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HomeMy WebLinkAbout032-1060-70-200 a # V . STC - 104 AS BUILT SANITARY SYSTEM REPORT / I OWNER ADDRESS :~Rr t /'~+~i ✓ SUBDIVISION / CSMJ lr LOT SECTION _T_-~~N-R lc W, Town of~ ST. CROIX COUNTY, WISCONSIN ~usz: ~~lx'~e PLAN VIE SHOW EVERYTHING WITH 10 F E SYSTEM - -Yo G 7y .3s INDICATE NORTH ARROW Provide setback and elevation information on reverse of th's or : . ~ * Provide 2 dimensions to center nr n- s BENCHMARK: 4('~~ ALTERNATE BM: T7 ~S~r f, T~J✓ ~,~,Jt'l' /~~,-S~~ SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: / Liquid Capacity: Setback from: Well House Other 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_Z,,_ Other ELEVATIONS Building Sewer /&}/y_ ST Inlet. L4,9, ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade 1222, / Final graded,/ DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: ZAAco1 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations %fety INSPECTION REPORT ST. CROIX fety anc~Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 268578 Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.: STABER, ROBERT SOMERSET CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9600287 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. SepticU Benchmark / o ? Dosing G) C/ q Aeration Bldg. Sewer /b/. Q 8' Holding St/Ht Inlet -9e00/6o,0" TANK SETBACK INFORMATION St / Ht Outlet 12.11 boo, 53 ' TANK TO . P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic ,3c f 170 t a~2 < <~a NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe 31' Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade 5 53 /°a Manufacturer Demand Model Number GPM TDH Lift Lricti System TDH Ft Head Forcemain Le h Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Liquid Depth DIMENSIONS /z/ 7,/- 1 i DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION TypeO /XAv CHAMBER , Moe Number: system: S /o 7 //O 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: SOMERSET.23.31.19W, SE, NE, 207TH AVE sc /coo - /'Z ,ttj Plan revision required? ❑ Yes 2/N o Q Use other side for additional information. / a y / y I t KJA'I I SBD-6710 (R 05/91) Date ctor's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ' Safety and Buildings Division S~r■■'~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. • See reverse side for instructions for completing this application state sanitary Permit Number a&967 1f 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 Prope wner Name Property Location 1/4 flA 1/4, S T , N, R (or Lt - 11 SLSJ5~e 4 ,Agp <4 Prop rt Owner's Mailing AddrLot Number Block Number Ci State Zip Code Phone Number Subdivision Name or CSM Number ( ) 11. TYPE F BUILDING: (check one) ❑ State Owned qty Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms g( Town OF 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) / 03~ ^ ~Qlo~ " ~Bb 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. ~q 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 J~] 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./Ii ch) Elevation Feet Feet VII. TANK Capacity in gallons Total # of Prefab. Site Fiber- Ex per. INFORMATION New Existin Gallons Tanks Manufacturer s Name Concrete Con- Steel glass Plastic App structed Tanks Tanks Septic Tank or Holding Tank Att ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for inst lati n of t o site sewage system shown on the attached plans. Plum er' Name: Pri Plumber sSig ure t ps) rP/M RSW No.: Business Phone Number: r - _ Plu ber's A ress (Stet, C Y, State, Code): ' ~t IX. COUNTY/ DEPARTMENT USE ONLY I E] Disapproved Sanita y Permit Fee (Indudes Groundwater ate Issued Issuing Agent Signature St mps) A roved ❑ I Surcharge Pee) pp Owner Given Initial ~ Adverse Determination . CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SOD-6396 (R. 05194) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, 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. 