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HomeMy WebLinkAbout020-1311-20-000 Q o O ry ~ II, O I o ~ I ~ II o I 0 N I ti L m c v I v, I o I ~ IIL ai I o z° c U. c 0 d 3 co v a~ Z 0) £ (n L; O d 0 Z m m Z N " a m 0 c C7 _0 co O Z c v M N N Z d c o fq H r I' m N Z E a L p N O d N n r N C a o Q 0 m iI zcoz a N z a O N m N E ~ I 0. m Lo > _ Gl N O N ~l V O L C O O C O 4:; N C a N o N y F- F- I~ N `n O O O z ° •rv a a a a 7 0 V) O 0) N fA J U ~ rn rn y0, Cl) LO 2 in v lu o 0 O N N C c> _ m c> W N ~ m N Q) n C d Q Ali C ~ O III ' ~ W N I (fl W ~ C r..+ O = 7 O C N ° O O O O N V CL O O O y O C CI- C ttC4 N N V L N ~ ~ N E O W C (n c O N :z N O N " m a, n • N N 7 d. O cn f0 a3 N U ^~1 O S O - C4 v ~ . ~ d R ~ a II # a • CL Z,2 d° w c E c I'I c o o m 3 3 0 r~ A 0 am 'ov`~~U r I I f STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ~jA &1 121 IL L Fge- J ADDRES OX s 13 Z 8L H UD~o K W I d s/ 0 SUBDIVISION / CSM# ~l E P-+D (mot- LOT ~.9 SECTION Z_T N_R ~q~f;") Town of HLA) a ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Sc t F i o yS y ON ?I E E/• - R "loo,a Lt a~ ALTO + E 9ATF I I FoosE - S$ ° ~A G WAY 2rl F N INDICATE NORTH ARROW Provide setback and elevation information on reverse of this foi`m. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: 'r0~ 4l'f E /f 7- NE e.ORVA, /,OQ,o ALTERNATE BM: SEPTIC~T / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: wE/.SEA- Liquid Capacity: /DOD (o-+/- Setback from: Well ►10' House . 8 Other (0) TINE LoRNC6C .~/fo~s Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location ;SOIL ABSORPTION SYSTEM Width: Z- Length 5 y Number of trenches Distance & Direction to nearest prop. line: R`o f/~S7' Lo7- /1,yTo E Setback from: well: House. Other 10 7r! J`F~1/G TXV, I t MAN /401.E.: y, ELEVATIONS 0 Z_//7.78' If - z _ Building Sewer ST Inlet. I ~ ~ _ I S T outlet 17 - !r G3 PC inlet PC bottom --Pump Off - T7,4 g.OS /~;,'IS P,N- 8.3y= 0314/4 9. 3S= l /Z, `tj Header/Manifold Bottom of system Existing Grade 4/,Final grade -`/?O /17,00, DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: N? 5- 6? 2,5-0 0 INSPECTOR: 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor tina Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Permit Holder's Name: ❑ City ❑ Village Town o : State Plan o.: " MILLER, SAM E. Ur~~rrr CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: /DO. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ia/ ioa, o' Dosing Z , 7 Q9, 7S' Aeration Bldg. Sewer fQwt~ Holding St/ Ht Inlet G dS~ /iS,S 3' TANK SETBACK INFORMATION St/ Ht Outlet ~7' Vent TANK TO P / L WELL BLDG. Air Ito ntake ROAD Dt Inlet Air Septic > / >as NA Dt Bottom Dosing NA Header / Man. 3, 7 Aeration NA Dist. Pipe ' Holding Bot. System q,35' /ia.5°S~ PUMP/ SIPHON INFORMATION Final Grade 7 3' 7 o 7 ' Manufacturer Demand Model Number GPM TDH Lift Lricti System TDH Ft Forcemain Len Fi Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION /oZ ` DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHING Manufacturer: SETBACK INFORMATION Type Of CHAMBER Moe Number: System: -P ?0 ' 2e- xll---4 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 3l0 ` Bed / Trench Edges 3 4`- 3 6 ` Topsoil E] Yes E] No El Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Hudson.12.29.19W, NE, SW, Lot 29, Tanney Lane C~tIL6G~-L--- ° Plan revision required? ❑ Yes []r'No Use other side for additional information- /y 4 S F G SBD-6710 (R 05/91) Date nspect is Signature Cert. No. f ADDITIONAL COMMENTS AND SKETCH ' SANITARY PERMIT NUMBER: i j ..o, Safety and Buildings Division ~~■■_r■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 C /'o~ than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number ,v?Y',9A; 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 Property Location SA/V\ MILL94- NE 1145W 1/4,S /Z Tz-9 ,N,R/9' E(or W Property Owner's Mailing Address Lot Number Block Number ox 0 2'd'Z Z City, State Zip Code Phone Number Subdivision Name or CSM Number HUD50N WI syol~ 1(3%) Z7(-9 -rk xY 1D6E - # S3/Sf~L 11. TYPE F BUILDING: (check one) ❑ State Owned El City Nearest Road Villae E] Public 1 or 2 Family Dwelling - No. of bedrooms 3 E] Town OFyvasOni Ti1lIrNEY ~4H~ Parcel Tax Number(s) 111. BUILDING USE. (If building type is public, check all that apply) II - ©3i/- Zo 1 E] Apartment/ Condo Zo -l 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ OuNoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12E] Service Station / Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/ Factory 13E] Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box online B, if applicable) A) 1. p 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 [A Seepage Bed 21 ❑ Mound 30E] Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13E] Seepage Pit 43 ❑ Vault Privy 14E] 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) Elevation y s- ® l~{ -3 6 y 8 .7 - . oar Feet 7 20' Feet VII. TANK Capacity gallons Total # of Prefab. Site Fiber- Plastic Exper- INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- steel glass App. New Existin strutted Tanks Tanks n Septic Tank or Holding Tank ~d00 / WE/ 5r 2 21 ❑ ❑ ❑ ❑ ❑ 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) Plumber's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number: /KE m4 DOKELL Mle PRS-o3SOlC7 96 Plumber's Address (Street, City, State, Zip Code): "llol 62-EF1v M I LI /-H A/;1-" /`f OV10 Y w s yo IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sa Itary permit Fee (Includes'Groundwater ate Issue Issuing Age t Signature ( Stam Surcharge Fee) A-A/pproved ❑ Owner Given Initial p~~- Adverse Determination C! / X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05194) DISTRIBUTION: Original to county, One copy To: Safety & Buildings Di-ion, Owner, Plumt>er I 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. 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. Co!npiete plans and-specifications not smaller than 8 10 x 11 inches must be subs itted tc ti> i,nty The plans must In lu'd- the= loliovviit: A) riot plan, drawn to scale or with complete dlfnensiorls, I~Jcutio,, of Jinci tank(s), septic s' :or <;th 'rtreati-nenttanks, building sewers; wells; water mains/waterse! -:e, ',tre.;:~..: 131 ~?s; pumpor siphon t 1,ks; di u,o,,tion boxes; soil absorption systems; replacement systen_i areas a `the building served; ti! r%tai and vertical e ev<',;orgy. refefence points; Q compete spo .;'i,a' oii, l0 I)ijw-,~i d' C ,ont.-ols; dose volume; el._„ation differences, friction loss; pump performance curve; pump model a, -id r'urnp ~arer; Dj cross section o' m-, soil absorption systei -i if required by the county, soil test data on a 115 for n; aliu ) Jzirg information_ GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practice,, which can effect groundwater The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. 7 A NNEY L ANE WAFS7 LOTZIME 2 29 Z 7 ' i H3 y o o m m , + `i r\j f ll m N O O O p U U ^ 0 Tn C 1^ ~ n7 d e m ~ ~ r m o tv -I o >t> N o N l GG r~.