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Home My WebLink About022-1083-20-200 4, o ( ° 7 0 p c h 0. N I b f ti T C ti '6 Z I C 7 LL c 2 Q 3 co V ~ W lJ l z N o v £ 0 Z d d W N > d m N H Z 0 o Z U I `o a°~s H O1 N Z Q cu (D -~V N p (OIL N Cl) IIj~ N N o. • sV n. (n .C _ m 5 z m :o O N Z N R L U) N d - d C O _N d 0 O Q d L N O O> O G d m N Z M> O F ca N LI) Q m 0 Z p •N ~IL CL CL CL 7 O N (6 67 O p tp U LL CY) CY) Z > _ N -'5 E a N O O > m ~R CL 0 N N ca Q I N c ~i ~ (n U) O ~j p 3 N C O N co I-- M N C p U) IL t 'E E L C N E N N N W O W_ O _ p 7 - O W V O N IL- N r N C N m W W O E U yy„' O N Y S N O I' Z=5 {!7 L i ds a 0) CL • CL d y E i C w 7 _.t A v a ! O vCc o ) L) s US I I IFIED SIliVEY MAP J0M MO DIME HART Part of the Northwest 114 of the Northeast 114 of Section 29, Township 28 North, Range SI 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. 0 OIndicates 1" X 24" iron pipe weighing 1.13 lbs./lin. Ft. set. a NE COR. SEC.t9, r2SN, R/SW, q N 114 COR. SEC. 29, r2eN, R/9 W, /COUNTY SURVEYOR'S MON./ /COUNTY SURVEYOR'S MON./ UNPLATTEO LANDS N L/NE NW 114 NE 114 N97.14'/e"E 26//.84' /294.90' ' IN e7. 149"E 617.10' /301.92' ! 606.2/' q J-//9 ACRES r1 I b /Jd, 9t/ SO. Fr. O O h ` I LOT / J. 019 ACRES EXC. p , RDA O R. O. W. a Owner's Address : /Ro 153,244 SO Fr. ^ ^ e w a it 0-9 Uf~Fal Is, I Mf -?tF I ~'1 LO I % h I w T I~ 1 IN 97 • 1 0~ SO. 532 ACRES O ~I~ I • • ty /27, 061 SO. Fr. h O 319, 997 SO. fr. O o~ 2.914 ACRES EXC. m M 50.4 14 ACRES fXC. ROADS JII O N ' LOT 3 ROAD R.O.W. 0 32 4,e5 1 SO. f7. I q m a 124, J27 so. Fr. H ;tj "lip ! ~~ttIt111/I~j a ~II~~' 1♦ IN 97. 14' /9"E 617.10' 00 c^O~y I ti r~. "I', O a , ` f LAURE E~ h ~O I g + HI MU Y I ~b ICURVE DATA: ' p • S. h ! ICNORO SEAR/NO- S FO. 20' 40.5 "W a Y ICNORO D/Sr. - 76.07' M Nil; i - - 9 • ! (RAD/US- /9/.00' Sj♦ O •yv !CENTRAL ANGLE- 22'10'23" fl;~ LAND /Sr TAN. SEAR. - S O/ • OS' J / 'E i 2ND TAN. BEAR.- S21* 49.52"W Laurence W. Murphy N/SWAY sEre ' Registered Land Surveyor i „ a This instrument drafted by Laurence W. Murphy Z 3 i Dated: August 2, 1992 / 5-11 b S 90. 05 14 If /306. 29' N 11 • ~ L 4 4 I 00 O r c~ o a7 I c'I z LOT 4, C. S. M.. VOL. 6L PAGE r 414 I - 53 M SCALE + 200' (JF O 50' 100' /50'200' 300' 400' 100' a S 114 COR. SEC. 29, Vol. Page r2eN, R /e W, Certified Survey-Maps /COUNTY SURVEYOR'S ALL SEAR/N6S REF. ro rNE NORrN LINE Of St. CroixCounty, Wisconsin MON.! THE NE //4 OF SEC. 29, r 2 e N, R / e w, ASSUMED 'IF J ST. CROIX COUNTY pp WISCONSIN ZONING OFFICE • r ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 - (715) 386-4680 October 5, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of lots 2 & 3 of the proposed John & Diane Hart minor subdivision, located in the NE1/4 of the NE1/4, Sec.29, T28N, R18W, Town of Kinnickinnic, St. Croix County, WI., has been conducted with the assistance of Art Wegerer, CST# 576. This onsite revealed suitable soil for onsite sewage disposal to a depth of 40" on lot 2 and 46" on lot 3, while meeting the requirements of the A + 4" rule. These sites should be suitable for new construction utilizing a mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact this office. Since ely, ames K. Thompson Assistant Zoning Administrator cc: file k ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 October 5, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of lots 2 & 3 of the proposed John & Diane Hart minor subdivision, located in the NE1/4 of the NE1/4, Sec.29, T28N, R18W, Town of Kinnickinnic, St. Croix County, WI., has been conducted with the assistance of