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HomeMy WebLinkAbout032-2174-26-000 i 0 X 3 0, O d rl c� 3 3 n 3 N• m m 3 xc a' �'• a Q chi ' A o N a o cn o o =r N C W O 3 w N H Q N (D O 7 d (D N A F N "►7 `A\ N w L N V D D) I CO 1 N (D 7 '. A N a- N ? N O -V M (L] 7 O CD - . O A7 �O1 V 3 0 O (O ! 7 O 5 OD M y co O O Q C cn (D it fA O. to Z' W CD 3 a o ° m O 0 ( A CO CL CD O C 0 0 i; O C� a Z CL i �^ m 0 0 0 � I !� �: � • Z 0 0 0 a « O IT . � Ao N ') n (7 C In In N N (A < E) co a CL z N z z Q D O O -0 m O O !v o m cfl v m o m !r • (D o = CD p C C C. N. Vv qq v - - (D W F N -°— CD N p O- ( 3 7 z A N N 7 D) p Z (D ° < m 3 c fi n. 0 N n j O O- A z 7 N O CC ID • (A a N m W V Z 00 N o 0 3 Z m + 0 3 CDy z o m A 0 A 0 d'' CD Q < C � T p) C a a a N CD � n CD Cn sCn N (D I m a N C 9 CD CL a N 00 4) C NO y . O a ti O N (D U) O 0 (D Ai C ti Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453343 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: Cook, Jacob I Somerset Township„Z— 7 CST BM Elev: Insp. BM Elev: Description: Section/Town /Range /Map No: BM /ov (�a m i G� < 9 _ - TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Z, r Benchmark 3 �� �o tCb Dosing A. B a �b Aeration Bldg. Sewer 1 % F - 7 , 4 cam. Holding St/Ht Inlet 141 F3 TANK SETBACK INFORMATION St/Ht Outlet 2 < < 3 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic - 71 '3c T6 / -56 Dt Bottom I 1 • 9 , Dosing -7 Q 2 / 'T 1 39 ` Header /Man. c t - 7 Aeration O J Dist. Pipe Holding Bot. System PUMP /SIPHON INFORMATION Final Grade S . -Z-5 -Z-5 / c %/ �g Manufacturer Demand St Cover p GPM Ai F- Model Number uj (I -315 TDH Ll4 Frictio Los System ead LTD Ft Forcemain Len th Dia. r Dist. to Well �/ID 4 SOIL ABSORPTION SYSTEM BEDITRENCH Width I Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS _3 %*_� \ SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer. ('� r' INFORMATION T e Of S stem: CHAMBER OR .L /�i-� YP Y / UNIT Model Number. DISTRIBUTION SYSTEM / Z,( 67a - 7 Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake / Pipe(s) ti Length Dia ' _ Length � Dia \1 Spacing \ SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Deph of t xx Seeded /So xx Mulched Bed/Trench Center , I Bed/Trench Edges \ Topsoil ?Yes No Yes 'L, 1 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / 6 Inspection #2: Location: 1989 57th Street Somerset, WI ` 54025 (NE 1/4 NE 1/4 26 T31N R19 Riv r Hawk Ridge Lot 2V Parcel No: 1.) Alt BM Description= ^� 4 «<OOOCCC... J i 2.) Bldg sewer length - amount of cover Plan revision Required? &ation. No I Use other side for addition J SBD -6710 (R.3/97) Date Insepctors Signature Cert. No. I Safety and Buildings Division County 201 W. Washington Ave., P.O. B ' 7162 isconsi n . Madison, WI 53707 - 71 (608) 266 -3151 y Sanitary Pernti um er (o be filled in by Co.) �` �►�f�M Department of Commerce 3 3 4z Sanitary Permit Application S tate Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, sI5.04(lxm) Project Address (f different than mailing