HomeMy WebLinkAbout020-1003-30-000 ST. CROIX COUNTY ZONING DEPARTMENT
AS BUILT SANITARY REPORT I �Q
Owner e`' �i�U�•l ryec,�''�`
Addres /D vT
City /State
t ;r
�, 01 :.
Legal Description: Oti ° o - r
Lot � Block Subdivision/CSM #
1f \ c�
' /4 1 /4 4), Sec. 7, T21N -R W, Town of � % # �' /O D 3 O
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION
Tank manufacturer �� w • Size ST/F* / Setback from: House /d Well P/L
Pump manufacturer VZ Model
Alarm location A .4! A— III
(HOLDING TANKS ONLY)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
3� Aqj, cAP siD��viv /N F117Xj -a2
SOIL ABSORPTION SYSTEM - aew > 4s -
fo3� S� i
Type of system: e� s Width 3 Length 4 I ' Number of Trenches 3
Setback from: House 2 -7 Well _77 PAL 3 !2 _ Vent to fresh air intake �
ELEVATIONS T 's f � �� � � • � �
CS I 4
Description of benchmark Elevation
Description of alternate be nchmark 13om, Y1,9/ A- Elevation Ze 2 •
A+T SS �o '�- - �'iQD,vT W AII. / y � N k 40 U �
Building Sewer 1 ST/IW Inlet ff ' fO ST Outlet PC Inlet ! ' V
PC Bottom Header/Manifold Top of ST/4C Manhole Cover ���• 3
Distribution Lines ( ) G / ( ) c ( ) 1- 7-70 -
Bottom of System ( ) ( Y ' � ( ) / 6 ' 6 9 ( )
Final Grade
boT
Date of installation / / Permit number State plan number (7
Plumber's signature License number 223 7.5 Date s/ � � a
Inspector R 0 Ss �Gv��
Complete plot plan �
y �
NOTICE Please provide the following:
• A plan view sketch showing everything within 100 feet of the system.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark,, if applicable.
PLAN VIEW ,
INDICATE NORTH ARROW
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Ulbrlcht & Associates
ptivete sewage consultants
655 UNeN Rd.
Hudson, Wi 54016
Wisconsin, Department ofCommerce Count PRIVATE SEWAGE SYSTEM y'
Safety and Buildings Division ST. CROIX
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary ks_:
Personal information you provice may be used for secondary purposes [Privacy Lay, s.15.04 (1)(m)).
DAVIS, & LESLIE %%!R)w age ❑Town of: State Plan ID No.:
CST BM Elev.: Insp. BM Elev.: r BM Description: Parcel T®'�- X1003-30-000
too( l co Tip F 1 /,fir e
TANK INFORMATION ELEVATION DATA A9800004
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic yVte eV r Benchmar N 100
Dosing A tt. T;3 tv� 3 S6 1oa. a
Aeration Bldg. Sewer (�,D lvp.
[ Holding PWInlet 7,1 4'
TANK SETBACK INFORMATION 1K ` F St Outlet _7J 7 G IBS' b
TANK TO P/ L WELL BLDG. Air Intake ROAD Dt Inlet
Septic 7 � f I D NA Dt Bottom
Dosing NA Header /Man. 77d g- Vc
Aeration NA Dist. Pipe W_ oOIL-.
Holding Bot. System
s
PUMP/ SIPHON INFORMATION Final Grade f loo•oy
Manufacturer Demand 6b
Model Number GPM
TDH Lift Friction ste 'TDH Ft
ead
Forcemain Length T Dia. Dist. To well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width 3� Length (pZ o. Of Trenches PIT No. Of Pits Inside Dia. Liqu Depth
DIM 1 N G.' DIMENSION
SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manu act rer:
SETBACK CHAMBER
INFORMATION TypeO �--� / 2 � 2.' OR UNIT Mode Num r:
SystemCCO4 TLNR b 7
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s1 x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. � Length �'- Dia. Spacing �O 2_1 C
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over c� �� Depth Over xx Depth Of xx Seeded /Sodded xx Mulched
Bed/ Trench Centerd — O Bed /Trench Edges ❑Yes ❑ No - ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: HUDSON ( 07.29.19.6B,NW,SW 1047 PHEASANT TRAIL
, t� o �il�ir� 1�.;6 (true/ o� VoOS
1(q
Pima ql;7(9e, I
Plan revision required? ❑ Yes ,KNo
Use other side for additional information. S g$ •,s�—
SBD -6710 (R.3/97) Date Inspector's Si ture o.
