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HomeMy WebLinkAbout040-1284-30-000 wisconsin Department of commerce PRIVATE SEWAGE SYSTEM C ounty: Safety rna INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.. Personal Infomtation you provice may be used for secondary pugxms (Privacy Law. x.15.04 (1 )(m)l. 3 84295 Permit Holder's Name: City 0 VillYge 0 Town of: State Plan 10 No.: Millar, Sam Hudson Township CST SM Elev.: / Insp. SM Elev.: / BM DeNiption: Parcel Tax No.: 1 00.E) OD ,Z) 3/ , -. Crr 3 1 40- 1284 -30 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ,15 IoS.%5 tso .0 Dosing All. BM . Aeration Bldg. Sewer Holding St /Ht Inlet 13.0 qZ, 15-' TANK SETBACK INFORMATION St/ Ht Outlet \3.3a- 91• �8 TANKTO P/L WELL BLDG. AirI to ntake ROAD Dt Inlet Air I ntake Septic > Se , Z 01 I NA Dt Bottom Dosing NA Header / Man. 13,G p Q� yam' Aeration NA Dist. Pi / Holding Bot. System )S. 15 PUMP/ SIPHON INFORMATION Final Grade 9. 50 Manufa rer I DemandE t over r Model Numbe GPM TDH Lift n n System DH Ft Loss Forcem Length Dia. FI Dist.ToWeH SOIL ABSORPTION SYSTEM TRENCH Width I Lengtfi , No. f Trenches PIT No. Pits Inside Dia. Liquid Deptt 1 3 93.11 2 I DIMENSION G Manua SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHIN r INFORMATION Type 0 CHAMBER _Mo4jI Numb System: Cpvw V. I I Z OR UNIT DISTRIBUTION SYSTEM Header / Mani�o ll Dist ribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intak Length 11.1> �a. t Ia. 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 t ❑ Yes ❑ No ❑Yes ❑ No COMMENTS: (Include code discrepancies, persons presen ction #1 • .10 / 16 101 Inspection #2: ­4 -- -- Location: 535 Orchard Drive, Hudson, WI 54016 (NE 1/4 NE 1/4 9 T28N R19W) - 0928191607 The Orchard -Lot 13 1.) Alt BM Description = "0" ��^`� ME 2.) Bldg sewer length= 29. 3) - amo u nt o j xe� X3 Z" A 4. Plan revision required? ❑ Yes O NO _ v Use other side for additional information. 10 1 15 1 0d Y &m� T, SBD - 6710 (R.3/97) Date Inspector's Signature Cert N, d�� I �w l � r 3 ., I J � 1 ` I of L +1 ecc 0e 3 l a rd Stlfety and Buildings Division County ST , CAM V 201 W. Waahiogton Ave.. P.O. Box 7162 N VIsconsln Mammon. WI 53707 - 7162 Site Address Department of Commerce Sanitary Permit Application Sanitary Permit Number In accord with Comm 9311. Wis. Adtn. Code, personal iofortnuiop y ❑ C beck if S � may t ,) be used for purposes Lsw. s15 L AppUcqtion Intot'mation - P 14811111 Print All Information ° State Plan I.D. Number i� Property Owmes Name d .S Number 0 , q, aF q. o q f n r Property Owner's Mailing Addeo , ti ! p1X Location Cam. Stye Zip Code \1f one bKtgoW , Lot Number Block Number ' Subdivision Name CSM Number II. Type of Building (check aU that app(Y) OCity 1 or 2 Family Dwelling - Number of Bedrooms ❑Village ❑ Public/Commercial - Describe Use ❑ Sate Owned Nearest Road 11L Type Type of Permit: (Check only one box on line A (numbering scheme forinternal use). Complete line B if applicable) A. 1 New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For Comely use s0 N Tank Onl ► Permit Number Date Issued B. ❑ Check if Swiary Permit Previously Issued IV. Type of Permit: (Check aU that apply)(numbering scheme h for internal use) 30 - µ14 lM E2 S I - fit 44 Non L E ' 111-Ground 21❑ Mound 47 ❑ Sand Filter j 50 ❑ Constructed Wetland 75 X Z 22 (] Pressurized L XW 41 ❑ Holding Tank 48 ❑ Single Pass 510 Drip Line 45 ❑ At-Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Otber V. Area Information: Design, Flaw (VM Dispersal Ara Dispersal Area Soil Application Percolation Rate System Elevation Elevatioa� R�� in proposed RWGals./Days/Sq.PL) (M./lnch) Z Z � boo � S3i ,761 -) — 90, oo 'T50 S Manufacturer Prefab Site Steel Fiber Plastic VL Tank Info capacity in Total Number Gallons Gallons of Tanks Concrete Constructed Glass New Baiadns Taub T.. Septic or Holdi Took - ) Z e. VII. Itesponsib Statement - 14 the undersigned, assume rnPoodbitity for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/IPRS Number Business Phone Number ,1tS r a 2 -SQ3�. 