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HomeMy WebLinkAbout020-1316-50-000 Q c a~i C) I o p v) so ° ° ~ I o aa) N c c ° m x > io N L N ? O N N m O d N Y N a> C C a ° W N = z U y 7 C Y. O N 0 cLo) E Q r ~ i O I 3 v rn w E Z 0p z y y N C 14U) j''.. d co c c 0 ° z d c u V1 I- ~ N Z -a m N m Q) m N CL N ~ N ~ ~ C I d ~ O c C ~ ~ Z F Z Z E N f0 N N N U ~l Q R L O CD ° o O a _ ° ~ N O O cD fn fA fA _N O ~.i cn Lo a a a 'ti cu a Mi Q g p fn O o o N !n J U } _ 04 O a o N O C. t-- 00 O O ? L m N d c N ~ C m w w ~ I °o o c o U.) c W c c rn o0 c CL CL O o Di ~ c E E ~ o~ 1 O - o o O N N L' m- Di N N N I- I- 00 O r.w N 00 • T O n E E U y, O N T CO N O L U) O w w I ~ E 4 m m a EL CL daw 1V E rr~~ v "~1 A 0 a. 0 m Ci y STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER j~~Gt ADDRESS SUBDIVISION / CSM# LOT SECTION T T N-R__Z7_W, Town of L4 .W ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM /CO 0 INDICATE NORTH AAOW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover- BENCHMARK' l ALTERNATE BM: ~D4 F- Xv► oQ (./cam/~ SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: lop Liquid Capacity: Setback from: Well House Other t Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location -: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 /off, ~Bo tom of system 6a`~ 7 Existing Grade&b S 16f final grade ~/a~rs77 4 S//- H 1"eK ~tf4Jee.~ iteKt~eS' / 5 S~/q~ ~d~~~~ DATE OF INSTALLATION: 5-,?6 PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt Ahsconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations Safety and Buildings Division INSPECTION REPORT ST" CROt X (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION 268514 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 106, Z6 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic c Sow C Benchmark /GC/, G'~ Dos' U l✓ , L"/;, . a) Z-2/_ Aeration Bldg. Sewer 5- / flol ing St/Inlet ,5 73' TANK SETBACK INFORMATION StIJWOutlet ~2 7' TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet Ar I Septic > S NA Dt Bottom D NA Header46R,9aa:~/~ • ~z~./S Id3. Z7 Aeration NA Dist. Pipe 7yz 9 Holding f Bot. System 29 2 /oS, o7 ` /8a, a PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand 03 ~D939 el Number GPM TDH Lift Loss S stem TDH Ft Forcemain Length Did. Dist. To well SOIL ABSORPTION SYSTEM BED /TRENCH Width Leng~h, No. Of Trenches No. Of Pits nside Dia. Id Depth DIMENSIONS DI N 1a SYSTEM TO / L BLDG WELL LAKE / STR ING Manufacturer: q SETBACK INFORMATION Type O r~o,..~ (7 Ft ~CHAMBER Mo a Num er: 7 System: ,J/G~ J~ OR UNIT DISTRIBUTION SYSTEM Header /1qHME6td Distribution Pipe(s) x Hole Size _WlTwe Spacing Vent To rrlntake Length / Dia. Length _ ' Dia. ~ Spacing j SOIL COVER x Pressure Systems Only xx Mo Or At-Gr ms Only Depth Over Depth Over vO x epth Of xx Seeded /Sodded xx Mulched No ❑ Yes ❑ No Bed /Trench Center Bed / Trench Edges ' Topsoil E] Yes E] COMMENTS: (Include code discrepancies, persons present, etc.) _Y it t d 1:,OCtN"T ION R axill.JSO . 24 ' 9 19irti a, E r N ; LOT i3 d „~v k OR 1 z ~ !J Plan revision required? ❑ Yes ff __N o Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No 0 i ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: Safety and Buildings Division r.