Art Wegerer, CST# 576. This onsite revealed suitable soil for onsite sewage disposal to a depth of 40" on lot 2 and 46" on lot 3, while meeting the requirements of the A + 4" rule. These sites should be suitable for new construction utilizing a mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact this office. Vames ely, ' KThompson Assistant Zoning Administrator cc: file Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page I of 3 Labre and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY ST. GR.II L X Attach complete site plan on paper not less than 81/2 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 PROPERTY OWNER: PROPERTY LOCATION --ZpA tJ i~tlvp Pc3~lE p,QT GOVT. LOT 1VLAJ 1/4 N 1/4,S 7-9 T Zia N,R IF; E (orW PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK If SUBD. NAME OR CSM # ~C)~} S• Ll$ RoF~D 3 - ~~1nfIpoSeo Gs. V1 CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ®fOWN NEAREST ROAD \ U LIR. Y"11 LL S., L4J 1 5 L) O ' Z. 1 SI y 2 SO 9 6 ~C.1 "l`1 t C_\-LA &3y l C `O S -T* Sr. [4 New Construction Use [>I Residential / Number of bedrooms Uf`,~l,ol c~fv [ ] Additigrl to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow \S o gpd Pelt. 8~D2aWy Recommended design loading rate o•y bed, gpdtft2 ° - S trench, 9pdtft2 Absorption area required bed, ft2 - trench, 9 Maximum design loading rate o • y bed, gp(W 0.5 trends, gpdt t2 Recommended infiltration surface elevation(s) L , o . 8 ft (as referred to site plan benchmark) Additional design /site considerations wt t ►v • 1 ` ot= s h U► Tn nz M uuvD Parent material S Rti \:,.y pvikl hSA Rood plain elevation, if applicable 1v - - It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fof stem ❑ S IELU 04S ❑ U ❑ S ®U ®S ❑ U ❑ S [ffU ❑ $ U SOIL DESCRIPTION REPORT * ~s npuc. 7w'Z T11W A I-Vou\-v W 2~3v`~lR~ Depth Dominant Color Motlles Structure GPD/ft. Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Bouxlary Roots Bed mach 13 l o-~-) )wi- L ZLi - LA M W, i\, CS o.`) (I.S Z \x_27 -).s4~z 3 )z - sl 1 Csblz c.S (3.q o.s Ground 3 Zn-y6 --)•S YQ 3/yr _ ~S Cs~h yr►v f c g o-1 elev. K - C101-1 ft. 4 \4 y b-69 lom~z -3 LlV- 3) v1~ i.~•p. U.l~ Depth to 1`10 2I-IM /lU A't-L Ol2JAic- cCL, ru S It IZ 3lz &%rti L-y cN t limiting factor Remarks: Boring # ; 1 o-t`i ~o~LR Z/z - L ~w,S~k *X- CS y o.S Z l,k -14o.s El -ZS -).syR 3/z - S C- S o 3 ZS-W, ~.S~ttz Sly - \s l es~k »lv~~ cS o•~d 8 Ground elev. S g ~a^Z ft Ll L16- s-y IuYt 5,/v S`-1Q- 5/13 SJSt I oyr'3 i v'~ S1 N.P. N3, Depth to limiting ~l6 Remarks: T Name:-Please Print P ne: ra cn~ f Arthur L. We erer 715 2 - 165 r egerer Soil Testing & Design Service-P.O. Box 74 Ri Fa11s'-~I 5 `Q Signature: ~I Z- l ~3 3 Date: =bar: 576 PROPERTY OWNER FART' SOIL DESCRIPTION REPORT Page?- of, 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxlary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rends X.. L., rY, h cs n .y c.5 ~ 3gr > Z 1~{-3v ~•S ~f2 3/2 S 1 C3 b~. ~h CS b,~( d.S Ground 31 ~g C-Sbk MviM ~S o•~ 8 elev. 99--s ft )'13`-iR Sly S)t S,-Fs 4 oft Csi~ w%U ~1-~Sf 1.►.R l~P Depth W limiting faCtDr L Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # ~ vkc 'C4 Ground elev. ft Depth to limiting factor Remarks: Boring # Ground elev. Depth to limiting factor Remarks: SBM330(R.05/92) PLOT PLAN Page 3 of 3 SCALE 1"= 30 KWA- „TT L1Klt aV Z -9. t'c . LUT - - God( . 51-- ~ 31'►- .00,0' tFl- Rai °bo t!, 44 g o+~ 1Ik, eon e• ~I~ r~. P1PC LOT' [~ttZ. Y70u~1J B. z LEL. 4 ~1 Z ~S VNovSC \o UZ FIT LfnsT w e-LL ~ a0 O No r S1-7-c- X-,~kJfl Lp c"o)" 13F MOU N~ 'Tb ~T81Z1" 1)N t'D ~v~Zlj~ G DQS 16N tit= 1L NU►~-~~3~R Or- BebR JOwls ~v uT CpwIP RCT C~Z ~151111~6 S1'cE N(.IU)kj6 S)-M T Prt~~A w ~ s' ~owU S Wn~ 01= `1?