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N rO ate.. • ' V a) 4-i E E d E m a a rr~~1 E i C C = C w ~1 A Ua21,Oin 0 M0 Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Libor and 14uman Relations INSPECTION REPORT 5~ . Ci Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION ~26 S Permit Holder's Name: ❑ City ❑ Village ET~Wn of: State Plan ID No.: /X, r (2-V Ea c, 6',n _~2L CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: O'K TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Sep Benchmark Dosing Aeration Bldg. Sewer St / Ht Inlet TTIg TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Airi tontake ROAD Dt Inlet Ar I Septic NA Dt Bottom Dosing t Header / Man. Aeration Dist. Pipe r ~ ® Bot. System PUMP /SIPHON INFORMATION Final Grade Demand Manufacturer L - Model Number GPM iii L' Frictlo S stem Loss TDH Ft TDH Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Lengt~ No. Of Trenches PI No. Of Pits Inside i uid Depth DIMENSIONS EkIM N I LEA Manufacturer: SETBACK SYSTEM TO P/ L BLDG WELL LAKE / STREAM INFORMATION Type O R 7 AMBER Mo el Num er: System: ~4 UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x acing Vent To Air Intake Leng\ Dia- Length a. Spacing SOIL COVER x Pressure Syste xx Mound Or At-Grade Systems Only Depth Depth Over xx Depth Of ulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Plan revision required? ❑ Yes ~J//No Use other side for additional information. 9 SBD-6710 (R 05/91) Date Inspector's Signat re Cert. No. ADDITIONAL COMMENTS AND SKETCH t ~ SANITARY PERMIT NUMBER: Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Lbbor and human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: 268564 Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.: SELL, MILTON G EAU GALLE CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9600349 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV_ Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft oss Head Forcemain Length 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 O CHAMBER Model Number: System: 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 Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: EAU GALLE.27.28.16W, NE, NE, 250TH ST Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No ADDITIONAL COMMENTS AND SKETCH 1 i SANITARY PERMIT NUMBER: w. Safety and Buildings Division w•~`i~'■'■n SANITARY PERMIT APPLICATION Bureau of Building Water System! 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 8 112 x 11 inches in size. ' C ~(9 1 x • See reverse side for instructions for completing this application State Sanitary Permit Number Ss 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 INFORMATION Property Owner Name Property Location r' T - 1/4 1/4, S a 7 T N, R E (or P perty Owner's Mailing Address Lot Number T lock Number /fr a City, State Zip Code Phone Number Subdivision Name or CSM Number 'r sya ( 117 ) /S 41, " -,214q c / II. TYPE F BUILDING: (check one) ❑ State Owned El City Near Road Vilae Public 10 1 or 2 Family Dwelling - No. of bedrooms in Town OF l/$ 2 S4 f~ III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo d G - l6 77- - if 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. M 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 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 JU Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 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.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation Sly Q Feeti (I Feet VII. TANK . Capacity in gallons Total # of Prefab. Site Fiber- plastic Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass App. New Existing strutted Tanks Tanks Septic Tank or Holding Tank ` B ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ -A4 I VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite se age system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: ( amps) P MPRSW NO.: Business Phone Number: r- Plumber's Address (Street, City, State, Zip Code): d r IX. COUNTY/ DEPARTMENT US ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing A nt Signa NOS ) Approved ❑ Owner Given Initial Surcharge Fee) / l Adverse Determination 0/X/0 GD X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS * y 4 , 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, 608-266-3815. 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 a// 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 8 112 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. MILTor.~ ~ Owner's name - San. Permit No. H63.0 5 PLOT PLAN Show: FJ Location of building served O4 Dosing chamber u'A Septic tank 19 Vertical/horizontal reference point Building sewer ►oN System elevatiop is Effluent system (vAQ\--F pfZIVLr NA Well. NSA Replacement system area El Property lines w/in 50 of system Nq Distribution boxes F11 Scale or dimensioned Nq Pump and controls: Mfr. & Model No. Vertical Lift Size Force Main Friction Loss T. D. H. Vol. Dist. Pipe Gal-per Min. Gal. per Cycle Place check mark in appropriate box, indicating item is shown on plot plan,below: 2 a ~IZA C1 $ t~~ PRLU~ V j IF- Lo c-^rfi01.] ZS ~ _ 1 O' 3r'1- ~-rL. 10u.~ fjN $ t}IGH~A ? 