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HomeMy WebLinkAbout020-1062-50-500 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER JQ (/6 4 /4 ADDRESS SUBDIVISION / CSM# LOT # SECTION a3T N-R_Z? W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ti ~ u o 0 i~ ~ /Doo INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. ~r s BENCHMARK: 1, S/ Ci ALTERNATE BM: AA=,t SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: ~QQ1~ Setback from: Well House Other Pump: Manufacturer Model# '-Size Float seperation Gallons/cycle: Alarm Location A)O SOIL ABSORPTION SYSTEM Width: Length J`-y Number of trenches Distance & Direction to nearest prop. line: Setback from: well: House //O / Other ELEVATIONS Building Sewer /i ST Inlet: o, 3 ST outlet: /d,T lJ PC inlet PC bottom Pump Off Header/Manifold ©i~ Bottom of system Existing Grade Final grade DATE OF INSTALLATION: - Ja - 9 PLUMBER ON JOB: ~i LICENSE NUMBER: /14 j~. 7ySSo INSPECTOR: 3/93:jt t Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 284346 Permit Holder's Name: ❑ City ❑ Village $1 Town of: State Plan ID No.: LACASSE, RICHARD HUDSON CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: O. 019. 020-1062-50-500 TANK INFORMATION LEVATION DATA ' TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 10,3 r D,' Dosing , Aeration Bldg. Sewer q6 S ' Holding St/Vit- Inlet 3 fib,/~! I TANK SETBACK INFORMATION St/ Of Outlet 70.Y8" 5 g9' TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet rl Septic S~ o? NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade /7 S g Manufacturer emand Model Number GPM TDH Lift Loss Iction System TDH Ft mead Forcemain Length Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width I Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS S / DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION TypeO CHAMBER Mode Number: System: '570 3 VIA OR UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia- Length Dia. Spacing 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: HUDSON.23.29.19,SW,NW 703 WALDROFF FARM RD LOT 3 ~i7 i't7//Gy [~.t~ ~.t, .~~,:rr~..Jei ~ li►-~ ¢.c.~c , t ~ , J ~ C lJ'~G. ~ `i'~'t~{} q(.'1_Ol Y_.-t V.~.F.-) -f O';:;.t...,.j ~JC~ !J-.x-,./ .~[~Q`-iC......AL.C..~ M(h' • J Plan revision required. ❑ Yes ❑ No Use other side for additional information. y fv SBD-6710 (R 05191) Date I spe or's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: Safety and Buildings Division v■■_r■r~ SANITARY PERMIT APPLICATION Bureau of Building Water System! 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County ~ than 8 112 x 11 inches in size. S/• See reverse side for instructions for completing this application State Sanitary Permit Number 74499 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)]. 7o3 WW (I r a6c FGtrm PC/. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Prop y Owngr Name Property Location (sal 11 A L4114 /V jj t114, S 3 T P) , N, R /y E (or) r Property Owner's Mailing Ad ress Lot Numbe Block Number City State Zip od~/ Phone Number Subdivision Name or CSM Number r- IJ, I14~ I. TYPE F BUILDING: (check one) E] State Owned ❑ Ity Nearest ad ❑ Village Public 49.1 or 2 Family Dwelling - No. of bedrooms Town OF III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) a9 f 9, a ~A 3Q 1 ❑ Apartment/ Condo - I DO 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.AfNew 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 / 210 Mound 30 ❑ Specify Type 410 Holding Tank 120Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 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 Required (sq. ft.) Proposed (sq. ft.) (Gals/day/s . ft:) (MI /in ) 7 l Elevation 7S6 76 6 o 93 Feeti 7 ? Feet VII. TANK Capacity gallonTotal # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing structed Tanks Tanks Septic Tank or Holding Tank low loco ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite se age system shown on the attached plans. PI rs N 9.7e- (Print) Plumb Signa e: (No St m P PRSW No.: Bu iness Phone Number: Plumb dress (Str et, City, State, Zi Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved s tart' Permit Fee (includes Groundwater ate sue Issuing Agent Signature (No Stamps) D Surcharge Pee) ~Approved ❑ Owner Given Initial ~ Q ' Adverse Determination X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) - 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 b~? renewed before the expiratior date, and at a time of renewal any new criteria n 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, 608-266-3815. f To be complete and accurate this sanitary permit application must include: 1. 'Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed- 11. 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 3 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 8 1/2 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. S T C - loo 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 11 the property is sold and submitted to this office with the appropriate deed recording. . Owner of property i , W Z q64-- 6'a Location of property,l-W1/4_NUJ1/4, Section 2-3 _,TZ~ N-R r W 'T'ownship Mailing address 17,Z© DAK Lie0 Address of site - r~ Subdivision name CS LIZ Z of no • v r . Other homes on 'property? Yes ✓ No Previous owner of property Total size of property . p Total size of parcel , D Date parcel was created / Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? L.-,/ Yes No Volume Jd 36 and Page Number R60 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. ,,5'Z5-6,7,38 , 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 App scant Co-Applicant (laf~ nf rliintlatt-11 S i STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER , C rI CQ ss_e • MAILING ADDRESS (t L'L PROPERTY ADDRESS 7D ~Cc I ro (location of sep c sys m) Please obtain from t Planning Dept CITY/STATE .~a~ PROPERTY LOCATION 114, __kW 1/4, Section Z3 , T N-R _W 'OWN OF U MJ ST. CROIX COUNTY, WI 1-7 3°, 3 y rn''1e3 'r SUBDIVISION ! LOT NUNII3F,R -3 CERTIFIED SURVEY MAP , VOLUME`'PAGELOTNUMBER__,3_ 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 replncement 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 ccrti(ication form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper veri6ying that (1) the on-site wastewater disposal system is in proper operating condition and (2) aRer 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 comple ed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration da SIGNED: DA"fC: ~~f 7 St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 *A- 10 ~ 380 . 