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HomeMy WebLinkAbout030-2108-20-000 t ST. CROIX COUNTY ZONING DEPARTMENT � L, AS BUILT SANITARY REPORT ' it Owner Property Address city/State v* � 9 t p ' ✓/ Legal Description: Lot Block Subdivision/CSM # &4'ek M '/4 NtQ /4, Sec. 3 , TRY RN -R IRW, Town of PIN # SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer ize ST/PC oc>Setback from: House Y-3 Well NA P/L o�S Pump manufacturer Model Alarm location ( ULDING TANKS ONLY) Setbacks: Service ro fresir'airi retake a er me Meter location Al ion SOIL ABSORPTION SYSTEM Type of system: SX Width 3 Length 75 Number of Trenches Setback from: House ss '' Well IJA P/L je� Vent to fresh air intake 195 ELEVATIONS Description of benchmark L Elevation y 90� Description of alternate benchmark Elevation a Building Sewer ST/HT Inlet S ST Outlet Z y 72 PC Inlet PC Bottom ( Q Header/Manifold r 3S Top of ST/PC Manhole Cover 0 • �S n / I r � P•�• ��ys � Distribution Lines ( ) Z� . 7 L ( ) . (3 ( ) Bottom of System Final.'Gradl ' Date of installation la / /Y/ Permit number 30 State plan number Plumber's signature License number Aa C G5 7 Dated Inspector �. Complete plot plan e cousin Department i Commerce PRIVATE SEWAGE SYSTEM Count S ety and Buildings Division INSPECTION REPORT 9T. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar3y2Hit��o.: Personal information you provice maybe used for secondary purposes [Privacy w, s.15.04 (1)(m)]. Permit Holder's Name: ❑❑ ity ❑ V Town of: State Plan ID No.: R .W. LACASSE HOMES 5 . JOS CST BM Elev.: Insp. BM Elev.: BM-Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9800569 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ['1 d zJ`e Nv� JCc?/1 � Ben, v v�r as�o /00 Dosin ( �� �� -� . I�j d c L 3QU l al, Z Aeration --------- Bldg. ".__` ._ -__.. _.. Bldg. Sewer ��/ r' /, a• Holding Vvt Inlet TANK SETBACK INFORMATION St t Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake IV A_ 10 /,,, NA Dt Bottom j 7 7U (�'� 3 '_1 Dosin /1/ , NA Header /Man. - 7. q5 Aeration NA Dist. Pipe /' Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade 5. 7Z c° Z 7 Manufacturer Demand h1 f /p �� 7 Model Number Ef 0 1 4 t Z GPM TDH Lift 1 , Friction o System TDH Ft Forcemain Length W Dia. Z a Dist. To Well SOIL ABSORPTION SYSTEM BED / TREN Width Length i No. O Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIM N I N DIMENSION SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufa,turer: INFORMATION T Y pe O Mo Num CHAMBER I l ' � / ' de er: Syste '�� 2 7 /`� /� OR UNIT ! / DISTRIBUTION SYSTEM Header /Manifold � Distribution Pipes / x Hole Size x Hole Spacing Vent To Air Intake Length ll/ Dia - Length Dia. Spacing lei a_ 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 g p ❑Yes [] No [I Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) 7 r7�U LOCATION: ST. JOSEPH 3.29.1 §�VE,NW L95 64TH STREET — BUCK Ift LOT 6 C'! LtJ CIA Lto'f C� rl l tae4a /nS16re- %Ok le M I /UeiS �t c I lecl <�- i h ���� c, t ' k5� � � • ' t ,,d-t'il �g.h '' ( (, Plad revision required? Rtes No Use other side for additional information. Wer 7 / SBD -6710 (R.3197) Date Inspector's Signature Safety and Buildings Division 14.4consi SANITARY PERMIT APPLICATION 201 Bo 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 Count than 8 1/2 x 11 inches in size. , • See reverse side for instructions for completing this application State Sanitary Permit Number Personal information y ou p rovide may be used for seconds 3 y p y second purposes _ i / . .d - [heck if revision to previous application [Privacy Law, s. 15.04 (1) (m)j. //p /..