3(4 ' p tq_ `w e wl PN I 1511 o ~J o TJ~Tyc2Csl Lltil~- OF Z.O l'it' . nPl fzcEI-- i By the granting or approving of the above plan, or upon the event of a subsequent permit being issued,St.CroixCounty and theSt.CroixCounty Zoning Administrator, does not assume or hold itself liable for any defects in plans or specifications, plan omission, examination oversight, construction, or any damage that may result in or after installation. I Plumber's signature icense No. Date M1 N SELL v~T ~r wow 1 t.~s`C'h~.~. v +~Rd'1 ANT PRp~ Ar' l u StcT ~rzooF 1vCl.OSU ILL-- VK3 DWfZ i l -rr ~oo~ GPst F~1~Uwpsq nisi-s~anc ,~-sc~v~°r`T~o,v LwE f T~1t w / R ~FFc.~~ R~'rrpu 3" sr~ ~ 'L"1 l t-Tp N S L Owner`s name San. Permit No. j H63.05 PLOT PLAN I Show: ALA Location of building served NA Dosing chamber u'A Septic tank NA Vertical/horizontal reference point N•{~, Building sewer IJ System. elevation is ~ Effluent system V Rv~ T P 2l vLj) NA Well F AI system area Nq Property lines w/in 50' of system I Lt ' Nq Distribution boxes Scale = l = ~O or dimensioned j CN q Pump and controls: Mfr. & Model No. Vertical Lift Size Force Main Friction Loss T. D, H. Vol. Dist. Pipe Gal..per Min. Gal. per Cycle I Place check mark in appropriate box, indicating item is shown on plot planbelow: I 7 I s I 4 So 0 a i ~tzw'l L,p c-''I`RON ZS --sLTF 1 ~ ~ . I Qi N rr r 3[g p lA_ 'w C WI P~z ' o o tNQ'PAzes7- Lwk OF Zo ~~r',-fZ By the granting or approving of the above plan, or upon the event of a subsequent permit being issued, St.CroixCounty and the$t.CroixCounty Zoning Administrator, does not assume or hold itself liable for any defects in plans or specifications, plan omission, examination oversight, construction, or any damage that may result in or after installation. Plumber's signature icense No. Date M1 LEON SELL sce~-Ew®J ..kk-=--~~ ve.T~,w+wow 11JS`Thll. v ~R.►'1 ~IUT PRAnI=~ I u S~cT ~r'~ooF' ~c~-oS~12L DAR s w3 u r ~oo~ G_ r-~~owesw piurs~anc ~~tvpc`no,v LwE T'~.1k W / Q ~PFC.LS R~`►~OuCU 3„sue 3 ~AD1NG STC - 10 6 /fc.c-F-~. c~ yon 1.1.91. PACE 221 PRIVY INSTALLATION AGREEMENT ~duFC t~~C... cc° y~E St. Croix County, Wisconsin PRIVY INSTALLATION AGREEMENT - COPY TO BEATTACHED TO THE SANITARY PERMIT APPLICATION. Property owner(s): Reserved For Recording Rata M > o a c~cQ ~1G nc Sc 1 \ ` Mailing Address: Location: ~ee~i~/ CU 611 IL O t}, S c T9K N R lb E o .7/ VPf~iL iM A t" City, village. Township Of: Nf, to"-&- e- JUL: 2 3 1996 Parcel Tax Number: Cx~-lc~`t -to-ao~ at 9:3o A. M Lega Oescnpon: Le-t 3 cs~ llo` 11 ° ~~e: 31\-l G'AL Of 1. No plumbing will be installed in the privy. 2. No plumbing will be installed in the premises served by the privy unless a code compliant soil absorption system or holding tank exists, or a valid sanitary permit to install such a system has been issued. 3. A privy vault / pit shall maintain minimum setbacks as specified in Table 1. r Tablet Well Building Lake/Stream Additional County Setbacks Open Pit 50 Ft 25 Ft Min. 75 Ft Sealed Vault 25 Ft 25 Ft Min. 75 Ft i I 4. Privies for public buildi ngs shall comply with ILHR S2.63, Wis Adm. Code. S. Privies used for one- apd- two-family purposes shall be constructed in such a manner so as to exclude flies, rats and other vermin. D60'rt ifiould be self-closing and vault ventilators should terminate at least one foot above the roof. 6. A privy vault shall be constructed of watertight plastic, fiberglass, coated steel or monolithic concrete. Materials shall comply the intent with ILHR 83.20, Wis. Adm. Code. Counties may, by ordinance, establish minimum sealed vault sizes and type or construction witttin.the guidelines of ILHR 83.20, Wis. Adm. Code. 7. The privy shall be kept clean and sanitary. The contents of the pit or vault shall be disposed in accordance'with NR 113, Wis. Adm. Code. 8. • This agreement shall be binding on the owner, their heirs and assignees. This document shall W recorded by the register of deeds ina manner which allows its existence to be determined by reference to the property where the privy is installed. Printed Owner(s) Name(s): Subscribed and sworn to before me on this date: r° - r•e 1F S e~~ N caner s care: JANE LEAF Ubk Notary PubIK S'G~i6 d' My commission expires on: - NOTE: This document was drafted by the State Department of Industry. Labor and. Human Relations, Bureau of Building Water Systems. STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER M \\-Izjr\ S~ l MAILING ADDRESS 1°15 2"1o c5 y~000~y I~ cL W~1. S`FC~3- PROPERTY ADDRESS IF-41 9SVTIl 1;e (location of septic system) Please obtain from the Planning Dept. CITY/STATE A j,' PROPERTY LOCATIONI~ 1/4, 1/4, Section T oa_ N-R K. W TOWN OF F_C-.c4 C << 2._ ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER 3 CERTIFIED SURVEY MAP , VOLUME L \ , PAGE 3 111 , 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. Certifipation 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 d e. SIGNED: r DATE: 1 Da M L St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 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 Mk\\ n anA t~o.rc- Se-~1 Location of property 1/4 1/4, Section T N-R W Township ~a~c•~ 6 A Mailing address Iq~ 25612~r 'b OOA S \\e_ I`-lb4R> Address of site ' ' SD zt V, bccA, I Subdivision name C..5n1 dk If. po,, 3117 Lot no. 3 I IC/ Other homes on property? Yes X No Previous owner of property N\A\o n Ro,a\ee, accc S