}6 "Oux b , 603.68 ' - _ , I-WA-Dum %kf E c -w N N : S 1~ v r r ~ ~p clZ_183 0-? Ste, \7, 1a9 Z (1lS) ~L2S- 0165 Moc) 576 CST Signature Date Signed Telephone No. CST # Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/21x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (Blue, 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 PROPERTY OWNER: PROPERTY LOCATION :76A iJ Prn,p 1g QT GOVT. LOT Nk1 1/4 N 1/4,S Z9 T Z8 .,N,R IS E Ao PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # \°lq S. Lt$i~IM READ 3 - ~~TZEit~oS~ C's-vi. CITY, STATE , ZIP CODE PHONE NUMBER []CITY []VILLAGE ®fOWN NEAREST ROAD \Z \U eL 1--tt L L $ L,jI S LI O ltZ 1 ~f 2 , SO 9 6 Nc..1 kA >u iG`iz1 &3Y j l C `O S T)F ST. D4 New Construction Use [X Residential /Number of bedrooms y~i~wow►v [ ] Addikin to existing btdkting ] Replacement [ ] Public or commercial describe Code derived daily flow. S o gpd Pelt Bftv-aQH Recommended design loading rate o.y bed, gpd/11112 0 - 5 trench, gpo1ft2 Absorption area required bed, 9 - trench, ft2 Maximum design loading rate c-14 bed, gpd/ft2 0- -Strench, gpd/ft2 Recommended infiltration surface elevation(s) ~ b b , 8 It (as referred to site plan benchmark) Additional design / site considerations M I N . 1 r ov-' s NxjSZS t-" ct)z M uUvD Parent material S R+~ ~y pv t y h5►~1 Flood plain elevation, if applicable 1v-A ft S = Suitable for System CONVENTIONAL MOUND IN-GROUND PRESSURE 7 AT-GRADE SYSTEM IN FILL HOLDING TANK U = unsuitable for stem ❑ S ELU 04S ❑ u 0 S ®u ®S ❑ u ❑ S Jau ❑ s u SOIL DESCRIPTION REPORT 'MSb+uG ~~-o~z ctt. u'fiT~ 1'rt2.LA wou'-\'> 81F 23Ks)ultGU . Depth Dominant Color Mottles Texture Structure Bounifty GPD/ftBoring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Co sfier>ce Roots Bed It'nch lw-m zlZ - Ld CS o.`] 6.S Z -)1542 )z - S) CsVlz >h-~ " C- S (3,q O's Ground 3 Zn-y~ --)•S YR. 3/fir - ~S Csbk YhQ CS elev. 1~ 901•1 ft. L4 'A-69 lon s~ -~•s,e S S~ U.~ ,~.t~ Depth to K30 1 R iZLYu t# Y ~ti Pn t_ bmLlwc- r- N '~.S k P- 3Jz rah C~ t'+JT-e% limiting Remarks: Boring # ; 1 0-~`► ~o~-t2 zrz - L lmsbk W\i CS y o.S Z \"1-Z.5 -)-sLm 3/i - S C S~k e S o•~I o.S 3 'S-V6 vriv~~ cS o•~ a 8 Ground elev. s q9-Z ft L/ L/6- LO`~e SIS~ S`itZ 5.)B SjsltSi om9 m F 5 1J•P. IU. to finAng ~ ~ Iv Remarks: ID T Name:-Please Print 416 ne. ` S - 7510 5 Arthur L. We erer egerer Soil Testing & Design Service-P.O. Bo v s,WI 54022 Signadxe: ~ q Z _ 1 ~ 3 . 17 , 199 Z ~ Nlanber: 5 7 6 PROPERTY OWNER \A, K ' SOIL- DESCRIPTION REPORT.. Page? of 3 PARCEL I.D. # Depth Dominant Color Motjles Texture Structure Conslst@n0e BwXury Roots " GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz., Sh. Bed w& . t o_~y ~0`1~ ZIz L' -m s ~ cs o.y a.5 '~w3 Z 1~{-317 ~•S ~!2 3!2 S..' 1 C3.e~t C S Ground 3u-U1~ ~•S -1Q 3t. ~S c~bk Mv`~h cS 0--) v.8 elev. 'v1% A 99.9 ft. Vo`-tcL spy ~s~tZ s1g s'-~s4f si OWL Csi' p lu:P Depth t0 r ~'mMing. facbr Ug, Remarks- Boring # Growd .elev. ft Depth b Gmi6ng .factor Remarks- Boring # Ell Ground elev. It Depth to Grrrtirg factor Remarks: Boring # Ground elev. it Depth to Booting facu Remarks: SBD4M(R.05/92) PLOT PLAN Page 3 of 3 SCALE 1"= 30 ' 1v$FPgUMT Lit or Z-`i I vC , L(yT boy,. S1 ~t.1Ao.0' °lg-~ S~►-~~N, °10 ~1,44g OFJ ►il it PIPr Lar CI~RJU C'1Z I I Svl'~31.~ P1'R.~R rw'lL Y~ou~ I B. z L~t.4gZ S ov s E 10 \3v Ri l_ej\4T -ZS P F:I.OM h o u.v p , w %ML.L ' cn O U ~vo'[g r ~ S lZC ~~kA Lo c ~ /t'T)01.