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HomeMy WebLinkAbout040-1065-40-000 (2)I Ire LorismioNlaremaTirl&try28.19-244BPRIVATE SEWAGE SYSTEM Labor and Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION Wr — d Permit Holder's Name: ri City E] Village El Town of: I x ale Insp. BM Elev.: /0=}� G. BM Descriptiort"' TANK INFORMATION ELEVATION DATA A 9 3 0 2 10 STATION BS HI FS ELEV. Benchmark Bldg. Sewer St I b Inlet -0 St l outlet /o 3 Vent TANK TO P ir L WELL BLDG. Aito ntake ROAD Dt Inlet - _ - ....... .. NA Dt Bottom Septic Doi NA Header Dist. Pipe Aeration Holding Bot. System PUMP / SIPHON INFORMATION Final Grade Demand °� . ` % Manufacturer. Model Number GPM TDH Lift Friction C.1 IM TDH Ft Loss ead Forcemain Length Dia. Dist. To Well TANK SETBACK INFORMATION SOIL ABSORPTION SYSTEM BED/TRENCH Width Lengt No. Of T enches I I PIT inside Dia. id Depth f Pits ins Liquid I DIMENSIONS DIMENSIONS , Manufacturer;,� _­'_�_� SYSTEM TO P L BLDG WELL LAKE / STREAM LEACHING SETBACK CHAMBER Number: INFORMATION Type of So 30 _.Model OR UNIT ' d system: I I -1.J 0 t DISTRIBUTION SYSTEM Header /.A.4anifold, Distribution Pipe(s), x Hole Si x Hole Spacing Vent To Air intake Length (v Dia- Length _77 Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seed � Jed xx Mulched Bed / T;4tWrCenter Bed / Tr*� Edges Topsoil Yes No ❑ Yes El No COMMENTS: (include code discrepancies, persons present, etc.) LOCATION**- TROY 1 '1.28al9v244B C rcr Plan revision required? Yes 0 Use of side for additional information. ,% SBD-6710(R 05/91) Date Inspector's Signature Cert. No - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER /i� �Gt/Y.�.� ADDRESS yp � `j�Gi�/�,��;z �� SUBDIV SECTION- T ?-_N-R, W1, Town of CA LOT f Provide 2 dimensions to center of septic tank manhole Cover, 00 ALTERNATE BNi : SEPTIC TANK f PUMP CHAMBER / HOLDING ..TALI{ INFORMATION Manufacturer: .r Liquid Capacity: Zgg�? Setback f rom : Well ;> House r - other Pump: Manufacturer ModelSize Float separation Gallons/cycle-0 Alarm Location SOIL ABSORPTION SYSTEM Width: 2 a Length Number of trenches Distance & Direction to nearest prop , l ine : Setback from: well: � House )r other ELEVATIONS • tee' Building Sewer ST Inlet PC inlet PC bottom T^'outlet Pump off ---- Header/Manifold Bo f system r Existing Grade �, �" Final grade__��.� - _.... *C ?Aof( OF I STALLATION : v PLUMBER ON JOB: LICENSE NUMBER,: �... INSPECTOR 3/93 : jt SANITARY PERMIT APPLICATION (�l DILHR In accord with ILHR 83.05, Wis. Adm. Code —Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. —See reverse side for instructions for completing this application. 1. APPLICANT INFORMATION — PLEASE PRINT ALL INFORMATION. PROPERTY 0 PROPERTY LOCATION IG4 tZR I LOT PROPERTY OW'ER' AILIN6 ADDRESS LOT # , ,A E F:U* A COUNTY Y 2. STATE SANITARY PERMIT y ___7 LJ Check if revision to previous application STATE PLAN I.D. NUMBER T2P I N9 R E (o IBLOCK # /147,0st �3 A CITY TATE ZIP CODE PAONE NUMBER SUBDIVISION NAME OR CSM NUMBER fill, 11. TYPE OF BUILDING: (Check one Nvm -C 4MAWIT.