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WiscAin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
i pbor and Human Relations
rbivision of Safety & 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 size. Plan must include, but oix
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or A L1jQ #,e,
dimensioned, north arrow, and location and distance to nearest road. d
/ REV , ED BY ' DATE
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION f\
PROPERTY OWNER: PROPERTY LOC gi
Richard Stout GOVT. LOT SEJ '-.1/4 SW J/4,8 3 T 8 N R 19 xl5C(or) W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOC -SUBD. NAME`dR CSM #
, Wood ! 1
1353 Awatukee Trl. 44 na ACOAMtlj~YN
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAG NEAR CAD
er Rd.
Hudson, WI. 54016 (719 549-6731 Troy T' 1.
[x] New Construction Use jr, ] Residential / Number of bedrooms 3 [ ]Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate 900 bed, gpd/ft2 750 trench, gpd/ft2
Absorption area required 900 bed, ft2 750 trench, ft2 Maximum design loading rate • 5 bed, gpd/ft2 - 6 trench, gpd/ft2
Recommended infiltration surface elevation(s) 95.64 ft (as referred to site plan benchmark)
Additional design / site considerations na
Parent material outwash Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable for s stem ®S ❑ U xR~S ❑ U MS ❑ U ®S ❑ U ❑ S 4:1 U ❑ S E3U
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence ~ Roots GPD/ft
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
` 1 0-15 10 r2/2 none 1 2msbk mfr gw if .5 .6
1
2 15-27 10 r4/4 none sicl lfsbk mfr 9w if .2 .3
Ground 3 27-82 10 r4/4 none lfs lcsbk mfr na na .5 .6
elev.
95.6 ft.
Depth to
limiting
factor
+82"
Remarks:
Boring #
1 0-12 10yr2/2 none 1 2msbk mfr 9w if .5 .6
2 2 12-22 10 r4/4 none sil lfsbk mfr if .2 ':.3
3 22-48 10 r4/4 none sl 2csbk mvfr CfW na .5 .6
Ground
elev. 4 48-82 10 r4 6 none fs os mfr na na .5 .6
95.24 ft.
Depth to
limiting
factor
+82"
Remarks:
CST Name:-Please Print Phone:
Gary L. Steel 715-246-6200
Address: m02298
1554 200th. e. New Richmond, WI. 54017
Signature: Date: CST Number:
4-24-96
PROPERTY OWNER Richard Stout SOIL DESCRIPTION REPORT Page 24ftf 3
PARCEL I.D. # pending Lot #44 4
Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tw&
1 0-9 10yr2/2 none 1 2msbk mfr if .5 .6
2 9-16 10 r4 4 none sici lfsbk mfr if .2 .3
Ground 3 16-24 10yr4/4 none sl 2msbk mvfr gw na .5 .6
elev.
94.8 ft. 4 124-80 10 r4/4 none lfs os mfr na na .5 .6
Depth to
limiting
factor
+80"
Remarks:
Boring #
4>4 > t 1 0-11 10 r2 2 none 1 2c P1 mfr Cfw if n .2
.4
2 11-24 10 r4 4 none si 2csbk mvfr Crw if .5.6
Ground 3 24-74 10 r4 6 none lfs lfsbk mvfr na na .5 .
elev.
94.8 ft.
Depth to
limiting
factor
+74"
Remarks:
Boring #
<1 -14 10yr2/2 none 1 2msbk mfr if .5.6
: •
: :
5
2 14-32 10 4 mfr Crw if .2.3
Ground 3 2-72 10 r4 4 none s1 2csbk mfr n
na. .5 .6
elev.
93.5 ft.
Depth to
limiting
factor
+72"
Remarks:
Boring #
tiv-v
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
i
STEEL'S SOIL SERVICE
Gary L. Steel Richard Stout 1554 200th Ave.
