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HomeMy WebLinkAbout040-1187-40-000 tsconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division St. C INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar PermitNo.: Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. 74917 Permit Holder's Name: ❑ City ❑ Village ❑ T6wn of: State Plan ID No.: Fox, Richard Troy Township CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: OD c 040- 1187 -40 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic oZ ,�t5 Benchmark 2 -5 1 02.5t) - 0 Alt. BM T--- 9�l: ien L Bldg. Sewer p�gVo St /Ht Inle *3 �t�.`j q' /•s3' TANK SETBACK INFORMATION St/ Ht Outlet Ventto TANKTO P/L WELL BLDG. Air Intake ROAD Dt Inlet �— Septic*3 30 0 oZ 3 NA Dt Bottom ',) S •3t $� • (� D °since Z }. 3 0 t S r NA Header / Man. A—= } 3a ` >Sti r 8 } a.$ ' NA Dist. Pipe g Bot. System PUMP / SIPHON INFORMATION Final Grade Manufacturer X e-'e-5 Demand St cover Model Number VW c-''O GPM �%' DH Liftj,°K Friction ,e1 System � TDH �fl� Ft H ead 10.30 q2. Z L oss D z Forcemain Length Dia. z" Dist.ToWell X50 SOIL ABSORPTION SYSTEM p I DIME NRENCH Width Lerygtb r � N . Qf renches PIT No. Of Pits Inside Dia. Liquid Depth �►L S DIMENSION SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Man yi �tur r: n- INFORMATION Type Of � , r CHAMBER Model Number: 7bK�ltlt System: CWO 14' r - OR UNIT A _ c l Gt U DISTRIBUTION SYSTEM Header / Manifold U Distribution Pipe(s) le Size x Hole Spacing Vent To Air Intake Lengt Dia. i 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 Bed / Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: f�/L /"Inspection #2: Location: 62 62 W. Woodridge Drive, River Falls, Wl 54022 (SW 1/4 NW 1/4 36 T28N R19W) - 362819797 Oak Ridge Acres -Lot 44 1 * j k,.� = �'• D 1.) Alt BM Description = lvl 5 V- Z 2.) Bldg sewer length= �, t i /aw s�. - amount of cover - 5) A- t U Plan revision required? ❑ Yes 'A No < �4 1 S Us `` e �� p er si dditi naI i !�,mati g n A (, 23 SBD 6710 � Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: KSCALF � I I i 1 E 3 � I � � I ++E Safety & Building.. Division 201 W. `�Vashinaton Ave. Sanitary Permit �e;a PO Box 7302 `Wisconsin In accord with Comm Madison `NI 53707 -7302 Department of Commerce Personal information you provid used k, secon oses (Submit completed fora v to zo._nty if not s t Privac Y L >;r 5.0 up stat owned. Attach complete plans (to the county copy o r the s ,-on' - a per not an 8 -1/2 x 1 I inches in size. County State Sanitary Permit Number L4Check if revision p2gr, ap TIP State Plan I. D. Number I. Application Information - Please Print all Information � T CROt )( Location: Property Owner me �UT41 t rty Location / 1 /q/vWl /4, S 6'1 /7E or Property Owner's Mailing Address 1 Lot Number Block Number it/ olvga) a D 2, Ci State Zip Code Phone Number Subdivision Name or CSM Number f 0 U,)/ z Z ( X ) Z,E Zlim Vic- A(h 6e II Type of Building: (check one) ❑ City 'Jai, 1 or 2 Family Dwelling - No. of Bedrooms: ❑ village C1 Public /Commercial (describe use): J ;frown of..� -2 ❑ State -owned J III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road A) 1. ❑ New System 2. Replacement 3. ❑ Replacement of 4. ❑ Addition to Par T�ax m r s System Tank Only Existing System B) Permit Number Date Iss: led NC ❑ A Sanitary Permit was previously issued Q, d. IV. Type of POWT. System: (Check all that apply) 14' I C1p c� ST- 797 )i(Non- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade / Aerob'c Treatment nit Recirculating_ ❑ Other,- 3 3 X 10 2.6 o S'v. V Dispersal/Treatment Area Information: _ 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevaticm - 7 - �ir:a' Grade Required Proposed Rate (Gals. /day /sq. ft.) (MinAnch) kvz.io. VI Yank Capacity in Total # of Manufacturer Prefab Site Steel W F )er- 'lastic Information Gallons Gallons Tanks Con- Con- R;1 New Existing crete strutted Tanks Tanks �� ` , ❑ ❑ C7 - - - - -❑ Gd _ VII Responsibility Statement I, the undersigned, assume respons for installati of the P WTS shown on the attached plans. _ Plumb s Name (print) P mber's ature no s MP /AbPWNo. Business Phone Nunibe: Plumber's Address (Street, City, State, Zip Code) &L G�� Y LtJ o _ VIII County(Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Sigi attic (Nc stamps) '.Approved ❑ Owner Given Initial Adverse Sulcarge Fee) Determination � gk, ev. g'u-26� KRLUtn� IX p � Conditions of Approval /Reasons for Disapproval: ICC Ap Opan�lBK Q.ys p Cd , C �0, r i S � ,Sc JI s r r `-f s �,-r 3 0 T 30 , r� R ( cff n` ✓ IV nl s • 0 i R� Wisconsin De ngel atiti ons 3 Industry Hu Labor and Human Relations SOIL AND SITE EVALUATION REPORT Page 1 of Dir;sion of Safety 3 Buildings in accord with ILHR 83.05, Wis. • NTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. P n must inc not Limited to vertical and horizontal reference point (BNQ, direction and % slop ����c P .0.I dimensioned, north arrow, and location and distance to nearest road. L _ 118_-?-14Z APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATI QQti g REV BY DATE PROPERTY OWNER ERTY L FUk 40 N 6 T ,N,R 1 g E( W PROPERTY OWNER'.S MAILING ADDRESS. g4 w . w 00�211� 6� �1Z. L OCITY OVI �K #� ZL� �G� fil 5 CITY, STATE ZIP CODE PHONE NUMBER OWN ' NEAREST ROAD RZ um Rus, 1 4l1 Silo Z.Z (_7 L!� 4 2.4 = 21013 ,o w , Woo�2�D Err D Q (] New Construction Use (JQ Residential I Number of bedrooms q j J Addition to e)dsting bulling Replacement (J Public or commercial describe Code derived daily flow b OO gpd Recommended design loading rate • ' bed, gpolft trench, gpd/ft Absorption area required 8 5 8 bed, ft - 1 5 0 trench, 11 - Ma:dmum design loading rate • 7 bed, gpd$ trench, gpolt Recommended infiltration surface elevation(s) q4.O 9M'A It (as referred to site plan benchmark) Additional design /sit- considerations Z `SRS e ttes 3 y-•-j S' w /Lef�eW Ctt•(tl- 1(3�es ! j - Dose - Pu -1p Parent material _L3 C Z G e l PrC , pu'TlAJNSh . Flood lain elevation, if applicable �A P PP ft S = Suitable for System CONVENTIONAL MOUND WGROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for stem ® S O U I ®S O U 13S O U I 131S O U O S IOU I [IS ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color I Mottles Texture ( Structure Consistence �t3y Roots GPD/ in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. I Bed terxh lZ ►'vb ° L-LV Z V' • S - Z 1Z 3b 1T3'L s 1 Zvrrs wi - f� C5 I - • -� S ' Ground 3 b -tl b l0 Z 2 Vl6 _ S O Sg yvl •� • 43 �- ci Depth to limiting factor 7 L b yq. i. 8 Remarks: Boring # o -0 opt 2 Z// - s1 l z`Fsb �Z ►� - O-W zu, • S = . 6 S' i4 -43 LoLfrz 31b — stl Z�nsb>L y �s - • S F _ Ground elev. Depth to limiting factor q o Remarks: T Name: — Please Print Phone: Arthur L. We erer 715- 425 -0165 ' egdrer Soil Testing & Design Service -P.O. Box 74 River Yalls,WI.54022 Sgnadue: • O 0 - \1 Z Date: CST Number:. 6- �) UO 220254 PROPERTY OWNER R� X • SOIL DESCRIPTION REPORT Page - of PARCEL I.D.# L)g — 1tF61 — 4� Depth Dominant Color Mottles Boring # Horizon Texture Structure GPD /ft in. Munsell Qu. Sz. Cont. Color Consistence Boundary Roots £`•,•3.. 