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HomeMy WebLinkAbout020-1305-10-000 o O~ 6q 0. 0 c 0 0 ' N ti O L y -o 0 'v O r N o O z Li c O Q 3 Cl) v O z y rn w E z c o z d ~w a co o I O z d c y z O O O to I- r m N z C ~ ZS 0 a m 0) c N fl. O O C ~y L L_ Q C C O U O O O Q w co z I- Z o N z a cn ~ c 01 E (D N (mil 'O i R ~ CL ra y N N IL C O 0 L O N N Im o F- H F- ~ ~ _ 04 N 1O O O O z o o L C 7 O N N N J U -NO rn rn } O N O O N J O O 7 = N a ~ m N O l0 4) TO ~ N N O Lo N C ~Q O m c O ~ O O 0 0 0 0 N C r.. L LO N E N N 0 r C L L n ON O Ir. N O F- F- cU LO 00 c of E E v N ~ 7 (0 y„ O S N O z T = U) v ca a a w m N m CL u m a w E c c S 0 Co 0 0 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER 54M /y1/LLE,~ a ADDRESS BoJ~ Z'd L Wo 04n M w ~yo~b SUBDIVISION / CSM9 T-,4AI MEY 2iOG~C LOT f SECTION 7 1 T Z N-R ~t Town of U -So ~J ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM TA B.M. 2" PIPE A-T 3so, y& . ~Atu~ Al-U). LoT CokkEP- A/o2 E L _ lop ao' rH ~O~ t/NE I, ~s A,bTE: AS of NTi~ctD wE~~ A11r YET Zs L'j~LI• ~~pRGE o.u.x32. a 21 ice- ss' - ~~yo. ROO so' 27/ S 9 - - Z4 14 v ~y V j ~I I V e 1 Zv/o INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: 7-o? of z'' XP A7' Al W LoT C®CNt E(_= Z.1 = /OO,Op~ ALTERNATE BM: roQ of alock FOUNOkyloN E 1 -0•W8, = SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: -WE( 5 E4 Liquid Capacity: ( O C O '~,4L Setback from: Well qS House a" Other 19, To IkAI 1 FEIc-,b Pump: Manufacturer Model# Size - Float seperation Gallons/cycle: Alarm Location- SOIL ABSORPTION SYSTEM Width: 166' Length 9 O/ Number of trenches I Distance & Direction to nearest prop. line: 99l T'O NOV# /_o7' ONE Setback from: well: A_ _S House S (.0' Other ELEVATIONS Building Sewer - ST Inlet. (.,DL = %0ST outlet 31 = 79 PC inlet PC bottom Pump Off (4~ . 9 s = 1is, i S IZ EA R- 7 i Header/Manifold Bottom of system :~,2 = 3.9 Existing Grade3,09_-95'0CFinal grade 3 , S . Sg. ps^- DATE OF INSTALLATION: it PLUMBER ON JOB: LICENSE NUMBER: fY! j ' 0 sj Q~ INSPECTOR: 3 / 9 3 : j t r Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 268561 Permit Holder's Name: ❑ City ❑ Village 4KI Town o : State Plan ID No.: MILLER, SAM HUDSON CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: f TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. ~ Septic Benchmark c,% /66W Dosing Q)/ u _ C~, y2 0, 7/p / G Aeration Bldg. Sewer Holding St/pK Inlet TANK SETBACK INFORMATION St/ Rt Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic 0 a-7 NA Dt Bottom Dosing NA Headers Aeration - NA Dist. Pipe 7 97`~ 9J Holdrrig Bot. System c/s PUMP/ SIPHON INFORMATION Final Grade F' Manufacturer Demand 99, el/ / Model Numb GPM TDH Lrf't Lric I S stem TD Ft Forcemain Length Did. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS B I DIM N ACIMTG anufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM E INFORMATION Type 0 r car `~s, CH'~`M$ER, ~o el Num erg System: _2040 3 OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) , x Hole Size x Hole Spa en it Intake / Length 61 Dia. Length 3Sr Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At- a Systems`b~ltp Depth Over Depth Over xx Depth 51 xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: HUDSON.12.29.19W, SW, NW, TANNEY LANE O Plan revision required? ❑ Yes PAO j / Use other side for additional information. 