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I Sn CL • -. ��� O d W y j c I 4 CD o 0 CD ts► O I N p � y O L y Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety a nd Widings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)). 383870 Permit Holder's Name: ❑Village Town of: State Plan 10 No.: ❑City 14 arek, Darin Star Prairie Townshi CST BM Elev. : - Insp. BM Elev.: BM Description: Parcel Tax No.: �D TANK INFORMATION ELEVATION DATA o - t I q_- q_- - O�ID TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic L tL� Benchmark 1 06. It, 6O, ' Dosing Alt. BM C),o Im.�' Bldg. Sewer Aeration I - Holding St /Ht inlet 3.91. oZ•6o' TANK SETBACK INFORMATION St/ Ht Outlet a )oz � ' TANKTO P/L WELL BLDG. ventto ROAD Dt Inlet Air Intake Septic 55 r 2 ` � 2 ! i NA Dt Bottom NA Header / Man. }(° I ' Dosing p 3S' Aeration NA Holding Bot. Syst PUMP/ SIPHON INFORMATION Final Grade `F Z ' 102 Manufa rer L� —_ Demand over Model Nu GPM TDH Ift n S stem TDH Ft I Loss r Fd1 r ` Cemain Length Dia. Dist. To well SOIL ABSORPTION SYSTEM I S c�e�«...�✓ 4� BED /TRENCH Width L ngth No. f Trenches PIT No. Of Pits Inside Dia. Liquid Depth D IMENSIONS 47 s DIMENSI LEACHING Man a rer• c^ SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM CHAMBER 7 INFORMATION Type O f a Num er: system: OR UNIT DISTRIBUTION SYSTEM Headerj"ni old �, Distribution Pipe(s) ole Size x Hole Spacing Vent To Air Intake Length Dia. Spa 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 BedlTrenchEdges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, e pgpection #1: n/ld /ol Inspection #2: --4 Location: 2168 134TH Street, New Richmond, WI 54017 (SE 1/4 NW 1/413 T31N R18W) - 13,31.18.102y Pine Acres -Lot 29 Z 1 1.) Alt BM Description = T'-p� 2.) Bldg sewer length = Z2- _ - arpou nt of co er = f , � �d ` ' � � 4 _1 r�s �Qance . Plan revision required? ❑ Yes No I� eo $� ISZ 0 ` Ucs� nthc+r cirtn t [ - �a� ; - - nal nform�lti � {, l �t� 4� S lnspedo� s Signature Cert No. S s f2 -6'1l� c(� iLl Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count . t. r INSPECTION REPORT - GENERAL INFORMATION (ATTACH TO PERMIT) s nita r38Bgr�lo.: Personal information you provice may be used for secondary purposes [Privacy Law, @.15.04 (1)(m)]. ❑ City ❑ Vstw Prhffle Ip State an ID No.: CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel fc ":195 90_000 / TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing A BM Aeration Bldg. Sewer Holding St /Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet Air I Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP / SIPHON INFORMATION F4�i Manufacturer Demand Model Number GPM TDH I Lift Friction System TDH Ft Forcemai n Length L oss Dia. H Dist. To well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type O Mode Number: System: OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed/ Trench Center Bed /Trench Edges Topsoil InS ectio #10 Yes / gl No In S edibn #11 No / COMMENTS: (Include code discreg persons present, etc.) Location: 2162 134th Street, New Richmond, WI 54017 (SE 1/4 NW 1/4 13 T31N R18W) - 1331181024 Pine Acres -Lot 28 1.) Alt BM Description = 2.) Bldg sewer length= - amount of cover = Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature Cert No 2 I b Z [3 f Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 Wisconsin Personal information you provide may be used for'secondary purposes Madison, WI 53707 -7302 Department of Commerce [Privacy Law, s. 15.04(1,)(m)] (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) fort ' s'Ysiem, on pap not less than 8-1/2 x 11 inches in size. County q State it P it Number ❑ Ch i ,tevision plication 1 State Plan I. D. Number �' I. Application Informati - Please Pr all In formation M a ocation: Property Owner Name l roperty Location ST CP"X c,-" owwry � 1/441 1/4, S T ,N, R ( Property Owner's Ma Address l`ttrC Lot Number Block Number City, State Zip o e Phone NuIrAri C i Subdivision Name or CSM Number II. Type of Building: (check one) ~ u s ' W ❑ City 1 or 2 Family Dwelling - No. of Bedrooms: g�,c! ! 