~ O F Mou~v~ ge 1~E'1ZiZr~ 1N ~ Nt►Mee or I~UCtoor~s ~ 2L N r T csp- PIA) ~v rv oT Con-t!~ 1~CT Oil ~1S1U12B `~14t HUU~~ SITE o~2 T MAM w,'C~m Z,s' ~Ok1US~-t)A of `r}i6 riouk.D 603.68 ' LI~CPrl1~IJ Sit~Tc. H o~ ~ r ~ 1 jp F1(A4 °<Z- l 8 3. Ste. ~1, Vaa Z ('j\S) q2.S- 0165 *J►oos-)b CST Signature Date Signed Telephone No. CST # a► STC - 104 AS BUILT SANITARY SYSTEM REPORT fil y," OWNER ADDRESS. SUBDIVISION / CSM# •0 7C ~s LOT # SECTION / T O N-R IF W, Town of ST. CROIX COUNTY, WISCONSIN fbU PLAN VIEW SHOW EVERYTHING WITHIN 100 FZFJ ,QF SYSTEM.. L~~t y~ INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: SEP_TI--TANK / PUMP CHAMBE HOLDING TANK INFORMATION Manufacturer: fremS f Liquid Capacity: /deV T- 61'Q Setback from: Well House 30 Other Pump: Manufacturer 66e4- ~ Model# Size 6Alo. Float seperation Gallons/cycle: Alarm Location- 9 t~ 0, ~d 0 e D SOIL ABSORPTION SYSTEM Width:- Length Number of trenches Distance & Direction to nearest prop. line: t { Setback from: well: ~/6 D House Other ELEVATIONS Building Sewer ST Inlet: ST outlet: PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLAT O : / PLUMBER ON JOB: Zb'J LICENSE NUMBER: 3 0.5 1 INSPECTOR: 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: 'tq arf Human Relations -Labor 'S afety fd Buildings Division INSPECTION REPORT ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 284250 Permit Holder's Name: ❑ City ❑ Village 79 Town of: State Plan ID No.: HART JOHN KINNICKINNIC CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 022-1083-20-200 TANK INFORMATION ELEVATION DATA A9700022 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic G c-f, Benchmark f~, 3 l~v C9' Dosing r Aeration Bldg. Sewer Holding St/~Wi Inlet TANK SETBACK INFORMATION St Rf outlet TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet irl Septic NA Dt Bottom /3 a Dosing NA Headers %p7' Aeration NA Dist. Pipe S Holding Bot. System 5-06' PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand 3S~ Model Number GPM h'7S` TDH Lift Friction System TDH Ft FLength Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMEN I SYSTEM TO P/ L BLDG WELL LA /STREAM LEACHIN Manuf SETBACK INFORMATION Type O tit's E CHAMBER: Model Num e . System: So' Soy 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: KINNI,CKINNIC.2fe9...28.1JJ8` NW NE RIVER DRIVE L Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. I~ ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: i ~ I i i Safety and Buildings Division Bureau of Building Water Systems ~.■■.■,r, SANITARY PERMIT APPLICATION 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 8112 x 11 inches in size. 0- re lX • 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 it revision to prey ous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION PLEASE PRINT ALL INFORMATION Property OwrNme a ! Propert cation 14 ~ 1/4, S T, , N, R E (o4 Lot Number Block Number Property Ow rs Mama ddrQs~ 3 Ci State .V Zip Co. ^ (hq~umbef.~ Subdivision Name or C M ber. n Ji If, V- e d Y / ~J II. TYPE F BUILDING: (check one) ❑ State Owned ❑ City e e Nearest Ro d ❑ Village ~r ❑ Public 1 or 2 Family Dwelling - No. of bedrooms 3 Town oF~, h C~~11n r /~f III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) A~ 1 ❑ Apartment/ Condo C/c/ 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. IER_ New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System____ System Tank OnlyExisting 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 1 1$) Seepage Bed Aa fX 0Jr, 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy it 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM r1FOj1M,l1N ~TION: 1. Gallons Per Day 2. Abs . Area 3. Absorp- Area 4. Loading Rate 5. Perc. Rate 6- System Elev. 7. Final Grade Require sq. ft.) Proposed (sq. ft,) (Gals/day/sq. ft.) (Min./inch) Elevation W10 /gvi e Feet e ~ Feet VII. TANK Capacity Site INFORMATION in gallons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. New Existin Gallons Tanks Concrete strutted glass App. Tanks Tanks Septic Tank or Holding Tank 0 ❑ ❑ 0 Lift Pump Tank /Siphon Chamber ❑ EH -0 1 ❑ E El VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage s stem shown on the attached plans. PI m er's Name: (Pant) PI is Signature: o tamps) ULUYV N Business Phone Number- Plumber's Address (Street, ity, St e, Z ij) Codes): a LO ~ e ~l IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved S~itary Permit Fee (includes Groundwater ate Issue Issuing Agent Signature (No Stampsl- X Approved ❑ Owner Given Initial QQ~7 f~/~ Surcharge fee) Adverse Determination /1 7-q,7 X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SHD-6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plwnber INSTRUCTIONS , 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in 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. 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 B 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. PLOT PLAN Page 3 of 3 SCALE 1"= y0 ' ~ ~►ZO~ PIPE _ _ . 604.51 ' C LZC1r'm sc*- tt trio too a•s - ~'S ---~•`I 1~i \`Tt h L H~A ~1~R~'tE 6'yuv. S4s1"IM QlAN13•= 916.S i so' q S - . ~a ~x 5 s`' h, iYA. B ed M n N O ' M ~ 6o3.bg' CNOT `to s`~`N~ 1~oT 1tu~st'm ZE )"YT LftST ~S' } p►~ SYS~1Y1 Pri~~,f1 W~ L Sp' sLopIZ:% ~ °Ip 3 C - CST! WiscarAn Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations 'Division of Safety & Buildings in acc with ILHR 83.05, Wis. Adm. Code 1 1p COUNTY ``--9__ S Attach complete site plan on paper not le 't72 x 11 i i e. Plan must include, but T• not limited to vertical and horizontal ref in Bl irection of slope, scale or PARCEL I.D. # dimensioned, north arrow, and iocatio istan~Q road. OZZ _1p~3_Zp_ ZAO APPLICANT INFORMATION-PL PRINT ALL INFO RMA REVIEWED BY DATE 9 4 ,nr- PROPERTY OWNER: yR r PROPERTY LOCATION -So ti t~ t ART r ,7 C,,C Cnk GOV.-t@fi NO 1/41J~ 1/4,S -Z°1 T 2-b N,R l8 E (or7s) Awlr~ )t I PROPERTY OWNER':S MAILING ADDRESS '-'ON INCA LOT # BLOCK If SUED. NAME OR CSM # $ux 6b3 ~3 - cssl vu~°1 Ps zSc13 CITY, STATE _ ZIP CODE' Py.~ ❑CITY ❑VILLAGE [)MOWN NEAREST ROAD RLuvm ftw, w~ SV012_ _X9 6_1S `cc_ttit.~~C~c1x1)uIC lOS T?t ST. New Construction Use Residential / Number of bedrooms 3 [ ] AdditlQn to existing building Replacement [ ] Public or oDmmeraal describe Code derived daily now q S O gpd Recommended design loading rate u,5 bed, 9pd/ft2 0 • I° trench, gpd/ft2 Absorption area required b`l3 bed, ft2 S 63 trench, ft2 Mabmum design loading rate o bed, gpd$ 0. 8 trench, gpdtft22 Recommended infiltration surface elevation(s) Qb S ft (as referred to site plan benchmark) Additional design / site considerations ~CA~')1 'Okjk 2.Ti~ QC.t NS, EKkA S )L )s U vG o~N \i' x 1 S t3 M . Parent material S t% ►jO4 Ov'1 S N Flood plain elevation, if applicable t,3. A , It S = Suitable for System CONVENTIONAL MOUND IN GROUND PRESSURE AT-GRADE S STEM IN FILL HOLDMG TANK U = Unsuitable fors stem MS ❑ U ®S ❑ U ER S ❑ U GE's ❑ U ~S ❑ U ❑ S 1~ U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BDjxby Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rerlctt zw, Sbk yv Z 1~-Zg ►u~t~z313 - S \ c sl~k w►v~H ew - o q( d• S Ground S`i r2 3L - S D gy yr, cg - 0.7 0 8 elev. Depth to limiting facto Remarks: Boring # 1 p _ o,l(~ ~o~-t2 Z.1Z L z~tSb12 ~v`~►.. aLLv o.s o.