HomeMy WebLinkAbout040-1157-30-000
t -CT
STC - 104
AS BUILT SANITARY SYSTEM REPOI t- ot;, f
OWNER S~.erJ-2 SL(1.e2/I~J2-'" +w~L3ls,.r
G~ TF ADDRESS 7-3Z OW- U/EW 7,e4,-e- yO/. 5,,71_ 3 O
SUBDIVISION / CSM# LOT # 3
SECTION Zf/ T,4 N-R Zy W, Town of
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
ORIGINAL
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
r
p
BENCHMARK:
ALTERNATE BM: Ro /iuje_ 444/1
j!f/L G, =
SEPTIC TANK / -F~'RAiPIBER / H ORMATION
Manufacturer: 101PAVeS723?1v l~eifs 7 Liquid Capacity: /200
'¢I~f Ro1C
Setback from: Well N 74o 14,& House Other GOT COO
Pump: Manufacturer NlJ_ Model# ti Size y
Float seperation Gallons/cycle:
Alarm Location
SOIL ABSORPTION SYSTEM
Width: 5 Length -7 S Number of trenches
Distance & Direction to nearest prop. line: 73 , It, So ' Lo T
Setback from: well: House yy r Other
NO
A
ELEVATIONS
Building Sewer Cpl ST Inlet: 0 Z y~ ST outlet:
PC inlet s; PC bpttom Pump Off
Header/Manifold Bottom of system S-"7/ C
Existing Grade • Final grade /0 y 50 Ut, le 3 S~
ti,9 /f/~A S
DATE OF INSTALLATION: Q
PLUMBER ON JOB: 7-
LICENSE NUMBER: /V/?~ 33 ~ 7
INSPECTOR: 1W)y
3/93 : jt ova
/'s T
s
f r
G w v`
p
. f r
N 4 ~ ~ ~ Op a a:'
n o C)
ti ~ o
~ y
-41,
CPS
I I I I ~ \
~ ~ I ~ i I Oy
I I I
I i I IA
~ I I~ I I
I I~ ~ I~ C
I
ff~ I ~ I~j
I I I I
I ~ i I
I I I
I I I I
I 1~1~
I I oa` I V
n ~ I ~
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM
S County:
aand Human Relations
Safety and Buildings Division INSPECTION REPORT ST. CROIX
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION 289315
Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.:
SWEENEY, STEVE TROY
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
' off' 040-1157-30-000
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark / 04
Dosing C
Aeration Bldg. Sewer S 16a,t"A,
Holding St/ Ht Inlet '
TANK SETBACK INFORMATION St/ Ht Outlet
Vent
irIto ntake ROAD Dt Inlet
TANKTO P/L WELL BLDG. A
Septic NA Dt Bottom
Dosing NA Header / Man.
Aeration NA Dist. Pipe 16
Holding Bot. System 0 /C)O.d
PUMP/ SIPHON INFORMATION Final Grade , a 3 ~ 96
Manufacturer Demand
Model Number GPM
TDH Lift Friction System TDH Ft CAB U1, '53/
Loss Head bur ~ -4-
Forcemain Lengt Dia. Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
17,5 DIMENSIONS
DIMENSIONS
SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
SETBACK CHAMBER
INFORMATION Type O Mode Number:
System: AA) 3 g V 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 3(0 - Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: TROY 2/.4.28.20.614E,N,SW LONGVIEW TRAIL LOT 3
Plan revision required? ❑ Yes RfNo
Use other side for additional information.
SBD-6710 (R 05191) Date s e or's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
F g
2- 3 2-Rl 9. of
Safety and Buildings Division
SANITARY PERMIT APPLICATION Bureau aBuildingWaterSystems
SydZ~~ 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. 601?
• See reverse side for instructions for completing this application State Sanitary Permit Number
ag93~~
The information you provide may be used by other government agency programs ❑ Check it revision to previous application
[Privacy Law, s. 15.04 (1) (m)].
