HomeMy WebLinkAbout038-1207-00-000 Wisconsin Department of Commerce Count
PRIVATE SEWAGE SYSTEM St. Croix
Safety and Building Division
j INSPECTION REPORT Sanitary Permit No:
430627 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, x.15.04 (1)(m)].
Permit Holder's Name: city Village X Township Parcel Tax No:
Lo terman, Jonathan I Star Prairie Township 038 - 1207 -00 -000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No:
C+ r vJ � _ pY „A!E, i • 14.31.18.1115
TANK INFORMATION ELEVAT16A DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark c
Dosing Alt. BM� � r b nil c y" K,qo �.O X1,8
Aeration Bldg. Sew 6r C r
7 -f(G (o. 6
Holding
St/Ht Inlet
TANK SETBACK INFORMATION A X00 ' ,, e - St/Ht Outlet .7
75
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic i �1 Dt Bottom
Dosing Header /Man.
Aeration Dist. Pipe 1
Holding Bot. S stem
PUMP /SIPHON INFORMATION Final Grade y O
Manufacturer Demand St Cover _ /
GPM S r �W . 4)
Model Number
TDH Lift Friction Loss System Head J TDH Ft
Forcemain Length Di I Dist.toWell
.- rk l v�
SOIL ABSORPTION SYSTEM r a ce I
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS - 1 / & 9 /
SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION Type Of System: CHAMBER OR
n 04 i UNIT Model Number.
Y4) ;; n u � � i �7 n
DISTRIBUTION SYSTEM
Header /Manifold Distribution Ix Hole Size x Hole Spacing Vent to Air Intake
r P'
Lengt 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 JxxMUIc1 e
Bed/Trench Center �Y („ Bed/Trench Edges Zj To soil J _ Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:/ V 3 / P L
Location: 2155 126th Street Star Prairie, WI 54026 (SW 1/4 NE 1/4 14 T31 R11 8W) , P [ rairie View Estates Lot 220 Parcel No: 14.31.18.1115 �,,
1.) Alt BM Description = '`pQ . Wv'&Al� , -X 3) IV Ua6 Y`� l 5 011 �7'�� a AlL." (X- p " ( ""-�
2.) Bldg sewer length = ,j `'f 4'ef r Xq) wt O 6u-pp Ll.( W-4-0 .,pU1� i kl_
- amount of cover = /� � C v �V p114 AA I
Use others de for additional i Yes �>- No
1� b
format) � � � � � �
Date nsepctor's Signature Cert. No.
SBD -6710 (R.3/97) > N a - o
Safety and Buildings Division county �/
. Washington Ave. r (? X
Vscon��n Mad ison, 261 6 70 E C E i P it Num (to be fill in by Co.)
201 W
Department of Commerce State Plan D. Number I/O
Sanitary Permit Application DEC 2 2 003 AJ A
in accord with Comm 83.21, Wis. Adm. Code, personal information you rovide
may be used for secondary purposes Pnvacy Law, s 15.04(1 )(m) Pro eet Ad rests (if different than mailing address)
tr
' I. Application Information — Please Print All Information CE �
i Parcel # Lot # Block #
property Owner's Name /
�''
Jn n� Property Location
Property Owner s Ma Address
1 1 Section
Ci State Zip Code Phone Number
l n
r
N' 6E
T„ o ne)
=�— � H o W
II. a of Building (check all that apply) a J3 yYliGf�rdl SWWjyision Name CSM Number
2 Family Dwelling - Number of Bodrooms
❑ Pnbiic/Cominercial — Describe Use C
State Owned — Describe use J n ❑city_ ❑villa ownsbip o
IIL Type 9f Permit: (Check only one box on line A. Complete line B if applicable) evoZ
ew tent ❑ Replacement System ❑ Treatmeat/Holding Tank Replacement Only then Moi6 to Existing System
Last Previous Permit Number and Date Issued
B. C1 Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New
Before Expiration Plumber Owner
IV. Type of POWYS System- (Checks" that a I
essurized to -Ground ❑ Mound >_24 in. of suitable soil ❑ Mound <24 in. of suitable soil [3 At-Grade ED Single Pass Sand Filter ❑
Constructed Wetiand 11 Pressurized In round [J Holding Tank C] peat Filter ❑ Aerobic Treatment Unit C3 Recirculating Sand Filter ❑
C
Recirculating Synthetic Media Filter hing Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain)
V. Dis ers&Vrrestment Are nf.rniia 3 1 O l�
(gpd) gn Soil A ppl ication Rate(gpds1 Dispersal AreaReequire27r7 d (s Sys m )1e Lion —/) t VL Tank Info Capacity in Total Number Manu Site feel
Fiber astiC
Gallons Gallons of Units Constructed Glass
New Existing
Tanks Tanks
Septic or Holding Took
i
Aerobic Treatment Unk
losing Chamber
VII. Responsibility Statement- I, the undersigned, me responsibility for installation of the POWTS shown on the attached plans,
Plumber atne (Print) Plumber's Si re MPlMPRS Num )per c. }P�hone N ber l
64 + /rJ
Plumber's Address (Street, City, State Zip Code)
. Coun !D epartment Use Onl
T anitary Permit Foe (includes Ground ter Date is teed suing Agent ignature (N ps)
Approved ❑ Disapproved d ; 6 �a3
urcharge Foe)
❑ Owner Given Reason for Dental
IX. Conditi onsatarova eases$ for Disapproval �3 p
STEM OWNE III - �,�rda� �p0 S�.S i
effluent filter and �
dispersal cell must all be serviced / maintained
t Ian provided b lumber.
1,c t
as per management Y p y
2. All setback requirements must be maintained
as per applicable code /ordinances.
Attach coalplete Pisa$ its the Couaty only) for the system an paper Rot less than 81,12111 Inches In size
SBD -6398 (1 08102)
PLOT PLAN
PROJECT Jonath Loaterman ADDRESS 1853 240th St. Emerald Wi 54013
SW 1,/4 NE 1 /4S 14 /fI N/R 18 W TOWN Star Prairie COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 12/10/03 BEDROOM 3
CONVENTIONAL XXX IN-GRC#D PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22
IL BENCHMARK V.R.P. Top of 1" PVC Pipe ASSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
SYSTEM ELEVATION 94.6/94.5 5.2' below grade
4d 1 305' Property Line
8' B.M. #1 Alt. B.M. Top of 1" PVC Pipe
�
25' B -1 59 B -2 5'
51 ti
`r
2-3'X 69' e s with >3' Spacing
�7 - Vents Vents
i
30 ��
T
20'
o Pro 3 c �
Bedroom ��� /
L.
N W)
House
C C ! -
Vent
Standard Biodiffuser
6 .� Leaching Chamber
of Cover with 31.1 ft2 of Area
11 „ Plans Designed Using
6' Long Conventional Powts
34" Grade at System Elevation Manual Version 2.0
PLOT PLAN
PROJECT Jonathan Loaterman ADDRESS 1853 240th St. Emerald Wi 54013
SW 1,/4 NE 1 /4S 14 IT 1 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX
MPRS Shaun Bird 226900 ✓ DATE 12/10!03 BEDROOM 3
CONVENTIONAL XXX IN -GR D PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22
IL BENCHMARK V.R.P. Top of 1" PVC Pipe ASSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE O WELL *H. R. P. Same as Benchmark
SYSTEM ELEVATION 94.6/94.5 5.2' below grade
305' Property Line
� 8'
B.M. #1 Alt. B.M. Top of 1" PVC Pipe
11 F 25 9 B -1 62 58' B -2 5'
5'
43'
2 -3' X 69' Cells with >3' Spacing
Vents Vents
B -3
120'
a�
a
1~
0 o Pro 3
Bedroom
House
N �
Vent
>6" Standard Biodiffuser
of Cover Leaching Chamber
with 31.1 ft2 of Area
Plans Designed Using
11"
6' Long Conventional Powts
34 " Grade at System Elevation Manual Version 2.0
PLOT PL (J
PROJECT Jonathan Loaterman ADDR 1853 4th St. Emerald Wi 54013
SW 1/4 NE 1 14S 14 /T 31 N/R 18 TOWN Star Prairie COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 5/3/03 BEDROOM 3
CONVENTIONAL )00( IN•GROUND PRESS CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE ABSORPTION AREA 684 # of chambers 22
BENCHMARK V.R. op of 1" PVC Pipe ASSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE O WELL * H. R. P. Same as Benchmark
SYSTEM ELEVATION 93.0
305' Property Line
g' B.M. #1 Alt. B.M. Top of 1" PVC Pipe
25 B- 62' B -4 Sg' B -2 5'
5'
2 -3' X 69' Cells with >3' Spacing
Vents
30' El
B -3 T
40
PR
' P perty Line Pro 3
Bedroom
!6tt St. House
�- l/
v�
Vent I ,
>6 „ Standard Biodiffuser
of Cover Leaching Chamber G
with 31.1 ft2 of Area J I
11 " Plans Designed Using I
6' Long Conventional Powts
34" Grade at System Elevation Manual Version 2.0
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code County SA ���
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Date
Reviewed by
Please print all information.