3�Sb'lb7 Plumber's Address (Street, City. Sate, Zip Code) 1,0749 HL)A 725;4 4104,4 8040 11v4SV Al VIII. Coon /De ent Use Od Approved ❑Disapproved ��e ) Fee (includes Groundwater Dan Issued Issuing Agent SiBnantn (No Stamps) OD ❑ Owner Given Initial Adverse �} Determination `� �- to IL Coudit of Approval/Reasons for pproval /1 � ttk- u�R . S ww a �� ►LC� pp e z y e �) o, . d[. �� cu $ Agacr oa iet .oa (to t o� ad7) for the pow not iea flan ale: u inches in size SBD -6398 (R. 05101) e r r. Tr 6 I t 1 B. 3 1� , RF0,4k Ar -S 3 " �bq V.6 � Yj 1 4 r-- A, k TAL E 6 �_ 1 2 ba G,� 1 T 3 1F ov e) P 0/,L- zz 1391 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Conan 85, We. Adm. Code A.C.E. Sal & Site Eva cations County Attach complete site plan on paper npttess than q %x l l iichftip size. Plat must St. Crok include, but not frmhed to: vertical Ad horizontal reference poW ( direction and percent slope, scale or dimemsJoxrs, north arrow, 7kwcatioriand as to nearest road. Parcel I.D. 040- 1039- 60 -000, ID#9.28.19.132 Pisa a print all r tlon. By & D* Personal irbrmalim you Pro may W LM�W- secondary Privacy! l art. s. 15.04 (1) (m)). f _, Property Owner '� I Property Location Miller, Sam` tl i Govt. Lot NE 1 NE 1/4 S 9 T 28 N R 19 W Property Owner's Mailing Addreio, La # Block # Subd. Name or CSM# P.O. Box 151` "'' 13 P lat Of Miller's Orchard City State \7V Code Phone.N J City J Village r Town Nearest Road Hudson WI 1 640. 6 -2769 Troy Orchard Drive 0 New Construction Use. 01 Residential / Number of bedrooms 4 Code derived design flaw rate 600 GPD I Replacement _j Public or commercial - Describe: Parent material Glacial outwash Flood plain elevation, if applicable na General comments and recorr maixiations: Recommend installing 2 trenches at 3'x 90.625', using 29 high capacity BioDiffuser infiltrator chambers at system elev. = 90.00'. a Boring # Boring ✓_f Pit Ground Surface elm 94.91 fl Depth to limiting factor >128" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDItI= "Eff#1 1 0 - 15 1Oyr3/2 none sl 2 fsbk mvfr gs 2f 0.5 0.9 2 15 -31 1Oyr3/3 none sl 2fsbk mv fr cs 1f 0.5 0.9 3 31-35 7.5yr4/6 none Is Osg ml cs - 0.7 1.2 4 35 -79 10yr5 /6 none s O sg ml gs - 0.7 1.2 5 79 -128 1Oyr5/4 none s Osg ml - - 0.7 1.2 .9t 7 -4 'Z- - - - -- -- 2❑ Boring # I Boring 0 Pit Ground Surface elev. 95.75 ft. Depth to limiting factor >132" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •Etf#1 PD/fF 1 0 -9 1Oyr3 /2 none sl 2 f s bk mvfr gs 2f 0.5 0.9 2 9 -20 10yr3/3 none sl 2fsbk mvfr cs if 0.5 0.9 3 20 -25 7.5yr4/6 none Is Osg ml cs - 0.7 1.2 4 25-66 1Oyr5 /6 none s Osg ml gs - 0.7 1.2 5 66 -105 1Oyr5/4 none s Osg ml gW - 0.7 1.2 6 105 -132 10yr614 none s Osg ml - - 0.7 1.2 6a i Effluent #1 = BOD ? 30 < 220 mg1L and TSS > < 150 = BOD < 30 mg/L and TSS < mg/L CST Name (Please Print) S" re: CST Number Jam K. Thompson �. — 3602 Address A-C.E. Soil & Site Evaluations — - - -- - Opts Evaluation Conducted TelWicine Nurnber 340 Paulson Lake Lane, Osceola, WI 54020 4123/01 715 -248 -7767 ply 6 wne r MiN Sam Parcel ID # 040 -103 60 - ID #9.28.19.132 Page 2 of 3 3] Baring # Boring - ✓J Pit Ground Surface elev. 93.83 ft. Depth to limiting factor > 126" in. Sot AppTi dm Rate Haizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots = 'Eff#1 'Eff#2 1 0 -12 1Oyr3 /2 none sl 2fsbk mvfr gs 2f 0.5 0.9 2 12 -26 1Oyr3/3 none sl 2fsbk mvfr Cs 1f 0.5 0.9 3 26 -32 7.5yr4/6 none Is Osg ml cs - 0.7 1.2 4 32-68 1Oyr5 /6 n one s Osg ml gs - 0.7 1.2 5 68 -126 1Oyr5/4 none s O sg mt - - 0.7 1.2 '% S . 