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HomeMy WebLinkAbout040-1002-30-250 e O 6 O ° A v a o 0 0 L O cf O O N N L O y a o of E ti cc 0) � 0� m c v ° 3 V - ^� U- O m c �� 3 CL U) cvU c 3 0 i ° c U ° U J c @ z� w .t-. 0 O V N T N Q C f0 = w c C a `O cc N 4? w rn O a? Io z c:%�0c O C Z co V C Z ° as c N LL o 3E U. o�Z��myW 'O p O "O > tll N > '° O Q N G. Q Z y'. 3 ' N 0 c 3 v 0 v LU E E c;) :.� O «: C C N w a m a m .-�z N c c ° o O O Z ,.�. _O U N Z a) Z N E 'O E O c 2 M O M t0 y j w i � N � II H a j N c c 9 Q m z O 0 z Z N z Z lot v E N R E m a �' .. o E- m o C G a a 0 0 0 y G m` 0 0 0 m N N G G d Q o o U t 0 � a � c Z o ° v NNr N 0 N > 3 3 3 3 a- Z o o "' 3 3 a= Z o o •N ;� �aaa �daa IL 0 0 fA J V If W O } = O O Z N r O . O O N O O y 0 N o E - Cl Cl) '6 j (D a a ii a) ° ° m °' m m U) io O� co O N C O N c ��+ N O a N d O 0) C" N O O O o T O G M c ° C C a O ° c m IL V Y O C O ° O y c J M p c 7 0 0 40 0 0) F� N >+ 'C � y O = L O d O E L O a ° N f0 m V M O N W V • O O O F- N O Z c L U) D fM C Z C a U) €a a ` a ` a • a m ;� m m m d c E 3 c rr�� 7 0 CL Parcel #: 040 - 1002 -30 -250 07/0112005 01:37 PM PAGE 1 OF 1 Alt. Parcel #: 01.28.19.13C -40 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 09/08/2004 00 0 Tax Address: Owner(s): * = Current Owner ' DIRK A & MARLYS M LINDNER LINDNER, DIRK A & MARLYS M 544 BOUNDARY RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description 891 TOWER RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 6.280 Plat: 4831 -CSM 18 -4831 040 -04 SEC 1 T28N R19W PT NE SE FKA CSM 17 -4620 Block/Condo Bldg: LOT 02 LOT 2 (5.560AC) & CSM 9 -2559 NKA CSM 18 -4831 LOT 2 (6.28 AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 01- 28N -19W NE SE Notes: Parcel History: Date Doc # Vol /Page Type 09/08/2004 773730 18/4831 CSM 11/19/2003 746974 2459/108 WD 09/29/2003 741696 17/4620 CSM 07/23/1997 485/370 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04 /22/2005 Description Class Acres Land Improve Total State Reason Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 0co0 n O �0''' 3. 0 d �1 c c .. m 0 <D f c 07 3 A j a 3 -4 l� CD CD m n 3 m j N O � Q 3 d N N O W j < o T FBI CD m m m ° rn a C- o N c o l -I R w w C n N O _.�. C O m a fD - .?. O 0 n 0 O t'7 Q CO 'C T O O' O '�,, i m p O U N O C c0 c m N l7j 'C O y CD y m O O m N m Q O CD D) N O N CD Q° N Q S m (O N W F' CD I� ° ° CO I c ° fA 3 O W w CD 3 0 " o L 0 p L W W I O -� W O C (00 C N CEO C C N O C CL m m Z 0 0 0 0 Z O O O o Or o n fA fA 0 n ° CA Cl) CA II D �. o m O a o � rn A C a '!i m O 'NO N 0 m 7 0 hD j (G y CD °.: 0 N N C 3 0 < N � 3 .. � � � O- 7 L 0. 0 W Z p z Y p C Z C W o CD v Z 0 D c _O a c 5'0 < CD 0 a O Q > > O m ((D 7 N a m O CD N cc S O 0 C C N 4 vcDi N Q CD A - I N O_ 8 O O O Z 7 N N O CD A N A Z O 0 oY ? O D o . O 0 0 fD N CD Z -1 '. 5 w M W T Ill OD CD a c m Z 0 3 CL o c '� m m y N Z CD A O ? j CD D n . I C N N Q m O d M n 3 : t N C m N N C z a v W n Z a o m m@ o N OZ y Z. D) N CD C O G `G CD CD I CD ° m ' co 1 2 CD =r ti �0 ° o 0= a 0 0 °o b m m oq <n O 69 O ti CD 0 L O L y n ■ o \ ■ 'a n c K § � � ] e � � ® ■ ¥ ƒ [ $ / ° e C-: \ / » , / \ $ ( § R \ \ / \ ¥ 0 ° o 0 2 2 �. M m e }� � & � o E$ °� © ƒ / / ¢ §i =; i \ � 2 7 $� n r 2 o ® _ # / \ CO) % j o 0 0 m\ � , E . / { 2 § 2 / \ 7 ~ § } 0 = 7 7 °/ s 8 / - g -0 2 ; & E E U & CD ' §!G � " c: CD c = (a. / � { \ % E 2 § � » \ \ k / / � ■ a / \ / / � A ( � / 2 � ) � ! \ \ ƒ \ I � k/§ � \ Ch \ ƒ \ / » 10 \ )/ \ @ cL § a ! 0) { » ƒ \ \ # ƒ % CL Z3 / _o �# \i �\ Parcel #: 040 - 1002.5'50.000 09/27/2004 04:55 PM PAGE 1 OF 1 Alt. Parcel #: 040 - TOWN OF TROY Current [X] ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): * = Current Owner DIRK A & MARLYS M LINDNER LINDNER, DIRK A & MARLYS M 44 BOUNDARY RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC e c 4.085 Plat: N/A -NOT AVAILABLE SEC 1 2 EZ-U PT 8/ 50 BEING L O F Block/Condo Bldg: CSM 9/2559 EZ -UT- 1428/250 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 01- 28N -19W Notes: Parcel History: L_(7-r Z _ Date Doc # Vol /Page Type 04/15/1999 601339 1419/46 WD v 3O 07/23/1997 965/442 07/23/1997 685/254 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 319,000 Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.085 96,800 248,100 344,900 NO Totals for 2004: General Property 4.085 96,800 248,100 344,900 Woodland 0.000 0 0 All 4.085 96,800 248,100 344,900 Totals for 2003: General Property 4.085 88,000 219,000 307,000 Woodland 0.000 0 0 Total 4.085 88,000 219,000 307,000 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 dsm FILED 8 v OCT 3 01992 JAMES O'CONNELL y '�-- 490786 ReglorofDOW$ ` CERTIFIm SL/ NEY MAP (fitt ROBMT W. LLE]HICHT AND RICHAF13 L. GOMM r *, Part of the Northeast 1/4 of the Southeast 114 of Section 1, Township 28 North, Range K� 19 West, Town of Troy, St. Croix County, Wisconsin. •Indicates 1" iron pipe found. 01ndicates 1" x 24" iron pipe weighing 1.13 lbs. /lin. ft. set. f E //I COR. SEC. / , TYB N, Rig W, N t (COONTY SURVEYOR'S NON.) p W o0 O ~ O . 1 1 ,00 3.94 OVER L AP o O UNPLATTED LA NDS W VOL. 501, PAGE 437 41.0 0 N 89-51'45 990.•26' #-1 E•AS T .9.90./51 v C 2 4 O ml aNWAY SETBACK LINE •'I b Q t� a Z n LOT / 559.40' 1.11001 Q M i N 89-38 "E 600. 00' 40. 6 ' W v W 3 W J o 3 4.085 ACRES vv�ill DI h b 177, 959 SO, Fr fik, LOT 2 3.9P3 ACRES 4.023 ACRES EX /TO, 880 SO.fr. 1 8 0 ~ Q ` W ROAD R.O.W. O 3.662 ACRES EXC. ROADR,O.W.00 INtp 1 "' 1 Q o 175, 259 SO. rr. /59, 3!T S0. F �� .t O • 599. 99' M Z I �I Z �I o Q (38.89' 1 tt Z 391.78' Z S6 /. /O' 1' j W t, W m W S89•S/' 45 "W 99/.77' \ O• h O b UNP LA T TED LANDS Owner's Address: ° N 655 O'Neil Road J o W � Hudson, WI 54016 Phone No. 1 -71S- 386 -9052 C. COR. SEC / . r 28 N, R /9 W, !COUNTY SURVEYOR'S MON.I SCALE / ' 2 00' 0 /,00' 200' 300' 400' 600' ,,,11111111 / /fl/�,h,' vs Oated: September 29, 1992 }t �LAURE • E', "Revised this 28th day of October 1992. ft, VI/ M Y ' -�' S a T his •instrument drafted by Laurence W. Murphy F LS, ;0 WISC. , •'�Q �� LAND S �.