` Owl Z 1b 31 ~dytZ 3l3 - S ` CSbk mu~F~ Ck, - o-Ya s 3 31-48 7. S 4g 31y _ s Sg wti ` aS _ o~~ o. $ r Ground 0. elev. f-,_ Q•, y/6 - S O S9 rho - ~o b. 3 ft. ~ I Depth to i limiting factor 1Z Remarks: CST Name:-Please Print Arthur L. We erer Phone. 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number: °[S_tlQ-3 S-l °lS M00576 r , PROPERTYOWNER --"TbVC1-1 N+SR-T SOIL DESCRIPTION REPORT Page of PARCEL I.D4 (3'Z-Z- M875- Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench o l t ~t~Z ztZ L Zrn sbvc mint, o- $k ~lkk<:.::k•:: Z. ~ R 3l3 - S) t ~ sbk vlv'Fv CA".) u . y 0-S Ground 3 30-~(6 •S `iv- 31 - 1 S -N Sg yn CS - O. a $ elev. U6-$$ S Lf P- VA S S9 b1 Depth to limiting f7 Remarks: Boring # Z tg Zq to Y 3L3 S) 1 C S1 1M U-. cw t.~, L-J, A-11, 3 q-tiS -).S yR 31Y - \g O sg w,) cg - o•~ v.8 Ground elev. Y L4S4-1 S `7R V/` - S (S s9 ►Nt~ - o,~ o.~ tioo -3 ft. Depth to limiting factor Remarks: Boring # > v:: ij -l1 lu `'12 Z L Z S~ k vM 0-(' DLO o S ` n• S ~~-3b 1~l~tR- 3!y - 1 ~sbk w, Vjh C l., p.S 3 3D-~[ S`t R 3! - S O S 9 wt ~S d' o • $ Ground elegy{. y6-~9 7•S`'1R yl6 - S US9 w,l _ o•7c~.~ v4 • ft. Depth to limiting fa>ctogr9 Remarks: Boring # Ground elev, ft. Depth to limiting factor Remarks: PLOT PLAN Page 3 of 3 SCALE 1"= qlj ' 604.sl ' C"Cr to sckt CL LOO 6- Loo 3 a•s - qs' ---~•4 ILe 1~~'R hL L~uD ~7~ s4S`T)&,3 -----D3 eil(3 o~--1 6•MUV. S ~t STS L s ct ' I :o • ~LoOy 9 S- ~T.Ibo 3 h- Nf VI 00 V~ O 6o3.68r C ►~oT `tu Sc~~, l~oT~ Vtl)uSe<0 13~ Ve T LAST r -Um SWTI1 )'l K%. 't 1, 1, 1. CEO , . , S GS_t10-3 _1- 45 T3- (715 ) 4 .S-D1 69 M00576 CST Signature Date Signed Teleph6ne No. CST # Wiisrronsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05. Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan most include, but ST• C-i?U ("K' not limited to vertical and horizontal reference point (BM), erection and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. OZ Z _103-2A- Z-oo APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION -S'O t1 fv t ?~'fzT Gevfiteff- NW 1/4 1131Z_~ 1/4,S Z) T 2-8 N,R 18 E (orJ~W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # fir,. $ox 663 3 - ash vu_q p9 ZSq3 CITY, STATE _ ZIP CODE PHONE NUMBER []CITY []VILLAGE [ArOWN NEAREST ROAD Rau WI s11oZZ (~ti~uzs. s61s ~w»~c~lNU~e VZS Ti Yr. (DQ New Construction Use ICJ Residential / Number of bedrooms 3 [ ] Addition to existing buildutg j J Replacement [ ] Public or commercial describe Code derived daily flow q S O gpd Recommended design loading rate Q,S bed, gpd/ft2 0 • to trench, gpd/ft2 Absorption area required to l bed, ft2 S 6-s trench, ft2 Maximum design loading rate o 1 bed, gpd/ft2 0 , 8 trench, gpfll(t2 Recommended infiltration surface elevation(s) q6. S ft (as referred to site plan benchmark) Additional design / site cortsideratior►s ~'Hekk Z._MNQ.1 eS, M' S K1S'l tyvG - N - ' x 1 S' >3 Q . Parent material S h spy OU't~f tS N Flood plain elevation, if appr~cable t,3. f~ . ft S = Suitable for System CONVENTIONAL MOUND "ROUND PRESSURE AT-GRADE §)~TEM IN FILL HOLDM TAM( U= Unsuitable for stem MS ❑ U ®S ❑ U 0 S ❑ U M ❑ U fR S❑ U ❑ S la u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell QU. Sz. Coat Color Gr. Sz. Sh. Bed retldl o-~~ 10`1 Z lZ - 1.- Zw, SItk S o. b Z Yl-~8 lo`-1R-3 t3 S I 1 cS~k wtv`~. CW - o d S Ground 3 4-4b 1 • S %t R 3l - 1 S o g~ , cg - 0.7 0 $ elev. ►obft qL-88 ~•S `tR V/` - S Cs9 wi1 - 0.1[~~F Depth to smiting C]~h Remarks: Boring # ' Z Z lb 31 l~~itL 3t3 - S I 1 c.Sdk mv~F►- Gk, _ o.Y'Q-s 3 31-48 7.5 `itt 31y _ cs S9 ht CS _ o.