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HomeMy WebLinkAbout038-1020-60-200 Q o o ° O ° o a c(i ~ r. N m m o 3 O Mn ti D v N O - m o cL o C a~ N OD o m x c z _N ao E LL c o co g cn"- a N a c Q A N N vl (D Z y 00 W O Z p z y y M W a m v U) c 0 z '0 c z o o d c m 2 c o o z c E -o m m 0 co m N O N N ~ •'V d U) = p O O o m N Q w Z co z o N z c ~ Lo E O n E N N O C N CL CL co O N d N s O m D L C N C _ N 0 IL p 0 E 0 0 0 Z o •rv o a a (L a " g (fl (p N 0 0 U) N to J V Z °O' °n r N 0 O j ° O C CO ~ d ~ I m a N aNi v U ti d Q ; Y) m I o 3 « C M m w O 3 N N C p O C C E 0) 0) O t~~C++ 04 I- N U y o U W O O ~r (O ~ N U_ p a O. N ON ° C E E M N O O E o r- C d a> cu I- I- o H W M U O N E E U co Lo 0 0 (n Z N O U7 • y O ~ - ~ w i N R CL # EL a • a m V c `IV E L c c o rr~~ r1 A u a 2 O Q-) 0 STC - 104r AS BUILT SANITARY SYSTEM REPORT ISCEIVEO OWNER 1hl(~_ I~ A~ 1 CI( L ST Ciao ~r ADDRESS 7747 gZ A/D S1- COrrA G E QoV`~ m 50 ~ 6 S .1,,::.~.Y`~` SUBDIVISION / CSM#_ f )RL.LARSJ t~yt4 LOT #-Z SECTION L/ T 31 N_R_J_8 W, Town of :9 AR -NAIZ1E ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 84 s ALT &NCt; mAlkK, roP OF Nock v S E nl n WC « A-T T r m E Or I IQ S7-AL AS 10IJ INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: /00, 0Z ALTERNATE BM: 113 //7 ME 9As6mf_iN-r SLOCK SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: WEEKS Liquid Capacity: AL Setback from: Well House Z11 Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: 18 Length 8ti Number of trenches Distance & Direction to nearest prop. line: LI B F'ROm, vJ65T PRoP L, Nc- Setback from: well:W WEU House Other ELEVATIONS Building Sewer l6q,04ST Inlet. /b.3,53 ST outlet 103, Iy PC inlet PC bottom Pump Off Header/Manifold /00,09 Bottom of system 9q• Existing Grade 98,66 Final grade DATE OF INSTALLATION: 5/96 PLUMBER ON JOB: ag-FC- Fast LICENSE NUMBER: aPRSn?s 3 ro INSPECTOR: -Tarn -fNOMPSaf 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Permit Holder's Name: ❑ City El Village 171 Town of: State P1_ Me _ NICXEL, M CHAEL T. X PUAIRIH Parcel Tax No.: CST BM Elev.: I , , ~,j , - r Insp. BM Elev.: 7; ription: TANK INFORMATION ELEVATION DATA Q/ TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ) enchmark -7, 69' v' Dosing 2 b r~ . z5,12. 1.3,7-, 7i Aeration Bldg. Sewer 69"~ /U,do p Holds g St/W Inlet A V6 o3.3g TANK SETBACK INFORMATION Stq t Outlet d TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic} ' NA Dt Bottom Dosing NA Headed HVIai& (O, 3,9 3, /w, $9 Aeration Ng Dist. Pipe 9.3/ /0,76' Hol Bot. System 3' g~ PUMP/ SIPHON INFORMATION Final Grade Manufacturer and (,3Z' /aBS~ F__ I Model Number GPM TDH Lift L ction System TDH Ft Forcemain Length Dia. Fi Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH width Lengthyp No. Of Trenches PIT Of Pits Inside Dia. Liquid Depth DIMENSIONS 0 DI iN I N SYSTEM TO P / L BLDG WELL LAKE/STREAM LEAC ufacturer: SETBACK - INFORMATION Type O eat c'.- OR UNIT R Moe Number: System: 49f C_l DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) i / x Hole Size x Hole Spacing Vent To Air Intake Length _Z~~' Dia. f Length 4E/ Dia. cL Spacing ~o SOIL COVER x Pressure Systems Only xx Mound Or At-Gr yst my i Depth Over 3 , Depth Over 3 „ q xx Depth Of xx Seeded/ Sodded xx Bed /Trench Center 3~_ Sd Bed/Trench E ges - Sd Topsoil ❑ Yes ❑ ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.).i,,Z_ Y, - - E.4.33.3.8(ni, SE, NE, L©`3' CANARY ORIVL LOCATION: STAR ~RRAIR3{ ax-, erv e! `f'lan revisl irked Yes 9-16 Use other side for additional information. Y 1191 SBD-6710(R 05/91) Date Inspedor'sSignature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: Safety and Buildings Division r.