State Plan I.D. Number
1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION 11114-
Property Owner Name Pro erty Location
~N1 5&) 1/4, S T , N, R.Z E (or )o
Propert~ Owner's Mailing Address Lot Number Block Number
City, llState 3 Zip Code Phone Number Su division Name or CSM Number
II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ city Nearest Road r
❑ V Rage -reo y
Public 52,or 2 Family Dwelling - No. of bedrooms own OF V
111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 30
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 P RMIT: (Check only one box on line A. Check box on line B, if applicable)
A) 1. ew 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 ❑ Se age Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 eepage Trench 22 ❑ In-Ground Pressure 42E] Pit Privy
13 ❑ Seepage Pit ~ 43E] Vault Privy 1
14E] System-In-Fill 3 TTiewe4eS c-)( 5,6 67 r--? - 167.5"0
VI. ABSORPTION SYSTEM INFORMATION: 1p 0. f',o - X09, 62
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate S. Perc. Rate 6. System Elev. 7_ Final Grade
Required (sq. ft.) Pro~osed (sq. ft.) (Gals/ ay/sq. ft.) (Min./i ) cil~'•?f Elevation
60V 1 '750 S 0 Fe /03- Feet
VII. TANK Caa
in gltoaccts Total # of Prefab. Site Fiber- Exper.
INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App
New Existing strutted
Tanks Tanks
Septic Tank or Holding Tank /~Q jZpQ ~r~~ ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber / t-e ( ❑ ❑ ❑ ❑ ❑ ❑
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) /MPRSW No.: Business Phone Number:
eGd~1~!7~ 330 1715
Plumber's Address tr et City, St te, Zip Code):
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (IndudesGroundwater Date Issue Issuing A signs o Stamps)
pproved ❑ Owner Given Initial Surcharge Fee)
Adverse Determination
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD-6398 (R. 05/94) DISTRIBUTION: Original to Counly. One copy To: Safety & Buildings Diar•.ion, Owner, Plumber
1 ,
INSTRUCTIONS
A ~
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 node 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 replacemen'., 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.
Cormpl,ete 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; Q complete specifications for pumps and controls; dose volume;
elevation differences,- friction loss; pump performance curve; pump model and pump manufac?.urer; 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.
LOT'
`[3 t 16 l . S Z.
Q Z / OZ, d Z
3 03. (-o6
r
y~ /oS.oz
6 s /oy. ~Z
Ir ,r • = Jj,¢L,G~~CeQ Pi 1 S
sv s~ ES7'~ ~~~N
O-AJ 4 i3r)
os~°
k) fPM64- 1% A
• O = - - 17b
56
/to G
11Q ~ ~ xso`~,,
1
93
~~w
• Fresh Air Inlets And Observation Pipe
Approved Vent Cap
r
Minimum 12' Above _
111 Final Grade
'Above Pipe _ 4' Casl Iron
Veal f e'
,to Final Grade
SyalhNk covering
Min. 2' Aggregate
Over Pipe
0 Oitilributlon -Tee
Pipe 0 0 0 0 0
a Aggregate t b
Beneath Pips PerlMelel Pipe Below
J a -Coupling Terminelin4 At
Bottom Of S.ysleat
~Q l0/.a
Fresh Air Inlets And Observation Pipe
h ~ .
Approved Vent Cap
W t / r t Minimum 12' Above
~J tl Final Grade
Fik3 t5HED GRA-PE-
~ j T H E IJ c t-F-
_ 4' Cost Iron
Above Pipe
' •
Vent "W
V\ 'to Final Grade
k $ynlhelic Covering
Min.2 Aggregate
Over Pipe
Olslrlbullon~ -Too
pipe 0 0 0 0 0
W
e
(P Aggregate 0 Pertbroled Pipe Below
Beneath Pips
c:~, sy 5 7-jFA-1 0 -Coupling Terminating At
_ Bottom Of System
Fresh Air Inlets And Observation Pipe
4 Approved Vent Cop
Minimum 12' Above
k C ll/ Final Grade/.r/%S
TREAV c ti-- / d3, S~
-1 An
~ v y~,e .SwE' .~i /~a
q2 -q s;S3<oy
Wisconsin Department of Industry, SOIL AND SITE EVALUATION
Labor and Human Relations Page : of ,
Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis.