address) L Application Information — Please Print All Infornut0on � c Property s Name arcel # Lot # BtoelclM Property Owner's Mailing Address Property Location �J ti City. fate Tip Coder _..._ ..._...... P11o114 :N,,..,_ '/''Sri, Section S a rc ). a� IL Type of Building ( T � N; R� ails all that apply) oa 1 or 2 Pamily Dwelling - Number of Bedrooms 1 ubdivision N CSA[- ?rutmb�' Publk/Cormmercial - Describe Use C� 2 } State Owned - Describe Use vW City Vd of . UL Type of Permit: (Check only one box on line A. Complete line B if applicable) A �`New System Replacement System TreatttenUHolding Tank Replacement Only Otter 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 1) eSAMA 3 x p Non - Pressurized In- Ground Mound Z 24 in. of suitable soil Mound < 24 in. of suitable soil At -Grade Single Pass Sand Filter Constnicted Weiland 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. Di rsaUTreatment Area Information: Design Plow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Required (sf) . Dis Area Pro sets S peisal po (� ystem Elevation r- VL Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of L /� () _ n A 6 _ - Concrete Constructed Glass New Existing / ��X, fl"� Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Res 'bility Statement- I, the nmdersigued a responsibility for histaltation of the POWTS shown on the attached plans. Plu s Plu s Sign MP/MPRS Number Business Phone Number Pt' un&es A Street, City, Stale, Zip ) VIII. /De artment Use Onl Approv Dina roved S anitary e rm t Fee (includes Groundwater Date Issued Agent Signature (No Stamps) r Give. Reason for Z _ Z �JO I 1A IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / mainte! as per management plan provided by plumb@f'. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size CQn < /D /l1 UIZI �fIC48 ��oa� �n•,�,E� �� " 3 0 s .I N,�'.JG�./ /Ili /- �� n�/17b�fs}�.E'- � .C✓C}20 / cif/ ' .1� .;� �s }, �r✓� �.L /0's s 2k /O ,obJ�rai. j 1 to L �F i o- I Z JC/,�'.+IJL'✓ /��� /- J /P d��p /� S /�/llL - ' / �` 1, .n a,r,Jrt�iN Wisconsin Department of Commerce - - - L REPORT Pa g e I of Division of Safety and Buildings 5, Wis] Adm. Code County Attach complete site plan on paper not les in size. Flan must G i include, but not limited to: vertical and hM), direction and Parcel I.D. percent slope, scale or dimensions, Wort l�stance to nearest road. Please print all information. T! ' Re ewes Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Prope Owner Property Location Q jL /.s /e Govt. Lot 1/4 N 61/4 S a 7 T 3 1 N R/ f (ora Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# `/�Y - ' A"* 2 a " c . 2116 9, d ,fr A 4.1C 'f t° City. State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road New Construction Use: 0 Residential / Number of bedrooms Code derived design flow rate QO GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft. General comments and recommendations: I Boring # E] Boring ❑ 0 Pit Ground surface 7/ ° ft. Depth to limiting factor v� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell 1 Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 V -/ /m -7 /2 V 5 S k rn eFr, c w 0,5 Q. � 66v p Y Z -3y 7,S-r1 � s fis ar-- '15 i a. - 7 , 2 y /02 1© Ole e �S r� b �► � — — 0.7 �- cab Ho 4?