HomeMy WebLinkAbout030-1039-95-000
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REcEivEO
u, p 1997
ST GROIX
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ti
AS BUILT SANITARY SYSTEM REPORT ZONINGO \
OWNER
ADDRESS
SUBDIVISION / CSM# LOT # J2
SECTION , _T 2,r N-R_ZCy W, Town of
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
~gD
18s~
i
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INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
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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 284311
Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.:
BRANUM, ROBERT C. & JODI K. ST. JOSEPH
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
/0 " / , J 030-1039-95-000
TANK INFORMATION ELE ATION DATA A9700081
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic ✓ Benchmark
Dosing ~J
Aeration Bldg. Sewer O ,a
Holding St/Ht Inlet t,-V
'
TANK SETBACK INFORMATION St/ Ht Outlet r 7' lot- 259
Vent
TANKTO P/L WELL BLDG. AirIto ntake ROAD Dt Inlet
Septic rr aye - NA Dt Bottom
~5
Dosing NA Header / Man.
Aeration NA Dist. Pipe /D S OS
Holding Bot. System sl / ~
PUMP/ SIPHON INFORMATION Final Grade 5, S6 ' /off. S 9
Manufacturer Demand
Model Number GPM
TDH Lift Friction yStem TDH Ft
Forcemain Length Dia. H Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width I Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIMENSIONS
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING manufacturer:
SETBACK
INFORMATION TypeO CHAMBER Model Number:
OR UNIT
System:
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: ST. JOSEPH 19.30.19.139,NE,SW 145TH AVENUE LOT 3
Plan revision required? ❑ Yes Mr~No -
Use other side for additional information. 97
SBD-6710(R 05/91) Date Inspector's Signature Cert. No
I
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER: '
SANITARY PERMIT APPLICATION BuSafety reau o off BuiuiildinWater Systems
ng Water 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 12 x 11 inches in size. /
• See reverse side for instructions for completing this application State SanlQary Permit umber
41 3
The information you provide may be used b other government agency /1
Y Y Y programs ❑ Ch Pek f r evision to previous application
[Privacy Law, s. 15.04 (1) (m)]. ^ F 1 vi5 . _ Y4 uO' State Plan I.D. Number
1. APPLICATION INFORMATI N - PLEASE PRINT ALL INFORMATION
Prope ner Name,. Property Location
71/4 1/4, 5 T , N, R E (or
Property Owne 's ailing Ad ress
Cot Number Block Nu er
Z 2
114-
City, Zip Code Phone Number Sub ivi ion Name r CSM Number
A Jr ( )
II. TYPE BUILDING: (check one) ❑ State Owned it~r - lNearestRoa
Public 1 or 2 Family Dwelling - No. of bedrooms Town OF Aji~
III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/ Condo 19.3 0 . /9 . 139 01?e
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 _ jg 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)
Non-Pressurized Distribution . Pressurized Distribution Experimental Other
110 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage 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/sq. ft.) (Mi~1 Inch) Elevation
_ ' / Feet j~5 q, Feet
VII. TANK apacity
in gallons Total # 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 ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑
VI11. RESPONSIBILITY STATEMENT
I, the ndersigned, assume responsibility f r in allation of a nsite sewage system shown on the attached plans.
Plum er' Name: rint Plumbe s nat m MP/MPRSW No.: Business Phone Number:
Pldmber'sAff( ress (Stree,_Sity, te, Zip Cod /
.f-
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitar~Iej ermit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamps)
Approved ❑ Owner Given Initial Surcharge Fee)
Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD-6398 (R. 05194) 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 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 nr the State of
Wisconsin, Safety and Buildings Division, 608-266-3815.
To be complete and accurate thissanitary 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.
II. 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.
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Wisconsin S)epartment 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 8 1/2 x;11-inchesiri-size. Plan must include, but St. Croix
not limited to vertical and horizontal reference point (B1iA),"direct~oh a/nd ' f slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and dista~A to. nearest road. ;i pending
APPLICANT INFORMATION-PLEASE P0Ii1T"ALLEINFOFf4ATIC!' REVIEWED BY DATE
PROPERTY OWNER: ERTY LOCATION
Ed Frawley t ; c* LOT NE 114 SW 1/4,S 19 T 30 N,R 19x* (or) W
PROPERTY OWNER':S MA!IING ADDRESS Q Y # BLOCK TUBD. NAME OR CSM #
1620 Aires ~X na csm pending
CITY, STATE ZIP CODE BER CITY (]VILLAGE SOWN NEAREST ROAD
Mission, Tx. 78572 1 -19 St. Joseph 145 th. Ave.
