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Home My WebLink About032-2163-04-000 Parcel #: 032 - 2163 -04 -000 05/02/2007 05:00 PM PAGE 1 OF 1 Alt. Parcel #: 14.31.19.1396 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - KOG LLC KOG LLC 304 LOCUST ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 2124 62ND ST SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 3.010 Plat: 1971- GAVIN'S ACRES LTS 1/16 032/03 SEC 14 T31 R1 9W PT SW SW GAVIN'S ACRES Block/Condo Bldg: LOT 04 LOT 4 (3.010AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 14-31N-19W SW SW Notes: Parcel History: Date Doc # Vol /Page Type 05/26/2004 763903 2581/385 WD 05/19/2003 721974 2245/509 EZ -U 03/09/2003 714143 9/54 PLAT 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.010 48,000 0 48,000 NO Totals for 2007: General Property 3.010 48,000 0 48,000 Woodland 0.000 0 0 Totals for 2006: General Property 3.010 48,000 0 48,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: 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 County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTRC�i TC�PERMIT) 453113 0 GENERAL INFORMATION 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: Grand Properties L.P. I Somerset Township 032 - 2163 -04 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 14.31.19.1396 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. er Holding t Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake R Dt Inlet A I Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding ot. Sys Fi r de PUMP /SIPHON INFORMATION Manufacturer Demand over GPM i Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain 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 I i SETBACK SYSTEM TO P /L BLDG TREAM LEACHING Manufacturer: G WELL LAKE/ S INFORMATION CHAMBER Type Of System: OR I Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed/Trench Edges Topsoil Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 2124 62nd St Unknown (SW 1/4 SW 1/4 14 T31N R19W) Gavin's Acres Lot 4 Parcel No: 14.31.19.1396 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Yes No Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. Safety and Buildings Division County NVisc 201 W. Washington Ave., P.O. Box 7082 �, C Onsin Madison, WI 53707 — 7082 Sanitary Permit Number (to be filled in by Co.) De artment of Commerce (608) 261 -6546 5 3 / Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.2 1. Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s 15.04(1 xm) Project Address (if different than N mailing address) I. Application Information — Please Print All Information 21 Z ' +. Property Owner's Name Parcel # Lot # Block # _ Property Owner's Mailing Address n d Dada Property Location City State Zip Code umber S 1/4, � I /4, Section y y _ O � Erl o or� T N; R � E o II. Type of Building (check all that apply) 1 or 2 Family Dwelling - Number of Bedrooms 3 Subdivision Name CSM Number ❑ Public/Commercial - Describe Use Q V I ACS _ AU &S ❑ State Owned — Describe Use ❑City ❑Village STownship o S=E& r III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 32 — :1((o3 — — M • ISJ A ' ® New System ys ❑Replacement System ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl ® Non - Pressurized In -Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Disp ersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sO System Elevation C V3 6-4 1 97.34 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New I Existing Tanks Tanks Septic or Holding Tank O � � Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) 4Zipe)s Signature M PRS umber Business Phone Number Plumber's Address (Street, City, St S — _ 4 . SZaa 6 VIII. County/ e artment Use nl Sanitary Permit Fee (includes Groundwater Date Issue Is in gent Signature o Stamps) Approved ❑Disapproved Bn P SurchazgeFce) �� ❑ Owner Given Reason for Denial J IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per a licable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 Inches in size SBD -6398 (R. 08/02) I Y `; VC _ 0 arAfr o .41Y $P C � N _� �s - Top 2 Pac .AcRC — - E4 X2.3 Sylrt - - TRFNc _ Q - <r too l. - \ - - VRotno 3 l�7rs0 Ram 'o s T- - _ _ S86 lJ.9 1_c 4:? Y vcty_ 7/Z-- - T I I . LSD t ,e s E r V, T �' v/�T � ln/SpEClio,v /��i��s P /3 TO? 1� EL=F Sys 7 SysT = E-C, 92,36 z o� - LDr GJ K6= v - 3'X62o1 13�n_TREivcv __ q __ is O 2 -�� 1000 GE S, 7" _ ,4 = /DO G /L7cR _ �, PRoAose 3 �r0 ?!� 2r 596 llAcc z y view 7 2 l.;l` ____ __. __ _ __ 1 __ ___ __ _ __ __ _ _ _ _ _ _ ___ __ _ i ____ ___ __ ____ _ _ ___ '� _ _ __ __ ___ - -- - - -- � _._ _ __ __ __ __ __ -____ __ __ r _ __ ___ _ _ _- _ _ _ _ __ _ _ _ _. __ _ -_ _ __ -_ _ _ _ _. __ _ _ __ - _ _ __ -__ __ -- __ _ _. __ _ _ _ _ __ __ __ ____ __ _ __ - -- __ __ __ __ __ __ __ _ - __ __ __ _. _ _._ __ __ __ __ __ 1116 Wisconsin Department of Commerce SOIL EVALUATION REPORT .Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach complete site plan on paper not less than 8%= x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel ],D. percent slope, -scale ordim sans, north arrow, and location and distance to nearest road. Please print all information. iewed By D � aat p — / Personal information you provide may be v Law, s. 15.04 (1) (m)). B�(72' Property Owner roperty Location / Grand Properties, LP rovt. Lot SW 1/4 SW 1/4 S 14 T 31 N R 19 W Property Owner's Mailing Address J UN 1 9 2002 ot# 81ock# Subd. Name or - CSM# 712 Rivard Streeet, Suite 300 1 4 Gavin's Acres City State ip C e ofioie"M y City Village ✓ Town Nearest Road Somerset WI z � N � - 900 Somerset 60Th St. ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 45 GPD Replacement Public or commercial - Describe: Parent material Outwash Plain Flood plain elevation, if applicable na General .comments and recommendations: Area is suitable for a conventional system with a 0.7 gpd /sgft rating. Possible system elevation for Area I is 97.36 ". Slope is 5 %. Fq Boring # Boring ✓ Pit Ground Surface elev. 100.36 ft. Depth to limiting factor >95 in. Soil Application 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 -6 10yr3/4 none sl 2mgr mfr as 1f .5 .9 p 2 6 -20 7.5yr4 /6 none Is 1 csbk mvfr gw - - - -- .7 1.2 3 20-95 1Oyr5/4 none MS Osg ml - -- ---- -- .7 1.2 a Boring # Boring Pit Ground Surface elev. 100.36 ft. Depth to limiting factor >96 in. Soil Application Rate Horizon Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Roots GPD in. Murrell Qu. Sz. Cont. Color Gr. Sz, Sh. *Eff#1 *Eff#2 1 0 -8 1Oyr3 /3 none sl 2fsbk mfr as 1f .5 .9 2 8 -15 10yr4/3 none sl 2msbk mfr gw ____ 5 1 9 w 3 1.5-24 7.5yr416 .none Is Osg ml di - - - -- .7 1.2 4 24 -96 10yr5/6 none ms Osg ml - -- - - - -- .7 1.2 - b Z- * Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg /L * Effluent #2 = BOD S30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: . CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valley View Trail, Somerset, WI 54025 6/12/02 715- 549 -6651 Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 1 Boring # Boring ✓ Pit Ground Surface elev. 98.51 ft. Depth to limiting factor >94 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cord. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -6 10ye3 /4 none sl 2mgr mvfr as if .5 .9 2 6 -18 7.5yr4/6 none Is Osg ml dw - - - -- .7 1.2 3 18 -94 10yr5 /6 none ms Osg ml ---- ---- .7 1.2 F-1 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 GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 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 Rood GPDfif in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD? 30 <220 mg /1- and TSS >30 < 150 mg /L * Effluent#2= BOD5! 30 mg/Land TSS <30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or PPii motPrinl in on A+ - Fnrmoi -rPOCP i nA�nA? fr1P ,�P..�.rmont of �(1R - ?�� -2 i G 1 n r TTV �l1.Rv�F.A -4777 pa-clz 343 M-s ► i /XN s � lo q ( q6 i 1 = 4 i /S"7' /a�a ° �6 P 4 Roy 9 3 �Q 1 �i orn a s �• S , .fl ru,w r•, y �''• � �� p r cP��r�s Ora�,.'��`� L�/ ° • 7/4 �.��d s < GS`�lr� aa ? S e 160 S $ (� t/a6l e / v� � ` ;& Lo l/ �o►ws I�c.re5 L ?t �� S cl9,. bfa S"f ,y POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ( of Z FILE INFORMATION- SYSTEM SPECIFICATIONS Owner Septic Tank Capacity al ❑ NA Permit # 4 (1 ✓ ? Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer Z O NA Number of Bedrooms 3 ❑ NA Effluent Filter Model _ d ❑ NA Number of Public Facility Units ■ NA Pump Tank Capacity a l M NA Estimated flow (average) I Q 0 g al/day Pump Tank Manufacturer ® NA Design flow (peak), (Estimated x 1.5) g al/day Pump Manufacturer E NA Soil Application Rate al /da /ft2 Pump Model (0 NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ® NA i Fats, Oil &Grease (FOG) 530 mg /L ❑Sand /Grav el Fi lter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA D Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L D Disinfection D Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L 0 In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L D NA D At -Grade ❑ Mound Fecal Coliform (geometric mean) 510` cfu /100m1 D Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. D NA Other: ❑ NA Other: . D NA Other: ❑ NA `'t 'Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 0 month(s) (Maximum 3 ears) ❑ NA y ear(s) y Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: O month(s) (Maximum 3 y ears) ❑ NA ® year(s) Clean effluent filter At least once every: j ® month(s) O NA ❑ year(s) Inspect pump, pump controls & alarm At least once every: ❑ month(s) ® NA ❑ year(s) Flush laterals and ressure test At least once every: O month(s) ® NA p ❑ year(s) Other: At least once every: ❑ month(s) is NA ❑ year(s) Other: D NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master 