~ a $ i Ground elev. R VA - S S9 M - 0.1 0. I Itb.jft Depth to limiting factor 014 17-1 Remarks: T Name:-Please Print Phone: Arthur L. We erer 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: S V °L S CST Number: M00576 3 PROPERTY OWNER ~btilN ~-T SOIL DESCRIPTION REPORT Page 2-of PARCELI,D.t! OZ-Z.- X0$3--~O Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft h Boring # Horizon in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed T o_~~ to~t~Z2lz L Z►~sbk wtUft~ - o.S o. fi.. Z ~b-~o 1~~t~- 313 - s1 t e sbk 401 C-w o, y o•S Ground 3 30-~(6 1,S yR 31 - \ S S9 1~ CS - O.7 a $ elev. S yR vA S O s9 ►h - 0.1 o. a Depth to limiting fit r Remarks: Boring# 0_l$ 1o`11ZZ1Z L. -L-1 0,S :orb Z tg--z9 to YR 313 S 1 X51 o c.w - c•s 3 `1-45 I.S `lR 31y - \g O 45 wt) e g - o.~ 0,8 Ground ~ S y R VA - S a s g elev. tM I LlS &1 til~b •3 ft. Depth to limiting factour, N Remarks: Boring # p t 1, Z►~-, Sbk w► v'~ btu - o S ' o- 6 1 1o~ttz Z L L S r ~~-3b 1`l~t~ Sly - a 1 cs k wl v cl,~ 3 30-~[ -I - S`t 2 3! - S9 wt ~S n•1 0 • $ Ground A-W9 7•S "1R Ul6 - S US9 vhf - 0.1 c~.~ tiob. b ft. Depth to limiting factor n~Remarks: Boring # T 1 Ground elev, tt. Depth to limiting factor Remarks: PLOT PLAN Page 3 of 3 SCALE 1VjQ 60y.5l • C►soT- -M Scp["E I!L X00 6 goo B•S - - - °1 S~ - - -~y 1~ ~`R h L t~wp ~tt1~RAA fTE 6`Muv, B i ZLI(30 s~s~ mos.= ~~.s ' ~ I ~.luoy q S- ~lno 3 H ~ o0 N O 6 0 3.68 ~ C ►~nT `1-o s c~~~, Mt.-O Wlv We' T 1."ST "-s' r-u" sYST&i K%. ~D- L k t. Sp w Sl.vAtS fte c 1 °1p S`t`4S GS_110-3 (715 ) 425-0169 M00576 CST Signature Date Signed Telephone No. CST # FILED 41 92 0. A w . SEP3 0 - OJ JAMES O'CONNELL 0 o ss a a Register of Deeds ( rr, x a g 489265> St. Croix Co., WI C s 96 ; J a 0 >0 . 4 CERTIFIED SLF34EY MAP JDM AND DIME WART :mart of the Northwest 1/4 of the Northeast 1/4 of Section ?9, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. OIndicates 1" X 24" iron pipe weighing 1.13 lbs./lin. ft. set. OIndicates 1/2" iron bar found. R() Indicates previously recorded data. *Indicates 1" iron pipe found. NE COR. SEC•19, r18N, R/BW, N//4 COR. SEC. 29, T28N, R/BW, /COUNTY SURVEYOR'S mom./ /COUNTY SURVEYOR'S MON./ UNPLATTED LANDS N LINE NW 114 NE 114 N 87- 54'/8 "E 26//.84' /294.90' ' 02' 1305.92' IN87-54'/8"E 6/7.50 FENCE 6-06.21, q q O 3.118 ACRES " i b 135, 821 SO. Fr, p LOT l 3.059 ACRES EXC. p m I RDA O R. 0. W. a Owner's Address : W q I /33, 244 SO. Fr. N 194 South Liberty Road ICI I a N 87.54' 18-E 617.50' River Falls, WI 54022 Phone No, 1-715-426-5096 605.34' 2.91 7 ACRES M b /27, 085 SO. Fr. 0 b ~I h LOT 2 2.858 ACRES EXC. " I„ zt C6 h % I - -ROAD R. O. W. N = N W I 124, 498 SO. Fr. 7 v IN 87. 54'18"E 6/7.50' LOT 4 0l 14 - - - - - • WI AI % a 604;51' M ' ~ , m q 2.9/7 ACRES 30. 532 ACRES O q ~ QI I I m ~tiN /27, 085 SO. FT. " O 1'.329, 987 SO. FT. Q o" 2.834 ACRESEXC. 0 q 30. 4 14 ACRES EXC. ROADS JI Q O R LOT 3 ROAD R.O.W. /,324,834 SO. FT. 2I ~I I N N to - 124,527 SO. FT_ N W III" ° , 603.68' ,,,,`~tltillUtph JIM ;N 8754 /8"E 6/7.!f0' CO 4 " N$ ZI /oo' ~N ` I.AURE j"o I ±m =W MU y b ICURVE DATA: = O I a I ICHORD BEARING- S/0.20'40.5"W ' y I (CHORD D/sr. - 76.07• ••.RIVER FALLS.,; J~ I 0 I,bRC - 76.58' , •••..Wisc.~•.•• 4 J • V RADIUS- /9/.00' eI S LAND Z (CENTRAL ANGLE- 2Z'58'23" ,8•,,,' /Sr TAN. BEAR. - 501'08'31"E 111 2 / 1 2ND TAN. SEAR.