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HomeMy WebLinkAbout020-1303-40-000 ry o °o e d O h 0 0 N o i a �Y e v O W z W c z f LL O � 3 Q I 3 " v � z y Z E z 13 w a w N F z c 0 c z C oz C _� V T W m z Y) m z I v U d r) N N : S W � c • I � O .00 O a Q (6 O ( z C Z w N _ ° 1 d z N _ d J c ` O C a co y m m o E D D a �w = M O N co r :5 '33 a°° Z •N v �a 0. 0 a �. a U y O N v 0 0 y N J V = O) N (D �V c ° a o m cM C) Y O N co N O O .5 N ^ p m �l�ji• j O O N y r 1 0 O d Q>- � Q O N C O L n O N C a) = LO .' O 3 1 0 N V� 0 0 0 A R' C R 'a N N N v N _ M C C O y y O M N N co 0.4 Cj N r o 7 C-4 O C O c O) to Lw O N 2 �' M O z_ U) EL O r v � E • ..r d d %1 1 m d .9 C� C 41 3 rr�� '1 A cia 0 o Ov�ic� Y r ` Wisconsin Department of Industry, SOIL AND SITE E VAL U ; �� ION REPORT °- Page of 3 Labor and Human Relations Division of Safety 8 Buildings in accord with ILHR 83.05,'Wis. Adm. Code COUNTY 4:57.. Gfol 'X Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but , ` , / CE L I.D. # not limited to vertical and horizontal reference point (BM), direction and % of slope, spale or. dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY GATE PROPERTY OWNER: �U, y� /,PQ �fi /s AtiD D / d • PROPERTY LOCATION //L GOVT. LOT 1E 1/4 *5 -1/4.S 27 T 2-9 ,N,R /f E (or) W PROPERTY OWNER':S MAILING ADDRESS �yi8 /�ipv��JQ ��� LOT # BLOCK # SUBD. NAME OR CSM # 334 �Zr.,PoBTS ST S) 3 }� X17 H I'l1S �Pti Z - CITY, STATE ZIP CODE PHONE NUMBER CITY �111LLAGE C3P6WN NEAREST ROAD Mv L 1'1 N• 5'5101 Z 2 - 55 1 +1 u t) New Construction Use ( ky1kesidential / Number of bedrooms ` °� 3 (J Addition to existing building J Replacement ( J Public or commercial describe a- 2 Code derived daily flow 6,00 gpd Recommended design loading rate � bed, gpd/h ' trench. 9P Absorption area required bed, ft2 746 trench, 11 Maximum design loading rate bed, gpdAt trench, 9P Recommended infiltration surface elevation(s) J P 3 It (as referred to site plan benchmark) Additional design/ site considerations .5 X - � A-') oT E- S 3 C /oW Parent material S C,6 13 uReli A-)e P 7 Flood plain elevation, it appliFable LU -= Sul for system c ONAI o ��� ❑ ii PR ESSURE " oL7U ❑ S U- S Unsu itable for Sys cl U L7 U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Cons Bour Roots GPD /ft Boring # Horizon in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed 16r16h 13 5� � f � vi CGS 2-f Z //- 3G 7 S R y — s fe e s -- -7 Ground 3 3�O A 7S elev. 7 ft. Depth to ,. limitin tac� for conv al se em. Remarks: g Borin # D -k /ark 3/3 E -3v 7S y� y/6 e S 7 Ground elev. /o / f2-- It. Depth to limiting factor Remarks: / F ame: — Please Print Q E �-� -u LQ p (' C k T' Phone: 7 3 A; rle- _ ss: 45 S O' NC i L' � � � 'I�SoJ W /s • 5t/l� /�o CST�J Date: CST Number: /3 3 N �'e zr-� E a j3 3 /3 5 if'�lE'" F r 4 l f� . w,p// C0 TT/a lr How e ETP, _ Ali err or pl -roe/ / Di /� T Sysr � iv /otti`/ -f5. �,t?' G- i Y PROPERTY OWNER SOIL / DESCRIPTION REPORT Page 01 -3 PARCEL I.D. ! LD 3 h� 13- Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bound3y Roots GPD /ft in. Munsell Qu. Sz. Cor1t. Color Gr. Sz. Sh. Bed lTmnch z � �,P d, Ground ,3 - /G ✓� — �•.s- d S d �'7 •� elev. /off ft. Depth to _ limiting fa Remarks: Boring # / 2 4 S /a �,� S,� z f s6� f✓ s �. Ground f� "�' �• s d %� S = � elev. : /0 3 � ft. Depth to limiting _} factor� Remarks: t Boring # Ground elev. 5 2— ft. Depth to fimifing factor > i f Remarks: Boring # i Ground elev. ft. Depth to limiting factor Remarks: cen oenn,o nvnrn i c. © b (y m G � rn ---- ry m � G W L m tv I r r15 �► g w ° o k4 o w \ o �tb du, ig tA G rn o , - 1 1 _ mss\\ r ' S89 0 26 ' 42 " W i 2 4 2 W 1 617.34. 