-144 ® Boring # Boring / ® Pit Ground surface ei Depth to limiting factor �U 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 1 G-- // /" z N k c &I, / ©tS 0, 9 2 / - 0rf � SG �,�� c Q , S� 0, , 9 ZZ S G of 0 ,s 0, 9 ,73 Y5 7 5 - rl cab lhfl�c I • P, �6✓ 9d 4 % C 2 e S r� 7z E M ,- 0,0 , `v2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CS amp (Please Print) Signature CST Number Address Date Evaluation Conducted Telephone Number 370 /y2a Jo/hel y7 _?zo3 S13D -8330 (R07 /00) I i Property Owner / Jm� / Parcel ID # Page 2 of 171 Boring # ❑ Boring g ® pit Ground surface elev. v ft. Depth to limiting factor / �Q in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 Z Z/Wk c c� 1 0, 5 - 0 , q 3 2 y- -3� G :A mss /, 0- 0' Y Y YX 7rr� �r I VA �s % �� �f'r �s I vy Do'7 l a a -7 r1611 9t, .d SG os yM IN call - t - ❑ 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 F1 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/11 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff#2 ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.07 100) e 3 • 0WNFE ; Parnell Name Qm >��s'l� �-S Date A G Q / F Benc�lma;•i; L 1 / V � d / 1]C11 cii!iia l _i _ L- 1 1 6 215 IV 6,1 1 1 TI, post R BM 5011 l Ul'lli 1' _ -T Scale /V 2 Q ; i I j i • I 1 : , 6 i i , 1 i (4 QgQ4 - -- - - - 4 — j 4=F - --•— .� - - - -- — i t I � i I i I M I i ! 1 + �— i I I + i i I I - T — T - 77 l POWTS OWNER'S MANUAL & MANAGEMENT PLAN Parr 1 111 FILE INFORMATION- SYSTEM SPECIFICATION Owner Septic Tank Capacity al o NA Permit # — 3 Septic Tank Manufacturer — o NA Effluent Filter Manufacturer o NA DESIGN PARAMETERS Effluent Filter Model ❑ NA Number of bedrooms ❑ NA Pum p Tank Capacity al ANA Number of Commercial Unit ,ANA Pump Tank Manufacturer a NA Estimated flow averse gal/day Pump Manufacturer ArNA Design flow eak), Estimated x 1.5 al /da Pump Model o NA Soil Application Rate gal/day/ft' Pretreated Unit Influent /Effluent Quality Monthly Average* ❑ Sand /Grovel Filter o Peat Fats, Oils & Grease (FOG) <30 mg /L n Mechanical Aw;ttion t :� wetland Biochemical Oxygen Demand (BODs) 5220 mg/L. ❑ Disinfection ❑ Uther: .iv Total Suspended Solids (TSS) <1S0 m L Manufacturer Pretreated Effluent Quality p NA Monthly Average" Dispersal Cell(s) 30 mg /L X In- ground (gravity) in In-ground (pressurized) < Biochemical Oxygen Demand (BODs) o At -grade o Mound Total Suspended Solids (TSS) <30mg /L o Drip-line ❑ Other: Fecal Coliform (geometric mean) _ <10 ' cfu /100mL Maximum Effluent P article Size '/u inch diameter + Values typical tar domestic (nun•cotntnercial) wastewater and septic tank effluent. ++ Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Freq Inspect condition of tanks At least once every ❑ months d ear(s) (Maximum 3 •rs) Pump