Total size of property* Total size of parcel Acr e> Date parcel was created ~v. e-- 1,101(A Are all corners and lot lines identifiable? ;X 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-Ap lican Date of Signature Date of Signature CC FILED z JUN ' ) 6 1996 KATHLEEN H. WALSH C Register of Deeds art 4S92~1. SL Croix Co., Wf 0 l CERTIFIED SURVEY MAP MILTON AND NANCY SELL Part of the Northeast 1/4 of the Northeast 1/4 of Section 27, Township 28•North, Range 16 West, Town of Eau Galle, St. Croix County, Wisconsin. OInAicates 1" x 24" iron pipe weighing 1.13 lbs./lin. NI/4 COR. SEC. Z7, T 28 N , R16 W, ft. set. !COUNTY SURVEYOR'S MON.) Indicates fence. NE COR. SEC. 27, r 2 8 N, R 16 W UNPL A TIED LANDS (COUNTY SURVEYOR'S MON. J _ S 67• /4754 "E 2680.02' 670. /340.0/' - N 4/NE NE114 q w 669.94 670. 00' o A N87.14'54"W 1306.85 ' 636.9/' ---0 20 - _ - - - -SHED DRIVEWAY I ~ SHED y 0 LOT / q LOT 2 O w n I /0. 192 ACRES SHED LJ 10.215 ACRES I of b w 443, 978 SO. FT. 01 k O W /tr 444, 978 SO. FT. WELL HOSE 9.685 ACRES FXC. ROAD R.O.W. 9.228 ACRES EXCROAD R.O.W. A I m 42 B7/ 50. FT. % 4 401, 975 $0. FT. SfPT/CI 2 a Owner's Address: o a 198 250TH St. WATfRCO RsE Woodville, WI 54028 i ° ly I °o l I y y I~ f O O 668, 80' 668.80' I to I 191 635.76' 133.04' O O I~ N 87 • 07 115 " W 1337. 60' Dated: March 13, 1996 I N O c I ►166 661 N1/I oi"Revised this 20th day of June, 1996." I m i y I~ C ON`S'~ This instrument drafted by Laurence W. I o w Murphy I ro I61~ - •LAUR ,C•. O M W MU ~ ED PM-IY• cc = PPROV /00' (~No~ s 3 LOT3 N D u ER F LLS,; J~/ : I~ i~ WISC. •'-`A • 20.001 ACRES JUN L 4 , u u ~I i ro) H Q O , O ••'•~J 877, 244 S0. FT. I 4 G I~ LA , 19.506 ACRES EXC. ROAD R. O.W.j~, CRaX COUNTY I' • Alto bt , 849, 701 SO. FT. Comprehensive Piannia a I~ rn zoning and pp Laurence W. Murphy ROAD S SA9W I3 33' o Registered Land Surveyor T 2s' 16s if not recoried 02. 05' within 30 d*Y5 Of 1 33.04' wl 13 • I` v II DOCUMENT NO. STATE BAR OF WISCONSIN FORM 3-1982 THIS 3/ACC RcscRVCO FOR RLCOROINO OATH QUIT CLAIM DEED 465900 vct S91PACEi101 REGISTER'S OFFICE ST. CROIX CO., W, Milton G. Sell and Nancy E. Sell, husband Recd for Record a)ad. V J e Jib 2 41991 quit-claims to Milton- G-,••-Sell--,and_• Nancy E. Sell, Ct . 8:30 A. M husband and wife, holding as survivorship..__.._ _ AA mari tal•.- ro ert. v C~X~C P._ .P.. Y Rpisb►ofDeeds • the following described real estate in ..............St, 9XQA2;_•••••_•-- County, - State of Wisconsin: 1 R ro- Tax Parcel No Northeast Quarter of Northeast Quarter (NE4 of NE4) of Section Twenty-Seven (27), Township Twenty-eight North (T28N), Range Sixteen West (R16W) F~- EXE .t. This t$ homestead property. (is) RcRAk Dated this day of IV. 19_-$1... :--..._......................(SEAL) V` ~ wC (SEAL) Y on..G~..Se11....::. . -(SEAL) ..t/.. (SEAL) Nanc.y...E..,..S.ela AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN . St Croix County authenticated this day of. r. , 19 Pe'ragnally_came before me I ~ '!!Jat~~ l..day of this 19.91--- the above named I;L...and........... .Nancy. x ,TITLE: MEMBER STATE BAR OF WISCONSIN - (If not J L DOCUMENT NO. STATE BAR OF WISCONSIN-FORM I WA"AN" DEED 3500 t-) 7 1/(11 577 1 C380 THIS SPACE RESERVED FDA RECORDING DATA Milton P. RowLee and REGISTERS OFFICE THIS DEED, made between rorothv r Rowl,eel husband and wife ST. CRO1X CO., WIS. Recd. for Rtccc.•d e,1is 13+*h Milton G. Sell and Nancy E. Sell, husbandr.ntor c+°y of J'alY A. D. 19_l8 and and wife as c•int tenants _ at 8: 30 h A. , M. Grantee, / U W i t n e e a e t h, That the said Grantor for a valuable consideration One dollar Register* of Deeds (t1.00) and other good and valuable consideration { conveys to Grantee the following described real estate in St. Croix County, RETURN TO State of Wisconsin: Luvand F od S and Loan • f The•Northeast Quarter (NE 1/4) of -the North- Du.,and, W1. ~ east Quarter (NE 1/4) of Section 27, Township Tax Key M 28 Range 16 West. This is homestead property. NSFER FEE Together with all and singular the hereditaments and appurtenances thereunto belongir,; or in any wise appertaining; And _ Grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except and will warrant and defend the some. Executed at Woodville, Wisconsin this 7th day of July , I9 78, SIGNED AND SEALED IN PRESENCE OF GLG (SEAL) Milton P. RowLe 1 (SEAL) _Doroth M. RowLee (SEAL) (SEAL) i Signatures of authenticated this day of 19_. Titlet Member State Bar of Wisconsin or Other Party Authorised under Sec. 706.06 vis. STATE OF WISCONSIN l St. Croix Jj ss• County. ~J~ P.--liv '„e, hero., - rhi. `7 low of July 1918=. s ~ STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ~lta-,,L -S2-/ / ADDRESS l j?r a~"d a G~ ~ SUBDIVISION / CSM#~ c1~eS' LOT # SECTION x < T o<F N-R /-W, Town ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM y Ald, INDICATE NORTH AR OW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. M. t BENCHMARK: So ;,t c G .S- ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: ~`~ul~.