Attach complete site plan on paper not less than 81/2 x 11 Inches In size. Plan must County
Include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. #
oyp• /x3-7 • 30
APPLICANT INFORMATION - Please print all Information. Reviewed by Date
Personal Informition you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location ' p
Govt. Lot 1 /4 -SW 1/4,S ZY T fO N,R E (o W
Property Owner's Malting Address " Lot # Block# Subd. Name or CSM#
306 Celle_ 3 C." 3&8l0/ . Uo% z P . 3Z y
city State Zip Code Phone Number Nearest Road 0A.1
❑ City ❑ Village 3Town Cali /rte rl1r LJ
, v 0.✓ &11. y 01& (715 ~d V • $7731
t~ New Construction Use: Residential / Number of bedrooms 3- Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
rise
Code derived dally flow 4 D gpd Recommended design loading rate bed, gpd/ft2 . ~1p trench, gpdNt2
Absorption area required_1~bed, ft2 Z 50 trench, 112
Maximum design loading rate • ~ bed, gpd/ft2! Q_trench, gpde
Recommended infiltration surface elevation(s) -sue leg • 3 ft (as referred to site plan benchmark)
Additional design/site considerations T~E'v e4i S~
Parent material SA~yl~Y DVf Flood plain elevation, if applicable ft
S = Suitable for system Conventional ~Mound In-Ground Pressure AT-Grade System in Fill Holding Tank
U = Unsuitable for system 2--s El U LK5 ❑ U Lid S ❑ U ❑'S- E:] U [r]'S ❑ U ❑ S
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
a3 io Y4 2Y2_ /--5* / v i 1" t ;
Z -s /0 yR Y6
/ /
Ground
3
slev. 3 5Z- #^4k
elev. ZY: -3
06
Depth to
limiting
f or
4in.
Remarks:
Boring #
L "1
/ 0.6 /O y,Q 2- Ls / AN& 4-1
ME M
YF low 416 5" 00
.9 VOL.
Ground -5 C ZZ S~ ~p r1ti► a i . Y • 5
job • ~1? ft. io S/ S l~ . "1 ; • ~
Depth to
limiting
7 /,tin. Remarks: IQ
CST Name (Please Print) Signature " Telephone No.
1 Up
~o,8i T-'
71Y 3~ • JO/FS
Address Date CST Number
Z .Its '~1 -1 ~ ~T tI 7 LI ~ 1
PROPERTY OWNER SOIL DESCRIPTION REPORT Page Z of
PARCEL I.D.ff .3
Boring # Horizon Depth Dominant Color Mottles Structure 2
In. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots
3 ^ Bed ;Trench
% /0 316
LS / CS / '
Ground 3 s~L 2
elev. f s .~.r, ~ 2 s . S ; • ~
/o3,r (wort. S- o y -s D ; . g
Depth to
limiting
factor
Remarks:
Boring #
o•S ioyje z LS If fl e
v S s ' •G
7 2 57- 2
Ground
elev.
OL tt• '
Depth to
limiting
factor
1//7) in. Remarks:
Horizon Depth Dominant Color Mottles Structure D
In. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots
Bed Trench
Boring # 1
. to P Vz GS' S: • G
16P lo V IQ 316 -5_ 1w 4#2,e- e~-
Ground
elev.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
Depth to
limiting
factor
in. Remarks:
F L O T- 3
`(3 ~ I a l . S Z. .
3 03. ~0d
r
y / oS. o z
S /oy.5z.
sU S~ Es7~E°D ^T"~~N ~
100 . a r
low ~1 75 `
13 r
67a
3-N
~ IIO
Ili
D3 1
~C
1
33686
N CERTIFIED, SURVEY MAP
PART OF THEN 1/2-SW 1/4- SEC. 24, T-28-N,, R-20-W
l~'LF. cy
BEARINGS ARE REFERENCED
N00-36'-18"W TO THE'
WEST LINE OF THE UNPLATTED LAND
SW 1/4 - SEC. 24 p~ O [55
(ASSUMED BEARING) plb `
41.64' It' p !
/
N 89t 51'- 23" E
X90 596.72' 5a
0 2 /
2r i, ZZ V' 6 /
/
p ~0'T 2 UNPLATTED LAND
LO_
N 2.60 ACRES 66' PRIVATE ROAD
i
N 89°-51'-23"E
439.60'
I I SEE REVERSE SIDE FORI
I I L CURVE DATA AND I
OT 3 1 1 SEE REVERSE SIDE 'OF 1
LOT I 7 1 SHEET I OF 2 FOR -
C I I-•CERTIFICATION
N 2.23 ACRES To '
0 1
N w \ 1
•N ~
' O
tG O lps 1
M N 89°-SI'-23"E ® 8
.01
443.33' ® \ S77-01'-37"E
oa \ ro 72.88'
Z 1 1
M „0
217°- 2 8'- 19 160' DIA.