•` • NO T E Laurence W. Murphy Lot 1 of this certified survey map must access 90TH a istered Land Surveyor Street at the center of the 66 foot corridor and Lot 2 must access a minimum of 200 feet South of the Lot 1 access driveway. APWO Y l� IED 02 i_ vl Vol. 9 Page 2559 Certified Survey Maps C� CUB � SFf 1 OF 2 St. Croix County, Wisconsin 31 owoaivePwr*aq Z,orAm and park$ coma itteo if qot recorded %vithin 30 d 01. vai da Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division I INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar IX Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 3388 O 1 Permit Holder's Name: I ❑ City ❑ Village M Town of: Sta Plan ID N ULBRLCHT, ROBERT & GODDEN, R CHATROY CST BM Elev.; Insp. BM Elev.: BM Description: Parcel Tax No.: 040 - 1002 -50 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St /Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Air I to ntake ROAD Dt Inlet ir Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe [ Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction EDi System TDH Ft Forcemain Length H Dist. To well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSION SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type O Model Numb System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length 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 E] Yes ❑ No ❑ Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: TROY 01.28.19.13E,NE,SE 544 90TH ( STREET — LOT 1 /V 1/Y4S 6-. Plan revision required? []Yes ❑ No !� Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature Cert. No i ST. CROIX COUNTY 1 - � WISCONSIN � z ZONING OFFICE a ! N on If a If n ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 March 8, 1999 Dean Albert, Chairman Town of Troy 296 S.T.H. 35 North River Falls, WI 54022 Dear Dean: On July 3, 1996 a sanitary septic system w as installed on the property located at Lot 1, Certified Survey Map recorded in Vol. 9, Pg. 2559, in part of the NE 1 14 of the SE' /, Section 1, T28N -R19W, Town of Troy, St. Croix County, Wisconsin. The present owners of the property are Dirk Linder & Marlys Jensen. The mound septic system was inspected by staff of this office and found to be code complying for a four bedr000m residence. Should you have any questions, please contact me at the above number. Sincerely, Mary J. Jenkins Assistant Zoning Administrator C: File Safety and Buildings Division *6consin SANITARY PERMIT APPLICATION 201 Box Washington Avenue 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�� G QO V than 8112 x 11 inches in size. /` • See reverse side for instructions for completing this application State Sa Permit Number Permit Number Personal information you provide may be used for secon ary purposes E] Check it revision to previ us application [Privacy Law, s. 15.04 (1) (m)]. 9(JJ/� ; Q /j�� L /i(J-P State PI I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATI N 5f Z ' 49 Z ' Pro erty wne Name b /T / � A roperty Location D U 0PPGkv4 5'g_1 /4, S l T 2 d , N, R E (or & Prop erlyO�rne0Mailinq�� s j 7 /) , Lot Number Block Number Ci , Stale_ /.v /• L/ Z� (� Phone / ), j er 5ubd �n Name of,I � der I/O/. G 11. E OF (check one) ❑State Owned L� �� / 7��Ir Ne C a Dst dyad s! Public or 2 Family Dwelling - No. of bedrooms ! ❑ �Dw /` / � III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) oyo - /&V •2s - 1 ❑ Apartment/ Condo 1• ?—ff. 1 4. tai 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. ❑ New 2. ❑ Replacement 3. ❑ Replacement of 4. - Reconnection of 5_ E] Repair of an ______System ________ System _____________ Tank Only_____ - _____ _ _st System _______ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued Co' a ' V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized istribution Experimental Other 11 E] Seepage Bed 21 ound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill 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) Z f' Elevation ( e 9 C SO . 4D Feet / 02- Feet Capacity - VII TANK in Ca altos Total # of Prefab. Site Fiber Exper. INFORMATION New Eons Gallons Tanks Manufacturers Name Concrete stun Steel glass Plastic App Tanks Tanks Septic Tank or Holding Tank 2-50 y � El 1:1 1:1 1:1 1:1 Lift Pump Tank /Siphon Chamber ? O 7s� r' C - ❑ ❑ 1 ❑ 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Si gna re: (No Stamps) MPRSW No.: Business Phone Number: VO T ?W f21G'a 330 pis" ' 3fG '���?s Plumber's Address (Street, Cit , State, Zip Code) ASS D' �xi IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater a sue Issuing Agent Signature (No Stamps) � Approved ❑ Owner Given Initial J� Surcharge Fee) Adverse Determination I I � ��l q 1 X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11197) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary pe'rMit'is valid for•two (2) years. 2. Your sanitary permit may be 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 bc 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 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. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1 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. i ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM owner /3nyer- Mailing Address �yss D �/J —Z %C /f �d�.� ��S• syffl �p n .. Property Address S �� �� ST • 1 11_y1Pso t'7 4//• (Verification required from Planning Department for new construction) City /State Parcel Identification Number ay -/Ov . 2-57 . a ka LEGAL DESCRIPTION v Property Location Aj �_ ' /,, s(�_ ' /,, Sec. L , T 2 ' 1 � N -R W, Town of Subdivision , Lot # Certified Survey Map # , Volume ( , Page # ZS S �F Warranty Deed # y� , Volume ��S , Page # y� Z Spec house ❑ yes E no Lot lines identifiable 0'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. I /we, 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. - §ZPU 3 /�/ SIGNATURE OF APPLIC NT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) 9m (are) the owner(s) of the prope 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 DOCUMENT NO. STATE BAR OF WISCONWIR FORM 1--19" TM's sears etu "vw row "ccowowo o +Tea � wAMUMM aEL) I� REGISTE OFFICE Thi$ Deed, wade bet 48'�66�. _ .I _ _ _ VOL M - - _ = - - --- - - - - -- - a RCIM / between .... Q$.