HomeMy WebLinkAbout040-1217-10-100
V
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER 046 e44OR4,C
ADDRESS ~e -r-/4 2E ~ /4/J
f d so~.l G04' ls~qo
SUBDIVISION / CSM# 1-74 LOT #
SECTION T -~S N-RAW, Town of ~o
o" la'I'l-'I~-boa
ST. CROIX COUNTY, WISCONSIN /j,
~atw
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF YSTEM
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INDICATE NORTH ARROW
AJo '5C A44-
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
t
BENCHMARK: ~P o,E %E« ~,c~wE 1 E p , 4 E loo,
op '
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: Liquid Capacity: /Odb
Setback from: Well Sq' House Other
Pump: Manufacturer Model# Size
Float seperation Gallons/cycle:
Alarm Location
SOIL ABSORPTION SYSTEM
Width: Length jS:,r' Number of trenches a
Distance & Direction to nearest prop. line:
ur1-f
Setback from: well: G House ,Y6 , Other ^
ELEVATIONS
Building Sewer 9,?* SZ)' ST Inlet: ST outlet: 9?.160'
PC inlet r- PC bottom Pump Off
Header/Manifold-'F/-?1'- Bottom of system O•C,S/"
Existing Grade • as Final grade I'!V /yam
DATE OF INSTALLATION:
PLUMBER ON JOB:
LICENSE NUMBER: 335'
INSPECTOR:
3/93:jt
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor aryd Human Relations INSPECTION REPORT ST. CROIX
'Safety an a Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION 289316
Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.:
KUDRLE, JAMES TROY
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
06 /j,1111 r1-- 040-2117-10-000
TANK INFORMATION ELEVATION DATA Aq7nnl In
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing
Aeration Bldg. Sewer /2 i
Holding St/ Ht Inlet 3
TANK SETBACK INFORMATION St/ Ht Outlet 8,60' d, 0z
'
TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet
Ar I
Septic > 2 _ NA Dt Bottom f/. 3
Dosing NA Header / Man. `ag 01 3
Aeration NA Dist. Pipe
Holding Bot.SYstem o,3 1
/U , a , 33
PUMP/ SIPHON INFORMATION Final Grade , y 1y
Manufacturer Demand o s
Model Number GPM
TDH Lift Lricti System TDH Ft
Head
Forcemain Leh Dia. Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width 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 Type Of CHAMBER Model Numer:
System: g ' ' 2 OR UNIT
DISTRIBUTION SYSTEM
Header/Mani old 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: TROY.7.28.19,SE,SE 422 SOUTHFORK CIRCLE LOT 16
Plan revision required? ❑ Yes SINo
Use other side for additional information. 7, 6
SBD-6710 (R 05/91) Date Inspe o Signature Cert. No.
1
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER: `
SANITARY PERMIT APPLICATION 201eE. Wand ashingtongAve sion
~~sconsin In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969
Department of Commerce Madison, WI 53707-7969
• Attach complete plans (to the county copy only) for the system, on paper not less County .
than 81/2 x 11 inches in size.
• See reverse side for instructions for completing this application state sanitary Permit N ber
X159 31
provide may be used by other government agency programs E] Check if revision to prew application
The information you [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 `
.r Gv - ft 1/4 J% 1/4, S T , N, R 1,9 E (o W
Property Owner's Mailing Address Lot Number Block Number
r - '
City State Zip Code Phone Number Subdivision Name or CSM Number
II. TYPE BUILDING: (check one) E] State Owned C] !t~ Nearest Road
❑ VII age
Public 1 or 2 Family Dwelling - No. of bedrooms Town OF
III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(
1 ❑ Apartment/ Condo % -
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. ® New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
System________System_____________TankOnly Existing System ExlstfnqSystem
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 0 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
v s" jam. 6 4 Feet 93-. /46~ Feet TANK Capacity
VII. in allonTotal # of r Prefab. Site Fiber- Exper.
INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App
New Existin structed
Tanks Tanks L_ I
Septic Tank or Holding Tank ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ 11 ❑ 11:1 1
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility forinstallation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plumber's Si ature: (Nitamps) W/MPRSW No.: Business Phone Number:
Plumber's A< dress (Street, City, State, Zip Code):
IX. COUNTY / DEPARTMENT USE ONLY"
❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issued Issuing Agent Si mps)
o o Surcharge Fee)
Approved ❑ Owner-Given initial
Adverse Determination
. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD-6398 (R 11/98) 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 maybe 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.
Ill. 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.
N~ Ao O Ty A,/u6
.PLO 67
Il~orE: Agso~PPT/o,J / I{ PLOT & CROSS SECTION PLANS
CuT AnJd &5;PAdt4 ZAPPA BROS. EXCAVATING INC
PC OMBING UNIT
PROJECT
JOEL 60lf/_4r
r.~1 oF'~o y
PPu oosto ~Ro ♦O$G,~ ~ r
WE2c
ARO
- Sc,+ ~✓a //✓C g~w~ ,j ..va
IQESioENGa ~ ~
\ - SoQ13s PVC 6FfUkLWT ~ /.VE
A BS
,~~c13_s n
~L•vCNMM?K _w
DP OF``GCEONoN6 yEO•.:.