'T , �� ❑ Village ❑ Public /Commercial (describe use): "1K�r own of dad ill, D 74r ❑ State -Owned Nearest Road f Parcel Tax Number(s) � 3 ���19r} = III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) 13 , ?j 1 , to a IF A) I. ew 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to Syste System T ank Only Existing System B) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) -ONon- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: 2 - 5 X (. c-At V. DispersaUTreatment Area Information: �•2 � 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade _ Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) 7-- 9� Elevation �6 0 3 -2 VII. Tank Capacity in Total # of Manufacturer Prefab Site ^ Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete strutted Tanks Tanks ❑ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) ` Plumber's Signature (no stam s): MP/MPRS No. Business Phone Number Plum s Address (Street, City, State, Zip Cod T$ , 17 / 2- f 1 IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued I suing Agent Signa re (No stamps) Approved ❑ Owner Given Initial Adverse Surcharge Fee) Determination Z3 ZzS. Z3 X. Conditions of A pKov I /Reasons for Disapproval- //�� lv`'�S t5 a Sa�tC s�5.. 5 3- WtD� � S i �a1CC. Awt kc�cQc�tKQvodw,s SBD -6398 (R. 07/00) zu,1EL"I• � r. /7 ee `PLO DDRESS . c� 1J ooc 1,4 s ) i1 , 3 NCR / ,6 w T OWN ! � i re c 0 uN Tl' .t 5 IPRS Byron Bird Jr. 220527 DATE � - /l' °z BEDROOM UNVEN'I'IONAL )= IN -GROUN RESSURE CONVENTIONAL LIFT HOLDING TANK iUl. \ll IN SEPTIC 'TANK SIZE �c � LIFr TANK SIZE DOSE TANK SIZE OLDING TANK SIZE LOAD RA'Z'E 7 ABSORPTION AREA �F7S —fl car Chambers �a IIENCM \L•\RK 1'.12.I'. � B��U� /J ASSUME ELEVATION LOW l3URLHU L O WELL •H.R.P. Vent SYSTEM ELEVATION ?r = 1 7- > 1 2" Sidewinder High of Cover Capacity Leaching Chamber with 31.8 16" ft^2 per chamber 6' Long Grade at System Elevation r 2 � 6a y as to ly o D hL vu G�N f y t'ttUJl:C"� r r� �PLO llll SAN �C� PJ� ©c /7 sJ C %/O 4 ��- - t;•;' 1iaS /7'-3 N/K J2' W'1'UWN /ccf jtrro/- (UUN'!'Y MPRS Byron Bird Jr. 220527 DATI: - /�— oz BEDROOM �-L-- CONVENTIONAL X)OC IN -GROUN RESSURE CONVENTIONAL LIFT HOLDING TANK �l(lU \ll SEP'1'IG TANK SIZE /��'7D� LIF`r TANK SIZE DOSE TANK SIZE HOi,ll1NG TANK SIZE LOAD RA'Z'E 7 A[3SORP'CIUN AREA �7S -41 01 chambers IL BENCH: \IAItK V.R.P. ASSUME ELEVATION 100 ❑ B0RL,I. O WELL - H.R.P. Vent SYSTEM ELEVATION 12" Sidewinder High of Cover Capacity Leaching Chamber with 31.8 ft ^2 per chamber f,' Long 1b" 34 „ Grade at System Elevation 3 r l a �o r t3a a l � q?� 10 i I ya I �,I r �+ Vyisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of J� Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Attach complete site plan on paper not less than 8'h x 11 inches in size. Plan must County Klude, but not limited to: vertical and horizontal reference M), and ❑. �,,e percent slope, scale or dimemsions, north arrow, and to o R 4nd drstarice to nearest road. Parcel I. D.