Loading...
HomeMy WebLinkAbout032-2174-24-000 Wisconsin bepartment of Commerce Count PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 488292 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: Thell, Scott I Somerset, Town of 032 - 2174 -24 -000 CST BM Elev: Insp. BM Elev: r BM Description: y- Sectionrrown /Range /Map No: 1 M , o u� .� ecT e a / = 27.31.19.1479 TANK INFORMATION ELEVATION DATA TYPE MAN UF ACTURER / CAPACITY r STATION BS HI FS ELEV. 2�e)_ I — Septic l Benchmark t U. 2 � 0 �J-.Z� Y, 2, Dosing t. M o 3.3 JOD SI'� lJ� %mob a^ 0 0 Aeration Idg. Sewer �LK qs gz Holding St/Ht Inlet , p li St/Ht Outlet TANK SETBACK INFORMATION .D q 2_3 r TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Zio R`f �►' Septic 5b t I Dt Bottom 1 3 AZ' J 1 0 - 35 - 1 1 , Zrr Dosing 5Z. r Header /Man. z I'I Aeration ID I gq. Holding Bot. ys m p / Final Grade o 310 99 p PUM /SIPHON INFORMATION Manufacturer n De nd St Cove r _ _/ /)- 1 Z. LT 16 F M l� .O �. f 4 Q0. ,�• Model Number t I C� i [b - G` 7+ � I H Lift Frictio Lo System Head Ft g.lo�i 3.0 ----- Forcemain Length ia.� tt Dist. to Well \ 25- SOIL ABSORPTION SYSTEM 2f ao,,Xt ENC Width Length No. Of Trenches PIT DIMENSIONS No Of Pits Inside Dia. Liquid Depth DI NS 3/ f 7 ,t1 t . Z SETBACK SYSTEM TO 1 P/L JBLDG IWE LL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Typ Of System: t ( / UNIT Model Nu ber: DISTRIBUTION YSTEM J Header /Mani oldl. %I x Hole Size Ix Hole Spacing Vent to Air Intake � Length V�+° Dia i � Length DO 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:_*4 . 2 1 �1�'� 6 Inspection #2: Location: 592 200th Avenue Somerset, WI 54025 (NE 114 NE 1/4 27 T31 R1 9W) River Hawk Ridge Lot 24 Parcel No: 27.31.19.1479 1.) Alt BM Description 2.) Bldg sewer length = y amount of cover = .. W" SA tom. Plan revision Required? Yes ^1 No AJ 2 s�,. Use other side for additional information. "- - i - Date Insepctor's Signature Cert. No. SBO -6710 (R.3/97) Safety and Buildings Division County ttr m 201 W. Washington Ave., P.O. Box 7162 isCOns, Madison, WI 53707 - 7162 Sanitary Permit um er ( be filled in by Co.) Department of Commerce (608) 266 -3151 � O 1 2— Sanitary Permit Application Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide - ����' /4 may be used for secondary purposes Privacy Law, s15 �® Project Address (if different than mailing address) I. Application Information – Please Print All Inform tion/ 1 Property Owner's Name f J U L Parce # Lot # les" / rni iNTY 032 - 21 ?'/ 2 4 - cen 79) Property Owner's Mailing Address Li Property Location City, State Zip Code Phone Number �°�— %. � y', Section . -,2 7 c E m tre e ) T N; R 1( II. �'ype of Building (check all that apply) �r S , I or 2 Family Dwelling - Number of Bedrooms Subdivision Name CSIvi ldcartbgi ❑ Public/Commercial - Describe Use " ❑ State Owned - Describe Use ❑City ❑ Villagej4Township of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ew Syst ❑ Replacement System ❑ Treatment/Holding ank g Replacement Only 11 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 a ppW M-No - P r es surized 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 o Lachiing Chamber Z1DppJine ❑ Gravel -less Pipe ❑ Other ( lain) V. Dis ersaVTrestment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) ispersdi Area Required (sf) Dispersal Area Proposed (sf) System Elevation VI. Tank Info Capacity in Tota umber Manufacturer Prefab Site Steel Fiber Plastic f Gallons Gallons of Units Concrete Constructed Glass New I Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit /D� Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume esponsibility for installation of the POWTS shown on the attached plans. Plumb 's e ( t) t Plumber's i MP/MPRS