Loading...
HomeMy WebLinkAbout038-1173-70-000 o ~ O ° a~ o~o Co C h 0 0 N O a) N a) ;v L i C ~ O y c ~ a) 3 0 I a) O ~ c c z ` c LL C: LL CO a) 3 3 r> v a) oho z E cn c z ~ d a m c 0 o wz~/ a c - 1L T 7 w Z O z t4 T C E "O O) Q) cc a CL) N M .N CL 0 7 a) a) N U) CL L L O C C 0 U_ O w Z H Z a Z 0) N W ° m m E E 'm (mil N_ • . O 11~ > Q LO N m N O p N N O Gr r O d L 76 CL E 0 ca U) U) D 0 L) ~~J Q n E t t a U) o 0 z • N 0. CL IL Z o U) U) i U rn 0) C T T (1) 70 Q \ N y O W CA~ C- N ° ° co N a N V N a) 2 p- y d Q } (n f0 O U) O O C N W 3 ~ H c E CD 0 ° O a) 0 o ~ o r I~ co iaj L CL C -a N V ,~O •N T O Q O y N L co v) U L M a N D a) f L N E U • y' O fn co O z c U) O ~ CC D R € n. ` a • 'o.m.3 md' '*Ai Z E c c ~ _1 A L) CL 2 0 U) 0 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNERD/7i'fS ADDRESS// 70 CCU 91'6Hp'21an1,0 .l ,S', / 7 SUBDIVISION / CSM# fat haj -2 &F o LOT # SECTION j T 31 N-R__Zg W, Town of .57Ap? ST. CROIX COUNTY, WISCONSIN ON -11 11 1;1170--DUD Is-. 31. 18, 85 ) PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 'Applloy NO, i.or Ai *----fir--~ ,r ~~r ~ 'V D/'1• EG /Ep,O 7©p % " 7ff~ivtr~A~ (o/ L w~c p~fvL ~a~rsE J e loon &I • ~ ~-sx57 TREN~ES SC~ILC ~"~spf SO- SGT LrrtrE INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ~p ?H/N WALL AIAE ~L. /DD,D ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: /0,590 Setback from: Well sp House 2,0 Other Pump: Manufacturer &A Model# IVA Size NA Float seperation A1,4 Gallons/cycle: &A Alarm Location A(A SOIL ABSORPTION SYSTEM Width: S Length 5-2' Number of trenches Distance & Direction to nearest prop. line: 50U7-1,` 6 Setback from: well: /QQf House Other ELEVATIONS Building Sewer 97, $ ST Inlet: '77, 3 ST outlet: 17, j3 PC inlet IVA PC bottom &A - Pump Off N4 Header/Manifold Bottom of system 91% yo Existing Grade Final grade Jr DATE OF INSTALLATIO . PLUMBER ON JOB: LICENSE NUMBER: 3~LD5 INSPECTOR: 3/93:jt 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 284269 Permit Holder's Name: ❑ City El Village Town of: State Plan ID No.: MURPHY THOMAS O. AND THERESA STAR PRAIRIE CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: L,16 /ed a), 1 cis 038-1173-70-000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark S, (05 40 CO cy. Dosing- armrr', Q8.9, Aeration Bldg. Sewer 7,5 7, 7a Holding St/ Inlet 9,7,.%l TANK SET9ACK INFORMATION St/ Voutlet 97, 091 Vent i,ito ntake ROAD Dt Inlet 1 TANK TO P / L WELL BLDG. A ir / NA Dt Bottom Septic } z5' 2-5 17 Dosin NA Header~y ~D3o S, 36 ~ Aeration A Dist. Pipe jia~ ng Bot. System SG 95/7 PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand /,e sy r (o, 95 y. 70 Model Number GPM TDH Lift Action S stem TDH Ft L oss Forcemiin Length Did. Dist. To Well SOIL ABSORPTION SYSTEM BED / TRENCH Width S ► Length i No. Of renches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS LEACH M rer: SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM INFORMATION TypeO, CHAMB 2 Moe Nu System: Oft UNIT DISTRIBUTION SYSTEM Header HW0"i4efd Distribution Pipe(s) 7 x Hole Size x Hole Spacing Vent To Air Intake Length !2L_ Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At- ms Only Depth Over Depth Over ^t xx Depth xx Seeded / So xx Mulched Bed /Trench Center 3~ - Bed /Trench Edges 3 d Topsoil E] Yes No No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: STAR PRAIRI .15.31.18,SfW,SW 1117 212TH AVE LOT 7 zi,, Plan revision required? ❑ Yes ul' o Use other side for additional information. I Al SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ' a SANITARY PERMIT APPLICATION BureaSafetyu o oand ff BuilBuildinWater System! 