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m))
Property Owner / Property Location
Govt. Lot / A�"fl4 S T N E ( r) W
Property e�,sM Mailing Address Lot # Block # S Name CSM# ,
�: v _ t J p�,(j /o;�,Lp � ' 'f�Lc�,
city
,Zip Code Phone Number ❑City ! ❑ Village own ��e7Rd=
New Construction Us esidential /Number of bedrooms Code derived design flow rate J GPD
❑ Replacement ❑ Public or c mer 'a[ - Describe: -- - - --
- - -- - - -- --
Parent material DL'"'
Flood Plain elevation if applicable
Genemal comments
and recommendations: 3 v
�3 ri
F
I T 1� # � ring
ft. Depth to limiting factor in.
L r t pit Ground surface elev. ri g Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •Eff#i Eff#2
in. Munsell Qu. Sz. Cont. Color G . Sz. Sh.
Bori #
C] Boring
a pit Ground surface elev. ft. Depth to limiting factor In.
E] pit Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •Eff #GPD/fgEff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
• Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150
ffluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
FAddr7eSS me (Please Print) re CST Number
lumbing, Inc. Shaun Bird 226900
Date Evaluation Conduc Telephone Number
�' �� 715- 246 -4516
192nd Ave, New Richmond, WI 54017
Property Owner _ Parcel ID # Page of
F-1 Ong # ❑ 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 GPDIff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
I
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 GPDIff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
i
Boring # C] Boring
F 0 pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDAf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
I
Effluent #1 = BOD_ > 30 < 220 mglL and TSS >30 < 150 mgA_ ' Ef fluent #2 = BOD < 30 mgA. and TSS < 30 mg/L
I
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.
I
SOD -9330 ce.e(0o)
I
T
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
county St. Croix
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. \
percent slope, scale or dimensions, north arrow, and loca#maP4 ance to nearest road. end i ri
Please print all information. \ Reviewed b Date
Personal information you provide may be used for ondary purpose (Privacy Ldw. 1 04 (1) (m)). / �3
Property Owner ±` ,f -TGO. Loca '
Ewlen Properties, Ltd /- SW 1/4 NE 1/4 S 1 4 T 31 N R 1 8 EQor) W
perty Owner's Mailing Address 4 ( Block # Subd. Name or CSM#
1430 220th. Ave. ;�(x 2� na Prairie View Estates
City State Zip Code '+`� Phone NumbiiC i El Village
Prairie CTH Village KI Town Nearest Road
.