Number Business Phone Number Pl ber' ddress (Street tty, S , Zip Code) 60 v l VIII. 96un /De artment Use Onl pproved ❑ Disapproved Surcharge � Feet Fee (' chides G//ro//u��ndwater Date Issued ing Ag cot-Si ❑ Owner Given Reason for Denial ) �/� / Q ` )X. Conditions of ApprovaUReasons for Disapproval 3 41 TEM OWNER: (,�1� eptic tan ,effluent filter and dispersal cell must all be serviced /maintained '38 per management plan provided by plumber 2. All setback re ulrement s must be maintain q ed as per applicable code /ordinances. Attach complete plans (to the County only),for the system on paper not less than SV2 z 11 inches in sift SBD -6398 (R. 01/03) i L 1 �1 I I i a M , o 0 Z y� N C4 '^- -2—w I �F `n I 1 � 30 � o I. fb C� I - +Mft--NO�" �T+ 175 (2 ,'- �...._ illillillillillj > C Oda . Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and —► Comm 16.28 WAC Disconnect 4 in. min. -- ---- ii-- -- Tank component is property vented E— Alternate outlet location _ Forcemain diameter Manufacturer �_ 2 in. Capacity 800.00 Gallons Volume 21.76 gal /inch A Weep hole or anti- Dimension Inche Gallons B siphon device A 4! C B d 3, S _ Pump off e levation (ft) C D -1 D Total Dose tank elevation (ft) �— 1__Glslsl.J Alarm Manuafacturer o Alarm Model Number Pump Manufacturer Pump Model Number TDH Pump Must Deliver cpm at / ft � L COMPOSITE CURVES STA -RITE' . P UMPS CAPACITY LITRES PER MINUTE 0 50 100 150 200 250 300 350 400 450 500 550 90 �o 26 A 80 24 22 70 F C oo 4 20 . �yA 60 18 z 16 F y> F�js so tip ti,� W Uj 50 Z 14 z W W x Fc s C 40 6s0 / 12 0 �z�y 10 A 30 8 7 zo o yA 5 F� 4 9 10 2 A 0 0 25 50 75 100 125 150 CAPACITY GALLONS PER MINUTE NOTE: Please see page 11 for ST.E.P. Plus' Series performance curves. 20 r �r d RECEIVED Wisconsin Department of Commerce DE 1 Z i L EV ALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm Wis. Adm. Code ST. CROIX COUNT County Attach complete site plan on paper of lessAIyR §(3 /gFFjt�iches ir size. Plan must include, but not limited to: vertical a 10 1011201mai teltnumm v vintf ), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. j7iewer Dat Personal you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 20 Q Property Owner Property Locati Govt. Lot F 1/4 N S 27 T 3 l N R f/ B (or)( Property Owner's Mailing Address Lot # Bloc # Subd. Name or CSM# City State Zip Code Phone Number ❑ City ❑ Village Jo Town Nearest Road New Construction Use: ® Residential /Number of bedrooms �_ Code derived design flow rate 60 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Play elevation if applicable ft. General comments a r and recommendations: ® Boring # E] 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 I D - / 7 0 /VA i�1S�k �')I u r C' rvt d Z 7 - . 2 0 / /i %z A S L a hl sbk h, 4 S r S 3 //A LP ,s 0, 9 S l �/ / l -y ,S ' 4 V ,/ / Web 1AJA & 0, 7 f! 8/ YO ISY Y C 0 Q. ❑ Boring # ❑ Boring �7 ` Pit Ground surface elev. . a ft. Depth to limiting factor C t7 / 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 12 / ©Y/i 31�. k S� arosbk v �� Yti �� S Q 2 12 -18 Q V SG ;4 msbvt rn 4, S 0, l8 3/ 75Xx k S2 «b 2ms6 P7 0�r fes f �' S ©, Y 31- Va I d YE' � Z /M is o, 7 ffluent #1 = BOD > 30 _ 20 mg/ nd TSS >30 _< 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 m g/L CST Name (Please Print) igna re SGT Number a� ��ln e // l�-z� 23 Address Date Evaluation Conducted Telephone Number SBD -8330 (R07 /00) o Property Owner / / f � Parcel ID # Page of 3 a Boring # E] Boring ® Pit Ground surface elev. o ft. Depth to limiting factor 6 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 I2 -/$ or� �2 sG 21yil�k hldfr G� O,Y O, i zy 7 sr�e _5 � s,�k ��, 4s ��f^ ©, s 0, 9 2 9- 37 7-5 A LS 11n56k A u(, , IES D. - 7 ,;. 