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 san4ary 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 s(aptic,'pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimenta" 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) fora 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 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page J of Labor and fhvnan Relations Divispn of $afety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches-in ize. Plan must include, but not limited to vertical and horizontal reference point (EIWtIir~t~o6 and ,°lo Ff. slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance .q negrest road. f APPLICANT INFORMATION-PLEASE PRIM'T Att INFO#MAtTION - t'0 5 REVIEWED BY DATE PROP TY OWNER: Pao RTY LOCATION GOVT.4T S 1/4 1/4,S T N,R /(or)f PROPERTY OWNER' MAILING ADDRESS T BLOC # SUED. NAME OR CSM # K F CITY STATE ZIPCODE PHONENUMBER f`, ❑VILLAGE MOWN NEARES ROAD [kJ New Construction Use Vj Residential /Number of bedrooms. 3 [ ] Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow s D gpd Recommended design loading rate ~7 ed, gpd/ft2_, j _trench, gpd/ft2 Absorption area required bed, ft2 , a& trench, ft2 Maximum design loading rate 1_7 bed, gpd/ft2_,-,5' -trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ® S ❑ U S❑ U (4 S❑ U Cos ❑ U ❑ S C U ❑ S 1$I U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench S Ground AK Z'2 elev. 2y, ft. Depth to limiting factor 9l Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: CST Name: Please Print Phone: Address: Signature: Date: CST Number: I (1131e~L;- L 9 - i PROPERTY OWNER SOIL DESCRIPTION REPORT -Page of PARCEL I.D. # • • Depth Dominant Color Mottles Texture Structure Consistence Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bounday Bed Trench -41 If Lq 7-) 7,5 Ground S Z-2-- elev. Depth to limiting factor y9l Remarks: Boring # . All'A -5, 7 :,S Ground 3 elev. ft. Depth to limiting factor y 9/ Remarks: Boring # S€ S ,v 41 Ground ' / elev. ft. Depth to limiting factor 91- Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) ~is u,✓rJ S /65 s Ec a~T31r~%/9Lr~ ~ Sr,~,~~3,8/.F ✓Y~.ril T ~3 , 0 ~ o f r A~+a' 3c7~- .33 20, ~57~©~7 I 31 1 h fig: r jTHIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB NO. 94-95 OWNER B ~-'r o DENNIS NEUMANN EARINGS ARE REFERENCED TO 0 Ci W 2039 HWY. "35" THE EAST LINE OF THE NEI/4 (n Do SOMERSET, WI. OF SECTION 23, ASSUMED TO N CO ~ ~ 54025 BEAR N00 28' 30' E. 01 L n N (-n O 01 O 0 On n ..1 RL C: m O N 411 r" 3 O N CD a_° ti m LJN L, TED LANDS l ~ SOO043' 23"W 398.25' - © rt I.< IC) m lQO ICS I-~ cn Leo, w~ Do tz7 at 0 o W r GD . o" yQ Q o~o . ICCJ N O W~ 1 O I It o O W CLO O I En O N \ Z O L4 i~ trJ Co 1 O o O a a~' -3 o N O H F h ~ W Cn 0) 0 E 0 33' ( 33' fi N 434.56' p T SOO y °43'2311W 523.561 D N r i w Do v1 1-+ C1 Do rn H c - 0 w Do N C N N z M S N ITV) En I': OD ~ w w I> o W w 0 _0 01 D I r r L4 ~i rn W li 1' O N G~i W W O W O 0 L4 17J r~ m D I> ~ rn O Ifi co 01 - n= o 0 ~r (D 1n i O trt O 6 6' cn 257.36' 213.45' rt 0 NnnO4314311R N00 001391'F u F; FILE 2 JUL 61995 b 3 i KF i HLESN H. WALSH 53093Y{ S CI oix O WI ~ SL Croix Co., W THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB NO. 94- C) O r OWNER DENNIS NEUMANN BEARINGS ARE REFERENCED TO f- N n 2039 HWY. °35" THE EAST LINE OF THE NEI/4 En { kj,) P SOMERSET, WI. OF SECTION 23, ASSUMED TO N I~ 54025 BEAR N00 28 30°E. rn w0 If TI O O O I~ i> n Q' {G~100 cm . L_ n T % °o N Irnr- 9 OD I!: Q.S.M. I~ Icf)Kn mD 't3 .z VOL. 10, Po. 2903 SOO 4312311W 398.25' \ 10-h fi \ O' .0c) ~-7 10 M BOO- IG~ ,SIN o w ( m iN 1~ 10 ° r cn cn ~o I ►O-h O rn11 ]cc) o_ N m ~ w o\ 00o ci m oT C) ~l O - N O -1 \ I I o w (.I~ z w 74 O W N \ t1i r O ® ~O y O - O O N - 0) F-+ W ~0 ' A C--) N 33 33' O W 434.56 O n S0043'23°W 523.56' z D m cyn ~m cn w t= -T-L ° o ~ i DO o w vc OD z N m D N -G m A N I~ (D OD Q w w Z -v fJ o w ' w D n V F, P W N rn o m W w 1 w H (n 0 APPR&ES, Ij (6 m O I ~ ~ ~ GS P. C 2 ~ I-h = cn " om 00 o Z JUN 2 2 xS; ryl r o o In (D w 0 z N ' ST. CROIX COUP!. f nl c ~ m m m + -4 Comproh@nsive Kwini rt ° o Z Zoning and 6 257.36 Parks CornrttittE a 213.45' ;t n r O O 0M 0 Bearings are referenced to the O o (z~ East line of the NEk, of Section 0 _ 23, assumed to bear N00°28'30"E. Sv o m = x or, o ti t~J -n o~ ~ x j -e N G7 Q' 0O, -hl0 r- :3 ;so ' a fi z F,. 