C.i 11 C 11
New Richmon WI. 5401 (.7'.1` ��
a4guf
CR New Construction Use: N Residential / Number rrts Code derived design flow rate 600 GPD
❑ Replacement ❑ Public or commercial - DescPlbe —
Parent material out-wash Flood Plain elevation if applicable �� ' ft•
General comments
and recommendations: G
trenches @ el. 95.10
❑
Boring # F1 Boring
1 g ® pit Ground surface elev. 99.85 ft. Depth to limiting factor + 100 in,
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fg
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2
1 0 -12 10yr2/2 none L 2msbk mfr cs if .5 .8
2 10 -2 7.5 r4/4 none s'cl 2msbk mfr gw if .4 .6
3 24 -5 .5yr4/ none Z cos osg ml gw na .7 1.2
/ ";yr
r, 9 1/
❑ Borin # Boring
2 g ® Pit Ground surface elev. 99.80 ft Depth to limiting factor +100 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
k mf Cs 1 5 8
2 10 -2 19 r5 4 none s' 2msbk mfr qw if .4 .6
3 20 -3 7 5 4 n � cos os ml w na 1.2
10 r5 c2d7 5 r5 6 sil M na Cfw na .0 .2
` q ,J
Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS 5 30 mg/L
CST Name (Please Print) Signature . CST Number
Gary L. Steel u --927.98
Address Date Evaluation Conducted Telephone Number
1554 200th. Ave., New Richmond, WI. 54017 11 -30 -2000 715- 246 -6200
I
Property Owner Ewlen Properti Ltd ParcellD# pending Page 2 of 3
F-il Boring # Boring 100.10 +120
ft. Depth to limiting factor in.
Pit Ground surface elev.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfg
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 - Eff#2
0 -10 10 r2 2 none L 2msbk mfr CS if .5 .8
nn
7 1
J� c'T w
i�
a Boring #
Boring �l % G (o `' /O Z jkq �` W71Tn S
pit Ground surface elev. ft. Depth to limiting factor in. Soil Ap lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. C ont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
I
i
Boring
E Boring # Ground surface elev. ft. Depth to limiting factor in.
pit Soil Appli caton Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 - Eff#2
I
Effluent #1 = BOD, > 30:5 220 mg/L and TSS >30 < 150 mg/l_ ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services or
need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777.
SB"330(P-&W)
l
STEEL'S SOIL SERVICE
Gary L. Steel Ewlen Properties Ltd. 1554 200th Ave.
CSTM2298 SV NE' S14- T31N -R18 New Richmond, WI 54017
MPRSW -3254 town of Star Prairie (715) 246 -6200
lot #20- Prarie View Estates
This soil evaluation was conducted to satisfy a zoning requirement, it may or may
not be suitable for your use. Zhe location of the test may or may not be as shown
as permanent lot lines were not established at the time the test was conducted.
N
1 " =40'
BM.= top of 1" pvc pipe @ el. 100.00'
Alt. BM.= top of 1" pvc pipe @ el. 100.10'
�
30
Z JA
a �
Gary L. Steel
11 -30 -2000
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT`
AND
OWNERSHIP CERTIFICATION FORM
owner/Buyer ��✓���'�� L ° ' �'r _
Mailing Address
Property Address s 5' 12'6
(Verification required from Planning Department for new construction)
City /State Parcel Identification Number V3f Z
LEGAL DESCRIPTION
Property I,o
cation i /.,/'✓ V., Sec,/ TLN -R W. Town of
` . , Lot #
Subdivision .0 - � J�� ����g '�
Certified Survey Map # , Volume , Page #
Warranty Deed # Volume Page #
Spec house ❑yes Lot lines identifi ❑ 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
masterplumber, journeyman plumber, restrictedplumber 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 the three year p lion date.
GNA "I'[JRE LICANT DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) kn I (we) am (are) the owner(s) of
the p e describe above, CANT virtue of a warranty deed recorded in Register of Deeds Office.
IGNATURE T 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
s
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: a larger filter is being installed in
order to extend the maintenance interval of the filter.
3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of
the cells.
4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system.
5. The owner agrees to save this plan.
6. Do not plant trees nor park nor drive over system.
7. Watershed is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
Contingency Plan
1. If system fails, determine cause of failure, use alternate area and install new system or
install system at a lower elevation.
