Loading...
HomeMy WebLinkAbout032-2153-70-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safet~rar Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 430448 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. Somerset Township 032-2153-70-000 CST BM Elev: Insp. BM Elev: IBM Description: Section/Town/Range/Map No: /06. 0 ~ 1 'Toe 2'I 15.31.19.1330 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark too o ~o 8 6 a Dosing Alt. BM Aeration Bldg, Sew Holding SUHt Inlet TANK SETBACK INFORMATION ~ ~k O A too r(14W St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. l 98.70 Aeration Dist. Pipe ~¢5 /C, Pi Lu! 6r Holding Bot. System Post //r25 ure / PUMP/SIPHON INFORMATION Final Grade Manufacturer IG emand St Cover / GPM ) Yi3Y ~•~b IQ•o-3 Model Number L~eS4 /c ~3 C5 r~~ TDH Lift Friction Loss System ead TDH Ft {'q sic p CJ Forcemain Lengt Dia. D' . to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenche I S PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS -3 / G j-,q / O 5 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: T 2 j INFORMATION CHAMBER OR t + Type Of System: 7 / UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size Ix Hole Spacing Vant to Air Intake ~I 11 Pipe(s) Length l WI Dia 9 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 Bedrrrench Center b l Bed/Trench Edges ?,D T es COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:0q 12,~ /Q~( ~-E-,~VC Location: 598 217th Avenue Somerset, WI 54025 (SE 1/4 NE 1/4 15 T31N R19W) Shadow Pines Lot 32 Parcel No: 15.31.19.1330 1.) Alt BM Description am (-G' , , 2.) Bldg sewer length = p i i~ l( - amount of cover = ~J Plan revision Required? Yes No Use other side for additional Informati n. L~ T_ jl~T)_ 0 SBD-6710 (R.3/97) Date insepctor's Signature Cert. No. r + ` Safety and Buildings Division County ^t W W 201 W. Washington Ave., P.O. Box 7082 Onsin Madison, WI 53707 - 7082 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 261-6546 3(D c Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Pri Project Address (if different titan mailing address) 1. Application Information - Please Print All Informatt in 1A Property Owner's Name OC 10 I OUJ 03 ~oS°2 ZS Lot U BBloook #oou U 2-30 y ~ Sao Property Owner's Mailing Address ST. C P ' i COUN Property Location 7d 45 zc~raiN-- or F ~cE fr Q ~Sr IT49- v., W&Fv., Section 16- City, State Zip Code Phone Number ` e/ S / V (circle DAW 61 b T N; R E 410 II. Type of Building (check all that apply) St~ 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name CSM Number - ytp ❑ Public/Commercial - Describe Use ❑ State Owned - Descnbe Use ❑City ❑Village ❑Township of - III. Type of Permit: (Check only one box on line A. Complete line B If applicable) A' New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. List Previous Permit Number and Date Issued ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New Before Expiration Plumber Owner IV. Type of POWTS System: Check all that apply) 16 Non -Pressurized In-Ground ❑ Mound > 24 is 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 Pi ❑ Other (explain) V. Dispersal/Treatment Area Information: f Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (st) S em Elevation P. VaA S i 41 7 1 6. 