~■~ri■~i 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 than 8 112 x 11 inches in size. S C_ Gr •,I_ • See reverse side for instructions for completing this application State Sanitary Permit Number The information you provide may be used by other government agency programs ❑ Check it revision to pe0ous 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 Se-1/4 i4,S„2y TL rN,Rl9 E(or)do Property Owner's Mailing Address Lot Number Block Number ~1J City, State Zip Code Phone Number Subdivision Name or CSM Number y.7~ II. TYPE F BOIL IMG: (check one) ❑ State Owned ❑ !t Nearest Road ❑ Vllyage Public 1 or 2 Family Dwelling - No. of bedrooms vin OF #,eJ_ o i Qom, ' Q.~. III. BUILDIN USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 2-0 ~V 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. YNew 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 410 Holding Tank 12ji$eepage Trench 22 ❑ In-Ground Pressure 42E] Pit Privy 13E] Seepage Pit 43 ❑ Vault Privy 14E] 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) iqXt- o7 Elevation & O 0 /OOU A000 ri x. :3 ` Feet %rr, !-yo ) Feet VII. TANK Capacity in gallons Total # of Prefab. Site Fiber- Plastic Exper. INFORMATION New Existing Gallons Tanks Manufacturers Name Concrete Con- Steel glass App- New Tanks Tanks Septic Tank or Holding Tank GJ e- t, % H- ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) -90PRSW No.: p~ Business Phone Number: Plumber's Address (Street, City, State, Zip Code): /U d L✓c` ~yoa IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved S nary Permit Fee (Includes Groundwater Date Issue Issuing Ag nt Signa r (No am A roved Surcharge Fee) pp ❑ Owner Given Initial Adverse Determination / UC/ /Tjc X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05194) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS . 1 A sanitary permit is valid for two (2; years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal an/ ne. + -:ritena 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 ae subr-ni l.ted 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- 11. 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, purTip/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber isto 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. Ui.: l _ - ~ u It.': 1 04/30/1996 0tts3t ~E,S T C e T L, O C 7>p '1 Y '9 h "V N M n~ ~ O ~ Z © r' 0 0 NJ 11 n r sl i A ~r `c N ~ w 4 • s,3i r o A • IN r c v~'J _r_ L., ® L c ~ ~ ~ ~ 0 p O u m o , J d N 3 -LIr Wisconsin and Department ment Relations dusty, • Labor L SOIL AND SITE EVALUATION REPORT Page of 3 Division of Safety a Buiidings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 2 ei c e ' e. Plan must include, but ST, CPO 0( not limited to vertical and horizontal reference irec of slope, scale or PARCEL I. D. # dimensioned, north arrow, and location and is e to near road.V,;!- ~ r9 r. A PPLICANT INFORMATION-PLEAS] INT ek IATI N- REVIEWED BY DATE PROPERTY OWNER: ss p °:P OPERTYLOCATION c?i H 3 M1/P y /I USG Lt t VT. LOT 5E 1/4 NE 114,S2y T 29 N,R E (010 PROPERTY OWNER':S MAILING ADDRESS ~yl 3RD S 1- ` OT # BLOC K# SUED. S U NAMEOR CSM # r, `~J R 0G- E' CITY, STATE ZIP CODE \PHONE MBER L]CITY LIVILLAGE OWN NEAREST ROAD Ffi U P,5 o,J W 5'10 l Co 1,60` v,Os o.v [q'New Construction Use [p"esidential / Number of I6drooms 3 -to f/ [ [ Addition to existing building [ I Replacement y3-6 [ [ Public or commercial describe Code derived dais flow 0 y (o0 9Pd Recommended design loading rate bed, gpd$ ~trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 - ~ trench, gpd/ft2 Recommended infiltration surfaceelevation(s) S~ . 