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HomeMy WebLinkAbout020-1344-11-000 r .0 40 - 63 -/y - r/ oQO /cr. L9, ST. CROIX COUNTY ZONING DEP F AS BUT SANITARY REPBUILT Owner K k7At! �3ST' , ' ; ���c� /�i/ , Property Address P ''^ r__ ._ City /State u ; ���i !�o ' �� Legal Description_ �� "�'�Fr� Lot _ f Block Subdivision/CSM # 6 IVY '/a t, k) /a, Sec./ , 'I7 — N -Rf W, Town of 1-fu Aso SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer U-4 Size ST/PC1 / Setback from: House Well P/L Pump manufacturer Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to s air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM U / 442*h Type of system: Width �— Length �— Number of T oaehes Setback from: House �7 - Well P/L Vent to fresh air intake >/mt> ELEVATIONS p�ff�"t� fs 'f2 A�S� / Description of benchmark .2 Elevation Description of alternate benchViak Elevation ST Outlet . O'� PC Inlet uilding Sewer _ Oro. rr� ST/HT Inlet ��C? /.�� � - PC Bottom Header/Manifold - a_ Top of ST/PC Manhole Cove 62 . Distribution Lines () () ( ) Bottom of System ) ) Y O ( Final Grade Date of installation Permit num r State plan number Plumber's signature License number Z 2 ! / 9 Date Inspector Complete plot plan , l I NOTICE Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchm , ' applicable. I PLAN VIEW l �c 3S 27 GoT A 1� l yo N . SC. 2Z/ INDICATE NORTH ARROW Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count y: Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No -. IX Personal information you provice may be used for secondary purposes [Privacy Law s.15.04 (1)(m)). 338909 Per rpit H�Itler's blamE ❑ Cit H U D ll g Town of: State Plan ID No.: _ CST I BM Elev.:- 1C�;K Insp. BM Elev.: BM Description: LL77 NN Parcel Tax N .: SE �� 02 - 1344 -11 -000 IC,C% 61 1 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic eTlTQ Benchmark 5.;.} �03.� } I ao . (D / 9 Dosing /e . 13 rM 2_. e0 . 6 S Aeration Bldg. Sewer r j • Z3 . 0'� Holding St / Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Air I to ntake ROAD et hilet Septic �Sl�t ��� I NA Dosing NA Header / Man. 3 q7• C3 Aeration NA Dist. Pipe 'r 93.9 9. 3 Holding Bot. System O , to 3.0 PUMP/ SIPHON INFORMATION Final Grade (,.O . Z3 Manufac Demand . 3 . Mod I Number GPM TDH Lift Friction em TD Ft Loss ead Forcemain Lengt Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED Width r Length / No. O s PIT No. Of Pits Inside Dia. Liquid Depth EN I N 2 - 5S .2 DIMENSI N SETBACK SYSTEM TO P/ L 4DG WELL LAKE /STREAM LEACHING Manufacturer: CHAMBE INFORMATION TypeO l.�' s -�t O I lg0 — OR UNIT R mod Number. System: DISTRIBUTION SYSTEM 12 -- Header / Manif9ld f( Distribution Pipe(s) ,, y / x Hole Size x Hole Spacing Vent To Air Intake � tt Length 6,0 Dia - Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ Nc ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOC ' H w UDDSON 14.29.19, NE, N 980 LABARGE RD - GRASS RANGE LOT 11 A Plan revision required? ❑ Yes 00 No ® ZS g S-,,` Use other side for additional information. [(o / CVC � nspector's Signature Cert. No. / 14444 SBD -6710 (R.3/97) (� 4 wt— y1,tf6 i ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: > I E 1 s m am i m . fi i i 3 � ' z t e i t > 3 { r € L i e .m .,. .,.e , 4`^'� ,.,,.- ...-�= w,m. .... t am ,. .'m_ .e�� .. ®. P ... .. ...� >, m _. .t... m>, .. �. � .>,w�e.> ... +. E r i e� a ... -..o.� .,,. E � I E f E f t � r - ° ,m s. .c... i ,... .. a.>,m »°..s.. e ... . ,r.,.. ,gym ,� . ............«... J 4 r k € o E P , � 3 3 aa , 8 M1 [ € e £ € � B t 3 z 3 I a am, . E � E e { i B � 9 m i a E e a i � ¢ ' 4 e 3 { 4 a E g 3 Safety and Buildings Division Visconsin SA NITARY PERMIT APPLICATION . Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the count co o for the system, on paper not less County p p Y c Y Y P p than 81/2 x 11 inches in size. S eA • See reverse side for instructions for completing this application State sanitary Permit Number -� -2 Personal information you provide may be used for secondary purposes E] Check if revision to previous ap plication [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Pro erty Owner Name Property Location S. 1 /a /4, S T , N, R E (or� Property Owner's Mailing Address Lot Number Block Number c I -.. — Cit Stat Zip Code Phone Number Subdivision Name or CSM Number 4-� w m! 3P > s II. TYPE BUILDING: (check one) [I State Owned ❑ Ci Nearest Road Public 1 or 2 Family Dwelling - No_ of bedrooms 3 ❑ v own OF III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 4 - . N . M. 12 W1 1 ❑ Apartment/ Condo I y ©to 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel /Motel 9 ❑ Office / Factory 13 ❑ Other: specify IV. TYPE OF PERMIT (Check only one box on line A. Check box on line B, If applicable) A) 1. 9f New 2. ❑ Replacement 3, ❑ Replacement of 4 ❑ Reconnection of 5. ❑ Repair of an System System Tank Only System Extsting System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 Seepage Bed 21 E] Mound 30 ❑ E] Specify Type 41 Holding Tank 12 �❑ Seepage Trench 22 ❑ In- Ground Pressure , 42 ❑ Pit Privy , 13 ❑ Seepage Pit /Z ( _r f- 43 ❑ Vault Privy 14 ❑ System -In -Fill 0 c VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation . -0 3 3, 2. Feet 1 97 5' Feet Ca acit VII. TANK in g Total # of r Prefab. Site' Fiber- Exper. INFORMATION Manufacturers Name Con- Steel Plastic New Existin Gallons Tanks concrete structed glass App. Tanks Tanks Septic Tank orJi@W0rg1wk 4AM ❑ ❑ 1 ❑ 1 ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ 1 ❑ 1 ❑ I ❑ I ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of a onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No St p NITS, PRSW No.: Business Phone Number: P er's A dress (Street, City, State, Zipf ode): At; ©1 IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater D a te ssue Issuing nt Signature (No Stamps) Approved [ Given Initial u-S qo/ Surcharge Fee) �r Adverse Determination / X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: SBD- 6398 (R.11 /97) DISTRIBUTION: Original to County, One copy To: Safety s, Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. i 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin; Safety and Buildings,D vision, 608 - 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. g II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information_ Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 81/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- 1 GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. A c DAVE FOOMY P.V Q Lftnsed Perk Tester a Plumber p N •3233 03289 s �- R08E , NSIN so one 74 -3656 _ xa � 4 of NAtm zro/ egmxy Tice� if /0 X = ifarervr� wEGL oY� �j r tfiF -RRY TIrE'F � pw.►lG � - I / / / ^Mod, scV,* ts .4ccow*yrp fat t!Y" 3 .7 ,rp,w yes = " w ow/ �u•'� i r z�=_ /�GrT i}�*viCl' 77gaef/ ics�1t/. �R'� %7 • f/ Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Divis',on of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not l !inchesticZsize. Plan must include, but St. Croix not limited to vertical and horizontal refeirection a, % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location st road,r 020- 1020 -90 R VIEWED BY DATE APPLICANT INFORMATION -PLEAfRF MA PROPERTY OWNER: PROPERTY LOCATION Kernon Bast � _` ) GOVT. LOT NE 1/4 NW 1/4,S 14T 29 N,R 19 X (or) W PROPERTY OWNER':S MAILING ADDRESS CGU,'V r y / �, LOT # BLOCK # SUBD. NAME OR CSM # 948 LaBarge Rd.ONfNGrJ ' \ 11 NA Grass Range First Addn. CITY, STATE ZIP COD NE NUMBER [:]CITY ❑VILLAGE ®TOWN NEAREST ROAD Hudson WI. 54016 - Hudson McCutchen Rd. [X] New Construction Use [:q Residential / Number of bedrooms 4 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd /ft .8 trench, gpd /ft Absorption area required 858 bed, ft2 750 trench, ft Maximum design loading rate • 7 bed, gpd /ft - 8 trench, gpd /ft Recommended infiltration surface elevation(s) 93.77 =A / 93.20 =B ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem [3S O U C3 S❑ U t€7 S❑ U :K] S❑ U ❑ S �7 U ❑ S 0 U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench .................. ................. .................. ................. .................. '...1...'t 1 0 -11 10 r 3/2 none 1 2c 1 mfr cs 2f np .2 2 11 -32 10 r 4/4 none sil m na gW if .3 .4 Ground 3 32 -40 7.5yr 4/4 none sl 2mgr mvfr gw if .5 .6 elev. 9 7.1 ft. 4 40 -80 7.5 r 4/6 none ms osg ml na na .7 .8 Depth to limiting factor +80 Remarks: Boring # 1 0 -13 10yr 3/2 none 1 2cpl mfr cs 2f np .2 >......:::: 2 13 -25 10 r 4/4 none sicl m mfr gw if np .2 .................. ................ Ground 3 25 -39 10 r 4/4 none sil lcsbk mvfr gw if .3 .4 elev. 4 39 -82 7.5 r 4/6 none cos I osg ml na na 1 .7 .8 9 7.1 ft. Depth to limiting factor +82" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Ave Richmond &154017 Signature: Date: 9 -26 -97 CST Number: m02298 PROPERTY OWNER Kernon Bast SOIL DESCRIPTION REPORT Page 2 off Z'„ PARCEL I.D. # 020 - 1020 -90 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundmy Roots GPD /ft in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 4•i: 1 0 -10 10yr 3/2 none 1 2c 1 mfr gw 2f np .2 2 10 -26 10yr 4/4 none sicl m na 9w if np .2 Ground 3 26 -54 10 r 4/4 none sil m na 9w if .3 .4 elev. 97 ft. 4 54 -92 7.5 r 4/6 none cos osg ml na na .7 .8 Depth to limiting factor +92" Remarks: Boring # 1 0 -10 10 r 3/2 none 1 2c pi mfr gw 2f np 2 4 2 10 -27 10yr 4/4 none sicl m na gw if np .2 ................ Ground 3 27 -35 10yr 4/4 2d7.5yr 5/8 sil m na gw if .3 .4 elev. 4 35 -44 7.5yr 4/4 none sl 2mgr mvfr gw if .5 ':.6 97 ft. Depth to 5 44 -90 7.5yr 4/6 none cos osg ml na na .7 8 limiting factor 0 � r Ny Remarks: Boring # 1 0 -12 10yr 3/2 none 1 2cpl mfr gw 2f np .2 r::: 5 " 2 12 -53 10yr 5/4 none sil m na gw if .3 .4 Ground 3 53 -96 7.5 r 4/6 none cos osg ml na na .7 .8 elev. 9 7.7 ft. Depth to limiting factor +96" ao Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) r STEEL'S SOIL SERVICE Gary L. Steel Kernon Bast 1554 200th Ave. CSTM2298 NE4NW4 S14- T29N -R19w New Richmond, WI 54017 MPRSW 3254 town of Hudson (715) 246 -6200 lot #11 -Grass Range First Addn. N 1 =40' BM.= SE lot stake C el. 100' Alt. BM.= nail in Cherry tree @ el. 99.10' 6 s� 4 q� IT vl,An © tO t26 Gary L. Steel 9 -26 -97 I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer A/ Mailing Address ?'?,P z I'Zas .A!�Y. Property Address ��'�� A A - r r ` — —� go /,a _ Verification required from Pla in De artment for new construction) ( 9 g P City /State Parcel Identification Number -Z — 1_3 YSl —/1— ca9d LEGAL DESCRIPTION Property Location '/4, Ww ' /4, Sec. 1 T t9 N -R W, Town of 114 -e o•� Subdivision 6',�.5yK� ,Lot # Certified Survey Map # �- . Volume , Page # Warranty Deed # f1 2! 7 Volume / 1-z Y , Page # 5'J5 Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no SYSTEM MAI 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 necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. a SIGN TURE OFAYPLICANT DATE OWNER CERTIFICATION I (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 property descri d above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF PLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Depa_tment. * * * * ** ** 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 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Baler r Mailing Address Property Address ' d Z (Verification required from Aanning Department for new construction) City /State Parcel Identification Number DZ O � 13 5/5Y— 40 LEGAL DESCRIPTION Property Location 1 /4, 1 / 4, Sec. , T N -R W. Town of Subdivision 42 4,� o , Lot # 11 jr Certified Survey Map # , Volume , Page # Warranty Deed # , Volume , Page # Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a 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 Office within 30 days of the three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE 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 LOT >2 �. G, ���+ • • , 99,580 SQ. FT. Tp c � S 25' '03 W 66.0 ' 2 55" W 2� 68 cn '•. 