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CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF TROY COMPUTER NUMBER 040 - 1047 -40 -100 Parcel Number 11.28.19.163B OWNER NAME: First MARK L & MARNI G Last HANDLOS PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 468 CTY RD U SECTION 11 TOWN 28N RANGE 19W %160 '/440 Line Description Line Description TOTAL ACREAGE 8.475 PLAT CSM 13/3629 LOT2 BLK 01 SEC 11 T28N R1 9W SE NE 15 02 BEING LOT 2 CSM 13/3629 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit ST. CROIX COUNTY ZONING DEPARTMENT, �. AS BUILT SANITARY REPORT ^ `"- �O Owner Property Address s City /State o/sOr� � c/i' ��o %� 2 l c �� Ed Legal Description: 3 1 Lot Z Block /L4 Subdivision/CSM # .7C '/a ' /., Sec. . T ZB N -RAW, Town of i ro PIN # ,& SEPTIC TANK — DOSE CHAMBER — HOLDING TANK INFORMATION: Tank manufacturer AjiYS rr 6/ Size ST/PC i �Setback from: House 26 'Well lv PAL Pump manufacturer C 3&t--P d Model te0 5//i Alarm location h6u sA (HOLDING TANKS ONLY) Setbacks: Service road Z Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM A� r& Width 9. / Type of system: L en g th //a Number of Trenches Setback from: House 1 1 0 Well 3�d � P/L 102 Vent to fresh air intake 2 LO ELEVATIONS Description of benchmark �r� S'`� �"�'� r Elevation � Description of alternate benchmark Elevation Building Sewer ST/HT Inlet ST Outlet PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover Distribution Lines () () ( ) Bottom of System () () ( ) Final Grade O O ( ) Date of installation G 1 17M Permit number 7 Ff State plan number a / -3 z a / Plumber's signature License number 22- (P5 2 --"( Date to 1 Inspector Complete plot plan � x • vide the follow NOTICE. Please provide : P g • 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 VIEW 1 � 1 37 67 1 73� N' mo X6 jci�t on 1�J, r avc,) INDICATE NORTH ARROW } Wiscdnsin Department of Commerce PRIVATE SEWAGE SYSTEM Count y Safety and Buildings Division INSPECTION REPORT 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)]. ST . CR IX Permit Holder's Name: ❑ City ❑ Village R Town of: State Plan D o.: HANDLOS, RONALD TROY CST BM Elev.; Insp. BM Elev.: 7,-r Description: Parcel Tax No.. /d U ac7 raa� TANK INFORMATION ELEVATION DATA A9900063 TYPE MANUFACTURER CAPACITY STATION I6rw 4 BS HI FS ELEV. Septic r Benchmark 4 0 Dosing - � z-?-' t Z J 4. 3 Aeration Bldg. Sewer Holding t islet TANK SETBACK INFORMATION Ht filet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet 6� �( Air Intake to Septic �.1p — NA Dt Bottom 04 j. Dosing 7Z 6 X250 f 7 ZS� r 7 Z NA Header/ Man. Of 940 02- / I Q& Aeration Dist. Pipe G.S Sy Holding Bot. System t*6 0b r 9 PUMP / SIPHON INFO RMATION Final Grade �t� Manufacturer (j0 ,t r� Demand p 02 7p/ p C4, I p(• 0 " Model Number a 4V0 YS GPM N"" mFD�' q'S•�� TDH Li- Lriction Systerr� s TDHFt , 3 Z� ZQ Forcemain Length Dia. Z Dist. To Well 7Zs O / lv /Z S SOIL ABSORPTION SYSTEM BED / TRENCH Width Len th No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS Q• ( 0 DIMEN I N SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION TypeO r CHAMBER Mode Number: System: 7100 x ??J > ?JV OR UNIT DISTRIBUTION SYSTEM Z Header/Manifold Distribution Pipes) A x Hole Size x Hole Spacing Vent To Air Intake Length _7__ Dia 2 Length S3 Dia. F�p Spacing NN 3 b Z SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (include code discrepancies, persons present, etc.) LOCATION: TROY 11.2 8.19.16 3 , S E , NE 468 COUNTY ROAD U d tes �o�. z fe I o / n f 6" 4e TGt� � 'Fi / l �� r hB�c� �Y ZSZY �O cS Cu� c (yak e 0 F �t Comma 4U 3 / to" �ar S�Zc ' W� /� 6�P Plan revision required? ❑ Yes No Use other side for additional inform ti on SBD -6710 (R.3/97) Date Inspector's Si a re Cert No 1 � ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: E a I # E ..m @ee ee %g.a ea ev � e<a� _" e �e em r e # „ I � „ m } i t e { i z a E i µ.