Safety and Buildings Division
*6consin 5i`� SANITARY PERMIT APPLICATION 200 Box7969
Department of Commerce A� W r n accord with ILHR 83.0 5, Wis. Adm. Code- _ t_7 o C'D ,✓ Madison, WI 53707 -7969
• Attach complete plans (to the county copy only) tth system, 1T on paper not less County
than 8 112 x 11 inches in size. S-7 <;e - x
• See reverse side for instructions for completing this application State sanitary Permit Number
The information you provide may be used by other government agency programs ❑ Check if revision to previous application
(Privacy Law, s. 15.04 (1) (m)). State Plan I.D. Number
1. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION
Prope Owner Name ^ !S '-/ Pr Loc 4, S 7 T 7- f
, N, R /� 7 E (O W
EAv �sGs•Lc I/ I�r.
Property Owner's Mailing Address Lot Number Block Number
._ A)
City, Stat Zip Code Phone Num r Subdivision Na pie or CSM N ber
�So�✓ 4J /• f a�4 c7iS )3'G537 fi v� ? J
II. PE I N : (check one) ❑ State Owned !t rest Road
Public 1 or 2 Famil Dwellin - No. of bedrooms Z o vown of �fv9Sa.� 17 T T
Ill. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/ Condo � � � � 6 �� y
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�ERMIT (Check only one box on line A. Check box online B, if applicable)
A) 1. ew 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 Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non - Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 [TSeepage Trench 22 ❑ In- Ground Pressure r 42 ❑ Pit Privy
13 ❑ Seepage Pit �j 3 -r���� S �' 5 i 43 ❑ Vault Privy
14 ❑ System -In -Fill
VI. ABSORPTION SYSTEM INFORMATION: o0ae lL , r-ale_ 41'5 • - I - P lda• 9
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
3 In Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Q( s Elevation 5
60 Oo - S O Feet �' Feet
Cap acity '
VII. TANK in allo s Total # of Prefab. Site Fiber- Exper.
INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App
New Existing structed
Tanks Tanks
Septic Tank or Holding Tank ti / l ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ 1 ❑ ❑ 1 ❑ I ❑ ❑
VI11. 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) PRSW No.: I Business Phone Number:
O T l �i'x�4 o
't 1.3 Zt,l6 l 3 3 7 7!S • 396 • 0-
Plumber's Address (Street, City, State, Zip Code):
6P 5's O 1 ,t/x/ , 6 /ow - -",-)
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issued Issuing Agent Signature (No Stamps)
A roved urcharge Fee)
Adverse Determination
�, pp []Owner Given Initial QO 6 �� � • $ • ��
(1
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
f Buildings Division, w r PI m r
.DISTRIBUTION: Original to County, One co To: Safety & O ne , u be
S1E�63�I�.t11!)� ! Y 1Y Y
I,
A BRICHT & ASSOCIATES CO.
655 O'Neil Road • Hudson, WI 54016 Reg. Designers of Engineering Systems
715- 386 -8185 Private Sewage Consultants
7' PROJECT INDEX _Bttl PLAN ID # 3 o -7 6r15 - DATE 2
OWNER , r /u �/�(J/-S — PHONE
ADDRESS
�— LEGAL DESCRIPTION P//(, of o hW
,vGV� s GD Se-c . - 7 , T21"'
TOWN OF �(J 1.� COUNTY 57_G��I x_
CSTM lie.
LOCAL AUTHORITY/ SUPERVISION 5'1.
PROJECT DESCRIPTION:
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060
1!411 isa x54016
V � Hudson c
Pg.1 PLOT PLAN VIEWS
Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEW SPECS.
This design for installation is based entirely on measurements, elevations,
r landscape conditions (slopes etc.) and soil suitability provided by CM
I'he accuracy of his specs, as reported, shall rentain the sole responsibility
of the CSTM.
Any use of this POWTS design by any licensed plumber, or any
related unlicensed parties or persons (excavaters, laborers)
shall not be construed as an assumption of responsibility by
the designer for the workmanship, construction, placement,
substitution or selection of any components not specified, or
any by the plumber that any unspecified components
are state approved or proper, or the effects of poor judgement
if working under adverse damaging Weather conditions (vet /frozen
!oils) by any such parties or persons.