�£-- -DTir# lid............................ E ............... ...... - - - -- - - -- . ....... ............. . AUG 261992 ............................. ............................... -- , Grantor, a-A ..Sobert...W....U.lbri�cht.. and.Bichas;d_ -L_.. Gadden,...... d 8:30 A.M aa.. tenants in. common­ - - -- - - -- - - -- --- ......................... 0 AA .......... - - - -- ................. .... .. ........ ........ ......... _.. ............... - -- - - - --. .......... Grantee. ;! �111sf0f Witnesseth That the said Grantor, for a waiwiie consideration....•. � eaT V"K T conveys to Grantee the fallowing described real estate is _.Sr - -- Cro-i R.......... County, state of Wisconsin: l 9 f?)Q f A Part of NE'} of SE-k of Section 1 -28 -19 described as follows: Commencing at th2 Tut Parcel No: ........ _._........_............ Ek corner of said Section 1; thence S00 00'00 "E along the E line of said Sectign 1, 308 feet to the point of beginning; thence S00 00'00"E assumed bearing being along said E ling of Section 1, 352 feet; thence S89 51'45'V 991.77 feet; thence N00 14'45 "E 352 feet; thence W89 51'45 "E 990.15 feet to point 1 , of beginning. 4 E ........... homestead property. (ia) (is act) Together with all sad singular the AereditaseaRs amil appurtenances demote belonging; € And.., ..Dala.. Durand ------ ------------------------- — .. ....................... warrants that the title is good. indefeasible In tee siasple sencumbrances ad free and clear of encu except ` easements, restrictions, and rights -of -way of record, if any, and will warrant and defead the same. `.. ` Weed this ............ # ............. ............... day of - -- 8 ... ........... ............... { t ............. (3EA1,W ............ .. ............................... (ESAL) -., �; • ................................... ............................... ....... ......... ..................... :_ !! ................ ................... ............................... .(SSALJ _..._....................... .......................... (siAL) . A. dA,1t1019 ACZNOWLitDOURNT r $TAT OF WISCONSIN ...... Ay, I '.......--- •- - -• - -- .... ...�►t'S!. .. ............ County. ., autbeo A r l' ... .................... ... Ilk— PeraomMy tame before me this ._. (t�l - ...dal► e! . ....... - ........ .August .......... I992___ tbs a8a►e tsadaed k ....................... . ....... . ............................... .................. pals• -Dw And .............. �....._ ........... • -.. - - - - -- - ---- - - - - -- ... - .................................................... _ ._- ....... TITLS: MICUBEit STATIC BAR OF WISCONSIN --• ........................................... .................- _...._...__.. (It not......_..... .__..._.: ••--••-•---------- ----- --- ---- •-------- .- - - - - -- _..._.__....._..._ asthoeiaed by § 'f96 06. Wks. slats) ti me known to be the person ------------ wb executed tb* taregohm instrument and acknowledge the ma. -'" THIS INSTRUMENT WAS DRAFTED BY l)ett� St— C L. GAy_lgr4. many ------- --- - •...... .. .-•--- - -- ----=- --- - - - - -- .. __. ...... . Ri ygr- Fall $s..WI_ .... 5.4Q22 ............. — Nwtary Pubue .. .......... ..!�- �.........000"M wis. (Signature& may be audbentkated or acknowledges. Weed my COf11p s nt. (If not, stale exp I anon �IGQ� not necessary.)• .._..... 1l.�) (� •,d of p•aroe efaaiwa M vW esWity ob uW be typed or PWiwrd a,iw dktk Newetum- -� n1�sr R o. i WISCONSIN Sftd Me. 13001 r f I ST *rE �CD ) 1) / /tti -�t- o z Pegj; STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ZrGIVI?o 1t /G4 ,4ie P S /TE ADDRE � ! / O 5 �1300A f 'PD,) f{uf�So h is , syo� 0 7-/ 4 SUBDIVISION / CSM# y9�7 � �O� / ��' ZSS LOT � SECTION T 28 N -R W, Town of 7 R�y ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 4 INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. k R111 o,v Go i Ta Td P o� sv,Pv�yo IP s ::x A 7 sw o BENCHMARK: ALTERNATE BM: 26'0 �OJ �S� ��• SEPTIC TANK / PUMP CAAMBER HOLDING .TANK INFORMATION Manufacturer: GdiES�� `��' Liquid capacity: Setback from: Well N114- House N /� Other �- Pump: Manufacturer 0dE //L 4 • Model# /37 Size Float seperation 7 Gallons /cycle: Alarm Location T" SOIL ABSORPTION SYSTEM Width: 7 Length Number of trenches Distance & Direction to nearest prop / . line: Setback from: well:- House Nf14 Other ELEVATIONS V Building Sewer 97 a ST Inlet; ! Z (Fy ST outlet lio 11 C� 5 PC inlet I yo PC bottom 009 Pump Off a �+ 6 S ' s � Header /Manifold /o/ l , Bottom of system �d Y� f 6 f L Existing Grade 3 Co Final grade /O Z Lijr vi-�, Ora �vr milia - 7 e 1, y/v5 r l oi,vi) DATE OF INSTALLATION: / PLUMBER ON JOB: ROMR/ r 74 �--h T LICENSE NUMBER: Af/ J 33 0 -7 INSPECTOR: MAK 3/93:jt e r . P. A7 S w Go 7 /oo.o' �3 II I, it �}s T3v�LT pG0 � rl v i I Ulbricht & Associates i Private Sewage Consultants i I $56 O'Neil Rd. Hudson, Wis. 54016 r) I I Ir for 1 3 28 ' l Zoo Ta 7",} L °f a " Pvc ����� I� , s5 . 1 7.S10 (S7-,,P- w /kseq2 . �I/oT�S f1 // SE�4,ys Cam ' 4 1 T O 401A ( V-m , - N O CR S /Zt„ n • '�j iP�s y4 2 �S�D •: / y 't W,4 �.� • %�l',u,� ,D.Pov �1�� w,� Rn�K p cT STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER �rtTE ADDRE 9© ✓�T� �dV�'1�1y / pp,) #U'Pso,y s1401 G OT/ ,o SUBDIVISION / CSM# y9o7Y10 ��� / 2- LOT # SECTION T Z' N -R �! W, Town of 7�y ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 1 /v'�'g�: --7— oR� INDICATE NORTH ARROW Provide setback and elevation - information on reverse of this form. Provide 2 dimensions to center of septic tank manhole Cover. P111 a,v Go T 0 7 22 337 ti40 ; Xe77 70 � T� T, P Q� Sv�Pvyd /�' S / �� - /17 5 4o L o T BENCHMARK: ALTERNATE BM: � 2�D � • 7S� dam" ' SEPTIC TANK / PUMP CHAMBER / HOLDING_TANK INFORMATION Manufacturer: dvi�S i � J' Liquid Capacity: IA o ef - Setback from: Well N House N - Other Pump: Manufacturer '� `� Model# 137 Size Float seperation (?•7 Gallons /cycle: Alarm Location Td f� S-v7" 4; r :SOIL ABSORPTION SYSTEM Width: 7 Length �O�'� Number of trenches Distance & Direction to nearest prop. line: Setback from: well: N House N /� Other 'ATIONS r 5 �� 9z. u Building Sewer ST Inlet; 12 ply ST outlet. 