� `a t W_ { j f r , ' i ? _E r S �.._,. .w._ _..._. W .,,.b.... r t r r a . �. -. A.a e.�.. �... a .. .eee. M_. ai a t E e e e 3 3 g a —a S # ? ..m� sum e. e ems. �.« e e v.. . r. S a as r f 3 1 i E # t � Safety and Buildings Division SANITARY PERMIT APPLICATION 201 W. Washington Avenue Visconsin In accord with ILHR 83.05, Wis. Adm. Code P O Box 7302 Department of Commerce Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less Cou than 81/2 x 11 inches in size. 5Z Cro( • See reverse side for instructions for completing this application State Sanitary Permit Number 3 Zy �gy Personal information you provide may be used for secondary purposes Check it revision to previous application (Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Z Z3 a D Propert wner N Property Lgation " N 1/4 � 1/4, S T Z , N, R I f (or) Property Owner's M lin Address Lot Number g Block Nurp4er City, State Zi Code T one Number Subdivision Narpe or CSM Number > 1 II. OF 'BUILDING: (check one) ❑ State Owned Cit Nearest Road C] Village Public 1 or 2 Family Dwelling - No. of bedrooms - Town OF ��► C / III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 2 yU - C) 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 E] Reconnection of 5. C] Repair of an ''_System System Tank Only System Existing System B) P1. A Sanitary Permit was previously issued. Permit Number Date Issued s - :F2 V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 flckpecify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 14 r6P&JA_ 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area Al. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade J Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) , Elevation `7 0 7 s l g Feet /O // 7Feet VII Capacit TANK in allo s Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturer's Name Concrete Con Steel glass Plastic App New Existin structed Tanks Tanks Septic Tank or Holding Tank � l Q ,�w /L° v ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamb 7 v / v ❑ I ❑ I ❑ 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumb 's Name: (Print) , Plum�'Signature:(NoSta ps) MP /MPRSW No.: Business Phone Number: Plumber' Address (Street, City, State, Zip Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamps) Approved C] Owner Given Initial surcharge Fee) Adverse Determination <� 4 .11� X. CONDITIONS OF APPROVAL/ REASOWS FOR DISAPPROVAL. SBD- 6398 (R.11/97) DISTRIBUTION: Original to county. One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is vaI id 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. il. 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 isto 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. =--------------------------------------------------------------------------------------------------- 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. Safety and Buildings Division Visconsin SANITARY PERMIT APPLICATION 201 W 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 than 81/2 x 11 inches in size. • See reverse side for instructions for completing this application State sa Ferryit tNn§ p Number rY purposes ❑ Check it ) Personal information you provide may be used for seconds ur vlsi" on !o lio aication (Privacy Law, s. 15.04 (1) (m)). State Plan I Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Pro pe Owner Name Property Location > L .r' E1 lj�e 1/4, S 7 / T 2& , N R/f k(oro Property Owner's Mailing Address Lot Number State Block Number K/I Zip Code Phone Number Subdivis Name or CSM Number /r p1 (7/5 II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ !t Nearest Road ❑ Village -T C Public 1 or 2 Family Dwelling - No. of bedrooms 3 Town OF III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(sf If. 29. lot. 1 6a3 1 ❑ Apartment/ Condo p - 14) y7- Z/a 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 ❑ Repair of an ______System System Tank Only System Existing 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 ❑ Mound 30,0 Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure / � / 42 ❑ Pit Privy 13 E] Seepage Pit H 7 - 6ro -dam 43 ❑ Vault Privy 14 ❑ System -In -Fill V ABSORP SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 17 . Final Grade D Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) u�� Elevation 45 7 �� 7�'j a / 7,8 Feet GI, $/ Feet VII. TANK Capacity in gallons Total # of Prefab. Site Fiber- plastic Exper. INFORMATION Gallons Tanks Manufacturers Name concrete con steel glass App. New Existin structed Tanks I Tanks Septic Tank an Al/QSI, ❑ ❑ ❑ ❑ ❑ Lift Pump Tank r 1 �Sp / \ Y �, 11 El 11 El 1:1 NSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plu is Name: (Print) Plumb is Signature: (No S amps) MP /p Essu O.: Business Phone Number: 1 1 7i.#� 7 3 Z/ Plumber' Address (Street, Cit , State, Zip Code): �h d � IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater ate I ssued 10 Issuing ge ignature (No Stamps) � ) tN Approved [:]Owner Given Initial _3VCO Surcharge Fee) � dJ�� Adverse Determination JJ / X. CO DITIONS OF APPROVAL/ REASONS FOR DISAPPROVA Pa4&4 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 may 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 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. ---------------------------------------------------------------------------------------------------- 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. ` Safety and Buildings 2226 ROSE ST MA , MN LACROSSE WI 54603 -1905 Nvisconsin Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary Departm o Commerce March 02, 1999 CUST ID No.226524 ATTN. POWTS INSPECTOR ZONING OFFICE ROGER L TIMM ST CROIX COUNTY 3128 20TH AVE 1101 CARMICHAEL RD WILSON WI 54027 HUDSON WI 54016 RE: CONDITIONAL APPROVAL Identification Numbers APPROVAL EXPIRES: 03/02/2001 Transaction ID No. 213201 Site ID No. 167735 SITE: Please refer to both identification numbers,' Site ID: 167735 above, in all correspondence with the agency, St. Croix County, Town of Troy SETA, NEIA, S11, T28N, R19W Facility: Mark Handlos FOR: Description: At -grade Object Type: POWT System Regulated Object ID No.: 452741 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the Wisconsin At -Grade Soil Absorption System Manual (Pub. 15.21). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard by discharge of partially treated or untreated liquid wastes to ground surface or into surface waters or groundwaters of the state, the owner will employ a properly licensed plumber to repair, modify or replace this system (including the possibility of installation of a holding tank with proper disposal) with such action approved by the Division and appropriate local officials. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. i ROGER L TIMM Page 2 3/2/99 I ' Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 02/25/1999 / FEE REQUIRED $ 180.00 /// FEE RECEIVED $ 180.00 &rarM. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)785-9348, Mon - Fri, 7:15 AM - 4:00 PM jswim @commerce.state.wi.us } '�? Mark Handlos - At -grade System RECEeVED Transaction # FEg 2 5 1999 SAFETY a • oiv Location: SE 1/4, NE 1/4, Sec. 11, T 28 N, R 1 W Town: Troy County: St. Croix Date: February 15, 1999 Owner:. Mark Handlos: Address: 9760 84th St., S. Cottage Grove, MN 55016 Plumber: Roger Timm Signature: License # MPRS 226524 Attachments: 6748 -Plan Approval Application SBD -8330 SBD -5524 Application SBD -5524 Onsite verification page 1: cover P.Q.WT•S• ' 2: calculations Con d i tionall y 3: plot plan 4: plan view, system cross section APPROVED 5 : lateral detail oEPARTM A �OF COMM 6: pump tank exit detail 6 L - E_ s�oN Sul 7: pump curve CE GORRESPON page 1 of 7 Byston Calculations one family residence bedrooms Loading rate n,6 gallons /sq ft per day Depth to ground water �• in Depth to bedrock Z in Lross slope �" % Force main length ft of Z in Manifold /header length µ'ms ft of / in Drainback 2 ' gallons Lateral length �_ @ S �'� ft of lif in Lateral elevation �`�°�� ft (bottom of pipe) Lateral hole size 6 in @ 2,4 -o in ( Z' 0 f t) spacing holes /lateral, � holes total Lateral volume gallons F 3� L0¢ Total lateral.discharge rate gpm @ �'� ft head Elevation difference �'O� ft i Friction loss �'�� ft @ gpm Total dynamic head ft Pump /si^Mon gr� gpm @ � __ _ ft of head Manufacturer ° w�� L 3 ��' ° ,, Model # 90 4 ' Dose voluTe _ gallons Lift /si�on tank `'` ' `�`�„�S >te,�, N-0 gallons Septic tank gallons �, Measurement, pump on i off i n _ Height alarm from tank bottom Reserve capacity Z + gallons calcs page Z of �' • z Lo T CD p elk IL �t o t, 3S f - w�•, o o Lo qo � •�., � S � ti � , Z•• Pv � ,�. fro l+a 7 Muv 1 a9'�T V w 1vo `1.► -b.o� C >.�..Q waa �T N , �i•y �.� �, o i �.�.. \p a.e.1c.�•o iL 3 oS � 1 2p•0 � 5' 5� r 2` 4 1 �r L O V c. ki \ o \ w,� o~ r.�C ,r 0^...►� � � Z.. O 1 �•o ..r T Fabr i c Distribution Lateral Observation ,,. ��- Soii Cover Well ,', 12•• V r J �� L '� W C i.iL. to � Z," P v c 5.�. � �� `z P V� 5.4 53•a' S 3.0 1ab•o� �N i Ll Jn 2.4-o" Q-2. 0 I JOB TIMM EXCAVATING Route 1 Box 192 SHEET NO. OF WILSON, WISCONSIN 54027 CALCULATED BY DATE (715) 772 -3214 (715) 386 -5443 MPRS #3224 WI MPCA #696 MN CHECKED BY DATE SCALE ...... ..... �. i V ...... ......... . .. .�s K ............. ... . .... .. .. .... .... ... ....... ... << .L.kr.. , � q ..................... _ �' -_ i l— - -- -- I I ...... .. ..... .... ... ............ _ ..,. ..,..,. ........... .. ... .......... _, i .. .. ... PRODUCT 205-1 Q lac., Groton, Mass, 01471. To Order PHONE TOLL FREE 1- 800 - 2256380 1. _ I i VCWT CAP 4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKINIG JUWCTIOW BOX MAIJHOLE COVER 25' FROM DOOR. wgRr►�04 v WIMDOW OR FRESH AIR IIJTAKE I GRADE I COWDUIT - - PROVIDE I AIRTIGHT SEAL T "� Cs -q�.i �6St,'liV� 23•� I III APPROVED JOINT. r •�-3 A.� �Jb I II W /C.I. PIPE II ALARM EXTELIDIU6 3' OAITO SOLID SOIL %_ I I -„ . I I ON . U __� �.l�..a 4a 1� PUMP -� OFF BLOCK SA s GOU LDS , r ,y h 4 r�r= j 4 Vertical Sump Pimp I DVP Clow WOW JLL I Pump Specifications METERS FE ' /BHP 10 Up to 40 GPM '0 MODEL: 3871 Discharge size 1'/+" NPT ° 30 Solids: V maximum e u Motor 7- Single phase: 115V 6 20 Materials of Construction Cj 6 Brass/thermoplastic ,6 EPOS Features and Benefits + 0 •Top suction eliminates :o 3 10 impeller clogging. s 6 EM • Corrosion resistant I �fj construction. o 0 ,0 20 30 w 6o Os orr • Float actuated switch. 0 2 4 6 e �o .2 mots CAPACITY METERS ET MODEL DVPQ3 Pump Specifications Features and Benefits 20 '/,a and 'A HP • EPO4 impeller- semi -open design 6 Up to 60 GPM with pump out vanes to protect 6 16 Maximum head to 32' mechanical seal. + • EP05 impeller - enclosed design 3 10 Discha age size 1 /2 „ NPT P for improved performance. o Solids: /+ maximum 2 Motor • Rugged glass-filled thermoplastic � + 6 All motors feature ball casing and base design provides ° o bearing construction. superior strength and corrosion 0 6 10 15 20 26 30 36 +0 U.S.GPM resistance. 0 i 4 e e V ON Single phase: 115V .Cast iron molar housing for CAPACITY Materials of Construction efficient heat transfer, strength, Cast iron and durability. Thermoplastic Stainless steel •Corrosion resistant threaded stainless steel shaft. *Available for automatic and manual operation. • CSA listed models available. i All Models are designed for continuous ration and feature stainless steel hardware. o ftl Department of Commerce S OIL AND SITE EVALUATION Page 1 -of 3_ _ ? bivision of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper not less 1 A x 11 inches in size. Plan must County include, but not limited to: vertical and horizahtef referene$ point (BM), direction and St. C percent slope, scale or dimensions, north arrow, and location and distance to nearest road. - - Parcel I.D.