4] goring # Boring Pit Ground Surface elev. 93.19 ft. Depth to IkMng factor > 122" in. Sol Application Rate Horizon Depth Dominant Cola Redox Description Texture Stricture Consistence Boundary Roots GPOIr 'Eff#1 'Eff#2 1 0 -12 1Oyr3 /2 none sl 2 fsbk mvfr gs 2f 0.5 0.9 i 2 12 -30 1Oyr3/3 none sl 2%bk mvfr Cs 1f 0.5 0.9 3 30 -37 7.5yr4 /6 none Is Osg ml Cs - 0.7 1.2 4 37 -74 1Oyr5/6 no s O ml gs - 0.7 1.2 5 74 -122 1Oyr5 /4 none s Osg ml - - 0.7 1.2 Boring # F - s 1 Ong ✓_f Pit Ground Surface elev. 93.26 ft. Depth to limiting factor > 120" in. Soil Application Rye Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW 'Eff#1 'Eff#2 1 0 -11 1Oyr3/2 none sl 2fs mvfr gs 2f 0.5 0.9 2 11 -25 1Oyr3/3 none sl 2fsbk mvfr cs 1f 0.5 0.9 3 25 -30 7.5yr4/6 none Is Osg ml cs - 0.7 1.2 4 30-63 1Oyr5 /6 n one s Osg ml gs - 0.7 1.2 5 63 -120 10yr5 /4 non s Osg ml - - 0.7 1.2 Effluent #1= BOD y > 30 < 220 mg/L and TSS >30 < 150 mg& ' Effluent #2 = BOD -S.30 mglL 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 ahemate format. please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. 970� /ot 13, lk' Ile orcAa% So; l ©bse1 dQ on St- C•-o iX Co., 65 - ■ By ■ 9 '01 v Ci 135 ■ ^Z v M al �� 297 a9' LE. B.M.: VLa� I ,n lzE:l� Po 70`E. Co• l�' FF Elegy io3.S0. J? n (l L JL Lo!! t4 I) BioDiffuser Specifications 76" OD OO �� OO OD OO OD OO LSO 00 00 00 00 ot� 00 ot� 00 ot� Ot Ol O DO t�D DO O DO DD Chamber Ol Di Ol 00 DO DD OD �� DD Height OD OD OD OD Ol OO OO DO i 00 oq ot 0 ot 0 00 0 00 0 00 00 00 0 00 0 0o a OO OO O OO E==== OO OO DO OO All three ftDafbjw sizm can withstand H- 10;10-adO installed with prepsAy .9vaded : Chamber a nd compaOed soils. Ajpini Height mush of 12" of cover;is re4uired.for H•10 loads. The End View 14" High Capacity BioDiffuser AS designed for H -20 leads. A.nlhif um of 18" of ever is' 34" c It 4" Knockout U: p Avcalable Sizes Chamber Jill 14 High 16 High Dimensions Standard Capacity Capacity Length 76" 76" 76" Width 34" 34" 34" Height 11" 14" 16" Invert 0.5 9 11.3 10 t Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number '3 2-95 Number of Bedrooms Design Flow - Peak (gpd) i D Estimated Flow - Average (gpd) Septic Tank Capacity (gal) O " Soil Absorption Component Size (ft2) Z- Type of Wastewater Do estic !!t.A s Table 2: Soil Absorption Component - Limits of Reliable Operation 7 Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) l ' z- -- 4s Maximum Influent Particle Size (in) 1/8 Qj Maximum BOD (mg /L) 220 b Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet filte hall be cleaned as necessary to ensure proper op eration. The filter cartridge shou no be removed unless provisions are ma e o re am solids in the tank that may slough off the filter when removed from its enclosure. If the ` Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. I 3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer S/f F )' t M 1 1_ L- L L-F- Mailing Address 13010 / S Property Address 5 - 3 S Hr4 Q- n (L- vim. (Verification required from Planning Department for new construction) City /State a So N Parcel Identification Number , LEGAL DESCRIPTION � J Property Location ,�) E '/., ' /•, Sec., T a N -R W, Town of 1 Doe- ff W(2 -10 , Lot # l3 CerdGed Survey Map # Volume . Page # Warranty Deed # _� 3 Z- 7 Volume SS S' , Page # Z--3 Spec house yes ❑ no Lot lines identifrableAyes ❑ no 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 