__ 1 + V CIO TI c C Q fi In ~ a 6\ O ~ Q ~ / y n O~-L I l ~ 1 i ~9c r I O c~ w ~ ~ W d0 N I ~m oon 1 0~3 0 ~ M E.4s7- L07- L/NE 2ZRz8" w . rri 1,4 LA i I i m G7 j JIM 0o-< N ono .70 ' u ~c m I ry) v i I w O t ~ I I I r*1 O Ir c.o Z n Wisc,4sin Departmant of Industry, SOIL AND SITE EVALUATION REPORT Page/ of 3 I~..aaLZrSnd Human Relations bivision otSafety & 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 'ST C fZIA not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # X dimensioned, north arrow, and location an c t road. TION REVIEWED BY DATE APPLICANT INFORMATION-PL A PROPERTY OWNER: f Z411 a PROPERTY LOCATION g j~Q / )Qr- Pq ~ GOVT. LOT N c 1 /4 ` W 1/4,S I Z T Z~ N,R ! E (or) W PROP RTY OWN&06 MAILING AD A 0 LOT BLOCK # SUBLUAME OR CSM # 1-1 Vz t ' Z l An1711E~' id4~ -7 09 14 I ❑CITY ILLAGE OWN NEAREST ROAD C>° CITY TATE Z ODES MBER ❑ 14 u4Son~ s' (.~07' QS 1 A1NNE7 V\ NO New Construction Use FIV Re ' - r s AtK ( ]Addition to existing building j ] Replacement [ ] Public or J r ' Ibe Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 6 ) trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate D-7 bed, gpd/1126 X-trench, gpd/ft2 Recommended infiltration surface elevation(s) fj (as referred to site plan benchmark) Additional design/ site considerations EYAL0,4 T 1 h6"J Fob PLA-s A P°e6vA L Parent material Flood plain elevation, if applicable ft S =Suitable for system CONVENTIONAL M UND IN-GROUND PRESSURE AT-GRADE sY TEM IN FILL HOLDING K U= Unsuitable fors stem WS ❑ U S❑ U S❑ U S❑ U KS ❑ U ❑ S U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Du. Sz. Cont Color Gr. Sz. Sh. Bed Trench C XV 14 6, g -zg ~.6 r - L 1 m al. K r f C Lj 1 6,4 Ground Fs- /Yk 4 , C rh sbt~ r Cw 1 3 elev. 1 zo ft. 3 ~sv7 7. Syt2 4 4 S rh C~ 1 0 `1 o, r th (~~c Depth to - 2Z jcaY P-414 limiting factor Z Remarks: / Boring # A lo-%, j m Gr rn r Z 6,41 115 g, ~ 23 fay 4 ~ l C-7- -1I 1d-YR 4 S >r m ®7 b. Ground elev. 113.49 ft. Depth to limiting ~ factor Remarks: CST Name: Please Print A Y 04/QS01J Phone: 4ago Address: , Signature: Date: 7 Z1 p, ~ CST Number: ~p~ PROPERTY OWNER'S 4/h SOIL DESCRIPTION REPORT . Page -Z if-31 PARCEL I.D. # L6T Z9 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench I6-3c love-4 4 math M~; Cw 6•3 Ground -5-C 7.5 Y44 4 S ( r ~w 1 U~`7 g elev in. Jr ft. /1 f0Y 414 5 Depth to limiting ~f~t~ Z Remarks: Boring # p /~`I 3 1 1 nti Gr /yf r CS 2 Q _S ti .4... 61~ 6yf,4 4 Ground elev. Depth to limiting ~ 9c~Z Remarks: Boring # Q n► o.z A.3 Ground ' -?Z ZS-Yt24' f r m CS Q : elev. -rz P,4 r y►'l f~ 0.7 ~I7.S1 ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Cnr%-on,) f1 (R ncin- t~1~L ►C i1o ~ Z a \,k 3 Z I!r S 2 ro r dop z 3 1 L) ATT E, LAv*,s SM y!PLATTED LANDS f~ S00~43'04'E 1315.86' 249.83 .csr uti! a/ r.a rwv. or rat s+v., fscna~ f 110.00 2x8,83 30000 x09.20 S.3/ 5, O H 0 O O $4 O pC : N zc u. O 1 a w Na O ra P~ tvO~ !c N /a a a N ~J u r 1 N Q• Fit ^r A a 4 o n7°i N 4 V 0 00 In a a a D `v . os 0 w. U°rW oT (D O ~N N o~ N 0• uN O 4 IF O G > o i~ N 4 N i O 4 y23•4.3 ~3 P ° Q T C 0. 0 ;•w... . D~ a04 17 Pl) ` rte' J233 $ / naN a............ \ O O o n _ j \ to "It N N CP ~ 0 ~ o ti r \ oQ o p ~ N O L'~2 / Qr t)Q `4 0 -0 40• , a, co 4`+9aa0 oao ' .y \ c~1 N ~Q 1\`. 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Not 50'00'[. r STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER 5A Nl M I LLF /Z- MAILING ADDRESS 13C>X Z_ S- -z__ PROPERTY ADDRESS ' / O 1~r (o TA N IY F Y L A &E (loco :ion of septic system) Please obtain from the Planning Dept. CITY/STATE N L) D 5,n N W I 5 to Ito PROPERTY LOCATION Al E 1/4, 5 LtJ 1/4, Section / Z , T Z N-R 19 TOWN OF H U D S D 1V ST. CROIX COUNTY, WI SUBDIVISION 7--4 k AlF~/ 2& D ~o~E- LOT NUMBER Z 7 CERTIFIED SURVEY MAP S31y Z_ , VOLUME 4_~ 9 PAGE 3 / , 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: ~~'~Y~IOJI DATE: GI - 5 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 M I LtE/L Location of property B/F- 1/4 5uJ 1/4, Section ! z ,T 7-7 N-R ~9 Township HUD-50 N Mailing address Sox W L 8 L 14L) ASoAl c,) i ~ y0/6 Address of site - 1 o 9 -r,441,V& z-, 1E Subdivision name TANNfy /21D6E Lot no. z 9 Other homes on property? Yes l' No Previous owner of property RA #ph w. s YNA N Total size of property z,oo f1 Total size of parcel Z , o v Date parcel was created fl-/- q Are all corners and lot lines identifiable? ~C Yes No Is this property being developed for (spec house) ? _ Y Yes No Volume 10-31 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. 