o� 71 1269 "� catio n: 865160th Ave Somerset, WI 5 '2 -its 25 (�VVf/ 1/4 NE 'l /4 13 T30N R1 ) at o 1.) Alt BM Description = ul I Je+ 2.) Bldg sewer length = I m, . f amount of cover = /� j t -opt 5 Plan revision Required? Yes )✓No 0 C> Use other side for additional information. Dat Insepctor's Signature rt No SBD -6710 (R.3/97) r l A Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 1*1 5C �nsin Madison, WI 53707 - 7162 .��p Site Address �� ( Department of Commerce , ft �- Sanitary Permit Application Sanitary Permit Number in accord with Comm 83.21, Wis. Adm. Code, personal info rovide �� ❑ Check if Revision may be used for secondary ses Privacy Law, s I. Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name Parcel Number f 7.3o 9- Property Owner's Mailing Address �T CACiX Property Location ./ .,. G 7i` 1 , - OOUNTY 6 j -A S4; S N, R City, State Zip Code hone um r Lot Number Block Number Subdiv' ion Name CSM Number II. Type of Building (check all that apply) / ❑City J0 1 or 2 Family Dwelling - Number of Bedrooms ✓ L A []Village ❑ Public /Commercial - Describe Use AM d fli A T.wnship ❑ State Owned Nearest Road III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. 1,K New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use System I I Ta Onl Existing System B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 JX Non - Pressurized In- Ground 2111 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating ❑ Other V. Dispersal/Treatment Area Information: - s Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days /Sq.Ft.) (Min./Inch) T / lelo Elevation T -� /Q /.O ✓ - -/ -/ems ° 7 �- /6 y 7- 3/00.0 3- io3 VI. 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. Respo ibility Statement- I, the undersigned, asswpe responsibility for installation of the POWTS shown on the attached plans. Plumber's Nifine ) Plumber's igna MP/MPRS Number Business Phone Number _� �)', ;�, s - s - Plumber's Address (Street, City, State, Zip Code) VIII. Count /De artment Use Onl M Approved ❑Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) / 7 ❑ Owner Given Initial Adverse C/Z s. V Determination z- d ''' IX. Conditions of Approval/Reasons for Disapproval 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. Any filling or grading that will affect the capacity of the HWL retention area is prohibited. Attach complete plans (to the county only) ror the system on paper not less than gi x 11 inches in size SBD -6398 (R. 05101) 7 ial�°.� _3�� y�J /y =�✓r' ��s,e /3- r3o �i9w _ 9 u- nl.�d�st - y� ' f 4w _ N °jk` Tom -. "no as z�'-5 TWA - W Ile I -✓�=� - %C /C /aS T - lev o /co o r 4 z i 1 t 1 i b low Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safe and Buildings s 9 in accordance with Comm 85, Wis. Adm. Code County ? 'g Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must J 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. Ca- Please print all information a evi wed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 2 d Property Owner Property Location �14k Govt. Lot W 1,d 1/4A/ 1/4 S/ N R E (or)l Property Owner's Mailing Address Lot # Bock Subd. or CSM# Na City / State Zip Code Phone Number City ❑ Village ® Town Nearest Road ( ) f� New Construction Use: X Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material . 7; 1— // Flood Plain elevation if applicable ft. General comments and recommendations: �r/m ��{ - 7 =` / - /O /.O u--l� Boring # F1 Boring �f 2 Pit Ground surface elev. ft. Depth to limiting factor 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 9 Boring # ❑ Boring Pit Ground surface elev. _ ft. Depth to limiting factor > 2Z-!� -- in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. ont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 C �T ✓ ✓ y * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 _< 150 mg /L * ffluent #2 = BPD, < 30 mg /L and TSS < 30 mg /L CST Nam eas7Pt) (, Signatur CST Number Address Date Evaluation Conducted Telephone Number , - i SBD -8330 (R07 /00) Property Owner /�}� �� 9ilf� Parcel ID # /'I Page � of 1:0 Boring # ❑ Boring 10 Pit Ground surface elev. ft. Depth to limiting factor //d 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 I *Eff#2 / -- - �s ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor 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 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor 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 * 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) L> cQ Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County .� Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ✓ r 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. Please print all Info rmation. Reviewed by Date Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z Property Owner Property Location f I F) C NA/ C. Govt. Lot i V" 1/4 S j T N R E (or W Property Owner's Waill Address Lot # Block # Subd. Name or CSM# City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road New Construction Use�Residentlal / Number of bedrooms Code derived design flow rate S c. > GPD ❑ eplacement ❑ Publig or commercial -Describe: Parent material C "" Flood Plain elevation if appli a ft. General comments and recommendations: P er V, t.. Boring F I A Boring # ❑ 3 0 (a• Pit Ground surface elev. �t. Depth to limiting factor �n Spil Applicatlon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten E�oUtldar� R4ot5, ` GPD/ft in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 `Eff#2 . r C I� /� , 0 2 ✓ Boring # ❑ Boring spit Ground surface elev /�ft. Depth to limiting factor �� 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#2 477 5W 10 - lot Effluent #1 = BOD > 30 220 mg/L and TSS X30 < , ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Pte se Print) t Numbgr� .� • r 6 U Address Date Evaluation Conducted Telephone Number SBD -8330 (R07 /00) ' M 6 Property Owner Boring Parcel ID # Page - of song 0 � -- a 3 Pit Ground surface elev. I r D Depth to Urniting factor` : 6 in, Norizon Depth Dominant Color Redox pp Soil Rate aipHOn Texture Stnxsure Ctxtsistence Soumituy Roots OpDW lo• Walsall du. Sz. Cont. Color Gr. Sz. Sh. •Efiltl •0#2 '�Z0 - 30 a Boring # l ❑ Pit Ground surface elev. it. Depth to Ilmiting factor In. Hwi= Depth . DwNnsnt Color Redox Description Texture Structure Consistence Sol Ration Rate I& Munsel Ou. Sz. Cent Color Boundsry Rollie Eldif Gr. s :. Sh. OP 'mot 'Eif#2 Bafng # ❑Benno ❑ Ph 6rottndsurface elev. ft. Depth to limiting factor in. Gaon Depth Domblant CA01101 Redox Desert Rate Description Texture Stucture Consistence Boundary Roots GPDff Munson QL Sz, Cont. Color Car. Sz. Sh. •EffN1 21102 Effluatt 011 s BOD a 30:1220 n9t. and TSS 3. 30 S 150 mg& Effluent #2 = 800 30 mg& and TSS 1 30 qK The Department of Commerce is sn equal opportunity service provider and employer. If you need assistance to access services or treed material in an alternate format, please contact the department at 606 - 266 - 3151 or TTY 608 - 264 - 8777. aso..tsetrr.aroo► J Soil Test Plot Plan Project Name Brian Boardman Sha Address 824 East 11 th St. New Richmond Wi 54017 (� #226900 Lot 17 Subdivision Nathan Hills Date 5/13/01 W 1/2 NE 1/4S 13 T 30 N /R W Township Somerset ❑ Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 2" Pipe System Elevation 97.0/95.8 *HRpSame as Benchmark Alt. BM Top of Lath @ 102.1' 160th Ave 170' Alt .M. 140' B.M. 10' 18% Slope -3 5' 100' 102' 104' 106' Soil Test was done to fullfill zoning requirement, test may not be suitable for desired builind location ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer d �- • ��-�� Mailing Address u -pr 3 Ccfi'S 7 �.2 SS/ Z-6 Property Address V, I _7y (Verification re qui ed from Planning Department for new construction) City /State - / - Parcel Identification Number 0_12 -21k57—_>0 LE GAL DESCRIPTION Property Location ' / <, ''/4, Sec. T,.y N -R � W, Town of �. Subdivision 1 15 , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # l 7 7/� , Volume 17 ya , Page # Spec house ❑ yes no Lot lines identifiable 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. 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. 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 f the thre y a2exp ' a tion date. 