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 1/2 x 11 inches in size. dyn X • See reverse side for instructions for completing this application State Saanitary P~rmitNum~ier The information you provide may be used by other government agency programs ❑ Check if re sionn to preevii_ouusl application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Property Owner Name Property Location a / , N, R E (or W t LZ> 1 /4 61& 1/4, S `,5- T Property Owner's Mailing Address Lot Number Block Number Cit State Zip Code Phone Number Subdivision Name or CSM Number -V y Al Ill. TYPE F BUILDING: (check one) ❑ State Owned Ityy r Nearest Road ❑ Village Public '1 or 2 Family Dwelling - No. of bedrooms _ Town OF -5 >L. III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 03,-'?'r 1173 70 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. C 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 11 ❑ 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.) (Min./inch) Elevation f -7,y Feet r~ Feet VIL. TANK Capacity in gallons Total # of r Prefab. Site Fiber- Plastic Exper. INFORMATION New Existin Gallons Tanks Manufacturer s Name Concrete Con- steel glass App. strutted Tanks Tanks Septic Tank or Holding Tank X ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATE-MENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans- Plumber's Name: (Print) Plu sSignature: (No Stamps MP PRSW No.. Business Phone Number: Plumber's Address (Street, City, State, Zip Code): IX. COUNTY/ DEPARTMENT USE ONLY Disapproved Sani ry Permit Fee (Includes Groundwater Date-issued Issuing Agent Signature (No Stamps) Surcharge fee) Approved ❑ Owner Given Initial 15 / Adverse Determination 41~ X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Diwaion, 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-E399) 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. 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. 4 iJVSp ~ec TiCrv !1e/vT ox 6PAOF 131 tL./e0oo ~J n~ I ~ ~ X91 "°L 1U J !►J o O . , -DI r Iie1i ' 4 1"161/, PH lllP7 -2/;Z _ A vim 71, y ~'Sc s1 yG t~Uc I)vspc-. Tlcfv o l*lr / ,APPWVX c A 1~E/KL ~f~L- 131'7 e00 cl " r- N a~ !L a U _ ~ It 000 64L SCA 8/7 7 op 1711j5 919"14 AW~ PI .0 N: Q 3.8£,Lb,IOS CD N. oz ot, rye ~ ~ ~ ~ " m ^ • z ~ +4 00 .q~.rCr•2/f~ ~ ~ ' '°CI ~ ~ ~ ra.Gb~ .,p ` « v0~ sy\ y CA . 1 .Poc ~C :0~~ •,,Y tS t1{`,\~~`~\ O • a ! i u 111 1 s ~ 1 ' 1 °1 \ cL N ~o y« ' ~x g 'a K ' ` u N qq6 1 P Yw [ ~ Ij 1 ~ wo O a n W 5 ..Y .11 f 1 ~.Y •g ~ ~ qy .1~ \ .J A n n p 1 ~1 11 q1 1 0 r'ozz s[ sez ro ne► n 1 L t o ww J. 00,61 .,Os - .°0[62 ry ~ \ n l ~ W ~ n "too ~ ` ~ Ow _ { 1 N{G•~ `e M.t(Y/~O~Y •~n.l I I„ ~~.JJ N ` I V e _ M, M I'V c - _ ~.t tiltl r r 7' /ate { • { 1 •L e o P ~ a - - _.'10•e►1 - ~ -9i;°9D ~ ~\C~~w:OC~~ O • m . AO'1 ~ ro w -3l8~~z..2nN~ ..