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HomeMy WebLinkAbout040-1235-40-000 t 4 ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT r;- RECEI!/IQ Owner &,ad 412/e Z1 e JA rta9 1 6 1998 Address Z7;1,6,ez, 7- R,j `-AN ST caolx City/State COUNTY ZONINGOFFICE Legal Description: 'li 0~► Lot V3 Block Subdivision/CSM # C-Oa A- ``r $e cle '/4 ,1/4l '/4 ,Sec. , Ta o N-R /,?W, Town of PIN # oS10~/L3S- O -Dl~ SEPTIC TANK DOSE CHAMBER HOLDING TANK INFORMATION: Tank manufacturer gym.`d cJ e<f- Size ST/PC 16140/ Setback from: Housed Well AI U PAL Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: Width S Length 7_f Number of Trenches 2 Setback from: House SO Weller P/L Vent to fresh air intake ELEVATIONS: Description of benchmark J4-e- Elevation /00.0 CR Description of alternate benchmark Elevation. Sez ~ v ~e.~OY Building Sewer ST/HT Inlet G1' 3 31' ST Outlet! PC Inlet PC Bottom Header/Manifold `1/ (P Top of ST/PC Manhole Cover 60 Z _ Distribution Lines 9/ ,O (24 '10, 9' ( ) Bottom of System 2) c10• Q ( ) Final Grade ( ) ( ) ( ) lq Date of installation Permit number Z~ 1 State plan number Plumber's signature License number Date' Inspector Complete plot plan .r NOTICE: Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. Show alternate benchmark, if applicable. A 1 op o-~ daSGwt~h f -~~v~ TD+'1 ic 7-h A ',el e- a PLAN VIEW p, 4, Za M Y I~o~i rum 4~3 4 INDICATE NORTH ARROW yvi consin, Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety arid Buildings Division INSPECTION REPORT , GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Zri 61 -1018, Permit Holder's Name: ❑ City ❑ Village Id Town of: State Plan ID No.: 1 eih v - CST BM Elev.: Insp. BM Etev.: BM Description: Parcel Tax No.: 3•(0 °!3•(0 gre'A a e-+ bC.el U. U d-1235 - -1111ov TANK INFORMATION LEVATION DATA M7100.5I TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Se tic 0 O Benchm t-m-Tr 2Z- Dosing f. ~•3 9~ A Bldg. Sewer ~p•3(~ Holding St/ Ht Inlet ef'3, TANK SETBACK INFORMATION St/ Ht Outlet 6-7 V Z TANK TO P/ L WELL BLDG. AiverInt to ntake ROAD Dt Inlet ep el n' n a t5 / ZO NA Dt Bottom Dosing Header/ Man. Aeratio NA Dist. Pipe Holding Bot. System 90. 0 PUMP/ SIPHON INFORMATION Final Grade 43 Manufacturer Demand ~.7 ry• ~,Z Mod tuber GPM T Lift Frictio ystem TDH Ft Forcemain Length Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BE RENC Width 5-/ Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth thS' 751 DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/ STREAM ACHING Manu er: SETBACK INFORMATION Type O er: System&n fj '10' CH In14 - OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size ~C, Hole Spacing Vent To Air Intake Length = Dia. Length t Dia. Spacing s H272.61 7Z SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over FBed/ h ,,Depth Of Seeded (Sodded xx Mulched Bed /Trench Center Tren ch Edges I Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) oatf,6m - T p 06 on"Ipch . Ybb f be loc-otQ vsa At, jvr4e e4cv"m of lrrip7 *P -3. U6.,.A cowjf-~ D_Y) of~ -57l 5+6W e4e v fib C i-i•c Plan r~evisio required? ❑ Yes ® No / Use other side for additional information. ~Z Z-Z._ ~A I XCit G SBD-6710 (R.3/97) Date Inspector's S nature. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ' Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division INSPECTION REPORT ST. CROP GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy La S.15.04 (1)(m)]. 299198 %"]NL I e` MICHAEL ❑r *bq Village Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tad N g13,(p "q3& rr~f. a-1- b 3 4$-1235-40-000 TANK INFORMATION ELEVATION DATA A9700515 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic w 0D Benchmark .q q cJ3 G Dosing 3 (o Aeration Bldg. Sewer Cp 3b sr, Holding St/ Ht Inlet (o.S 93.3`1 TANK SETBACK INFORMATION 4c) St/Ht Outlet 6.7 a TANK TO P/ L WELL BLDG. `Air Intake ROAD Dt Inlet Septic 010 r h 1 7!