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HomeMy WebLinkAbout040-1270-40-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: 405148 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: Andrus Investments, Inc. I Troy Township 040 - 1270 -40 -000 CST BM Elev: Insp. BM Elev: BM Description: 13 .35 `l � ►/zrl TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark q 73j Dosing Alt. BM .7- o�. Ae Bldg. Sewer / Holding Ht Inlet .593 G• TANK SETBACK INFORMATION Ht outlet ` Z f y 4S 3 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe jull, a, Holding Bot. System M 4 d. ;�L `L f5 ,1y p PUMP /SIPHON INFORMATION Final Grade 8 ufacturer Demand St Cover GPM 3.0 L ,d,5�_ Model Number TDH Lift Friction Loss m Head TDH F Forc air, Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM 3 BED/TRENCH Width I h No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION OR Type Of System: Model N m er: DISTRIBUTION SYSTEM Header /Manifold Distribution I x Hole Size I x Hole Spacing Vent to Air Intake f ! t Pipe(s) S / Length ± 14 Dia Length Dia Spacing �• ,0 / SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of Seeded /Sodded Mulched Bed/Trench Center Bed/Trench Edges Topsoil T xx Yes E No X Yes � No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: &_/_ Inspection #2: Location: 427 Crocus Hill Rd Hudson, WI 54016 (NW 1/4 SW 1/4 17 T28N R19W) Troywood�L 15 Parcel No: 17.28.19.1491 1.) Alt BM Description = 4 r o'F 4%,ee 1vktl / '� y..) We 44 2.) Bldg sewer length = , - amount of cover = `7 7- `f' re Plan revision Required? F1 Yes N No Use other side for additional information. SBD -6710 (R.3 /97) ns (� Date Iepctors ignature Cart. No. DivWm 2131 W. W� �Av�.. P.O. Hox 7162 ` madwo. W[ SM - 7162 site Afte s De artment of Commerce 6 i i - v 53 � s c cc S 9 Sidwy Pat Nw*w Smhwy Pam* OII 4/05-1y In acoosd wift them 8341. WA. Adss. coda, petsoesl 1101111 loo rm Pffw*W O Cbo* if RcVWM be used for Law, 815.0 - )Pleare Me An hd rmolm Soft P1so LD. Nam L AppNadio�n Propww owmes Nome R E E I V E D pared -po O > R)' Owner's Addroa Ptopetq 1AC" oo � ti J 0 5 2002 ti" - St,�1c. s I r ri. R � 9 �• 3T OUNTY LotN d� BIoN , 9/ ZONING OFFICE Swx Name CSM Mmobw S lD (v5/ - 77— o I j Lghoc ,, p or�aoc� tea* at dut O� t� 1 or 2 P Dwolft - Number atR1' 'sss �1 - O'KEe {u; - Describe Lisa a o seta Owned r� Nearest Road ` e UL Type of l+eemit r (Cbeek emly an boot m NmqAA (mmd Mammas fur b*KUW=a). CeMpie0e re E s hie) A ' i New 2 ❑ it bm=W *sum 3 Rgbo=Nm or 6 a A" mw F"` County Vale Tank 011Y a. o aedc it S+udottay Fmvim* baoaed Paden Nombar Dom I:,ned IV. Type at (CbKk ati d" s (�nosber 1 .cl taste is hr use) 44 Non - Aeamrimod nomad 210 Ind 47 D sand POW so D coum ct ed wetland 22 Promotimd lutiround 41 ❑ lioiftg Tmk 48 ❑ Yass 51 ❑ Ddp Laos 43 0 A14hado 46 D wetebie T"plmeat Una 49 30 0 Odor Y. Area PAW (04 Diqwnd An* > Ares Sol �h Peicalatiou Rasa srssem Skwtlou Pros! Grade Dodge Regsited Peopoaed rtatacelalt rntrslJq R-� t1} A F-1 q 9 mans p o 8 q , y , o S 9'�_9�. (moo /aoo /al a.q x ,5 83 , 3 5 83 ,35 VL Ttea11 info cwmc* In Toad Nambor met Pteftb site duel Plber Plastic at Tomb eoocna eanmacsed Ghm New esiood: $* �� _ - as pp as aftodood s s 1►d PRAM Neember Husioen Pbane Number 'w '* 7) 1 L L,�U, S- "s Addtsss Meet. � d vm. v>te �AI'pta"`"°d � DlsfPptored Pee) Pee (� Dow I::,ted haft Agent (No ) ❑ Owner Ghm bsWst Adverse AD ` Desataratwaiaa Z� DL taaiod o X " OAMAW eA pta.al/Re• sons for Dias ,nlidu`A. Cs�-C2 Us 16 ""Ces. 04 s e °� i'a` e 4 oL per. Afteek OwNOWW pre• So dw rau11 eab) far Nw atate p NO is tWo a 11 leeim is sloe L Rt ;A5:kv 1 ft rte$ Tr e iin� V\A — wC�o sac,, A oA r uz lV W , s� / S 1 T des X219 ri i} ,•� os Sf . . N Utjo