•=~■~■~ 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. 5-L . • See reverse side for instructions for completing this application State Sanitary Permit Number asil9l yT6 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 roperty L cation InIC C-L -4114 ' 114, S T N, R I S E (or)e Pro erty Owner's Mailing Ad ess Lot Number Block Number 47Llz Z 9 15r 2 qty, State Zip Code/ Phone Number Sub4ivis ion Name or ~N,,,nber A?b 4K 1 g /galtlk AAI~ ( ) ryl L II. TYPE F BUILDING: (check one) ❑ State Owned ity Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms / o Towan OF 5 A III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) -=kz 1 E] Apartment/ Condo 03p' `dr:;V -6 U 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 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 ~d Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 410 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) Eleva lon 1600 5" Z Feet 03 Feet VII. TANK Capacity Total # of Prefab. Site App INFORMATION in g Gallons Tanks Manufacturer's Name Concrete con- steel Fiberglass- Plastic Exper. New Existing strutted Tank Tanks Septic Tank or Holding Tank /ZOO ZQ E /C,S ❑ ❑ ❑ ❑ ❑ 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: (Pri ) Plumber's Signature: tamps) MPANH; R i CO : Business Phone Number: ;IX. m e ' ddress (Street, City, State, Zip Cod (,4 is / O6 C U TY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issue Issuing ent S' ps) y~~y /Approved E] Owner Given Initial Surcharge Fee) Adverse Determination ` X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) 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 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 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. Ill. 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. --------------------------------------------------------------------------7------------------------ 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. ►'~~Cti t -r N i CLa ?79 2- qZ" ST ConflvE C~RpvE, mN sso~~ ~E '/y t4 f Vy 5 r 31 NR V1 S7tr1R 'PRRR t ic Torsi' l'C Z MRLtAP.i~ ROO i yv" F. gyx ~e ~ ~ 1 ZQd z5 + 10 ' SE` wf~~ i Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations O;vision-of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix 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. pending APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Al Lunde GOVT. LOT SE 1/4 NE 1/4,S 4 T 31 N,R 18 2 (or) W PROPERTY OWNERS MA!I_ING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # Box 686 2 na csm pending CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD St. Croix Falls, WI. 54024 ( 71~ 483-9265 Star Prarie Canary Dr. New Construction Use [xic Residential / Number of bedrooms ( j Addition to existing building j j Replacement [ j Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .4 bed, gpd/ft2 .5 trench, gpd/ft2 Absorption area required 1125 bed, ft2 900 trench, ft2 Maximum design loading