1 1"71
[x] New Construction Use [ A Residential / Number of be ms 3 ( ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate • 7 bed, gpd/ft2 - 8 trench, gpd/ft2
Absorption area required 643 bed ft2 563 trench, ft2 Maximum design loading rate • 7 bed, gpd/ft2 •8 trench, gpd/ft2
Recommended infiltration surface elevation(s) 103.5 & 104.7 trencheiR (as referred to site plan benchmark)
Additional design / site considerations alt site 105.2 & 104.45 trenches
Parent material outwash Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable fors stem :as ❑ U 10 S ❑ U ®S O u ® S ❑ U 13S ®U ❑ S M
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence I Boundary Roots GPD/11
in. Munsell 0u. Sz. Coat Color Gr. Sz. Sh. Bed Trench
;a;>:<•1::._ 1 -15 10 r4 3 none sl 2msbk mfr w 2f .5 .6
°<"2 5-22 10yr4/4 none is os mvfr w 1f .7 .8
Ground 3 2-46 7.5yr4/6 none cos os ml w na .7 .8
elev.
108.7 ft. 4 6-51 5 r4 4 none na n' .2
Depth to 5 1-90 10 r4/3 none s os ml na na . 7 ` .8
limiting
fa+ rr
90"
Remarks:
Boring #
1 31-12 10 r4 3 none . 51 .6
2` 2 2-23 5yr4/4 none sl m na gw na n .2
.i:tiL3~ivn\4:x
3 3-60 7.5yr4/6 none cos os ml w 7`.
Ground
elev. 4 0-715 7.5yr4/6 none is os mfr na na .7..8
1 7.7ft,
Depth to
limiting
factor
+78"
Remarks:
CST Name:-Please Print Gar L. Steel / Phone. 715-246-620
Address:
1554 200th Ave- , Wi. 54017 9-8-95
Signature: Date: CST Number:
PROPERTY OWNER Ed Frawley SOIL DESCRIPTION REPORT Page 2 of 3
PARCEL I.D. # pending
Boring # Horizon Depth I Dominant Color I Mottles (Texture Structure Consistence Botixby Roots GPD/ft
in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed iTrendi
1 0-8 10 r3/4 none sl 2msbk mvf gw 2f .5!.6
2 8-22 7.5yr4/6 none s osg ml gw if .7 .8
i
Ground 3 22-3 5yr4/4 none scil M na gw na np i .2
IOU
10g.- ft. 4 30-8 7.5yr4/6 none cos osg ml na na .7 .8
Depth to
limiting
fa+84
Remarks:
Boring #
0-9 10 r3/3 none sl 2msbk mfr gw 2f .5 .6
4 . 2 9-14 7.5yr4/4 none is osg mvfr gw if .7 .8
3 14-7 7.5 r4/6 none s os mvfr w na .7 .8
eG~round
106e 15ft.
Depth to
limiting
f+7811
Remarks:
Boring #
1 0-13 10 r3 4 none s1 2msbk mfr w 2f .5 .6
"5 2 13-7 7.5yr4/6 none s osg ml na na .7 .8
Ground
elev.
106. Oft.
Depth to
limiting
fa+to6
Remarks:
Boring #
Ground
elev.
ft. I
Depth to
limiting
factor
Remarks:
SBD-8330(R.05/92)
STEEL'S SOIL SERVICE
Gary L. Steel Ed Frawley 1554 200th Ave.
CSTM2298 NE4SW4 S19-T30N-R19W New Richmond, WI 54017
MPRSW 3254 town of St. Joseph (715) 246-6200
lot #3
N
1"=40'
BM.= top of NW lot stake C el. 100'
~l
AIL
IT . 6- \
o!
3
t
Gary L. Steel
9-8-95
533920
CERTIFIED _SURVEY_.MAP._
Located in part of the NE} of the SW} of Section 19, T30N, R19W, Town
of St. Joseph, St. Croix County, Wisconsin.
