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HomeMy WebLinkAbout020-1311-10-000 ti _0 0 3: o O v) h o 3 cc o I ~ I I ao N I I I 'I ~ I I ~ I I IF o z c _ `z LL o Q I Cl) 3 z N E rn = o ~ v I E L o d m N 04 Z c I O 75 O Z d c [Y r ~ - !n FZ- e= O C Z 2 M CL ~y ~ v I In c `m Ai .a ~ r .c 4 ~i Q c O v m z F Z 0 N z v ~ D rn E Y CM I :2 d - CL (0 N N N i 4) O C G G a O N rm- p H F I- _E Ov , N N `n O O O Z p "'a R MCL IL a 7 o V1 O LO U') N co rn rn ~ I o c rn rn E N a C. p _ - > M_ ~P d p CO rV C cc H C) U) ~1~1 O O p N C > ca p ° q C CD 00 0) 3 aa)) c c n- rn o0 O L ` N V 6 o Cn (0 S C a) N In M ~ cq _ m a) _ 00 ~..1 p' N -NO N p - d p p • N I V o N m m ra U 0 2 ! cN o cA cu y 'I E I E m Q a E 0 CL 2 a) STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER SAM MILLER ADDRESS T30 X 2$L HL10 5O N LL 101 Sya/6 SUBDIVISION / CSM# TAWNF-Y LOT # z.8 SECTION__LL_T zq N-R.L__.W, Town of NuD So ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF ~YSTEM NoRTN oT LINE B.M. Tod cF i"I.P. 1 LaT 2S FIRE * 1 o4s Ll = 100.00' z.og 1-%c- SCALE I/~~~.Io s W &iA04E DRIVE WAY h A y x LG ' - - ~E R 6S WELL ASoF I - --9s' g1i09SNor I A A YET rNSrH1E D 7s± N E ►iVUS~ V ~ o p ~a x s'o I Z 28 v s IoPE 141 N' I y INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover- t BENCHMARK: -rod of 1T_ Ro1\1 PIPE AT N W LoT 6 ORMf2 C'0 OC), ALTERNATE BM: -To? OF 7j/OGK FOU XlD AT /0 W (AT WAf 9 OUT 0= (-G 1 z S 7 IC T / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: 1NEISXA_ Liquid Capacity: /ODO 6AL. Setback from: Well 7Y House Other Pump: Manufacturer - Model# - Size Float seperation - Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: sLength (oo' Number of trenches Z_ Distance & Direction to nearest prop. line: 3,s~ To ND~TJ/ Lc7` L/~l'E Setback from: well: `75' House Other ELEVATIONS Building Sewer ST Inlet: ST outlet 1/0, PC inlet - - PC bottom - Pump Off .r N A-~•9s = //0,z3 R~4 'A qzS~ (09,%3 g"9,Z8= /0'1,9o Header/ManifoldB-8.gs: io,z3 Bottom of system 4z /O, I S l~~ p~ 3 Io.IS- )ay, 0 3 Existing Grade(O I~Z,g Final grade II DATE OF INSTALLATION: PLUMBER ON JOB: ~E1G r~B~f LICENSE NUMBER: 0,?,5"00 INSPECTOR: 3/93:jt T Wisconsin De artment of Industr, Labor and Human Relations y PRIVATE SEWAGE SYSTEM County: INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Pe rIl~Idei';Na9 ❑ City El Village Town of State Pla o.. CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 106 60 1 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic do Benchmark 11q.& /00. Dosing Aeration Bldg. Sewer ' 6.7/ ' /ia, y5 Holding St/ Ht Inlet yor' 10,-71 ' TANK SETBACK INFORMATION St/ Ht Outlet 3S TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet Ar I Septic NA Dt Bottom Dosing NA Header / Man. ~eY 3~/o, a Aeration NA Dist. Pipe Q, 3' D t . 8L Holding Bot. System ` /68. 9 PUMP/ SIPHON INFORMATION Final Grade i -3' Manufacturer Demand Model Number GPM riction System TDH Ft TDH Lift F Loss ead Forcemain Length Dia. Fi Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width _ Length No. Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS o' DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Manufacturer: SETBACK INFORMATION TypeO nt j CHAMBER Moe Number: System: 4)11_-L1r_L 35- OR T 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: HUDSON.12.29.19W, NW, SW, LOT 28, TANNEY LANE /5 17) 4 ,ur ~ a ~,r Plc~-i -k~/ Plan revision required? ❑ Yes [g No r/S f Use other side for additional information. SBD-6710 (R 05/91) Date spedor's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH t SANITARY PERMIT NUMBER: i v Safety and Buildings Division 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. / - oleo • See reverse side for instructions for completing this application state sanitary it u b 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 Propert Location / L A 1/4, S Z T Z , N, R/ E (or Property Owner's Mailing Address Lot Number Block Number City, State Zip Code Phone Number Subdivision Name or CSM Number II. TYPE F BUILDING: (check one) ❑ State Owned ❑ Cltyage Nearest Roa E] Public 1 or 2 Family Dwelling - No. of bedrooms 3 ❑ Vill Town OF r] O ITA a L / IIL BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo D z-d e~ 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) ;q) 1. ivi 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 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 RA Seepage Trench 22 ❑ In-Ground Pressure 42 E] 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 y d Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation do ILI) IF. 0,0 Feet 113.0 Feet VII. TANK Capacity in gallons Total # of Prefab. Site Fiber- Ex er. INFORMATION New Existin Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App strutted Tanks Tanks Septic Tank or Holding Tank dap ` / ❑ ❑ ❑ ❑ ❑ 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: (Print) J Plumbers Si nature: tamps) MP/MPRSW No.: Business Phone Number: zillf-6 Do N L~_ f~iL' I-~3s 3 Plumber's Address (Street, City, Sta e Zip Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issue Iss ing Agent Signat re (No Stamps) WApProved ❑ Owner Given Initial 0 Surcharge Fee) 1`-' D ~ 5~5 Adverse Determination VL/ X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. OS/94) DISTRIBUTION: Original to Counly, One u)py To: Safety & Buildings Divsaion, 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 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- 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 online 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- V11. 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 receives experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number wi.h 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. G yiptete plans and specifications not smaller than 8 1/2 x 11 inches must be sul` 1111Ec: io ?he cc unty. The {glans must lucs "hl- Following: Al plot plan, drawn to scale or with complete dinaension io~at,c, „l ,ii Ainq tank(s", septic _ treaty ~ nt tanks; building sewers; wells water mains/wate ~c re, ,try _ law~as; pump or siphon ~r rt >>tlon boxes; soil «hsorption systems; replacementsystem area:, a!, "sic the building served, _,..,.d ~~erticai el 2v<llion re lerc~~~e points; C) conpletespeci 1,-,, ~ c•' nor r: ; c on?.ru s; close F. volume,- friction 'loss; pump performance curve; pump model and -ur^p r :<s' uf<<~ -~rer, D) cross section system if required by the county; E) soil test data on a 1 ,orrn; ar(-' ) a l sizing infor;r~ation. 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 contaminatior investigations and establishment of standards. Wiscopsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of Labor and Human Relations Divu%~an of S;Meety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY -Q1 cj Coo I y Attach complete site plan on paper not less than 8 ~ size. Plan must include, but not limited to vertical and horizontal reference nt,fvt~` f °C of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and A" ta`n,e'to nearest ro (b REVIEWED BY DATE APPLICANT INFORMATION-PLEAS NT f L NF~RMA PROPERTY OWN t~ OPERTY LOCATION q 9 C~ 75Ar'h /'/ilu y`;`, VT. LOT /VW 1/4-SW1/4,SfZ T [ N,R / J E(or)W PP,02~RTY OWNER' MAILING ADDf SS T BLOCK # SUR/ E OR CSM OCi"- a "QUO)C, 'f~Q14 f,~i lNTY /t7NA)FY 1A&- CITY, TATE ZIP COD 0 ❑CITY ❑VI LAGE OWN N ASR ,ST ROAD Nei ~~►v IO~J ! is NU A66 7 A N kY A c- New Construction Use Residential / Number o rooms 1,4 rjj< ( ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate 0.6 bed, gpd/ft2 6 7 trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate 01 bed, gpd/ft2 0 trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/ site considerations EV)4LUA'T O~J QO~JL ROk k1 -Ple®yw. Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL M UND IN ROUND PRESSURE 7~RGRADE S TEM IN FILL HOLDING T&WK U= Unsuitable fors stem So U S❑ U WS ❑ U S❑ U S❑ U ❑ S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounclay Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends Ground 9-tat Dt 0. elev, it .6 ft. Depth to limiting f for Remarks: Boring # ~::<nx..:.:..~....:: A O°/$ ~~l ~R ~ ~ J fh s~k 1'~ ICJ 2 ~ ~ ~ c~.~ 2 Igo ~ so iay~4 ~ -5 ~ L ~ m•sb~ r, eS .z 0 3 d-2.1 4 0 O: o. Ground elev. 113.60 ft. Depth to limiting factor 7 too B Remarks: CST Name:-Please Print I -1A kY y 3Q,Q N:~6 Phone: OEO Address: Signature: ~1~ Date: ! Z1 9S CST Number:: ,4 0 C\ PROPERTY OWNER 'Z,4t'h 7,4.Cg9 SOIL DESCRIPTION REPORT Page Zof r PARCEL I,D. # La-' 2$ ill, 10~ Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench A Q-zo by~3 5 1 rhsb !h r es o.4 a.S Za-~~~ /aY iQ S Q r 11,, REM 0,-7 10.1i Ground elev. /63? ft. Depth to limiting ctor Remarks: Boring # A o-ZZ /ay~e~ 1 ri,sbk , c~ Z~ v.4 16,5 14: -4~ ,o~t~2 4 4 - s,f 1 msbK n~ r Gti,~ pZ 0.3 Ground 42 /d`/P-4 4 S Q r m` ~7 -6 elev. 114,176Z ft. Depth to limiting factor > La, -()b Remarks: Boring # ~I p -i5 a ~R3 L m~~K r ti ti:::_ S~g3 b k4 L 1 m QLiv /h cw 1 ? 0.3 9r -To Ground elev. I AA i~ ft. Depth to limiting factor >3- 7S Remarks: Boring # Ground elev, ft. Depth to limiting factor Remarks: cgn_o~~nrR L o` 2 S - ~ rm r J f n p. G M1 ~n ` r t b O~ ff I ~ t ' I rnrn J CA n , r n l W 1 C 1 i 1 U_I2.LATTc0 _A_05 ~ ~ y . or TM4 Swim. SICTION 11 SW43,04•C ` 1315.96 24e.SS 248.83 +ssr uwt Of T~4 110.00 30aoo soe.2° i S3 u O ~ ~ ~ O O 8 4 o Q` u 1 N N ~ 4 m O 10 I 44 \ISO to O m O z O s w'-Ac~ V. • O V O + N ° on N o ac O f D `W tA 0. J { S e% p o p cfl O NQ t" N w N "1 P N N vi 5, o. 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N . 1r r°- I~ 1ri IU i -I a 1 c.I 1 r+1 1U IW 'rte Ix I 1 ~ ~ Z Cl) W isi 7 If- (D ib. ; s 0 090 s~i•~~. ~ o 13 66, Z n m . - w w O -n 2 m C5 'r' cl rv 0 I p `ci' Q ul pQ N \ a 4 \~9 p o n A/ s` Z O 9c r w ev a N Qi 0 U) _ / °p' n Gv Z C1 r1 N00'20'00'E p`~4 `/C 8 $ 0 O n 0 -1 zc MOON v 0f0rC4,l O + O Co CO inr-j . 1~ PO _ bQ rn O W r O Gb - n O 1 NOO'20'00'~ F4 O m Z e ` Z % O 52.905 N (n 0 % \ .`a c• a co ter' N N mo > -i 00 i w f=* I a W 2 Ors O a w y' rF~ A Uu -Nj ua fV 1 .tim \ O 1 O ro N03.42'59"E 501.64' , Ol v Q3~42'S9~E v ,U' I F L 7p 470. 234.2526589' Z Q p N03.42'59 "E NI • i / Z 31.64 v 1 128 21'E 317, 06 ° O D l m Q N vi (UP z m 0 0 N00.08'09-W 453.12' ~ = D (.sr,,kc or h.[ 3•.v of r..[ Nrv•, .11-0. 12 m r lo o c f N a ICI ? - I~ IV w it D v « IGI N Z n z is _0 0 [c...na~ ..c .cru,4cco ro r..[ u,r ..[sr Z N .~~'JO'oo'[. ~fINNEf--,e lb (..;E Lc)7 2,p -TIRE - -lDry~ Dn ~lO"fp ~lPRS-0 3 0 ~ //,I K- I ~P LoT L-7 . /DD,oO~cloR'rH LDy" L /NF_ 3os 36~ I, ~ r !5 i ,A 310p 0~ ~L o~ , I l d~ Izo ' ~A!eAGF DQ~~E way llo o O s(o#~~._ ~OvS~ ~N ~ Zi6 t ~SicSo wE~~ 6A ilia., r v a ~ 07 ~ Zss ~ a , v v 2 a 0 Soc r Al L67 LIArE a 7~i sS' LJ I z0~Vi w 2 VN z LO, o ~Y O :4- 10 W O I Z I I N 'E N I W ~ ~ I d t a I t ' I kk) J a i w ~ I I Q I I a ~ dd I 44 I vt ~ I z I w n .4:H STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER :S,4 M W /L4,5 2 MAILING ADDRESS 0 o X- Z$ Z N C) 0_5<:> iY W(• '/O !f- PROPERTY ADDRESS JO~ S T A N N E y &,4A//Z (location of septic system) Please obtain from the Planning Dept. CITY/STATE 4,-) D S ®'1A uj ( C/O ( G PROPERTY LOCATION IAI 1/4, s w 1/4, Section / 2-- , T N-R W TOWN OF N- C) S o 1~l ST. CROIX COUNTY, WI SUBDIVISION TA W N r Y RIDGE _ LOT NUMBER Z CERTIFIED SURVEY MAPS 1 z„ VOLUME 6 , PAGE 3 , LOT NUMBER 2 8- 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. c SIGNED: g DATE: / s 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 -SAM / /L 4 c Location of property LW 1/4 _1/4, Section / Z ,TAN-R_© Township v DS a 1s) Mailing address Lae X -t~Z8 Z- x)D S®m L'-) ( S- o/(' Address of site- ID 9S` 7-A N k1C-Y L,4,,y Subdivision name -rAA114FY P-t D6.E Lot no. Z $ Other homes on property? Yes C No Previous owner of property RA Al pA LL SAN AN Total size of property Z , o Ft Total size of parcel 2 $ Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? C Yes No Volume O I 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. 