~ Liquid Capacity: l DdO' Setback from: Well 3-0 .,t_ House &a Other Pump: Manufacturer /e5 77e )'"odel# Size Float seperation Gallons/cycle: Alarm Location "s -e- SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop. line: Setback from: well: House Other ELEVATIONS Building Sewer ST Inlet: ST outlet: PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB:- LICENSE NUMBER: INSPECTOR: 3/93:jt . vvisc6%sinDepartment of Industry, PRIVATE SEWAGE SYSTEM County: Labor nand H,Vman Relations INSPECTION REPORT ST . CROIX Safety and ITU-Kings Division sanitars41 (ATTACH TO PERMIT) GENERAL INFORMATION P mit 90r' m i i Town o : State Plan ID No.: A LL ~ OpI~~T ~`A -Zff BM elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: /ODr O C/ V TANK INFORMATION ELEVATION DATA A9600415 l TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing oo. O Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet a,®3 TANK TO P / L WELL BLDG. geintake ROAD Dt Inlet y'/, $y! Septic 3 7a NA Dt Bottom z Dosing 7 /U Z S ' NA Header/ Man. Aeration NA Dist. Pipe Holding Bot. System q PUMP/ SIPHON INFORMATION Final Grade Manufacturer g Demand Model Number L' GPM TDH Lift Lriction/ System S TDH/6p. Ft Forcemain Length //0, Dia.a - Dist. To Well / SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMEN I N LEACHING Manu acturer: SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM INFORMATION TypeO CHAMBER model Number: System: 'lD a$ / 41A OR UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length S' Dia. Spacing X4 119 7a SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Se~ xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil f 21"Yes ❑ No &PA(es ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) ' LOCATION: EAU GALLE.27.28.16W, NE, NE, 250TH STREET Plan revision required? ❑ Yes [RI No ' Use other side for additional information. Iq SBD-6710 (R 05/91) Date I spe or's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: Safety and Buildings Division 'V^.;L'■'■A SANITARY PERMIT APPLICATION Bureau of Building Water systems 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 Count' y_b I than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number nin a 3 1 /6-3 The information you provide may be used by other government agency programs ❑ Check I( revision to previous 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 ,r o ) /l 1/4 _ 1/4,SX7 TA ,N,RE(or) _TX Property Owner's Mailing Address Lot Number Block Number J City, S Tate Zip Code Phone Number Subdivision Name or CSM Number ( > / / 7 II. TYPE F BUILDING: (check one) ❑ State Owned ❑ city Nearest Road ❑ Village EL 6-7-- Town OF tv- Public F~Li or 2 Family Dwelling - No. of bedrooms' III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo CC S ^ l0 -77 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. V. 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 ❑ 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) p Elevation !2T-6 I /`?65- , „2(,~'~7F c / Q. 6r Feet 10Q .,5-Feet VII. TANK Capacity site in gallons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New Existing Gallons Tanks Concrete strutted glass App- Tanks Tanks Septic Tank or Holding Tank ❑ 1:1 1:1 1:1 Lift Pump Tank /Siphon Chamber ~.Q f 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: o Stamps) / PRSW No.: Business Phone Number: . r~l; Sc_I 7~J' - 3g G ^ ?tom Plumber's Address (Street, City, State, Zip Code): IX. COUNTY / DEPARTMENT USE ONLY E] Disapproved Sanitary Permit Fee (includes Groundwater ate Issue Issuing Agent Signature (No Stamps) Approved F1 Owner Given Initial Surcharge Fee) 4 .0 -d-2 01 .1.4 j 4 _11;f (0 Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SHO-6398 (R. 05/94) DISTRIBUTION: original to County. One copy To: Safety 8 Buildings Divi.ion, Owner, Plumber i 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 -flnsite sewage s must be properly maintained-. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 3 years. 6. If you have questions concernin 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 rtanks 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. l SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations August 27, 1996 2226 Rose Street La Cvosse WI 5460 s ~~CJV__r8 WEGERER SOIL TESTING 421 N MAIN STREET STti f' PO BOX 74 RIVER FALLS WI 54022 ~,~NGE RE: PLAN S96-41057 FEE RECEIVED: 360. SELL, MILTON NE,NE,27,28,16W TOWN OF EAU GALLE COUNTY OF ST CR.OIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. - The existing tank being converted to a septic tank must be inspected for structural soundness, size and baffles, and must be brought into conformance with the requirements of chapter ILHR 83, Wis. Adm. Code. If it does not comply, a state approved septic tank shall be installed. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, &erard M. Swim Plan Reviewer Section of Private Sewage {608} 785-9348 SB13A-7987 (R. M44) J ` S 9 6- A .1. 0 5Pre of 6 MOUND SYSTEM FOR RECEIVED A 3 BEDROOM RESIDENCE AUG 2 3 1996 SAFETY 8 BLDGS. DIV. LOCATED IN THE NEl/4 OF THE NEZ 1/4 OF SECTION Z_2,T_?~B N, R J6 W, !Wi , ST• GZAIX COUNTY, WISCONSIN. TOWN OF Came INDEX PAGE l 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN -PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER g'(Ets PAGE 6 of 6 PUMP PERFORMANCE CURVE , s,,3w0E S~ . , 0 Y t PREPARED FOR ~s 1~8 zs o `RI Sr. nusc~~• wo0~~Utt,l-i?, ij1 5q PREPARED BY WEGE~ER SO 11 L - TESTS NG o~ `SCONQ41 AND. ° r DES z GN sT_=r;zw z (--E ARTHUR L F.O. BOX T{ 421 K. WK ST_ WFCLFFR WORTH. 