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HomeMy WebLinkAbout020-1306-50-000 (3) a o 3 CD M ryC O w H O N ~ O ' I C i z N O C Z ~ m LL c 3 0 Q II 3 r, v a' _ Z y rn W ~ O z ~O Z n N w a m N I- II O C z U w ~ r 7 = w Z o~ c Z M H r i .o c N M N O C O N 7 O. Q. a7 a) C •IV g O o aa)i ¢ w z co z o N Z d - E N W ~ H r+ O -O ai a+ C N d ` N T O. m O O o m h o co (A U) (A :3 o_ 055 am z •N W'aaa CL B o o 0O) rn (n J V O) O } 0) C*4 A~ 12 N O O O Of o E r N J O B ~ ~ a N N y $ ml Q a~ a) r Z U) Q Lri I N N O O O N N C O I~ C N Lo O 9 C 4 (0 0 CLOD LO N u a o 0 0 T O m T CL C -p N N N V ~O O C O O p y 7 N N N ~r r 0 N O In N F_ C N O I-- O O N"D c : E co O N E U • O N S'i (A N O Z c ' U) cO ~ i 5 a a • a m E c rr`1wv c _1 A uCL U) 0 e Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page l of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY ST ~~o.x Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but 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 t/L.. A-' - G/iA/iP.N y GOVT. LOT 5E 1/4 55_114,S 2 7 T 2.1 N,R /f (or) W PROPERTY OWNEIT:S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # CQansF 3 334 ,PoB rs sT y) s~ +~~Ma~ ~/D H1103 CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ROWN NEAREST EoADL~ T;MoG /Y/V. 55/o/ (G_&) Zz2-55",55 +1UpS01J New Construction Use ( krAesidendal / Number of bedrooms ' 3 (J Addition to existing building I J Replacement ( J Public or commercial describe Ysa - trench,gpdJft2 Cade derived daily flow Goa old Recommended design loading rate /bed, gpolh2 •5_ Absorption area required Ne bed, ft2 !>"'o trench, 112 Maximum design loading rate I---- _bed, gpd/tt2 - ~trench, gpd/9 Recommended infiltration surface elevation(s) s~ P 9 • 3 ft (as referred to site plan benchmark) Additional design / site considerations lwe v :SL °p 2 w / D.eo p /3o X S Parent material S~5 ~v,P,~Li.y ,PD T- Flood plain elevation, if appli6able It S =Suitable for SySlem cc~oNNyy ONAL MOUND WGROy RESSURE AT GRADE SYSTEM IN FILL O SW(i TANK U= Unsuitable fOr s stem LA'S O U 0S ~ G~ I1U Ds O S e SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bound3y Roots GPD/ft Boring # Horizon in Munsell Qu. Sz. ConL Color Gr. Sz. Sh. Bed lendl s/ i7es6C /e 5 2- y s 2- 111-20 /G 511 2 ~SAe 4, 7,P 04s /417C s - ~ Ground 3 3/D Y Sit 2 f 5~,~ ~oi 7' Ef 4 S S G ee- y-7&9 It. ~ - Zi7 J s X r1 c'.Z" s« s/ /f ye ~~4 s v s Depth to 14 " /t? a/ limiting , f, 61, S CSS - d factor ,r - 5 /o rP `1l . CrS 0, S o~ ~ to //f Remarks: Boring # lo-11 lolle 1-1e she 2 2- //.1 - - 75 ViP Ground fa elev. f q f, ft. "Depth to limiting ~ factor ~ t 1 PROPERTY OWNER SOIL DESCRIPTION REPORT Page Z of 3 PARCELI.D./ Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxkvy Roots GPD/ft In. Munsell Qu. Sz. Cor!t Color Gr. Sz. Sh. Bed Tmnch -13 /O M 31j-- si/ fsd,~ /w -11~e es /r- . Y , s Ground 3 /,0 .5 elev. Depth to ' Wiling (actor Remarks: Boring # 1 O 3~ /D le s•~ f s~,~ 4e es f y ; s Ground 3~ 16 elev. Depth to j Imifing factor Remarks: Boring # S 2 ~ -3o /o ye 3/ es /f , s Ground = elev. O~ - f tj ft. Depth to = limiting factor V Remarks: Boring # i Ground f LOT 50 jay , lop eF / " rP i4r N La T Go~pv~~ ~lEyf-rib-v /p p• D '8Z ~ 9Z 33 ~y 3 ~ 0 Cos cclev~rTia,~S 2 5~• So ,3' 3 ~y ~n I I N °30,10"W 664.12' 151. 