40 SBD-6710 (R 05/91) Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: tea="° Safety and Buildings Division 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 County , ~~~,X than 81/2 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number .Z&,es6/ 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 Property Owner Name Property Location ,51ql)l 0191"2 le-1 G z5ez t A) 1 /4 Nw 1/4, 5/ Z T aq , N, R/ q E (,00 Property Ows Mailing Address Lot Number Block Number City, State Zip Code Phone Number Subdivision Name or CSM Number 0.4)0 N W I -S-yb (3b > 2 7b% %A X1 N E I D 6E II. TYPE F BUILDING: (check one) ❑ State Owned City Nearest Road 3, Vilae E] Town OF fcJL) N1 Public 1 or 2 Family Dwellin - No. of bedrooms 1R!`/ NE L~e1lE III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) O ZO l 30~ = /C7 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- (v] New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an _ System System _ Tank Only Existing System _____ExistingSystem 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 11E] Seepage Bed 21 ❑ Mound 30E] Specify Type 41 ❑ Holding Tank 12 USeepage Trench 22 ❑ In-Ground Pressure 42E] 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 d V Co©O - ~yr~ Feet 72.-S- Feet VII. TANK Capacity 5 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 x I coo ( :Sr-p- 1:1 ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No St m s) Uhtr, PRSW No.: Business Phone Number: MIKE ELL Yu -S4P f Z__ Plumber's Address (Street, City, State, Zip Code): ZO 10 ey r R0(; W4)Q~mJV W l a~ IX. COUNTY/DEPARTMENT USE ONLY Disapproved Sa (Includes Groundwater ate Issue ISsuln9A9 nt SI9nat re (No P St ❑ ry Permit Fee Surcharge Fee) Approved E] Owner Given Initial i a Adverse Determination 1/~ o ~O X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: SOD-6398 (R. 05/94) DISTRIBUTION: Original to Counly. One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS ' 1. A sanitary permit is valid for two (2) years. ' 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-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 Yes_ 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the, county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; -water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes,- soil absorption systems; replacement system areas; and the location of the building.served- B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. S/4 m rlii / L E2 -rAn%vG A_' 1 E ~mT u- I~f -It lO7 SC-A LE SYsrF- AA EI. 4) 2S-o 3SOa Tay ~voer~MEY ~ 1 ~~tiF 220. 1 S~R~FI ~ NItJ ~p2 mI'R EI_ I ~ i W I ( to a\---_yo' to y 1 L P v LOT 1 S v PA o U I-OF (5 ti I .o N L i K- F_ p ~Ne 5 c a F~ N - - - - - - - - - - - - - - - - I I I I o f ~ i i ~ i r ~ I I I ~ I . m I I I m i ~ ~1 I I z p~ r Z r I I Z -n I I I c~ C I O I I I ~ I j I I ~W I ~ I 1 I ~w j m i I I_~ \ I ~ W ~ Z g p cc O O O X ry AO n 1 v 2 m J y O A0 m z v _ m v o 'CJ O T O C f't ~'s Z mm O Z - L I I --i Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page l of .3 Labor sr Auman Relations Division of safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COU Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but ~l G ea) x 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 nea APPLICANT INFORMATION-PLEASE PRINT~2 R I REVIEWED BY DATE T PROPERTY OWN R: P TY LOCATION J~/h /LL ~ L~/ GO T 5 1/4NC 1/4,S j/ T N,R / / E(or)W PROPERTYOWNER':S MAILING ADDRESS rr ^j r. LOT BLOCK# SUBD. NAME OR CSM~j A w N LY k/ t~' CITY, STATE ZIP CODE PHONE NUM i, ' QC VILLAGE OWN NEAREST ROAD Ud-';'g~j ~x1arUQY L14nit: New Construction Use [ Residential / Number of'b"q [ ] Addition to existing building j ] Replacement [ ] Public or commercial des ' £ Code derived daily flow gpd Recommended design loading rate bed, gpd/0trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/ site considerations /=VAL014►10a+ tO)OC VLNk w Alopkoy'4L Parent maternal Flood plain elevation, if applicable ft S =Suitable for system VENTIONAL MOUND IN ROUND PRESSURE AT-GRADE S TEM IN FILL HOLDING 1ANK U= Unsuitable fors stem UPS ❑ U S O U S 74W U 0) S❑ U S❑ U ❑ S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Baxldary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tierch L C ,AQ 1-31 ~h`al 3 2 - 0 f m r wi r r►► 4 .S~ c 0.4- Ground / 124 16`19 4 4 S r / 0.7 o !g C?V-'6f' Depth to limiting factor 3 > ID,~ Remarks: Boring # O-~~ /o~ 3 z L l s b r>7~- l q O ~S -9; 6AZ TQ1e 4 4 SL rh / C w 0,4 . V2-3g 16YP~g 4 s p 1h l w o .