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HomeMy WebLinkAbout032-2148-00-000 o coo 2 � T �k� /�� & � _ - -z o cn 0 2 n 2) , q o § E .o a §- �\ /} k \� k E ; $ C. ` J & � ` (�§ § o / so o E § @ v > E o. OD E (a Co �U) CL 3 j 6 - f C I 0 k 0§§ Cl) E c CL � E § . § \ k k k . � / 9 \ (A CO) (4 o / I ƒ ; I ° ° I § CL A \ .. - \ © \ CD = a 0) �■am §E§ _ � k° kk (\ a z §�� �§ :2zc 20 0 _ - m E \ �\; $$ ] to T M w Ln � § } � § � 2 m , 0 CL � ƒƒ/ 03 § . c 2§ƒ % � 77[ . RL , cr . > (D C ! \ 0 \ � � _CD t \ $o k\ �7 . � - County: Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division * INSPECTION REPORT Sanitary Permit No: 420500 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: Fleming, Robert I Somerset Township 032 - 2148 -00 -000 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATiefN DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic � 0 Benchmark zs � D � � � t od - Dosing Alt. BM * G ' k (,✓ f4 - D 8 Aeration Bldg. Sewer R s Holding St/Ht Inlet , •3 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL to Air Intake ROAD Dt Inlet N s • Septic Dt Bottom 2 ZZ i� Dosing Hea er /M � f) c�s A q Aeration W. Pipe db o 1 • �d a c/' l `/ Holdi Bot. System `-7 PUMP /SIPHON INFORMATION >1-Grade Manufacturer Demand St Cover Model Number 1' 1 TDH Lift ction System Head TDH t Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width �- Length r No. Of Trenches PIT DIMENS NS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS (/(/� SETBACK SYSTEM TO P/L BLDG W L LAKE /STREAM LEACHI G M t e INFORMATION Typ anu Of System: / J I '/ CHA UN T OR Model Nu4nber: ` .� ��� t�Grv�'3�'I Z �2 N / � DISTRIBUTION SYSTEM OH ytiard�+ Header /Manifold IDistribution Hole Size x Hole Spicing s, /� en o Air I ake j Pipe(s) I / Lengt h Dia Length Dia ' 'pcing 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 Ed es To soil (� 9 P 'Yes l�� No [g�i Yes COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: // Inspection #2: / / Location: 2128 54th Stre Somerset, WI 54025 (SE 1/4 SW 1/4 15 T31 R1 9W) Oa Ha en Lot 20 Parcel No: 15.31.19.1291 1.) Alt BM Description bT l�ts�,'P ►'/LL C1 S t y( L k a �p �p� S�*�^ " 2.) Bldg sewer length - amount of cover Plan revision Required? /Yes ' No Use other side for additional information. Date Insepctor's Signature Cent. Nr SBD -6710 (R.3/97) Safety and Buildings Division County , I l Visconsih 201 W. Washington Ave., P.O. Box 7162 Madison, WI 53707 - 7162 Site Address Department of Commerce 1- Sanitary Permit Application Sanitary Permit Number In accord with Comm 83.21. Wis. Adm. Code, personal information you provide ❑ Check if Revision 6) 5 Q� may be used for purposes Privacy Law, sl5. 1 m State Plan I.D. Number I. Application Information - Please Print All Information Property is Name REG I Number,Q j �D - moo Pro rty Owner's Mailing Address � perry Location - ik !A ; S T N, R City, Stan Zip Code hone t Number Block N ber �a / ZONIN ' U Subdivision Name CBM- Plumber 4 �IL " II. Type of Building (check all that app1Y) � Doty I or 2 Family Dwelling - Number of Bedrooms 3 / '�' ` []village ❑ Public/Commercial - Describe Use o Pownship C1 State Owned 2 7 1 4,1 !N/ �� 'I 3�x Nearest Road M. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. For County use 1 New 2 ❑ Replacement System 3 ❑Replacement of 6 ❑Addition to . stem Tank Only stem B. ❑Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(m mbering scheme is for internal use) Sk - , 44 ❑ Non - Pressurized In- Ground 20 mound 47 ❑ Sand Filter 50 ❑Constructed Wedand N 22 ❑ p ln�Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 3o ❑ Other V. D' tment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed ✓ Rate(Gals./ Days /Sq.Ft.) (Min./Inch) Elevation s VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks ���Q 0✓ Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Dosing Chamber VII. Responsibility Statement- I, the undersigned, responstbility for installation of the POWTS shown on the attached plans. Plum r' ame (Print) Plum is Si , MP/MPRS Number Business Phone Number P1 is Address (Street, City. State, Zip Code) b � 3 s VIII. ount /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued Is gem Signature (No Stamps) Approved ❑ Disapproved Surcharge Fee) ID ❑ Owner Given Initial Adverse l ev /a-� 4 d Determination d 1X. Conditions of Approv easons for Disapproval C fT c um ; 0 t33 (u4-� I 0 4- &gym P34 q - 1 - complete plans (to the Counq y) for th gstem on psoer not less than 8112 x inches In she SBD -6398 (R. 05101) d: 5r \ Ilk Wisconsin Department of commerce SOIL EVALUATION REPORT Page -1_ of _3 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 St - Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. (` (5Z) U percent slope, scale or dimensions, north arrow, and location and distance to nearest road. pendi rig 032��� T 3 - Please print all information. view by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ! da Property Owner Property Location Gerald . J. Smith Govt. Lot SE 1/4 Sip 1/4 s 15 T 31 N R 19 1X(or) W Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# city State Zip Code Phone Number ❑ City ❑ Village )UTown Nearest Road 5S3301 (612)441-8888 Somerset - 24.0 1 t h Ave. [ New Construction Use: [r] Residential / Number of bedrooms 4 Code derived design flow rate r, n n GPD ❑ Replacement ❑ Public or commercial - Describe: ^ r, .• Parent material outwash Flood Plain elevation if applicable General comments ' and recommendations trenches @ el. 94.40', spaced to code 3.50' below grade s7 %FtC,:x 00 w ; Y % ZONNG OFFICE F, Boring # ❑Boring �� I � > ® Pit Ground surface elev. 98.50 ft. Depth to limiting factor +100 in. oil licetion 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 -6 10 r4/3 none sl 2mgr mvfr gw if .5 .9 2 6 -14 7.5yr4/ none is osg mvfr gw, if .7 1.2 3 14 -10 7.5 r4 6 none ms os ml na na .7 1.2 �-p41 Boring # ❑ Boring 2 ❑ Pit Ground surface elev. 96.90 ft. Depth to limiting factor +90 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 I 'Eff#2 1 0 -14 10yr3/3 none sl 2mgr mvfr gw 2f .5 .9 2 14 -9 7.5 r4 6 none ms Osq ml na na .7 1.2 ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L uent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Gary L. Steel 41 02298 Address Date Evaluation Conducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 6 -2 -2001 715 - 246 -6200 i Property Owner Gerald J— Smi th Parcel ID # p ending Page 2 _ of 3 [31 Boring # Boring Pit Ground surface elev. 94.40 ft. Depth to limiting factor +84 in. Soil lication 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 -10 7.5yr4/1 none sl 2m r mvfr CrW 2f .5 .9 ❑ 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 /fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. El Pit 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 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 alternate f rmat lease contact the eed material in an a o , department at 608 - 266 -3151 or TTY 608 - 264 -8777. p p SBD -8330 (R.6 /00) Property Owner G @rat d .7- Smi t Parcel ID# panding, -- Page 2 of 3 ❑ Boring # ❑ Boring pit Ground surface elev. 94.40 ft. Depth to limiting factor +84 in. Soil — Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 -10 7.5yr4/1 none sl 2m r mvfr qW 2f 5 9 ❑ 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 a Boring # F1 Boring El pit Ground surface elev. ft. Depth to limiting factor in. Soii lication 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 Effluent #1 = BOD > 30 5 220 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.6/00) STEEL'S SOIL SERVICE Gary L. Steel Gerald J. Smith 1554 200th Ave. CSTM2298 SE S15- T31N -R19W New Richmond, WI 54017 MPRSW -3254 Town of Somerset (715) 246 -6200 lot #20 -Oak Haven This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 " =40' BM.= top of NW to stake @ el. 100.00' Alt. BM.= top of lot s @ 1. 89.00' f � , 2P � 10 2 � \k Gary L. Steel 6 -2 -2001 Oct 07 02 11:05a HUDWCRTH HOMES 17153667996 p.1 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AOREFMEN`I' AND OWNERSHIP CERTIPICikTION FGRtVI r� 0- vrner'3!iyer _ U e-� C. 'All Mai'ing Add%3S ,Dtoperty Address _� - Verification required from Planning Department for new cortstructiun) r , � � , 1.z��r , � E parcel Identification Nt.mbct fit ' /state - 'C` " - �-� _ -- LEG D SCRIP'I`ION ?rgperty l ucuti�n S ` /s� ' ;'a, Sec. T �/ NN-R > awn of K w , S Lot - - -- . __ �__ _- ---- -- Certified Survey ;vlap ## �, ___. v "alurrte —_, page # Warranty Deed # __ - , V-tune _2 Page # Spec bous:, 0 yez' no. Lot lines identifiable Ryes 0 no S'O'S "I'El'* 111AI?�T'I improper u>>. and maintenareeof your septic system could r suit in its premature failure to haridac wastes, Pruper maintenance consists of pumoing out the septic tank: ever\ three years or soencr, if needed by a licensed pumper. What you pu: into the system can affect the function of the sept c tarok as a treatment stage in the. waste disposai systerr. The property owner agrees to submit to St. Croix Zer ing Department a certification Corm, signed by the owner and by a and/or m umbNr, restricted 1UM ber or a licensed pamper verifyi, ^.g that (1) the on - site wastewater disposal system *, r lu,nber �vurne n.er 1 p ud e, " j e o ' atin; conditio n } p the se tic tank is less than ,:3 full of sl g is i:, props; opcondiand/or (..) after irspection and pu;npin (if necessary), p I we, the unniersigned have read the above r:guirernents and agree to maintain the private sewage drspoaal system with the standards set forth, i�ereirt, a, set by the Department of Ccmmerco aad the r7epattment of Natural Resources, State of W isconsin . Cent f:cation stating that your septic :.ysi.nn has been maintained must be complctcd and returned to the 5t. C County Zoning off within 3� rth day a ti:ree year expiration dale. /CD ; , oa sk�lv�,Y't.�lz:: �a APPLICAN "r• DA'1'C OWNr,R CERTIFICATIO i twt certify olat at! statements on this form are true to the besi of my (our ecs Office. knowledge. t (we) am (arc) the owners) of d Derr: described above, by virtac of a warran „ty deed recorded ir. Regisicr of D SI1AT['R APPLICANT PATE * *• "• Any mformation that is mis- represented may resuit in the sanitary permit being revoked by the Zoning DepanTnenr. •' Include with this application: a stamped wartanty deed rom the Register of Deeds Office a caoy of the certified surrey map if reference is trade in the warranty decd POWTS OWNER'S MANUAL & MANAGEMENT PLAN PustLVI � FILE INFOR TION SYSTEM SPECIFICATION Owner ,� Septic Tank Capacity al o NA Permit # Septic Tank Manufacturer a NA Effluent Filter Manufacturer o NA . DESIGN PARAMETERS Effluent Filter Model _ o NA Number of bedrooms c NA Pump Tank Capacity al NA Number of Commercial Unit NA Pump Tank Manufacturer _z NA Estimated flow averse gal/day - Pump Manufacturer �d NA Design flow (peak), Estimated x 1.5 al /da Pump Model NA Soil Application Rate gal /da /ft Pretreated Unit influent /l ffluwtt (�uulity Monthly Average* a Sand /Uravol Filter to Peat filter Puts, Oils & Grease (1 OG) <30 ntg /L rt Mechanical Aeration a Wetland Biochemical Oxygen Demand (BODs) X220 mg/L ❑ Disinfection ❑ Other: Total Suspended Solids (TSS) 5I50 m L Manufacturer Monthly Average ** Dispersal Cell(s) Pretreated Effluent Quality o NA X In- ground (gravity) a In- ground (pressurized) Biochemical Oxygen Demand (BODs) <30 mg /L o At -grade a Mound Total Suspended Solids (TSS) <30tng /L o Drip-line c Other: Fecal Coliform (geometric mean ) <10 'cfu /l00mL Maximum Effluent Particle Size '/B inch diameter • Values typical for domestic (non - commercial) wastewater and septic tank effluent. ** Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tanks At least once every ❑ months ears Maximum 3 rs) Pump out contents of tanks When combined sludge and scum equals one third (V3) of tank volume Inspect dispersal cells At least once every c months _s! e s Maximum 3 ra Clean effluent filter At least on eve ry o months j gf your(s Ins pect punt , p unip controls & alurnt At least once every u months o curs NA Flush laterals and pressure test At least once every o months a eur(s ) 0 N Other: At least once every ❑ months ❑ ears -t' NA Other: At least once every ❑ months o ears A 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. Whernthe combined accumulation of sludge and scum in any tank equals one -third (%) 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, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatment 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 chemicals that my impede the treatment process and/or damage the dispersal cell(s), If high concentrations are detected have the contents of the tanks(s) removed by a septage servicing operator prior to use. Owners 2 , �ej - System start up shall not occur when soil conditions are frozen at the infiltrative surface During power outages pump tanks may fill above normal high water levels. When power is restored the excess wastewater will be discharged to the dispersal 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 soft absorption are. 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; treat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONEMENT 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 ch. 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 repla ent system: 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. C) 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. o 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. o 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 the time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASES 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 Name Phone _ s - Phone SEPTAGE SERVICING OPERATOR PUMPER) LOCAL REGULATORY AUTHORITY Namel Name Phone Phone �-- Oct 07 02 11:05a HUDWORTH HOMES 17153867996 p.2 STATE BAR 0 WISCONSiNFOR1`42- ty"ALSH WARRANTY DEED REGISTER OF DEEDS Docunitio Number S"i This Deed, mad.