0 -0 a o ro d 0 'D N Ct o v o o v o m~ n 0 7 7 cn m -n c a Ct g U] Ct :3 (D 0 a° T y-0 7 7 N ft m CD a m F-~ CD Ct (D ~ ov '7 rn 1 o c'o (-n F+ rt- N co ~ F (D 0 (D U "J PL~~ I I EL L,~K~UJ (u I ct 04W S00°00'39"W 331.76 o rt, 0 Iv g m t> z t1i 0D z co I O 00 -h I ~j rn 0 00 x o o s r~ 00 Lri CD ly '"3 m N I N m - N t O Ith. 00 0 2 = W O J N 1-h rn 00 0 w -I Cn n -j 4)" y W En 1< t= N J If z c (AJ t(31~U~1-I .0 z M W N I l~ I -G IG-) • 3 E I- H a ICS O -v , t(Jl Ail P YJ ; o k-h ST. CROP COUNT1 D O N00°00' 39"E 397.32 co COl7pr°t` 3~ad N 10 m pates C teg? TO THE PUBLIC w 0 9f AQL ecocded _ N00°28'30"E fi w . N00°28' 30"E 934.37 a410=0 ' - 1314.24' T r, ~ r THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB NO. 94-95 OWNER r DENNIS NEUMANN BEARINGS ARE REFERENCED TO 0 2039 HWY. 35" THE EAST LINE OF THE NEI/4 En Do 0 SOMERSET WI. OF SECTIOU 23 ASSUMED TO N O O 0) 54025 BEAR NOD 2810"E. O _N (A r rno cn w ~ IN) uv'i c m 00 ~j o m~ LIUCLi1FTED LANDS i J. n 'SOO04312311W 398.25' 0, rt. IC) 17 (D lCp IC' I IL cn \00, w~ ca IG~ O w W \ et W v 6' o I o r 1 . OD t ICG N m o cnO c W C! I N I O W 4s O N Z t1i O N O ?t I' W 6 (D 0 3 33' M 0 -1 I_ 434.56' '11 y i SO0°4312311W 523:561 z D rn Do f0 y t~ OD rnoo o H c o w C N m E N FD A Icr) Lo I> L ( ~ O W W I LO I r Fo (A w v W W Ii- N Oy ;u W O N W z W 0 I-~ 0 W v1 _ Im m ti I> P7 0 ~ N r 0 it i p 6 6' i 257.36' 213.45' rt r-- Nnn°4.; I A-Kier Nnn . nn I KcIllF v _ STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER .,~4,~lhT ~Fn MA MG ADDRESS ,00 ~20 PROPERTY ADDRES 2 47 7 -f' /7 (location of septic system) Please obtain from the Planning Dept. CITY/STATE _54//lVL 5IZ7- `L z__ PROPERTY LOCATION ~l 1/4, Ai' 1/4, Section 23 T N-R_L2 W . TOWN OF ST. CROIX COUNTY, WI SUBDIVISION 414Fer1k7Ant_ LOT NUMBER 5 - CERTIFIED SURVEY MAP ft VOLUME ~ ,PAGE j?ZY, 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 (lie 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, signal 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: T 71q 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 -5 Location of property S 1/4 ry/.=1/4, Section 23 T 9~ N-R_~Z_W Township Mailing address Address of site 20 ~7 S% Subdivision name _1VF-UHjl~klr Lot no. 5 Other homes on property? Yesk~,'_No Previous owner of property Total size of property 4(- Total size of parcel Date parcel was created Are all corners and lot lines identifiable? x Yes No Is this property being developed for (spec house)? Yes No volume 10 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. I 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-Applicant DAt of Signature Date of Signature VOL 3:193, PACE165 54 `i,73 STATE BAR OF WISCONSIN FORM 2 - 1982 WARRANTY DEED DOCUMENT NO. REGISTERS ®i-r i. Dennis M. Neumann, a/k/a Dennis Neumann and ST. CROIX CTY., WI Dawn Neumann, a a awn Neumann, us an an w-1 1-e, PAddiortjcard AU6 5 1996 -'conveys and warrants to ROB t_ ,J. Staber at 9:30 A 116, R6SLIA r Of Deeds r THIS SPACE RESERVED FOR RECORDING DATA e NAME AN tltlETURN RESS' the following described real estate in St Croix County, Century 21 State of Wisconsin: P.O. Box 286 New Richmond,.Wi 54017 L $ Do TRANSFER 032-1060-60 PARCEL IDENTIFICATION NUMBER Part of SE1/4 of NE1/4 of Section 23-31-19 described as follows: Lot 5 of Certified Survey Map filed July 6, 1995, in Vol. "10", page 2953, Doc. No. 530937. is not This homestead property. (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this 1St day of August A.D., 1996_. L!~~ (SEAL) De2az.'~-S (SEAL) « Dennis M. Neumann, a/k/a Dennis Neumann « Dawn J. Neumann, a/k/a Dawn'Ne'umann (SEAL) (SEAL) « « AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. St. Croix County. Parcnnnlly rnme hefore me this 1st_ day of F STATE BAR OF WISCONSIN FORM 2 - 1982 WARRANTY DEED DOCUMENT NO. Dennis M. Neumann, a/k/a Dennis Neumann, and dawn Neumann, a a awn Neumann, us n an w1 e, conveys and warrants to 30 t_ J. Staber THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS the following described real estate in St Croix County, Century 21 State of Wisconsin: P.O. Box 286 New Richmond, Wi 54017 032-1060,60 PARCEL IDENTIFICATION NUMBER Part of SE1/4 of NE1/4 of Section 23-31-19 described as follows: Lot 5 of Certified Survey Map filed July 6, 1995, in Vol. "10", page 2953, Doc. No. 530937. is not This homestead property. )DJKX (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this 1St day of August A.D., 1996-. (SEAL)~Cs/!'~~!s/1'r M (SEAL) * Dennis M. Neumann, a/k/'d Dennis Neumann * Dawn J. Neumann, a/k/a Dawn Neumann (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. St. Croix County.