-S W41 CITY NEAREST I 1�9AD State Owned © VILLAGE 0 _=4 4 rle-a y E]Public Z 1 or 2 Fam. Dwelling—# of bedrooms PARCEL TAX NUMBER(S) 111111. BUILDING USE: (If building type is public, check all that apply) 2 2 to i00000 — 1 ❑ ApVCondo 2 ElAssembly Hall 6 1:1 Medical Facility/Nursing Home 100 Outdoor Recreational Facility 3 El Campground 70 Merchandise: Sales/Repairs 11 1:1 Restaurant/Bar/Dining 4 El Church/School 8 El Mobile Home Park 12 0 Service Station/Car Wash 5 El Hotel/Motel 9 El Office/Factory 13 0 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) 51:1 Repair of an A) 1. Z New 2. ❑Replacement 3. ❑Replacement of 4. ElReconnection of System System Tank Only Existing System Existing System 13) Q A Sanitary Permit was previously issued. Permit# Date Issued V. TYPE OF SYSTEM: (Check only one) Non -Pressurized Distribution Pressurized Distribution Experimental Other 11 Z Seepage Bed 21 0 Mound 30 1:1 Specify Type 41 ElHolding Tank 12 El See pageTrench 22 ElIn-Ground 42 ElPit Privy 13 El seepage Pit Pressure 43 El Vault Privy 14 0 System -in -Fill V1. ABSORPTION SYSTEM INFORMATION: 1 GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION G A A AB SORPTION 4 f&* Feet Feet v7 1 40. V Vil. T� CAPACITY Site 11. TANK in gallons Total # of Manufacturer's Name Prefab. Fiber- Plastic Exper. INFORMATION New xisting Gallons Tanks CCon- Steel ,Concrete strutted glass App. Tanks Tanks L1 0 0 0 Ll .Septic Tank or Holding Tank Lift Pump Tank/Siphon Chamber LLJ V111. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plu er's Name (Print): Plumber's Signature: (No Stamps #AWMPRSW No.: Business Phone Number: t?al-W 1?4v 0c7 Izz f p , Zi Plu er's AddressCi "(Street, jtrtta Code): 0' 23 Z, Lo IX. dOUNTYiDEPARTM ENT -USE ONLY Ej Disapproved Sajy*tary Permit Fee (includes Groundwater Date Issued issuing A nt!5swature (No amps) I Surcharge Fee) Approved F-1 owner Given initial Adverse Determination X. CONDITIONS OF APPROVALIREASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) 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 be renewed before the expiration date, and at the time of renewal any new criteria in.the Wisconsin Administrative Code will be applicable. I 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 tQ installattion. • ,� g 5. Onsite sewage systems must be' prope rly-'rnTaintairied. The septic tank(s) must be urr'_"c ` `fir ficens= d pumper, whenever necessary,usuau e r g to 3years.p p y, ,yq ,� 4 6. If you have questions concerning youf'odsrte sewage system, contact�.our lodal code is d'ministrato'ror the State of Wisconsin, Safety I3u-ildings Division, 8018-266-3815. To be- ev�nplete anc! ;accurate this sanitgry-perm:t' applic Lion -must include: � .a I. Property owner's name and mailing address. Provide the legal description and parcel tax numbers) of where the system is to be .stalled. ll. hype of building'teing serve Check'only one and complete of bedrooms if 1 p # 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 in line A. Complete line B if -permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. V1. Absorption system information. Provide all information requested in #1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. Vlll. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A} plot plan, drawn to scale or with complete dimensions, location of holding tanks), 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 fe u i red b tti6 eou n E 80�11 test data on a...1 4orm • and F) �zjr g q Y tY�5 a##� s n information. '} GRGUNDWATE *tbR: CHARGE ..y n L •.J• 1r j 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. ,The. monies;cqtlected through1hwe• surcharges are used fo mou rnqrvundwater,. ound- wafer'c6Rtansirfatron investigations d"M establishment of stands SBD-6398 (R.11 /88) ��o Art 107 -4' IN lyoor4e,9 1000 ,/x t 30 f m DAVE fOGERTIf PLUMBING Ucented Perk Tester & Plumber 03233 #3289 Fogerty Heights Road ROBERTS, WISCONSIN 54023 Phone 749-3656 I r � C7 ,E/ j..? V -TEW r r r 3 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY &BUILDINGS 'INDUSTRY, DIVISION 7969 LABOR AND TESTS(115)P.O. BOX 3707HUMAN RELATIONSPERCOLATION MADISON, WI 5370i (ILHR 83.090) & Chapter 145) LOCATION SECTION: TOWNSHIP LOT NO.: BLK. NO.: SUBDIVISION NAME: 1/4 -5,j 1/4 /11/� E - COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: s-/ a ?� 2� 'IF A'�'? 1 0. USE- - DATES OBSE13VATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTION5: PERCOLATION TESTS: 0 Residence . �+ New ❑Replace 3 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IIV-GROUND-PRESSURE: SYSTEM -IN -FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) E]S ❑U ❑S❑U DS❑U E:ISEl EIS ❑U -�� If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS CHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH T TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) BORING TOTAL DEPTH TO GROUNDWATER -IN TEST DEPTH WATER IN HOLE TEST TIME NUMBER INCHES AFTER SWELLING INTERVAL -MIN. P_ P- P- 2 z 3 3 P- P- s / "� -- a- / S'y /S 7Y �Fo in S . PERCOLATION TESTS DROP IN WATE A 3 41ral -INCHES RATE MINUTES PERIOD 3 PER INCH LP - PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION rf. 19 _-_ ec Zof Z"/ -� �Ly * 3 1d `V/L, - o'er ell,_ -_ �H of ' AI X. 4411 .�.__ I, the undersigned, hereby certify that the soil tests reported on this for e1 ord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of th to s correct to t t my knowledge and belief.. NAME (print): /V[p TS WERE COMPLETED ON: Uconsed Perk Tester & Plumber YY 03233 #3289 g j ADDRESS: F611arty He S oad TI OCATION NUMBER: PHONE NUMBER (optional): �eaf ISC4NSIN 54023 Sr �. �" '��V��1r all- C T S I G N A R E: ---- , OF,rjC vO DISTRIBUTION: Original and one copy to Local Authority, Property Own l e to 9 DILHR-SBD-6395 (R. 10/83) — OVER — INSTRUCTIONSFOR COMPLETING FORM 115 N S D v 6395 To be a comWIP fI 'd accurate loll '3 ost, y oui- repo -t must incls.. de, Comple.t.e l p l description, . The use section iliUst dear �y nd'c :3tr Whether h's is a r9'A sidence Or commp' .6'ql PI.0ject, 5, ornpl--te the suita slit ° r,atin(i boxes.A. SITE IS UIT B E FOR A HOLDING TANK NL IF L OTHER ARE RULED OUT BASED ON SOILCONDITIONS; . PLEASE use the abbr e lat'i ns s ovvn '''iern forvvivaing Profile d scrrptions nd t) pletrnthe Plot Plan; 7, MAKE A LEGIBLE E diagram Fjccu-ately` lo'ctirr youm test to a lc: ns, Drawing to scab: is prelhi.=rred, separate sheet may be used if desired, make €. 1 r3= nd ver'iz s .I ; r= er ence poi'ra are €o-le r`ly wn, an are- permanent, 9e Complete all appropriate axes as to names, addresses, 11o(r pleat data, percolation toast exemp- tion, a f appropriate; 0, if the info;rma .ion (such as Blood plains elieva lon) does not apply, .glace 1 :A4 i_i tract appi-opi'ia e box, 1, Sign th-e form and place your cui'repnt ckfi- ss and your certification nw' fiber 12, bake legible ul-) ies and dlsrribu� to as required, ALL SOIL TESTS ML)ST BE FILED W1 -1-1 THE LOCAL UTHORIT WITHIN 30 DAYS OF COMPLETION, ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and T xtur ,T Other Symbols st stone (Deer 0") Blrot _' Bedrock €roe Qjb1ie ( - SS Sce'�dstop.e ...... &yYY;under 3" Ls^pestoFet s ..... M":"(:1fiu n <,Old Sufi.' W;'ii i Ftny,i g` r S illt L o a, B l B r >::k }"> ...._. i t 1, i .' '.,� ...... G r a }; r gA ,.sa'ndv i..f Ziv 'lvv k f 4.t s c Silty �. t� S' ` f few, fine, faint. i n ....,.. 