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Fresh Air Inlets And Observation Pipe
Approved Vast Cap
ST Minimum 12" Above
�j 111 Final Grade i/ .,, — /iV /Si/ED f/WE_
// _ 4' Cost Iron
Above Pipe Vent "t
10 Final Grade
SynlMlk Cowrinq
min. 2' Aggregate
Over Pipe
0 Distribution — Tee
I Pipe 0 0 0 0 0
z e Aggregate b PerfAroled Pipe Below
gone Gib Pipe o — Cooing Terminating At
STE�j Bottom 01 $1816M v 3 y
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Fresh Air Inlets And Observation Pipe
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h Approved Vent Cap
J Minimum 12" Above
11 Final Grade
r-1>v IS D 6- R,, -P E ---
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Above Pipe _ 4" Co Iron
3 p Vent Qlp
V\ 10 Final Grade
O W
Synlhelic Covering
�U t� M in. 2' Aggregate
Over Pipe
Distribution —Too
Pipe o o o 0 0
o a Aggregate 0 Porfbraled Pipe Below
Beneath Pips do Coupling Terminating At
S yS rc M F146 .
'Z�j Bottom Of 111slom
�� � Fresh Air Inlets And Observation Pips
p Approved Vent Cap
2 M Minimum 12' Above
Final Gr / /S I�L
TR E AJ c H- l am . z 0
O y 33 Pips Cast Iron
7 "Above PI a Vant PiOe'
- to Final Grade
0 synthetic Covering
Mtn. 2" Aggregate
V Over Pipa
Distributi _ 0 0 0 0 0 —Too
Pipe
�j " Aggregote 0 Perforated Pipe Below
Beneath Plpe i o j - -- wing Terminating At
Bottom OI system
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT P / of
. Lal'wr and Human Relations —
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
` o dvvpe : 9wi� v y COUNTY S,T/ C, 0I X
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
/• 8 98
PROPERTY OWNER: PROPERTY LOCATION
/-?UY LE / � � %s GOVT. LOT IV 1/4 Sw 1/4,S 7 T Zp ,N,R /Jam' E(Oro
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
yo 1 571 SL C3 mss„
CITY, STATE ZIP CODE PHONE NV ER ❑CITY []VILLAGE [MOWN NEAREST ROAD
(7/S)dPG - �-sd7 /fuDSo.v Ph 7 ?.Pf.
New Construction Use [ J Residential / Number of bedrooms .3 [ ] Addition to existing building
[ J Replacement [ J Public or commercial describe
Code derived daily flow y✓ gpd Recommended�design loading rat bed, gpd/ft trench, gpdtft
Absorption area required bed, 11 trench, ft Maximum design loading rate bed, gpd/ft trench, gpo1ft
! Recommended infiltration surface elevation(s) S 10- P 5 • 3 ft (as referred to site plan benchmark)
Additional design / site considerations 4/1_a
Parent material SGS y9 �� S/ P�'1TED S/ +L: Flood plain elevation, if applicable It
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable fors stem EIS ❑ U WI S ❑ U Q S ❑ U ® S ❑ U ❑ S �U 0 S RU
�' 6 U3 s SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Cons istence Roots GPD /ft
in. Munsell 11u. Sz. Cont. Color Gr, Sz, Sh. Bed Mench
0 YA 71 '6f
LIIZI
Ground l?'� 7vh l� �, SbLC 17'— f
F C 3y- W 7,
Depth to f fp,�1'Zp ✓ C %s t V Oj!!F 7
limiting W1 YA A SS/U� fcjP ti v /e S VC 7� . �-
facto 1 a �i
L i s
7.5 /Zi rS' rf�o
Remarks: �� 4 /If Xy ^YPl$ — 4 li5,C"/ ,4 /ocv 9
Boring # --7 /D ye 7/ �►.►f s 3 , 5 - :
, to
[22, A Z
75 y�
Ground
Depth to 4 j rl M w O
limiting ,' / ffRf v0 S 0cry 'f �� G
factor hefs S "e oO4 e E S 77 S
Remarks: '� G 7� o,�� Z .yO T St9�7�y j W lWfA V-0z;�1 - `S7Z - 1-1
CST Name:— Please Print Phone:
i c0
Address:
Signature: 655 O'NEIL RD., HUDSON, W 6 Dat : CST Number:
ROBERT ULBRIGH � f ` CS 0
'CIS. MASTER PLUMBER LiC. N M.P.R.S 7i N 7- 14 7- 14 `
'''NN. INSTALLER & DESIGNE N 0 Z7
17� N sE /3
PROPERTY OWNER QQ SOIL DESCRIPTION REPORT Page 2. of _
PARCEL I.D. # 0 6 1 —
—
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounclary Roots d Tench GPD /ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Be
n Z 9- /y io �,e /�,� 2,.�►, sh •,It/e cs f s
Ground '�, y: 4 /O Y/ fl y f f
elev.