57i0, fv' { ooh. U y 302 _ . per' S45`50'00°W t 86.82' S44°10'00"E =I / 66.00' ~ S7g 2~q~-E i 463.13' Zf8 ul I I v u 0 E:::J S Z s8 y~ ~ 57 J S89°3015°W 942 42 ~i lailillow STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS --c SUBDIVISION / CSM# x LOT ! l/ iq SECTIONT N-R-,1,4" W, Town of ST. CROIX COUNTY, WISCONSIN 1 PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ,20 7 I i /1 -7 INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK : c- % ' C) ALTERNATE BM: SEPTIC TPUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: l c' 5 Liquid Capacity: Setback from: Well ^c House Other 2 Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length Number of trenches f` Distance & Direction to nearest prop. line: Setback from: well: House-,,;. Other -7 7? ELEVATIONS Building Sewer r y ~ ST Inlet: G - 11 ST outlet: PC inlet PC bottom Pump Off BeAoMm /6 Header/Manifold of system C, Existing Grade j7z/-,>_ Final grade DATE OF INSTALLATION: ;PLUMBER ON JOB: LICENSE NUMBER: 7 INSPECTOR: i .3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations Safely and Buildings Division INSPECTION REPORT ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 268656 Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.: SMOCK, RYON L & BRENDA J HUDSON CST BM Elev.: i Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9600361 1.2 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic C.C)S~ Benchmark r Dosin > /ge l 3, 38 97. -3 eration Bldg. Sewer cl'Sl~/~~ !Holdi S tlW Wi{:et- ,SS" 9 C5// TANK SETBACK INFORMATION St/bg Outlet 6,. F5' 3 r tvent TANKTO P/L WELL BLDG. e RO AD Dt Inlet Septic NA Dt Bottom Dosin NA Headers ' 71 e3' Aeration NA Dist. Pipe GS Holding Bot. System 6~0 ~O PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Num G M TDH Lift Lr1cti0n H Ft Forcem.l n Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width , Length / No. Of Trenches p No. Of Pits Inside Dia. Liquid Depth DIMENSIONS le9 DIM SYSTEM TO P/L BLDG WELL LAKE/STREAM ING Manufa SETBACK INFORMATION Type O r CHA System: fro OR NIT DISTRIBUTION SYSTEM Header / Meriifutd - Distribution Pipe(s) „ x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing (D SOIL COVER x Pressure Systems Only xx Mound Or At-Gra ystems 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: HUDSON.27.29.19W, SE, SE, ORIOLE LANE o ~ ~t cc Plan revision required? ❑ Yes [9--N 0 Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: A Safety an d Buildings Division (Ei SANITARY PERMIT APPLICATION Bureau of Building water systems ■7R 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 12 x 11 inches in size. Gs/'Oi • See reverse side for instructions for completing this application State Sanitary Permit Number 8 6 s(.1 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 Prope Location G X1/4 1/4, S T , N, R E Property O eMailing Address 1 f Lot Number Block Number J O ~f Cit , to Zip Code Phone Number Subdivision Nam or CSM Nu b@r D/lta r 3 C f J~ 0 ( /7~? 7 / / I. TYPE OF BUILDING: (check one) ❑ State Owned c~t~r Nearest Road ❑ VII a ~ / ~ Public 1 or 2 Family Dwelling - No. of bedrooms wgen OF O~! 0 III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel / Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1 ["New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an ___Y_`_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 E] Mound 30 E] 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) Elevation L~ 6 Jam/ Feet Feet VII. TANK Capacity site in gallons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- plastic Exper_ INFORMATION Gallons Tanks Concrete glass App. New Existin strutted Tanks Tanks Septic Tank or Holding Tank Gl~~ ❑ ❑ n ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ El ❑ El E L11 VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plu 's Name: (Print)) Plumber' nature: (No Stamps) MP/MPRSW No.: Business Phone Number: 11107 J-r, PI tier's Addres (Street, City, State, Zip Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved s7ry Permit Fee (Indudes Groundwater Date Issue Issuing Agent Signature (No Stamps) ~J VApproved E] Owner Given Initial ]q-n-94 Adverse DeterminiSurcharge fee) X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: V I/ SBO-6398 (11.05/94) DISTRIBUTION: original to County. One copy To: Safety & Buildings Divn.ion, 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 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 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 8 112 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. .l Soil Tost Plot Plan Project Name Byro ' d Jr. Address o C F'3479 Loth Subdivision. I/e S~1/41/4 S~'6?N/R Township/VI, ~/d--7 O Boring O Well PL Property Line C unty L BM or VRP:"Assume Ellation 100 ft. System Elevation / 6 *HRP l Scale 1/4" 10 Ft. When dimensions aren't stated rev i rLHIV PROJECT- yv~z ~i cJ~ ADDRESS/o~5~~f/fj~f_~ 1 /4 1 /4/So77/T,;,2y N/R ly W TOWN v CO NTY f.Gro~~ MPRS Byron Bird Jr. 3318 DA 4 BEDROOM CLASS PERC, CONVENTIONAL IN-GROUN PRESSURE CONVENTIONAL LIFT MOUND HOLDI G TANK SEPTIC TANK SIZE ~s LIFT TANK SIZE DOSE TANK SIZE HOCDTNG TANK SIZE A 1116 BSORPTION AREA PERC RATE --2 BED SIZE Benchmark V.R.P. Assume Elevation 100' Location of Benchmark * H.R.P. L7 Borehole Q Well Scale = Feet 0 Perc Hole System Elevation Vent 12 TYPAR COVERING 12" 3' 4 6' 3' 3' O 3' I Sewer Rock 1 2' 18' F a - - y~ W Wisconsin Department of Industry, SOIL AND SITE EVALUATION Labor and Human Relations Page of Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County 1 include, but not limited to: vertical and horizontal reference point (BM), direction and G rO ~ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I- D. # ` ©-/j, APPLICANT INFORMATION - Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location E W Y t, ` Q~ O G Govt. Lot 1/4/4,S T~ N;R Zer Property Owner's Majlin Address Lot # Block# Subd. Name or CSM# ~0 A"'Zg~f Ci State Zip Code Phone Number [I City ❑ Villag Town Nearest Road New Construction Use: Residential / Number of bedrooms Addition to existing building Replacement ❑ Public or commercial - Describe: i Code derived daily flow gpd Recommended design loading rate -bed, gpd/ft2____S__trench, gpd/ft2 Absorption area required bed, ft2 ✓4 trench, ft2 Maximum design loading rate _,7 bed, gpd/ft2-trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/site considerations - Parent material (9Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Hol ing Tank U = Unsuitable for system s ❑ U ;ZS ❑ U OS ❑ U ,1~rS ❑ U ❑ S U ❑ S -kT-u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground elev. Depth to limiting factor in. ' / 3 ~ Remarks: "Boling # J/ V Ground lev. ~_vft. ep to limiting fa t r ~in. Remarks: CST Name lease Print) Signature Telephone No. Addrdss Date CST Number PROPERTY OWNER O DG(~SOIL DESCRIPTION REPORT //J4 Page Of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots G~pjft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench D e Ground elev. y~ft. Depth to limiting factor , in. y' Remarks: Boring # ~ G (7 6 Ground elev Depth to limiting factor ,-7-9'-in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # 6 ` S ~ s/ , ~ rte-- - Ground Depth to limiting factor in. Remarks: oling # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYERl~l OCIC~~Cf i?l - C-- MAILING ADDRESS _ yoo "5 PROPERTY ADDRESS ~tz_ (location of septic system) Please obtain from the Planning Dept. CITY/STATE C 4D~~ ~ PROPERTY LOCATION 1/4, 1/4, Section,,g~ T_4;27 --'~N-11 W TOWN OF ST. CROIX COUNTY, WI SUBDIVISION ,4~LOT NUMBER 25 CERTIFIED SURVEY 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 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three yew pi ratio date. SIGNED: -y_) UC~. DATE: 7 St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 STc - [ 00 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 4L-91-7 ~1 d c /t Location of property 1/4 5 1/4, Section T~N-R / W Township Mailing address ~je2 5-O~~r S Address of site Subdivision name Lot no.