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HomeMy WebLinkAbout020-1349-03-000 ZONING DEPARTMEN ST. CROIX COUNTY ON AS BUILT SANITARY REPORT 1 Owner Property Address 2/ A City /State /,/w la ,t Legal Description: Lot_ Block Subdivision/CSM # cv.J 07% S • ' /a ;L4) ' /a, Soc. ae-: T2tN -R �,? W, Town of PIN 3 Iry SEPTIC TANK — DOSE CHAMBER — HOLDING TANK INFORMATION: Tank manufacture An ,`�G� i Size ST/PC Setback from: House Well P/L Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: G.rJ Width Length Number of Trenches 2 Setback from: House Well P/L Vent to fresh air intake ELEVATIONS Description of benchmark a 6S� Elevation Description of alternate be nchmark Elevation At Building Sewer 10WS ST/HT Inlet ST Outlet 52� PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover Distribution Lines O /C�• rD O ( ) Bottom of System () / 5 - 7 () ( ) Final Grade O LJCLr O ( ) Date of installation P A2 Permit number State plan number Plumber's signature License number �9�4 Date Inspector Complete plot plan � X, 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 benchmark, if applicable. PLAN VI W v 1 X w INDICATE NORTH ARROW a ' Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM County: INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)1. 344580 Permit Holder's Name: ❑ City ❑ Village g Town of: State Plan ID No.: Toym of Hudson Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. epti l 5Z7 Benchmark r' Dosi ng Alt. BM 3• / Aeration Bldg. Sewer Holding �h# Inlet , y6 TANK SETBACK INFORMATION ( I Outlet 7. GjS S,C� TANK TO P / L WELL BLDG. Air Intake ROAD Dt Inlet Se N rn r I- NA Dt Bottom Dosing A Header /Man. �3 Aer on NA Dist. Pipe 1ta, i8 / HoIdI Bot. System 44, 11,3v '7/ S.• PUMP/ SIPHON INFORMATION Final Grade J d Manufacturer D and G., 9G . 2-C.- Model Number GPM Friction S TDH Lift TDH Ft L e Forcemain Lengt Did. Dist. To Well SOIL ABSORPTION SYSTEM BE N idth Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DI IONS S �/� 3 DIMENSION SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: SETBACK _ INFORMATION Type CHAMBER , 7D� � ` Mo el N er: Sys :6HV[.. u.. ZZ N 4 OR UNIT DISTRIBUTION SYSTEM Header/Man Iifold 4 Distribution Pipe(s) r x Hole Size x Hole Spacing Vent To Air Intake . / i Length Dia. Length // Dia. Spacing l� 7 AS7 RA .Z•Z e1 + /'7Q SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only d ! Depth Over Depth Over xx Depth Of xx S ee e� Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) Inspection #1: b /Cl- R9 Inspection #2: Location: 711 Blue Jay Lane, Hudson, WI (SW1 /4, SWIA, Section 26 T29N -R19W) - 26.29.19.1879 KA Cc �L Oi. erne` a w. S .!✓G S fM ofi4l Co IV oT s. ! tv. �l oil G 3 7 K s c� �, oy 1 bl1 a (4 pvc_ 't (�,� C � 'J Plan revision required? ❑ Yes ❑ No l Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature Cert. No I ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ' } E F , E s A�.e. F a # a a a 4. .m._. __ a.. .. .. e.° 3 _ J _ i E E � E 1 � e 3 a ° r �. i g 3 { e s a, F E a 3 A t x # ¢ [ a a f F a a F ._ ° _.. ' d # # € F av ! 1G� °.,.,. F i . # g j � F 3 _.w° E .......«:,.n�� _. °. ...... ° °m ....... € m. m� a a �a i } F F t �_._ � ° _ n � ee w� t F i n Safety and Buildings Division . SANITARY PERMIT APPLICATION 201 W Avenue Visconsin Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8112 x 11 inches in size. /—., r y— • See reverse side for instructions for completing this application State Sanitary Permit Number 3 5/YSV Personal information you provide may be used for secondary purposes � E] Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. 7/1 8/V ✓ 14i, State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORNfATION Property Owner Name Property Location 7 1/4�p/ 1/4, S .1 T illf , N, R If E (or)� Property Owner's Mailing Address Lot Number Block Number � City, State Zip Code Phone Number Subdivision Name or CSM Number 11. TYPE OF BUILDING: (check one) ❑ State Owned It Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms �� Ig Town of Ill. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) ' 2.9 1 ❑ Apartment/ Condo ®� 13 ys' — o S 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. pl New 2 ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an System ________System_ __Tank Only______________ Sy stem - -____ E x is ting 2---- -lstem 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 p tt 21 E] Mound 30 E] Specify Type 41 ❑ Holding Tank 12 (Seepage Trench Harm— 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill a� 5 X 1 3 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) q� 91.67 El v ion / %l3 d r ,jJA Feet Feet Capacity VII. TANK in Ca allo Total # of Prefab. Site Fiber- Exper- INFORMATION g Gallons Tanks Manufacturer s Name Concrete Con- Steel glass Plastic App New Existing structed Tanks Tanks eptil: Tank ��� ` ffll� E] El Lift Pump Tank /Siphon Chamber ❑ I ❑ 1 ❑ ❑ 1 ❑ 1 ❑ VI11. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite se age system shown on the attached plans. Plumber's Name: (Print) Plumber's Signatur :(No Stamps) MPRSW No.: Business Phone Number: M Plumber's Address (Street, City, Sta e, Zip Code): 1 ,6 7d s� �so� GrJ �' -4 IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issuing nt Signature (No Stamps) Surcharge Fee) roved []Owner Given Initial 7 Adverse Determination C /O� 9 X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: loo SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & 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. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 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. 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 8 1/2 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 mainstwater 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. --------------------------------------------------------------------------------------------------- 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. � � 60�G v I n Ila ro �.dty ,Qlll�Topc� f STee/ sT / GV, Y2 AV a y '^ 1 s s �f Wisconsin Department of Commerce SOIL AND SITE EVALUATION -bivisior1of Safety and Buildings Page i of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # ° QO I u! n APPLICANT INFORMATION - Please print all information. Revi wed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (m)). Property Owner Property Location r C aYtL d u Govt. Lot �r 1/4.6- 1/4,S T ; 7 ,N,R E (ore Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# City State Zip Code Phone Number ❑ City El Village P9 Town Nearest Road d.d fi` ,syo r c -7 s Y p is v J,/ [� New Construction Use: ( Residential / Number of bedrooms a Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow W16 gpd Recommended design loading rate 7 bed, gpd /f? trench, gpd /ft Absorption area required ro bed, ft / trench, ftC2� / Maximum design loading rate r 7 bed, gpd /fi r trench, gpd /ft Recommended infiltration surface elevation(s) /3w' - y S ! l .• 4; 7 ft (as referred to site plan benchmark) Additional design /site considerations ,Z r 9O. 12 Parent material 15 cL c :'cam l ' o -a"Pa S " r Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system Ws ❑ U ES 5a U 5� S ®U I Rs ❑ U I ❑ S NU JZ S XU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench e Ground lev. Depth to limiting 2 � factor / /o in. Remarks: Boring # l og Ground rev '`y ye t. Depth to limiting factor Ud—in. Remarks: CST Name (Please Print) Signature Telephone No. Address Date CST Number PROPERTY OWNER SOIL DESCRIPTION REPORT Pag g of 3 PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench - 3 r a y s / �2�i� 6sf irw , 6 Ground - kof ,� 5� S A elev. f'! / ft. Depth to limiting factor l Remarks: Boring # 2. 