3 63, r J VI. Tank Info Capacity in Total Number Manufacturer Prefab ite Steel stic Gallons Gallons of Units Concrete Co led Glass New Existing Tanks Tanks Septic or Holding Tank 160,01 1 &V ff&XV LI Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI 's Signature M PRS umber Business Phone Number Plumbers Address (Street, City, State, Zip Code) VIII. Coun /De artment Uffse Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued is 'ng Agent Signatu (No Stamps) I Surcharge Fee) 16 ,2&p3l ❑ Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval - SYSTEM OWNER: 3) 1 Septic tank, effluent filter and t ~ Auh-a- dispersal cell must all be 5,9rViced I Maintained AA0fi_0_AVkQA& as edx _ as per management plan provided by plumber. aba.cl- 2. All setback requirements must be maintained as per applicable code/ordinances. . •~k{'~01 Attach complete plans (to the County only) for the system on paper not less than 81/2:11 inches in size 3(o tt / ^ SBD-6398 (R. 08/02) c6vd~. Aae~ d.,2_~,V~~&6 so,7s re, VLxZ i I nos ~1 rorc pl"Ocg- Axe! - f 9vos I f I i R~~s i ~ r - i I ~ I I I ~ f ~ 1 I I I ' I Ii I I ! ! ~ I I i ,!I I I~ I i ~ ' 1 - - - - is _ r•~ ~ 1_ ' . I I I I - - - - - - D'a I ' t~ ' I I I 7' -74 , I 1 , I floA-D foe I J y PUS lnrsp~~;.oK F~%oc _~x~ v~NT s ►t ,fir 3 3 Aros ; F?ro s ' ' ~ Oaf 3 3 Aw- V _ _ faad GEC. Sr * ~ _ i Q* ~3 PR P C 3 ,(~EA~a~rr jolt till w`- flOAD _ X6 R fr~ - - r ~3zr>y~ Wiscon&,,n Department of Commerce SOIL AND SITE EVALUATION 6ivisibn Af Safety and Buildings Page 1 of 3 Burea vc j integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size: Plan must County include, but not limited to: vertical and horizontal reference point (BM)', direction and,.,, St. Croix percent slope, scale or dimensions, north arrow, and location and di§fance to neW_est,foa'~ Par'eel I.D. # APPLICANT INFORMATION -Please print all inforpwtion ed by Date Personal information you provide may be used for secondary purposes (Priv~c J.Aw, s. 15.04 (,1~ )j Property Owner Pof* ~T6cation ; t Richard Stout NE 1/4,S 15 T 31 N,R 19 E (or) Property Owner's Mailing Address t31o2# u a or CSM# 1353 Awatukee Trail ' ow Pines 1ST. \lt City State Zip Code Phone Number ity Village ❑ Town Nearest Road Hudson i 4016 (715 1549-6731 Somerset ® New Construction Use: k] Residential / Number of bedrooms _ 4 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 6 0 0 gpd Recommended design loading rate • 7 bed, gpd/ft2 • 8 trench, gpd/ft2 Absorption area required 858 bed, ft2 7 5 0 trench, ft2 Maximum design loading rate • 7 bed, gpd/fl2 • 8 trench, gpd/ft2 Recommended infiltration surface elevation(s) _ See pletplan ft (as referred to site plan benchmark) Additional design/site considerations Parent material CoC2 Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holdinnu U = Unsuitable for sys® S i1 s ❑ u RI S ❑ U S KI U ❑ S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-1 10 r2 1 4K 2 12-118 10yr3/4 is 1mf4B~ mvfr cs .7.8 Ground 3 18- 0 10 r4 6 ms os M1 cs -7, -8 - 1011ev5 Depth to limiting co - 3 factor 8 0 in. • `F Remarks: Boring # 1 0-1 10 r2 1 is rma4 2 12-18 10yr3/4 is 1 m1413 mvfr cs .7 .8 3 18- 0 10yr4/6 ms os ml cs .7'.8 Ground elev. 100-42. 37- Z ~3. Z Depth to limiting factor 8 0 in. Remarks: CST Name (Please Print) Signature Telephone No. . ~ f a n-a . ~ ',d 2 Y ~ ' .~s+-tI/ ~ '✓Q DTs l~ ~.z~ Address Date CST Number PROPERTY OWNER Richard Stout _ SOIL DESCRIPTION REPORT Page 2 ofi PARCEL 1.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots G~pjft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 3 1 0-12 10 r2/1 s 1 M K mvfr cs if .7 :.8 2 2-2 1 Oyr3/6 s 1 mrL&K mvfr cs .7 ' .8 Ground 24- yr 6 s osg m cs . 7 , . 