♦ - /a ~y Sourr+PR.Airy ,~,wr 'Eav. /00.00' NO
.R SCALE
FRESH AIR INLET AND OBSERVATION PIPE
APPROVED VENT CAP
MAXIMUM 12'
ABOVE FINAL GRADE
4' CAST IRON VENT PIPE
MAXIMUM OF 42' ABOVE
PIPE TO FINAL GRADE
SIGNED: &a_-Le!e
MARSH HAY OR SYNTHETIC COVERING LICENSE: A_'(Z& _73 9_15~_
MINIMUM 2' AGGREGATE DATE: - - X17
OVER PIPE
DISTRIBUTION PIPE
t_. TEE SOIL TESTING BY:
ELEVATION BED W AGGREGATE •
BOTTOM PER SOIL BENEATH PIPE • PERFORATED PIPE BELOW
TEST 18 COUPLING TERMINATING.
9D' ~W AT BOTTOM OF SYSTEM
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page /of 3
Labor and Human Relations
Division pf 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 inches in size. Plan must include, but -ST Cd2.el,7k
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
PROP RTY OW R: PROPERTY LOCATION
c
GA.RyIA~P>PA GOVT. LOT sE 1/45 1/4,S-7 T ~O N,R 19 E(or)W
PROPERTY WNER' IL N ADDRESS LO # BLOCK # SU NAME OR CSM # LET
71g71~ :S csc~ ~TU~R
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE OWN NEAREST ROAD
1o J ( ) -7:R6C N
New Construction Use [0(~ Residential / Number of bedrooms [ ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow gpd Recommended design loading rate Q •S bed, gpd/ft2 trench, gpd/ft2
Absorption area required bed, ft2 trench, ft2 Maximum design loading rate 6,7 bed, gpd/ft20,d0 trench, gpd/ft2
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design/ site considerations EVJ4LUQ i I0k) bbtJ-E Tt Ok CSM XPPio'-MA L
Parent material Flood plain elevation, if applicable ft
S = Suitable for system VENTIONAL 0 ND I ROUND PRESSURE T- GRADE &YSTEM IN FILL HOLDING T K
U= Unsuitable fors stem S❑ U AS El U US ❑ U S ❑ U ®S ❑ U El S U
SOIL DESCRIPTION REPORT
Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmr&
0-6 /dY / rh SloK Ot S IA A d.
ti
36 +14. S L ,i,, to of Lj 46.4 o,
Ground - Z /d 5 r - 0.1 lox
le
9 ./~ft.
Depth to
limiting
factor
i /&0
Remarks:
Boring #
-27 /oy 3 1 S d >vr G w 2 ,4 o,S
y $ X131 b`/r2 S it., r fiq O? 0•$
Ground
elev.
JOQA& ft.
3"4" / 3 5 M o' W O"S d.
Depth to
limiting
> fa/o
Remarks: l AY/E2.5oy V1Nr- s;* Qt jN 146,9 CzOAI,
(
CST Name:-Please Print 4'Q E-Y d 4 NSo Phone: ~t
~ ~d
Address: ,Q ` pSQ ~ , ~~Q l /
Signat re: o Date: 4 CST Number: 34
PROPERTY OWNER GAo,Y.4 SOIL DESCRIPTION REPORT Page of 3
PAKEL LD. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
kiN
-3*
A 3-// mw
- sbK Gl S 1 0.
<w4 e//'/OS W R 4/4 S ® r rr► C, S 0.7 6S
Ground $ -/3 /0`/x24 SfG.e y►, _ 0.7 d~
elev.
9-3:73 ft.
Depth to
limiting
factor 7-" le wg 3 3 5 O r Al / 4 w - O S d .6
>11.6
Remarks:_ LA'&M o'F 'rJNF- SANfl IN l~nRIzoyy
Boring #
k:~nvvivk}\•.:i •4•:
$z 1-77 16Yr? 3 S L J r►-f Sb M ~r S 1 OZ ' 3
Ground
elev 7" 11 /dY~4 4 s d m r M I o,7 s
ft.
Depth to
limiting -
i-Zn loye3 r a► w ,S ;o.6-
> f~t~Z
Remarks: /AY&►2S Oft R/N Z SAQ k /N 46 OR IZOA/
Boring #
F1LL Z 'Ft LL Ft LL - - -
ld't''
Nil
ww
3t~•S
Ground SL (3 rh r ' CS 6,4
elev.
ft. 7. S\Y-35 4 r M/ 4,7 0
Depth to
limiting
fac or
Remarks:
Boring #
'y4~~2~'v}:::}:i:{:v
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
• ~~7~ ~J ~~~3H1~X7~,
M
CL- x
o °o
r J
I
'`7 f1- 4
G ~
Q
J
Q Q
~ Ir
Y y4
2
4
N ( Ma all
N
4 .o
J ~
tO
loom_-, IN OF I wo."
i / I
L I Iron is in but it is under
°I S 89 ° 15 56 E )(c I the pavement.