� (�� � - /�/ ✓ / /1 / 7 (!! J State Plan I.D. Number I. APPLICATION �/ - N /� INFORMATION -PLEASE PRINT ALL INF R 1� Prop r O Z Na e ms GC1 /4erty Locat 5 3 To 5 , N, R/ X(o�(�n�11 r Propert Owner's Mailing Ad ess ` „ Lot Number w � Block Number City tate Zip Code � , Phone Number Subdivision ame or CS Number p II. TYPE OF B 1 1or2FamilyDwelling-No_ofb LDING: (check one) E] State Owned It r� Nearest Roa Public edrooms H T of cP 7 ` III. BUILDING LI E: (If building type is public, all p Parcel Tax Number(s) 1 ❑ Apartment/ Condo 030 — .2 /Og- oZ 0 -000 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 QKNew 2 ❑ Replacement 3 ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an System ________ System Tank Only System Existing System B) E] A Sanitary Permit was previously issued. Permit Number 3 ' 7( L b7cl Date Issued /Veu. fro 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 rKSeepage Trench 22 ❑ In Ground Pressure / ;zs - / 42 ❑ Pit Privy 13 ❑ Seepage Pit ' / X 43 ❑ Vault Privy 14 E] System-In-Fill a �" - S 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 / D© Req fired (s ft.) Proposed (sq. ft.) (Gals/da /sq. ft.) (Min. /inch) G Elev ti 6 on� S_6 ! X QFeet Feet Capacity VII. TANK Ca in g a llons Total # Of Prefab. Site Fiber- Exper. INFORMATION Gallons an M anufacturer's Name Concrete Con Steel glass Plastic App New Existin strutted Tanks I Tanks ept c Tan r Holding Tank 11 ❑ ❑ ❑ ❑ ❑ 00 it I Ift Pump Tan /Siphon Chamber l ❑ ❑ ❑ 1 ❑ 1 ❑ VM — .4tES PONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber' Nam : (Print) Plumber' gnatur , (�S� P PRSW No.: usiness Phone Number: Gf!� Plumber' dress (Street, Cit t , Zip Cod � If IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary P rt Fee (includes Groundw r ate Issued Issui g nt Signature (No Stamps) pproved E] Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber Safety and Buildings Division SANITARY PERMIT APPLICATION 201 W. Washington Avenue A scons i n 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 County j than 81/2 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit uu m g er Personal information you provide may be used for secondary purposes E] r I Check if slon t prrevious application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Property Owner Name Property Location 1 14AI jA114, S T , N, R &k(or) W Propert Owner's Mailing ddress Lot Number Block N umber (� 0 ra City, St at Zip Code Phone Number Subdivision Na a or CSM N leer U42 SVQ146y ( PE BUILDING: (check one) ❑State Owned ° village Sr. earest Roa �— Public 1 or 2 Family Dwelling- No. of bedrooms Town OF li.// 67 III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) ty 1 ❑ Apartment/ Condo •- /006 ` !s-" 00 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 S ❑ 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 -------- - - - - -- Existing System - __ - -___ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) 1 J, r^ (�� I,� C �,r sty( & _ A Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed � 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 4V Seepage Trench pr `7 •• 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 75 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 Q Required (sq. ft.) Proposed (sq. ft.) (Gals/day /s . ft.) (Min. /inch) Elevation Q _ / eet C Feet acct VII TANK in Cap alio s Total # of Prefab. Site Fiber Plastic Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass is Tan New Existi n structed k Tanks Tanks El El 1:1 VII Pump Tank /Siphon Chamber ❑ ❑ ❑ 1 ❑ 1 ❑ 1 ❑ VI11. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Nam : (Print) Plumb ignat e: (No /MPRSW No.: Business Phone Number: Plumber's Address (Street, City, Sta a Zip Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit F (Includes Groundwater ate Issued Issuing �natur (NQStamps) Approved ❑ Owner Given Initial / A QV , � S l urchargeFee) Adverse Determination L 0 �v(/ • /( / X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11197) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber U � Fj l� 8t c,' � A � U CC" = �} i S�j �` °. IAJ S PECIFICATIOii[S 4 " CI VENT P IPE 12" XrX- ABOVE > 25' FROM DOOR, WZXDOW aR CR!!DC t WEATHER PROOF FRESH AIR INTAKE JUNCTION BOX WITH CONDUIT APPROVED FINISHED GRADE 4• CI Rrmt MANHOLE t 6" Nzy. W/ PADLO( ABOVE G ADE WARNING f B IN. 6.t MAX. 4 " MIt INLET - s° WAFER TIGHT SEALS ., GAS- TIGHT, ' CI PIPE BAFFLE -•..