# 40 -10474 (11.28.19.163) APPLICANT INFORMATION - Please print all Infonnatlon. - - -- -- - - - -- - - - Personal information you provide may be used for seoondary purposes (Privacy taw, s. 15.04 (1) (m)). I!!v By Date tt�� - (J Propert Owner Property Location Handlos, Mark Govt. SE 1/4 NE 1/4 S 11 T 28 N,R 19 - W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 9760 84th St., South ❑ - _ _ City State Zi Code PhoneNumber ❑ City ❑ Village ®Town Nearest Road Cottage Grove MN 5016 651- 768 -0380 Troy I CTHW U Z New Construction Use: ® Residential / Number of bedrooms 3 []Addition to existing building ❑ Replacement ❑ Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate • bed, gpd/ft' • trench, gpd/fe Absorption area required 900 bed ft 750 trench, ft- Maximum design loading rate -5 bed, gpd/ft • tr ench, gpd/fl Recommended infiltration surface elevation(s) lateral to follow 99.8 ft (as referred to site plan benchmar Additional design / site considerati i nst all 8.5'x 90' effective (10.5'x 94' overall) rock unit on 99.8 contour Parent material loess over limestone Flood 0ain elevation, if applicable NA ft S= Suitable for system Conventional Mound In- Ground Pressure AT Grade System in Fill Holding Tank U= Unsuitable for system ❑ ®U ®S ❑ U ❑ S X U S❑ U ❑ S M U C; S QS U Depth Dominant Color Mottles Structure GPD/ft' Boring# Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. C onsistence Boundary Roots - �- - - - Trench 1 0 -5 1OYR 2/2 - sil 2 f sbk mvfr cs 2flm ' 5 .6 C al ;a _. 2 5 -21 10YR 2/2 - sil 2 m sbk mfr cs if 5 6 Ground 3 21 -36 IOYR 3/4 - sil 3 m sbk mfr gs Inn 5 .6 elev - - -- -- — - - -- -- -- - - 98.9 ft 4 3645 l OYR 4/6 - sil 2 m sbk mvfr cs If .5 .6 Depth to 5 45 -60 7.5YR 4/4 - sl 2 m sbk mfr cs 1 If .5 6 limiting 6 60 -70 7.5YR 4/4 - sl 1 m sbk mfr - - .4 .5 factor - - - -- — - - - - -- Remarks: occasional LS firag below 60" 2 1 0 76- 1OYR 2/2 - sil 2 f sbk mvfr cs 2f1m .5 .6 2 6 -25:- 1 l OYR 2/2 - sil 2 m sbk mfr gs if .5 .6 Ground 3 2543 IOYR 3/4 - sil 3 m sbk mfr gs if 1 .5 .6 elev - 101.3 It . 4 43 - 54 l OYR 4/6 f2d 5YR 4/6 sl 2 m sbk mvfr cs If -- - - -- - - -- -- - -- - ; .5 .6 Depth to 5 54-66 2.5Y 4/4 - scl 0 m mfi - 9i 9 J �'/ �Ir .2 limiting — factor 43' ,j —' �. Remarks: 0 i 1 9 tn __ I CST Name (Please Print) Signature: Telephone NoCUOUNTY � Henry F. Grote , // �11-*5- 26 U NG OFFCE C ertified of Testi _ D to CS�� Nusi Address 1? O. Box 57, Knapp, W1.54749 1/12/1998 22277 21 5 I PROPERTY OWNER 1- T110s Mark SOIL DESCRIPTION REPORT page . _.2 _ d . . PARCEL I .D.# 40 -10474 (11.28.19.163) Certified Soil Testing Depth Dominant Color Mottles Structure GPD/ft Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh, � onsistence � Boundary Roots -- - -- Tr e n ch Bed iTrench 3 1 0 -6 1OYR 2/2 - sil 2 f sbk mvfr cs 2flm .5 .6 2 6 -20 1OYR 2/2 - sil 2 m sbk mfr gs lm .5 .6 Ground elev 3 20 -38 IOYR 3/4 - sil 3 m sbk mfr cs IM .5 .6 98.1 ft 4 38 -51 IOYR 5/3 cId 7.5YR 4/6 sl 1 m sbk mvfr cs if .4 .5 Depth to 5 51 -68 7.5YR 4/4 fl 7.5YR 4/6 sl 1 m sbk mfr - - .4 .5 limiting -- factor 38' Remarks: 4 r� 1 0 -10 IOYR 2/2 - sl 2 m cr mvfr cs 2flm .5 .6 2 10 -19 1OYR 2/2 - sl 2 m sbk mvfr cs lm .5 .6 - - - - -- -- - - - - -- Ground elev 3 19 -38 7.5YR 4/4 - sl 3 m sbk mfr cs If .5 .6 99.8 ft 4 38 -53 10YR 4/4 cId 7.5YR 4/6,5/8 sl 2 m sbk mfr cs - .5 .6 Depth to 5 53 -62 7.5YR 4/6 - sl 1 m sbk mvfr cs - .4 .5 limiting _ factor 6 62 -76 2.5Y 4/4 - scl 0 m mfi - - NP .2 38' -- - -- Remarks: common G I cows on i5 cus 19 -33 m -_ - - - -- �= 5 1 0 -5 IOYR 2/2 - sl 2 m cr mvfr cs 2flm .5 .6 2 5 -19 1OYR 2/2 - sl 2 m sbk mvfr cs lm .5 .6 Ground elev 3 19-40 7.5YR 4/4 - sl 3 m sbk mfr cs lm 5 .6 97.9 ft 4 40 -50 10YR 4/4 - sl 2 m sbk mfr cs lm .5 .6 Depth to 5 50 -72 l OYR 4/4 f2d 7.5YR 5/8 sl 1 m sbk mvfr - - I 4 .5 limiting } fact - - - - -- - - - I -- Remarks: - sil 2 f sbk mvfr cs 2flm .5 .6 6 2 7 -17 10YR 2/2 - sil 2 m sbk mfr - gs -- if -- 5 1 0 -7 1 R 2 r� 6 Ground elev 3 1740 10YR 3/4 - sil 3 m sbk mfr cs lm l .5 .6 _ _101.6 ft 4 40 -44 l OYR 3/4 fl f 7.5YR 4/6 sill 2 m sbk mvfr cs if 5 6 Depth to 5 44 -72 l OYR 4/4 f2d 7.5YR 5/8 sl 1 m sbk mfr - - .4 .5 limiting factor 40" -- Remarks 501ne is IncluMns 44- a• Z � t Mal 3,5 C o o so 4o t� 94.85 i Q -t G-6 4•S `14-0.0) ...