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 equals one -third (Y 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 chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, 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. d Page of 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 chemicals 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 by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails 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 protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. • The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. • Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions 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 RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name H/7 Name L - Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name _ Name Phone Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT .AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 64 R A- A1 ,Q �/? 6 ,Q a A Z Mailing Address 7 9 A lz D Property Address ; I 1_,I V lam„ 2 -4 n S� (Verification required from Planning Department for new construction)_ 0 3R— City /State �L� l� S T G�i Parcel Identification Number o. L_ LEGAL DESCRIPTION 03 2- Z1�3 - Lr- two .1396 Property Location _SUl ' /., . SUl ' /., Sec. / Y , TAN -R `' W, Town of Subdivision ef=A ��.4m f A X c , Lot # � Certified Survey Map # _ - , Volume -, .Page # Warranty Deed # l0 8 S 3 7 , Volume / 9- _ , Page # cfde Spec house 0 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 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. 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 septickystem has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 davc ofthe three vear ex iratgfq'n date. SIGNAMJkli OFAVPLIC DATE OWKER 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 describeo above3 by virtue of a warranty deed recorded in Register of Deeds Office. SIGNAT'U�fE OF ICANT _ DAT E ssss4« « « « « «« 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 U 1952P 585 STATE BAR OF WISCONSIN FORM 2 - 1999 KA 8 - 7 cv 3 '7 ATHLEEN H. WALSH Document Number WARRANTY DEED - REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Walte E. Ger main and Debr C. _ RECEIVED FOR RECORD Germai husban wife, - -._ 08 -20 -2002 9:30 AN — -- WARRANTY DEED -- -- - —...— -- EXEMPT # Grantor, and Grand Pr LP —_ —. -- — REC FEE: 11.00 — -- - - — —" — TRANS FEE: 916.50 -- —.. _ -- — -- COPY FEE: �_. —. - -- CERT COPY FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Cr —_ _ County, State of Wisconsin (if more space is needed, please attach addendum): The W 1/2 of SW 1/4 of Section 14, Township 31 North, Range 19 West, St. Croix County, Wisconsin, EXCEPT: Recording Area 1) Lots I and 2 of Certified Survey Map in Vol. 1, Page 236, Doc. No. Name and Re[ttr r 332995; KR19 OGLAND gT LA 2) Lots 3 and 4 of Certified Survey Map in Vol. 3, Page 746, Doc. No. TORNEY AT 9 353786 P.O. BOX 359 3) Lot 5 of Certified Survey Map in Vol. 9, Page 2454, Doc. No. 480266; HUDSON, W1 54016 4) Lots 3, 4 and 5 of Certified Survey Map in Vol. 10, Page 2889, Doc. No. 526637. 032 - 1040 -80- 0 00;0 3 2 - 104 -10 - 000 Parcel Identification Number (PIN) This is not homestead property. — — 0K) (is not) - Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of June 2002 Walter E. Germa _ Debra C. Germ ain AUTHENTICATION ACKNOWLEDGMENT Signature(s) Walter E. Ge rmain an d Debra C. Germain, STATE OF WISCONSIN ) husb w ife, —_ - - -__— - County ) authenticated this day of June _ Personally came before me this _ _ day of the above named + Kri stina Ogland _ -- -- —_ - - - - -- — TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, - - -- instrument and acknowledged the same. authorized by § 706.06, W is. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Notary Public, State of Wisconsin Hudson, WI 54016 _ — —_ My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) —.. —_ _- -.. - -- — -- -- -- — — • Names of persons signing in any capacity must be typed or printed below their signature. i^tormaeon Prwesabnais comps ^r. Pone du 800.855 ='0 5-! 21 STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2- 1999 N88 "E 420.RL W ?3s` LOT 4 %01 ACMS • $' 1.31.040 Sa n Nd "E v� 420. s t' , IN - GAVIN'S ACRES Ma Al 1 COUNT' PLAT) COW AR7 VAL Lsvary AARN7) r I QUARTER PART O SOUTHWEST QUARTE TH 1ER OF THE SIHWEST WARIER AND PART OF ME NORTHWEST QUART" OF THE S O U THWES T I W O F OF SECTION N 14 11 AND NV PART OF THE WARIER OF THE NORTHWEST WARIER AND PART THE ROIX NORTHEAST QUARTER OF 111E NORTHWEST WARIER OF SECTION 23, ALL IN IN TOW TOW NSHIP 31 NOR1N, RANGE 19 WEST, TOWN OF SOMERSET. ST. CR01X COUNTY, TY. WISCONSIN. GRAPHIC SCALE A 10•CI.1 •wwtbn ,!R• Rr 41.1.110 M N• d41w0aie• N •ORw 20047 1, a AM! 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