•/ A SEAL , a 3' ONTO APPROVED SOLID B LM JOINTS w/ SOIL ..�" ` ON PIPE 31 0 PUMP OFF ELLV . C SOLID SOI D OFF •* RISER PERMITTED r TANK ! 3" APPROVED A1K BEDDING UNDER TA MANUrACTU� /6 L HAS APPRO' SPECIFICATIONS CONCttETE PAD �;F.PTIC / DOSE TANK MANUFACTURER. DAY: NUMB DOSES PEA . TANK S22CS; SEPTIC / p GAL. D DOSE PAL. SE VOwt1E I ALARM MANUFACTURER: FLOWBACK: �� I� GAL. MODEL NUMBER: CAPACtT2ES: A = C/ SWITCH TYPE S�NCHEB = .5,30 4 r'UMP M ANUFACTURER : 8 : � INCHES MODEL NUMBER SWITCH TYPE: " e — 1 2eiNCIfLS x 3i1o� Q _. :EOUIRED DISCHARGE RATE G PtE D � INCHES i !�� L.� _ -�._.� CRTICAL DIFF PUMP E ALARM WIRING AS PER i DIFFE B,ETMEIFN PUMP OFF AND D ?STRI LHR 16. ?3 MINIMtJH NETWORK SUPPLY PRE SURE . -� FEET FORC BUTION PIPE (� FEET €MAIN X 1�FT! IOC • FT. FRICTION FACTO FEET OTERNAL DrHENSIONs of PUMP TOTAL DYNAMrC HEAD FEET TANK: LENG7� ° FEET � WIDTH � Q IAM ETER LIQUID DEPTH N£D• LICENSE NUMBER: Goulds Submersible Effluent Pump s 11 -u 3 871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. Homes components. ■Motor Cover: Therrr►oplas tic cover with integral handle • • Farms Motor: Available for automatic and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, manual operation. Automatic and d points. • Water transfer 115 or 230 V, 60 Hz, 1550 models include Mechanical • Dewatering RPM, built in overload with Float Switch assembled and ■ Power Cable: Severe duty automatic reset. preset at the factory. rated oil and water resistant. SPECIFICATIONS • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump built in overload with construction. • Solids handling capability: automatic reset. pl EPO4 Impeller: Thermo - 1 /4" maximum. • Power cord: 10 foot plastic Semi -open design AGENCY LISTING with pump out vanes for • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. • Total heads: up to 24 feet. with three prong grounding 4.1 Canadian 5tandardsAssKiation • Discharge size: 1'h" NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for rotary/ceramic- stationary, three prong grounding plug improved performance. end in "F" or "AC ".) BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 (40 °C) continuous superior strength and 140°F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 • Capable of running + dry without damage to s 30 — ►�5GPM components. Pump. EP05 8 2-5 FT • Solids handling capability: c 25 3 /4' maximum. w • Capacities: up to 60 GPM. X s 20 • Total heads: up to 31 feet. • Discharge size: 1 NPT. i s • Mechanical seal: carbon- c 15 rotary/ceramic - stationary, _j 4 BUNA -N elastomers. c , __ Ep05 • Temperature: IP- 3 10 104 °F (40 °C) continuous 140 °F (60 °C) intermittent. 2 EPO4 5 1 OL 00 10 20 30 40 50 GPM L , 0 2 4 6 8 10 12 m /h CAPACITY 1995 Goulds Pumps Effective May, 1995 83871 Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Divi:�ion of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix 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. 