'boa 7 i 3' to' ko-t C~- AJ Ut a 7LS k e T, t . , t S t a17~ Lo 3 nil ihev" 1 V , Q~~ Wisconsin Department of Industry, SOIL AND SITE EVALYXT.,-( Labor and Human Relations a M•• f Page of 3 Division of Safety and Buildings in accordance with s. ILHR)B'..Q0; Wis. ~ ,tea , Attach complete site plan on paper not less than 8 1/2 x t 1 Inches in size. Plan must Couroy Include, but not limited to: vertical and horizontal reference point (BM), direction and ^ !K percent slope, scale or dimensions, north arrow, and location and distance to nearest rc r • ;gyp,„ :'`%y ~Ftar~el I ! APPLICANT INFORMATION - Please print all Information. awed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location ~Uti G.9.v 332 R1,V1VE50r+ Govt. Lot 1/4 - 1/4,S z3 T 2_'7 N,R ) y E (or~'J Property Owner's Mailing Address Lot # Biock# Subd. Name or CSM# Eqs r- /yaf /s7- IV47 .3,1~0K /31.ad- . 3 City State Zip Code Phone Number S%, If vL /4v 5510 1 z) z zZ _ S55S El Cl ❑ Village Town Nearest Road A-) 0 k~ LL y ~ / New Construction Use: esidential / Number of bedrooms 7 Addition to existing building ❑ Replacement ❑ Public or commercial -Describe: f}~ - - /~i puGy Code derived daily flow 9pd Recommended design loading rate _Lbed, gpd/ft2 - trench, gpd/fl2 Absorption area required bed, ft2 /60 trench, ft2 Maximum design loading rate bed, gpd/fl2 61 trench, gpd/ft2 Recommended Infiltration surface elevation(s) _50.9- PLt . 3 ft (as referred to site plan benchmark) Additional design/site consi rations use lO yhr ~'1;cj~p ly ~i ~~tJeS p~~/ t~i%1•, ~7~p Parent material SAS Jr 13Oeleli 4-,e P 7`_._ Flood plain elevation, if applicable S = Suitable for system .Conventional Mound In-Ground Pressure AT-Grade System In Fill Holding Tank U = Unsuitable for system L~"S ❑ U E9, ❑ U G3-9 El U D-g-n U ❑ S au- ❑ S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure In. Munsell Qu. Sz. Cont. Color Texture Consistence Boundary Roots GPD/ft2 Gr. Sz. Sh. Bed ,Trench LA b-/G /o %e 343 G.S /,4 f,P v~,e s 5 , 2 -3z" lo R 31 nd 3 2 /0 i le /f<Sh~/ GlS 3 elev. y 3. q_41 _ft. 6- o r S - CDS D s - Depth to limiting factor In. Remarks: Boring # / -W /Dy2 313 GS 2- 72 V4 3 34 4, Ground elev i~4 S• 66 ft. Depth to limiting factor fie- In. Remarks: CST Name (Please Print) Signature ~Telephone No. ,~zo S~iP T- Z/G/3iP/cLrT- Z' 7/S= 3 P6 - e/P S Address Date CST Number PROPERTY OWNER SOIL DESCRIPTION REPORT Page 2 -of 3 PARCEL I.D.# lip r 3 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots Mft2 In. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. Bed . Trench / 0-4160e 3/3 S L /f , S 6 z IS - /0 Y /f Ground / G S 3 elev Depth to S .S ~i s 7: . limiting factor in. ; Remarks: Boring # - /0 file 3 5L /shy ,e / Y ' . S 'Ile 3 /d 31G S ~S .7 Ground s © . ? elev. ft. Depth to limiting factor In. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD1W In. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench Boring# /_S /,fyr S a5' 7 :.8 "-3 (IOV,516 5-14ry 54 a"5 e5- Ground Y-56 10 S/(p elev. Depth to limiting factor 6 Remarks: Boring # ' I Ground elev. ft. Depth to limiting factor , in. Remarks: SBDW-8330 (R. 08/95) OFF, r~ w W LA .--o -e o ~ r 03 b O ~ p w ~ o c a H W p 1 41 ell, qs o ON o c' °O Lp 0 Z-0 :7 yarn nw ° c IT7 Irs, J, n x 14 : r r r` i 9 FILED 1 7 1997 APR 5 5581~~ =n,: +Cv , CERTIFIED SURVEY MAP a. Located in part of Je SWJ of the NWJ of Section 23,`T29N, R19W, Town of Hudson, St. Croix County, Wisconsin. NW Corner Section 23 F/aRCEL INJ LOT 2 ~w o VOL. 955, F "G. *3 12 _ a S. m. V Previously Recorded as -VOL. - EV. `?78 C! I to N89°52'42"W - JJ I-IbVY. I S89026140"E 403.35' I y North line of the SWk, of the NWk In w V - to BENCHMARK = N_ W 'c S89°52'42"E 370.34' W Masonry nail in power pole 275.34' 95.00' Elev. = 929.16 Cl) ° .PERMANENT LIMITED r o a 303• \ N EASEMENj o O1 v6E. 109_9 00 a °o PG. 3203~15~~E ~ OIL ~(O$ 0 a I I S. Ill. °°HWL = 929.0 ° c r.