5 PC inlet ! 2 ! PC bottom , Pump Off Header /Manifold Bottom of system Existing Grade �U ' 34 0 Final grade / Z 71 44.e4, vcott t (Iii yla6S T l oi,ui) �/ • � DATE OF INSTALLATION: PLUMBER ON JOB: Rogge 7 Z11Ulf T LICENSE NUMBER: /� g 33 0 7 INSPECTOR: M Ag I 3/93:jt I wES % A-07 L. O ---- -_ - - -- ----- - - - - -- -- /3.�= 7 o f 5 &R S /" 3 30 ' ►3 II I , yvo I, 1, T3vlkT PZ, O m ,I � I I v ; i Ulbricht & Assoclates 1 Private Sewage Consultants i 066 O'Neil Rd. Hudson, Wis. 54016 Y1 I i I Ier I 28 I Zoo ' To 7-4 1DU6 y5 /1/oT�S 13oot , - r fAWS /1-tiF SE41 l i - �4j E r4TE 'Zt / y ., •jig` -v ,o�Pov��� w, R d GK P P v e c - r eo W I - Z ,t3EL , �/GiE�t' . i L/t / , ORIGINAL I JVisconsin Department of Industry PRIVATE SEWAGE SYSTEM County: La4orand f4�man Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENER INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Pe ULBkICH1 � e ROBERT & R. GOODEN ❑ Pi" V Village � Town of: State P CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: A94QQ1 71 i DD, C!/1d� cJ Qia• > TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 0 �5'Qrr� Benchmark i S ' U Dosing o Aeration Bldg. Sewer �l x'14:0" Holding St /Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake ��•�^� �� Septic NA Dt Bottom / gq 0 Dosing NA Header / Man. 1 1-23 ' / Aeration NA Dist. Pipe .2,0 I06 �:o e� Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade 7 a d. Manufacturer Demand Model Number I 40 GPM TDH Lift Friction, � Syetem s TDH C� ad 11 ( Forcemain Lengthao0 Dia. a Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. squid Depth DIMENSIONS ' DIMENSION SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING M facturer: CHAMB INFORMATION Type Of "� c� 7 Model Number: System: � �! OR IT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length _� Dia. o�` I Le i/ Dia. )i� /u r, Sp acing ' I /yI I I s C(�7 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only J Depth Over Depth Over xx Depth Of xx Seeded/ Sudded xx Mulched Bed /Trench Center 1 Bed /Trench Edges �a { Topsoil [_fes ❑ No pies ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Troy.1.28.19W, NE, SW, Lot 1, 90th Street ilk GX � �, //� ` ✓ :.J.. �� °,'� ,moo /�i _ _, _ ,. o Plan revision required? ❑ Yes ❑ No ` Use other side for additional information. Q� i; r P `� SBD -6710 (R 05/91) Date p or's Signature Cert. No. SANITARY PERMIT APPLICATION COUNTY �.` In accord with ILHR 3.05 Wis. Adm. Code c d t 8 5 !: cp ! x �Yff4 # — Attach complete plans (to the county copy only) for the system, on paper not less than .11 STATE SANIT �>F 1:1 Check if revision to previous application 8'/z x 11 inches in size. F/ — reverse side for instructions for completing this application. ( � STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION – PLEASE PRINT ALL INFORMATION. S ` S 9� – b 2-1 el P OWNER PROPERTY LOCATION 1e013�i T &1h)P/c4 . /GCr�}R!� GoDI�E,V N�' / S� + /a, S T L�, N, R E (o W PROPERTY OWNER'S MAILING ADDRESS LOT # n�A J1 \ BLOCK # 55 G'tix/ I' ( P A d[ CI STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER D.SO,✓ wis . s y6 � k!8 5 cs,,., V fO 7P G 00 /• 9, f II. TYPE OF BUILDING (Check one) CITY NEAREST ROAD �y State Owned 0 VILLAGE: 7 *0Y d ❑ Public [ 1 or 2 Fam. Dwelling –# of bedrooms — PARCE T AX NUMB ER(s) III. BUILDING USE: (If building type is public, check all that apply) `T 1 ❑ Apt/Condo 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 ❑ Off ice /Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. 9J Kew 2. ❑ Replacement 3.. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution PreV Distribution Experimental Other 11 El Seepage Bed 21 nd 30 El Specify Type 41 El Holding Tank 12 Seepage Trench 22 ❑ In- Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System -In -Fill 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 O U REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals /day /sq. ft.) (Min. /inch) BOO. L S ELEVATION 5 0 0 5 • G / Feet Off' 7S Feet VII. TANK CAPACITY Site INFORMATION in allons Total # of Prefab. Fiber- Exper. New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank 12501 / 1-.v o Lift Pump Tank/Siphon Chamber 750 1 750 1 1 CQA.2"ft VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) MP /MPRSW No.: Business Phone Number: RoGELO j _ /W 33 07 715 Plumber's Address (Street, City, State, Zip Code): Cv S S IX. COUNTY /DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater a ssue Issuing Agent Signature (No Stamps) A roved ❑ Owner Given Initial y� Surcharge Fee) PP Adverse Determination U X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: I SBD- 6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety 8 Buildings Division, Owner, Plumber l INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewgd before the expiration date, and at the 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 & Buildings Division, 608 -266 -3815. 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. Ill_ Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in 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 in ##1 -7. VII. Tank information. Fill in the capacity of every new and /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% 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. 