0 -9 IoKIZ zL I - s i 1 Z�sh � u Bed tench y - Is 1e3b12 M U fl- 0 u _ •� ..g Ground 3 3� -$ �' 1 D `i I ? VA — , C-) elev. 9 g m — } i ll. Depth to limiting factor 6 " .4 TZ,t> Remarks: Boring # . >; :vv. Ground elev. It. Depth to limiting factor Remarks: Boring # ;r^ - n cg Ground elev. It. Depth to limiting factor Remarks: 3oring # k .'around ;lev. It. )epth to imiting actor Remarks: i PLOT PLAN Page 3 of 3 SCALE 1 "= 30' ?p0 � rc.1UE V- ✓ ti-o r�F, p S ro - n c- 0 II o� C x � Z \3DSZ"1 O D Z60 nQ T86TMO OF V\13 SC SID))U6. S CTS �5 N�►Z�.L{- L�O<?L (�: S� ��'v!�'17C51�JS� _ - Z'ioz 5 y 6" zt! oo ( 715 ) 425 -ni hs _ CST Signature Date Signed Telephone No. CST # Combination Septic;Tank and PUMP CHAMBER CROSS SECTION AND SPECIFICATIO ' VEIJ7 CAP WEATHER PKOOI` JUUCTIOl..J 1�OX i'c.:. Vf:NT PIPE APPROVED LOC'CItiIC, FROM DOOR- MAJJHOLC COVEK - - -1 � , /iNDOW OR FRESH ALR 0� TAKE cos�DvtT 1 l y 11�S ?�cT7oN Pik -- PROVIDE I_ IAIL � E T _ - �— - j `AIRTIGHT SEAL APPROVI =D JOIAJT A I ( I r,PPK0 i; ,JOINT: W /C.T. PIP Tank construction �;C.�. "1PE OF, Poc shall comply with I" ALPKM I� 83.15 and 83.20 d ( II co*tit�. I' I ' PUMP - -� -j b OFF D CD �L`"La• © ��ocu t RISER EXIT PERMIT(ED 0J1Ly IF TAWK MWLJFACTrJRr -R HAS SLJCH A'PRDVw,_ J r ��✓ SEPTJG a SPECIFIC ATIDtJS DOSE TA1.1K5 MAUUFACTURCR: ���`,-•� �- �-`��' =�� IC RU/hBEFt OF DOSES: TA;JK SIZE : ✓� — 73 0 GALLOI.I5 DOSE: VOLUME = AL ARM P'Ad JUFA.CTUR(`R: S_ S tJi��'1 - 3 ;f.ICLJDIIJG OACKFLOW: MODEL IJUMBCR: — CAPACITIES: A- =— t-t�- , �JCHCS OK G ;- ,L.L(JUg S W 1 TC H T y P r.: B =_ IUCI~CS"DR _ �Z_ v L.LOA:S PUMP MAUUFACTURWA: �1ZS _ C r / I / JL,, MODEL RIUMBER. Or INC iES OR Gk,1.LL)LS SWITCH TYPE: 1JOTE: PUMP A1`1D � _ y -� A AK,-� -1KL TC CL MIAIIMUM DISCKARGE RATE GPM 1N5TALLED CAN 5EPARATC C.'1'',:_JI"5 q � VF- KTICA,L DIFFLKCFICC DCTWCEU PUMP OFF AQD.D15TR16U - rIO►J PIPC., -f- MIIKJ�IMUM )•1ETWORK SUPPLY PRESSURE , , v FLET - f - —LCL— FEEL' OF FORCE fMIN X X 7 3 m ERIC "'IOU a FArioR_,.�r T -'" TOTAL DyNA,MIC HEAD �. FFET Pump chamber DIAMETER — WTER IJ AL. QIML J510)J� OF TAEJK: L_ENOT'H H � 1w UJD DEPT' { BOTTOM AREA =�; 2 31 - ___ GAL /?NCH ME40 Series "s 4/10 HP Effluent and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 1 � �j 30 0 � F w 25 8 F Z 20 6 15 J 0 Q ~ 4 F0- 10 0 0 0 10 20 30 40 50 60 70 ®0 90 100 CAPACITY GALLONS PER MINUTE F.E. Myers, A Pentair Company • 1101 Myers Parkway, Ashland, Ohio 44805 -1923 419/289 -1144 FAX 419/289 -6658 Telex 98 -7443 K3326 7/91 Printed in U.S.A. Co Cl I Cp 0 m; • m cr co .0 CL ► Q m 10 > m so, 0,:� 0 IV C , o lJ Ol 0 �i 3 3 ul MEL C/) 1 -1*40 o Cl) co 0 C/) LD 6 N CD (Q �3 (D CID ' (1) C 0 K -n x =r :7 r (D (D :) D - = C_ L x ' 3 - 7 'a (D — C/) C - !R 2. CO CD 0 0 (D ASV o o �� A 0 w Z r. CO CD ( n cn C) cn CA) (D 0 K) -pt =r Q (D x w 3 --,j 3 (D cr CD 8 D (n ff (D C � 3 (D C: 0 (D W Invert 11 NJ (D (D 0 a 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} R) V Number of Bedrooms Design Flow - Peak (gpd) Estimated Flow - Average (gpd) Septic Tank Capacity (gal) Soil Absorption Component Size (ft S &o-Ffz — hai'S Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) t2 Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 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. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain 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. 3 08/11/00 FRI 13:12 FAX 715 386 4686 ST CRX CO ZONING 0 001 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGRE13MBNT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer —k (A - j w Mailwg Address propody Address (Vcri ,cation required from Planning Department for new Instruction) City/State p ig Parcel 1denti5cation Number TQ — L9 7 — AL A�Cg,IPTIQN ro Location %•, J= .