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Home My WebLink About040-1306-24-000 0 lA O m "D n O N f 7' O 1 Say O n � J v N O O O O A `C' • Cal N O O . N 3 O N >C CO (D M CD rs p N CD O � ` 1 U7 CD v N m (D O O N 0 r g n O C 0 n A A cc CD A7 0 O J :3 00 7 f0 V ! O C y A O G^ v D a < ci N a ' i A N a 7 w ' W on 3 r o r. N a m C) , i z 0 g NJ CL CL O O O tn _ oA j O D co CD m m c m I � _ I .. � N z z D 0 �, o I � v m S w �• N N O 1 0 CD C O. N A Q �_ G1 O A Z O co CL z 3 N .. I � Z OD ao v m N Oo a z c 3 A X O to � m � W C A I N = y � D 3 m o n m a m d $ o a »< p (D CD = W v N = C CL y CL CO CD a O CD o I ° w o N I N N j � O O CIO N A � 1 b ~ (D z Parcel #: 040 - 1306 -24 -000 04/08/2008 11:11 AM PAGE 1 OF 1 Alt. Parcel #: 08.28.19.1851 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 06/17/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - LOKKEN, ERIK O & SHANNON ERIK O & SHANNON LOKKEN 437 JORDYN LN HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 437 JORDYN LN SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 2.060 Plat: 10- 009 - SUNSET VIEW DEVELOPMENT 040 -04 1/37 SEC 8 T28N R19W PT NE SE BEING SUNSET Block/Condo Bldg: LOT 24 VIEW DEVELOPMENT ('04) LOT 24 (2.060AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 08- 28N -19W NE NE Notes: Parcel History: Date Doc # Vol /Page Type 08/10/2004 771274 2635/388 WD 06/17/2004 766198 10/09 PLAT 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/24/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.060 80,000 410,600 490,600 NO Totals for 2008: General Property 2.060 80,000 410,600 490,600 Woodland 0.000 0 0 Totals for 2007: General Property 2.060 80,000 410,600 490,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: • 463216 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: Lokken, Eric I Troy Township d --)- -T0 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: CD /Q ►'h 08.28.19. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ✓ D 6esing Alt. BM too - /ass ,7 Aeration Bldg. Se er Holding St/Ht Inlet 8 , b5 16 TANK SETBACK INFORMATION St/Ht outlet 5 iol 45 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic _ / ft / 9 j 43 / Dt Bottom Dosing Header /Man. � / 11 3n Aeration Dist. Pipe Holding Bot. System 0 Final Grade PUMP /SIPHON INFORMATION jD, Manufacturer Demand St Cover t ) PM 7 - 4o /0%-7 Model Nu er -- /3 1. 9 45 . TDH Lift Friction Loss Syst d TDH Ft I Z 13,9 �9 Forcemain Length Dia. Dist. to Well 5 ` 1 SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 i 1 5 4 t �� SETBACK SYSTEM TO `7` O P/L JBLDFG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR J �z Type Of System: L ` / i 7- Z/6 UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake , Pipe(s) V r� Length Dia Length Dia � Spacing SOIL COVER Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over epth Over xx Depth of xx Seeded /Sodded 1 xx Mulched Bed/Trench Center / / ed/Trench Edges Topsoil \ - A /f 1 "� Yes 0 No i. Yes No COMMENTS: (I de discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 437 Jordyn Lane Hudson, WI 54 0 16 (NE 1/4 SE 1/4 8 T28N,[R19W) Sunset View Lox 8 Parcel No: 08.28.19. 1.) Alt BM Description = , 41.5 P4 � /,., w t '' I '�� n, n 2.) Bldg sewer length= q (Lp C�� u � b�Lvv� IS MOB S 4 4 6J6LJ - amount of cover = �� // , ��! CA� i ✓\ 5 Use other side for additional information. No I L — — - —� Plan revision Required? (d SBD -6710 (R.3/97) Date 1 pctor ignature Cart. No. Safety and B 'ldet " vision's Coun 201 W. -lye. Box `162 J ,�� .S,n Sanitary Ma 3707 - 7162 ' Permit Number (to be filled in by Co.) Department of Commerce (608) 266-3151 ` ? �/ / _ Sanitary Permit Ap lick io a r State Plan LD. r (� In accord with Comm 83.21, Wis. Adm. Code, perso in t a i ' `' y be used for sec rtdary purposes