# Pendin APPLICANT INFORMATION - Please in , eU inforalipn. Date Personal information you provide may be used for ` 041"Poses f vvCY , s. 15.04 (1) 23 Property Owner B,roperty Location L akes & Hills Development ❑ , `i''' ` '°Govt. Lot 1/4 NW 1/ 4,S 13 T 31 N,R 18 W T Property Owner's Mailing Address Lot # fl Block # Subd. Name or CSM# 29-; Pine Acres dy State Zip Code rieNumlieF illa- e XTown Nearest Road � - c Ye 16 � S /O �✓fi''c�uY6' d d r f 134 TH. ST. ❑ New Construction Use: ❑ Residential I Numbe ooms 3 ❑Addition to existing building ------- ❑ Replacement ❑ Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate 7 bed, gpd/fl 8 trench, gpolttz Absorption area required 643 bed, ftz 562 trench, it' Maximum design loading rate °7 bed, gpd/ftx .8 tr ench, gpdff Recommended infiltration surface elevation(s) 97.9 ft (as referred to site plan benchmark) Additional design / site considerations t Parent material - - - -- Flood plain elevation, if applicable --- °- ft ble for system Conventional Mound In - Ground Pressure AT - Grade System in Fill Holding Tank itable for system ®S El u ❑ S ❑ u ❑ S Flu ® S ❑ U ❑ S ®U ❑ S ® U SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ff Boring# in, Munsell Qu. Sz. Cont Color Gr. Sz, Sh. Bed Trench 1 1 0 -11 1 0YR3/3 ------ ------ - - - - -- 1 lmsbk mvfr as if 4 ! .5 . `f 2 11 - 20 10YR4 /3 ---- -•- - -- 1 lmsbk mvfr gw lvf .4 .5 Ground 3 20 -49 7.5YR4/4 - - - - - -- cs osg ml gw -- -- .7 .8 elev -- - - - - - -- - --- — 102.2 ft. 4 49 -92 10YR4 /6 - -- cs osg nd ---- 7 8 Depth to — -- -- - -- -- — — — limiting 9S •90 C, 4 o factor >92° 3q / 't - 6 Remarks: 2 1 0-12 10Y R3 /3 ------- - - - - -- 1 1 msbk mvfr as If .4 .5 , q 2 12 -23 10 / 3 --- -------------- I I msbk mvfr gw 1 of 4 5 � Ground 3 23 -52 7.5YR4/4 ------------ - - - - -- cs osg ml gw - - -- .7 .8 elev 10 ft. 4 52 -94 10YR4 /6 - - cs osg ml - - -- .7 .8 Depth to limiting factor >94" Remarks: , - - - - -- — -- — — CST Name (Please Print) Signature: Telephone No. Jacque Hawkins _ ^ ^�` �7 Z -, F ( / 0- Ad 1-)-X ll Date CST Number Ref # 9 y PJ�3 4/9/40 a L. 401 PROPERTY OWNER Lakes &Hills DeveloQment SOIL DESCRIPTION REPORT Page 2 of PARCEL I.D.# Penndne Qepth Dominant Color Mottles Structure GPD� in. Bed Trench Horizon Munsell 4u. Sz. Cont Color Texture Gr. Sz. Sh. onsistence Boundary Roots 3 1 0 -9 10YR3 /3 ------------ - - - - -- 1 imsbk mvfr as if .4 .5 2 9 -19 1 /3 - --------- - - - - -- 1 imsbk mvfr gw lvf .4 .5 Y Ground 3 19 -52 7.5YR4/4 ------ - - - - -- cs osg ml gw .7 .8 elev l0 6 ft. 4 53 -86 10YR4 /6 -- cs os ml - - -- - --- .7 ! .8 Depth to limiting factor 3 ?.Y �2 Remarks: 1 0 -9 10YR3 /3 ------------ - - ---- 1 Imsbk mvfr as if 4 .5 2 9 -20 10YR4 /3 ------------ - - - - -- 1 1 msbk mvfr gw lvf 4 .5 - Ground 3 20 -54 7.5YR4/4 ----- cs osg ml gw - - -- .7 .8 elev 100.8 4 54 -79 10YR4 /6 ----- ------------ cs osg ml T - - -- - - -- .7 .8 ' Depth to limiting — - -- factor >79 l77 Remarks: — 5 1 0 -I0 10YR3/3 ------------ - - - - -- 1 imsbk mvfr as if 4 .5 , �( 2 10 -23 1 0 YR 4 /3 ------------ - - - - -- 1 i msbk mvfr gw lvf .4 .5 f Ground 3 23 - 49 7.5YR4/4 - - - - -- Cs osg m1 gw - - -- .7 .8 elev -- ---- - - - - -- 100.8 4 49 -80 10YR4/6 ------------------ Cs os g ml - - -- - - -- 7 8 Depth to limiting - — — factor >80" Remarks: -- Ground elev — ft, Depth to limiting -- -- - factor I Remarks: bJ r QL r � •r Q j 0 l z 2\- M R Ch c V o Z- N M1 c � � 0 c a c 0 18(mnsinDepartmentofCommeree SOIL AND SITE EVALUATION �� Page 1 - of � Division Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Attach complete site plan on paper not less than 8% i t inches in size. Plan must County include, but not (rmited to: vertical and horizordal reference point (BM), direction and percent slope, state or dimemsiorLa, north Arrow, and location and dis tance to nearest road. - ..