~ ZO ' NA Dt Bottom Dosing NA Header / Man. g 00, Aeration NA Dist. Pipe e0 G//. 6 §A~S-18L q1. Holding Bot. System .WRRG qpc PUMP/ SIPHON INFORMATION Final Grade 63 R3• Manufacturer Demand 54 7 q(,* Model Num GPM TDH Lift Friction stem T Ft ead Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED / Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS S 7S Z DIMEN I N SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHI Manufac er: SETBACK ER - INFORMATION Type O CHAM o el Number: Syste : C4-h 1 hZ - OR UNIT DISTRIBUTION SYSTEM Header r Mani old r Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length I Dia. Length 75-1 Dia. T Spacing 142725 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 Top ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION TROY 3.28.19,NE,SW 539 GILBERT RD - COUNTRYWOOD LOT 43 011 'J -fo T~ n A l '~cr,~ ^ GSecfGie ~,~YCL. 6't,(G(rlur y' ~y',-le P/.r c- 0 cl C.' 4c3-` r Tr// G Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R.3/97) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION 01eE.W and Buildings shngtonAve siDn Iticonsin P.O. Box 7969 Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code 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- vd t` • See reverse side for instructions for completing this application State Sanitary Permit Number 2g9 ! 1 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)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION Property Owner Name Property Location PY Zia 1/4, S 3 T N, R Ila E (or PropertyO`neeer's Mailing Address Lot Number Block Number- City, State Zip Code Phone Number Subdivision Name or CSM Number 11. TYPE F BUILDING: (check one) ❑ State Owned E] City Nearest Road Village Public 1 or 2 Family Dwelling - No. of bedrooms Town OF 7lr A o e- 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 E] Apartment/ Condo © 4/0 2 E] Assembly Hall 6 Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 E] Campground 7 ❑ Merchandise: Sales/ Repairs 11 E] Restaurant/Bar/Dining 4 E] Church/School 8 E] Mobile Home Park 12 C] 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. g 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 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 10 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 ys~ Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) r Elevation S-0 D'' . 4;: Feet Feet VII. TANK Capacity gallons Total # of r 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 ~d~'~ r { ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) PRSW No.: Business Phone Number: I Plumber's Ac dress (Street, City, State, Zip Code): a i IX. COUNTY/ DEPARTMENT USE ONLY Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamps) P§A roved Su harge F ) / pp ❑ Owner Given Initial Al 4 Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R.11/96) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber 4 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, 608-266-3151. 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 online A. Complete line B if permit is for tank replacement, reconnect ion, 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, pimp/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,rank(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; U) 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. 114, r~~ 4 '7`C ~ d o?