Privacy w, s ' �- Project Address Otdiffeient than mailing address) I. Application Information - Please Print All Information Property Owner's Name �J Parcel # Lot # Block # Property owner's Mailing Address f' Oti/ C✓lV� City, State �- ) Zip Code Phone Number 'N V, 51, Section 8 V Fti I d 1 � W J�U Z. Z- T 8 N R1 9 (circle one) II. Type of Building (check all that apply) l n o EorW 1 or 2 Family Dwelling - Number of Bedrooms ( c 3 - � 9 pd a Q u d' w Subdivision Name CSM Numbs —TI rAV -- Public/Commercial - Describe Use Stt�v � � i tlnJ State owned -Describe Use 3 C�i u-r �a C r �g City_ Village Township of III. Type of Permit: ((:heck only one box on line A. Complete line B if applicable) A - ew Sy " Replacement System Treatment/Holding Tank Replacement Only Odor Modificatioa to Existing System B • Permit Renewal Permit Revision Change of Permit Transfer to New Gst Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. a POWTS S stem: (Check all that a I ) No - Pressurized in and Mound Z 24 in. of suitable soil Mound < 24 in. of suitable soil At -Grade Single Pass Sand Filter Constructed a and Pressurized En- Ground Holding Tank Peat Filter Aerobic Treatment Unit Recirculating Sand Filter Recirculating Synthetic Media Filter u az" Drip Line Gravel -less Other lain) V. DispersalflCreatment Area Informatio .,9 , L £ 11 j //, V 6?' J (p K ' c Design Plow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required ( �DispeMA= s ecs S sstem !� p t 3 ( y Hevatio� `� V V ;D ,z- q9 a Bi 133 VI. Tank Info Capacity in Total Number Manufacturer Pte ab J Site Steel Fiber Plastic 2 Gallons GaUons of Units Concrete Constructed Glass / D/ • S' New Existing Tanks OCe— Tanks Septic Holding Tank l p Q L� w Aerobic Treatment Unit / `t Dosing (:hatnber Responsibility Statement- 1, the undersigned, assume responsibility for instailadow the POWTS shown on the attached lens L' s Name (Prin umber's Signature M RS mber Business Phone Number Z-LL '7Z 4'7 _ Z$ L I Address (Street City. State, tip ) �� VIII. Coun partment Use Onl Appm Disapproved Sanitary Permit Fee �( Date Issued uing A t Sign ure ) Owner Given Reason for Denial Surcharge Fee) `fl d J v` ✓ Da L 0 IX. Conditions of Approval/Reasons for Disapproval • SYSTEM OWNER: � $ pis tank, effluent filter and 4 !� dispersal cell must all be serviced / maintained as per management plan provided by plumber- 2. ac re I / 3 22 � 2 �� as per applicable code /ordinances - /-� a a� Attach complete plans (to the County o for the per not less $in x It inc in ske J v vv _71 �t (�tit'tG2LGC wf �I N 3 BEd �, w s� °�w G 3�7s ��t ce,►� Qvr, .S • boa o'.¢ 0.,A- C,L e- Ar S!P + cc_ Tod /C� w o �-- T w / S 8N� �ioo Seal£ d- 30,.E �►� � 3 Eo � Pc `x'`14 - - /��• �aa v �'� o \' [ oy -(0 S n r ZZ Z 87j_- C OP, , 01 w G fli of �5l 7 (Ae- OAI tic �ww��R 7 f ❑- �d ht /£�s - of 4 AL Ire do0 e 'l't'' (0 Q I . . , /��,�� ZZ z 8?2— irx �P� S 1 0 p 98. 98. 9 ?. q8' 3b - T� �d l �u,c A�l Lp�ape1� CE vtv B Wisconsin Department of C OIL EVALUATION REPORT Division of Safety and Build(� d 2004 Page of R iNa crdance with Comm 85, Wis. Adm. Code Attach complete site plan County i� 40 6 l v 1 x 1 ches in size. Plan m ust � k include, but not limited to: itF int (BM), direction and percent slope, scale or diarrow, and location and distance to nearest road. Parcel I.D. �G Please print all information. Revi "Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner I t 22 Property Location S� -N tly"D 114 1/4 S T N R �� E( W Property Owner's Mailing Address Lot # I Block # Subd. Name or CSM# City State Zip Code Phone Number V l � `� [] City ❑ Village Town Nearest Road t3Rw1 �R Lv J 5 cl x`10 ( I S ) 4�S ,�3 S 1 T�Lot-- New Construction Use: ® Residential / Number of bedrooms 3 — �+ Code derived design flow rate