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HomeMy WebLinkAbout030-2002-10-000 Q O N O 3: c~ M p v a oq N 4. c0 O ~ ti t\. cz c N .O b (U N C O CL C7 ~Z y O O O. O. N n c O .3 (U F N O O O. 'O Z O ~ c U. o n 0 w C N O O C O O C E Q z°p o c _ M a N N O W E Z o p Z 0 ° 3: 1 d a m co F- U) C O O l c d 0 ~ c w r 7 N avi Z d' ° c Cn F- N Z Cl) N N N • Nom'' a p c O Z F- Z o O N Z N C _0 C C E > N O= N c Q m O a c 5 O N N O 2 0 6 _O ° o o a - N N O a F- F- F O U = N N 0 0 0 d Z O O •1V a a a N a N c N ° t!1 J U = :3 0) 0) 0 N O - - Z Q) M 0 N c, C) 0 a C4 O O , N \ m W ~ji N ~ v) N O E , LO a } o O ~j O O C N C 1y o° 3 -0 -0 a) LO co O O O O O CQ N F- _0 U C C (U tF U M C W E E C O N N N O p y c C a> c N LO 0 Q, C N O O O N ~a n 00 C COO Cl) = 00 M C2 O O U • ?a M O (D y O M U) III M N O Lo z Z (A O ~ \ # « d v V~ d m ~ a 5 # a a w • cc a y d y c E u c c t A U a E 'll O US V Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05 W d7 e 1, 1 COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in si must include, 13u( St. Croix not limited to vertical and horizontal reference point (BM), direction an~ slo pZ @ PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road.- 030-2002-10 ` EVIEWED APPLICANT INFORMATION-PLEASE PRINT ALL INFORM N BY DATE PROPERTY OWNER: PROPEI}TY:~( ATION Elton Johnson GOVT. L0.4-SW 1/4` / 1/4,S33 T 30 ,N,R 19 f(or) W PROPERTY OWNER':S MAILING ADDRESS T#1 "I L K-# 09 . NAME OR CSM # ei, Ana .04 1254 52nd St. - CITY, STATE ZIP CODE PHONE NUMBER ~IL OWN NEAREST ROAD --.._Jos 54016 b15) 549-6671 St- _ . 52nd. sT. Hudson, WI. enh [ ] New Construction Use [ ] Residential / Number of bedrooms 3 [ ] Addition to existing building jid Replacement ( ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate __,.7 bed, gpd/ft2__,B__trench, gpd/ft2 Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate ____7_bed, gpd/ft2_,.Z___trench, gpd/ft2 Recommended infiltration surface elevation(s) 94.12 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft t able for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK 5S El U RkS El U ® S El U C S❑ U 0S ❑ U ❑ S Q U uitable for system SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bwxby Roots GPD/ft Boring # Horizon in. Munsell Glu. Sz. Cont Color Gr. Sz. Sh. Bed Tmrxh 1 0-9 10 r3 3 none sl 2rj21 Mfr Cs 2f nQ .2 1 2 9-20 10 r4/6 none sicl 2msb'.< mfr ClW if .4 .5 Ground 3 20-33 7.5 r4/4. none sl lcsbk mfr cfw na .4 .5 elev. 97.85 ft. 4 33-84 7.5yr3/4 none cos os mvfr na na .7 i.8 Depth to limiting factor +84" Remarks: Boring # mf r CS 2f 1 0-12 10 r3 3 none 1 2 2 2 12-36 1Q r5/6 none sil lfsbk mfr C[W if .2 i:.3 3 36-84 7.5 r4 6 none cos Ground elev. 98.1}. Depth to limiting factor +84" Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th. Av . New Rich nd WI 54017 Signature: Date: 9-6-96 CST Number: mO2298 4L, PROPERTY OWNER Elton Johnson SUiL uCbUnir i IUn htrun I I av" 2 u _3 PARCEL I.D. # 030-2002-10 ti Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 1 0-10 sil 2msbk mfr cs 2f .5 .6 .0 3 4 ~ 2 10-33 10 r4/4 none sicl 2msbk mfr yw if .4 .5 Ground 3-- 33-42 7.5 r4 4 none sl lcsbk mfr C[w na .4 .5 elev. 97.7 ft. 4 42-82 7.5 r4 6 none cos os mvfr na na .7 .8 Depth to limiting fa+82 Remarks: Boring # : 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: SBD-8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Elton Johnson New Richmond, WI 54017 MPRSW 3254 SW4NE4 S33-T30N-R19w (715) 246-6200 town of St. Joseph N 1"=40' BM.