-S.r9STY2.vG'fr4~ t wtf n. o~ S.f~. . W4 -,6 be, 1x10 D , r V l% Wiscogigin 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 TY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must' "~Q a J Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, s PAR dimensioned, north arrow, and location and distance to nearest road. ; T'1 P APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION -._-g~ REVIEW DATE O PROPERTY OWNER: PROP B LOCATION Richard Stout GOVT. OT`° *-"1/4,S 3 8 N,R 19 for) W PROPERTY OWNER':S MAILING ADDRESS LOT # =av~' # 1353 Awatukee Trl. 43 W Co 0 d CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑ E I NEAREST ROAD Hudson, WI. 54016 (115) 549-6731 Tro Tower Rd. [x] New Construction Use [ Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 5 bed, gpd/ft2 .6 trench, gpd/ft2 Absorption area required 900 bed, ft2 750 trench, ft2 Maximum design loading rate .5 bed, gpd/ft2 .6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 90.6 ft (as referred to site plan benchmark) Additional design / site considerations alt. area + 89.46' el. 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 ® S ❑ U EM ❑ U ®S ❑ U ® S ❑ U ❑ S 13U ❑ S [.~U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Baxtdary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-20 10yr2/2 none 1 2msbk mfr if .5 .6 1 2 20-30 10yr4/4 none sicl lfsbk mfr if .2 .3 Ground 3 30-39 10 r4 4 none sl 2csbk mvfr na .5 .6 elev. 93.68 ft. 4 39-84 7.5 r4/6 none lfs os mfr na na .5.6 Depth to limiting factor +84" Remarks: Boring # 1 0-15 10 r2/2 none 1 2msbk mfr if .5.6 2 15-29 10 r4 4 none sicl lfsbk mfr crw 1 .2. 3 29-40 10 r4/4 none sl 2csbk mvfr na .5'.6 Ground elev. 94.92 ft 4 0-88 10 r4 6 none lfs lcsbk mvfr na na .51.6 . Depth to limiting factor +881, Remarks: CST Name. Please Print Phone: Gar L. Steel 715-246-6200 Address: 1554 00th Ave., w Richmond, WI. 54017 m02298 Signature: Date: CST Number: 4-24-96 PROPERTY OWNER Richard STout SOIL DESCRIPTION REPORT Page 2 of 3 T PARCEL I.D. #I pending Lot#43 Depth Dominant Color Mottles Texture Structure Consistence Bouiclary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trerxh 1 0-19 10 r2 2 none 1 2msbk mfr w>.. 3= . 2 19-33 10 r4 4 none sici lfsbk mfr aw if .2 .3 Ground 3 33-45 10 r4 4 none elev. 93.6 ft. 4 45-88 10 r4 4 none lfs lfsbk mvfr na .6 Depth to limiting factor +88" Remarks: Boring # 1 0-17 10 r2/2 none 1 2msbk mfr Cfw if .5 .6 4,..,. 2 17-29 10 r4 4 none sici lfsbk mfr if .2 .3 Ground 3 29-36 10 r4 6 none elev. 4 36-80 10 r4 6 none ifs lcsbk fr na na -91 .6, 91.6 ft. Depth to limiting factor Remarks: Boring # 1 0-16 10 r2 2 none 1 2msbk mfr Cfw if 5 .6 5 YVtiv 2 16-34 10 r4/4 none sici lfsbk mfr if .2 .3 a\:.: }:inv.... Ground 3 34-80 10 r4 6 none ifs elev. 92.9 ft. Depth to limiting factor +80" ILL] Remarks: Boring # . v s\: Ground elev. ft. Depth to limiting factor Remarks: 1D-8330(R.05/92) N . STEEL'S SOIL SERVICE Gary L. Steel Richard Stout 1554 200th Ave. CSTM2298 NE 4SW4 S3-T28N-R19W New Richmond, WI 54017 MPRSW 3254 town of Troy (715) 246-6200 lot #43-Country Wood I N 111=401 BM.= top of 1" steel pipe C el. 100' dal r C~ fax~yL. Steel 4-24-96 • S T C - 100 This application form is to be completed in full and signed by fthe owner(s) of the property being developed. Any inadequacies will only result tin 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 .rre‘, c_ kec. Location of propertyzee1/4 .&W 1/4 , Section ,s T.,2 F N- � R W Township - ter-(,..t Mailing address S3q G; 6e-nt, »I:- Syo /• 64.0 *v.or .4 4- P651. OMF/Ge Address of site 5'39 �, L.�,_f- y eAciserkv L ) t, 5 ye,/ Subdivision name C L. . y ttipf,d Lot no. y..F Other homes on property? yes No Previous owner of property 5i-d l,,f-- Total size of parcel 7, . p / {4G I.,.45 Date parcel •was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes 1/No Volume/2 and Page Number _'C' 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 & 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 tk)ga office of the County Register of Deeds as Document No. `/' - `/' , and that I (we) re ntl own the proposed site for the sewage disposal system or I a(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 County Register of deeds as Document No. • Signature of applicant Co-applicant • Date of Signature Date of Signature S T C - 