q S Q — UCH_ _ GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material G L_�Cl �. j 1.v'f�� Flood Plain elevation if applicable 1� General comments ;� ft• and recommendations: \ 1 } \ � � � � �-4 M E 3 � Lu t 1� `�. � �Cl /I V6� (_S it,�� St( F T] Boring # ❑ Boring ® pit Ground surface elev. ft• Depth to limiting factor q5 (n, Soil Application Rate Horizon Depth gDomi Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I 3t — l — 16 — I i 77 Boring # ❑ Boring ® Pit Ground surface elev. � � 0 • y ft. Depth to limiting factor � 4 � in. Soil Application Rate Horizon Depth Dominant Color Redox Descripticn Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 o -JO Zh - L Zvi sb�z _ 7 7 5 ' Effluent #1 = BOD > 30 < 220 mg/- and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 m CST Name (Please Print) — Signature CST Number Arthur L tdegerer 03 =2.1S —2 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Main St. river calls, UI 54022 715 -425 -0165 w 1 Property Owner - � (ZFQ`f-- Parcel ID # 1��'1tiJ 1 /V G Page ' of a El Boring # ❑ Boring ' Pit Ground surface elev. t yZ -7 ft. Depth to limiting factor 7 1 b 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 o -�Z lotiYZ 3fz Si( Z`Fsbk " 0- 1'j z� •5 •� Z �0 /p � -t23�6 � St 1 Z►M shk v►1`Pt- cS — .5 -Y, 3 46 -oj 6 �Q +2 q1 - S v s9 11 Z F Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiling factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Boring # ❑ Boring F ❑ 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 Tl3e 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.6/00) PLOT PLAT Page of 3 Scale 1' r Lo 7- -Z I i i i I I L -bT Z. S i j i u 1 -, �SUZ M Iz �� 11- �`� S �o S � •3 �oZS � 1 � - - - 5 - So \vim Z a 3�k�1 \ - 715 - 425 - 0165 220254 D3 - Z? _ - 3 CST Signature Date Telephone I CST No. Job NO. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Ic L K i<, n. Mailing Address Property Address !ter 2V 5 s e A �l ,z w V 3 7 0't C1 4 .1 Al 1i ' (Verification required from Planning Department for new construction.) City /State 4- V tr- !`JL Parcel Identification Number ,-& >12t�1 LEGAL DESCRIPTION Property Location £ K , S K , Sec. , T N RZL Town of ':�v vJ Subdivision l SGt 1/J e w , Lot # Z-Y . Certified Survey Map # �QGt n ate, , Volume L , Page # Z Warranty Deed # I Z7 q , Volume Page #, 3 �S Spec house yes Lot lines identifiable gy 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. 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 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. 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 Department within 30 days of the three year expiration date. II l y l y SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION Uwe 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 des n d above, by virtue of a warranty deed recorded in Register of Deeds Office � SIGNATURE OF APPLICANT DATE * * * * ** Any information that is misrepresented 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 and a copy of the certified survey map if reference is made in the warranty deed. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner � �.0 ' Septic Tank Capacity / 0,00 a l ❑ NA Permit # Y& 3 Septic Tank Manufacturer 5 fa w ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer Z a ESe / ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model Za & /d -a ❑ NA Number of Public Facility Units kFNA Pump Tank Capacity a l 91:14A Estimated flow (average) y s& g al/day Pump Tank Manufacturer p$NA Design flow (peak), (Estimated x 1.5) ("7s g al/day Pump Manufacturer JWNA i pplication Rats 7 g al/day /ft2 Pump Model W-NA Standard Influent /Effluent Quality Monthly average" Pretreatment Unit NA Fats, Oil &Grease 1 530 mg /L ❑Sand /Gravel Filter ❑Peat Filter Biochemical xygen