= top of sw corner of cement garage door apron C el. 100, 5 1 Fh2~-p .1 , 3~= g.3 1 z~ a ~©o Gary L. Steel 9-6-96 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER C1,07#V SOiI/ ADDRESS 'SIT, "110-0 /v)/t. yo~~ SUBDIVISION / CSM# AA LOT # SECTION 3.3 T30N-R_ W, Town of Sj, ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 43 1 L fi cSCfiL = yd r \ INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: T6 Q O/(-- Sw CDPA(A /L Q-Zrr 6?A4.4 /-,97 /a 4X&-Al SZ 17--Joao ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: l&C~,~ Liquid Capacity: Setback from: Well House Other Pum ufacturer Mo Size Float seperation Gallons/cyc Ala' cation SOIL ABSORPTION SYSTEM Width: j Length S 7 Number of trenches :Distance & Direction to nearest prop. line: 4- `oZ,-r/w .Setback from: well.70-_ House Bel I 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 INSTALLATIO 'PLUMBER ON JOB: LICENSE NUMBER: 3 j INSPECTOR: 3/93:jt 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 268665 Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.: JOHNSON, ELTON ST. JOSEPH CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: / 4'~%" TANK INFORMATION LEVATION DATA A96011 71 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 1119"" 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. of _s Aeration NA Dist. Pipe _ ~ ~ y ' Bot. System q 9 3 Holding PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft ead Forcemain Length Dia. Fi 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 Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION TYpeO CHAMBER Mode Number: System: ~1UU~ 1,3U OR UNIT DISTRIBUTION SYSTEM Leng er /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake th Di a. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only De th Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched p ! " Yes ❑ ❑ Bed/ Trench Center 3 ~ Bed /Trench Edges 30- ~4o Topsoil No C] Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: ST. JOSEPH.33.30.19W, ~SW, NE, 52ND STREET (0 -0/ W > Plan revision required? E] Yes a/No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY - cra/x STATE SANITARY PERMI # -Attach complete plans (to the county copy only) for the system, on paper not less than 1 ~pgb6~ 8% X 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION ejJ % "%,S,33 T. , N, R E o W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # D CITY, STATE ZIP CODE PHONE NUMBER SU DIVISION NAME OR CSM NUMBER e Aapsa,y A1.4- II. TYPE OF BUILDING: Check one CITY : NEAREST ROAD ( ) ❑ State Owned VILLAGE : & G 57' ❑ Public 1 or 2 Fam. Dwelling-# of bedrooms-3- 1A : X RGEL TAX NUMBER(S) Ill. BUILDING USE: (If building type is public, check all that apply) 1130 -100.2 1 ❑ Apt/Condo 20 Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandiser 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 in line A. Check line B if applicable) A) 1. ❑ New 2. 4 Replacement 3. ❑ Replacement of 4.0 Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - 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 42 ❑ Pit Privy 13 Seepage Pit Pressure 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 REQUI//RED(sq. ft.) PROPOSED'(sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION Y1510 1 A~3 576 s Feet Ifs" Feet CAPACITY VII. TANK # Site in allons Total of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks Concrete structed glass App' Tanks Tanks Septic Tank or Holdin Tank E Lift Pump Tank/Siphon Chamber El El El I El I F-1 VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on attached plans. Plumber's Name (Print): Plum er Signature: (No Stam Business Phone Number: S QWAIIIA( & &t -7- 32DS 2, Plumber's Address (Street, City, State, Zip Code): ,6-C 1JAcij6FX Ozgzaj IX. COUNTY/DEPART NT USE ONLY ❑ Disapproved S itary (Permit Fee (Includes Groundwater Date Issued Issuing ent Signatur No Surcharge Fee) Approved ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-8398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety a Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. You`'r'sanitary permit may be renewed before the expiration date, and at the time of ren:,i, al any new criteria in the Wisconsin Administrative Code will be applicable. 