5 .. E k'4s 5,d ....... i oY L £ SAr i. Si €gip€ ��� �(3�;j u-"X t�},pms C." 'ater ��Srty�„��Mark t�.��5 > c„ t 1 � i a k' 5 d ',i v a of 4.e a :.4 n 1,. r s a� �; a2 d ..,.,., � k.,,� i E 1,.. E: , V l ad"§ 'e`er k'al Re farerjce Point This soil test report is the first step. l'ri securing a sanitary permit, The county or the Department may request verification of this snail test in: the . i0d prior to perMlt.. IS�Uar)Ceo A complete set of plans for the private sewage system and a permit applicltion m1ust be submitte,d 'to the appropriate jpGa, °auth.ority i br=der to obtain a permit, The sanitary p r`mit east he obtained aril pos'ted prior to the start ofany constrrUCtion, DEPARTMENT OF SAFETY & BUILDINGS DEPORT ON SOIL BORINGS AND DIVISION INDUSTRY, LABOR AND WI 5707 PERCOLATION TESTS(115)P.O. BOX 3707 HUMAN RELATIONS MADISON, (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHIP LOT NO.: K. NO.: SUBDIVISION NAME: s r �/ s �/ �? /Tz� N/R/q E COUNTY: OWNER'S/BUYER'S. NAME: MAULING ADDRESS: / USE DATES OBSORVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: ER LATION TESTS: El Replace O Z Residence New RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN -GROUND -PRESSURE: SYSTEM -IN -FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) E ESZU ESEU ElSEA L1S/U�� If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS PERCOLATION TESTS PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. /a SYSTEM ELEVATi4N ,54 P E `s 4- 71, _._._ . t I I \r i 21 I d , .. . ._M._.._......._.,,_..,... .__... ....,w, ............. ...._ _...... . 1 I t a -j l E4e F i f . ..-- _,....,,. ..._e...� «._......_.,._�.....--w..,.. .1............ ..1,.._.,.._.....y,y � I I �'�� hereby certify that the soil tests reported on this form were made by me in accord wit the procedures and methods sp cified in the Wisconsin I, the undersigned, y y Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) —OVER — • ,° 1019.8 0 a O 13 6 C 853.:)2' 400 l 1 136 D ' 136E _ ti o \, -- -- \ 6 65 . s4 139 C ��© �LOT ! _ ,.13 9 B 1 N `Lp . ��► 411.20 %61 LOT 2 ;S' 139 B 2 E+ 114 S W \0 S 1/4 C OR. SEC. 9 A .3YL " r N 966 234.ug' 220 400.04' L% � 7A 142 C o 142 B2 2 vQ f �3,97 LOT 1 \ '0 0 1 315� 142 D S 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 issuancn . fihn,il ra +-h 4 r Aw .. w It- .- --- - - - L _ • I - SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER #AA7 Jam! 1 00(-,iF ADDRESS: �- DF6a'9 , TU(3�"F- V` ,P,.`Ad,�Pz FIRE NO: LOCATION: 1/4 , 1/4 , SEC. 4 ( T �N-R T w, TOWN OF: ST.-CROIX COUNTY ,g SUBDIVISION: - 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 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 to help with the cost of the 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 the St. Croix County Zoning 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 (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification from will be sent approximately 30 days prior to three year expiration. 