-7 6 r~ Ground 9eTlev 16 7 ft Depth to limiting if Remarks: CST Name:-Please Print Phone: ARWEy ON Address: (_AS~56.j LIJ /g~ Signature: Date: II A CST Number: PROPERTY OWNER SAM A)LLc:'2 SOIL DESCRIPTION REPORT Page 1Z_ of 3 PARCELI.D.fe Lbw/4 Ti4NNCY 1M,C Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Ou. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Bour y Roots Bed Trerch 3 C5 3 C rv, _ 2 .4 S,L I mqq k rn r Cw 0.3 Ground 17 4 6 10 `Y e 4 Q r /1, C w 0.7 o elev. 9 1-~IL ft g 6- 2.~ YS s 41,3 C 20( CL A) O.Zb,3 Depth to lZ; IO'l 413 r Ill 0.7 D.$ limiting factor Remarks: Boring # A 0-1b p~ ~3 / - L mfr ~ r Z 4':D.~ I0'2-4 ~ 4414 I s6k mn 'r Cw C) Z p3 $i 4.43 2.SY4 4 SjL MS 6k n,Tr CW ,2 io.3 Ground elev. g L w be 4 9 s r n, C w (S.7 p 56 9-7.7 Z ft Depth to 8-/2d~ 1/3 S o limiting factor Remarks: Boring# A L. rv►s~ rh c s S 15=319 /a\/4 SIC 1 rt1 SjK MTr cw Z-122 rat P2 4 4 - s (3 r►~ 0.7 o.Ts Ground elev. 9'7.7-2 ft Depth to limiting factor .r Remarks: Boring # Ground elev. ft Depth to limiting factor Remarks: SBD-8330(R.05/92) /4 vvtY . L,~~~ ~a~~ 3oF 3 A-r ' No2~._w~ST L rr C.o-oweP- ~ ~LE~I1~~1U1J= IU~~O~ 1 , 1 . , 9S A^ ,Y ~O a y 11 I~ 1 1 9- ~q zoo ScaL~ 1736 ' •t"• r ■•nrn~i •1r~IV»rr C•OOC O Crr rnE~wr0 0 1, Do 3 ° E p n C w e O • / . On •EY1n16f ME REFERENCED TO THE EAST- WEST w 7 • • COO C " IN IN[ KCT10N 11. ♦SSDNED TO SEAR N» SAN V nYO• QF E ° w. ° sff}30'oo -Oz rw~ri~r• »n0. 6r S wiiir~rC 1`C wn• i ~rr 0a0•0 inner R n nnr~ o vr^ p r Y n • • 8 ~ D"p D 3 S r. $ UI-fL--AT-T-ED LANDS t .44' Ncdo3'20*E 12".73' WEST LIME OF THE KW OF THE MEW, SECTION 11 "I 2f i s r D 1 'n R elm O Ox kOk It ~'3~f I~w ~J~`\ t VJ Y\ O~ m N ~ ` • 4~eg Q` To ~ 0 m-1 M z, sxa . o °$4 0 r • n a F~-I n yep ~~'3~O •D r -A0 i7L 04119 a 'yfr . D320 179.17- DEDICATED lOOWW-W 4416.W t PUBLIC D g _ RO°~---ir MOUNdo- THEROAD I SOUTH y 8 • 1 / Z \ Nooo3.10'E 416.W 1 191.4? -364.3v 3 • / It, ;0 Ic LA m 1 61 ~ If- in S04.44.Of•E o~-~ Ic"'3 I -I ss.TS 0` m , fr 'Y ax r n 11+7 m g m a kAl 1< ? , A N M D u~ + Q N IV O ~ f ik I V RI 0 it y, Ir- s O io is / f: i i W 9 7 g "1 Ir- O t^ 1< / ~ ~ O O 8- ) p 0' 1~ In N 42E.ff• V N w S04 4408 E 240.24 1•p r q / p p 2 ro I62.43' w w 6 1~ / rr w i -O m Vy1 IW(~1 N mfj IQ If_ D / q. 331.3w 0.4,33' y rP O / ~2 500 "03'20'W 481.72 D°.oo ~a{ / 1 y i '•Tt ~i IN A O N~90 / I41 10 IN Ifl~ m ~j ~b3. I / IN Ir- 1,. 1-I 0 :GD s u, o r e v,Q9~ ,r l TT~ m g a a -1 O all ' c y. =1 0 i • a~o 'Q~O`l~'f $02, N a o d • B k 2 A O• , r 4 J N r 1 17 Al 1 I it J F R?': SJ O N r uI a - -i ,~s~ ~ Q I W w ~ y - y / $ STC- 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNERIBUYER S A f`~ >'Yf 1 L L 2 MAILING ADDRESS 8Z) Z. g Z~ PROPERTY ADDRESS / 0 7 S TA M N gY LPN E: (location of septic system) Please obtain from the Planning Dept. CITY/STATE H PROPERTY LOCATION S ey 1/4, 1/4, Section Z T N-R W TOWN OF O ST. CROIX COUNTY, WI SUBDIVISION N N Y ~ E LOT NUMBER r CERTIFIEDSURVEY MAP `S 2 515S , VOLUME (P , PAGE LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by 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 ye piration date SIGNLD: DAIT, St. Croix County Zoning Office Governrnent Center 1101 Carmichael Road Hudson. AVI 54016 11193 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 