- between Forest Oaks Condos, Inc. RECEIVED FOR RECORD 10-24-2001 6:00 AM LIARRAPTI DEED EXEMPT Grantor•. and Robert C. Fleming CSR` CORY FEE: capy FEE - TRANSFER RE: 131.71 RECORDING FFF! 11.13 (_irarltee. Grantor, for a valuable cons:deration, conveys to Grantee the following described real evwr in ­ St• Croix County, Srate of Wisconsin (if more space is needed, please attach addendum): Rrccrdijig Area (L,)t20, ak Haven, Ti of Somers -.t, St. Croix County. Wisconsin. hanie and Return Address David J. Estreen 304 Locust Street Hudson, W154016 Pt 032- 1043 - 80.000 & 032-1043-40- 000 Parcel I dentification N umber (PIN) Illk is not homestead property. Qj) jsnot) Exceptions u,) warranties: Easements, restrictions and rigbts­ of-way of record if any. Dated this Z� day of _ 2001 Forest Oaks Condos, Inc. AUTHENTICATION ACKNOWLEDGMENT S TATE OF WISCONSIN Signature ) ss. St County authenticated tljis____day of Personally came before me this day Of 2001 the above named Forest Oaks Condos, Inc., by Gerald J. S mith, President, ____ TYI­LE: MEJV�BER. STATE BAR OF WISCONSIN to trie kno i i be tile person(.) who executed the forcgoing, (if 610, ins"rulnc lid ckil le. ji , i ti- j orized by § 706.06, Wis. Stats,) ',''HJS INSTRUMENT WAS DRAFFED BY Z -- Attorney Krishna Ogland ------- Notary Public, State of WiscOnsill Hudso V4`I 16 My CoMillissipp isp'-'rinailent. (If not, state expiration date: (Sr Igna t uje s stay be authenticated or acknowledged. Both xc not tlecessary-) signature. Company, Fond do Leo, W1 pe S sign, jag in any capacity must be typed oi' p' int ed below their s! gnat SIATE BAR OF WISCONSIN 4' WARRANTY DEETI FORM No. 2 -1999 Oct 07 02 11:05a HUDWORTH HOMES 17153867896 p.3 dFIPC Stock No. 11053 ooCVMENT NO. SATISFAcTIOA OF REAL ESTATE MORTGAGE BY LENDER Tha undersigned Lender certifies that the following Is tully Paid and satisfied: Io Mortgage executed by Robert C. Klerqing, a s - ingle person St -fi.. Area to Lender and recorded h the office o f ft 8 of Deeds of Croix Reco rding and Return AGWO53 659914 First National Bank Of New Richmond County. Wisconsin, as Document No.-- F0 Box 89 WI 54017 Volume 1744, page 165 New Richmond, FA� c overing the real estate descrbod below: 032--1043-80-000 f Parcel tdsrtsYer No. Lot Ot ',X St. Croix County, Wisconsin ), O ak Haven, Cj it checked here, the desC1 cononues or appolliv on reverse side of attached she"' S TATE OF WISCONSIN ss. Dated March 19, 2002 ------- C.,,r,ty of __ St. Croix First National Bank of New Richmond (M.6 01 Lende This Instrument was acknowledged before we March 19, 2002 By on by d Ju lie C..Xd Tile Vi resident _�u �. -ge Ken Zaru i --- tNWq'*)'0' as Off 0110er. trjstge, etc.. Attest of First National Bank c New Ri&jqong Vine President im of party on whose —h— instrument was "Kuted. I Snyj Julie C. >dAe—,— This instrument was drafted by I Swe nson -ttina �3—'wenson Bet I-iJ Tina Swenson First National B ank of New Richmond-- Notary public, Wisconsin V'ry Commission (Expires) (Is)-__14- -_02--- Type or print nano signed above. Spot ell yc' 0 CON Tl s n �--/ G! \ ob cured areas "ore" _ 'approx( to and moy -� �— LOT 'NO not m et Na ioriol Map A�curacy Standards �� X z� o co � X to X (D t \� I o �(,4 4 v o 44 �J PLATTE� _L NI..S j s - -- - 38 ACRES � � � � L��NA QOK co _ 7 X \2107 C0UN`TY R �, c L ' 8 SOMERSET , V11 - J ZONED: tiGRICUL��TU,RAL x 3 L. \ X X ' so. FT,, 6-0- ACRES- 1 EST-CINE_ OF' Fle Nf_ X o NgE7"f1 2666. ?7' i, j o °,�X� . 8.78' v. � y ��,� • 208.8' j �( ✓' �. m r .i _ • r ..' .,' (, , _.. � ,1 v _ .a- /• '- Q �/ J;. �.4 y'' b + =1�.} ill J _..- {. \ ,,,,,,�, �►7 �.; ba to �j to CC) ,r� x I C � �4 �� � / . C . ��\ .... l._.... i:. !. �. _ r 2 6= 1491- X ,Q 49U,�8U 4 + 15 +00 __. 00.