205.00' Q 220.00' 332.34' o s5.00' 9 ' f- \\ LOT 40 2.82 ACRES 122,949 SQ. FT. O •.. 94\ \\ o o\ r _Q � v 2v4.6 ACRES %. M N N F N- � N_ 0 �.4, CD i F` 'P' F LOT 39 �: � • sue,, • at Fq O \� i 3 -68 ACRES 160,279 S0, FT. o� \\ h " 198.57' 4B' 1p✓ 269 57 w - _E ORIOLE OR IO ooti W ��� . . 99 "E G�. 38' # l � .. .moss;• -K_ \/ t. T 42-, M L. 2.17 ACRES 94,642 SQ. FT. po Y 9 F E ASEjU>Fi�T 0 ) P LOT 43 }. \� 6 rn�' s (o \ to 2.34 ACRES h i 0 101 `1,995 SQ. FT rLto. r h 1 \ 4 •. 4 rS �' 2 CRES, i PONDING 9, 2 SO. FT. 1 F \ `2 S o .4 u� EASEMENT g4 T'k 'EN ST. CROIX COUNTY ZONING DEI'ARTMEN'FT;'}, AS BUILT SANITARY REPORT `'� i l Owner Address City /State .. is CROI Legal Description: �` r' ow iryGUFr�CE \ Lot -3 Block Subdivvision/CSM # - v t /4 � t /� Sec. - N Jj, T N -RLLW, Town of PIN # SEPTIC TANK —DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer Size ST/PC , ,," 7 rW / Setback from: House- Wet /M / P /L Dr Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air ' Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: .- ,.��` r v�` r Type of system: id Length ?� Number of Tren Setback from: House Well id O' Vent to fresh air intake 7 /mod ELEVATIONS Description of benchmark ✓ `"i2���l�v7+� Elevation Q� 0 Description of alternate benchmark '� Elevatio Building Sewer - : ST/HT Inlet 9/f ST Outlet- PC Inlet � r-- PC Bottom Header/Manifold � ,�_ Top of ST Manhole Cover l` Distribution Lines Bottom of System Final Grade Date of installation/ ,6?7/ p tPcrmit number plan number Plumber's signature g License number Date 90/ , ff Inspector ' Complete plot plan a 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. i PLAN VIEW I 3' x 1 � G ✓ 6 0 , LIS" 3 _ i �4 J o� INDICATE NORTH ARROW ' Wiscogiin Department of Commerce PRIVATE SEWAGE SYSTEM y: ` Safety and Buildings Division Count INSPECTION REPORT ST CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes w [Privacy La s.15.04 (1)(m)]. 320206 P R e USHi I NG, N ROBERT ❑ pp HUDSON Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 100 lam' o P S4 k-, 020- 1303 -40 -000 TANK INFORM ATION ELEVATION DATA A9800394 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV_ Septic w Bench �j q ,9 ,4q /Dd Dosing A(1( IS M 4 7rg , Aeration Bldg. Sewer 7• S7 97,5 Holding 9/* Inlet $'•67 -76_2p" TANK SETBACK INFORMATION S # Outlet T P/L WELL BLDG. vent to ROAD Dt Inlet Air Intake a . Septic 4 0, NA Dt Bottom Dosing NA Header/ Man. Aeration A Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade 7. F 7•' Manufacturer mand ­�/� Co Model mber PM TDH Lift Friction stem TDH Ft Force ength Dia. Dist. To Well SOIL AB TION SYSTEM BED/ ENCH idth 1 Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN 7 2 DIMENSION SYSTEM TO P/ L BLDG WELL LAKE / S REAM LEACHIN nufact SETBACK INFORMATION Typep4l MBER Model Number: Syst m • / �- —� DISTRIBUTION SYSTEM�I I Header/Manifold II Distri tion Pi (s) �� x Hole Size x Hole Spacing Vent To Air Intak 2— e Length - Dia - Length Dia. T - Spacing !. s ✓ SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only f epth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched ed / Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: HUDSON 27.29.19,NE,NE 775 ORIOLE LN — HUMBIRD HILLS LOT 39 Top blve"k Plan revision required? ❑ Yes CO Use other side