out contents of tanks When combined sludge and scum equals one third %) of tank volume; Inspect dispersal cells At least once every o months 2 ears Maximum 3 rs) Clean effluent filter At least once every o months Z0 year(s Inspect pump, pump controls & alarm At least once every a months a yvar(sj &NA Flush laterals and pressure test At least once every ❑ months ❑ ear(s) cYNA Other: At least once every ❑ months o year(s) R;-NA Other: At least once every ❑ months ❑ ears Z 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 th( 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 (' /3) 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 OPE ATION For new construction, p or 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. Owner: Ar��� ��a✓ - Pag�oi� 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; meat 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 replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorptio l 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 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 INSTAL POWTS MAINTAINER t Nam e Name = Phone Phone SEPTAGE SERVICING OPERATOR PUMPER) LOCAL REGULATORY AUTHORITY Namel Name Phone Phone i Jun. 1. 20043 1:09PM 247 3038 BELISLE EXCAVATING � No -1691 P. 1/1 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AOREEMENT AND OWNERSHIP CERTIFICATION FORM Ownrr/Huyer b Mailzng Address Maki alb ct; Prclperry Addfc7sS 4 _ (Verification required frorn Planning Departrrient for new constzuttion) 0 Z CityrStatc So*�,srss: Parcel Id - entification Number �� Z c1 n► Q %Z3 ra, —eta Fropttrty 1 - 0Ca1ion /,, !< Sec, T2-1—,N - Town o -- Stlbdivision T I a Lot Certified Surrey Map — Volume . Page # —_ Warranty ]Deed # 1 85 Vclume Page # Spec house Ci yes M Lot lines identifiable L'9'yes C� no SXSTF,M, A Improper use and maiatrnaticr of your selstie ay8terit could result in Its y ou What Jictsnsed puer, prcmawre railEUS to consists Of pumping Out the. septic tank every three years or soontu, if nor bandit wpatcs. Proper maiatt nanct d d by to pumper. can affrci the functicn ur tho septio tank as a treanmcar stage the waste ed by al licori e P Y put into the system The property owner agrees to submit to St. Croix zoning Departtnemt a certification fotin, signed by the o wner mW by a l roaster fllr,mbcr, juwtrcyma[tplurttber, resrrietedpltumberora titxased umr is in proper Operating condition n►rdrnr P per verifying that (1) the 00 -site wastawaterdisposal system (2) aver inspection and pumping (if necessary), the septic tank is less than 113 full of sludge. Uwe, the undcrsigntd have read the above requirements gad a r set forth, heroin, ay set b 8 ee to maintain the private sewage disposal system with tla¢ standards y the Depatfrnen[ of Commerce and the Departmeet of Natural Resources, Stafe of Wisconsin. Ca:tifcarior: stating that your septic system has been maitittlined toast be cortrpltsted and returned to the tutry Zoning 011ite withitr 30 days of is three ira[io C. St. Croix Co MATURE O} AP LICANT � �2� 0� BATE 4 �'�' C TIFTCAT�ON t (wv) ce"ity that 311 t a � cmentse on this 1'o m air true to the best or my (our) knowledge. I (we) `m (are) the owner(s) of the propcny des ve ' y ` ,ver ty dacd recorded in Register of Deeds Office. 