5 7 �Y - 7SrRs/ A- 1-5 IMSAk thv�-,- -0,1 /,a F Boring # ❑ Boring A ❑ 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 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 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 f mmerce is an equal opportunity service provider and you need assistance to access services or employer. er. If Th p o Co Q PP h' P P Y Y need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.07 /00) 0 0 Vv"N'E I' >1 - P-) e 'Nan e / 0 fill Address Y.& — /�' '2 Date- /-5 L Benclai I G 4 / 00, O I �01 Me. Soil Eorlr,2 SUllable AnE'a I " = 4W Scale — T -T , - T" f 11 ZCWTrT 1,4 je ep �oo h -4-- ----------- -T— ST. CROIX COUNTY -- �_�► —�° SEPTIC TANK MAINTENANCE AGREEME AND OWNERSHIP CERTIFICATION FORM JUL 17 2006 Owner/Buyer _ Se a l T�I� ST. CROIX COUNTY MailitigAddress 133 �4 Ik �t' �pin�,Se� f-✓� yo2S` __. �l, Property Address — L6 � a o�� A,,� �- 0!erilica(ion required frorn Planning & Zoning Department for new consu•uction.) City/State ��� , (� Parcel Identification Number 0 2a 2 1 L/ 600 LEGAL DESCRIPTION I W �, Property Location �E �� , �L ;� , S �1 r .f, 3 � R 1 9 , Town of S Omer��� Subdivision c,,. ;Lot 2 7 . Certified Survey Map # , Volume , Page # _ I • Warra D eed Volu111e 1 g E ___ - -- — Spec house s no Lot lines identifiable yes 10 SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists ofpurrrping out the septic tank every tluee years or sooner, if needed, by a licensed pumper. What you put hitu the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed b the owner and b a master lumber, journeyman y Y p , � yman 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 Planning & Zoning Department within 30 clays of the three year expiration date, l we certify that all statements on this 101 arc trt1c to iliv best of my /our knowledge. I /we anr/are the owner(s) of the property described above, by virtue of a warranty deed recurtted in Register of Deeds Office. Number o ' edrooms 7 SIGNATURE OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) I f POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page _ of FILE INFORMATION 1 f SYSTEM SPECIFICATIONS Owner S Septic Tank Capacity ga l 11 NA Permit # 4�� v Septic Tank Manufacturer � S ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity Ie 0 gal ❑ NA Estimated flow (average) gal /day Pump Tank Manufacturer J ❑ NA Design flow (peak), (Estimated x 1.5) gal /day Pump Manufacturer ❑ NA Soil Application Rate �! gal/day/ft' Pump Model ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ANA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODd 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 (BOD 530 mg /L `Vkln- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) :530 mg /L C:� NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA *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 ever month(s) (Maximum 3 ears) ❑ NA y' year(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: ❑ month(s) (Maximum 3 years) ❑ NA a year(s) Clean effluent filter At least once every: ❑ month(s) ❑ NA j f9 year(s) Inspect pump, pump controls &alarm At least once every: ❑ month(s) years) ❑ NA Flush laterals and pressure test At least once every: ❑ month(s) JR(NA ❑ year(s) "e7 ❑ month(s) At least once every: ❑ year(s) ❑ NA 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 (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 <_12 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. i START UP AND OPERATION Page ' _ 2 of 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 INSTALLE POWTS MAINTAINER Name r Name Phone _ Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone This document was drafted =- compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. 