3, All revisions to this permit must be approvcd by file permit issuing authority. 4. Changes in (w ii or plumber requires a Sanitary Perm=t T ansfer/RE a !a! f=orm (,'-:=D 6399) to be «ubmitted to the county prior to installation. 5. Onsite sevv-,_~;e systems v;ust be properly m ...tai,iea. The c: tank(s) Pr;. t ee purl li a licensed pumper who-,never necessary, usually every 2 to 3 years. 6. If you have questions conrerning your onsite sewage system, contact your local co,je.ad-iinistrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: L Property owner's name and mailing address. Provide the legal description and parcel tax iumber(s) of where 'rile system is to be installed. II. Type of ouilding being served. Check only one and complete # of bedrooms if, 1 or 2 =ami.y Dwelling. III. Building use. If building type is Public, check all appropriate boxes that appl,. IV. Type of ,permit. Check only one in line A. Complete line B if permit is for tan1% replacement reconnection, or repair. V. Type of ystem. Check appropriate box depending on system type. VI. Ahsorotirn system information. Provide a'' information requested #"-7. - Vj! ' ai',k ;.f:_, rnation. Fill in tine caps, ;ty t Every new Mild/or existing; hst t! e total : iii ^u niter of tanks and ,manufacturer's name. Inuica~c: prefab or site constructed "in-d' tank rnateiia= t lFae f(.r al! sept!c, pt-r ,p/siphon and holding tanks for this system. Check c.q, erirnnen4U-, I „:,nproval c> Links received ;IX per,rn , -~;al product approval frurnn DILHR. _ Vill, Respwis!ttiiity statement. lnsiaiiing plumber is to fil, in name, iir. e nse nurnbe* with appropi rAe prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form IX. County/Department Use Only. X. County/Department Use Only. ,omi r)ia.ns and specif,• a.tions not than 8'h x 11 :nus t he ?.,f•e (_+nty. The ki- =n I,tfr aiorl of ''nz rr,- ;i1GiUde the f0(I~YJJi'?g' A) ,i' ' 3W tU SCai~; ~tQr~tp h:.,'(! ,:g .3nk,(s), si i a{ k(or othc-, r• i taanks; buildir - w&er i% A atei service; St(ACnri1s aot5 lakes, poli =;r <>Iphono taoky_ !itUtlOn boxes. systr-' t rc_. 't-roer=t system 8reas aria' the location ,-)f the bU!l 'gig (?G, 3) h(h lZO'?1 ~ a~+:' t^.^^ -in C) complete specifications for pumps and controls; dose volume:; ~'~ivati'3r> cJferences: Ir .,It loss; pump performance curve; pump model and pump manufacturer; D) cross section ul the soi' aLs,: rption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. - - - - - - - - - - - - - GROUNDWATER SURCHARGE 1983 Wisronsi-~, Act 410 includ&I the c.,eation of ~urch<,rc,es (fees) for a { : mber r regu-aced pr<.ctices which car cff5-ct groundwater. fr:e r"C1is1 ~;oilected through t:ese. s:jzchar'y@s.are uspd f ,r nso,r,on~ 'j c;ro<indvu -Ate watercontamination investigations and establishment af Standard` J , SBD-6398 (R.11/88) tT e p qo v E/~lTac TT~ APPl?cK lz",CAI)AZ zyK z y., ~}ppRoo~O couE/1 m o ~ porx_ ~ x~s7iN~ /oo0 d~ /EX~sT~uU Sy-;T ,2 -Sxs'7 ' ei TR EivcstES 83 5041.E 1/O ~fr /op o ~ sw Co/~,crE/~ C/7 i `r/'F2AGE A~2 ,419Roff EL. /OO~1J rA4 1P~ / EL TON co#lvr®lv /,2,~'ZRO s% >'8G ~/flccEY ~/lCw 7/1, ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the EC TON Dffh' DAf residence located at. 56V 1/4, /fE 1/4, Sec. 33 T_30 N, R __I _f W, Town of $7.7s Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced g 9 Did flow back occur from absorption system? Yes No (if no, skip next line) Approximate volume or length of time: gallons minutes Capacity: fL100 