5RIVER F41S. KI 54022 au5 wr. a ~wr. o°e° ~S I G~~ ~F JOB NO. - t~ 3 PLOT PLAN Of Page Z _ 6 Scale L40~. . ~Z TE- - Z<,kS j1NG V fNLT t~R1U`T -1v0~ a laE Usk SAS aF?PT1C - t NOUN ~Y.IClAsu2E~ 1~3TR~-~ LJ $b'* Q~t,LS, ETC.. ~b 8~ }N C°~oD~_, UPS h1pOQkz-O wt~.L - x 3 BD~r~ D'N v S Z44,1p UC S ~p 1~b oF- Z Pv C w'l - C~huv~ k!). . q-~_o 5' S ' 13 oT~ OF I Ovd i4 z. t-.. q~i . o Zp1~ 1~ ' ~O 1J pT Z01''(P~t~ Cc+~ 5 , to B- p~ DIS~R$ r..,p~~~~~"f-~1.. •0 V) ON fa,gl ~ ~ ~N~31,4 "O IA. `Tlt~(S 1~tiZ'~~1 ~r` tPET 1.~~~~y"ftl 1 lA a ~Tit N 3 r51S EL01 E OO~~~T O° ~1 SE Z ~E e7 T- P~zcisl y ~lti~ C 20 kC. '~IP<R."-L) NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted.. 2. Install permanent markers at end of each lateral. ( Z required) 3. Install 4" observation pipes with approved caps. ( z required) 4. Septic tank to be \\,)UO gallon capacity manufactured by Y- V p W 2S~ CAL ~'C' 1'~v r't P _ ~ 8 h l D W ~Z"N - S D 6ftL, `1'PCtv12 . 5. Bench Mark is, Y'pV E 6. Divert surface water around mound to prevent ponding at the uphill side.. Page 3. Of 6 Approved Synthetic Covering t~3TM c 33 Distribution Pipe Medium Sand - H Topsoil F G Elev. 99-0 3 E b \Z % Slope Force Main Plowed Trench of 12"-2,1,2" From Pump Layer Aggregate Undisturbed D 2.O Ft. Soil E ? Ft. Cross Section Of A Mound System Using F 0-16 Ft. I Trench For The Absorption Area G a Ft~,,TEM A S Ft.Ik~ F 4 B S Ft. Mona&iY I Z \ Ft.'e~ V 4. Linear Loading Rate= 6<~ GPD/LN FT d B Ft. Design Loading Rate= GPD c g O-3 /SQ FT ~ gMfA K \ Ft. t N g~L~'as L 103 Ft. gl • ~~vaS1t't Pes-1-t-ion of W Ft. cO~~ES L Force - - - B K Main- LDistribution Trench Of 2 - 2'2 Pipe Aggregate I J Observation Permanent Markers Pipes (Anchor securely) Mound Using I Trench For Absorption Area Page L4 Of---6_ Perforated Pipe Detail 0 End View Perforated End Cop. PVC Pipe asp Install permanent-marker at end of each lateral i Holes Located On Bottom, Are Equally Spaced Q End Cap * PVC Force Main Distrnaution EL}{C~ Pipe © Lost Hole Should Be ~ Next To End Cop Distribution Pipe Layout P 3~. S Ft. X 3 Inches y Inches Hole Diameter 1<</ Inch Lateral 1 /~y Inch(es) Manifold Inches Force Main Z Inches f of holes/pipe lZ Invert Elevation of Laterals RR•S Ft. ~zx1_ X Z= Z8 .o8 spry rt ri Place 1st hole ~a from tee with succeeding holes at 36 intervals . Last hole to be next to the end cap. PUMP CHAMBER CROSS SECTIOM AMD SPECIFICATIONS ' PAGE S OF 6 VEWT CAP I(C.I. VENT PIPC WEATHER. PROOF APPROVED LOCKING MANHOLE 10' FROM DOOR. JULICTION 80X COVER WITH WARNING LABEL 1 WINDOW OR FRESH AIR INTAKE I . I - GRADE L'L `I 4' MIM. ` ~ ~ IaMMIU. COQDUIT 18"1KIAj. Z•:~ PROVIDE 1 th1 Lir T AIRTIGHT SEAL I If' APPROVED JOIIJT/ A Tank ll .;i 3y all comply I APPROVED JOINTS w tip"H;~HR 83.20 I i I I ALARM i I ON -CLEV. 8q IF FT cJ PUMP - ' ` OFF Sej,. UO COUCKE.TE 5LOCK RISER EXIT PERMI1iED OWLy IF TAWt( MAAIUFAGTURER HAS SUCH APPROVAL APPRovi gEpplµ4 SPECIFICATIOMS DOSE TAW 'F'11Dw~S RN i~t ~T 3.0~ TA1JK MANUFACTURER: IJUMBEIt OF DOSES: PER OAS TAIJK 512E: LSD GALLOWS DOSE VOLUME z S .T. p SAS y IMCLUD114G 6ACKFLOW: GALLONS ALARM riO.AAILJFACT'I1$LSR: MODCL WUMBER: 1 ` lAJ CAPACITIES: A= ILICHESOR 31Z GALLOAl5 SWITCH TYPE: ~-l oRCuR-`f 5= Z IIJCHES OR 39 G(LLOIJS PUMP MANUFACTURER: Zo E"Z~ l_q~-z COPT PA"Lr G a S !!2 IIJCHES OR ) S'S GALLOIJS MODEL UUMBER:: ~8 D= 1Z ' 114CHES oR 23V GALLONS SWITCH TYPE: Y-1 LcuR `f `1v Sag YPE: MOTE: PUMP AMD ALARM RE TO bE MIMIMUM D15CHARGE RATE GPM IN5TALLEO OW SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEM PUMP OFF ALIO_OISTRIBUTIOW PIPE.. ~O'SO FEET + MINIMUM NETWORK SUPPLY PRESSURE , ° . , . , , . . ° . 2.50 FEET + \00 FEET OF FORCE MAIN X 1'b\ FYoFT.FRICTIOU FACTOR.. FEET TOTAL DtIWAMIC HEAD FEET DIAMETER INTERIJAL DIMEIJ510W~ OF TAWK: LEW&TH ;WIDTH - ;LIQUID DEPTH 38 Il2`' BOTTOM AREA - 231= GAL/INCH AS PER MANUFACTURER = 1~I.S GAL/INCH HEAD CAPACITY CURVE 3 7/8 6 1/4 30 MODEL "98" 4 5/8 e I ~r 2s e ( - - 3 5/8 6 20 m a - 15 4 3/16 ~ 4 fV-61 J H ~ 10 A$ 1 1/2-11 1/2 NPT 2 5 0 U.S. GALLONS 10 20 30 40 50 60 70 80 LITERS 80 160 240 0 FLOW PER MINUTE U TOTAL DYNAMIC HEADIFLOW PER MINUTE EFFLUENT AND DEWATERING CAPACITY 12 HEAD UNITSIMIN FEET METERS GALS LTRS 1.52 72 273 10 3.05 61 231 15 4.57 45 170 3 5/16 20 6.10 25 95 r Lock Valve 23' , CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and • Mercury float switches are available for controlling single and supplied with an alarm. three phase systems. • Mechanical alternators, for duplex systems, are available with or • Double piggyback mercury float switches are available for without alarm switches. variable level long cycle controls. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. Standard all models - Weight 39 lbs. - 1/2 H.P. 2 Single piggyback mercury float switch or double piggyback mercury, float 98 Series Control Selection switch. Refer to FMO477. Model Volts-Ph Mode Amps Simplex Duplex 3. Mechanical aftemator 10-0072 or 10-0075. M98 115 1 Auto 9.0 1 or 1 & 7 - 4. See FM0712, for correct model of Electrical Alternator, "E-Pak". N98 115 1 Non 9-0 2 or 2 & 6 3 or 4 & 5 5. Mercury sensor that switch 10-0225 used as a control activator, specify ; 098 230 1 Auto 4.5 1 or 1 & 7 - duplex (3) or (4) float system. ` E98 230 1 Non 4.5 2 or 2 & 6 3 or 4 & 5 6. Four (4) hole "J-Pak", junction box, for watertight connection or wired4n sim- plex or duplex operation, 10-0002 7. Two (2) hole "J-Pak", for watertight connection or splide. CAUTION For information on additional Zoeller products refer to catalog on Combination Starter, FM0514; Ali installation of controls, protection devices and wiring should be done by a quali- pggyback Mercury Switches. FMO477; Electrical Alternator. FMO486; Mechanical Altemaiw. Pied licensed electrician. All electrical and safety codes should be followed includ- FMO495; Alarm Package, FM0513; Sump/Sewage Basins, FMO487; and Simplex Control Box i^9 the most recent National Electric Code (NEC) and the Occupational Safety and FM0732. Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO. P.O. BOX 16347 Manufacturers of... L. Louisville, KY 40256-0347 Lam o OfLLfi? O. P TO. 3M LotillsmVe KY ,°Y4M6 ® (sod • 1(800) 928-PUMP LQUAL/7YPUMPS ~NCE /9aJ9 778.2731 J~ FAX 1502) 774-3624 Wiscunsirl Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildngs in accord with ILHR 83.05, Wis. Adm. Code COUNTX - , ' LX Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must includ ~60t. not limited to vertical and horizontal reference point (13M), direction and % of slope, scale o PARCEL 01. dimensioned, north arrow, and location and distance to nearest road. REylpV ED,BY, 4 ' DATE APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION ~.n; 24- PROPERTY OWNER: PROPERTY LOCA 1k':Ft!_ e Y"1. t L T SELL 6918-+~ NIF , S 2 7 , R 16 E (or +V PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SU MGdR* 1a C3 Zso T* ST'. 3 - P cs>~ CITY, STATE ZIP CODE PHONE NUMBER FICITY (]VILLAGE C~FOWIU 6 NEAREST ROAD wou~vL~~'s w l s(-Loz8 ()IS) 698_ Zl6 -.so T1I, sT', [JQ New Construction Use [JQ Residential / Number of bedrooms Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow q So gpd Recommended design loading rate - bed, 9pcW trench, 9pd/ft2 Absorption area required bed, 112 trench, ft2 Maximum design loading rate bed, gpd/112 trench, gpd/ft2 Recommended infiltration surface elevation(s) - It (as referred to site plant benchmark) Additional design / site considerations - Parent materW s t, L_jN sMtwteAJT out c I 'r Lt_ Flood plain elevation, if applicable N- I\- It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for Stem ❑ S O U ❑ S klU ❑ S O U ❑ S ®U ❑ S MU ❑ S Mu SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundaty Roots GPD/ft in. Munsell Qu. Sz. Corn Color Gr. Sz. Sh. Bed Trench S1 Z'~3bk rn tt ct, S o. S Z 6-IS L'Wttz st 1 Z~ sbk mfl- C z Ground 3 ~s-3y to 'I2Y! ")-S2 31y C ~~sbk wi~1, - elev. q-131 ft © Cwt` iv S 1tJ ` i cZ 1 5~1~ C-o T Depth to limiting factor Remarks: Boring # o. S o. 1 ° t,o`12 313 st t 2 `FSb>z ~ `Ft, a,S Z Z 1-~S ib`12 S/13 _ stl 7 'Sdk Iv~T- CS O.S o,b n 3 1S -3o jU `l2 VfV ~.Sti2 Sly 0- 1 CSd~n W1 Ground elev. Depth to limiting facto Remarks: TName:-Please Print Phone: Arthur L. We erer 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Fa11s,WI 54022 Signature: 6 _4 3 _ Date: CST Number:- -_:~Lwc M00 5 7 6 PROPERTY OWNER SELL.. SOIL DESCRIPTION REPORT Page? of PARCEL I.D. Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon Texture Consistence Barry Roots im. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0--) ~1 3/3 - si 2 Sbk wlaS _ 0. S v_6 . 3 Z ~_►y to y~3 s~ l Z ~'sbk MTV as o. s o~l, Ground 3 1y-fib LO `1R M elev. -I ft. 3 SP`1"t l.Jp~~- S P1i $ Depth to limiting factor , Remarks: Boring # 13- t1S 30b - we5r 3upE 0 Iz- ~3, Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: cRnn1nniR nv~~ PLOT PLAN Page 3 of 3 SCALE 1"= yO ' e~-~PT' R's StfUwrv s N a I p cl 45bc~P~,~1 W O~Q~,O I N Q~" 1- ti0 0.0 oni • a 3 ~ 1 8"l'aCIGN, 3tV"OIA. Q . N 1 3, Z (715 ) 425-0169 1I00576 CST Signature Date Signed Telephone-No. CST # Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relabons Division'of Safety 8 Buildirxfs in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but SC G1 k 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 PROPERTY OWNER: PROPERTY LOCATION Y_I t L_VUN SiEL. _ 69F-.teT- NZ- 1/4 NE 1/4,S Z'7 T ZS N,R 2 6 E (orQ)' PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK If SUBD. NAME OR'CSM # ``1$ Z.SO Tsl ST'. 3 - "swI CITY, STATE ZIP CODE PHONE NUMBER E]CITY E]VILLAGE ®fOWN NEAREST ROAD Woo~vL~L~ w l SLLo z8 (-)IS) 698-7_16y Gt~c-L 'is c `nt sT. [ ] New Construction Use [>Q Residential / Number of bedrooms [ ] Addition to existing building pQ Replacement [ ] Public or commercial describe Code derived daily flow S~ gpd Recommended design loading rate - bed, gpd/ft2 0 ~ trench, gpd* Absorption area required _ 3Z S bed, ft2 31 S trench, ft2 Maiomum design loading rater S bed, gpd/ft2 O. 6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 01: 1~ • K)' It (as referred t5site plan benchmark) Additional design / site considerations P'1ov>✓~ w/S')cl s' `T' ~Ct( . 1011;J- -Z- of .$'I}~ RL_L , Parent material '3L L -rj S e %MehJT ou l~ C1 -r t L t. Rood plain elevation, if applicable (y- N - ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑ S ®U MS ❑ U ❑ S O U S ®U ❑ S 1j U ❑ S MU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boun[bry Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. r8led reach 3 rn~'t ~S 2 Ground 3 1S -3y l0 2 Y! ->-S`1 tZ. Sty C 1CSbl2 FYI I' elev. Z 3 ft Q Co~" Iv S W `t 2 1 Sri Depth to limiting factor S" Remarks: Boring # o.S o. ~.4: 1 L o"I 2 313 _ St 1 2 `FSb a S Z Z 1-IS lb `1tZ yf3 - SlI ZjsSD fKT1- CS O.S o.6 c ;9 3 1S -3~ LO `IVL VII S` ft 3/y e~ l ~sd~ `fit , Ground I P~T 9e°l It 3 S ti.