~l.I NII'lP, OC\ •Q 1 .M'CCL _ _ M. tlC.l a.tnG - _ ,(N'+ 1 ' \1 21•LIY v s[° O a T O° _ 6 N 1 PP 1 I b J I • N N P ~ / C! z .LB'[v£ 3.GG,£b.105 J " m z J m C " r ; O i N 1 ~ " P 10 zl I 19'[06 M.21,1.2.0pS^ J9 9b~j PPLt~~I~~ .OrYOG CAI ' ~ M„eLm.nnN jl Lo~ 1 o X11 ' ; .Yr'[{r 3..11.6r.0pN rJI `Ji~ 1 I I ~ 1 m J I 1 a 1 3 C 4 ° . a sss sa_ I O 3 I cal .I e°e Z. Z. ,01'h9v M.IZ,91.005 I 1. X11 CCCL 3 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page _.Lot Latior and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, ~T COUNTY sr. C R o r K Attach complete site plan on paper not less than 81/2 x 11 inches in s' n wat i ude, ° /,r not limited to vertical and horizontal reference point (BM), direction a t 810 pc PARCEL I.D. # n ;11 dimensioned, north arrow, and location and distance to nearest roa i APPLICANT INFORMATION-PLEASE PRINT ALL INFOR N JLl' t IEVIEWED BY DATE PROPERTY OWNER: PRO t-0CATION " w k1i'G h.4 RD 577-0 U 7- GVK 1/4,S T N,R E (o Wi~ PROPERTY OWNER':S MAILING ADDRESS cIOC 1 " ' - 35 3 14 W,4 7-'0 eat= -r . ° k CITY, STATE 'S ZIP CODE PHONE NUMBER 12 N EAREST ROAD N•v So,3 5y01(a (75)541-(v731 //,Wy. CC ( ew Construction Use [ &+-flesidential / Number of b6drooms 3 +0 4 [ j Addition to existing buikfing [ J Replacement [ J Public or commercial describe Code derived daily flow y °oy gpd Recommended design loading rate bed, gpdift' trench, gpd*1 Absorption area required 95 g bed, ft2 75 ° trench, 1`12 Maximum design loading rate bed, gpd/ft2 ' d trench, gpdM2 Recommended infiltration surface elevation(s) SEA }t .3 ft (as referred to site plan benchmark) Additional design / site cons rations Parent material $CS 11 Flood plain elevation, if applicable ft V S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem ❑ S ❑ U ❑ S ❑ U 0S ❑ U ❑ S ❑ U O S ❑ U O S ❑ U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boul1lty Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed TOrich l o- e io y,P l /S 411 a);e s 3 .7 Z 38 /0 yie Yl y - is AM 4-1 a9 S Ground .3 -~o 75 yk yr,,- s. o S d :2 - • 7 ' elev. 179, 4(p ft. Depth to limiting factor Remarks: Boring # 2 - 35 /0 yR YlZ( ~s l vflZ w 3 _ fF 7,S yR Y/ s D s ~P~2 - . ~ ' , OF Ground elev. ~F%,3o ft. Depth to limiting fac > Remarks: T Name:-Please Print P013 e R T- V L n R I'C k T.- Phone. 7j~ 3661-8185 Address: 'J le?-13 - 23- CsTA y~.Z SKlnature: / UlbrichtaRssociates _ Date: CST Number: PROPERTYOWNER R~cQi~},PD S~i~~T SOIL DESCRIPTION REPORT p Z 3 age - of PARCEL I.D.#LOr 7 P/Vep- Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourdwy Roots GPD/ft2-1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed nth P-4, 10 Yoe 31 ~ ( IU4 cr`'R S /M Lf R 14J Ground 3 ft " fa 7.5 yP S/ S . S ,7 • o-)' elev. y7. QS ft: i Depth to limiting faces > I Remarks: Boring # o-li 10 YR 3l /s / ~nvfe w /f 71 F I- U4 00 3 3 ~-~s ~.s YR~~ s• o s d>1Z Ground elev. Cl(,-,-15- ft. t Depth to limiting factor i Remarks: Boring # ( p ' /d 11h4 /wt Idle KJ / f , 7 3 a 75A. l~ s, a s o Ground elev. R, 70 it. Depth to limiting ` factor „ ti Remarks: Boring # 1 1 Ground elev. ft. Depth to limiting factor RpeRoXNo Lo't' L is E f ~n ti i u 2 0 -T~ Se SET ' Tp Of 3/ r /G 0, D APP POY . loo' 7 sc~L~ I = 30 ls~ Ga T • = f3a~k G~.ot ~c is r~ z a~ • izo J ~ b Ito 1o9 S ~ yon , 8 y ~3 ~~EVI4T1o~S SUGGE-STED TPR&Jc.Ct, C`lEu,~no~1S 02, r3a 17 per' g STC- 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER /✓fCj~jfl S CS1 4 //0ff MAILING ADDRESS 160 "R LfliV Csf'% /t S'i 7` LL~ 5i y ' PROPERTY ADDRESS it ty Alt- (location of septic system) Please obtain from the Planning Dept. CITY/STATE Alt- A(~~~d c / lF~e PROPERTY