830371 KATHLEEN H. WALSH State Bar of Wisconsin Form 2 -2003 REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., WI RECEIVED FOR RECORD Document Number Document Name 07/24/2006 03:30PH WARRANTY DEED EXEMPT 11 THIS DEED, made between Grand Properties, LP REC FEE: 11.00 ( "Grantor," whether one or more), COPY FEE: FE : : 188.70 : and Scott Thell, CC FEE: ( "Grantee," whether one or more). PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following Recording Area described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ( "Property") (if more space r' is needed, please attach addendum): tv� Estreen & Ogland Lot 24, River Hawk Ridge. St. Croix County, Wi 77 �r1 304 Locust Street (� � Hudson, WI 54016 032- 2174- 000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warrantiesEasements, restrictions and rights -of -way of record, if any. Dated �� (��� Grand Prope . s, LP (SEAL) 1< (SEAL) * *B M Managem t, LLC by Michael J. GermainCitiefManager (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) Grand Properties, LP — By: Michael J. Germain STATE OF ) authenticated on ) ss. COUNTY ) *Kristina 0 land Personally came before me on , TITLE: MEMBER iTA TE BAR OF WISCONSIN the above -named (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: * Attorney Kristina Oland Notary Public, State of Hudson, WI 54016 My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 * Type name below signatures. INFO -PROTM Legal Forms 800 - 655 -2021 www.infoproforms.com I Of 1 RIVER HAWK RIDGE to. '� b �� Kr SEE SHEET 3 FOR (A COUNTY MA I LA Ted i9 Ow Southwest Quww Of the Sm*MA Quarto of Section 22, ad in the North" Qu rm ofde Norihow Qtueer, On Nonhwest Qlmterof dte Neramst Quarter, 1 RIfAST CANNER CURVE DATA end the soulEuu Qutmcr of the Nord u Quarter of Section 27, nS in Township 31 Noah, Ramp 19 West, Town of Somerset, St, Croix County, W-m. 11� f 4QT ,l QERDf/FQ_z^(LRYFY MAP AILMOR ' SEG 17 -J7 -10 Mr -lE 5E 1/4 OF SEC. 22"' �* �'N)4N)MY T uNE V ( i4 _�A 7/l I YQCU_M.0 LZ_PA ,j447 I n N 119 E .,..1o MA 264494'_ -- ORTH UNE OF THE NE 1/4 of T11E NE 1/4 OF S C. 27 LOT7 _ N S9e2i'49" E 321.4T F 2ao.N- - ..,,,nr.260.N--- —.— �r._._ !t acres -- 4 Ln ••• r .41r / �Q1H AV�N_U $Y� • r 21 r O.N.W.M. K §� i cscr tar sperm � I save, a /nf )4� ' w f. BARN / 7A� i �/ •e11ttt w 6)Yl,bte d 1 LOTt7 OAK III i• 14�6J3 sq /f. y s 117,16/ sq. /w » J JO owns I 15 acres LOTS •' `�\ ? 1` .4 • / d /h � /i J 0Jt ocres 4 �\ 6 / TO O. H. W. M. ' \ \ ; LOT28 � \ yC1 1 — \ I Jay ar" M [w..N \ •S -� s• \ /i/� 6 \ 2 i I 10, 892 sq. !f. C .. \r\ ` \ \ j'•. 6b, . \ � ! � 1 � � 100 owns y \ LOTB Q b � I owns \t � 7S / I �� to O. H. W.M. `ad 1 A G ; \6yr151Y •9yy 4 /`4• ` LOT b J 0.Tt ocres t!lj9� °,.� LOTBT TO 0. H. W.M. \T{ \ (\ >s \ ,zol orre 4orz LOT AF �� • \ \ / :^ I 1XI M s¢ h. w C 1 •L \ N fA 6 i .'.IDD t7CYet J.00t acres � S9' I •t on �� .`` ` •,., s \ _ f .01 acr s J► Lora 3.00�t acres \ TO amim.. \ \ \ N N.B.A. /C.B.A. L07--20L 131,817 SQ. FT. 137,361 sq. .A. 3.03 ACRES S FT . \ N.B.A. /C.B.A. \ \ �� 3 15 acres O 130,196 SQ. FT. \ 2.99 ACRES X 870_ \ 4r LOT 26 ° ® 41 � 132, 060 sq. ft. I 1 I "3.03 acres — v � / (, \ I J I N.B.A . /.B.A. I / 128,317 SQ. F7 / I \ co _7 � 2.95 ACRES \ oct I I ` \� N \ — C0 T,�24 I 132, 591 sq. ft. \ ) N 3.04 acres \ ^ J # I I \�'� te a'• \ ----- - - - - -� 29 N.B.A. /C.B.A. 120,424 SQ. FT. 2.76 ACRES \ � LOT 25 •� - -` OQ� / \ N \ \ / \ N.B.A./C A. • N,. , 948 sq. ft. Q ,� \ 2. 1 20,9V ES F1 130 \ \ \2.78 ACRES, J. 01 acres • \ s 1 � \ X J (TYPICAL) <�>% / o. \ \ G, / \\ ZOT21 X130, 768 sq. ft. . 3.00 acres \86 •'! � \ Fp .A. /C.B.A. \ ` V � / — C I �s �� V y _ \� 4 8� • \ I d 56 A CRES .A. /C. B.A. \ \ 111,701 SQ. FT. 2. O \ ^7 • / \ i N, \ \