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, ground- water contamination investigations and establishment of standards. SBD -6398 (R.11/88) SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Bog 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, I,abor and Human Relations July 21, 1992 ROBERT ULBRICHT 655 O'NEIL ROAD HUDSON WI 54016 Petition No. S92 - 02148 -P Dear Mr. Ulbricht: Re: Robert Ulbricht - Residence on Parcel A Private Sewage System NE,SE,1 ,28,19W Town of Troy, St. Croix County, WI Your petition for a variance to section ILHR 83.23 (1)(d), Wisconsin Administrative Code, has been reviewed. The petition has been approved. The rule being petitioned requires that a new mound system site have a minimum 24 inches of suitable natural soil. The variance requested was to install a new mound system on a site with 18 inches of suitable natural soil. All of the data and statements submitted on behalf of the petitioner were considered. This variance is specific to the subject petition and cannot be used for any additional modifications. Sin erely, ichar eyer, Architec Director, Office of Di is on Codes and Application (608) 266 -3080 RM:PEP:2079WPP1 cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa Falls Thomas Nelson, Zoning Administrator - St. Croix County SBD 6928 i R. 61/911 \ 1 1 SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL Office of Division Codes and Application 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 HOMESITE SEPTIC 655 O'NEIL RD HUDSON WI 54016 RE: Plan Number: S92 -02148 Date Approved: July 21, 1992 Gallons Per Day: 600 Date Received: June 25, 1992 Project Name: ULBRICHT, ROBERT - RESIDENCE Location: PARCEL A,NE,SE,1,28,19W Town of TROY County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed lumber responsible for t installation p this t lat o in P P shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50 -64 of the Wisconsin Administrative code. This approval is for the following components only: - NEW PETITION - NEW MOUND Seo6423(n.01IV D II I i — r SAFETY & BUILDINGS DIVISION I State of Wisconsin Department of Industry, Labor and Human Relations HOMESITE SEPTIC Page 2 Inquiries concerning this approval may be made by calling (608) 266 -2889. Since a y, PETER E. PAGEL Section of Private Sewage Division of Safety and Buildings PPPO13 /0009n/ 4 cc: _Private Sewage Consultant _County UW -SSWMP Plumbing Consultant Owner Plumber Environmental Health I S80 6423 i R. 4)I/911 i - a I.L.H.R. 83.08(2) PROJECT I N D E X SHEET 0 W n e r : 1roS &,e % 2! ' !'r G, s ,c�! c,�i •�� Go,D -,�.> Address: s , Site Location e 1 L) mt k c r. 0 0 1� _ ,- j �_ %'a , I w ✓ SX o V t.-D s � "� - � I % j i ` - f ! rrfwc Page 1, PLOT PLAN VIEWS S92"02148 Page 2. MOUN CROSS SECTION & S YSTE M PLAN VIEWS Page 3. PIPE LATERAL LAYOUT j Page 4. DOSING CHAMBER CROSS SECTION Page 5. PUMP PERFROMA SPECS I PLUMBER: ! HOMESITE SEPTIC PLUMBING 00. 655 O'NEIL RD., HUDSON, WIS" 54016 ROBERT ULBRIGHT 416 MA'S'TER PLUMBER LIC. NO. 3307 MY R.S. f JNN. it4 Al! *,P & DESIGNER LIC. 140, OOGW DATE: .Z- SITE EVALUATER DESIGMER SIGUTURE HOMESITE SEPTIC PLUMBING CO. 855 O'NEIL RD., HUDSON, WIS. 54016 ROBERT ULBRIGHT e s T Z WIS. MASTER PLUMBER LIC. NO. `3307 M.P.R.S. &0NN. INSTALLER & DESIGNER LIC. 140.00663 r -4 5q u—p TdE i bl � I I I t Q cslv.V J/D E / PRIVATE SEWAGE SYSTEM I i Conditionally 1 i 3 l I yob APP VED s /o�E K". OF p�pUSTRY 8 $ HUMAN R IS DIVISION O S Y AN "UIL G I I I I SEE CO ES ND I N _ Prior To Plowing— Installer will carefully shift or orient round posit4on• -t toe line �I and area under bed agizregare) so ground elevations across slope are as uniform as \ possible. Suggested elevations (staked on site with lathe markers) are shoTm herein and on pg. 2. v 1 on Tore o G fz � - titw�foP� S92 1,ae-1- %3.o y /QED 1S I / V I CW /200 /),ee 7" o I Q� Cr _ PLO T PLAKA If L> - u,A T1'0 u s e ll r , f 7, g� HOMESITE SEPTIC PLUMBING CO. 2 855 O'NEIL RD., HUDSON, WIS. 54016 ROBERT ULBRIGHT es r z yPZ 13 �. w nIG. MA 3TER PLUMBER LIC. NO. 3307 M.P.R.S. ' - - - -` -- - ._- 1010. fly "I A; !.r DESIGNER LIC. 140.00663 AT � k �� L � I S�ST£�l �' /� (J�% /p✓ �jis"Li. 1 � �� .�%�ti© �� /� SOD , 2S IL 0 f S Y.S T� -, /'-1 S iA-- LD / �' U C �c' iti Te 2 1�' -C 6- 100,2.5- i Page Of s y 57E Al M N/'D Straw, Marsh Hay, Or le tZ4V tTIO� �' $ � O U� 2 � Jai' Synthetic Covering Distribution Pipe Medium Sand -- --�� H Topsoil __ 3 E Jf. z % Slope Trench Of - 2 2 Force Main Plowed Aggregate Layer Undisturbed- D 2.0 Ft. Soil E 2 ' Z Ft. Cross Section Of A Mound System Using F Ft. "french For The Absorption Area G 4 Ft. A V Ft. H / Ft. B 1 -1 Ft. K /3 Ft. L /✓-/ Ft. J /D Ft. Alternate Position of Force Main I /`1 Ft. S92- W 2 -, , 9 Ft. L J � �---- B Pit K A y� Observation Permanent Pipes Markers S n h P c Of 2 Tre 01% 5 Aggregate 0z T N r Absorption Area F� ti 0 Q ti G� li Page 3 Of V 0i 0 110 1` 2OD �� z ,�`' C. 3 3 �/,r« /A r �io!E Perforated Pipe Detall Zc� ,66A T 1,04 VA 1 441 E �Vl1CV47 / En Vi.w ' Perluratrd i / 'j. End Gap \e y� PVC Pipe 1. e to o �o �' Jo pS� oo > Nolea Located On Bottom, Are Equally Spaced } PVC fore. Niuln !]iIribuliUn Pipe Last Male End Should C op Neat To S92-0 End c Eno Cop DisWL)ulion Pip. l.uY P (/ Ft. SAGE SYSTEM ' pR1VASE itiona Y X Inches Co Y s Inch v� e Signed: �� Hole Diameter Inch iZY B Lateral Inch (es) License 4ufnbejO.� Manifold i' Inches Date: NCB Force Main 2 - Inches �pRR # of holes /pipe /Lo Invert Elevation of laterals /ad Ft. " D / 5 7"1? X13 v 7'/49.4 Z M4 r 'j,'i �� %S T /�ilUT /p,,� 1} /S�� tl�'G�'�I %L ruri' UC'Tlvp��' J �• /410 � I'r y; PUMP CHAMBER CRO55 SECTION AND SPECIFICATIONS R41 or 5 I I,? VENT CAP 4 "C.I. VENT PIPE APPROVED LOCKING WEATHER PKOOF MANHOLE COVER JUNCTION eox 25' FROM DOOR, L`'/ /�g€� WINOOW OR FRESH 12 "MILI. AIR INTAKE y/'Ah� ESE 1'm GRADE I 4 " MIN. (aw �� I - - -- MIN. Z r'l v , 4 n ,o ti PROVIDE INt_E { AIRTIGHT SEAL I `(�✓ I II APPROVED JOINTS APPROVED JOiNf IN /��� I II W/C.z. PIPE w/C.T. PIPE ( � , I II EXTENDING 3' EXTENDING 3' '00 C ALARM ONTO SOLID SOIL ONTO SOLID SOIL J I II 2 I I ON ELEV. FT. - PUMP OFF D ►2 N k - 6 1P9 W G' ` � 6LOC _i ��l EVAf od 1 ' RISER EXIT PEKMITfED ONI_y IF TANK MAMUFACTURER HAS SUCH APPROVAL SPEC1FICATIQUS SEPTIC E DOSE /�5�� �DcJ�/LB'f - � - CUMBER OF DOSES - -- PER DAB j TANKS MAQUFACTURE.R: J TANK SIZE. 75o GALLOiJS DOSE VOLUME ' - INCLUDING 8 ��fLOW: GALLONS ALARM MANUFACTURER: MODE =L IJUMBER: �'L • y CAPACITIES: A= IIJCNES OR / 62 GALLONS �j SWITCH TYPE: OR B= 2 INCHES OR GALLONS / INCHES OR / &LP GALLONS PUMP MANUFACTURER: �7 /45 MODEL NUMBER: � / D = 7 s INCHES OR GALLONS SWITCH TYPE: / OTE: PUMP AND ALARM ARE TO BE INSTALLED ON SEPARATE CIRCUITS MINIMUM DISCHARGE RATE GPM L S VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIbLITION PIPE./ FEET ' a '�I` 2.5 FEET EAC(" I -}- MtAlIML{M NETWORK SUPPL`� PRESSURE Z + 1 0 - 0 N X 2, Co 2 F T. � OA �� FE£T OF FORCE MAI /ioorT.FftlCT10►1 FACTUR._ FEET Z ` ,� 1 TOTAL pyIJAMIC. HEAD — FEET J 3f INTERNAL. DIME.WSIONS OF TANK: LF-Q&TH ;WIDTH jLIQUID DEPTH �E SEWAGE SYSTEM `R`v A' 9 S92,-02148 att Con d l Hon y -1 v� PP Hum A �o� .5�0 F Ely 0 8 Q SEE NCE CORRESPO HE ADI LL 115 CADA 110 32 105 CUR V 30 100 - - — 95 28 i 90 26 as EFFLUENT 24 I MODEL and 0 75 MODEL 189 DEWATER/NG = 22 70 165 t V 20 � 65 Q !Z- 18 80 � 55 16 50 ODEL O 183 MODEL H 14 45 188 12 40_ I' 35 10 30 MODEL 137,139 , 185 SE10GE and 25 '{ DEVf TER/NG 6 --20- MODEL ' 15 MODEL 4 7F 10 - ° ' 11•r I 2 MODEL 5 53, 55, 57 59 F 0 ` GALLONS 10 20 30 40 50 60 70 60 90 100 110 ` 24 ! 