V v
Depth ro /lQ 7SSi' wE
limiting /
factor S'!>/ ��� �✓ � �� 1l d� ;/
Remarks:
'I Boring # � 2---
, S �
i y / A0 Ye 3
' 8 1 y 151 d1t 4"f
ti4 /
Ground `
el Z ) 1 ( - 3 7S yle ,f � l/e — 5 / C>, I� n" of e 9S
ft.
Depth to ^ .`/ s nvi
limiting �/�- /D l — S _
� y Lie �/�
S � C4�v UF•y?�a rJ L s l 7'�'y g;e j �,
Remarks: _ %' O� 7 �, � .�'� ' � h
Boring #
4/01
3 /o', i,f shy �►-,� G s �'"^ , s
2 - 7,6 YR f/ s/ /,f 6;61 i s lv f , y : : , 5
Ground
elev. ('� y !p /!� >►�.v l '�? L TO & ;&
oO.SZtt. D,e 6 .
Depth to '
limiting
factor
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Remarks: S�Mt� S few D
Boring # � l
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k
I Ground C o - f? 7 S ytf / �- s/ ��f S6& rhn`T k
elev.
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Depth to
limiting
fact
Remarks: �7�� 'C iS fist°T�v6 -- 7 VF4V 47p, .
con ncinn%
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SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
// - 396 -6537
O�UYER IC l!FV GAS L �fI U�-S
MAILING ADDRESS 90 3 IS% . /yU��p /,S - -5— wl
PROPERTY ADDRESS tool D W`AA) " L , Ljj I,
(location of septic system) Please obtain from the Planning Dept.
CITY /STATE
PROPERTY LOCATION N Y 1/4,' S aj 1/4, Section _ - , T Z / N -R ! ` W
TOWN OF R V P 5V nl ST. CROIX COUNTY, WI
SUBDIVISION ti ! LOT NUMBER
CERTIFIED SURVEY MAP VOLUME _, PAGE , LOT NUMBER
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 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, 1978. 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
County Zoning Officer within 30 days of the three year expiration date.
SIGNED:
DATE:
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
8 T C - 100
This application form is to be completed in full and signed by 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), then a second form should be retained and completed when
the property is sold and submitted to this office with the
appropriate deed recording.
---------------------------- -------------------------r--------------
Owner of property /(�F'v ° L ES E P4 V 1 • S
Location of property N 40 1/ 4 .sw 1/4, Section 7 , T L 9 N -R / c w
Township rt UP-so^--1 Mailing address
903 IS E. HOPS'o„�)
Address of site /041
e
Subdivision name Lot no.
Other homes on property? Yes No
Previous owner of property 6�L y
Total size of property / M • �- S �GeQ S
Total size of parcel
Date parcel was created - -�
Are all corners and lot lines identifiable? Yes No
Is this property being developed for (spec house) ? Yes � , No�
Volume 1013 and Page Number D/ 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 AND 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 of
Deeds as Document No. .T // , 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 the County Register of Deeds as Document No.
Signature of Applicant Co -Appli n
/-/Z �9
Date of Signature Da . of
1
40(4C NO. WAPMAM" MIS SPACE RCSCRVZD FOR RECORDING DATA
STATIC BAR OF WISCOM=311 V 2 — INNS
5000 iftlrmr All- REGIMMIS - OFFICE
ST. CRM Co., YA
...Edward G. Glucky_and._Judith. M_.. G and PhWd ftr Rico - L
.... - point ....... -- ------ ----------- -_ _ .. .......
wife as ............................. -------
JUN . ............
................................ ................... .................. . . . .......... 1 1993
..- •- •-- ..........• -- •-- •- - - - -•• • -•• -•• ..••.••...•..•...••• .. .................. . . ........... at V 8:40 A.
convoys and warrants to ...... 1;RM!Mh..?:t..P4Xis -- nd LezXim Anne a ew-0.4 M
.......... : ........................................... - ---------------------- ..........
•-----• .......................•---•--... ...-- ••---- ••-- ......-- •• -•.... .....•...... . .•••• ...... rA of Duds
................................................................................... . . . ...........
....................... ...................................................... ----- - . ........... RETURN To
----------- ................................................ .................•....
.................... __ .............. ............ ............................... . ...........
the following described real estate in ___.1t...Croiz_._._C4wnty.