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 owner(s) of the property ese 'b abov , by virtue of a warranty deed recorded in Register of Deeds Office. ATURE SIO& OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: PP 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 POWTS OWNER'S MANUAL 8t MANAGEMENT PLAN Page of FILE INFORMATIbN SYSTEM SPECIFICATIONS Owner Septic Tank Capacity al ❑ NA Permit # Septic Tank Manufacturer — ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer 13 NA Number of Bedrooms 0 NA Effluent Filter Model ❑ NA Number of Commercial Units ,5.NA Pump Tank Capacity gal l8 NA Estimated flow (average) gal /day Pump Tank Manufacturer _U NA Design flow (peak), (Estimated x 1.5) gal /day Pump Manufacturer 0 NA Soil Application Rate gal /day /ft' Pump Model ll NA Influent/Effluent Quality Monthly average* Pretreatment Unit Rf NA Fats Oil 8z Grease (FOG) s30 mg/L ❑ Sand /Gravel Filter ❑ Peat Filter Oxygen Demand BODs x220 mg/L ❑Mechanical Aeration ❑Wetland Biochemical xyg ( ) Other: ❑ Disinfection Q Total Suspended Solids (TSS) 5150 mg/L Manufacturer Pretreated Effluent Quality ' ❑ NA Monthly average* * Dispersal Cell(s) Biochemical Oxygen Demand (BODs) s30 mg /L 0 In- ground (gravity) ❑ In- ground (pressurized) Total Suspended Solids (TSS) s30 mg/L ❑ At -grade ❑ Mound Fecal Coliform (geometric mean) :510 cfu /100m1 1 ❑ Drip -line ❑ Other: Maximum Effluent Particle Size A inch diameter * Values typical for domestic (non- commerclal) wastewater and septic tank effluent. * * Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ❑ months M year(s) (Maximum 3 yrs. ) Pump out contents of tank(s) When combined sludge and scum equals one -third (36) of tank volume Inspect dispersal cell(s) At least once every J ❑ months 6 year(s) (Maximum 3 yrs.) Clean effluent filter At least once every ❑ months Z year(s) Inspect pump, pump controls 8t:alarm At least once every ❑ months ❑ year(s) A NA Flush laterals and pressure test At least once every ❑ months ❑ year(s) (3 NA Other At least once every ❑ months ❑ year(s) ® NA Other. At least once every ❑ months ❑ year(s) )ZI NA I MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or cerdflcadons: Maste Plumber; Master Plumber Restricted Sewer, POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to Identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equ als o ne-third ( )6 ) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsir Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatement components, and any other maintenance or monitoring at Intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemical that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed'hy a sentage servicing operz�ior prior to use, f - �Ic�,�l Sy >lem start up shal not occur when soil condl;Juns are frown at the Inf itradve surface. During power outages pump tanks may fill above normal h1l0water levels. When power Is restored the excess wastewater will for discharged to the dispersal cell se s) In one large do, overloading the cell(s) and may result In the badup or surface discharge sir effluent. To avold this situation have the contents of the pump tank removed by a Sepup Servicing Operator.prior to restornn power to the effluent pump or contact a Plumber or POW75 Malnulner to assist In manually operating the pump control) to restore ncrmal levels within the pump tank, Do not drive or park vehicles over sinks and dispersal cells, Do not drive or park over, or otherwise dlswrb or compact, the area wlthln 15 Net duwn slope of any mound or at-grade soil absorption area. Reductlon or elimination of the following from the wastewater stream may Improve the performance and prolong the life of the POWT5, andblotics; baby wipes; clgarett4 butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; (at; foundation draln isump pump) water; frvlt and vegetable peelings; gasoline; crease; herbicides; meat scraps; medicatium; oil Palndna t roduco; oesuddes: sanitan njokins umoom and water sofuntr brine, ARANDONEMENT When the POWT5 fails and /or Is pemsanently taken out of service the following steps shall be taken to Insure that Of system is properly and safely abandoned In compilance with ch. Comm 83.33, Wisconsin Adminimative Coder • All piping to sinks and plu shall be disconnected and the abandoned pipe openings sealed. 