rate • 4 bed, gpd/ft2 .5 trench, gptUft2 Recommended infiltration surface elevation(s) 99.84 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material pitted glacial drift Flood plain elevation, if applicable na It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for svstem A S ❑ U 56 ❑ U 31 S ❑ U ® S ❑ U ❑ S ® U ❑ S ® U SOIL DESCRIPTION REPORT Boring# Horizon) Depth Dominant Color Mottles Texture Structure ConsistencelBorxiary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tre & 1 -11 10 r3/3 none 1 2msbk mfr ClW 2f .5 .6 1 :'::2 11-30 7.5yr4/4 none sl lmsbk mfr gw if .4 .5 Ground 3 0-84 7.5yr4/4 none sl lmsbk mvfr na na .4 .5 elev. 103/14 ft. Depth to limiting factor +84" Remarks: Boring # 1 -10 10yr3/3 none 1 2msbk mfr 9W 2f .5 1.6 2y' 2 10-24 10yr4/4 none scl lmsbk mfr gw 1f .2 .3 3 4-60 7.5yr4/4 none sl lmsbk mfr gw na .4 .5 Ground elev. 4 0-84 10yr4/4 none co s Osg ml na a .7 .8 103.6J4. Depth to limiting 4 factor Remarks: CST Name:-Please Print Gary L. Steel Phone. 715-246-6200 Address: 1554 200th. Ave., New Richmond, WI. 54017 Signature: Date: CST Number: 5-10-95 PROPERTY OWNER A. Lunde SOIL DESCRIPTION REPORT Page 2 ,,of 3 PARCEL I.D. # pending GPD/ft Boring# Horizon) Depth Dominant Color Mottles (Texture Structure IConsistence lBotndarylRoots in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0-10 10 r3/3 none 1 2msbk mfr gw 2f .5 .6 2 10-24 10yr4/4 none scl lmsbk mfr gw na .2 ~.3 Ground 3 24-84 7.5yr4/4 none sl 2mgr mvfr na na .5 .6 elev. 103.34 ft. Depth to limiting factor +84" Remarks: Boring # 1 0-10 10yr3/3 none 1 2msbk mfr gw 2f .5 .6 :vTnLii. - 4> 2 10-24 10yr4/4 none sil lmsbk mfr gw if .2 .3 3 24-76 7.5yr4/4 none sl lmsbk mvfr na na .4 .5 Ground elev. 102.14ft. Depth to limiting factor +76" Remarks: Boring # 1 0-10 10yr3/3 none 1 2msbk mfr gw 2f .5 .6 5 2 10-26 10yr4/4 none sil 2msbk mfr gw if .5 .6 3 26-84 7.5yr4/4 none sl 2msbk mfr gw na .5 .6 Ground elev. 101.94ft. Depth to limitino +841 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel Al Lunde 1554 200th Ave. CSTM2298 SE4NE4 S4-T31N-R18W New Richmond, WI 54017 MPRSW 3254 town of Star Prarie (715) 246-6200 I lot #2 N 1"=40' BM. = top of 1" steel pipe C el. 100' Alt. Bm. = top of mid lot survey stake @ el. 103.94 ~i ~y X00 ( 1, P 6o Gary L. Steel 5-10-95 • ` FORM NO. 985-A - FLCmlllar fFILED No. 26273 Stock 5308'73 1 KATHLEEN H. H WALS ST. CROIX COUNTY CERTIFIED SURVEY MAP NO. Registerof1~d9 LOCATED IN THE NE 1/4-NE 1/4 AND THE SE 1/4-NE 1/4, St. CroixC0'.WI SECTION 4, T.31 N., R.18 W., TOWN OF STAR PRAIRIE, ST. CROIX CO., WI.. ! UNPLATTED LANDS BY OWNER - - J SCALE l"= 200` N.90°00 100`E 781.40` APPROVE 0' /00' 200' 300' 400' rf t LEGEND ~N \ it • DENOTES 314 "X 24 "IRON PIPE- SET, 1 WEIGHING I./3 LBS./LN. FT. If `~~L DENOTES ST. i;ROIX CO. SURVEYORS t MONU. FOUND Q tl POND jl o DENOTES I "IRON PIPE FOUND. 