+^. OL �t. N c'r�a ti Q.k 4A, WL a 3 os3 Wisconsin Dopartrnont of Common, o SOIL AND SITE EVALUATION Division of Safoty and buildings Page of Bureau of integrated Services in accordance with S. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must County (�1 include, but not limited lo: vertical and horizontal reference point (8M), direction and J7 • e rol� X percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.O. # oe fo - /o y7- q6 APPLICANT INFORMATION - Please print all information. aeViewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Govt. Lot Sr 1/4 Ne 1/4,S T 29 ,N,R E (or) W Property Owner's Mailing Address Lot # Block# ubd. Name or CSM# g 7(P 0 __ A +i - 0 _ City State Zip Code Phone Number ❑ City ❑ Village U Town Nearest Road c &WC, i V11 56CI(p c asst) 765-6401 1-0 & ,I R4 � Dg New Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate z � bed, gpd/e - (° trench, gpd/ft Absorption area required bed, ft aW trench, ft Maximum design loading rate _bed, gpd/ft trench, gpd/ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/site considerations Parent material ( 1t �4�1� �, � f� Flood plain elevation, if applicable ~ °+- It S = Suitable for system 7ConSventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system Y U S❑ U ❑ S oat DO S ❑ U El 04 U ❑ S ,f�Sl U SOIL DESCRIPTION REPORT Bonn # Horizon Depth Dominant Color Mottles Structure GPD/ft 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 5 I 0-1 17 I o�f? `I/ S %/ 2jmhK Ground �� 3 3 ZO elev. ft .S 10K : ? 1 4 lS • / ' Depth to f 7 5 Q M +� 1� /i/tr , /V I/ a/ limiting fact f� 3 &in. ` ((((( Remarks: C 1— N I �h6Y1 5 cox 1"Gc,twd Sri S4� u - ►'aL�S . QI'lSi �O/I �� 1 WC 1 ka M W-&(-& Nly , -[Mi AA 4 'k � _ rp_ • SAFETY AND BUILDINGS DIVISION 201 East Washington Avenue P.O. Box 7%9 Madison, Wisconsin 53707 �scons�n Department of Commerce Tommy G. Thompson, Governor William J. McCoshen, Secretary At -Grade System Onsite Verification Rei)or Are the soil and landscape features accurately reported on the Soil and Site Evaluation Form yes no If no, provide a further description by including an onsite report, which may consist of a soil profile report, or provide a brief explanation below. If yes, what other type of Private Owned Waste Treatment System (POWTS) could be used? O I County Official SQgnature Date ` A/ S @L I ( 28jd— EQL I S4. Croi Property Location PoLrcGl rd tf oqc) - /o y l� —[/� C�v U & ir/l /oS g7�2o Kq + , S4- Co -(pct o c rfl Vr Landowners Name SBD- 10S13(N.11/96) } wl s Department of Commerce SOIL AND SITE EVALUATION p� I of 3 vision of Safety and Buildings in a with Comm 83.05, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper not n 1 s in size. Plan must Count Include, but not limited to: vertical and. nt (SM), direction and y St. Croix percent slope, scale or dimemsbns, north arrow, and n and distance to nearest road. - - -- - Parcel I.D.