LOCATION L 1/4, "G 1/4, Section, T -2/ -N-R_ j4? w TOWN OF ~ ~La ST. CROIX COUNTY, WI SUBDIVISION. Pr, L)t~rp , LOT NUMBER CERTIFIED SURVEY MAP , VOLUME , PAGE , LOT NUM 3ER_2 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. U\Ve, 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- Cert ification stating that your septic has been maintained mus be completed and returned to the St Croix County Zoning Officer within 30 days of the three year pliration date r' SIGNED: - - DATE St. Croix County Zoning Office Government Center 1101 Cannichacl Road Hudson. W1 54016 j ' J S T C - 100 ` This appl-bation form is to be completed in full and signed by the owner(s) or the property being leveloped. 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 property 77-/11?t%.4.5` LOCat' lli of proper ty 4 1/ 4, Sect if 5 , T j / N-R W Township , Mailing addres~- j0z;> Address of site 7 ~21'1;L T" lVL`~G~9 ✓'~/~~.~/y'Clev'/) ~iY~;l~ Subdivision name f.?e= lv s7 Lot no. Other homes on property? Yes j,--1 -No Previals owner of property /'C-A A ft,.) S ~f r Total size of property 2, dl Total ize of parcel Date parcel was created Are ap~,l corners and lot lines identifiable.2 Yes No Is this property being developed for (spec bcuse) ? Yes No Volumo' and Page Number e~j: as re 6tded with the Register of Deed's. INCLUDE WITH THIS APPLICATION THE FOLLOW--ING - A WAPWXtY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAVE NUMBER; AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as. to avoid delays0 'of the reviewing process. If""the deed description references to ..t cc rt. i I i e,Cl Survey Wip, 11w C oj-l- i f i od ;tirvoy map shall als'o 'be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on tli .s form are true to the best,,Tf my, (our) knowledge that I (we) am .are) the owner (s) of the property described in this informatiorn'form, by virtue of a warr&nty doed recorded in the office of 4he County Register of Deeds, as Document No. 7 S~g~3 an j. I own the 'prop j. (we) presently f osed site for the sewage disposal system or I (we) obtained an easement, to run the above des-,:gibed 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. y j S ignat=_ur _ < ppl icant Co-App-"- cant Date of Signature Date of Signature ~ 1 asC~ STATE BAR OF WISCONSIN FORM 1 - 1982 WARRANTY DEED DOCUMENT NO. fL(;1^ It~ctl fur tl:~caa This Deed, made between Riehar Stout FEB O 1997 11:30 A. `~..~t,i..~ -14 and Th-Mas O MU -lahy and Theresa-PWrphy, Grantor, i1~i~lat.:r v} lJoy Ge husband and wife, Grantee, Witnesseth, 111at the said Grantor, for a valuable consideration conveys to Grantee the following described real estate in $ t ~~9?G THIS SPACE RESERVED FOR RECORDING DATA County, State of Wisconsin: NAME AND RETURN ADDRESS 7 Lot 7, Plat of Apple River Bend, Town Joy ~~1 of Star Prairie, St. Croix County, Wisconsin. larsZ,f~-S%~'~ PARCEL IDENTIFICATION NUMBER This is not homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And Richard O. Stout warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions, rights-of-way and covenants of record, and will warrant and defend the same. Dated this 19th day of February ,19 97 \ \I (SEAL) (SEAL) Richard O. Stout (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. St. Croix County. _...w__.. .t: a_.. r .n D,,..,..._11.. t. f' tee - ,1,c, 1 9th .t- _f