AREA 'l .•t j'PROVED
N Lot 2
0 d 4.30 Acres Inc. R/W FILED
187,195 Sq. SEP 1.8.: 95
SEr 1 8 1995
3.93 Acres Exc. R/W KATHLEEN H WAIM
9
H 171,030 Sq. Ft. 01 Deeds
0. ~n o " SL Croix Co. VIA >T CROIX COUNTY
0 Lot 3 ` l -mprehensive Plannh /J
° r e 4.38 Acres Inc. R/W Zoning and '
a ° 190,694 Sq. Ft. ti Parks C mn-ittee
o 3 3.93 Acres Exc. R/W
0) a 171,026 Sq. Ft.
CD C a If not recorded
00
n c within 30 days of
00 s approval date
rn ,wroval shall ba
UNPLA T T ED LANDS ^'dI & void
W4 Corner East-West 1/4 Line
Section 19 Section 19 Ek Corner
S88°51'02"E W -7 145TII-i AVENUE-i Section 19
S88 5110211E
S88°51 '02"E -.784 461 385.87'- 398.59!- -
1669.18' 386.04' 12.41 w 398.9.2' ti 2674.37'
C! • S87°48' 28"E 784.96' o+
LOT 1 ~ 8.............................~
N r W
S.'YI. 4.- C 'I
JPJPLAT?FD
~~a_.s, PG. 2273 m Ch LA) LOT 2 W~ LOT 3 m
LANDS
~0 co
W_
o S8905012811W $ 787.97' c
385.85' _ 402.12'
_ 385.85' „ 402.39' ui
S89°50_'28"W 788.24' a
' 4 i I-I AVENUE I LOT 1
UNPLATTED LANDS ( y'S'#~A'
I -'-',2"=* 9-, PG. 2415
LEGEND i
Aluminum County Section Corner Monument Found
e 1" Iron Pipe Found
0 1" x 24" Iron Pipe Set, weighing 1.68 lbs.,
per linear foot
2" Iron Pipe Found
Roadway Setback Line 50' OWNER EDWARD FRAWLEY
066Z HOW 11' •10A
a~ea• xsaT~
eog ue~os u or
• aS aq~ ~Cq panosdde sT deyq AansnS. paT3T a~ sTg~ g A3Tlsa0 ~Cgasaq I
pe
so3 pseog uMoy aieTsdosdde pue ooT330 Stm •aotn
d~uno~ xTos~ .:Is Pe
q0equoo Taased due . Buidolanap so., furs, gosnd aso3ag • (-0:19 ' Taosed o:l
889009 'azts IoT mmnTuTm 'spueT:IBA ' * a • T) suOTle•[n6ea pue saTns ' SNl9T
digsuMOs pue Aauno, 'GIVIS 03 104gns ST dem stgl uo uAogs ZaosEd Bova
•am9s BuTddem pue BuTAsAans uT xTo.;:) •4S 3o dquno, aq-4 3o GOUeuTpsp
uoisTnTPqnS Pu2q sql Pue GGIMPIS uTsuoasTM aql 30 w 9EZ sagdegD
30 suoTsTnosd quassna, eq:l tPTA POT Edmoo KTTn3 emM. I :Ieq:z :pagposep
pare padansns Azepunoq soTs9-4x9 eqM 30- ST9093• 0:1 uoT39auas9sdas
~0asso0 9 sT d9yq daesnS POWTIsaD sTgl l9gl A3TIsa0 0819 I
•p2009s 30 sluamasea ITV pue (senuany ggsvl Pue
qlVVT) speog uMOs so3 gnAeA-3o-~gBTs of ~0aC8 BT Temied pagTsosap anogV
1 . • ( • %ff "bS L88'LL£) 89s0Y 89.8 sut'e=03 Taosed
pagTaosea aq:l OT 3982 LS•68V ':IoT pTes 3o auTT
sea age BuOTR '$uEZ&8To00K aauaq:k =ELZZ.aBed '8 WMTon uT papzoaas
dew AansnS paT3T^4saD -40 T :10z PTes 30 'sauso0 SS aq:l 0:4 :taa3 IPZ•88L
'9UTTaalu90 pies SuoTE 'MuM 09068S aau941 :9nu9AV'tjjVVT 3o auTTsaquen
eqi 5wreq osTe aoT33o pTes ge 9T.TZ 85ed '6 amnl0A UT papsooas dew
AetunS paT3TIsa, 30- T 10q 30 sausoa _MR eq-4 0-4•-4993 fi9_TLfii 'BuZE ~ 60000S
-
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 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.