CSTM2298 SE4SW4 S3=T28N-R19W New Richmond, WI 54017
MPRSW 3254 town of Troy (715) 246-6200
lot #44-Country Wood
N
1"+40'
BM.= top of 1" steel pipe C el. 100'
at
Aft` 3~ t h
Gary L. Steel
4-24-96
5
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER Q
ADDRESS
Q
SUBDIVISION / CSM#~ LOT #
SECTION TC~--N-RZ~f W, Town of
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
6~
(TJ~/laq~ rr;~
i ~
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form. „sal
Provide 2 dimensions to center of septic tank manhole cover.
t
BENCHMARK:
ALTERNATE BM:
SEPTIC TANK PUMP CHAMBER / HOLDING TANK INFORMATION
Liquid Capacity: 6-9 ~
Manufacturer:
Setback from: Well- House Other
Pump: Manufacturer Model# Size
Float seperation Gallons/cycle:
Alarm Location
SOIL ABSORPTION SYSTEM
Width: / Length_ / Number of trenches Z
Distance & Direction to neare t prop. line: ~ZAA1, AL-= /O J
Setback from: well: HouseOther
ELEVATIONS
Building Sewer ST Inlet: Ste:
PC inlet PC bottom Pump Of~~~~. 02~
Header/Manifold Bottom of system
Existing Grade Final grade
DATE OF INSTALLATION:
PLUMBER ON JOB:
LICENSE NUMBER:
INSPECTOR:' ~Z f'~
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 284197
Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.:
HAUPT, JAMES L TROY
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
TANK INFORMATION E VATION DATA 960 M-53
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark 1 106. ley -11, 6 - Dosing
Aeration Bldg. Sewer 109,3 7,
Holding St/ Ht Inlet ,,(9 a
TANK SETBACK INFORMATION St/ Ht Outlet
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic >~o 9 NA Dt Bottom
Dosing NA Header / Man.
Aeration NA Dist. Pipe
Holding Bot. System o 9 o
PUMP/ SIPHON INFORMATION Final Grade
a 53 /UG-'!3
Manufacturer Demand ~.I CO-
Model Number GPM
TDH Lift Friction System TDH Ft
Loss Head
Forcemain Length Dia. Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length I I No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS air ' - / DIMEN I N
LEACHING Manufacturer:
SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM
INFORMATION TypeO L CHAMBER Model Numer:
System: ~J A 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: TROY.3.28.19W, SE, SW`, TOWER ROAD
Plan revision required? ❑ Yes [KNo
Use other side for additional information.
I (Ilk I L21 41,
I /j 96
SBD-6710 (R 05191) Date I p orb Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH - t
SANITARY PERMIT NUMBER:
Safety and Buildings Division
SANITARY PERMIT APPLICATION Bureau of Building Water System:
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 1/2 x 11 inches in size. Cie-~-v / X
• See reverse side for instructions for completing this application State Sanitary Permit Number
00
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
Property Owner Name Pro erty Loc tion T ~
r-a,s t C r /4 /4, S ~a , N, R E r W
Property O ner's Mailing Add ess Lot Number Block Number
Cit State Zip Code Phone Number Subdivision Name or CSM umber
ryl e,*- X ®o ( *7 5~ 5 Gm moo
~ Nearest Road
I. TYPE F BUILDING: (check one) ❑ State Owned o ityage
Public 1 or 2 Family Dwelling - No. of bedrooms ❑vii own OF
III. BUILDING USE: (If building type is public, check all that apply) Pa cel Tax Numbe ) 3 c
1 ❑ Apartment/ Condo ! l 5 - J O
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. Q Replacement 3. Q Replacement of 4. Q Reconnection of 5_ Q Repair of an
ystem--------System- Tank OnlyExlstingSyst--_________ExlstmgSyste-
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 210 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 S. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/da ft.) (Min./inch) Elevation
j .61~ t6 G--- AO Feet oelO,' -meet
VII. TANK Capact
in gallons Total # of Prefab. Site Fiber- Exper.
INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
New Existing structed
Tanks Tanks
Septic Tank or Holding Tank OTC Ae--W ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Pl7b' Name: (Print) r Plumber's S' ture: (No Stamps) MP/MPRSW No.: Business Phone Number:
P um is Address (Street, City, State, Zip Code):
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sap Mary Permit Fee (Includes Groundwate poor ate Issued Issuing Ag t Signatu
Approved rcharge fee)
❑ Owner Given Initial /
~ ~111~j ~ D7
Adverse Determination
_n:
i
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 4 W
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) tc+ 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 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.
Wisconsin Department of Industry, SOIL AND SITE EVALUATION
Labor and Human Relations Page of
Divi$ion of Satety 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 f
include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. #
o-~a ~.~C7
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 OwnProperty Location
Govt. Lot -I' ~ 1/4 1/4,S TN,R E ( W
Property Owner's Mailing Address Lot # Block# Subd. Name or C !5M#
/Z~ #1-/ ~ - n;~~
`r
Ci State Zip Code Phone Number El City ❑ Village If!T Town Nearest R a
r- /
ew Construction Use: sidential / Number of bedrooms Addition to existing building
LJ Replacement Public or commercial - Describe:
Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 ` to trench, gpd/ft2
Absorption area required bed, ft2 trench, ft2 Maximum design loading rate Jibed, gpd/fl2., trench, gpd/ft2
Recommended infiltration surface elevatio (s) /n~67/_ ft (as referred to site plan benchmark)
Additional design/site considerations
Parent material G- 4::~_ 1 f~ Gt Flood plain elevation, if applicable ft
S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank
U = Unsuitable for system '.S [I U ~ ❑ U $ s ❑ U ~S ❑ U ❑ S U ❑ S U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2
g Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Ground r c' ~r , S
ele . /
Depth to
limiting
factor
in.
Remarks:
Boring # ` r
r Q~'~ !
Ground
el~evt
Depth to
limiting
factor
in. Remarks:
CST Name (Pie se Print) ature Telephone No.
001,
~.-rarl ...fir rt ~l -Z
Address Date CST Number
4X-1
PROPERTY OWNER lit/Y~ ~t U 7 SOIL DESCRIPTION REPORT
Page of
1.5 L
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles Structure 2
g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots
Bed Trench
I / G
Ground
eley,- 5-IX 1/141
' .
lO ft.
Depth to
limiting
factoy
7~p3. in. ,
' Remarks:
Boring #
/X A5,
/77 r
Ground
el ,
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
r in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Boring # D
71 oll,
Ground
3_~'to
limiting
factor
in. Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
SBDW-8330 (R. 08/95)
Soil'Te'st Plot Plan
Projeot'Name Byron Bird Jr.
Address`
r vo/ C !i6479
Lot 4Sub'divisiort Date 7G
1/4„ /4 SN/Rl - Township
0 Boring ,0. Well ( PL Property Line County p
L BM or VRP Assume Elevation 100 ft. °e
System Elevation *HRP_.~--
A -Q
o
t
z
- Scale 1/4' .10 Ft. When dimensions aren't stated
POLV 1 PLAN
PROJECT -,1 a~n c u.k ADDRESS ,W44
1/4, ~1/4/S /TN/Rl~W TOWN o COUNV(
rco,C
PRS Byron Bird Jr. 3318 DATE - r
BEDROOM CLASS PERC_,_,;~ONVENTIONAL,2~4N-GROU PRESSURE
CONVENT NAL LIFT_ MOUND HOLDI TANK
SEPTIC TANK SIZE LIFT TANK SIZE
DOSE TANK SIZE HOLDING TANK SIZE
ABSORPTION AREAS PERC RATE =BED SIZE /mss
` \ Benchmark V.R.P. Assume Elevation 100'
Location of Benchmark'
* H.R.P.