for additional information. SBD -6710 (R.3/97) Date Inspecto s Signature `� �/! Safety and Buildings Division sconsin SANITARY PERMIT APPLICATION Po E. Washington Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County c a than 8 1/2 x 11 inches in size. cJ (' • See reverse side for instructions for completing this application State Sanitary PPeermmit,NNu�mb�er� The information you provide may be used by other government agency programs ❑ Check it revision to previous`appllcation [Privacy Law, s. 15.04 (1) (m)]. 75 /`/ ;91e Lane State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATI N Property Owner Name Property Location r� �' L1/4 � 1/4,5�� T �,c) ,N,R I� E(O W Property Owner's Mailing Address Lot Number ^ Block Number City, I Zip ode I Phone Number Subdivision Name r CSM umb 11. TYPE B ILDING: (check one) ❑ State Owned C] !t A Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms q Town OF f,�c�s r✓ r �` v / P-/, Vile 111. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) /1 7 QQ - `9 f50 2 1 ❑ Apartment/ Condo - 6 ,;2 o— / 3 0 3,— vQ — U o 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 5 stem _ _ - ___ - 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 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank eepage Trench �/ }rNf0I`> 22 Q In- Ground Pressure ! 42 ❑ Pit Privy 1 M OS eepage It Z 3 X 7.� 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 J _ _ Require sq. ft.) Proposed (sq.��) (Gals/day /sq�ft.) (Min. /inch) Elevati O Feet �f o Feet Ca c1t VII. TANK in allo s Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturers Name Concrete con- steel glass Plastic App New Exist in structed 42 Tanks an Septic Tank ❑ ❑ ❑ [I El Li Pump Tank /Siphon Chamber ❑ ❑ 1 ❑ 1 ❑ 1 ❑ ❑ Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber' I ature: (No Sta s) MP /MPRSW No.: Business Phone Number: r _-, R j a� 1 -c2 Plu r� Add re (St re , City, State, Zip Code): 9 _� v-c� IX COUNTY/ DEPARTMENT USEONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate ssue Is uing Age Signature No Stamps) 'J Approved ❑ Owner Given Initial Q� p� Surcharge fee) �y l �+ I' ` Adverse Determination a 1� 8 �' I I X. CON ITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD 631)8 (R t t/96) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber — — — — PLOT PLAN PROJECT Robert Rushina ADDRESS 1221 1st. St. Hudson Wi 54016 NE 1/4 NE 1 /4S 27 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX MPRS Byron Bird Jr. 220527 DATE 8/27/98 BEDROOM 4 CONVENTIONAL XXX IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1200 Gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .8 ABSORPTION AREA 763 # of chambers 24 BENCHMARK V.R.P. Top of White Stake Orange Ribb ASSUME ELEVATION 100' ❑ BOREHOLE O WELL - H. R . P Same as Benchmark SYSTEM ELEVATION 93. Alternate Benchmark Top of Electrical Box @ 101.2 Vents 5 ' B -5 ?,Vspacing 5' 40, Between Trenches 4% 80' 2- 34" X 76' Sloe B -3 0' Infiltrator Leaching B -4 Rep A Chambers 90' -1 10' 30' , 25' 345' Garage Bedroom House etc I Dri ay 552' Property Line Vent >129' Sidewinder High of Cover r Capacity Leaching Chamber with 31.8 lt. ft ^2 per chamber B.M. 6' Long 16" 34" Grade at System Elevation Oriole Lane W isconsin Department of Commerce SOIL AND SITE EVALUATION Division bf Safety 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 1/2 x 11 inches in size. Plan must County / ^ include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. If -/ 3 rD 3- VO cam, APPLICANT INFORMATION - Please print all information. evie ed 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 &, 1/4� 1/4,S T� N,R l E (o� Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# l / S7 cc � .