~I
C~ I 350.00' \ I
001 0.01111111111111 1
0 IV's
a~ : HARVEY G. * ~t
IL87 15 JOHNSON
OI 0 S-1C.
I °DI o 1 I IIUJJ ` •
j p o. 92,707 SQ. 'FT.
o1 I ~o tNiS •
OI JIO in • 12.128 AC.) N ~j j
>I M N z~ O I ♦~~00~ f `J
~~5•,Li~
866 CONTOUR PER ' w O O I el
1 PLAT OF SOUTH 2i LL p W1
QI FORK ADDITION w = tn J,
I
3d
a F- U
~1 - s S90 15 ' 56 " E W N 1-0 w 1 ~I I Bearings referenced
--td I- 350.00' U. _ UI to the South line of the
SE 1 /4 of Section 7.
>1 o IJ oint drive C-Z Or
NI way ease a - o ( recorded as,
inent. W ate. o o S89° 1556"E.
a
DI z l; z W o O
~ (N (=1 I NOTE: Joint drive-
_I o o _ X I way easement for
~I al a 1L(DIr 16 0 ~ access to lots.
WI t-I to 92,707 $Q. FT. OI I
C )I I a
jl (2.126 AC.) to1
N
I I
LEGEND
350.00 ' Section c rzer
N 890 15 ' 56 " w Corner
LOT-5 _ 6' I Monument,
CERTIFIED- SURVEY- MAP 1" iron pipe
_VOL. PG_ 1930 - found
a°+ 2" iron pipe
o = found
v
0 1"X24" iron
S1/4 corner Z pipe weighing 1.68
Sec . 7
420.50 Lbs. /lin. ft. set.
2227.82' SE corner
S 89. 15' 56"E Sec. 7
South line of the SE 1 /4
of Section 7.
SCALE IN FEET I" = 100'
Fem no-
0' 25' 50' 100' 200 300'
DRAFTED BY + I✓G 495- 2387
8TC- 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 property
Location of property f& 1/4 1/4, Section _2T N-R A
~g~!_WW
Township Iri~a~ Mailing addr s o
C~
Ailz(a O
Address of site l+-k lri r Cj4L
Subdivision name _ fouT~✓faiL~c Lot no.
Other homes on property? Yes No
Previous owner of property ""'es
Total size of property
V ~'rA
Total size of parcel
Date parcel was created/of/9d
Are all corners and lot lines identifiable? - _Yes No
Is this property being developed for (spec house)? Yes --X-No
Volume 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 sewage disposal system or I (we)
obtained an easement, to run the above described property, for the
construction of said system, and the same has been duly recorded in
the office of the County Register of Deeds as Document No.
Signature of Applicant Co- plican
Date Signature Date f S gnature
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER Cis C
MAILING ADDRESS &st
eel
PROPERTY ADDRESS :_30u 4 t" a Y' ► !L i Y' C_ I ~2
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE fli 414WA.--" D
PROPERTY LOCATION f.C 1/4, SC 1/4, Section N-R_Z_p_W
TOWN OF ST. CROIX COUNTY, WI
SUBDIVISION l o~!rh+Fe LOT NUMBER
CERTIFIED SURVEY MAP 5434~q, VOLUME PAGE, LOT NUMBER 16
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 exp' ation date.
SIGNED:
DATE:
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
/ V V
rug l' ! ? FAII I D4'
` 556113 STATE BAR OF WISCONSIN rORM 1 - 1982
WARRANTY DEED
DOCUMENT NO. - - -
This Deed, made between ZAPPA BROTHERS, INC., ST. CROi , rta C.caaY., WI
Fa Wisconsin corporation, aka Zappa Brothers ftec'aa
Excavating, Inc. FEB 2 8 1997
Grantor,
and JAMES E. KUDRLE and KAREN L. KUDRLE, husband and 8:45 A. M
wife as survivorship marital property `f# 0A4.
HegIster of Deeds
Grantee,
Witnesseth, That the said Grantor, for a valuable consideration
conveys to Grantee the following described real estate in St Croix THIS SPACE RESERVED FOR RECORDING DATA
County State of Wisconsin: NAME AND RETURN ADDRESS
Barry C. Lundeen
Post Office Box 469
Hudson, Wisconsin 54016
Part of Lot 6, South Fork Addition in the Town of 040-1217-10
Troy described as follows: Lot 16 of Certified PARCEL IDENTIFICATION NUMBER
Survey Map filed May 8, 1996 in Volume "11",
Page 3099, Document Number 543449.
TkANSFER
PEP
'll
This is not homestead property.
(is) (is not)
Together with all and singular the heredi[aments and appurtenances thereunto belonging;
And Zappa Brothers, Inc
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except None
I
and will warrant and defend the same.
Dated this 27th day of February I9 97
ZAPPA ROTHERS, INC.
(SEAL) (SEAL)
. Gay T. app , resident
i
(SEAL) (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) Gary T. Zappa State of Wisconsin, 55.
County.
authen ~'Ge~ this 27th day of F~ua~ry 19 97 Personally came before me this day of
I ~ - to Z , - - . 19 , the above named