75 LITERS 0 80 160 240 320 400 22 FLOW PER MINUTE 4 I! MODEL I, 295 216 14 MODE a? ,. Z 45 294 Y 40- _ 2 f MODEL I,. 293 - 1 4 g ( O MODEL 2 4 { 2. 8 5 9 2 0 - -- - - -� MODEL 282 Z9Z1 MODEL - 2 6 71 268 -- - I { f0 I 3250 014 Millers Lane GALLONS 10 r 30 40I 50 60 I 70 80.190 100 1 110 120 '130 140 15P 160 170 160 190 P.O. BoX 16357 ' LouloviNe, Kentucky 4021$' LIT 0 160 240 320 400 480 560 640 720 502) 778 -27�� r FLOW PER MINUTE " Cast Iron Series "1 3 9!1 Bron ze Seer e * HEAD. CAPACITY UNITS /MIN Feet Molars Gal. Ltrs. • Automatic or Non - Automatic. 5 1.52 104 394 10 3.04 79 300 is H.P., 1 Ph., 115V, 200 -208V or 230V. 15 4.57 64 242 is 'h H.P., 3 Ph., 200 -208V or 230V. 20 6.10 36 136 25 7.62 a 30 • Non - clogging vortex impeller design. Lock Valve: 26 + Passes 5 /t, inch solids (sphere). is 1'/° NPT discharge. Canadian Standds 0 Float operated, submersible (Nema 6) mech- U� listed SA Ass Approval Canadian av ailable anical switch. 0 Automatic reset thermal overload protection. � 137 Series SC-2225 �ui � • 139 Serlos SO-111 t Stainless steel screws, bolts, guard, handle and ,- arm and seal assembly. , •"•""" Bronra rrrolor and pump housing, switch NOTE No UL listing for 200 208V /1 Ph. case, base and impallor. pumps. Moicury float swdcnds and av„ilablu lot non - automatic inudols. 0 ° r� d �? o c ce ' CL au = � m w .o •c 3 3 . -. o - o _ Ua N `Q p a' N �• r 'h p z n o a � ro 4 Q\ C IO \ \ \ fA c Lq N�» n O °; C) Nj A o IN UN LA m 4A m fe N - -c ro Z to w w Im or- CL LA tA CA 0 4A O -•-0 I ' � � 1 � `h � g e � N Y � � ro —i �1 N VVV ITi r a rc 0 ; apA 1. \ € Cr -402 C) � Na' ti I `, �• ob r+ ci � w b1 p b p CL 1, M to co a La kA o' N Ul y ". ,a z N it uj In c ° to a D on A " 1 ?� �0 3 ?_ 0 O 0 CL VA \ � y y *,. y o �1 .r M 'a la rn 51 O.A Q tA 1 ' �. 111 III��� 7 w • Y �•. r p ( \ 3 it z 6 % -YI fb rb rm 41 "O N C. ) O o T kA C 0 to �< N � 0. X- (S Y v o it a' Vk c l y 00 R. I w L c �N ♦ Y 1 � Q y v O ^` o v v Vito n 3 �� a C' (� — n1� � �o �o c o.y m '� a � N ` C t 3 o p ?T O O D 00 Im C ( r^ n c Vl V\ M no w 0 O ^C?� A 0 Rs tA LA 1 " c 1 ti 0 so C Z th w c' �D r d � CA ? l , l \ 4 c n 3 s d O Or -w » ' x Q+ �WC I�w G � 1 v d Z Z o v N o ° CL n l� a `T� �A N � �` bS c on . t. to o O CL ., � ao b ` 'Q " ` no t \ \ LA o o ro L R o �- kA W r LA W 4 c c Q H 1 w 4A !C' O 7A. p O ILA CL m th tA y A on tv V tA ••.l \ ( q a C L kA it Q A I -o %A -« A " a• t CO � C ci . (` V 5 4 S v 1 w x i 96 T..34Ctl,�F I C J 5 95:36 9750 3 7� AI 13 a ►, tiE ,car � q ; p 3y I U Z Io0 t 35 n gz q3 y. r 0 M o" 33' i Z t SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations July 21, 1992 ROBERT ULBRICHT 655 O'NEIL ROAD HUDSON WI 54016 Petition No. S92- 02150 -P I Dear Mr. Ulbricht: Re: Robert Ulbricht - Residence on Parcel B Private Sewage System NE,SE,1,28,19W Town of Troy, St. Croix County, WI Your petition for a variance to section ILHR 83.23 (1)(d), Wisconsin Administrative Code has been reviewed. The petition has been approved. The rule being petitioned requires that a new mound system site have a minimum of 24 inches of suitable natural soil. The variance requested was to install a new mound system on a site with 18 inches of suitable natural soil. All of the data and statements submitted on behalf of the petitioner were considered. This variance is specific to the subject petition and cannot be used for any additional modifications. Si erely, ey c Director, Office of D vi ion Codes and Applicati n (608) 266 -3080 RM:PEP:2078WPP1 cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa F Thomas Nelson, Zoning Administrator - St. Croix County N C°^ O C-7 U+ r" • 0 C 0 CA) n7 A_ ' p z z; P' T ! v C= r e:3 N SBD H2a i B. 01/11) .. , i I SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Bog 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations July 21, 1992 ROBERT ULBRICHT 655 0`NEIL ROAD HUDSON WI 54016 Petition No. S92- 02148 -P Dear Mr. U1 bricht: Re: Robert Ulbricht - Residence on Parcel A Private Sewage System NE,SE,1 ,28,19W Town of Troy, '*R`. Cr'ltrsw+r alt ` Your petition for a variance to section ILHR 83.23 (1)(d), Wisconsin Administrative Code, has been reviewed. The petition has been approved. The rule being petitioned requires that a new mound system site have a minimum 24 inches of suitable natural soil. The variance requested was to install a new mound system on a site with 18 inches of suitable natural soil. All of the data and statements submitted on behalf of the petitioner were considered. This variance is specific to the subject petition and cannot be used for any additional modifications. Sincerely, I r R ch`a r Plyeh; rc i ect Director, Office of Division Codes and Application (608) 266 -3080 RM:PEP :2079WPP1 cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa Falls Thomas Nelson, Zoning Administrator - St. Croix County SRO 0828 i R. 01/910 ~ ° ° ' 0����r�����x����moG�� | ~ ' ^ uu1o. Washington Avenue p.0. Box ryoy Madison, Wisconsin ooro? � State of Wisconsin � Department of Industry, Labor and Human Relations 0ece|nhpr 2l 1992 | H0MES{T[ SLPTlC PL RUHtK[ UiBN{CHT '^ — � � h�5 0'N[lL kU 6`)� 0'NL}L K0 � HUDSON WI 5401 N{U'10N W] 540 1 h � Dear Sir or Madam: ' ^ Subject: Petition for Variance Approval PLAN ID: 9202150 ' � There has been some confusion expressed rpga'rdiny the sfatu of petitions for ` variance for mnund� for new construction. On Novemb(-r 23. 