~_ Other homes on property? Yes No Previous owner of property Total size of property 3Gc cr Total size of parcel d,o ,;2 30 Date parcel was created Are all corners and lot lines identifiable? >C Yes No Is this property being developed for (spec house)? Yes __No Volume and Page Number ~3 3 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'sefaage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. r VYI.C _ - "Vm-~ - 11 C Sign ture of Applicant Co-Applicant - r 4 Date of Signature Date of Signature JVV t0 \ ~ \ W LL M W 4. \ \ Y \ a N v It! N Y O N 01 cG O 0 In C1 J M - N r ~s \ -4 CD °0 09°52'44 „E r G 0 ^ $ '~'~,Z 391.75--~_ N -OR/0 L - - V y~2 s`s► Aro --211.75 05244'sW - ® \ • _ _ -_150.00 , _ I I / ~ / _ 30.00'- - - i' 1 \ d co , ~1 T1~ Q W M Ll ! v~ . F: LL v 3 v Ww a m a ~ ~0 I J J \ o Lf) r t- in N 01 - 0 ~ O 00 o N (m Of U) ! y coI 7 r Z n ` 7 <O 1 ~ O f~ / rJ n 0) O oD 8 a) to cn b o NO5059'34"E N V. 256.55' 0 (n ts- +n W O Lo W t'' ' 3h a a uN C, to <y h Q N tt O - m F- 0 0) 00 M W O q v o M M C 3 u ^V, M M e 0) N Z 8 WW u IC) M Q N N O ID O N 4D W 0 0 0) 0 Z 255.43' 230.00' 350.00' • NO0019140It W 1678.41' WEST LINE OF THE El/2 OF THE SEI/4, SECTIOr UNR A i LD ~AND3 • DOCUMENT NO. STATE BAR OF WISCONSIN FOWL 1-f 11 ^~'s wACt atuwrto .ea McwolMO w.• I • WARRANTY DEED T197PACE',M REGt~rS~p7EEn OOFACE s This Deed made between - X71. Vr D( CO., W1 Humbird-Land- Co .rporation, a Minnesota Corporation ,,,d ityon. L Smock: and. 9i end, J. 5ioc_ ysbar., and Vn Te AUG Z 8 1996 at 10:00 A. M -Kau. -tk J4 Witnesseth, That the uid Granter, for • vahssWe eonsideraaio-a ctDads conveys to Grantee the following described real state In St,. -Croix M{_dAmerica Bank County. State of Wisconsin: 600 Second Street Lot 50, Humbird Hills Third Addition, Hudson, WI 54016 Town of Hudson, St. Croix County, Wisconsin Tax Parcel No:.................................. a 1 FEE Thi . is.(Wt......... homestead property. *X (Is not) Together with aB and singular the hereditaments and appsrtesmaees thereunto belonging; And ' . - warrant% that the title Is good, Indefeasible in fee simple and free and clear of encunahrances except Easemects, restrictions and rights-of-ray of record, if any and will warrant and defend the same. Dated this 12. A day of .........August If. _ _ . (SEAL) H1M1RD LAND CORPORA I ON. , 'rAL) Austin J. Baillon, its President . ._(SEAL) -(SEAL) • _ • - - - ADTKNUTICATION ACKNO WLRDOYENT signature (a) STATE OF SMU)NYlt MINNES~TA authenticated this day of-.............. it FIRSssaa*s t2-.W before me this _.1-2tii..... day of ' • the above named Am- in J _Bo11-lon~--President of -Humbird Land"-Corporation " - - TITLE: MEMBER STATE BAR OF WISCONSIN - (it rtfaed by 170646. Wig. 3tata) - to as a leasws to be the Dertoll -vcr.-~nn ,s forgpaiwg bmirva ent and affi a gd a aa7~'p S TNia INSTRUMENT WAS DRAFTED BY • ' ~ -V Q__t 0; AYPUB UBL►CINNE A - H~anbird-L3nd"Corporation---•___---------------- Paul A. Saillon "V-SWM63TON Nota_-y pw6r. _111"h ng- - . - - . (3iRnatores _ may be authenticated or acknowledged. y C.smbea is n - Both My permanent. (If not, state expiration are not nece.wry_) . date:.- - _ Y-31.a....__.._ ..............xW.20% •N- or pre.•.n ,hale, ill a" <aeacny ,ho.N he trp.a « print.d Mb- t1.► WARRAIrTT DnsD grATinfA !O -e+M~Mwlr.,...1. 1-3 8%.k r 1 - Nil.wter• wk. ..V.x 3 fi r l 9`- ~~~,~i~ j, ` •i~; : +es ~4r . ~'t~ id~"~ }t `f is ' ~ • 3