- .•..••• _ ........... .. . . Parcel I.t).# APPLICANT INFORMATION - Please prim! a//informatlon. ?pnotilg ....... _...__._.___.. P.monW 1 trnn you pro%qde may be used far secondary purposes (Privacy l,riw, s. 15.04 (1) (m)). QY Dale Property owner Properly Location Lakes & Rills Develo tnett t 31 i _...------ .._. —. - - -P ........... —. —. Govt. Lot 1r4 N W 1 r 4, S ._.... 1 . 3 ..... T. . _ .... ,N,R ....... Property Owner's Marling Address Lot # I Block 0 Subd. Name or CSM# J �t / �, L Z- 29 _ Pitie Acres rty / State Zip Code PhoneNumber City Rage XTown Nearest Road /�.� AKO 5,vlo �✓8 � e 1 134 TI-I. ST. 1 4 ti New Construction Use: !.. RdQntial / Number of bedrooms Addition to existing building------- -- Replacement L-LJ Public or commercial describe _ Code Derived daily flow .450 gpd Recommended design loading rate .7 bed, gpd/R .8 trench, gpd/f'P Absorption area required 643 bed, T .562 trench, rr Maximum design loading rate .7 bed, gpdMF - .8 trench, gpdM Recommended infiltration surface elevation(s) 97.9 It (as referred to site plan benchmark) Additional design / site considerations Parent material - - - - -- Flood plain elevation, K applicable S= Suitable for system Conventional Mound In- Ground Pressure ` AT -Grade j System in Pill Holding Tank U= Unsuitable for system E S Cl U t`q s 1A U M S C; U ( p 5 [] U I I. j S CK1 U I rl S 10 u SOIL. DESCRIPTION REPORT Depth Dominant Color Mottles Structure j GPD/W Boring# Horizon in. Munsell Du. Sa, Gont Dolor Texture Sr- 5h. Consistency Boundary Roots y Trench Bed , 1 0 -11 t 0YR3 /3 ----- ------- -- -- -- I lmsbk mvfr as If ; .4 .5 2 11 -20 10YR4 /3 I Ims mvfr 9W I ivf 4 .5 Ground 3 20 -49 7.5YR4/4 -- - -� -- es osg ml gw - - -- .7 .8 elev _— _..... .. , 102.2 ft, 4 49 -92 10Y]t4 /6 -- _---- .-- - - - --- cs osg, ml ---- - 7 _ V Dep to .. J ..._..i /v /Q'1 L f' -- limiting - factor _ — i / Z >92 Remarks:.... _._.. -- _ — __.._........., _..__._. _.- ___...----- ........ ... 2 1 0-12 10Y.K3/3 -- 1 lmsbk - - nivfr as if .4 5 2 _ 12 -23 I 10YR4 ---------- - - - - -- - 'imsbk mvfr gw lvf .4 5 _ . ...... r :._ ._.._.. Ground 3 23 -52 7.5Y R414 - - .�-� -_ _.__�_ us osg ml j gw 102.2 ft_ 4 52 - 3 G cs osg trill - -- - - -- 7 1 .8 Depth to - -- limiting r factor ---- • -� - -- ........ ... ........... ............ -� -------- - - - - -• ------- ..._�_..._ ... .... .... ........ .._.__. -- .. > 94 e Remarks: CST Name (Please Print) Signature: Telephone No. Jacu ue Hawkitis C.--." - - ._................... � Ad Tess f)�\ Gate CST Number Refry / 5 v < f (d C' �" , +/f'.l3 4/9 /00 z_ ao� Td WUPS:BO i00Z 2Z 'hpW TZVZZLV 'ON XUA : WO?jj �f Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank Is to be pumped once every 3 years. 2-Effluent filter is to be cleaned once a year. Please note: larger filter is being insan order to extend the maintenance interval of the filter. 3. Once every 3 years, ceps are to be inspectie ►ia the in pec ions pipes at the ends Of , the My,w 4. Owner agrees to limit greases, garbage, and water corsitioner discharge into the hem. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. Contingency Plan 1. If system fails, determine cause of failure, use altenrateL and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. /rte• /� r � r °��?