3 ft (as referred to site plan benchmark) Additional design / site considerations U S E -f- - C4-t S Parent material 66C-5 3-f- 5477WOC. /d,t yy 4vt~p Flood plain elevation, it applicable N A- It S = Suitable for system coNVENrioNAL Mou~ie a U IN_ G8QUN❑D U ESSURE AT_c~eE~ U SSYYSTEM IN ~L H D NG TAW U = Unsuitable for system Gam ❑ U ff C75 CC'S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Wendt 6-7 /o y/? 3/3 if 5 ht 1. f e 2 y- 20 /.0 yle JIK 2 f s bK f ~t S I u , 5- / 9v Ground 3 0! y 7,S YR t `.5 If S6& ti-A+ 1, es, . ~ ~ elev. /0 4.36 it. W-9 ZS t/ill' y/l' fs Depth to limiting factor io t Remarks: Boring # l p-? 31f2 CS if y, S 7-23 / o e 31h k .b,., f/e C S l u f, S. G Ground 3 3-y ~o Y/V yy elev. y0 / O I~je 5~ S /0S,70 ft. Depth to limiting factor , Remarks: CST Name:-Please Print IR O B ER T U L Q P_ t'C L,7- Phone: 71.6'-- 3 ~~o 9/ 8s Address: * 2 3 - FS CsT.y 2- y~ Z Signature: -7 _ n.,.,ete sewnnn Censuttants nafa• reT uh... k- PROPERTYOWNER 3 Ff RU 5Ctk-~ SOIL DESCRIPTION REPORT Page? of 3 PARCEL I.D. t Sb A.-jR /DG Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed TIvnch 1o_ oye3/ A"f", /fsbK ,„f2 s 1f y ,S 2 f-/7 o yle 3H s, 1,►„ 6k -F i' Qs l of 5 6 evn Ground 3 R / f sot /,Moff2 QS • , 'S lev 51 S~ ivr S. 0 S //0 e"0 tt. y 10 /O Vie Depth to limiting ! factor i Remarks: Boring # / 0-// /0 YR 3/3 4, MFR ~S 1f . y I . S~ L 11-2,0 /0'/R 3/1/ j;'i 2,,m he •.F. R C S /vf 5 . G 3 S/ I 'F Shk •►N, v f R aw y . S' Ground elev. l~ 3y-90 /0 YR %l~ /a~M► ~,S . S _ .5 . G %o. htt. is /9194&Ts of CS G Sel- - •00 Depth to a limiting factor Remarks: Boring # /D //2 3/ 3 /o t ti I f s bt t,,-FP- of S f- y 5 2 11-/~ O yie -p/ / S/ l h~ ~ CS S :?v Ground elev. 3110 y/6 /o rt. Depth to limiting factor / Remarks: Boring # Ground elev. ft. Depth to limiting factor o L 0 0 a z 0 m ~ o o~ m P 4 r 14 b °oq, r N ~ L o • ~ fi W N O m ` -n ~ r l ~ SOLD ~ r V N p N x r ;r t f CA) CO) f . • ,K a l D A DpNS NJ CA) C7 Eyl (7 W. fn v N •~y \ 6 N CA) -4 0. 11 5 N C7 I r~' ^1~' 0o D -t D ? ~ °~..'y-~ N K) 0 D N O ` D ~ L~ t I ~ s ' r r j r) sf t ,r , 00 •w t t~ ~ r O coo O ~ ~ , r ~ n i~ ~~"~~•~~"',t •1~ •,r ~ v~1 fig' ~ s ut J 4 }iti ,w,. 4j<~1~ r1+{7 e6t~i~ ryy or ~ ~ C~ ~ O •~J '~'~"'"i,.~~~',/`7 P'~i•. 'r~r tY ,Aaoat}~'r'-•t!'~• ^r''jyadya~ ; ~IF NX: N r n a, i ~ ! ~X~p~~'- ~tk a, w~ 7~~¢y~j~`'~~ "~,'Y'ti {4't•(, fJph ~(y y V~.r r.?-p•]~' ut~; 'ttc / • ~ 1 ~r~ 1 l'~t ~~!!;`~.'S Sy' i Yt~~~~0 S ~ l~t {~~f'~'~7ri~~ ' ~ ~ ~~,1//~~tt ~7` 1 f ,~•?~Yy +"r..t(~'}1{~1~•~'~~'.i•Yr\;);art '`t.~4.A~yt' 3♦.~''r }t ,Y`~SM~r`,h lt.~~ ~t•^ r~~' ,`l' r~ ••Y}7 t~ f.~~~ v ~i '`,r~w~~ q' ~ C A'}` mil, ` .t k U w~ • fM1 r • r 0 CC) 6 ti n \ 0 twit rrt- Z'4 0. 0 00 cD \ v _0 \ (0 W \ S O D rt -TI ' 0 0, \ 0.001, v rr 'yT 'G 00 ti~v00N rt O. ~j OO • w 00 Z o O N O F \ \ D C!j m A OD U) c C> 4 sr, \ \ tS,. \ d u(D i \ r Q \ o m o 1< O 5\, - m ~ ~agw pm, ' v z , S \ ,p m 0O. z G) o :m iv 3942' \ OD \ \ \ \ N kD O) 0 BENOY- s_- DRIVE- co \ \ \ \ ?ai o - - - C!J z D ~ A m N y D < o r- m ip U7 m Z N O -4 - w D 00~ O D~ 3 d Cb cn vD o° m C)l c C- f O O mco cc 3c %O . r- M CD mz m~ O Zcn i c°n D m (1) 6 6' I OD :0: 0 Dev S 07- I z 0 11 27" ~ m O~ s~A W 456. I -i v~ 6 6 N \ A s~ 83- 0 IV 0 .2 ti \ G0, °A o Q S31 Eo o c,, M,.tiE ,6 oso 'p ~1y 6 oo m \0, ~tn F~9~ OG 6p. f~ Ri I x O,\ F~ 1 f I r0 - \ / A'Qn 2~ ~.n Y % vti ~G 5o ni ?L v 6 iv 6 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St Croix County OWNER/BUYER 'L ~Y`Q vl c~ z a~ JI Q a f !