1992, Judge Mark Frankel of the Dane County Circuit Court is`upd a tpmVnriry injunction against, the Department prnh\bit)og it from acceVtinV or approving certain kinds of vur1ances. The \njunc\�on af fertpd only pptitions hr)ng processed on or received after November 23 1992. The var\ancp that you received for your mound .y\tem was approved prior to th, \soVan«p ^f fhp femp*r*ry injonrtinn. The Public lntervpnor, whn brought fhp ar.tion *gainst the Department, did not request, nor did Judge Frankel grunt, any order atfo't/n4 vorinxcps already approved by the Department. if you have not ypt don+ ,", you may submit a sanitary permit dpV11cati0n to your (uunt.y rndr adm)n)sf,ator ()(I(-'P you have received o `anitUry pprmit, your plumber may prv/epd with the construction of the mound system. If you have 'iny questions regarding this matter, ylpu^+ frpl frpp to contact me. � 5in( ere ly, � � 8ennette D. 8urk>, PA,, Chief � Private SewaOp Section 608/266 0056 ' � cc� "[ Ck0lX � ~r � � � vuoxm,.R.^un. ! * 4* *m ~- � SAFETY m: BUILDINGS DIVISION � � um1o. Washington Avenue p/z Box 7*oe �—� Madison, Wisconsin 63707 � State of Wisconsin � Department f Industry, Labor and Human Relati Uocpmber �l l9g2 ~ '.~ H0M[�lT[ 5[PT{C ------________ k0bERT VLHR{CHT 655 0'N[lL RD '- �5� 0 H0 HU0S0N W} 54016 1100" Wl 54016 Dear Sir or Mndum � 3uhtrcf: Petition tnr Variance 8ppniva| PLAN ID: 9�82148 There has been some confusion expressed r,gxrding fhp �f-ifu5 of pnt)tions for � variance for mounds for npw construction On Nnv,/nh,r �� ' 1 Judge Mark Frankel of the Dane County Circuit Court irlued a LrVYm/o, y injunction agm\n the Department pruh\b1t\ng \f from acc.eVt1ng or approving certain kinds of voriancps, The injunction affected only p^t1tiune. hping prore>sed on or received after November 23, 1 The variHncr that you received for your mound system was approved prior to the i o[ the fpmVorary injunction.` The Public |nterv+nnr, who brought the a/tion agninA fhp 0eparfment, did not request nor did Judge Frankel grunt, any order affecting variances already approvrd by the Department. If you have not ypf done so, you may submit a sanitary permit ap0licol\nn to your county code adminjsfrnfor. once you have received a sanitary permit, your plumber may with thp cnn�truCtinn of the mound system. - If you have any questions regarding this matter'. feel frp� +0 contact mo . / ^ Sincerely, ' � ' x 8pnnptte k. Burks, PA ^ Ch)^f , Private Sewage Section 608/266 0166 ' � � � nan^m,.R..vm' f ST, CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE f 911 FOURTH STREET • HUDSON, WI 54016 (715) 386 -4680 Qr1e darn PA, April 29, 1993 ..«; Division of Safety and Buildi Bureau of Plumbing P.O. Box 7969 ! Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Joseph Ulrich property, located in the NW;NE,, S.32, T.31N., R.17W., Town of St. Joseph, St. Croix County, WI., has been conducted with the assistance of Gary Steel, CST## 2298. This onsite revealed suitable soil for onsite sewage disposal to a depth of 29" while meeting the requirements of the A + 4 rule. This site should be suitable for new construction utilizing a mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact me at this office. inc rely, mes K. Thom son ' Assistant Zoning Administrator cc: file I ST. CROIX COUNTY r. r ^� , WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 91 1 FOURTH STREET • HUDSON WI 54016 _ O UR T (715) 386 -4680 April 29, 1993 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Joseph Ulrich property, located in the NW;NE,, S.32, T.31N., R.17W., Town of St. Joseph, St. Croix County, WI., has been conducted with the assistance of Gary Steel, CST# 2298. This onsite revealed suitable soil for onsite sewage disposal to a depth of 29" while meeting the requirements of the A + 4" rule. This site should be suitable for new construction utilizing a mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact me at this office. inc rely, ,� mes K. Thom son Assistant Zoning Administrator cc: file ST. CROIX COUNTY ; :� ? � °! �, y ` WISCONSIN { v.: ;f � �F. `iii � . a �'. ZONING OFFICE � r } ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386 -4680 July 14, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite investigation of two parcels of land owned by Robert Ulbricht & Richard Godden, both located in the NE1 /4 of the SE1 /4 of Sec. 1, T28N - R19W, Town of Troy, St. Croix County, has been conducted with the assistance of Robert Ulbricht, CST #2482. This onsite revealed suitable soils in the area of proposed lot #1 to a depth of 18 with proposed lot #2 having 15" of suitable soil. Both locations meet the requirements of the A +4" rule. These sites are suitable for new construction with a mound having 18" of sand fill. Should you have any questions, please feel free to contact this office. SincLely, mes K. Thompson Assistant Zoning Administrator cj Y / W F FILED OCT 3 01992&- a 490'786 Z JAMES O'CONN!"I RegL of Dews / CEI TIF iM SURVEY MAP FAT W. lL H ICHT AN13 RICHAFU L. 0000EN • r Part of the Northeast 1/4 of the Southeast 1/4 of Section 1 Township 28 North, F,ang� 19 West, Town of Troy, St. Croix County, Wisconsin. •Indicptes 1" iron pipe found. pIndicates 1" x 24" iron pipe weighing 1.13 lbs. /lin. Ft. set. 114 COR, S£C. / , T ?8 N, R/9 w, /COUNTY SURVEYOR'S'NON.) W h . O Z J•94' OVERLAP % VOL 10/, PAGE 437 UNPLA r LA NDS ° o N 89 *S1'45 990.26' £A S' T 990, 13 j 11 ' 2 O _ � h D) C _.- �----- • - - -_�- -_' - •919 ?6'_ _- ----_-- -- H/ 6HWAY SETBACK L /NE „ LOT / ,! 0' I I vl W K b 319.4 i /00' 6 h 4.085 ACRES m N 89 •3B' 03 "E 600. 00' 40,6 ' W QI t QI h O a 177, 919 SO. FT. h >! {y .4 L 3 W W Or 2 3.923 ACRES i 7 O _ 4.0?J ACRES EXC. --- I � q I ~ q O p 170, BBo so. r. I t b' 8� 1 GI . Q 1►I ♦ ROAD R.O.W. O "► 3.66? ACRES EXC. ROAOR.O.W, 44 W q.1 ? 99' O /7J, ?J9 SO. FT, C /39,J/7 SO.Fj, 1 21 1 1 O 399. Z u / , 1 L � 39/,78' 2 s �v 138.89' �I S89•51' 4J "W 991.77' UNP r rED LANDS h .