� '/4, Sec. T - R tw Town o Jw—� p P�h� � Lot # Subdivision Cetyifit:d Survey Map # , Volume Page # Warranty Deed # - Volume Page # Spec house ❑ yes Jamo Lot lines identifiable ❑ yes ❑ no syS'ZM bj&gMENABCE hue failure to hsadlo wastes. Proper maiatwance Improper use and maintenance of your septic system could resiuit in its prima r What ou into the system tis oofsts of pumping out the septic tank every three Yom or sooner, if needed by a licensed pumper. Y 1 can affect the function of the septic tank as a treatment smge in the waste disposal system es to submit to St. Croix Zoning Department a certification fQum signed by the owner and t m 'I1ie property owner ogre that (1) the on-site site wastewxterdisposal syste masterphwber. j�ymaupinmber, restrictedpiumber or a licensed pumper s the tic tank is less than 113 full of sludge• is is proper oI��6 condition and/or (2) after inspection and pumping (if necessary), $T to ma'm m the private sewage disposal system with the standards Uwe, die undersigaed pave read the above regairem ogee ent of Natural Resources, State of Wisconsin. Certif catiou & set fortb, min, as set by the t of Commerce and the Departm the St Croix County Zoning Office within 30 stating that your optic system has been maia must be completed and returned to days of the flrtic ar expiration da DATE SMNA TUP,B OF AYrL OWNER CEItTIT'ICA'x'ION ) I knowledge we am ( arc ) due owaer(s) of I (we) certify that all statements on this form are true to the best of my ( our ) ( the grope descri about, by virtue of a arraaty dead recorded in Register of Deeds Office. DATE $ O APPL «�et4lf sssssf Any iaforsnation that is mis- represented may result in tie sanutary peruut bc'ag revoked by the Zoning Department• •• Incfade with lift application: a stamped warranty deed from the Register of Deeds offrcc a copy of the certified suuvey map if refcreneo is made is the warranty decd i QoQi+ 4 ?9 Fr•�E58Q DOCUMENT NO. WARRANTY DEED -!y Corporation STATE OF WISCONSIN —FORM 4 2 87081 THIS SPACE RESERVED FOR RECORDING DATA - - - - -- - — H,G15TFEFtS OFFICE THIS INDENTURE, Made this day of _Dpceiiiber ST. CROIX CO., WIS. A. D., 19 66 , between __Joseph_H_. Schu and Alice M. Schultz, Recd for Record this__?7th husband and wife day of D. 19 part 2:e So of the first part and aat --- : 0 (-- _ ---- ._, M. Rolli — H il ls Development, Incorporated c a Corporation - -- duly organized and existing under and by virtue of the laws of the State of Wisconsin, located Roll tsr f ads at ldver Falls Wisconsin, party of the second part. RETYNN TO W f t n e s e e t h, That the said part ies of the first part, for and in consideration . of the sum of - - - One Dollar a Other Va luabl e Cons — - °-- - _ - to t hem in hand paid by the said party of the second part, the receipt whereof is hereby confessed and acknowledged, ha ve given, granted, bargained, sold, remised, released, aliened, conveyed and confirmed, and by these presents do give, grant, bargain, sell, remise, release, alien, convey and confirm unto the said party of the second part, its successors and assigns forever, the following described real estate situated in the County of _ Wit. -Q j.X and State of Wisconsin, to-wit: Lot 44, Oak midge Acres, in Township of Troy. This Deed is given in order to fully release the Grantorst interest in the above described property from any and all claim Grantors may have because of that certain Land Contract dated February 8, 1965, recorded Varch 26, 1965, in Volume 411, Page 568, Document No. 279526. Crantors retain their rights under said Land Contract as to land not conve,, to Grantee and its predecessor vendees under said Land Contract. Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; and all the estate right, title, interest, claim or demand whatsoever, of the said part - le s of the first part, either in law or equity, either in possession or expectancy of, in and to the above bargained premises, and their hereditaments and appurtenances. To Have and To Hold the said premises as above described with the hereditaments and appurtenances unto the said party of the second part, and to its successors and assigns FOREVER. And the said _Joseph H. Schultz and slice II. L;chultz } usb and wife for tI cIn elV(iS, tt1e1T - heirs, executors and administrators, do ______ covenant, grant, bargain and agree to and - - v with the said party of the second part, its successors and assigns, that at the time of the ensealing and delivery of these presents _-thL a Y' well seized of the premises above described, as of a good, sure, perfect, absolute and indefeasible estate of inheritance in the law, in fee simple, and that the same are free and clear from all incumbrances whatever, _0XCe_1?t subject to all easement and right_ - v - '' : ii r ar- of t rc c occ _- ncLcc }�ti� Qr -- Qil, -- �,z._ u1s1 ni al r� alt s re se r_v_ed by the F d r_ _l I, nd and that the above bargained premises in the quiet and peaceable possession of the said party of the second part, its successors and assigns, against all and every person or persons lawfully claiming the whole or any part thereof, will forever WARRANT AND DEFEND. In Witness Whereof, the said part ias of the first part ha va- hereunto se __ bw;!X hand S and seal 1 __ this da • of _I�G.G _IIlis r -.__ , A. D., 19_66 . 3 �t 2'S L�`G L -LPL (SEAL) SIGNED f ?SEALED IN PRESENCE OF Jo�_fi. :ich r� (SEAL) j Alice 11. Schultz — (SEAL) (SEAL) STATE OF WISCONSIN, 1 County. J - December , A. D., 19 6 Personally came before me, this day of — the above named _QhUjtz_ f 7 ce M. CchultZ husband and wrife to me known to be the person -s.-- who executed the foregoing instrument and Jedged the me. ! . NOTARY IStdAL This instrument drafted by _ Notary Public _ County, Wis. dalph l.. Senn, ,tty. My Commission (Expires) (Is) L v f'Z''l ^a - -- a of ths S grantors, gr witnesses and no�id« that all Instruments to he recorded shall have plalntY printed or t "on thereon the Ham WARRANTY DEED —STATE OF WISCONSIN; FORM NO. 4 2 lk . ° ?'• I I I m P 50• I o w o 1E .^ I �0 • � k^pinne° ion° .° l0 ^° ---'- J CG6. ' g SOO °05E 13�i. 800° a ` ' I ,..: - -' :;�Qp' Ioo.f10 — - g 3 i0000 Y!` ?,, loo.00 loo Town Rood - - - o m ,. v ` •� • - O "I C� I „ 8 CD ,°o N o 07 0 . j •, o.• loo. 100 00' .; Ibo•Od y al 100 00 .. o 2 ..... -TTT o o 1 NO OS'W 1282. 1' u _ p 18 t • ! Y `� �Q 0 005,-E 0 VL 0 I 0.b . 4 :rtb �• , 19 5.7 2 �. .,off. �9 . Bs . ,.:�. .. .j.g6 . ' 2 o [� 0 U G V C p •'� NO ' I .. Qp D' O u Ln m �� ,. �1 .. N N • ( 1A U1 (n 11 o CL 195. 72' •'� . 47_Bb';' i} •.97.'�5:N.: 8.974097.85' 976.52' iQ •�� ° 1 ✓ . I I s I I I I I I 1 1 I I I I I f I I I I I C, lo` I I to I I I � I I I ' I 1 ' I I I I I ULnD- 1 I 1 o SO( unDi°n.o Ion° S00 f I I I Soo °0TW 30.Z 6 ;'. SZ 62' 12381 CD a I O \ N 400 .m OD o' / �JI \� '11 0 OD • O : I 1 OV Np 0. w- W 7 O SOO..907'W 500.00' u W • . {5 I �°• ,. 2 / Q o.0 0 • �.; a I \ z 2' 0 ••� OD is b' 1 1' .J2: 1�' N g I I w 8 c N O oQOr f ¢ 9.9 - 2 r ) . CD I m ,,• E A� W N 1 04. f % °0 8 ' soo °oY I: CD 0 u 4 a 100: �> .. 1 IUO. °. Q ?� ['�� O Np 1 lm •TO ' 6`'• ; 0 CD 0 J � 2`V N I i ,W 521. r� F 4 0 0• .o u I °' ..0.o• 0 200 .00 ^ +o 100,00• .., 100.00 10 'UO- --4 0. �O• - 1J 10W I �w$ �✓ moo° � � � � �... _. .._..._ ..._. . i! �� o ° o - N 1 f g g _ p o I g ��- Oo = cn I :� 2 - - -' 0de *,nu0r' 1 I h 0o °07'E 687.20 N I I u °DI°nw 10 °°