1 J ST. CROIX COUNTY comprehensive Planni t Zoning and I = Parks Committee ,y If not recorded o t y Q n $ .ss , within 30 days of o c t o m'9 00,, a oval date o o t~ C \ qS L6 rov~ shah be WE - NE ,h~a o U, 696, 19F SE NE 4S\/5.98 AC. ~ POND ° 5se tin ~T ~ t~ w4 ~ i ern * CARL W. ~ ° y i Q t a HEiFELD w w w z to o = ~rn o I~s 5-1544 - No gw~ o eto o ± ~.ST. CROIX FALLS: o i I v W i " 1'~ WIS. ' Z ~ O A Z Z :k POND O I Z t tf I~ ~ ~ z O~j\`~~~ L0~• 'SETBq~.A, dim 1 ~ iYca` lsrwe~ co -W DRIVEWAY \ 04734 w ? oo\~I>'~' 1` \ LOT 3 5.80 347,756 SO. FT. NOTE: The parcels shown on this map are subject 7.98 A,~7, to State, County, and Township laws, rules, and 290,324 SO. FT. - Exc. regulations (i.e. wetlands, minimum lot size, ROAD EASMENT ~et. rz~, access to parcel, etc.). Before purchasing or \ 66 developing any parcel, contact the St. Croix, "County Zoning Office and the appropriate v Q Town Board for advice. i yg~~?,, Z o ?9p 006 50 IF, N\ z C> cr 3J m 5 9k1 i°' UNPLA TIED LANDS - - - - - - - - - - - - - - STC- 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER Xf A) L )~e I MAILING ADDRESS 5-t. PROPERTY ADDRESS 6,dA.1 _ A_ I 'U C S7-,4,,- P_ l~ i k i (location of se tic system) Please obtain from the Planning Dept. CITY/STATE Jam-- h'_ Pk A i pci e PROPERTY LOCATION 1/4, Z), _ 1/4, Section , TAN-R /_Z W TOWN OF J f~ i K I e-- ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER PAGEYSD LOT NUMBER- CERTIFIED SURVEY MAP , VOLUME 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. a 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: 3~7~ I9 St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - loo 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 r f1`~ ~l/ i c ale Location of property_ 1/41/4, Section T ~3/ N-R W Township 5'tIqg' Mailingaddress ~J'~~~ ~✓d S~; L-!r=0 39 V /C. , /I i /U'o Address of site CAAr9p_ V 5_f7~42 Subdivision name x/4,,9 A,~~ yrJCS /0 ,Z9S Lot no. Other homes on property? -Yes No Previous owner of property Total size of property ~ '4 iffy Total size of parcel ,'6c:ge5S Date parcel was created 7~Os/95 Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes No Volume 6. and Page Number as recorded with the Register of Deeds-i7s-a 9 t a 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 o the County Register of Deeds as Document No. 5-3 7af,4nd 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. 3 Signature of Applicant Co-Appli t 3 61<3& J -7 Date of Signature natA n q;rynat,,.-o 5372 44 St.uc 11 a of A i.c„ntin F, r-n : 1982 - WARRANTV DEED ' 102r ;C - DOCUMENT NO ^ s 491 DEC 7 1995 Allen L. Lunde and Pamela E. Lunde, husband and wife, 9:30 A. Michael T. Nickel and `Sargaret A. cunceys and •.rarrants to Nickel, husband and wife, NAk1F AN!, JE T' A'.':.r:.. Attorney Kristina 0gland P 0 Box 359 the f, ",,wing described real estate in St. Croix Hudson Wl 54016 County, State of Wisconsin: (Parcel Ider'ificauon Number) Part of NE A of NE1/4 and part of SE1/4 of NE1/4 of Section 4-31-18 described as follows: Lot 2 of Certified Survey '-tap filed July 5, 1995, in V,'. "10", Page 2950. TR FaSFER FEE This --_is not _ homestead property- YM (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. k L November '19 95. _ ~ ~ day kit Dated this e"C' z - (SEAL) (SEAL) Allen L. Lunde Pamela E. Lunde _ tSEAL► (SEAL) AUTHENTICATION ACKNOWLEDGMENT i STATE OF WISCONSIN Signature(s) Allen L. Lunde, x Pamela E. Lunde - County. ~ Is. November - Jav of authenticated this day of 19 95 Personally came before me this r, .19 the abuse named • Kris_tin3. Qgland - - _ - TITLE: MEMBER STATE BAR OF WISCONSIN - (If not. - - - - - t authorized by §706.06, Wis. Scats.)- - - to me known to be the pcrum who executed the foregoing instrument :end ackn,.wledge the same.