•° t i o Owner's Address: W a c ►ei 655 O'Neil Road o H Hudson, WI. 54016 W N Phone No. 1- 715 - 386 -905 s E co R. SEC. / , r e s N, R /9 w, SCALE / "+ 200' /COUNTY SURVEYOR'S NON./ O /P0" zoo* JOO' 400' Soo' I ` lv s% y '•j ' Oated: September 29, 1992 ��} • "Revised this 28th day of October, 1992." _ ='LAURE •E: r*+ W MU HY £ This instrument drafted by Laurence W,•Murphy S �3 i .: Vl F LLS,•, 44 - X'-.�z NOTE.' ° LA S '•EI Lot 1 of this certiFied survey map must access 90TH Laurence W. Murphy Street at the center of the 66 Foot corridor and a istered Land Surveyor Lot 2 must access a minimum of 200 Feet South of the Lot 1 access driveway. j4pPROVED Vol. 9 Page 2559 0911 21 CertiFied Survey Maps St. Croix County, Wisconsin ST. atoix COUNTY SHEET 1` 2 ompraheasivO PttXU* 4 Zoning and Parks CoRurAtt" It not r�,cordad w4thin 3V days of . aW94al date i i 4 S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER /BUYER / 6 ,8 kX �`�✓���� � �� �,�' � v �D l�l3�.tJ ADDRESS FIRE NUMBER CITY /STATE PROPERTY LOCATION: / I 1/4 , s a 1/4 , SECTION _ , T LO N W TOWN OF T00-0 , St. Croix County, SUBDIVISION CSC, 9� ��� mod/ /� S , LOT NUMBER Improper use and maintenance of our septic system could Y p Y 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 septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1918. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and ( 2 ) after inspection and pumping ( if necessary) , the septic tank is less than 1/3 full of sludge and SCUM. I /We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix Co. Zoning Officer within 30 days of the three year expiration date. '+ SIGNED: DATE: ! St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 i i STC -100 j This application form is to be completed in full and signed by j the owner(s) of the property being developed. Any inadequacies .will only result in delays of the permit issuance. Should this development be intended for resale by owner /contractor,(spec house), thenia second form should be retained and completed when the property' is sold and submitted to this office with the appropriate deed recording. ------------------------------------------------------------------------ owner of property Location of M 1/4 S� 1/4, Section Township �P-0 Mailing address 6 SS 0 ftv fp 0") Address of site Y 1 6? ` + # S -<V 7 Subdivision name Cs� yf � 7 r � ��l' I` LSy Lot no. Other homes on property? yes No Previous owner of property fP'9l L.- Total size of parcel y� 0 /1 Date parcel - was created da 3 d Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Y No Volume and Page Number as recorded with the Register : of Deeds. -------------------------------------------------------- --- - - - --- - -- - - -- - INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & THE SEAL OF THE REGISTER OF DEEDS. : In addition, a certified survey, if available, would be helpful so as to avoid. delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the county Register o: Deeds as Document No. , and that I (we): presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has, been duly recorded in the office of County Register of deeds as Document No. p `fl� Signature of applicant cbvapplicant Date of Signature Dat6 of Shi attire j I M r* e L P40 STATE H.`l E lip' R'I.�E'I >NjI.V FuK11 I — 19Nl •• v•..• .t +.a.t� .JN N.coNt., v•l. ' WARRANTY DEED 4876E1 965 PA 442 REGISTER'S OFFICE ST. CROIX CO. This Deed, made bvtween Dale Dura:t.l 1M J .t; Reed for Record AUG 26 1992 Grantor, and Robert We Ulbricht and Richard L. Godden, at 8:30 A.M as tenants in common Grantee, 3wtY of Witnesseth, That the said Grantor, for at valuable consldvratwn N(IUNN r cwn vi•s lo Gruitcv the fallowing described real estate In St. Croix. � C �/I r r 4 /� oct fir County, State of Wisconsin: -- ft t t,•el i Geh 1 S � L c' L 'S 78• 11 Part of NEk of SEk of Section 1 -28 -19 described as follows: Commencing at thS Tax Parcel No: ............................... Ek corner of said Section 1; thence S00 00'00 "E along the E line of said Section 1, 308 feet to the i point of beginning; thence S00 00'00 "E assumed bearing being along said E lins of Section 1, 352 teet; theplce S89 "W 991.77 feet; thence N00 14'45 "E 352 feet; thence N89 51'45 "E 990.15 feet to point � { of beginning. ♦ r � jl .30 6 i► This is not., ,., homestead property. (is) (is nut) Together with all and singular the hereditament& and appurten"rices thereunto Wloagtng; And ... Dale Durand warrants that the title is good, indefeasible in fee simple and tree and clear of encumbrances vxvvpt easements, restrictions, and rights -of -way of record, if any, � and will warrant and defend the same. f Dated this 6th day of .... All S 19 is _. (SEAL) (SEAL) .............. ............ ..Pale Durand i .._. .. ......... _. (SEAL) ......(SEAL) I r- Q, / �4t ~ �.N • �23$i1jCATION ACKNOWLEDGMENT '1 Si brn q •.a.w . j . =.... .......__ ...................... STAT ' OF WISCONSIN • as s° �)' a1�y ?.1 .............. ........ ..._..._ County. S �� authenttttl G Gdf�i of .. .................... . 19...... Personally came before me thu ....E th... day of ,,. I` •I,, .` 199.2... the above named .................. D.a i.�.. p.ux.and........... I ............ ... • .......... ............. .._._..........._.. ............................... ............ ......... ....................... .... ................... TITLE: MEbIBER STATE BAR OF WISCONSIN _ ..... ........ .... ....... ............. _... . ................ (If not, . ...... ............_..... ........._ ,. .................__.._ authorized by 1 706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the a e. THIS INSTRUMENT WAS DRAFTED BY Betty St— U g ... C. L. G.. lord .� .. ................ . .... . Y At. o> n.ey.__ .. • Rive Fa.l.l.s.,_WI... ..5402.2...... _ .......... . . .. N otary Public count,, Wis. (fit; nature, may be authenticated or acknowledged. Both My COM ton Is permanent. Of not, state expiration are not necessary.) aate: .. ( `1L -V _...._ 19 C7 •) ;� 4 14arn" of persona ■i&nm& in any cai—ov h­ id b< tsp,l or panted below their iudnat:.r I II STATE: ItAR OF WISCONSIN �-- FORM N. 1 — 1982 Stock No. 13001