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. So f 8 s'-T- , 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. Say~s" Q Si ature o App icant Co-Applicant s Date of Signature Date of Signature l ~•t DOCUMENT NO. STATE BA F WISCON$I OR3f 1-1982 T"le srACK ReggRVILD Post RgcoRDING DATA ARRANTY 0 D - 504855 ioL 1031►SGE 456 CISTER'S OF1C;E This Deed, made between Randall W. S nan and Patricia E. S nan, i ` X Co.. %I Y............. X............._....._ ;ec's Ibr Re~„d husband..-and. wife 3 , Granter. ! SEP T 1993 . and ...Sam..E...M..1:._er.t.......s.._ngl.....Person ~ 1 ~l 0:4~ O M 7 , Grantee, R-rhl s• Deena wit~lesseth, That the said Grantor, f t valuable consideration...... Randall W. Synan and Patr~caia E. Synan conveys to Grantee the following described real estate'in St • Croix RsruR" To County, State of Wisconsin: Qy ~o Tan Fsa+nl' No . " The SE1/4 of NE1/4 of Section 11; the SWi/4 of NW1/4, the N1/2 < of SW1/4, and the South 53 rods (874.5 feet) of the SE1/4 of NW1/4 except the East 74 feet thereof, all in Section 12; all in Y Tovnship 29 North, Range 19 West, Tovn of Hudson, St. Croix County, Wisconsin. FF~+IS: ^ AND A parcel of land located in part of the NE1/4 of SE1/4 of SectiFn 11, Township 29 North, Range 19 West, Torn of Hudson, St. Croix County, Wisconsin further described as follovs: Commencing at the E1/4 corner of said Section 11; thence S89 30100"W, along the North line of the SE1/4 of said Section, 1212.32 feet to the point `j of :eginning; thence continuing S89 301000W, along said North line, 66.00 feet; thence S00 28103"E, 500.00 feet; thence N8q 30900"E, along the North line of Certified Survey Map filed in Vol. "3", Page 722, 38.08 feet; thence N00 11133"W, 150.00 feet; thence N03 581340E, 351.07 feet to the point of beginning. ! This 1.9..nlRt.... homestead property. (is) (is not) Together with all and singular the hereditament& and appurtenances tuereunto belonging; And..... RRMAII ..Vf.e... $YRdn-.and --Pa t r_i c i a•..E warrants that the title is good, indefeasible in fee simple and free and dear of encumbrances except easements, restrictions and rights-of-vay of record, if any. and will warrant and defend the same. Dated this day of Aug.us.t....................................... it..4 (SEAL) ~Zl?+FtL~4. f Irda'.0 (SEAL) Randall W. Synan (J • Patricia Synan ...............................................................(SEAL) ....................................................................(SEAL) • • AUTURNTICATION AC=NOWLRDOMBUT 33 lures STATS OF WISCONSIN i St. Croix authenticated thin miany_.. ...s ty ...C. . 1 ,j ....._._day o f. . 19.._.._ p ugust gams before ass ......day of A i~ A 19.. the above named II Randall ills SYriari....pa......cia................. TITLE: MEMBER STATE BAR OF WISCONSIN Synan - ~ (If not, .._........................---,.Y'. authorized by 4 708.08. Wis. State.) _ tl to me known to be the person .13......N: he i fa Ins t and awl ~J THIS INSTRUMENT WAS DRAFTED BY it r Krishna Ogiand j AL'cnrnep at taw..._-•-•-••••••-• a Alice Joy o ors i ti ;...Cr'017X Notary Public County, , is. ty (Signatures may ba authenticated or adltnowledged. Both My Commission is permanent. f not, state ex • ation are not necessary.) date : ........................1!- . lA •Namea of persona signing in nay capacity should be tlped or printed below their signatmens. 1. t WARRANTT DIED STATIC BAR Or WISCONSIN Wisconsin Eacal Black Co. IR& FORM Nw 1-1!12 miiaaukee. Wis.