►u t_- S Depth to f limiting factor \S" Remarks: CST Name:-Please Print Arthur L. We erer Phone: 715-425-0165 Ad: egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: f) Dale: - - CST Number: a[ q~-173 g- 1~_~ M00576 PROPERTY OWNER _ SELL SOIL DESCRIPTION REPORT Page? of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bax~dary Roots GPD/ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 a-~ 1b`~ 1Z I/~ - - r"'a Z -ly ~o ~rr~ V1, WIT1- es o_ s 0~ 6 Ground 3 114 -'1 LQ Y2 V/ elev. _ -1 ft. 3 Sp~..t iUO, S Pr 8 Depth to limiting factor q Remarks: Boring # -3 Y-1 ~1S 3~~ wesT ~ 3uQ, E o t< Z3. 1-LI A) Ft A Ground 1ti S v1~ HT HESS + elev. ft. Depth to limiting factor LJ Remarks: Boring # Ground elev. ft. Depth to limiting i factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: 'L'411.R'7a~/Ca 1S!001 3 of 3 PLOT PLAN - Page SCALE 1"= yQ ' ~~PT- Stftlwrv z oU - opt wo0t1~D 3 Plzit,~ BoT'T N OF IlLevca 5+ ZS 9 O~ 2~~; v, ~T1.. R. Vj oT ± 3 I~ 8" L~tGN , 3Ly"Olq. cll _ j~ 'T*S 111~1~CA PvC PtPEr wl 1 V 1 fJ 9.1 1 I v ` I z~ ~Z "MV I r 1~LZOI~L`1Z(~l Lfni~ C 10 hC . L~C'tR~T1> (715 ) 425 0169 M00576 CST Signature Date Signed Telephone No. CST # Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1~ 3 Labor 2nd Human Relations _ Division of Safety tf Buik6nys in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but G~ 1 k not limited to vertical and horizontal reference point (Blv), direction and % of slope, scale or PARCEL I.D. # dmensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION `l" 1. t L_MN SELL Gog-EeT- NIF_~ 1/4 NE! 1/4,S177 T 2-8 N,R 2 6 E (or)~f PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 101 $ Z, S 0 Tit- ST'. 3 - s" CITY, STATE ZIP CODE PHONE NUMBER ❑GTY []VILLAGE ROWN NEAREST ROAD WOO~Vtt~~ w { sL oz8 ,(-)ISM 698_ Z l6 t Gt~trl ZS`o `T1t ST_ [...j New Construction Use [Y4 Residential / Number of bedrooms 3 [ J Addition to existing building pQ Replacement [ I Public or commercial describe Code derived daily flow 4. SO gpd Recommenced design loading rate - bed, gp(W ~~trench, 9Pd- Absorption area required 3Z S bed, fit 31 S trena`i,10 Maximum design loading rate0 - S bed, gpolfl2 0 I6 trench, gpd/ft2 Recommended infiltration surface elevation(s) `i q - ft (as referred site plan benchmark) Additional design / site oDrrjderations Mt U w/S'Xl s' 7lL~vct{ , la-i tr.~_ Z ' of S'f},v~ )=ic , Parent material S L LT`f SMVMe rT Out C 1 --LLL Hood plain elevation, if applicable 1y-N_ It S = Suitable for system CONVENTIONAL MOUND REGROUND PRESSURE AT-GRADE SYSTEM IN FU HOLDING TANK U= Unsuitable for stem ❑ S O U 9S ❑ U ❑ S ®U ❑ S ®U ❑ S MU ❑ S O U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence &Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. lied Tmnch o• S o-_d tiu`1, tZ 3! ~ S i 1 Z~ s bk rn ~'t-. cu s Z 6-IS tO`ttZ v/3 - S-11 ZFSbk M fir- C - v.S a~ z n Ground 3 ~s-3y 113,111-yt -S'l D_ 31y C1 l~sbk V4 TI' elev. Z- 3 ft © Corn rv S 1A `2 tZ l SPr~ .fl ce T Depth to limiting factor t Remarks: Boring # 0-1 10'12 313 St 1 2 ~-3 "L ~ C's 0-S O, L Z-tS Lb'~tlt Y(3 Stl Z~Sd1t to t?►- CS o.S "lZ l 3 3 1S -3o LO `t►L yly ~ -,.s4R 31y e~ 1 ~zdk W1 Ground q elev. ft.. 3 s ruo ~ s 431 l Depth to limiting I factor 1S" Remarks: TName:-Please Print Pie' Arthur L. We erer 715-425-0165 Address: Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature - - - Date: - - CST Number: R~-173 M00576 PROPERTY OWNER Sal L SOIL DESCRIPTION REPORT Page? of -3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 8 ad- Trench. 1,3 o. S o- L Z -ly ~o -l2 y/3 S1 *1 Z`~'sbk wi f► eS - o. S a. 6 Ground 3 14-3(~ lO `jfZ y~ ~Z 7•Sy2-'/ elev, q -3 rt. 3 sf~m ►Jo~ s PrT g Depth to limiting factor l Remarks: Boring # ~S 3~'~ w e5T ~ 3 u N F o ~ ~3 , ~ S uM i~T LESS Ground elev. ft. Depth to limiting factor j Remarks: Boring # i i E Ground 1 elev. ' ft. i ; ; Depth to i ' limiting factor i Remarks: Boring # r'Lan'.] i Ground elev, ft. Depth to limiting factor Remarks: cnn norm/n nrlw,\ PLOT PLAN Page 3 of 3 SCALE 1"= 14~3' ' s ~Z No ~ o~ 0v, ►ti100t1~D w~L L - X 3 B1~Qr1 PR-LU `ao,isE I B oThv~ n F Y1Z4~~ N Z S' ~ i s;t u' r^. ~/moo tJO~'~'1P~ ( . ~ I 8"~tLGN, Sly`DIA. +~~C1- j~1.5 l pvC PtpET ►•,lt-R'f1~ 1 O 1 ~ gLgZ 1 S,~ 1 - 1 o r ~2 Ju ~ 1 G 1 V • 1 2 S ~1. P~~oaV~ c 'LO Re . ~~r'cttc~t>. (715 ) 42.5 01 69 M00576 CSTSignature Date Signed Telephone No. CST # 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 M`k n cvnca 1V0 .rC_ DeA\ Location of property 1/4 1/4 , Section ,T N-R W Township &o0.., CxAc... Mailing address 1c1< 2S3 'w doh S N\\e_ w`,�L V`bata. Address of site i ftit �>Z \N\coc\ \\c \1C\, • Subdivision name C5V )0Le• I f, . 