°> c 33' 33' oQ o LOT I IC: X z N Iz PG. 20-170 ( °o W 3.40 Acres Ln 1-0 v, a o o c /148,136 Sq. Ft. i~ a / 3.00 Ac. Exc. Esmt. N I-) N C> I / 130,679 Sq. Ft. I-I M I U tzi m O N8905214211W 370.34' 330.53' N89°52' 42"W a = 39.81' M N •0 w~ c~ IL o ~ 0 1r- ITS g O a Iii ;0 o I~ Nj~ c- Ct C LOT 2 Icy o ~ 0 ► ` ~ ~ - m W I Ivy Ct 0 0 I y Ir7i r- I N ,H.,. Cr IN m I-I 1(- ° n _ M ate' o Ct "I 1 I o a, 2.82 Acres c 7 Fa ,hd a m 1m t , .1223841 Sq. Ft. N a ? J? 10 a6 6' zC~a 0 io 0 W o' zv ~£Z£ a$Ed IT '.Ton a~pa xaaT~ 'aa r + bps! 1-7 •papog uMLolg pn g auk Aq pawadde si dpW AananS p9i3i'4a9, stq:4 '4 q:j AjTlaeo Agaaeq I .911ti3Tocom 5.60'isso68S 100'Ut lsilE' M vl 60oSBH .OL OSo60 AF EEZ E Z•T EM VIVU El= .6Uidd-em pup BUTAeAans u1 xioa;3 *:IS 3o Aquno, aql _40 aoupUipaO UOTSTATpgnS pUPU aql pue sainjejS UTSUODST14 aq:l Jo tE'9EZ aaldptp JO suOisieoad quaaano aqj gjTA patTdmoo ATTn3 aepq I jvgj !pagiaosap pup paAaeans Axppunoq aotaagxa aqq ;o aTpos of UoTiplueseadea 409aaOO p ST driq AaeanS P9T;T4a9D sigj jegj AJTU90 osTp '.I •paooaa 40 sluamaspa TTE of goalgns sT pue (',4iT'bS OL8'GTS) saaOV 66'1T sure:U00 Taoxed pagiaosaa -jrx-F eqq of 4991 00'EZ5 'Mu90.9io68X aoUagl :1993 9G'OTV 'SuZE.9V060S eouagq !geaj 00'Ov 'aeano pips jo oap aqq buoTp 'ATaelsee eouagq :199; 96'6£ seanseem pup $u9T'.6009$M sapag paogo asogM 'uOT.09060 seanseem 9T6ue Tpaluao asogM .'ATaagPaou. -anpouoo . Ietuno_.s.ntpea :tooj.. 00-.E.EZ p jo aangenano jo :luiod eq:t o,4 :499-4 00'08£ 'Su60.5S068S aouagl :3999 00'99 'MuT9.V0000S aOUagl :1993 ES-0£E 'Mu60.99068N aoUagg :199J ES'TLE 'MuTS.tGOOOS aoueq; -1398; T8' 6E ' 'Mu-?'P. Z9068K 9ou9414 : :taa3 ZT' L5v 'MuM tOo00S aoUagP ::1993 SE'£OV 'auiT q:taou pips SUoTp 'Su0v&9Z 68S aouaq3 = :P/TMM Otil JO fi/TMS aq~ 3O auz ° T q:aou aqg og 3993 88•G6ZT 'auTT 189A pips .6uoTp . 'SuT9-. fi0o00iQ 5u-cnut:tuoo eoueq:t ,Bu-FuuTDuq 'M aql 01 199J 00'OE 'UOt109s pips 90 V/TMM aql 3o aUTT ISGA aqP buOTp 'SuTS.V0oOON 9=8141 !EZ uotIOaS 3o a9=00 V/TM aql le • t. $@] ,n V ' CERTTFIED SURVEY MAP Located in part of the SWJ of the Nwj of section 23', T29N, R19W, Town of Hudson, St. Croix County, Wisconsin. OWNER LEGEND Humbird Land Corporation Aluminum County Section Corner Monument Found East 1404 First National Bank Bldg. • 1" Iron Pipe Found 332 Minnesota Street St. Paul, MN 55101 0 1" x 24" Iron Pipe Set, weighing 1.13 lbs. per linear Ft. - - - 50' Roadway Setback Line 150' Roadway Setback Line from Centerline or as shown NOTE: No building, grading or any other improvements allowed below HWLs shown. 0 MATCH LINE N SEE SHEET 1 rn o ~ o - c> n w Ct Ct -3 N 7 :E: UiNjEdL~aTT`D LANDS CA M S89055'09"E tv 00 H 380.00' 1 0.0 K ' I(_ m , BENCHMARK Nail in 24" Cottonwood ° s m c o Elev. = 939.55? I-0 ° p !!1 1L 00 0 D = ~ o s ' LOT 3 a I> I ° I~ co 0 1-I c I 2.09 Acres v' ~f L; "It It s 01 oz 91,200 Sq. Ft. MD f° o N ~I N 1 n 33' 33' IV m- F-4 M ( N89°46'06"W 456.56' a N Ir- ~ ~o Iv 0 _ a t ~ I oo 'a °o ~ Ir-7 IT> o ILA LOT 4\ o ITS n o 1 f/ , 1~ a T-' 2.09 Acres IV) ~ 91,197 Sq. Ft. 6 6' HWL = 932.0 o z ~ z 33.00' 490.00' % z N89046'06"W 523.00 o W 1 W>&_Corner , U i P L AT ILD ! ^.I ll nei;t►Y" 1 1 1 +7£Z£ a$Ed IT ' ToA •aoiAPP ao; paleog uMoy 91eradoadde pue aoiM BuzuOZ Aluno, xioao '~S aqa ~oe~uoo Taoaed Aue SuzdoTanap ao Buis•egozEud aao3aS •(•o~a 'Taoaled o-a ssaooe 'aZTS 10T mnlutuTm 'spuleT-4aM '•a•i) suOTIRTnBea pue saTna 'sArl dzgsuMoy pule ungj 1.9:1*4S 'og goaCqns si (-4eTd) dem OTT4 uo uMOgs Taoaed goleg i f Dooz oC r: u saatdxa uoLssTuituoo AN uTsuoosTM quno[). xTO ' . 