1GNATURF OF PP ICANT r2 DATE Any info ation that is miff - represented may result in the sanilory permir brio revoked S by the Zoning Dcpattracrtt.'• "•• " inCltede tivitb this appl;eAtlon_ a starnpsd warranty peed from the Register of Deeds office a Copy of the eM ilied survey map if reference is tm do in the wAr[a dre � d ` r V • Jun- 3. 2004 5:]OPM BSTRSCT Fax :715 -386 -7664 Jun 3 2004 16: 4"-No•1720P.LP• 1/3 RIVER VALLEYABSTRACT &, TITLE, INC. 1200 H05FCRD STREET, 5UTTE,201 Po Box 149 V A, HUD ON, Wl 54016 PROW (715)386 -. FAX (715 386 zqj sm TO: �4a-tf,oL 60 0 �< F ROM : ROGER KATHIE TAMMY DEB EVIE JULIE GIN, NY JAY TRACY GERI j PAGES TO FOLLOW DATE: 3 a { COMMENTS: IF YOU DO NOT RECEIVE ALL OF THE PAGES OR EXPERIENCE TRANSMM PROBLEM PLEASE CALL: 715- 386 -7772 J+jn 3 2004 5 1 OPMOSTR ACT Fax :715-- 386 -7664 Jun s 2uo4 le:4No - 1120 N• P • 2/3 19 -7 6` r= 0!s { REGISTER OAF SUMS , ST. CMIX C%.. EGE;VED FOR RECORD WA►RRA N `REED �06/e3/2 This Deed ; WARRANTY DEED ma bet ween, �ROff,,EssrvE ESTATES, LLC REG FEE: S s 176. GRAN'p COPY FEE: .. JACOB M_ COOK ANA CARXN S. BOO PAGES.- FEE: : L HUSBAND AND WIFE GRANDEE WITNESSV,,rjj, That. the said Grantor(s), for a Valuable Name and Return Addms' consideration conveys to Grant CO N TY7 ' ed real estate in ST. , desc STATE OF WISCONSIN: piN #032 1075 -40; 032- 1059 -80 LOT 26, LAT OF RIVER HA �K DGE IN TTrIE OF SOMERSET, ST, CROM COUNTY, WISCONS This is not homestead property Togetbm with all appurtenant rights, titae attd interests. for warrants that the title to the property is good, yndefeasibae in fee simple and free and clear of Gran encumbra�aces except easements acid restri ctions of record. Dated th' y of MAY, 2004 (seal) ssf ESTATES, LLC BY Dave Dalt:oa,Qmbax (Se21) (seal) A�NTICATION ACKNOWI,EDGMEN'1<' STATE OF WISCONSIN Signatures) COUNTY OF ST. CR OIX - personally came before Inn day �. ant?,rnt'ieated this day of nr "AAA .l.e elv..►s » am P.(� Jan • 3. 2004 5 10 P M Psrso�sally came befo m e ftN o• 112 O iy P• 3/ 3 r z autheztticated this day of p £ MAY, 2004 the above named Dave Dalton Title: Member State Bar of wisconsin to me mown to be the persons) who executed the WgOwle t and This Instrument was drafted by_ a same. RIVER VALLEY ABSTRACT & TITLE 1200 HOSFOFD #210 H jpSON, WI 54016 State o£ -Tumer N ot ar y �. UbilC My cozurnissi�om expiress�' O) N �Y state of Wisconsin J I z h o- � I I °fQVN Nov cd / - 90 '84 1 I i I Q¢ j O n O om o ^ W CN `I� /� i-) m g o o , N, i z 04 LO 410 z x / i U') C) 0) "�� W U- Cq Qom¢ m q:� �rj N 0 /0 i ✓ m W (!l Li/ / _ o w y / . pm cE AA m Ow cn & i w Li / w Q O L-w m ., co ¢ } i ^ i / v� • Z \ Q_ N - w O i o / mow ti`'0�/ ca no z r.,. Q/^ j �I� :�( LLJ RIVER HAWK RIDGE SEE SHEET 3 FOR (A COt M 1f MAT Lac,by ie me Salmwesl QBBlw arms SwmeaM Q— of paeRaa ]3, wAU7aa NOlmfrt Qwerad. X.