Owner of propertyI Cc~nv w,-
Location of property 11/41/4, Section \T_3_Q_N-R__jCj_W
Township 1C::>-t, S eA K Mailing address -163 b 0tsh:~ N
Address of site
Subdivision name Lot no.
Other homes on property? Yes
-No
Previous owner of property
Total size of property ' A3 '6 et crA
Total size of parcel
Date parcel was created _(~-k~lns
Are all corners and lot lines identifiable? Yes No
Is this property being developed for (spec house)? Yes No
Volume /12S and Page Number 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. and that I (we) presently
own the proposed site `for the' swage 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.
r
Signature of Applicant Applicant.
Date of Signature Date of Signature
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
%J St. Croix County
OWNER/BUYER
MAILING ADDRESS C1 4 3 G o f c. LO zL c,-~ Al , l iii /0 S S O
PROPERTY ADDRESS.-
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE f-~r v I ~ o
PROPERTY LOCATION 1/4, tom-, 1/4, Section 1 c1 T__3 Q N-RI-O1 W
TOWN OF S O S h ST. CROIX COUNTY, WI
SUBDIVISION LOT NUMBER -3
CERTIFIED SURVEY MAPS 3 `i a VOLUME _ l , PAGE 2= Q LOT NUMBER 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 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 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 year expiration date.
SIGNED::
_ 9 7
DATE:
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
I' IQ) J JI lU•L•+ f UL
"•(,::.':'.11~"i L'~ T7t'i7S1rt'?t~'1a~1~;4' + ;
5,56074 STATE BAR OF WISCONSIN FORM 1- 1983
I WARRANTY DEED
DOCUMENT NO.
~j
'
VOLU 5PACE069
R:QISTER'S C«IC:
' Edward Fraw1gy Ord joy
to K.-Trawley,
bu band and wi e, ST. CROIX CTY., VII
• ~ (t1! O Ns~o i
FEB 2 T, 1997
r eon-m s sad Warrants to obl!r>i Branum and Jodi K.
s it Branum us an v e as survivorship, ' at . 11:30 A: M
Ater to property, :.r+l..'• : • ~'..i~.1.:. `K ..(.J~s.K
:+,(4;;: Rs91sW of D~sda'
TNt{ SPACE ACUMOEO FOR A900AD" aTw
the •.r:'. +';...T•;;.:i k" k* PATwr ADM$! I
t3 t. r0 X
+or+t+s d«Ttbed ftal eaau in Comur. G
Suet O(Wilaoatln;
':1.: ' h~;>.' . 030=1039-95
s•'`~xi?i • ' * R • EL OENTtR OM NNYO
Part of NE1/4 of SW1A of Sectio6".19 Tmliihip•30 North, Range 19
West, St. Croix' County:"Ilitegnsin., described as follows: Lot. 3 of
Certified Survey Ma filed Seotimber'18,;1995; in Vol: "11", Page
2990, Doc. No. 533920. 7RU, ; •
I Ail
. TRFER
This is not hotTUUad Propcnr
XNK 1b rat)
Ettceptbn to wammi es: Enscmants, ' restrictions and rights-of-way of record, if any.
97
Laud this day of 'A D.. 19 '
is (sEAy t (SEAL)
Edward L. Frawley
(SEAU (SLAW
/Joyefe K. Frawley'
'•i' ''I""!'q~.., ~~~,a,a i~►
II AUTHENTICATION
1+Lt 4CKgOWI.1.D..j4ZN
SiEttuwe(to) State ot.a,ZP.XAS~ ;r M:i'~:;
BID C
COYM STf .'I ~T• t.; 4
I authetni¢md this &Y of ,19 PenotiaU carne befoRl .ate 14TH .:day of
t i •FEAUARY ~i 1997 ,the above named
1iil t1d AW.]di e • '
711 Lk MEMBER STATE BAR OF WISCONSIN !
(11 not, i•
authatUed by 1706.06. VMIts• State.) to Tae known to t the fo FIttj
Ittamunt and a Te:o1
t TNIS INSTRUMENT WAS DPAFTED BY ~ WAL 1* a-».~!
Um"L
j , Attorney Kristin Oaland
-