# 40 - 1 0 474 (1 1.28.19.1 APPLICANT INFORMATION - Please print all Information. Personal information you provide may be used for secondary purposes (Ptivew Law. s. 15.04 (1) (m)). Reviewed By Date Property Owner Property location SE 1/4 NE 1/4 11 28 19 W Handlos, Mark Govt. lot S T N,R Propert Owner's Mailing Address Lot # Block # Subd. Name or CSM# - -- 9760 84th St., South City State Z Code PhoneNumber El City ❑ Village ®Town Nearest Road �- Cottage Grove MN 5016 651- 768 -0380 Troy I CrHW U ® New Construction Use: ® Residential / Number of bedrooms 3 ❑Addition to existing building ❑ Replacement ❑ Public or commlerdal describe Code Derived daily flow 450 gpd Recommended design loading rate • bed, gpdfft2 .6 trench, gpdfft Absorption area required 900 bed, fP 750 trench, ft- Maximum design loading rate • bed, gpd/ft2 -6 t rench. g pdfip Recommended infiltration surface elevation s) lateral to follow 99.8 ft (as referred to site plan benchmar Additional design / site consideration 18.5' x 90' effective (10.5' x 94' overall) rock unit on 99.8 contour Parent material loess over limestone Flood lain elevation, if a licable NA ft S for system Conventional Mound In-Groiuid Pressure AT Grade System in Fiil Holding Tank U= Unsuitable W system ❑ N U N S 1 U ❑ S N U N S❑ U ❑ S NUT ❑ S X U Depth Dominant Color Mottles Structure _ GPD/ t Bodn Horizon Texture Consisten Boundary Roots — - - -- 9# in. MunseN Qu. Sz Cont Color Gr. Sz. Sh. Bed . Trench 1 1 0 -5 IOYR 2/2 - sit 2 f sbk mvfr cs 2flm .5 .6 2 5 -21 1OYR 2/2 - SH 2 m sbk mfr cs if .5 .6 Ground 3 21 -36 IOYR 3/4 - sil 3 m sbk mfr gs lm .5 .6 elev 98.9 ft 4 36-45 IOYR 4/6 - sil 2 m sbk mvfr cs if .5 .6 Depth to 5 45 -60 7.5YR 4/4 - sl 2 m sbk mfr cs if .5 .6 limiting 6 60 -70 7.5YR 4/4 - A 1 m sbk mfr - - .4 .5 factor > 70' Remarks: occasional LS ow 60" 1 0 IOYR 2/2 - sit 2 f sbk mvfr cs 2flm .5 .6 l OYR 22 - sil 2 m sbk mfr gs if .5 .6 GroundC,', 3 25-43 10YR 3/4 - sil 3 m sbk mfr gs if .5 .6 elev — - -- - - -- - 101.3 4 . ; ; .; 4 43 -54 l OYR 4/6 f Zd 5YR 4/6 A 2 m sbk mvfr cs if .5 .6 Depth to 5 54-66 2.5Y 4/4 - scl 0 m mfi -- -- - 9 -- 2 limiting - -- factor , 43' �/ ME Remarks: ' OCT 9 1990 u CST Nam . ( Please Print) Si�latiue: ` i � one No COUNTY Henry F. Grote 1S Address eRt t of Testing pp tQQ — C 5- 2 t�ANGOFF tCE Y61 P.O. Box 57, Knapp, WI`54749 2/1998 2227 5 it PROPERTY OWNER: Hwdlos Mark SOIL DESCRIPTION REPORT F - To p age 2 _ -. ® f ' -3- PARCEL LD.fI 40 -10474 (11.28.19.163) Certified Soil Tung Horizon Depth Dominant Color Mottles Texture Se sistence Boundary Roots GPD/W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. e d I Trench 3 1 0-6 10YR 2/2 - sil 2 f sbk mvfr Cs 2flm .5 .6 2 6 -20 10YR 2/2 - SH 2 m sbk mfr gs lm .5 .6 Ground elev 3 20 -38 10YR 314 - A 3 m sbk mfr Cs lm .5 .6 98.1 ft 4 38 -51 IOYR 5/3 cId 7.5YR 4/6 sl 1 m sbk mvfr cs If .4 .5 Depth to 5 51 -68 7.5YR 4/4 fld 7.5YR 4/6 sl 1 m sbk mfr - - .4 5 limiting faces 384 - -- Remarks: - -- - -- - - - - bow"_." ,4 1 0 -10 I OYR 2/2 - sl 2 m cr mvfr Cs 2flm .5 '.6 2 10-19 10YR 2/2 - s1 2 m sbk mvfr cs lm .5 .6 Ground 3 19 -38 7.5YR 4/4 - sl 3 m sbk mfr Cs if .5 .6 elev 99.8 ft 4 38 -53 10YR 4/4 cId 7.5YR 4/6,5/8 sl 2 m sbk mfr Cs - . 5 .6 Depth to 5 53-62 7.5YR 4/6 - s1 1 m sbk mvfr cs - .4 .5 lung - - factor 6 62 -76 2.5Y 4/4 - scl 0 m mfi - - NP .2 V i Remarks: common Gy 11 Z=n ► ua 5 1 0 -5 10YR M - sl 2 m cr mvfr Cs 2flm .5 .6 2 5 -19 10YR 2R - sl 2 m sbk mvfr Cs lm .5 .6 Ground - elev 3 1940 7.5YR 4/4 - sl 3 m sbk mfr cs IM .5 6 , rp i k 97.9 ft 4 40 -50 10YR 4/4 - sl 2 m sbk mfr Cs lm .5 Depth to 5 50-72 I OYR 4/4 @d 7.5YR 518 sl 1 m sbk mvfr - .4 x:.5 limitin factor Remarks: 1 0 -7 IOYR 2/2 - sil 2 f sbk mvfr Cs 2flm .5 ' . 2 7 -17 10YR 2/2 - sil 2 m sbk mfr gs If 5 .6 Ground - elev 3 1740 10YR 3/4 - sil 3 m sbk mfr Cs lm .5 .6 101.6 ft 4 40-44 10YR 3/4 fl f 7.5YR 4/6 sit 2 m sbk mvfr Cs if .5 _ .6 Depth to 5 44 -72 10YR 4/4 @d 7.5YR 518 sl 1 m sbk mfr - - .4 .5 Gmiang - - -- -- -- - factor - - 4T Remarks: to '! \t.Z8.t9,1b3 SF- at:- t\•zY•�Zw l... To�..v�� vo C.%, &.06 � .