CL, Construction: Prefab ConcretexSteel Other Manufacurer (if known): WEe)(75 Age of Tank (if known) : ,hpjMo c loPyfS (Signature) (Name) Please Print (Title) (License Number) (Date) Form to be completed by licensed plumber (s.145.06 Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tangy condition, I certify that the tank to the best of my knowledge wil. conform to the requirements of ILHR-83, Wis. Adm. Code (except foi inspection opening over outlet baffle) Name-00 &AaZAe SC#Jyjj:T Signature M /MP 9(2S 5/88 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT ~St. Croix County OWNER/BUYER _ Re- 401V COl#i -fe.7.t! MAILING ADDRESS JJCS5/ 5]2m o Sr. ' aOSdM av ` , YD/c PROPERTY ADDRESS 5A/y'le- (location of septic system) Please obtain from the Planning Dept. CITY/STATE 11a0li Ar / _ 5' fD / / PROPERTY LOCATION 1/4, -NE 1/4, Section -7, T_3~Q_N-R 7 W TOWN OF s 7, ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP ,41AVOLUME , 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 year expiration date. SIGNED: DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 s 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__ EL TD C~QHZIJO~ Location of property JW 1/4(E1/4, Section 33 ,T_?VN-RW Township S, cz~SEp •~l Mailing address 52.c•o ST Address of site `SA&'e:F Subdivision name_ A Lot no. Other homes on property? Yes___)( No Previous owner of property &ae & Total size of property 5,6- Total size of parcel 1191)') Date parcel was created / r '7 7 Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes _~No Volume 555 and Page Number !5'V 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. 3,40385-- , 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 plicant Co-Applicant Date of Signature Date of Signature r ~ 1 4 DOCUMENT NO. WARRAAtr s AWW sTAT[ OF WISCONsIHA-eaest a t "is "A" "so"= FOR mco m,N0 "TA 340385 VOL X54. THIS INDENTURE, Made Bruce A Beedle and by REGISTERS OFFICE Paulette . ..husband .and wife ........J.._ ...Beedle .........I. ST. aim CO., Wis. . grantor... . of....... Washington CountyAMinn,- acem X~ Recd. for Record dis 2 hereby conveys and warrants to .......Elton.. R Johnson and day of_•Y4rA 192 .Adel+ne• C. Johnsor husband and wife, ; at h t 15 as Dint tenants and not as tenants in common _ r: ....r • ..grautee._S _ of %W'r of s -,St...... C-rQi.h County, Wisconsin for the sum of ! ar1d...Qtt? r valuable........ A AN To con.s_i.derat.ion.s---- . - - the following tract of land in...._._.S Cro iX .............._----------......---.County, Wisconsin : j A parcel of land located in the SWk of the Nwk of Section 33, j Township 30 North, Range 19 West, Town of St. Joseph, St. Croix f County, Wisconsin, being further described as follows: Commencing at the Southwest corner of Section 33; thence West alnra the South line of Sec`. 32 a distance of 57.61'; thence North i 628.0'; thence North 870 55' East 120.15';thence North 440.48' East 444.2b'; thence North 10 41' East 1091.23'; thence North 100 42' East 705.66' to the point of beginning; Thence West 554.21'; thence North 00 46' 15" East 373.42'; thence, -f East 619.74'; thence South 100 42' West 380.00' to the point of beginning. The above described parcel contains 5.031 acres of land subject to the Easterly 33' reserved for Town Road. TRANSM /yam FEES { i a~ F In Witness Whereof, the said grantor-a_ ha ve. hereunto haod.s_ sari L.B. dsi3 t --23rd day of.------------ jamy - A. D., 19.---7-7 . SIQNBD .';ND REP LED IN PRESENCE OF 1 ,.-a~.. SEAL} c.: A. 1 -'~£lara---Nell j PaulettJ. Beedle entine) r b} _ State of IMinsota ..•._..County. Personally came before me, this 23rd ~y of....... M--a...Y_ A D., 19-77 7 f' ,f the above named xncg--A__--Be-e-dle..and---Paulette. J HeeAl-e • s