necessjry), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requiremtnts 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 da the three year expiration date. ATURE OF APPLICANT DATE nDWNER CERTIFICATION 4i . t''(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 ro � . described bove, by virtue of a warranty deed recorded in Register of Deeds Office. ��BiCiNATURB 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 STATE BAR OF WISCONSIN FORM 7 - 1998 TRUSTEE'S DEED 632796 • KATHLEEN H. WALSH DOCUAIent Number VOL 1555 R OCO DEEDS DANIEL S. SOLBERG AND KARLA J. SOLBERG RECEIVED FOR RECORD 11 -01 ± 8:30 AN TRUSTEES DEED DA NIEL S. SOLBERG AND KARL as A J. SOLBERG REV OCABLEtee of EXEMPT N TRUST DATED APRIL 26, 2000 - LERT CORY FEE: COPY FEE: TRANSFER FEE: 2880.30 for a valuable consideration conveys without warranty to PAGES: FEE: 10.00 SAM E. MILLER, A SINGLE PERSON DARES. 1 �. HcUxtluu� Area the following described real estate in Grantee. State of Wisconsin: m County. 'Nae and Return Address SAM MILLER PART OF;THE NWIy OF THE NWIX AND THE SIJIy OF THE NW P.O. BOX 151 NEIL OF THE NWk AND THE NA OF THE NEk AND THE NA OFF THEE HUDSON, WI 54016 SWIX OF SECTION 9, TOWNSHIP 28 NORTH, RANGE 19 WEST, TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF SAID SECTION 9, THENCE S00 "E ALONG THE WEST LINE OF 040 - 1038 -60 040 - 1039 -60 -000 SAIDNWIX 2626.30 FEET TO THE WEST QUARTER CORNER OF SAID 040 - 1039 - 7o - non SECTION 9; THENCE SOO "E ALONG THE WEST LIN Parcet 1dei1ifi" NtxnbW SAID SECTION 9 150.31 FEET: THENCE S56 "E 70.00 FEET: THENCE N59 ' " THENCE ON AN ARC OF A CURVE 102 5 0 O E 850. 85 F EET TO THE RIGHT W T CHORD BEARS N 'W 101.78 FEET; THENCE NOO 9"E569.05 I FEET;THENCES88E45' 8 250.00 FEET; THENCE N00 ° 50'54 "W 350.92FEET' THENCE S88 "W 512.29 FEET;-THENCE NOO ° 50'54" 100.00 FEET; THENCE N "E FEET; THENCE NO3 ° 10'51 "E 202.31 FEET; THENCE N32 "W 95.25 FEET; THENCE NO2 ° 24'54 "E 136.96 FEET; THENCE S87 ° 34'25 "E 198.63 FEET; THENCE S ° 54'33 "W 149.41 FEET; THENCE N89 ° 46'50 "E 148.76 FEET; THENCF, S2 "W 256.95 FEET; THENCE N88 ° 57'07 "E 1065.55 FEET; THENCE N89 0 12 1 30 "E 325.61 FEET;; THENCE SOO ° 47'30 "E 10.00 FEET; THENCE N "E 554.46 FEET; THENCE N01 0 23'32 "E 587.22 FEET; THENCE N55 "E 651.90 FEET; THENCE N38 "W 413.25 FEET; THENCE S89 0 31'02 "W 142.03 FEET TO THE NORTH QUARTER CORNER OF SAID SECTION 9; THENCE S89 "W ALONG THE NORTH LINE OF THE NA OF SAID SECTION 9, 2666.45 FEET TO THE POINT OF BEGINNING, SAID PARCEL CONTAINS 96.52 ACRES AND IS SUBJECT TO ANY EASEMENTS OR RESTRICTIONS OF RECORD. i Dated this ^' Y o OCTOBER da f 2000 4 - �' "' (SEAL ) ' � � ir7.t o I 100 (SEAL) DANIEL S. SOLBER ' . KARLA J. SOLBERG us Trtee Tnutee AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. Count . authenticated this day of P By came before me this day of i a, the above named TITLE: MEMBER STATE BAR OF WISCONSIN (If no(, to me known to be the person L who executed the foregoing authorized by §706.06, Wis. Slats.) i strument and acknowledge the e THIS INSTRUMENT WAS DRAFTED BY H EYWOOD& CARI S.C. 04 L OCUST STRFFT of° 'y S ntv Lqif WiSCOnsin HUDSON, WI 54016 Notary Public. State of Wisconsin My commission Is permanent. (If not. state expiration date: necessary) (Signatures may be authenticated or acknowledged. Both are not - 1 ) ..-- -----.__.. {»rsoru s going in any capacit y must pe typed or Printed belo 111er signature. " ' TRUSTEE'S DEED STATE BAR OF WISCONSIN WiaCOnsin Legal frank Co.. ft FORM Ni,. 7 - 1998 asawawae. w-s 6 � i i i a ♦ \ to CT) LM W M._M t7` J4r ■ j N (1) CL tr N� w� i' , J. 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