~e_ MAWNG ADDRESS PROPERTY ADDRESS 6 R v o __t> V- W 1 I S74 o ~o (location of septic system) Please obtain from the Planning Dept. CITY/STATE 1- PROPERTY LOCATION 114, n 1/4, Section o f T a9 - O N-R__i2_W TOWN OF D( S On- ST. CROIK COUNTY, WI i SUBDIVISION LOT NUMBER S O CERTIFIEDSURVEY MAP , VOLUME , 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 113 full of sludge and scum, I I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: DATE: g So St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 O COS. OF AMERY 4 003 aTC - 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 ~ Atid ,2RR F/ Location of property S E 1/4 1* 1/4, Section P q , Tag N N-R 19 w Township f~~ds0A/ Mailing address c V% .A: o o 51- te r' vin y1 5 o Address of site `b"1 'J_. o so W 10 t b subdivision name Lot no. Sb other homes on property? Yes___Y,_No Previous owner of property /~1r~ip' ✓%~,rt,~c~j Total size of property z, 03 v~ s Total size of parcel 3 AQ r~ Date parcel was created a i Are all corners and lot lines identifiable? 0- Yes No Is this property being developed for (spec house) ? _ Yes K No volume .11% and Page Number (o 3-1 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. 5Lf5 4-I p , 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. gna ure of Applicant Co-Applicant STATE BAR OF NISCONSIN FORNI I - 1982 C 5 ,q.~0 WARR_A.VTY DEED + DOCUMENT NO. 1184PAC_U?7 Fat , WI CE lcod This Deed, made between Green ood Enterprises , Inc. , a Wisconsin corporation 96 com Grantor, AM e rey arre a an aan- ~ ~arrelte, G~,3,t~, and as joint tenants eds Grantee, THIS SPACE RESERVED FOR RECORDING DATA Witnesseth, That the said Grantor. for a sal=ble consideration of one dollar and other good and va 4Aa'_' ° r nn-G-1derat on- NAME AND RETURN ADDRESS conveys to Grantee the following described real estate in St o~ x Greenwood Enterprises, Inc. 1416 Third Street County, State of Wisconsin: Hudson, WI 54016 (Parcel Identification Number) Lot 50 of the Plat of SunRidge III, filed in the Office of the Register of Deeds for St. Croix County, Wisconsin on January 2, 1996, in Volume 6 of Plats, at Page 46, as Document Number 538046. ~ IT'SFER This is not homestead property. X) (is not) Together with all and singular the hereditaments aad appurtenances thereunto belonging; And Greenwood Enterprises, Inc. warrants that the title is good, indefeasible in fee simple amd free and clear of encumbrances except easements, restrictions and reservations, if any, of record and will warrant and defend the same. day of June 19_96. Dated this uREEN D ENTERPRI S, INC. GREENWOOD ENTERPRI , BY: «SEAL) By. (SEAL) S( J mes E. Rusch, its president Ma Rusch, i cretary S' J O t0 co . -:1 r AUTHENTICATION ACKNOWLEDGMENT. A t.,i S(P STATE OF WISCONSIN Signature(o -James E. Rusc_h., its presid~at ss. St. Croix County. day of .3-vitte. 19 Personally came before me this day of c d this June , 19.96_ the above named Mary- R__RUSjCh,_it_s_serrPtary is A. Murray TITLE: MEMBER STATE BAR F WISCONS1% (lf not, authorized by §706.06, Wis. Scats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. - THIS INSTRUMENT WAS DRAFTED BY