105 • SEPTIC TANK MAINTENANCE AGREEMENT -St. Croix County OWNER/BUYER YY\' G f(,, t/J4.41A, ,b.e,r94.1.. • • ADDRESS S 3 9 G 4.1„r+- RA FIRE NUMBER 3 5 CITY/STATE 41.4c:1 6c.r 2 tv�. ZIP fJ17/0l6 PROPERTY LOCATION: 1/4 , &/)1/4 , SECTION 5 , T2 TN-R 7,7W TOWN OF —1724`8b , St. Croix County, SUBDIVISION Co L. ,4 , y., y won" , 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 a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant 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 Co. Zoning Officer within 30 days of the three year expiration date. SIGNED: na �„7�) DATE: St. Croix co . Zoning Office 911 4th St. Hudson, WI 54016 :. H µ az_ 5 - — 39 ��q .- 2 2.19 AC. `�� LClS 0° <so 95,519 S0. FT. J` 45'/ 10 ,--- -------------- i 40 / cp. N 2,66 AC. / , ' '' �� 115,884 SQ. FT. A �i9 I 'C, 6,O, / 2. 34 AC. / 101,716 SQ. FT. hO ti I L \ \ 418.4T \\I \\ S71o47'S2..E �� a� 51 • ,,O o\\� \ 42 0\ • \ 2.10 AC. y�< •p \ \\ 91,478 SQ. FT. \\A 28 \ ' © Fps �0 pS9 \ OAT SS yFi o / q39 Al, o \ Fp F. • co \13 r °� \\ 325.E 02•Q'-�„S �! (no — —//\\ \ 9-z - - . �3. \ C<req. 43 S S. 0j LA Fio > N 55\ / F, �� s.0 2.01 AC. �4 °S�' c<\,p \ `T.S' 8 7,760 SO.FT 2.02 AC. \ \ % \\ 315 6. 88,083 S0. FT \ .19. \ 0 ,2 JJ o\9\6 W 61 AC. EXC. ESMT. \ N65 � ,5‘ �O 0,014 SQ. FT. \ 44 ., D A 96 \ \ °°"F. \\ F� �. 2.01 AC. N69 6 3 \ •Ce)' \ 6 •\ \8776I SQ. FT. \ \ \\ \ 54 \z -.0 \ \ \\ \ .568 23' 2. I9 AC. \ \ �\ 019'46' E 95,449 S0. FT \ \ \ N76 2.15 AC. EXC. ESMT \ \ 6 C' \ 93,798 SQ. FT. �1 o ()-1-- �\ 510.32' _ \ 1'. 45 S85°43 34 W / I ‘4), I ? ® I I 2.27 AC. /�:/ I I 1 I Z ,�-.— I 98,915 SQ. FT. 53 / I 1 L N O Zi °Ao I �./ / ^1 A O gl \ ° N 2.31 AC. / (�i 100,829 S0. FT. / // m XI z 1.84 AC. EXC. ESMT / /C� 80,207 S0. FT m a N85°43'34"E 376.66' S85°43.34"W 525.61' 'I I 1 104.00' / I/ N 1 I / - - in 6 52 / N. N 46 i / C I .4- 2.37 AC. / / 41 C ?,-0 2.02 AC. 103,073 SO./FT. / I ® O 1 88,005 S0. FT. / 1.87 AC. EXC. ESMT! / I / / I 1 `` 81,453 SQ. FT. / ( // i !I a '4 l w` 5E 9824 STATE BAR OF WISCONSIN FORM 2=1982 WARRANTY DEED DOCUMENT NO. VOL 2V2PACE12O REGISTER'S OFFICE RICHARD 0. STOUT T. CROIX CO , WI t:1c'r fr:- R•ipgro MICHAEL A. WEINBERGER and DEC 12 1997 conveys and warrants to 11 :3 0 A LAURA M. WEINBERGER, husband and wife survivorship marital property, Mk Ro.lator of Deods p THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS the following described real estate in St. Croix County, }^.%t LA-u/2A t").2- 0 I/zI-,C-Q- State of Wisconsin: rJ Lot 43 , Plat of Country Wood First Addition, 531 &1i� �t {lG� Town of Troy, St. Croix County, Wisconsin. 1406S'/0 1 v- I 5-4ft lo OLIO -/ 23S - LI° PARCEL IDENTIFICATION NUMBER TRANSFER $ /os FEE This is not homestead property. (is) (is not) Exception to warranties: easements , restrictions , rights-of-way and covenants of record, Dated this 7th day of December ,A.D., 19 97 . R. eJ 0,ati- -'t (SEAL) (SEAL) * Richard 0. Stout * (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, fss. St. Croix County authenticated this day of , 19 Personally came before me this 7th day of December , 19 97 , the above named Richard 0. Stout * TITLE: MEMBER STATE BAR OF WISCONSIN (If not, s d? 11 authorized by§706.06,Wis. Stars.) to me k/awn to be the p•ilan who executed the foregoing 11 f. instru t and ac owi age t ,same. li II THIS INS RUPMEN WAS DRAFTED FTED BY ,.iew( (, / , . Stout 11 II 1353 1lwatukcc Tr. * igrenda Poulin Hudson, Wi . 54016 . •,., :gu 1n St. Croix Countywis. 1 Ii (Signatures may be authenticated or acknowledged. Both are not lligtqan iak!Cis, permanent. (If not, state expiration date: II i necessary.) State of Wisconsii11/19/20,014 .) I "Names of persons signing in any capacity should by typed or printed below their signatures. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co.,Inc. i WARRANTY DEED Form No.2-1982 Milwaukee,Wis. 1,