5 D yFz-S , 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. SD 5~ 8 SS"' All Si ature f Applicant Co-Applicant Date of Signature Date of Signature ` DOCUMENT NO. STATE BA F WISCONSI ORM 1-19U r"~• "+~cs "sss"VSO,oR RaeoROINO BATA ARRA14TY D D so~sss VOL 103iME 456 -CISTE4'S omcE This Deed, made between CO. ti11i Randall W. Synan and Patr.ici.a. E. Sxnan,__,...._. forReQOrd husband., and-.v fe . ' t Sam..E;.--Mfe a sin le.. -ergon.., Granter, SEP T 1993 and ~ i . 9 p.................... ' Io:a5 Q ; . ,t t)..Oib Witllesseth, That the said Grantor, f r valuable consideration...... Randall W. S~+nan and Patr~cia E. Synan St Croix......'.' R&TURN TO conveys to Grantee the following described real estate in County, State of Wisconsin: s w Tax Patel YO The SE1/4 of NE1/4 of Section 11; the SW1/4 of NMI/4, the N1/2 of SW1/4, and the South 53 rods (874.5 feet) of the SE1/4 of NWI/4 except the East 74 feet thereof, all in Section 12; all in Y Township 29 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin. FF~ AND _..i A parcel of land located in part of the NE1/4 of SE1/4 of SectiF 11, Township 29 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin further described as follows: Commencing at the y 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 ' of .,eginning; thence continuing S89 30100"W, along said North line, 66.00 feet; thence SOO 28103"E, 500.00 feet; thence N89 30100"E, along the North line of Certified Survey Map filed in Vol. "30, Page 722, 38.08 feet; thence N00 11133"w, 150.00 feet; thence N03 58134"E, 351.07 feet to the point of beginning. This AA.. rkQ.t homestead property. (is) (u not) Together with all and singular the hereditaments and appurtenances tuereunto belonging; And..... Ralld4.1.1. W t...SY.nan.. and --Pa tr_i gi a„ E -...Synan.....-• warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and rights-of-way of record, if any. and will warrant and defend the same. L Dated this day of Aug.118t........................................ 19..94.. Gt~►'~[XstJY ~ ~ • Ar... (SEAL) ....(SEAL) • Randall W. Synan Patricia Synan • .......................•--.........................._................(SEAL) ...................................................................(SEAL) r. AUTRUXTICATION ACKNOWLISDip1, RNT `z i Signattim(a) STATZ OF WISCONSIN d. Std. Croix x..-...».Cooob. jl authenticated this ........day of 19 came before an a..l C........ day of t August y the above named 12andall ~M:»Syrian:• Pa£ric'fa_.it TITLE: MEMBER STATE BAR OF WISCONSIN S nave ! (it nog, ?4.:10 . authorised by 706.06. Wis State) to me known to be the ~ per" .19 ......H4 l1e ;I ing i t and a wle I CORM ~i IS INSTRUMENT WAS GRAFTED BY 77 1 TH ristina Ogland (T. . r R At-corney--a-t--Law------------------------------- a Alice Joy oCiors . St: . Notary Public County,-Wis. (Signatures may b• authenticated or acknowledged. Both My Commission is permanent. f not, state exp' ation are not necessary.) date:........................ . *1....... lA eNases of persons signing in any capacity should be typed or printed below their sgnst4ran. - - - - - Y WAItRANTT DIED STATIC BAR Or WISCONSIN Wiseon.in low I Blank Co. tine. FORM Nw 1-I9e: Milwaukee. Wis.