�`� ;. J:. tom: ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer bAR ily mtx k Mailing Address 1r7 144 to– W pod 4 — y' lg�, S Property Address y 7* (Verification required from Planning Department for new construction) City /State _ O' `� /�c��?d� Parcel Identification Number LE GAL DESCRIPTION Property Location '/, 'IJV / j _ — /4, Sec. , T�N R-Z2�W, Town of Subdivision ,Lot # Certified Survey Map # , Volume , Page # Warranty Deed # G q.' 1 , Volume �� i� o , Page # 5 Spec housed yes ❑ no Lot lines identifiable 0 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 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 Zoning Office within 30 days of the three year expiration date. - 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. SIGNATURE OF 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 V0L i640PAGE 635 STATE BAR OF WISCONSIN FORM 2 - 1999 64 5713 KATHLEEN H. WALSH r Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Lakes and Hills, Inc., a Minnesota RECEIVED FOR RECORD Corporation, 05 -16 -2001 10:00 AM WARRANTY DEED Grantor, and Darin H. Marek EXEMPT N -- CERT COPY FEE: COPY FEE: TRANSFER FEE: 80.10 �- RECORDING FEE: 10.00 P Grantee, AGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Lot 29, Pine Acres, Town of Star Prairie,' St..Cmix Ojjt{,y Name and Return Address wisoQ>Sin. KRISTINA OGLAND ATTORNEY AT LAW P.O. BOX 359 HUDSON, WI 54016 Pt 038-1054-90-000 Parcel Identification Number (PIN) This is not homestead property. 04) (is not) w Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this Off' day of May 2001 Lakes and Hills, Inc. « « B Richard S. Nels n, Pres « « AUTHENTICATION ACKNOWLEDGMENT Signature(s) Lakes and Hills, Inc., by Richard S. Nelson, its STATE OF WISCONSIN ) President, ) ss. V 1 8 I oft^ - -- County ) atAer3�a4vd1 his @ day of May 2001 n Personally came before me this day of the above named * I:r.istina Oi ;lara - - - - - -- — TI'fE:•MEIvIBF.R STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attor Kristina Ogland _ Notary Public, State of Wisconsin Hudson, WI 54016 _ My Commission is permanent. (1f not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) —.___ — , _ •) « Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals c ompany, Fond du Lac. wa STATE BAR OF WISCONSIN 800-655 - 2021 WARRANTY DEED FORM No. 2- 1999 .1.2 acres(NBA) sq.f . ` . t I : \ 1.56 acres I 1 6 O O \ \N 17 s .ft. 1 9 cr cp 44, A I i<03 acres( %B) I Q / } \ 1000.4 F 1003..2 \ �� - \ � � 10' Qi / ry li Q b r' �� \ 999 +� \' rn crp ° 0�• X c 0) / - / 1004.8 X 1006.1 z i D �• P 3. J1 l l F•� i 97.3 O \ , i Pt c0 i Y 82,146 Aq. ft.; ' r ' ��, {9� 'o - - - -- ' %n ' ' _ rte ...• -• 19 acres �� / 1 \ r ° � C^ A � `_ O DhQ 9 v � / 65.7,�7 s ft. \ r y4 / �� 11. 0 1.504 acres 996 9' \ yHj 8 e % x �-� 1( 1 05.5 1.50, crss(NBA a /919 �� tJs \\ 6 ft. 9 �!�� �., �� •.. er 562° • ,JJ 44.096 wn• • ,r t 4 \lJ 8 3 �ei �O�/ � C`X d e 1.01 °es(NBA) \ S °A 96 S'1 k 1' 1 - � /\ �� ,\ s .ft X 7 0) '1 ON 1002.8 \ 1 5 a res B � , 0 4.8 // �% 0 � PT /J ` / / 994.2 iV / 1 �s 11 / ` ' X 1007.6 ` 1002. p 3 B c 5.9� ,l l r'� �// r , �' ,1 r /` 65,459 sq.ft. 1 1 X 1 �/ f� I .502 acr 4 Co 0 0 CO/ N / to 59,789 sq.ft. t I • N 48 4 s ,' . et / I11 1 1 37 acres( �• �.. �. /• ;'.' �2• 39 12 jaCres ) '1 •• X j 5 S . f t. .' ::a' � /* ' s' S 9 S . f #I .6 • C&< 1007. � --"`-'_. � 4 :r l r 6 q �• 1008 I t ,76 acres `',� ; X 1 ` 1 acre I 10 4.5 100519 •. ;i 993.4 1 i- I X 1 1006.7 1 1p0 i 51,160 sq.{t. v.' .' 1 I O S I X (� i 11 acres(NB4 36.51 Pr ggg '2 'E } I X 'Ot / N _ .. .�''`�' •, i..: �� 9- � .� goo 1 - 02 b� 4 008.3 3 n Z -33i' - �� 34 8'45 Z 6.4� p I I 33 1 0' l 00 w ,G - }.•y . 1 '^c' 5 - 991.2 0%, 1006.8 ` 1 ! 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