5 Ground elev. Depth to limiting factor Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # Q y ,3 Ground elev. f 3Ga ft. Depth to limiting j r in Remarks: Boring # .......................... Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) t � 6 yd t � • s. oT y ,B�oZ7o�d F sr «�z'��, 6 lo �3��i Wisconsin Department of Commerce SOIL AND SITE EVALUATION ! Division of Safety and Buildings �. Page f Bureau of�lntegrated Services . i r%pb , i h . ILHR 83.09, Wis. Adm. ode 4�P,.,_..... , 7 Attac#i complete site plan on paper not less th �8� 1 x 1 f1 ze. plan r�tust County include, but not limited to: vertical and horizo r _,�ferenc� "p u is direction 6' St. Croix percent slope, scale or dimensions, north arr w,- #nd location and distance to nre t road. Parcel I.D. # APPLICANT INFORMATION - Pleaoe. print all ihkIft p ion. ;.., R ewed by Date Personal information you provide may be used for sec�rida+y pu t�N�. s. �.bd ) !m))• Property Owner X" roperty Location �y Richard Stout �. I `Z Govt. Lot s 1/450 114,S6k6 T, j N,R /6' E (orjo Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# 1353 Awatukee Trail 3 Brown's Ridge City State Zip Code Phone Number ❑ City [:1 Village E� Town Nearest Road Hudson WI 54016 1 Hudson I Meadow Lane [X_1 New Construction Use: Residential / Number of bedrooms 3 Addition to existing building ❑ Replacement H Public or commercial - Describe: Code derived daily flow 450 gpd Recommended design loading rate 7 bed, gpd /ft gpd /ft Absorption area required 643 bed, ft 563 trench, ft 2 �0 Maxim design loading rate • 7 bed, gpd /ft • 8 trench, gpd /ft Recommended infiltration surface elevation(s) / O r .Z,r'? T /���` ie2`IS•yD (as referred to site plan benchmark) Additional design /site considerations Parent material ' (,l C i a 1 - Depnsit Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system 1 ® S ❑ u I:R s ❑ U [Z s ❑ u W s ❑ u ❑ s I u ❑ s [,j] u SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD /ft g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0 -6 10yr3/2 Sil 2mabk mfr cs 1F .5'.6 2 6/24 10yr4/6 Sl 2mabk mvfr cs .5.6 Ground 3 24-96 10yr4/6 Ms osq ml _eL .7:8 ft. Depth to limiting factor 9 6 in. Remarks: Boring # 2 2 24/ 0 10 r4/6 Sil 2mabk mvfr cs 3 60 -110 10yr4/6 Ms oscr ml Ground elev. 9z i�(ft. Depth to limiting 194 factor 1 1 fl in. Remarks: CST Name (Please Print) Signature Telephone No. William Schumaker (715)386 -3121 Address Date CST Number 1070 Scott Rd Hudson WI 54016 -7 PROPERTY OWNER R.i-c:hard- St93— SOIL DESCRIPTION REPORT Page of Y PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0 -6 10yr3/2 Sil 2mabk mft Cs 1F .5'.6 2 6/36 10 r4/4 S1 2mabk mvfr .5;.6 Ground 3 36 -96 10yr4/6 Ms osg ml .7.8 lev. , i ft. Depth to limiting factor _9 6 in. Remarks: Boring # 1 )-10 1 0 r3 2 Sil 2mabk mfr Cs 1 F .5 ;. 6 4 2 10-38 10 r4 4 S1 2mabk mvfr .5 '.6 3 3 8 -9 10yr4/6 Ms 0sq ml .7.'8 Ground elev ? ff. Depth to � limiting factor 9 6 in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # 1 -48 10yr3/2 Sil 2mabk mfr Cs 1 F .5 - . 6 5 2 8 -4 10yr4/4 S1 2mabk mvfr .5'.6 ........................... ........................... ........................... ........................... ........................... 3 0 -9 5 10yr4/6 Ms osg ml .7 .,8 Ground elev. 9��Off. Depth to limiting factor --9.6. Remarks: Boring # .......................... ........................... Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) LJ. L �h =�. `6Q a ¢�,r, �� �` �v e �✓� 7h <aTh /=em /Doi 9 G , )6;z �g� •Q�� �f3�a "v r c J t3+f ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address (Verification required from Pl anning Departme for new construction) _P City /State . #Z�JSa ..el Parcel Identification Number © _ r3 T ' — 0 LEGAL DESCRIPTION Property Location " '/4, '/4, Sec. A G . T A 9_N-R R if W, Town of 9V� Aso Subdivision Ak a" "'4*e Lot # 3 Certified Survey Map # , Volume , Page # Warranty Deed # S Volume / � S 3 , Page # � ° 1 , Spec house ❑ yes 0 no Lot lines identifiable Oyes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of um ing out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system P P 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 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 Office within 30 days of the three year expiration date. (� � �Iax% (—(� '-QM11a7 / 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, b virtu of a warranty deed recorded in Register of Deeds Office. 