8 elev. 100•3*. Depth to limiting factor 8 0 in. Remarks: Boring # 1 -10 10yr2/1 s 1 ft mvfr cs if .7 ;.8 4 2 10-3 10yr3/6 s 1mA&K mvfr cs .7 8 - 3 0-8 10yr4/6 s osg ml cs .7 A Ground elev. 101 .20 ft. Depth to limiting factor 8 0 in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GP /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring# 1 -10 10 r2/1 s 1 Mo~6~ mvfr cs if .7 '.8 5 2 10-3 1 Oyr3/6 Is 1 mr1-63 mvfr cs .7 8 3 30-9 10yr4/6 s Osg ml cs .7,.8 Ground elev. 101-.1-0 ft. Depth to limiting factor 9 0 in. Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD-8330 (R. 07/96) PROPERTYOWNER NICnarG atout Page 2_ oe-_ PARCEL I.D.# 1 Boring # Horizon Depth Dominant Color Mottles Structure Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trer 3 1 -12 10 r2/1 s 1M, K mvfr Cs 1f .7 -.8 2 2-2 10yr3/6 - s 1 +%A, &K mvfr Cs .7 - . 8 Ground 24-80 yr S osg m Cs : , g elev. 10 (L 3S1t. Depth to limiting 4 factor 8 0 in. Remarks: Boring # 1 -10 10yr2/1 Is 1 mvfr Cs 1f .7 ;.8 4 2 0-3 10yr3/6 s 1 m,6K mvfr Cs .7 .8 3 0 8 Oyr4/6 s osg ml Cs .7 ..8 Ground elev. 101 .20 ft. Depth to6 ' limiting ctor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPDJft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Tre Boring# 1 -10 10 r2/1 s 1 mvfr. Cs 1f .7 .8 5 2 10-3 10yr3/6 s 1 rn#6r mvfr Cs .7 8 3 30-9 10yr4/6 s Osg M1 Cs .7..8 Ground elev. 101 . o ft. y-Y Depth to limiting factor )in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD-8330 (R. 07196) Il 5'1 o `u T_ , off` 7 ~C/ 3 F 3 a , - ~4 8a S sT~ r., ~,Ce..~ 9Z, JD .4 Z- 9G~ ff'4 ~ e n ~ • X35' a s7 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of A FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity D al DNA Permit # Q Septic Tank Manufacturer D NA DESIGN PARAMETERS Effluent Filter Manufacturer Z ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model _ D NA Number of Public Facility Units ! NA Pump Tank Capacity al 0 NA Estimated flow (average) al/da Pump Tank Manufacturer ® NA Design flow (peak), (Estimated x 1.5) al/day Pump Manufacturer ■ NA Soil Application Rate al/da /ft2 Pump Model 0 NA Standard Influent/Effluent Quality Monthly average' Pretreatment Unit A NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (SODS) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODS) 530 mg/L IN in-Ground (gravity) O In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 510' cfu/100ml ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size Ys in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA 1 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: ❑ month(s) (Maximum 3 years) ❑ NA ■ ear(s) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA ■ year(s) 13 Clean effluent filter At least once every: ❑ month(s) ❑ NA M year(s) Inspect pump, pump controls & alarm At least once every: ❑ month(s) ® NA ❑ year(s) '0 month(s) ® NA Flush laterals and pressure test At least once every: ❑ year(s) Other: ❑ month(s) ® NA At least once every: ❑ year(s) other: ❑ 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 (Y3) 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. 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 call(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: If 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 G 71 Name Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name ff0/G - Name' Phone Phone L:Z This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), 12) & (3), Wisconsin Administrative Code. ST CROIX COUN'T'Y SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer s /?AND EfLTf~' Mailing Address 714 ~UR-f~0 ST < 5~H-"EA-i&Z Property Address (Verification required from Planning Department for new constructs n) ©3z-<ds~z-/e-oQo b3:Z-~ou2--3o-~ City/State C2~~~ f~(l/ Parcel Identification Number - d Y.L 416 - c7 