State of Wisconsin:
Tax Pared No: ------------------------------
All that part at the Swithwest Wa•ter (SM 1/4) Of Ss e tiam l•u (7). T2911. 2 1". NLKbM Township. St- Croix
County, Wsea described a fettawas coweepicing at ion Want fteirter Corns of Section T. T29N, R19W, St.
C C Vi t gut gt4M the Borth liter of an M 1/4 of said Section T for 714.1 feet; thence
South and perstlet with the Vast tine of Said Section 7 as • dKolownce of 714 fast easterly tho 0 ram. for 423.0
feet to the point at beginning of this description; tba omttmdne South elan/ said parallel line for n?.O
feet; thence East ad perattel with said North line of M I^ Section I for 252.76 feet; thence North and
peratt*4 with said Vast tine Section ? far 50.8 feet; :ones Best and porstLet with Said North line efowl/4
Scotian T for 2V.2Z het; -1 - North and porattIst wise Enid Not tine section 7 for 227.0 fast; thence Yost
and parallel with sold Nortln line of IN 114 section 7 for 4011A feet to the point of bsgimiW ContafnfneS.3
acres, more or tow, subject to a road somenwot aisor mad across; the South 33 feet of the East 207.22 fast of
the above described tract, aid object also to an adjaceint 316 *set by 100 foot sessowit, the south line Of which
Is 100 feet tong Stan@ the North tine of the abo ve daecrond3o foot owiewent so sessured fran the westerly line
thereof. Tagedw with an caesium for ingress and agrions easier the fail lowing described rcedwsy seassent: A
66 feet wide rood came * far ingress and agrees. larift 35 feet an tech side of the following described
centerlines ft-fivilas at sipotat on the centerline of thopnoweA last-Mat Township Road over the Southwest
Quarter of Section Soren (7). T20. 11911, Nudean Township. Vit• Croix County. Visconsin, said point being I505.25
hat Seat of the Vast line of said Section 7; thence morlib me parallel wit* Said Meet li ne of Section T at a
distance of 150.25 feet Santa ty thei Sires. for 1520 11604. nonce or Lww, to a point 650 feet Saudi of the north
tine of sold SW 1/4 of section T.- thaw vast and parallel sift said North line of SM 1/4 of Section 7. at a
distance of 650 feet southerly therefrom, for 08.57 feet se am westerly terminus of the centerline description
of said " foot wick read *memo*. Grantese so se to sheirst in the annual cast of sn removal and Mintaience
of Said r oadway.
Thi .......... is.not...._ homestead property.
(in) (is act)
Exception to warranties:
Subject to easements, reservations and restrictions of record.
...................... ............
Dated this ... day of ---------- l ow — ------- ------------ ...................... 15...
B+t <g•c to Poet
........ ------------------ . ............ .. .. ...... •.... .... . ................... (SEAL)
------------------------------------------ ---------------- .... ... ....... .............
Z a4v -- -------- - ------------_ (SZAL) _•__ -- ------------------- ... ... ....... (SEAL)
UWE UkeA
• GLU
.................................... ------ ---------------_----- • . . JUD ITH ......... ........ Y............_._ .........
AUTIMMIN'TICATION ACKNOWLSDOURNT
•
Xz&2z OF *W14WA MICO311I
--- - ---- . .... . .. . ..... wxiojtd
......................
authenticated this ..___.__d of --- -------- I le---- PkwwnaHy came before me this AM ----- day of
MINE ---------------------- - ---- 20.2-3 _. the above named
..................
• ---- - -- - --------------------------- . ................ ................................................................
TrrLZ - MZVMZR STATE BAR OF WISCONSIN
((if l ---- by I 706AK W - - ---------- - - -- — IS. Scats.) - - - - --
tate.) — --- - ---------- . ............................... •......
autzed
to min known to be the person It .....
MMMM0MsM4x msbulnent and sdc
THIS INSTRUNUIT WAS DRATTED Sr
25T -P DUNLAP
.F ----------- .. - - ------------
• WAZAAU
A
------------ MARQDA.A4mconzin .................. •Aleftair Public ....... ftXJO.Ad--
MI
(Signatures may be authenUeseed Eir admarsirledged. Both Mbpr Clowenission is permanent.
an not neemauT.)
Adiec . ......... ... ............ •••........_: ... .
Manse of pasoms sigai•E in Any espedW should be tvlwd or prin6W bdww Amfir Wisconsin I"&; Blank Co., Inc.
WARRANTT MATS MARr M�
Miss Xk low 01inaukee. Wisconsin