030- 1008 -95 -000 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION PZ VIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Steve Henning GOVT. LOT NE 1/4 NW 1/4,S 3 T 29 N,R 19 j j (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # I BLOCK # SUBD. NAME OR CSM # 1182 61st. St. 6 na Buck Hill CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [MOWN NEAREST ROAD Hudson, WI. 54016 (715) 549 -6094 S 111F" [ New Construction Use [ Residential / Number of bedrooms 4 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .7 ed, gpd /ft gpd /ft Absorption area required 857 bed, ft 750 trench, ft Maximum design loading rate _L bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) 94.90 alt. area 94.40 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem I F] S ❑ U 11 S ❑ U I :Z7 S ❑ U EI ❑ U ER ❑ U ❑ S O U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BOLNldanr Roots GPD /ft ................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ................. 1 0 -9 10yr3 /3 none sil 2fpl mfr cs 2f up .2 2 9 -28 10yr5 /4 none sil lcsbk mfi gw if .2 .3 Ground 3 28 -84 7.5yr4/6 none ms Osg mvfr na na .7 .8 elev. 99 - 3_ ft. Depth to limiting factor Remarks: Boring # 1 0 -10 10yr3 /3 none sil 2fp1 mfr cs 2f .5 .6 .. 2 10 -30 10yr5/4 none sit lcsbk mfi gw 1f .2 .3 ......... 3 30 -84 7.5yr4/6 none ms Osg mvfr "na .... - 1186.� .7 .8 Ground elev. f 9 8.9 ft. Depth to limiting NCO factor �- + Remarks: \d CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 ~ d Address: 1554 200th. 4ave., New Ric and WI 54017 Signature: Date: CST Number: m02298 7_ STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Steve Henning New Richmond, WI 54017 MPRSW - 3254 NE4NW4 S3- T29N -R19w (715) 246 -6200 town of St. Joseph lot #6 -Buck Hill This soil evaluation was conducted to satisfy azoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines has not been established at the time of testing. I N 1 " =40' BM.= top of 2 pvc pipe C el. 100 Alt. BM.= top of 2 pvc pipe @ el. 99.40' r� N Gary L. Steel 7 -15 -98 ST CROIX COUNTY - SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer L AC4 e G u 15" ALnw 4WC Mailing Address / L• �'I. Property Address 6 6 9 (Verification requited from Planning Department for new construction) City/State Parcel Identification Number 0,30 - '/00 S - LEGAL DESCRIPTION Property Location �[ ' /,, ,�G� y,, Sec. 3 , T Z N - R_L� W, Town of 5 Z e F k- . Subdivision L�c, c►,k rn. , t` Lot # �v Certified Survey Map # S 400 Volume Page # Warranty Deed # .'5: y� 7 Volume �•3 �o , Page # Spec house yes ❑ no Lot lines identifiable 0 ❑ 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. Itwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, Wein; 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 ye xpirati n date. IGNATURE PLICANT 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-mverty de cri ab y virtue of a warranty deed recorded in Register of Deeds Office. GNATURE F PLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** - t* 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 STATE BAR WARRANTYIDEED M 1 - 1982 591494 DOCUMENT NO - This Deed made between STEVEN W. HENNING and jI NORMA J. HENNING, husband and wife ST. C ROIX CO., WI Read for Nosord Grantor, N 1 3 1998 and RICHARD W. LaCASSE and GRACE J. LaCASSE, husband 9:00 j and wife i K a Grantee, Witnesseth That the said Grantor, for a valuable consideratio conveys to Grantee the following described real estate in St CTO1X THIS SPACE RESERVED FOR RECORDING DATA _ - --.._ I County State of Wisconsin: NAME AND RETURN ADDRESS ! I I. PARCEL IDENTIFICATION NUMBER !I i Lot 6, Plat of Buck Hill in the Town of St. Joseph, St. Croix County, Wisconsin. ! i i I, TRANSFER !. EE This is not homestead property. (is) (is not) I� Together with all and singular the hereditaments and appurtenances thereunto belonging; And Steven W. Henning and Norma J. Henning warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except — none i I' i and will warrant and defend the same. i; Dated this 12 th day of November 19 98 is I i� (SEAL) A (SEAL) I STEVEN W. HENNING (SEAL) (SEAL) i * NORMA J. NNING AUTHENTICATION ACKNOWLEDGMENT I Signature(s) State of Wisconsin, ss. 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