- S 21 • 49'52" W 7 / Laurence W. Murphy \ H./'SHWAY SETBACK LINE Registered Land Surveyor 2 O / W1 a This instrument drafted by Laurence W. Murphy i h Dated: August 2, 1992 3 a / Revised: September 29, 1992 W N48.2/'39"E /.20' STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER #ak- MAILING ADDRESS & PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. jr S CITY/STATE t j F fJ T PROPERTY LOCATION 1/4, AE 1/4, section T C~0 N-R / W , TOWN OF LAA 4 ST. CROIX COUNTY, WI SUBDIVISION 4, LOT NUMBER CERTIFIED SURVEY M?9 Db~ , VOLUME , PAG~2; 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 dis system. i~ St. Cro County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement f 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 y ex iratkdte, 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. - 1414--A-Au-~ Owner ofProPertY Location of propertyA tl 1/41/4, Section ~,T N-R W Township ;1A h lP Pli h %C Mailing address ~ Ad /-T 911ilor- re SAD 0~ Address of site .j /Q► ~Jl" Dr. Subdivision name ~fCSh1- lfa'e ~l. ~c~a~y3 Lot no. Other homes on property? Yes-~ No Previous owner of property u S SC/i It <T2 Total size of property f/' 1n~~ Total size of parcel Date parcel was created Are all corners and lot lines identifiable? V--yes No Is this property being developed for (spec house)? Yes x No Volume and Page Number d) 5W as recorded with the Register of Deeds. ! it, 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 i the ffice of the County Register of Deeds as Document No. 5Z5~1701, 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 5'~~/33 he o ice of the County Register of Deeds as Document No. n n d / Si nature of Applicant Co-A li nt Date of Siqnature natP nf c;rtnar,„-&- A DOCUMENT NO. STATE BAR OF WISCONSM FORM 1-1961k Ts "a mrs "vm row rAcaft"44 o"t" WARRAKM DEED 504321 REUiSTER'S Oft ICE Sr C ,-10,'X CO.. %I This Deed, made between ..RowArd_bi n NadS.en.------- Rees for accord and__ Garda._Mads-~n_,__.hiAf1)4md.. and.__w-ife----------•---•-•----•-- AUG 2 3 1993 Grant", ~ J"Rl -'30 PT,1 s and ---John-- A •_-_Nart._ena.. F andwife,_ as surviv4hp._mhii>s nroDerXy s ----p ~.er of P_~ea s } Grantee, Witnesseth That the said Grantor, for s vaIbsile constdsration...__. , j INSTUM conveys to Grantee the following described real estate in To St ft mix....... County, State of Wisconsin: Northwest Quarter of Northeast Quarter (NWk of NE'k) of Section Twenty-Nine (29), Taz Parcel No:..__..__~__ Township Twenty-Eight (28) North, Range Eighteen (18) West. ,J W"w (This deed is given in satisfaction of that Land Contract dated July 1, 19929 recorded July 2i 1992, in Vol. 957, Page 557, as Doc. No. 485426, Register of Deeds office, St. Croix County, Wisconsin.) f This i8,-nQt___-..._ homestead property r (is) (is not) Together with an *Ad singular the hereditamesift find fppnrtenanoss thereunto belonging; a And..... 14AWArd._&u$l-Ug---Msdaen--and s8rda__.la-dsen.........---•---------------------------------------------•. warrants thus the title is good, indefeasible in fee simFis and free and clear of encumbrances except easements, restrictions, and rights of way of record, if any, and wdl warrant and defend the same. Dated this 20th................. day of _AU&UA-t is 93.. t ?P ' . H_ ..81 d... ugazle~ [ladsan- (sMALL) if { --(SEAL) Madsen Garda x AUTHENTICATION ACKNOWLRDOMBUT BrAT8 OF WISCONSIN err. - P iR S'.!<----- --county. authenticated this ----__iq af_---- lA_ Paesonally came 1 0, me this _2Q k__day of I931. the above named . TITLE: MZXBER STATE BAR OF WISCONSIN (If mot- J } authorized by 70606. Wis. Stab.) ! 'r to mpe known to be the person _4 who executed the Instrument adbuldedge the ~I THIS INSTIIUMENT WAS ORA►T[D BY kv,