2. Replace any other failing components as needed.
Plumber: Shaun Bird 715- 246 -4516
St. Croix County Zoning 715- 386 -4680
n
Pumper ,Tom Mo or 715 -246 -5148 Mond
or
Bird #226900
r � U; 24 7 7P 225
74�3 55LI it
STATE BAR OF WISCONSIN FORM 2 1999 KATHLEEN H. WALSH
REGISTER OF DEEDS
Document Number WARRANTY DEED ST. CROIX CO., WI
RECEIVED FOR RECORD
This Deed, made between EWLEN Properties, LTD., a Texas 12/1912003 09:30AN
Limited Partnershia Grantor,
and Ingrid M. Logterman and Jonathan R. Logterman WARRANTY DEED
Grantee. EXERT #
Grantor, for a valuable consideration, conveys and warrants to Grantee REC FEE: 11.00
the following described real estate in St. Croix County, State of Wisconsin TRANS FEE: 96.00
COPY FEE:
i re space is needed, please attach addendum): CC FEE:
Lot airie View Estates, Township of Star Prairie, St. Croix County, PAGES: 1
Wiscon n,
Recording Area
Name and Return Address
UNITED BANK
PO BOX 10
OSSEO, WI 54758
038 - 1207,08040 aU
P do Number (PIN) /
This is not homestead property
(is) (is not)
Exceptions to warranties: Easements, restrictions and rights - of - way of record, if any.
Dated this day of November 1 2003
LE op ties, d.
*— —_ - - -- -- - - _ * BY: Paul M. Ander -_ -_
Manager EWLEN Asset Management, LLC
* * Ge neral Partner
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) _ STATE OF Texas )
— -------- - - - - -- ) ss.
Bexar County )
authenticated this day of
Personally came before me this 20 day of
November , 2003 the above named
EWLEN Properties Ltd., a Texas Limited Partnership, by
Paul M. Anderson
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not, to me known to be the person(s) who executed the foregoing
authorized by § 706.06, Wis. Stats.) instrument and acknowledged the same.
THIS INSTRUMENT WAS DRAFTED BY
Attorney Kristina Ogland -
Hudson, W 54016 Notary Public, State of Texas
My Commission is permanent. (If not, state expiration date:
(Signatures may be authenticated or acknowledged. Both are not necessary.) August 23 1 )
* Names of persons signing in any capacity must be typed or printed below their signature. IN '� t �`S.
,� •.. ATME�i�essional o., Fond du Lac, W
STATE BAR OF WISCONS
WARRANTY DEED FORM No. 2 - 1999 Notary FubtlC' S tBt@ Of T @XiS 800 655 -2021
MY Commission Expires
� ;,N`' Atputt 2J, 2006
�w
i I 33' i I , i .. .. ....................
M
• i 18
M o rl 19 i.
FT N Q lip NI
95,191 S4 FT.
96,246 SO. FT. M ( 2.19 ACRES
8.0 ; I — — 2.21 ACRES I MIN. F.F.E. =370.0
I I MIN. F.F.E. = 370.0 v z
S89'01'50 "E
346.11'
a I t N88'S8'42 "W 305.00' I
FT. N I I I 3i l
58.
N I = 17
I I 1 87, 324 SO. FT.
N I I O r- cD 2. DO ACRES
n �
I r I L °�° o . MIN. F.F.E. = 370.0
� N
_ to t6 � :87,139 SO. FT 3 '-
I 'I
V 400.06' m`� o :2.00 ACRES a N o
04 A41V. F. F. E. = 370.0 o I I
N
N
I , !.
• I O 0
00 Z i Z I o I Z ! S82' '42 \
FT. I I i 25 p
I _. . —... — ... —...J
68.0 I , I i
' 4 N88'S8'42 "w 305.00'
- -- 100' - -- -- I I
> "w , I
25'I
I
33'I 21 ' 16
� F o ° I I 87,139 SO. FT. I i I 85,725 SO. FT
`i ,�( 2.00 ACRES i 1.97 ACRES
o q) o r' -�, � MIN. F.F.E. = 370.0 125• I I MIN. F.F.E. = 370.0 U
FT
co
.S o00 co i 1 1Z w �I
-,368.0 cn .
lb, Q
tZ
� °� � W k \ I .,fir$ i IK
\\ I "r-1600WA\ m
- l
16' -- ' 3 5.00' -- - - -- - - - - - -- 205 * - - - -- --
UNPLA TTED LANDS
'58'42" , DETAIL "A" ---- - - - - --
613.68� ����
i
*00 99 i =Y X � �' �f °r Of bood8