c�. tD�' 5 N s A MN SMO AL. 4e c�3 3s o 1 '1 � 8 w°' w pl ot P53,411 If t1<Y rc�$ TV\ e s�I"r�n� v��S o 7 A OA r U-5 �� l � S� �`� � f * 7 I o� ►V � � c / 1J ! Pb Lobo (i Le) 15 No . ST �A 117 A) S-5 / 0 y oAj o..,a�o - �0 -oo0 )-4 �q 4e if 'Yo S�7 mar k. Co F-k t i � a'b � yl ao p �� 1333 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Gustum Septic Service Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. percent slope, scale or dimemsions, north arro.k arM�toeetierL;3nd distance to nearest road. pending Please pr n np16 ff. R 'eared By Date Personal irdormation you provide may rdi secondarXjWrposes (Privacy L* s. 15.04 (1) (m)). Property Owner I l ) Property Location Humbird Land Corporation =_ ' )Povt. Lot 1/4 SW 19 S 17 T 28 N R 19 W Property Owners Mailing Address of # Block # Subd. Name or CSM# 332 Minnesota Street, East 1t4G4 T j 15 n/a Troy Wood Subdivision City S ip Code Pbt1Ur�ldumber ` ``. _j City __j Village _ ✓_. Town Nearest Road Saint Paul M 5" ttoi j' - Troy E Cove Rd / Crocus Hill Road New Construction Use: Rj; iW till J 44t : 6 - j defiedroorns 3 Code derived design flow rate 450 GPD Replacement _f Public or`cofimerr;lar Describe: Parent material loess Flood plain elevation, if applicable n/a General comments and recommendations: Part of 1.58 acres. BM #1= 100.0'. BM #2= 97.35. Recommend 93.8' system elevation between 95.6' and 96.35' contours. P51 from preliminary boring work done 5 -5 -00. I F51 Boring # J Boring 1/ Pit Ground Surface elev. 96.35 ft. Depth to limiting factor X in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft *Eff#1 *Eff#2 1 0 -16 10yr3/3 none sit 2msbk mvfr as lf,1m 0.5 0.8 2 16 -24 10yr4/4 none sit 2msbk mvfr cw 1f 0.5 0.8 3 24-44 10yr2/2 none sit 2msbk mvfr cw - 0.5 0.8 4 44 -54 10yr3/4 none sit 2msbk mfr cw - 0.5 0.8 5 54 -75 10y4/4 none sit 2msbk mfr - - 0.5 0.8 S3 ; 3 G / z- a Boring# J Boring 1/ Pit Ground Surface elev. 95.6 ft. Depth to limiting factor X72 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' *Eff#1 *Etf#2 1 0 -10 10yr2/2 none sit 2msbk mvfr as 1 f 0.5 0.8 2 10 -15 10yr3/2 none sit 2msbk mvfr cw 1f 0.5 0.8 3 15 -22 10yr3/4 none sit 2msbk mfr cw - 0.5 0.8 4 22 -30 7.5yr4/4 none gr. sit 2msbk mfr cw - 0.5 0.8 5 30-45 7.5yr4/6 none gr. sl 2msbk mvfr cw - 0.5 0.9 6 45 -58 7.5yr4/6 none gr. s 0 sg ml cw - 0.7 1.2 7 58 -72 10yr6/4 none gr. s 0 sg ml - - 0.7 1.2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 <_150 mg/ * Effluent #2 = BOD < 30 mg/L and TSS < mg/L CST Name (Please Print) Signat CST Number Tom Gustum 5�J 227618 Address Gustum Septic Service Date Evaluation Conducted Telephone Number N13450 937th St., New Auburn, WI 54757 11/20/00 715 -658 -1344 i Property Owner Humbird Land Corporation _ _ __ Parcel ID # Pe —nom -_ ' Page ... 2 ___ of 3 H Boring # I Boring !d Pit Ground Surface elev. 97.7 4__ ___ ft. Depth to limiting factor >72 _ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _— GPD/ft: *Eff#1 `Eff#2 1 0 -10 10yr2/2 none sil 2 mvfr as 2f 0.5 0.8 2 10 -14 10yr4/4 none sil 2rul mvfr cw 1f 00 0.0 3 14 -18 10yr4/6 non sil 2msbk mvfr cw - '0.5 0.8 4 18 -27 10yr416 no ne Is 1 msbk mvfr cw - 0.7 1.2 5 2 7-41 10yr4/6 none s il 2msbk mfr cw - 0.5 0.8 6 41 -72 5yr4/4 none sil 2msbk mfi - - 0.5 0.8 3rP A 2 F-1 # Boring J� Bon - 16 Pit Ground Surface elev. ___ ft. Depth to limiting factor - —_ - in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft= *Eff#1 *Eff#2 ❑ Boring # -I Boring A Pit Ground Surface elev. -__ . _ - -__ _ ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDr *Eff#1 *Eff#2 i I " Effluent #1 = BOD 30 220 L and TSS >30 < 150 � < _ � mg1L Effluent #2 = BOD -j 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. ► � m n O 00 c �cn�z��w�mx nZ• N ' Ol Q a _ -- I _ � z� N O c O W CL W i m ProPe�tiy One W K o r— c 0 CA QJ \ U-1 r m o m C °o J w o -- - -- J N c W I 1 , I I / N r I I = r r b r a o r ' ' � r r - r / 0J r r r i Cn1 I a I I _ W ' r _ Better Wa "r y ' 8'0'D'ffUSe�'- V x " ntrs, 34" = 76" Seutex �o -� + � h °" Cw W ♦ LOuven Cifea , OFft" xide + Side "Wfiwe and ♦ ♦ PmVw Perfo a an '�'r Coonomicat k =' M'axirnkes unMa$ ke+�► The OQ ti leaclxf4g surf Of unasked vides the optimum objective is to leaching surface. mount ,inmasked sid provide an open its design pillar ` ll to allow efflu bottom a Y action in all directions. ent to n ow S chieved b via CIT Y combini This has been odubw � S o nOm with a serf g the tr aditional L OW Prpry� Unit went insi es of louver ope - .... ..7 6' ' ,il de the chamber f, along the sides. w'bth .............34" I Length ... ...76« e designed the full 1 f ea m to uncom cted Height . 14- ! Width .. ....... . .. 34« fined to allow ch si de. The lou Irrvert..... Height... « c o gictied backfiIl whi effluen tO pass into he 810 0iffiuso t i 9 Invert.. _......6.5« to the chamber pre it from ot� graded and of skits when Instl size, w f or 17-, withstand i. _ I SON S, to �fi'- -20l r 3l, � A POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS P Septic Tank Capacity � a l ❑ NA Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer Z ❑ NA Number of Bedrooms E 70 A Effluent Filter Model , 0 NA Number of Public Facility Units A Pump Tank Capacity gal `67�NA Estimated flow (average) I n gal/day Pump Tank Manufacturer ANA Design flow (peak), (Estimated x 1.5) tOp0 al /da Pump Manufacturer "A Soil Application Rate • al /da /ft2 Pump Model bNA 13 Standard Influent/Effluent Quality Monthly average" Pretreatment Unit �NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODJ 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /1OOm1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y. in diia. ❑ NA Other: ❑ NA Other: [03 NA Other: [3 NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Service Frequency ❑ month(s) (Maximum 3 yews) ❑ NA Inspect condition of tank(s) At least once every: 3 ear(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA month(s) (Maximum 3 yews) ❑ NA Inspect dispersal cell(s) At least once every: 3 year( s) I ❑ month(s) O NA Clean effluent fitter At least once every: — 2 years) ❑ month(s) "A Inspect pump, pump controls & alarm At least once every: ❑ year(s) ❑ month(s) 19-p1A Flush laterals and pressure test At least once every: ❑ yew(s) ❑ month(s) *944A Other: At least once every: ❑ year(s) Other: tdA 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; a by a 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 teaks, 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. Wisconsin services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment All 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. GtVIW (4101) ' ZirART UP AND OPERATION P age of For new construction, prior to use of the POWTS check treatment tanks) 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 MAINTAINER Name ` Name Phone c' Phone �� SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL. REGULATORY AUTHORITY Name Name � C < < Phone Phone s This document was drafted in compliance with chapter Comm 83.22(21(b)(1)(d) &(f) and 83.54(1), (2) & (3). Wisconsin Administrative Code. � k ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer r Mailing Address . Cn Property Address C Q„o CuS 14 I LL R_6A (Verification required from Planning Department for new construction) City /State Parcel Identification Number _py o t a�t O 144) - O LEGAL DESCRIPTION Property Location 1 �/, ZEO y,,, Sec. T- -R 19W, Town of Subdivision Lot # �s . Certified Survey Map # Volume ; gage # Warranty Deed # ---- 0 no ( , , Volume d , Page # a Spec house ❑ yes ❑ no Lot lines identifiable g yes ❑ no SYSTEM AiNTFNANCE Improper use and maintenanceof 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 agmees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restrictedplumnber 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 Off :cc within 30 lays of the three year expiration date. A 4 / /© 3IGNA OF APPLICANT DATE aWNER CERTIFICATION 1(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 he property described above, by virtue of a warranty deed recorded in Register of Deeds Office. 3IGNA 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 U 1893P 221 t` • STATE BAR OF WISCONSIN FORM 2 .1999 WARRANTY DEED Document Number This Deed, made between Day Farm Investors, LLC, a Minnesota K A TH LEEN ESTER OF D Limited L Company ST. CROIX Co., MI RECEIVED FOR RECORD Grantor, and Andrus Investments Inc 05 - 24 -2002 2:00 PM WNRRANTY DEEP EXEIVT # REC FEE: 11.00 Grantee. TRANS FEE: 269.70 Grantor, for a valuable consideration, conveys and warrants to COPY FEE: Grantee the following described real estate in St. Croix CERT COPY FEE: County, State of Wisconsin: PAGES: 1 Recordin Area Name and Return Addrea of I5 Troy Wood, Town of Troy, St. Croix County, Wisconsin � +work T i + , , ✓t C y l() U✓ES'� HwY 4�� �3oa Shvre�IC��MN SSIZ� 040-127040 -000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) I Exceptions to warranties: Subject to notes, easements,restrictions,covenants and rights of way of record, if airy, including but not limited to those for drainage,water retention,ponding,and or utilities as may be shown on the plat of Troy Wood recorded in Vol. 8 of Plats, page 28,St. Croix County, Wisconsin. The warranties of this deed, either expressed or implied are limited by the grantor to the grantee, or anyone in the chain of title, to the consideration expressed herein, that being the sum of $89,900.00. Dated this 21st day of May 2002 Day Farm Investors, LLC • 6 ice President ' . Caroline B. Bowereox AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) ) ss. — Ra msey County.) Personally came before me this 21st day of authenticated this _day of Ma 1 2002 the — above named C aroline B. Bowersox TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not instrumen td acknowled a the s me. authorized by § 706.06, Wis. Stats.)� ■ THIS INSTRUMENT WAS DRAFTED BY PAUL A. P_..^.ILLON Pa ul A. Bail Attorney at Law ' Paul A. Baillon Notary Public, State of isc' : sin (Signatures may be authenticated or acknowledged. Both are not My Commission is pentl��f SY L91}S[i'itY�il`Qt}M v• necessary.) January 31 2005 ) • Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 • 1998 INFORMATION PROFESSIONALS COMPANY FOND DU LAC. WI 800-653 -2021 y� 1► ° P W a` �° Z* ' 6 °0 � y ' CO) 11 4 Z� @� � j / v _ O ,- / N n / / \2 �. '' I O W / 4 / i 7 �\ L N .000, 000l M 40h min �� c ? N to OD \ 0 > 0 le \\ m O pt �\ � Co / j. N ,/ m y co os j r N 00 ' co 0 .p ; O Z Duo o 4o co r r IJ own I TROY WOOD N LOCATED IN THE NW114 OF THE $W1 /4, THE N2114 OF THE M A THE SW1 OF THE 8 Wt /4, AND THE SE7i4 OF THE 3Wt /4 OF BLOTTON 17 AND THE NE1/4 OF THE NW114 OF UOTION 20, ALL IN T20N, 918W, TOWN O• 1 ; TROY, ST. CRIOX COUNTY, WISCONSIN 8E¢ $MEET Z 0 d 1 �P 14 Ro I. m ) swommm tj t Cf Wd N' I t • � � I' + 1• 1 a 1 �o I.aea.e*. I I P ,f , ' Lt7Ag4 ♦ �, �/ i ' / 13' 2 ,. ' aa,ol ( ) ! � 29 � ! t t t. / i aaarbaae �-- - 27 j ' ,,' � I ` PP S � I t _� •1 W 28 \ + � �'� t 20 A / Ioa a.a w R S aaTO,iae i Z ri4�ie a. ;1. 21 1 1 r %. ,IS.vtsaa ei. :n w.r ' � toa r 1 e ww r .� �- awmWMTw I ,w wmr.ae a.v,we.t.luwa.r ,calaow ove /a11aa RHF