y3 - so - LEGAL DESCRIPTION Property Location ~F '/4, ~ '/4, Sec. IS- . T_,2_N-R,4~-W, Town of r- t i Subdivision f ZLd& U I&C3 i AQ4,-. /'0 64 . Lot # ,Volume ,Page # Certified Survey Map # Warranty Deed # . Volume _ f 9 9- D . Page # 031 Spec house R yes ❑ no Lot lines identifiable IN 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 septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. ice; - " l l.Q_3 SIGNATURE 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 described above, by virtue of a warranty deed recorded in Register of Deeds Office. / 1,13 SIGNATURE F APPLICANT 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 a' WARRANTY DEED KATHLEEN H. ASH REGISTER OF DEEDS Document Number ST. CROIx Co., YI RECEIVED FOR RECORD This Deed, made between HICHARn n STnnT and TANET P STOUT, 07-11-2002 2:15 PM hrtahand and wife, _ WARRANTY DEED Grantor. EXEMPT t and _GRAND PROPERTIES, LP REC FEE: 11.00 TRANS FEE: 220.50 _ COPY FEE: CERT COPY AGES: FEE: Grantee. P 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St- Crn i w County, State of Wisconsin: Lot 3 Plat of Shadow Pines First Addition, Town of Somerset, St. Croix County, Name and Return Address Wisconsin. ~Ji lie mil/ ~ 't~a~ 5~.~-('1 Ge,M e fe-Aj Cd-r'5 . S 032-1042-10-000;032-1042-30-000 032-1042-40-000;032-1042-50000 Parcel Identification Nurnber IPIN) This 1S nOt homestead property. (is) (is not) Exceptionstowarrancies: easements, restrictions, rights-of-way and covenants of record. Dated this 11th day of July 2002 a K~1 ' • ti Lu " - (SEAL) ~_20? _ (SEAL) * Richard O. Stout 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 11 t -day of July , 2_G-Q2_. the above named Ri charA_A Gtrmt- and .Tanet P_ Stout TITLE: MEMBER STATE BAR OF WISCONSIN to (If not, me known to be the person who executed the foregoing authorized by §706.06, Wis. Stats.) CHEFfiY1 .iAC09SEN Instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY $18gCI11 Janet P. Stout 1353 Awatukee Tr, ` Hudson, WI 54016 Notary Publlc. S e of W onsin My commission is permanent. (If riot, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary) Names of persons signing in any capacity most be typed or printed below their signature. STATE BAR OF WISCONSIN Wisconsin Legal stank Co.. inc. WARRANTY DEED FORM No. 2 - 1998 Muwauktte. ws. m t 4 r IjME_80_7_"PAGE 620 to ►4C__ N0 436226 3 , Wi :j " t . iW w l;o r y ~.._..y~~ t r N LINE OF THE SE 114 .cam t i I t •c~ h\ YE NE 1/4 t t 39'23133" E 400.03' o 223.54' , t .E o 367.03' s 1 t t Lai t 0, 3 4 o m L 132.83' t4 t ' t i ' t t t ~ t t t t h t 0 t p AREA EXCLUDING DRIVEWAY EASEMENT: i M O 1* O 131,111 SO. FT. i CO 3.01 ACRES t w rW aW t TOTAL AREA: of t 136,220 SO. FT. a i t t 3.13 ACRES o ~ o r' 0 t o , o O DRAINAGE 1 N O I I iA EMEN2 1 V) I 0 p N5544'02"W 49.78' s4011'29"w 37.57'N\ SSt'45'3e* 1 i t ! O ; X7841___ c ~i ; t{ 3 p C7 25,YR M.W.L. 4 s3e:o° t t 1 t S25'34 E t t s 33' • t f --8 223. t 33. 3- t Rlyht of Woy 21707 Avenue t ! LOT 2 C.S.M. t Ni3 ; /VOL 8 PAGE 2364 _ _ Righ t of Woy 217th A venue !p w Zi pp i EAST 114 CORNER H tZ! t SEC. 15-31-f9 (FOUND ALUMINUM COUNTY MONUMENT) SHEET 1 OF 2 SHEETS a, ; J ' cc - cc.. 41 X. -1 X191 list d _ r o pa!! N N Z Mt ar sr .e art r.w Mar ~Ir raw LUAUS +"+r Ma t tt O LIO .u'[rC ~,u.woos ,armor I i__----- rw Mrr •r r AT w Z° N d lop ~ Ir ; .rnnr s; Jog= &W >R .fir= f---- Rol u fel leg _ ~ yi,rr.wt o avt.,r, 1 i I , L - - - - 1 3 ANV 11 W ALL Imam 3, ~ I p i cl 09 9 i3 N I l Q i ~ u AV= Q I 1 `o ~~`•--,it - '';ti 1 S 3'I I M O a H S NI NI i C4 W)l 1 i , lilt ~16 Im MINIM lip, - IF