�i � A Ci f State Zip Code Phone Number El city El Villag Town Nearest Road 7 u, �l jo /7 r 3' 0/6 ( /S'j /� "d2loZ u 1 -2 ri ,e/e e (,S 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 bed, gpd/ft - o trench, gpd /ft Absorption area required "13 bed, ft 63 trench, ft 2 Maximum design loading rate _ bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s " 9f �o�� %�. ft (as referred to site plan benchmark) Additional design /site considerations Parent material Flood plain elevation, if applicable / ' ft S = Suitable for system Conventional Mound In- Ground Pressure I AT -Grade System in ill Holding Tank U = Unsuitable for system.. ❑ U ❑ US ❑ U ❑ U ❑ S U ❑ S U SOIL DESCRIPTION REPORT Boris # Horizon Depth Dominant Color Mottles Structure GPD /ft Boring Texture Consistence Boundary Roots in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Ilea r n , s , Ground el Depth to limiting f ; �in. Remarks: Boring # S l � c Ground elev. l Depth to limiting factor �,21�Z�. Remarks: CST Name (Please Print) Zalure Telephone No. j a- - 2 1 / k Adciriiss Date CST Number � P�-rL e4: ' SOIL DESCRIPTION REPORT - PROPERTY OWNER Page of PARCEL LD.# Boring Horizon Depth Dominant Color Mottles Structure 2 g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench Ground 6. f i2'�r —v m ✓1/�' l/7 elev ft. Depth to limiting factor S Remarks: Boring # 1 d a - Ground eleY� Depth to limiting factor 7/in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring , # g/ Ground Depth to limiting fac o Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) Soil Test Plot Plan Project Name Robert Rushing Byron Bird Jr. Address 1221 1st. St. /, Z� � Hudson Wi 54016 C TM #220527 Lot 39 Subdivision Humbird Hills Date 8/ 2 6 /98 NE 1 /4NE 1/4S T 29 N/R 19 W Township Hudson E] Boring ()Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft.Top of White Stake with Orange Ribbon System Elevation 93.7 * H R P Same as Be n c hm a rk Alternate Benchmark Top of Electrical Box @ 101 5' 1 B -5 -2 0 ' 4% 80' Sloe B -3 80' B -4 Rep A Pri A 90' 10' "30' -1 25 345' Pro 4 Garage Bedroom House Driveway 552' Property Line lt. B.M. Oriole Lane ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address / -2 - Property Address 7 25' y, 'c /e (Verification required from Planning Department for new construction) N. City /State /7 5 �el,� Parcel Identification Number �°� ©� l a — %C LE GAL DESCRIPTION Property Location '' /4, ' /,, Sec.�z, T�N -R W, Town of o Subdivision ��� /r lTi Cl j� G` , Lot # Warranty Deed # S 3 , Volume ,L3 e / , Page # Spec house ❑ yes ,9 no Lot lines identifiable CS� 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 th�e� three ye"irati date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the erty describe ove y virtue of a warranty deed recorded in Register of Deeds Office. ) SIGNATURE OF APPLICANT 7 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 VOL 1311 picF. ocxjUMT1:NT r a. WARRANTY DEED STA'L'L'' BAR OF WiSC NSIN FORtii 2 -1982 II Humbird land Co:po ation, a Minnesota Corporation i { "'� k I I Q>tc'd !nr �ai4� .. - - . _ ' JUL 2 0 1998 c, »,v+•.:. and N'ai'I':U:LS Lo Robert -A_ Rushing and Tana -y L. Rush_ny, 8:15 A.M Hl sband. and_ Wi fe .. a "aC !