0 ANGENT O 54'25'12"E 4 26 O co 64'04 "E O w 45'25 "E 64'04'57 "E m LOT 11 d- 54'00'01 "W 3.384 ACRES (y 147,406 SQ. FT. r co W p .......................... N w to o � bD —C2 O^ ^ DEDICATED TO THE PUBLIC -- - — - — — — i7 f SOU LINE OF THE NE1 4 OF THE NW1 /4 N 89 E 3 14.61' t _ McCUTCHEON ROAD UNPLATTED LANDS DOCUMENT NO. wA 1� O�' f THIS eFACt RESERVED FOR RECORDING DATA r TATE BAR OF WISCON R 2 — 118! 5 9'74 VO 2f[ (1 ' � --•- -- — ( X71. CF.l'. " i l l • 11 J RAY,. G. BRQ41N _and-- ELEANORE • BROi�i .. ... k ja Elinor J, Brwm, Ind toe I , hu$band and wife - JUN 5 1995 ............. . .. . .........•------......__ .........._..I.------ ....._.... __... ........... ........ - ........... .................... .............. 8:00 A ....-- ............... -- - ! at . J conveys and warrants to _.. �QNA�„Q1 ..J- _SflEER-$�!1$T - - -. - - - - -- .........................•-•-------. ._..............••••--•••..--•- Rai ! ................ -- •- •- • - "• - -• ....... .............................."---- ........_..._.._..------ • - - - -- ...... f .. ....... ..........•---......._.............__..... ..__._.. ............_....... .... __• .. — .. RtTURN TO j for and,other a cons era i T= I - ........................................................... �t Crofix - - - -- • /r1GGG the following described real estate in .... ......... ............ - _....... .— i State of Wisconsin: 020 - 1019 - 40 Tax Parcel N o : .ozo -i.Q !I NWk of NE% of Section 14 -29 -19 EXCEPT part to Hudvorth, Inc. in i Vol. 604, Page 226. NEII of NWT of Section 14 -29 -19 EXCEPT part to Thomas Wiley in Vol. 958,.1 j Page 577. II Subject to town road right -of -way along'the southerly line of said lands � Grantee is responsible for payment of real estate taxes for the year 1994, payable in 1995, and subsequent years. I� i I This ------- i- St- rat. ........ homestead property. (is) (ice not) +I Exception to warranties: i Dated this -- ............... 1$.i:- --........... •----_. - day of . ......... ................. ................. ......... -. 19..95.. I --------- .---------------------------------------------------------- (SEAL) "_ I ._�...- .......... - ..... (SEAL) Rav G. Brown -------------------- *-*-* ------------------------------------ --- -- . --- •• ............................. . .. ......................... (SEAL) -- - - ...... (SEAL) Eleanore Brown ............... ------------ ----------- - - - - ...... • �I AII ?HSNTICA ?ION ACHNOWLSDOitdSNT Signature (a) . _ Ray-. G.. __Brown__and- .EledllQrQ__ -_.._. STATE OF WISCONSIN Brown °- ..._.. as. I - ----- ---- -........................ County. authe ca . . ___ ... d y ___. ...... 1995. Piersonally came before me this ____ ______ ______day of ------- _______ _______ __________ _ ____ 19 ........ the above named I ------•---------------------------- 'Wi 1 i am J. i 1 bert -- --- --- -•- - •••••••• - --- it ' ------- -•--• -- . -------------•------•--•----------------- TITLE: 8iE2[BER STATE BAR OF WISCONSIN (If not. . ;i ------------.......................................... ; -- -- II authorized by 1706.06. Wis. Stabs) to me S to be the person ------------ who executed the jl foregoing instrument and acknowledge the same. l THIS INSTRUMENT WAS 'DRAFTED BY William J. Gilbert. Attorney • --- -... -- ........................................... '--------- - - - - -- - - -- ----- - - - - -- _______________ may �a -- --------- ------ acknowledged. Both H� Public is permanent. (If not, ztate iyration Second - St., Hudson WI 540.6 - -• - ------- - - - - -- . •. (Signatures may be authenticated or acknowled are not necessary.) date: ----------------- , 19 ......... "Names of persons Asinine in any capaeity should be typed of printed below their WARRANTT DEED STATE BAR OF WISC*9g51N W-sconsin legal Blank Co.. Inc. �I FORM No. 2 — 1Se2 Milwaukee, Wisconsin