emand (BOD :5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) _ :150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average ispersal Cells) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L n- Ground ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L YNA ❑ At -Grade ❑ Mound Fecal Coliform (geom etric mean) 5 100m ❑ 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 every: CX ❑ month(s) (Maximum 3 years) ❑ NA (9 year(s) 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: 1 ! -year( Ils) (Maximum 3 years) ❑ NA Clean effluent filter �5 �� ❑ month(s) ❑ NA t least once every: 111-year(s) ❑ month(s) ❑ NA Inspect pump, pump controls & alarm At least once every: / 40'year(s) Flush laterals and pressure test At least once every: g month(s) ❑ NA ,M Other: ❑ month(s) ❑ NA At least once every: ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (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 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4/01) Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal 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 INSTALLER POWTS MAINT INER Name �c w >�i n, S c J� f; c �{✓n? S Name 01C U Phone 7 -VIZ- Z YZ.) Phone '2/,;F 47L - ZyZl SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name �?-Ovu £4 LL e+_ , ►.. Name �- Phone `7 r y - Z V (. -_5-7 ,T8 Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &If) and 83.54002) & (3), Wisconsin Administrative Code. r U 2635 P 388 771 74 1� STATE BAR OF WISCONSIN FORM 2 - 1998 KATHLEEN H. YALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO.. MI �� RECEIVED FOR RECORD This Deed, made between B & L Land Development, I nc.,-a_ 08/10/2004 11:00AN Wiscons C orporation, WARRANTY DEED — - -------------------- - — EXEMPT # -- - - - - - -- --- Grantor. and Erik O. - Lokken and Shanno REC FEE: 11.90 husband and wift �_as_- s urvivorship marital COPY FEE: PropertY • ----- -- ---- ---- CC FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate In St. Croix County, State of Wisconsin: '. fie.: xd:ng .u Name and Return Address First National Bank of New Richmond Po Box 89 New Richmond, WI 54017 040 - 1035 -10 -000; 040 - 1035 -40 -000 040- 1037 -20 -100, 040- Parcel Identification Number (PIN) This is not homestead property (is) (is not) Lot 24, Plat of Sunset view Development in the Town of Troy, St. Croix County, Wisconsin. ii Exceptions to warranties: Subject to easements, reservations and restrictions of record. Dated this day of 2004 B & L Land Development, nc., a WI Corp. (SEAL) _b (SEAL) A. GnISSfiOIJER * Secretary- Treasurer __ (SEAL) _._ __ ... _._._.__..._._._.___------ — (SEAL) AUTHENTICATION ACKNOWLEDGMENT Stgnature(s) -- State of Wisconsin, ss. TCaGy L, St. Croix Co authenticated this _ d % plj P� b`1 C Pe onally came before me this —_ day of � t y _ -200 —the above named A. Geissinger,... . Seer ary r-. ---- - -- Treasurer of $ & _L._ Tang v l oi- merit— *.— Inc-. a WI _ TITLE: MEMBER STATE BAR OF WISCONSIN — _ _.. ................ _ to (If not, me own to be the erson who executed the foregoing authorized by §706.06, Wis. Stats.) ins nt nd ackno le he e THIS INSTRUMENT WAS DRAFTED BY Stephen J.. Dunlap Notary Public, tate of Wisconsin Hudson, Wi My commission is permanent. (If 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. STATE BAR OF WISCONSIN Wisconsin Legal Blank C... Mn WARRANTY DEED FORM No. 2 - 1998 Milwaukee. Wls, i_ p th e 4 a� z U ,Q SUBDIVISION / C 5M VOL. 2 PG. 33� LOT 3 .... ...... ` LOT 2 / ..,,, . 262( ' $ . �0'03*E 36.31' �sT UNE of D i 87,79 � 46.1�i o 3?�.21 N C CQ CQ S U f OD L cn ,r te H.. $ 14 �CZ y� / 4 CV f r a� 1 .,''� Ems ' \ . •. p E-4 f • v+< 275,86 I f s Ion 00 236.41 Lo in I h ~ 90 /b0 20dd Aor"k i /_Lt AVOX3 A83830 9b9989Z9TL TT :0Z b00Z /L0 /TT