� ►a�1 meat6 v �! ... _. .. ... _.. ... ......................... ... -. .. .._ .... .. .... nclunH .O Y .........._ ........ ....... ....... ... the follow ?n;: dcscr+bcd re: +! ey .....St. Cr tatc nt oi ... x State of Wiseunsin: Tax Parcel No: .............................. Lot 39, Humbird Hills Second Addition, II Town of HudsoA. St. Croix County, Wisconsin 11 TRANSFER $—j $1 �— FED S� l i + D 3 - �o -o°T' 4 1 1'l;is .?.s.- not.-- ---- --- - how I lF�. (is nut) I 1•:xccrtin.t to warranties: Easy f any Dated this .. _15th 19..9.8.... _.... _..... _. HUMBIRD LAND CORPORATION -- - -- (SEAL) (SEAT.) Y` B _. _.._........._._ .._ ... . .......... ..... .. ... .... _.._ _......_..... --- -- ------ - - ---- - ' Ausrin J. Baillon, Its President .... ....... ...................... (SEAT') .. _.. .... ..... ....... (SEAT.) ` __ ... _ AUTHENTICATION ACKNUWLEDGNIENT Signature (s) STA'T'E OF WTt$15X)`y(MM MINNESOT ss. ......... .. - - - -- - - -- ----------- -- ------------•-•-............... - ------ .-Ra msey– - - ---- ---- --- -- auih• nticatcu ihis .-- -. -..day ot._-•- --- -----------•------. TJ_ - -- -- T•crsI�naHy caa e '�eforc me hi9 .._15th . der; of JuIY- - - - --- - -- ---------•--- •-----, 199 ..... the above named f in Beillen Prey - of Humbird Land - Corporation ......... ............. .. - --- •------ ----- ------ ............. -- - - - - -- ...... .9- --------- ......... --- ..... TITLE: MEMBER STATE BAR OF WISCONSIN (If not, -•-------------------------------------------- ......... -------- ................ •........................ •... ..... - - --... authorized by $ 706,06, Wis. Stats.) to me known to be the person ------------ who executed the ruregoin;t instrument < OP��a 1H:5 INSTRUMENT WAS DRAFTED BY PAUL A. .- - �... .. .. Y... _ ... .. .- r y+n al' f J R� '�$�'j Riff♦ "S Humbird Land Corporation – , pain A. Baillon 4VAa`t' vTONCLUNTY ASST yyCamrtf _ U 'f fN V•rW +hvY ' N, tai t v Pt+t + P(��ti �'€�an2y {. (Sign ifl,roti mt3 be auti._.tttca.ed of aekn wleOgeil. B th m Cot:•noi +n is perwanent (If no, esjdr 'ui II +l:tto Jae tary_31 ,xis 2.4Q9) + i + 'h. nht be ty, c . pr.i -. , . .r+. �l • "we" LAM eft" 1AtION lDltto tuitam • I MON pNt M. 0.4 F • AS oftiN NOOLIIT ST. • IA MON "M F0. K Pak. 1.1. SSW d ' . W "to" FtFt KY, MNIAM &4S 1.68. LNAIAII FIIOT. 1 MTN OT pot C MCNMM�M OLL. . K• LINtAA FOOT. SO' fpAD AT OtrMCO LIK ^'� "•• ", ' �_ - -�— It' VTIL17T tAtEMNT NE COANEN 1 1EC1gN ST IM" AND ONA111Mt (MEMENTO 110 tltMT"11 00"1 Iwo to ANT spett W It" y _ r ini HILLS FIRST AtK!PI QCI i 1 • N t I I � I • I �� ( pAR�4 ICJ X(' Q,�9 I ?;t 4i 1 S89'26'42 Y 1 14S.W lot op S M.", tO.00 �, ♦ .� CD tt•.oa 2 8�y ':',, j� LOT 40 ha i \' \ EE Ae1KO f LOT 41 ) N).' .00 \ 1 !.« .ENE, • aitd w.Fr. ' ly 1.� ) 1' 1 . i ! ; ---- # `'re4'`` ?•. t... Nt. r:II�lEQ ;t',IBYE:' MAP 141 � 6 ` N0. • OO.FT. N6 4V4CW 434.18' wr ««w msr 1 1 � ROAD ---ORIOLE a!2.�1 �' K •�., `, •�''•.., �. � 1•.i I at aJ N'E If 31 7. `.q t LOST 38 r� A .. ... y �\ L - 1 -. ` .p.•.. is `. ' i) •, ri 15 w 'LOT 42 �'•� � +,� <.; c IL=-. M.tAt to 7t •''. •Fj �� •'+•\ !A}pACNT •1• ( LOT 43 , �► . IC7 IN Adtl J •� �. \� \ J o � , ` LOT .LOT 44 1 ' � :.A. KAI ES 1 ' `� .. T�� _,. ..• ' ►6NeEN `'' °. ' ii�ti bir. ; � a 1 ' 1 Ma,n w, tc '4 2 ::M x. 4 # kr �AftNMl :.. - . 1 • NO1'A "M 4r& - 1 vj v . � X' ' � is 7• I � poli�Twewc .�'t#�. ~ /'/ i • fwum LOTS IS AM It K j3. /r r I + S \ SOT 45 Fall? Moto 0 4 sow FEET , p DD \ `� .` FABtL� ✓ � , PLA OCATM .. .