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 form must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. • SIGNED: °L_ . 9 DATE:. St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 �o S t 1/4 the reel of land located in tE �t That a 145 Arid the Southeast 1/ 4 of tha4section 28 NOrt 1an ia 19 West, Town of Troy, 1/ 4 �� f 'section � n �,��� f� � l� described as follnws: roix County, Wi:soon i , orner of said �e�t��� 1� � �h� ��]��-r OF or�� ,a,nc ing at the to be herein described; thence S J !JN JNG, Of the parc+�1 ��� line Of 5�id �� ._ � �� �e� bear i c� on the North/south0 �, . � �,�,� 00 4 j� w (assumed 330 - 03' (recorded as S 01 5 f n 16) a. distance �� � f ri �$� . �1� on the North I ine thence S 8 4 $ W �► si eco rded as N 8 o 4 W �; t� of Yee Plat Glover r Station , (recorded as N 01 235� E 6 0 0 a 7 3 `) i thence � a �t rOcord ed a s � �' 601 [� '' A I te ) . t 0 recorded as Nence $ 1 _ N 28 55-123rrE 44 . 5 a , 2311E 592 * 00 � : t�"]er. --� � t l rr 1. '7 7' ( recorded as S �4 1 1� � 5 4`'5 4 ' 10"R 5 4 0 � 1 � � �� � ded as N � � � � ' i � � � , thence � •5. 2.311E 300 * 00 (recorded . tr th rice 8�55,f2 3 "W 3 3 1 68 66,3Vrecorded as S 4 3 ►� d as S 28 53110"W) . theme � �re 0 ,� �r � 3 � � . ��'' � �.� the POINT 43 0 3 t r y r that 6 6' wide rQ!; �dway being subject ect to easelten in ��i . 1, pag� 222 acres � r���rd�d as `,hown ors that pert i � fed �u�r���r ���►� in �ub� ��- � to ert i � red Survey �iapg and also being .� � of t , rod, county C res s and ogres described wide roadWa.y easement fOr 3 f♦ }ti a r of said SectiOn 16, IT1�+�� r fry at the North 1 4 2 W"' 329,691) to the POINT 5 1 11W 3 9. 7 8 1 ( recorded a� N 4 3�� 0 � '� 2 09 , 0 3 r; ,hence �! 3 t� a 3 � id easement; thence � � �� � 3 W Off' J�EGINNTN,. Of �a 6 � � ��r�E 66 6 � f � re�+��d� d �� N 80 20 t 1011E 223 . C0' ; thence s� � � thence01 315411E) thence �4 �� 11�'1E 66.38(:recorded � �,� to the �ul� eat to e�,sementS of ThO above described parcel also being � re r _J �.TkIed - YHU -F; 0 D 0 U P L- E: 0 0 L . — U FR E: S P - 0 1 -r;419 SPAT[ NESERve-6 F1 DATA WARRANTY DEED sC;OFOR4�1�2—'982 STATE IRAR OF wl NSIN ------------- ------------ 1-d H.'Sqhq1tZ_4'n ---------- ........ urvi, P,0.4nd wife - ------ .......... ---------- ----------- ............... 40F - - - - - - - - - - - - - - - - - - tin T. Judge and Debra warrarits to Mar-%,----,, ------- — ------ cotiveys a: 14 htta nd_. W�f 0., 4_$_ rvi. �ib . . ...... .......... ------------ -A . . . . . . . . . . ........... ....... ------- -------- ----------- Rf;TURN TO A I I - - - - - - - - - - - - - - - . . . . . . . . . . . . . . . . . . . Croix tip; scrI b c d real estate In -------- 4% our Tax PaLreel No, Sc,L cLtached sheet for legal descriptic- -astead propertY. (is not) 'Flo 71 Post -it brand fax tran5mittal MefflO'76 o M From � �L To Am e Co, Co C Co 0. Ph onle, 01 Dept. Fax *t rax *-1, 4 "!r� 0:4 rje,optlon to wtirrantics : e,u�e_m.ents, restriction$ and rights of way Of record, if arty. July. 93 �: .er....- ._._ . d a -V of___._ . -_ +....._ -�_-. Dated --- -E A L} (SEAL) __... - .... .. ................. .......................... Richard H, Schultz ...... _(SEAL) U tl� Ph......... cKNOWLUDGMENT AUTHENTICATION STATV, OF WISCONSIN $jZT1rLf I rc (�3) ---------- "="^^~ ' --------' ' ap uh`r'<W ~^~~-----------^^~�-~--- ] . . � � ^ . ~ ,,~~_----' �| —^—' -' '^'`�---~~~'`~--'-~--~`----' ' - t��� . �1 Y,_day of WO ave�,pG/�°� this .