O Borehole Q Well Scale = ,-Feet
0 Perc Hole System Elevation
Uent
12*
TYPAR COVERING.
2"
12 3- O 6- ( 3'
I 6 0 Sewer Rock
i V
12'
-c- ~ ~
v
S
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER
>9 C
MAILING ADDRESS
PROPERTY ADDRESS
(location o septic system) Please obtain from the Planning Dept.
CITY/STATE ~zr'~~&
PROPERTY LOCATION 1/4, ~ 1/4, Section 2 T,`?LN-R_,O;~ W
TOWN OF d! ST. CROIX COUNTY, WI
SUBDIVISION LOT NUMBER -f
S~-h C~r ✓1 3 0 ~
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 main ' ined must be completed and returned to the St. Croix
County Zoning Officer within 30 days of the t ee ye expiration date
SIGNED:
DATE: h Z6 Aq 6
T
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
8 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 Gc e - ~c 42Z
Location of property 1/4, Section
Township Mailing address_~~,/moo
C-9 el r of e/
f-11 Zo&l
Address of sit c~ 17" c
Subdivision name 7~ ZZ4e Lot no.
Other homes on property? Yes No
Previous owner of property A / o
Total size of propertye f. eL,
Total size of parcel 370
Date parcel was created
Are all corners and lot lines identifiable? _ Yes No
Is this property being developed for (spec house) ? Z_Yes No
Volume 1 olD and Page Number 3 35' 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. y , 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.
gnature of Applican Co-Applicant
)ll6/<? ,
Date of Signature Date of Signature
• / / iN L~II
G / ems,
' 3 8 4 e-
tA,y,2 Z
2.71 AC.
118,002 SO. FT.
3 9 ~ .~N.
~ J
- 2.19 AC.
- Z
/ Nd'• 95.519 SO. FT. v,
mss.
40
192.81'
2.66 At , S87'38'55'E
Ils.eas sc. Rr 125.00 \-MATCH L INE-J
~4 SEE SMELT 1
so0
VV lt"~
ry~4 v
Dr 10
J
ate, 2. 5
N
W
2
A 2e u rj
C is
A °
Its ; zi
,9 A?•~ °,r ` q 3 " 18
Zti 00. ° I
W
43
z
2.01 AC. N. _ v
1 z
\ ♦ 87.760 sa FC -Q I ac
L4
\ 4 qo
2s - ?
2.01 AC.
87.761 50. FT. 111
Ci VfAA-
~ ~ NTB ►9 A6~~
Q? /
45
Div+"
• µ STATE BAR OF WISCONSIN FORM 1 - 1982
551790 WARRANTY DEED
DOCUMENT NO. 20 P~~+ ~
RcG157 ERS OFFICE
This Deed, made between gj C -rd n Stout ST CiROIXMOW
NOV 5 1996
Grantor,
and James L Haunt - at 11:30 -1A. M
Asgistar of DNds
Grantee,
Witnesseth, That the said Grantor, for a valuable consideration
conveys to Grantee the following described real estate in q f- _ rrn i x THIS SPACE RESERVED FOR RECORDING DATA
County State of Wisconsin: i NAME AND RETURN ADDRESS 0. CAo~o 7
Lot 44, Plat of Country Wood First Addition, 3s~ ~o c.5 f-
Town of Troy, St. Croix County, Wisconsin.
~-w+ r y C,~~ 5 yo a
PARCEL IDENTIFICATION NUMBER
TRANS o ER
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This iS nnt- homestead property.
(is) (is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
And i'
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except
easements, restrictions, rights-of-way and covenants of record, if any.
and will warrant and defend the same.
Dated this Sth day of NnvPmhPr ,1996
(SEAL) (SEAL)
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(SEAL) (SEAL)
k MI i
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AUTHENTICATION ACKNOWLEDGMENT
State of Wisconsin,
Signature(s) ss Ij
St, Croix County.
Persnnally came before me this 5th day of