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'N• - • a•, 7 N E L ~ 4sl e :wo ` 'I f' f ~`Lr ,p N4RfS,4DPlYE ■.sc cr O ~ Z B Ire.oo• . i p k r I I-f E~ 2 A f :rQ !s' i a E d +.1 f + •~~pE~$~'~ wo.. itr r CS C I a2EB rn ' ~ I iQ = 1, 1 r ~ ERS~. .I w~ I j ate O IV N III---••• . It s a§ BR+i i Y W PI r1i ~ q 1zg 1 yr• ? r ! ? D"-a p IN 14 w z rri e $ t~~~d ~.M'.... N r'1 .p-;a A '7 ~ i= f A VI -;r r -04 1 ? Pi m 1 7' I ~r p jEE A ij c0 a~ tJ1 Z E' F ZO r : p r ! t a y K f 7E Gx _ ~ ie gp@ { I It a I= ~ a , RE floo•oo'of'c 1s1sJY lu•I«•I III e OT P , LOT 2 ov 1"f O . LOT I P !i CEHTNIED SORVEY MAP II VOL, i, PG. lB7B i N g G m a7 ~ i cf C t "OT 1\ iIrW~" SQI~V 1 U~ ~~~r~IV1 JGUJOJ IH 1 OO ~MOEN. Mu94~9bo6$AI, 100' 06f1 00' 6£^ '4d •bS 16LIIL6 C) Cil 0 50] ~ ~9S'9Sh Mu9O~9be68N ~ w ~ N rJl • Qy ,ES ~~iR I V. $ U1 f A •4j 'bq OOZ116 IeLJI lGJDV 60-1 4) ci p N d z a ' Waco - '^013 POM04403 utg u} LLffN 1WV"NH9 f _ g.• &00'08E :[~.60is%068,9 a A ° p 4p ~ 11g8HS~ x;15 o v, ~ H~~dVll •maoy* 21ANMO o4 PGAMLta o4uowamidw} J6440 Au* 1o Bu;pwi0 96ujpL$nq DN MON 4* Or •ullJ04noo wgaj Ou;1 K0YQ291 ~COMPt oo lost 'OU$1 40+gaig hwpooo '05 ~ - - - :.,4d Jl6U}1 JO4''WgL Wt 0u146}awi."ai9 ed}d uoJj ndL It Ill ..o totSS NN `tnnd 'I;S aaaJaB :aov.uuLN ZfiE punod odld uail ut • 'QPLO lu*B Lw014N4 49JIji Ott IPN3 pupDj %umwnuoW,4*uJop uo}3Dmg.~uno3ltqulmly uo}4ooq .~o~ pu9~ pJlgwnH • g7t~TM0 UTBV099TM '44nOD 9TO33 • zS ' VOSpnH. ;o. toad 'XdTU '96Z& '£Z U0T409840 4m Q$4 30 Me QK4 30 429d UT P64VO07 dVW ARMS UUU- M ~e•d Lti:az t6Bti-tti- of At ~~~~A^ STATE BAR OF WISCONSIN FORM 2 - 1982 WARRANTY DEED DOCUMENT NO. REGISTER'S OFF]' 'F_ :yet..1. M_ Si CROIX CTY., wl d Hu_m_bird Land Corporation,_ a Minnesota Corporation,Hied MAY 1! 1997, conveys and warrants to Ri by ei W ~+C asF a And rrann _T_ at 1:50 PA I_RCosse, husband and wife. R lda1o$ Hegister of Deeds THIS SPACF. RESERVED FOR RECORDING DATA •NAME ANO REIUNN AUURESS - - the (ollowIng described real estate in St. Croix County. ®State of Wisconsin. 020-1062-50 PARCEL IDENTIFICATION NUMBER Part of the SWI/4 of NW1/4 of Section 23, Township 29 North, Range 19 West, St. Croix County, Wisconsin, described as follows: Lot 3 of Certified Survey Map filed April 17, 1997, in Vol. ttlltt, Page 3234, Doc. No. 558109. T~~A T)FER This is not homestead property. MW (is not) Exccptiort to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this 3 © rk day of April A.D., 19 97 Ht lmbi Lan r ra t - (SEAL) BY : 4 CaEAf ) Austin J. Baillon, President (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signawrc(s) State of Wisconsin, 55. County. authenticated this day of , 19 Personally came before me this 301 day of April .19-9-7-. the above named Htunbird Land Corporation, by Austin J. Baillon, President TITLE: MEMBER SI'ATC BAR C7P'iV15CON5IN .(If not, authorized by §706.06, VJis. S[ats.) to me kno,«n to be the person o e oin instrument and acknowledge the PAUL A. BAILLON THIS INSTf1UMENT WAS Of1AFTQ0 By NOTA Iii:-MINN;: TA Attorney Kristina Ogland y `wWASHINGTON COUNTY Hudson, WI 54016 Notary Public. A hIM (Signatures ma) be authenticated or arkno~Ocdgcd. Both arc not nay commission is permanent. (If not, state expiration ate necessary.) Ant 3 t~ a.000 3`9--~• Names N persons s,rn,nx in sn, capseay should by q•ped or primed below their sianswros. WARRANTY DEED STATE A NOFZ WISCONSIN w~acuIan, Lapel elar* Co.. Ira. miwRlree. wis. - 1082 i