*R Q•IO,. mB N..&~Querr ofine NaNea Qlrly, AKASr CURVE DATA d me 6aw6ss Qw a oft he NeMso QuMe of SBedw l], W I= olh p 11 NOW4 Reps 19 WsK P— orSow sd1 R. 01)1= County Wi�. AE SE 1/4 OF SEC. u'., . a tr5a' LINE l�QCI _� __7 { YQt,(1�/ �_PAr ,�s47 `l x -""2' 2ps&p4'_ _ _ ORM UNE Qi NE NE 1/4 a T11E NE 1/1 OF S C. 27 N f975Y 1324. M ut ocres $�S I11 I A7 v / q� IM Av N s O.N.WM • 39 � Sa,M rD I' �M OF 1M.W f. BARN / 5'la� 11 -r° T 1 1 SIT D515'W q { LOTZ7 ,f LOr87 fa 7J1,J67 ro. n. G �. 115 Lore. J. 001 ocres !). \\ r i \ ro 0..r/ W. '� ` \ \ \ a, Lor2a =»ant Lor" I 7Jae97 =fA /r. 1J$391 =4 n. 0 7 11 r ;400 fxfr. \�� \ J. oft ocres �.> \ \�♦ \'' µ s / I LOr,f7 N\ J.oJt ores LOrss \\� ro o.Hw.M. d \ \ u � �oe�� a .B s a LOT s / 134 768 .¢ IV i `\ ''. \ •t, JOOt ores sp \♦ \_t05� \ / / / : .t00 oo•ra . 7 0 o. N. W. M. \ \ ♦\ s \ `\ .� � \�� \ .I07 aalee Lorw \� ` • LOTS JoOt ♦ , o \ \ \ 76 am.. W.M, d \ \ \ \ \ I \ \ \ \'• corn \`. Jolt LOT!! \ \♦ �q sk ` +`` J.71t to amw..Y. Co LOT RS .1 lyt \ , 1 jwm. �"'4'B!. �... � `\ o °o \ ^•r \,., N / •y'L^ "N . 9.0 2. / .,� + Jcau acre. 4 @ a7cwM. °In• 1 • f . 200[n Av,nu, ` �. `'b / \� \•. A A l •r1 •Y • RIVER HAWK �Q \ \ \ >\, :............. 9 LOTD �$ RIDGE �dp _ \ J� Jolt -- E NES 70 am.w4f a p S� _ f4..MGSAMIFRro LEGEND CBmr e«u..rn `` `` ` � i\'•., d R 1 � L 4 O D tFA�� MIeC• IS - fL :, .. sE CN As,uNr RNOf:u'se•r • So�:.:w :.-'n°I..°wwro ., � \♦ \ \t A 153 OereJ VICINITY MAP — a n [« Nu, \ \ ♦♦ \ \ a b \ v, 70 aH wAf.. E \ ✓— ::�".::. [« d € \�\\ `` ¢ v \A MAT CH \ \ �� N UNE ., .«. r ...,.. yi1 IBS II ! 1 �[I.� `\ ` ♦ �' '4 M�� � ,.a +.na,e f..♦ NOIA' Psdl .fri.B+odQSpwlWnf�lotr.a/raaye ` \ +s' � LQT 2 Ni wwaon0 0!, ,Brmmc.a w 1 0 u/.wee w![.ca ymnm. .[e/IO[IFe'ro fbfW,o•A R/ISr7I lrtxktre. \ I Lori W MAT C \ SINE NO. „, raf, B I rnD -! u.n <sn [+ M rm w u, .«•w•.cu , o•+ Bwc a °nA.+ .ra% o/ M. sty, bl /he, b fM fM,ey al IAe • . .. A.pl RA„' my i, Balfroby pra00/ filr,fV Art jig f r>! ' '� ar wbr /M oy4,o -r My/• NfY mw, M. ,aOJxf to Cn+uan�('rry. K. y f a jr a r fr[if.� MLD[M •.^ D :u ,,, x :D w n( vnn M[ pe( „nBx R H➢ iNf o/ M, Pcfr/:c. C[ 0 Sat [nDAp, N C 00�1.�0,^,! Mf X LIA[ NW! i5 W .Q:lpDD •IIIGND V•Dx ..f•. - LDTS 1 -2 . [wcn n.. LOTS 1 19 AND Ol7T ° ARE SUBJECT TO FLOWAGE RIGHTS x a «u .. wn:un .,Mrn n,r xrn PER DEED VOLUME 79 PAGE S2 SHEE 1 2 OF 3 ne• ,r . .• B[f�xKn0y5 .nc eMB rs n[[o ✓rr rx[ nyµ e.,r [s >CyS�l:::•rt5 rq1 m[ Ay, OrH1.. w.« •`'• ' ' fu„- r..,.f ar.nw M ✓.++•. w nr•o, « (A COUNTY FLAT) of the SoudmW Quarter of Sectiod 22, and in the Nowt Quarx of the Fact=o of the Northeast Quader of Suction 27, all in Tmmship 31 Norlk Rnge 19Weat, T T CQ FIED �VL�T VE Y ? 77 AAP SQL tIALE 74 " PA G 771 2$48.94' — — — N SINE OF THl N 29°2S'49" E 291.47 ... . -FLNCr 14.4 SOL/ 1N or r Lor27 1 43 635 sq. J JTO acres T a 5E' � I.Or26 ` • 131,974 sq. ft. 4 OJ "MR +� •. •% • b w 3S