9 The contents of all tanks and plu shall be removed and properly disposed of by a Septage Servlcing Operator, • Aher pumping, all t.snks and plu shall be excavated and removed or t htlr covers removed and the void space oiled wilr soil, gravel or another Inert solid matrrlal. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system; !� A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be prQwcud from disturbance and compaction and should not be infringed upon required setbacks from existing and proposed strvcwre, lot lines and wells. Fallure to protect the replacement area wiii result in the need for 4 new soli and site evaluation to establish a suitable replacement ana, Replacement systems rnust comply with the rules In effect at that time. D A suitable replacement area is not available due W setback and /or soil limitations. barring advances In POWTS technolod, a holding tank may be Installed as a Iasi resort to replace the failed POWTS. 0 The site has not been evaluated to Identify a sultable replacement area. Upon failure of the POWYS a soil and site evaluation must be performed to locate a Luluble replacement area, If no replacement area Is available a holding tank rna be Installed as a last resort W replace the failed POWTS, C Mound and it-grade soil absorption systems may be reconstructed In place following removal of the biomat at the InflluaQve surface. ReconsvvWotts of such systems must comply with the rules In effect at that time. < < WARNING > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULI', RESCUE OF A PERSON FROM TK(E INTERIOR OF A TANK MAY It DIFFICULT OR ADDITIONAL COMMENTS P OWTS INST ALL POWTS MAINTAINER Name r - _ N Phone _ Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name AgvMy Phony STATE BAR 9RIW =P*58 6rJ'Je— 77O KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., WI This Deed, made between Nathaniel Stephen Enterprises, LLC, a RECEIVED FOR RECORD Wisconsin Limited Liability Company, 09-04 -2001 10:00 AN WARRANTY DEED EXEMPT N Grantor, and Jon L. Falardeaux and Steffani N. Falardeaux, husband and CERT COPY FEE: wife, COPY FEE. TRANSFER FEE: 208.50 RECORDING FEE: 10.00 PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: Recording Area Name and Return Address FIRST NATIONAL BANK OF BALDWIN 990 Main St Lots 7 and 8, Plat of Nathan Hills in the Town of Somerset. Baldwin WI 54002 7 S 032 - 2145 -70 & 032 - 2145 -80 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: municipal and zoning ordinances and easements of record. Dated this day of August 2001 NA ANIEL STEP ENTERPRISES, LLC �� [.,wrnI M^OJ'v • By: Brian K. Boardman, Member AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) ) SS. Signature(s) ST. CROIX County. ) Personaily came before me thi day of August 1 200 1 the above named authenticated this day of - Brian K. Boardman, as Member of Nathaniel Stephen Enterprises, LLC _ TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instru ent and acknowledge the same. ' authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Judith A. Remington, Remington Law Offices P.O. Box 177, New Richmond, WI 5401 Notary P lie, State a Wisconsin My Colrtml ion i permanen . not, state expiration ate: (Signatures may be authenticated or acknowledged. Both are not / necessary.) ty *Names of persons signing in any capacity should be typed or printed below their signatures STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2 - 199 NFORMATION PROFESfIONALS COMPANY FOND DU LAC, WI 800- 655 -2021 ,Lr- i 76.64 ACRES I o I Z to State, County and/ ( 3I n? ° B— 00 minimum lot size, a ess\ y he�9 0 1 >- parcel, contact t X Board for advice. ` ~ I ca Air. l' ?ABLE AREA in/ `O CRES c ZCRES _ ACRES / N Z 6 ACRES � � 4 -� 145.89' EASEMENT ACRES Q ORN ACR I >- Xx ��,,,.•�"�/ A CRES _._ Cu CRES ^ n oc Z T �'? O d DRAINAGE EASEMENT I / ACRES "0 S(' x 1 � `= H.W.E. 941.8 Z R E S M 941,6 kCRES 00' 7'33" 4CRES 6 , 41 • C 4CRES A �� 0 ' as J OS ACRE a. ACRES " 9 ACRES ^ Cu x M _ �• x I., N EROSION CONTROL \ O ING OFFICE PRIOR c6' J 0) < O -� -� 1 \ Q AND WATER O v. LAVE A FINISHED O ff' - y /E THE THE 0 o+ H.W.L. UJ 920,1 �� `� I 2, xN 1 5 YEAR. * 733.00 m 34, 49 4' �._• ENT .� CH WOULD INTERFERE QED COMPREHENSIVE W ¢ '16 940 / MS PLAT. 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