23 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 I� I ' - Y •} S 1 VOL 3:3:3.3 PACE 1 7 J / 581.439 STATE BAR OF WISCONSIN FORM 2 - 1982 WARRANTY DEED DOCUMENT NO. David __J . Wle _ sin le erson — REGISTM!; aF1tE - -- - -- -- - -- ST. CRO!X CO„ wI - - - -- -- = - - -- - RsC'd h•r Reao�d conveys and warrants to Richard 0. Stout and Janet P. Stout JUN 2 2 1998 _— h uaband and_wife, -rship- marita 8:00 A M -' —' ` - -- - ?w5 SPACE RESERVED FOR REOOROR-G CATA ti .VF 4NO Q:TURN ADDRESS the fullm%ing described real estate in _ St. Croi County Gf, �;� State of Wisconsin. 020- 1072 -60 PA ,CEL .')£NTiFCATTON NUVOER That part of S�Stlk, Sec. 26- T29N -R19W described as follows: Lot 2 of Certified Survey `Map recorded in Vol. 11 of Certified Survey `laps, page 3036 as Doc. No. 538112. Together with a 66 foot access easetient from Kinney Road to the Easterly boundary of the above described property. ' -a TRANSFER This _ -1 not —_ _ homestead property. X= is not! Exception to warranties Existing highways, easements and rights of way of record. Dated this —_ 18 day of — June . A.D , la 98 - -- - -- (SEAL) / - -- (SEAL) -D avid J . ela — -- (SEAL) _ (SEAL) AFk s AUTHENTICATION .ACKNOWLEDGMENT k Slgnalure(s) _.— State of Wisconsin, Cottnty' z authenticated this —. day of _, 19_ personally :rae zfore me this - -_ __ day of : Jude 19 98 the above named - - -- -- -- -- — — Richard -J. C a singl pers I I I LE. Mrt,1BER �,]A!*E BAR OF %%ISCONSIN -- ----------------- :U.itl!Url_ed I 'v700 l)h. WI >. tiLi[ >.1 t,, the l<n, to t k r_. t�•F.o e>:ecuted titr IJIeti,, „iii;: 7 PAY PvBlk strL!r t tt. and ee the some THIS IN Rt1MFNT \':AS ORAFTtp BY 0� �� J tJFAUREEN _311..Locust.-S.treet,._tiudson, . �XISHEL ,n e,.?:..• -- - 5_);. L2:�. - l, - :�tanent !( tor. :.0 la, dale -Ignawrrs ma`. hr .unhcl:urat,u or .t,koa,cledged ' 0F WISCOr' .:.iu.., .•.i.�.. • e;a ..i {`.,un >ha ::J F, , r J ,r I•"..tc,l 4aow . '.a)s��'•i.� •IArt B.tw pF \e'tiCr.� .. . N'. \NH. \\ I I,FtU Form Aj • a .581.437 , TArE TSAR OF All',CONiIN FORM 2 - 1Q82 WARRANTY DFEED DOCUMENT NO VOL 13.13 FACE 4 `1' hail_ B w anti Kr'atine M. Brown as his � E.R'5 OFFICE -Af-e arid_inh�_Qwn -ri hx------------- _— ._.___ _.__ __ $T. CRQiX CO., Wi camrys arid warrants to Ri c-hard Q., Stout _and-l'anet P--_ - -- - - -- JUN , 2 199 ___Stout andwif . survivo rshic narita_L__...____,._ 8 :00 A ro >. ty -- -- --- - -- -- — — - -- -- ' A• lafsr al Oe�dt1 $PA::F QcSEtTVEa F'JR !•. ••AMc AND PETURt+ AGL`pESJ the fuilowin8 &scnhed re.il estat, — _�1i.� ��X_— ___ - -' -- r- ,un;\. State of \ \'is.ur.sm. 1 �` _ 020 - 19_7_2- _3_0___ = =4CE. DENTIFI_AT.C.N NVA'B ?a I!- at part of S2SW,, Sec. 26- T29N -R19W described as follows: Lot 1 of Certified Survey Map recorded in Vol. 11 of Certified Survey ?caps, page 3036 as Doc. :N'o. 538112. Together with a 66 foot access easement from Kinney Road to the Easterly boundary of the above described property. TRANSFER not ._ -- -- hiu; rstcad pmixrtN XXX 1> not E�arp ,n to warr;nue >: Existing highways, easements at-d rights of way of record. Dated this - — -r8 _ —. -- - - -- day t,l _. - - -- June ISrALI • t, a AUTHENTICATION ACKNOWLEDGM -ENT State of Wisconsin, S i t ix4 rc .ne - -- - - -- i Il_,d I ll ti7ah l / ':brr ! %IF AS 0HAPIE0 8v u MAUREEN K KISHEL Attorney.David J. Estreen_'.. 3U+.Locust. 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