--'-�mYof~-----^~^^'`-`-~ _-~~~ before-, �&_�3_ �w . oamod ` —.. . ' ---_--.._~-__-_-^^.^~.-__----'.~_----~ ' ''_-__^^.,.''_. . . ._'-_`--._ _Ri chAr d .............. m r--_—..—..._._—' —..----_-'_--.~'--_ -_��� �������.^-'---. ' —. --.---_. Tx«rMeE�& STATE �u~_____ ��0� �o�c�m�m -_=.�~��=______^_.________. ~~'-'-----'',------'^' --''---'---- ��n executed tna ��m��forego . �� �� ~o �m�r�� by N mmmn �w~ m n� °'��� � ~-- Ci r./'s `w�rnvw�wrw^m on^Fr�o By . _. _.____ Jogcob D. Dclem ~ Attorney_aC_Law__~'~ - ^ - v��- �% ��022 (715) 425-7281 --- —_ Bivur FalIs"_________~_~__-_---.~-'-'--- �'-' '— not, °u�o expiration --'' ' ----~ mo�non���ana s*tv �� C"m°~~~~' is ~--alle-- ' ^u��n�«u�d or ' `.____.____ ��_4� `��'. 7=- "�.mm=�v�'" nn"u�^�°� ��`*«_�`= � Of �� in ��� ��,,�. �� °m mTATIZ PAR OF WISoO-NmnN -T U L- 'S T H U -4 -4- iD o L-j D L- E 00 LURES P - 0 1 lbat crr-ir,--jire po-z-'Ca--1 OF land locam.--d In ttie Ntr-trieas 1/4 aFtric NX 1JRwt=-.;t 1/4 or 5rKI-tion IS and the 1/4 of the South1/4 of Sex:--tian '9 Tow "chip 28 North,, 19 W*sts Tcof Troy, St. Croix County, Wisrxiisin, more Fully described as C4nawming of ti-oa North 1/4 carrwnr- of sajd Seution 16, the POINT OF 11 DKM, of the perv-,el to ta heirein dosr-ribodi tfwsico S 000449'W (assamnd tearing an the Nbrth/South 1/4 Urw of said Seatltn 16) a d1szar=a of 3:30.03" Cre=-; on S therv-s S 83049'r5Z'vW SM.!;Iv an h te HDrth lir-k-- oF the Plat of nilavcs- as N 89 0!3'F4UId and We&-tv EM-781); therv--c N 01 2S94201E MB.SOT ) A -A---- Creccrded 4-1 N 010ZJ"54'%E SS8-35 if , UNN-CM N 260 11'T1671W 427.481 as N Z!S0 10f4-'--rrw); Ica M a--3� 7E 44.52 C i mpcol or. N 28 �31 icrIE) - 0 1 1:1 M S 54�41 1WE 591.7/" 54 5GIZ2**E 592.00"); ttvr,=,-- N m 55"23lic 300.00, (recurded as N therg---e S 54 54"jQ'FE 66,38Y (rTxuv-cJnd as S 54 56'23"E); therKm S 28553Z3#1W :334.6-9- (recrr,c� wa S aSQM110TTW); t-o"-K-m s 4,->0057-34'*E 329.-.78' Cas S 430061231-E to tt-x3 PO I MT OF U--GIWIW-7 irk 9.545 acr-es, beirxj sub jeKz to eranesperm ov� t;:-it 66' wide M-�47---'Y aS shown cn that cer-tiFied s2-r-vey map 1-T-K-AN in Vol. I I OF St. CMIX crxrfty CJ3-tifleld SLI-Vey Maps air d also beirxj s;Lbjeat to a 667 wide eascrannt Far Erld aqr-mss described ar. follcws- j C . I Eac.emem ors-'f-s- I t.$T; i on: Ccmmcm i ng e t t:,a 0 North 114 carTier of said Sew ion 16, thence N 43 0 05 1:34Y 'W 3?9. 781 N 43 C61231'"W 329.699 to the POINT OF EEG T)%�� oF said ; A 7 3 ;28 55123"rw -C�1-1119.0911; thence N 80 2011CrvW 260.29"; � N 01 0 25142"E 66.&9" N thercO S 80020'1Cr*E 223.007; Vierce N 28055123?'E 204.061 theror-el 54 13 S4 0 rE 'FA - 38, C ra=A A!-= d as S 54 a 561=*E); thercm S 2S 0 155 f 23' V 34.68--0E-d es S 28 to,tt*s POINT OF =INNIM, of said The move r3 its parcel also being siubject to ' ;araNTt,!;i OF reccrd. State oF COUrrty Of PjAvt;#) 17 Plagistar"d Larxl Sur-mycw% do heoby czr-tiFy that I have ttv above and mapped lng to official reco� w-0 that this map and are =-racti., to the best of my knowladgn and balief. Post -It- brand fax transmittal memo 7671 TO Feom J Co. C40, Dept. Phone 0 U fax tc OUNQ ♦l or �rou*v 0 i ti : .' C A 'r 'r S ' - 'r Z " " /'a 0 :* P I P f V-V F / 6 H /)V G I / J 4. 0 S. / 11 / V, e r S r r,