�,.) o Lo 40 C �gQ.8S Q -1 a S- 6 OIL WL - 4 -S A QK �\ �YO.O� 1 o•..ae. CTN y ' 4 - it 07 rw�s �X �• �'w�� c.o... w. q,t w a� � eS3 ti I 6 0 otij - ;1 *3 `" q� Mir 1� ' V a4- n�Fi 5 13 �4 C r ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND ]j OWNERSHIP CERTIFICATION FORM Owner/Buyer Rm n et 1!C rn a"vt, C )a 3 Mailing Address L-1 5 � � d S I W Property Address � �O Cr 4 "(4 I (Verification required from Planning Department for new construction) 10- City/State Parcel Identification Number. LEGAL DESCRIPTION _ Property Location ,S '/4, Me' ' /o, Sec. I> , T Z V N -R W, Town of rU Subdivision u j , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # �322. , Volume ? Page # Spec house ❑ yes IN no Lot lines identifiable JR 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 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. 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 three year expiration date. l l IGNATURE 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 X dieerty described bove, 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 l J DQCUMENf 1140. '4A qR AhTY DEED THIS SPACE WEleRVio FOR RECORDING DATA STATE p,a !F WISCONSIN FORM 2 —iM 432244 65 WG1STER'S OFFICE ST. CROIX CO., WI Rrc'd for Record Lawrence J. Handlos and G< :.tv Handlos,__.._ Nov. 18, 1981 husband anu wife _. ......... at 8:30 AM .................... - ...... _. _........ ....... ...... _ _._ ..............._....._. _ ..._..... _...... ........ ....... ...... stir of 0� conveys and warrants to . Ronald -M, . Handl- p4 ... and Helen.. G Handloa,...busband .and..wife as .surv_ivorship.. - - -•- max, i .t.4 - ..Property ................ _. .................. .... .. ....... ..... .......................... ....... . .. .._. RETURN TO ...... ... ........ .... ..... ...... .... ... ._.. ..... ........ -.. .... _....... ........ . . the following described real estate in ---- ......... S • .. •.. Q o1X _._,__County, 1 f� State of Wisconsin: 6 qo — f �T 7" 44) Taz Parcel No: .............................. St. Croix County, State of Wisconsin, to -wit: The Northwest Quarter WW}) of the Northwest Quarter (NW}); the South Half (S}) of the Northwest Quarter (NW}) of Section One (1); Township Twenty -eight (28) North, Range Nineteen (19) West, except a parcel previously deeded to Wayne Handlos and Diane Handlos, husband and wife as joint tenants; the East Half (E}) of the Northeast Quarter (NE}) of Section Eleven (11) Township Twenty -eight (22) North, Range Nineteen (19) West. This deed is given in satisfaction of the land contract between the parties dated December 17, 1969, recorded December 30, 1969 at 8:30 a.m. in Volume 458 of Records, Pages 95 -96 as Document Number 299106. A M This .- - - - - -1S not homestead property. 4* (is not)E Exception to warranties: easements, restrictions and rights of ::ay of record, if any. Dated this / ---- -- -- _..... day of ..,.November..- _- .. --_ _ 19. 87. 1 (SEAL) _. (SEAL) I _ . Lawrence .- J- T. .. Rand Io$,- ----- - - -- -- - 4 - . - ..-(SEAL) .(SEAL) _. Gertrude Handlos - -- AUTHENTICATION ACKNOWLEDGMENT Signature($) Of_ Lawren e J. __Handlos - ------ STATE OF WISCONSIN and Gertrude Handlos -•-- --•-•--- authenticated th• day ofq- November Ig - _ - 87 Persona!) came before me this day of y-•- ----- - - -- -- • 19_• - --._. the above named `:. -----------------------•--- -•- -•- ---- -- -- ------- TITLE: MEMBER STATE BAR OF WISCONSIN - (If not- -- -- --------- -- -- - - -- . ... . authorized by § 706.06, Wis. Stata.) to me known to be the person . ----- ___ who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Joseph D. Boles, Attorney at Law ._. - River Falls, WI 54022 Notary Public Wis - ---- •- - - - - --- --• ..............•..-.-.._-- ..--- ._----- -•-- ------- ---- - -- B oth m (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: _ -..- 19_ ) :i *Name of persona signing in a -• capacity should be typed or printed btll ^w their signatures. STATIC 8^R OF WISCONSIN Stock No. 13002 r' i;olap a FORM No. _ — 1182 -- - /'