5 U 7 Lot no. 3 Other homes on property? Yes X No Previous owner of property 1\(\,\\c0 r� �0�.1\ee✓ Total size of property-/& ac-cC 5 Total size of parcel Z ac_rc2 Date parcel was created akA.ne t co ilg4# Are all corners and lot lines identifiable? X 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-Aican Date of Signature Date of Sianature • STC - 105 /0267.3 SEPTIC TANK MAINTENANCE AGREEMENT • Gr St. Croix County O WNER/BUYER rf\\\Abf Cz Se_1\ MAILING ADDRESS � Zv �� \KOOCQcS\ cL L PROPERTY ADDRESS /1 Y 77 S (location of septic system) Please obtain from the Planning Dept. CITY/STATE C dcsa//� r `/'e !.l,` PROPERTY LOCATION'{'( a 1/4, 1/4, Section cr 7 , T oZ N-R W TOWN OF £C&c.) C •<< e-- , ST. CROIX COUNTY, WI SUBDIVISION , LOT NUMBER 3 CERTIFIED SURVEY MAP ,VOLUME t 1 ,PAGE 3 I 11 ,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. UWe, 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 d e. SIGNED: C' DATE: -1 I St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 r • I i ~ ~ FILED i z JUN 2 6 1996 s KATHL[EN H. WALSH Register of DeedS 545921 ` SL Croix Co.,WI ~ i 0 CERTIFIED SURVEY MAP MILTON AND NANCY SELL Part of the Northeast 1/4 of the Northeast 1/4 of Section 27, Township 28 North, Range 16 West, Town of Eau Galle, St. Croix County, Wisconsin. OInAicates 1" x 24" iron pipe weighing 1.13 lbs./lin. N114 COR. SEC. 27, T 28 N , R16 W, ft. Set , /COUNTY SURVEYOR'S MON.) Indicates fence. NE COR. SEC. 27, r 2 8 N, R/ 6 W UNPLA :rED LANDS (COUNTY SURVEYOR'S MON.) _ S -9 34 "E ?680.02 670. O/' /340.0/' N L/NE NE//4 q W 669.94 ' 670. 00' o A O NB7•/4'14"W r1306.85636.91' _O o - - _ - - - - -SHED DRIVE WAY I ~ • SHED O 2 LOT / a LOT 2 0 O q q ~ O I I w /0. 192 ACRES " SHED w a 10.215 ACRES 1 q a1 b 443, 978 S0. Fr. w W 444, 978 S0. Fr. O HELL HOUSE w q 9.685 ACRES EXC. ROAD R.O.W. q f (1 b a 9.228 ACRES EX C. ROAD R.O.W. 42/, 87/ SO. Fr. N W % b 40 975 S0. Fr. SEPr/CI 2 a Owner's Address: I °o I I~ WATERCO RSE O I I y N 198 250TH St. I °o• y Woodville, WI 54028 I c y ~ 1 ~ O O w 668.80' 668.80' I b O Ir 19 N8 " 635.76' 133.04' g 7.07'/1 W /337.60' tt Dated: March 13, 1996 1 vll0 I~ t~\ttt t~~j1j~ "Revised this 20th day of June, 1996." 1 v I q y I~ `~\SC0n/S~ This instrument drafted by Laurence W. i c ro y Murphy ro = LAUR c~' = APPROVED ~ O q - m • W MU PHY ' S 3 ° c LOT 3 q q a u Z ER F LLS,,: I~ J 20.001 ACRES JUN 2 b ~ 1 u u (O WISC O ii,, O' Sv 871, 24 4 so. F r. I u u~ ly L A 0 / 9. 506 ACRES EXC. ROAD R.O. W.i CROIX COUNTY I #814111100 849,70/ so.Fr. comprehensivePiard* ~ ly rn Zoning and lI Laurence W. Murphy ROAD FAA `/7 LINE~- I 33'I a Registered Land Surveyor I66 I T 25' if wt rotoriod I L /302.05' within 30 doyt 1 33.04 ,I e II DOCUMENT NO: TATE BAR OF WISCONSIN FORM 1-1983 TNis a~ACC RcscRVCa FOR RLCORDINO DATA ` QUIT CLAIM DEED 'I 465,900 Vet S91 FA6< 401 REGISTERS OFFICE Milton G. Sell and Nancy E Sell, husband' CROIX CO., Recd for Record JAN 2 41991 quit-claims to M Iton--G,.-•-$ell--.and Nancy E. Sell, 8:30 7 A.MA ..husband and-.-wife,-- holding as survivorship....... CtX~C mar tal ro ert P..... A....... Y.... 161.%tQtster of Deeds the following described real estate in C.s...(rrO ?X............ County; State of Wisconsin: RcrunH io--' - Tax Parcel No: Northeast Quarter of Northeast Quarter (NE4 of NE'h) of Section Twenty-Seven (27), Township Twenty-eight North (T28N), Range Sixteen West (R16W) En, This $ homestead property. (is) ~CA9R~t Dated this .:-...........J.P*.................. day of A/✓v . 19.-91... V (SEAL) ....................................................................(SEAL) r- ..Sell:...::.. : (SEAL) 1..//• 7 .(SEAL) ,Y~....~ • -.Nanc.y...E:.,..S.e l.l.............._:......: AUTHENTICATION ACKNOWLEDGMENT a: l Signature(s) STATE OF WISCONSIN r ~L authenticated .'this ......day o Sty Croix County. f.................... 19...... Perspnaiiy, came before me this'?..l......... ._day of r ~/r T 19.911.._ the above named; M31 ~zn 5811, AAd..................... S Naiicy..E t..: T TITLE MEMBER STATE BAR OF WISCONSIN r (If not.. DOCUMENT NO. STATE BAR OF WISCONSIN-FORM 1 P WA"ANTY DEED 35^ O 9 1/(%l 577 1 t380 THIS SPACE Rf SEXVEO FOX nECO1101NG DATA Milton P. RowLee and REGIS ERS OFFICE TICS r DEED, .d. b.twT n P husband and wife 5T. Cn0►X CO., WIS. Torothy Rec'd. for 2cco. d ehis__ 13 ~h Milton G. Sell and Nancy Sell, husband~.ntor dflY of July A. D. 19 l8 and and wife as ,int tenants - at 8: 30 A. , M. Grantee. W i t n e s s e th , That the said Grsntor for a valuable consideration One dollar Rapfttar' of *ads (ti.QO)and other good and valuable consideration 1 conveys to Grantee the following described real estate in St. Croix County, XE UXN TO State of Wisconsin: Duvand Fod S and Loan The•Northeast Quarter (NE 1/4) of -the North-lDu.,and, W! east Quarter (NE 1/4) of Section 27, Township Tax Key. 28 Range 16 West. This is homestead property. NS611~ R $ 09, 0 F EE Together with all and singular the hereditaments and appurtenances thereunto belongir i or in any wise appertaining; And _ Grantor warrants that the title is good, indefeasible In fee simple and free and clear of encumbrances except and will warrant and defend the some. , 19 78 Executed at Woodville, Wisconsin this 7 Lh / day of July / - 4~(SEAL) .12-4 PRESENCE OF SIGNED AND SEALED Milton P . Row_Le - , 1 trt i/ (SEAL) l _Doroth M. RowLee (SEAL) 4 (SEAL) Signatures of authenticated this day of 19_. Title: Member State Bar of Wisconsin or.Othw ;Party Authorised udder Sec. 706.06 via. STATE OF WISCONSIN St. Croix County. as.