CUL-OE-SAC
LOT 4 sl2 58'-23" II
UNPLATTED ~ 3.52 ACRES \g'0 O3 -
A
N _
LAND
M _0
O W
p c -
S T C - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER J~~ ~P~ ~e eeti~
ADDRESS_ L07 3 L9N4 c 1 ew !r~ 9 1 FIRE NUMBER
CITY/STATE `T~ O _T0L-q&3'&A4(3 -ZIP
PROPERTY LOCATION: N 1/a, '5UJ 1/4, SECTION_ L34 , T-21-N-R_2Q_q
TOWN OF_--r(-osz Tnw&a sA p , St. Croix County,
SUBDIVISION_ 3 ?)('?(40j, V , a PU, sag , LOT NUMBER__2~
Improper use and maintenance of your septic system could
result in its premature failure to handle waste. 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. Zoni officer within
30 days of the three year expiration ate.
SIGNED:
DATE: 41- R
St. Croix co. Zoning office
911 4th St.
Hudson, WI 54016
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 property ~~"P_042JD
Location of property 1/ Stem 1/4, Section ,T _N-R aO W
Township Tr(Su Mailing address I03gl /1ki AA,,,j L.v /J
M6ple_ r*W AAA 3 (4il. 4 '
Address of site 3, L Odl»C3~¢c~, 3 Z
U
Subdivision name ,~j Lot no.
Other homes on property? Yes No
Previous owner of property G~a(L, (ter t= , ET Z~12 ~ot3F~T S tCT~~p~
Total size of property Z, L Cam(
Total size of parcel 2. S
Date parcel was created njyoQ,-►~ -Q-r a q ~9 76
Are all corners and lot lines identifiable? XYes No
Is this properly being developed for (spec house)? Yes -
Volume _ ^ and Page Number jnQ2_4j/ No
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 i the office of the County Register of
Deeds as Document No. S 2-5 1 , 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.
r
4SIgna of pplicant C 1'c nt
Date of Signature Date of Signature
VIL 1214 PAC1? 4
553259 STATE BAR OF WISCONSIN FORM 2 - 1982
WARRANTY DEED
DOCUMENT NO. y AEGISTM OFFI ~E
- 1
ST CROIXCTY..W1
Gena Setzer, as Ancillary Personal Represent3_
tive of the Estate of Geor a F. Setzer a APR 21' 1991,
deceased and Robert J. Setzer Q M
4tenhen M_ Sraeenev and Heidi F_
~.ou ~ Wj
conveys and warrants to
«+c on v hl~Q~ .i ,.i fps as snr~i~•nrahin #4,owof DWJS
3
Mari tat zre
1.~ SPACE RESERVED FOR RECORU»+o DATA
ADIr
%ONE MW RETURN
St Croix -CD-Mx %71LV\ A-
the follow,ng described real estate in S
State of Wisconsin:
MWCW DENTIFlCAT'v. NUMBER
Lot 3, certified survey map recorded November 29, 1976, in Volume
of the North one-
2, Page 329, Document No. 336861 being a part
2 Twenty-
half of the southwest Quarter (N1/2 of swi/4). Sec Twenty (20)
I four (24), Township Twenty-eight (28) North, ~ in.
West, Township of Troy, St. Croix County,
TRAP'_$ Eli
This is homestead ptopertat
Easements, restrictions and rights-of-way of record,
Exception to warranties: if any.
' Dated this l day of
Estate of George F. Setzer Der-eased (SEAL)
B Z a4., WMA~ (SEA) t
obert 1-
,Gena Setzer ~Lr (SEAL)
AC.ICPIQWLEDGMENT
AUTHENTICATION ,
State of Fusin,
ss.
SigttatuK(s) St. Groin Cou ba me this day of
19__ Paso Low i9 The abow named
authenticated this day of Persona 1
ena etzer asncstl-e o eor e
Re resentative o
Deceasea an ..oert
F. Setter
TITLE: MEMBER STATE BAR OF WI5CrJNAN S e t z e r
(if not, tp sl>z ~eaSOrt 3 who executed the foregoing
Wis. Stars.) to me kno-n
authorized by !3706.06, instrument and ae the same.