S,1 /Y( M(I-LE(2Location of property5 W 1/41/4, Section I Z , T zg N-R W Township b{ V DS o N Mailing address Ro Z. 14o rt W ! Sya l~ Address of site (05-V TAW KE Y I-AN4 Subdivision name Tj jyff,05'Y' I-ZGE Lot no. l Other homes on property? Yes X No Previous owner of property RR N DN-L S Yl~ R Total size of property Z, 8S Ac_ Total size of parcel 2. gs Ac- Date parcel was created 9 - ~ - 93 Are all corners and lot lines identifiable? X Yes No Is this property being developed for (spec house)? h Yes No Volume 01 3~ and Page Number qS ~ 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. Sp VT-'5'-'5 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. eal So SAS S'~ ature f Applicant Co-Applicant Date of Signature Date of Siqnature • \ TNIa f~~C[ D TOR R[COROINO 7ATA • DOCUMENT NO. STATE BA F WISCONSI 0119 1-1983 [ArR)RANTY D D 504855 V0i 11h31PAGE 459`6 r.-CISTER'S OFFICE This Deed, made between - i ; „X CO.. VA . . . .Randall W. S pan and Patricia E. S nun, ^ec~W- Reowd - c _ husban-. . and vi fe , Grantor, SEP T 1993 and ...Sam...E....Mli I.er.... a...s.I.n9.le...person ct~1 OU 144 5 A:M Grantee, WitIlesseth, That the said Grantor, fora valuable consideration...... <r Randall W. Synan and Patricia E. Synan conveys to Grantee the following described real estate in ...St . Cr0 i.. RaruRN To County, State of Wisconsin: Tas ParedNo: The SE1/4 of NE1/4 of Section 11; the SW1/4 of NW1/4, the N1/2 of SW1/4, and the South 53 rods (874.5 feet) of the SE1/4 of NW1/4 except the East 74 feet thereof, all in Section 12; all in Tovnship 29 North, Range 19 West, Tovn of Hudson, St. Croix County, Wisconsin. AND A parcel of land located in part of the NE1/4 of SE1/4 of Section 11, Tovnship 29 North, Range 19 West, Tovn of Hudson, St. Croix County, Wisconsin further described as follovs: Commencing at the E1/4 corner of said Section 11; thence S89 3010011W, along the North line of the SE1/4 of said Section, 1212.32 feet to the point >ra of -eginning; thence continuing S89 30100"W, along said North line, 66.00 feet; thence SOO 28103"E, 500.00 feet; thence N8q 30100"E, _ along the North line of Certified Survey Map filed in Vol. "3", Page 722, 38.08 feet; thence N00 11133"W, 150.00 feet; thence N03 58134"E, 351.07 feet to the point of beginning. I This A..AQt.... homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And. R4.rlaa.h.1 W.!...SY.na.n.-and.. Pa-tri.c.i.a...E.•...Synan warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and rights-of-way of record, if any. •~f and will warrant and defend the same. Dated this day of AUg.USt-.................................. 19..4.3.. (SEAL) ........................(SEAL) ~Pw.....-.-. Randal.1-W . Synan Patricia Synan x - -----•---------.....----••-•-•------.................(SEAL) (SEAL) - • c. AUTSBNTICATION ACENOWL111DOUNNT Signature(s) STATE OF WISCONSIN . r, aa. a St. Croix County. authenticated this day of 19 Ptenally came before me .J. .------.day of Augus '1 • 19........ the above named { Randall W. Synan, Patricia E. I TITLE: MEMBER STATE BAR OF WISCONSIN Synan (1t not, 14 authorized by 1 708.08, Wis. Stats.) to ,I to me known to be the perso,n~ .9....... N~y~~z~rl~ctt~~lEtiihe I a=»a~'3.3"4 Z=a fi ___.oo 6w`e.."- 101- or a M Mw d M MW. MR,.. ao•.Y~ It 0 It 0 a~ri ; --TED ro-- .w 1P~~ - i tJ rto=_-MOUND '2 ROAD SOUTH--g D~~ r L) 1 m gs O I i ~v pp y s e m ~ 71v M i0 RIM i Z O r p K ~ ~ is ~t^ q 0 O g N 'D I Itn p ~1 wa..y 504 M De E zwaa , q 'h y 1 Y u m a m m 5 .o ~ g/f Mur ~ 1 Z9 7t~ A -iF. K Ifs Ir P - O D ~Z~ x mss` a ` `b• ' \ J R Z r i. M71~'N'w M.N ~ . ~ ~ zl a O ~ ~ z~ v ' aF K q w g ~ 'r s$ ,o w rs ~ ~9 G g - I I z _0 A i i o a $ -I-I-I- rv' dN 6 `5