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HomeMy WebLinkAbout030-2002-90-000 Q o O a ~ p o tl ! c I op a+ O ~ I ° I 0 N N C i I tl N Z L IL O C E Q I ~ ~ I (D ~ y I Z O` O d M H U) d m O O Z v v r N cOi Z c Z ~ M I ~ I ~n ~ I "IV' co z N z I~ d o N a w 0 N y d 2 8~ e O caa aaa z ~ I m IL ~d to J V m 0) O ° 0 M aIv = w C> co _ E ' a kc n m m o o N ~ U'j a c 'D E ° 3 O O M H v d m `n I rn °o a°i. m E c a N O O O N C M co N N C+ N O O C~ V) N = ~ CO (O N O O U • O I~ O M U) J N O Z c z ~2 (n m a 3 ° L: a • (m a E m rr`1www E S _1 A 0 ag 0 Nv STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER fi j,, A L © ADDRESS. 'Q2 c T y SUBDIVISION / CSM9_ / IA LOT SECTION J3 T. 30 N-R W, Town of-.,5r, ~ =pa ST. CROIX COUNTY, WISCONSIN PLAN VIER SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 8o C, L PIC )/oust 13P'f , i ®P sr a od?nffQ GA,QAC-E 4AOACe APAVA( EL, idc+.0 1-7 I t L ~8X y8 S~EpAGE I i 13 t=!'7 L JJ R Ie d1 INDICATE NORTH hRROh' I Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole covet-. BENCHMARK:® S~ C'OlQnra~ OG V-A~Q GA A~QU/V di-(- ALTERNATE-BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: (~~Arp~,y Liquid Capacity: /Zacl Setback from: Well-./00 fi House Other Pump: Manufacturer ZOactE2 ModelWggg_ Size Float seperation Gallons/cycle: JX5' Alarm Location irARACI SOIL ABSORPTION SYSTEM Width: 18 Length yA Number of trnerretTes 3 L //{/g S Distance & Direction to nearest prop. line: s~ Setback from: well: /Qpt House Other ~:2,5 ELEVATIONS Building Sewer ,3 ST Inlet. ST outlet ~ I PC i n l e t , .401- PC bottom 5! jj- Pump Off _ Header/Manifold Bottom of system Existing Grade Final grade e DATE OF INSTALLATION: q j PLUMBER ON JOB: kmL- LICENSE NUMBER: INSPECTOR: 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 PeLEONARDrmit E] City E] Village ( Town of: State Plan o.: _ St joseph CST BM Elev.: Insp. BM Elev.: T M Description: Parcel Tax No.: /00" Aqrnni7s TANK INFORMATION V ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic olC7Benchmark ~C7a,l~ /p0- Dosing Aeration Bldg. Sewer q0 3Y' Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom 7 a~ ~c o Dosing > /00 ' NA Header / Man. -7,55 Aeration NA Dist. Pipe ~cl qct' Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand 15,3 x ~ Model Number GPM TDH Lift 1\,Ob Friction System / TDH 0~~ Ft L o e Forcemai n Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length , ; - No. O/ renches PIT No. Of Pits Inside Dia. Liquid Depth I 1 DIMENSIONS DIMENSIONS LEACHING Manufacturer: SYSTEM TO P / L BLDG WELL LAKE /STREAM SETBACK INFORMATION Type Of 7 170 CHAMBER Model Number: System: - Jc / 14 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 {q J - xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center (J Bed /Trench Edges I ` Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: St. Josegh.33.30.19W, Se, NW, County Road E /lam Plan revision required? ❑ Yes [~No n Use other side for additional information. SBD-6710 (R 05/91) Date I~spec4or•s signature Cert. No. SANITARY PERMIT APPLICATION % v~~'■•iR In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 0133 0 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION ~j e0y"n S4 5% 41%, S 33 T 30, N, R 19 E (or PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 32 c T ~ CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER AID 10 A( U),( 5-y6'14 I s s A II. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ❑ State Owned VILLAGE 5 r Jr., e p rv R TOWN OF: ❑ Public 1 or 2 Fam. Dwelling- # of bedrooms Av_ PARCEL TAX NUMBER(S) ` III. BUILDING USE: (If building type is public, check all that apply) 0 30 1 ❑ Apt/Condo 2 ❑ Assembly Hall 60 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 in line A. Check line B if applicable) A) 1. ❑ New 2. IM 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 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 ❑ Hblding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 12. 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 6100 R6, I I 9f" 3 Feet 9 FO Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. Con- INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete strructed Steel glass Plastic App Tanks Tanks Septic Tank or Holdin Tank 14 A! NQ WW F1 Q I F1 Lift Pump Tank/Si hon Chamber 1,8001 VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the hed plans. Plumber's Name (Print): Plu er' Signature: (No Stamps MP PR Business Phone Number: 0 c #1117-r Ora-z--- - 20 4 S 5- -lG / Plumber's Address (Street, City, State, Zip Code): 6 VIAFUI 7-A E IX. COUNTY/DEPAR MENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater M.,?3 Issued Issuing Agent Signature (No Stamps) Surcharge Fee) Approved F-1 Owner Given Initial /Sb Adverse Determination 14 q X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(8.08/93) DISTRIBUTION: Original to County, One Copy To: Safety a Buildings Division, Owner, Plumber INSTRUCTIONS 3 t 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the 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 & 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 in 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 in ##1-7. VII. Tank information. Fill in the capacity of every new and/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% 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, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) t q1t f/~~rT 0- /Nrp,6Fc i 1e)AI z 9~ c v ~s= 36 f. 6 X40 ~ 2oc r ~C s ysT~-ter et 741, 3? oa 5'' }{vt~ sL Soo ,QC. 0 ~~LL S CAGL / = ~ O~kACE BI-I Top Sr Coklvgfi of Gi}RAO r Ap2aAI CL /00, 0 j4CP S 2 J I 83 ,_1J Dx 1810 f8 FED PIA Wfx~, FOP, GEC ~ L. L O N~4 ,~yo► ~~!k:~~ W/- 5W6 ~ os- /7/9,?s4~ • PAGE OF PUMP CHAMBER CROSS SECTIOM AkID SPECIFICATIOUS I VENT CA! 'i"C. Z. VENT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION BOX MANHOLE COVER ~ 23' f ROM ODOR. IYMItI. I, WINDOW OR FRESH I AIR ►NTAKE GRADE I L47, • IN. AL 00 I IVA" COWOUIT WAN. , PROVIDE ( IAILET AiRT16MT SEAL I P►ROV/L/ I Av . T _T I I ?11 D JOINTS APPROVED JOIN A W/C.Z. PIPE I III W/C.I. PIPE EXTENDING 3' I II ALARM EXTCNOING 3' ONTO $01.10 %OIL I I I ONTO SOLID 6011. o I No I ON c LLCV FT. PUMP -'g OfF 0 L CONCRETE BLOCK 3" APPRovtO CR HAS SUCH APPROVAL RISER EXIT PERMITTED OWLy IF TANK MAIJUFACTUR Bf.DO1N6 SEPTIC E SPEC. IFICATIOKJS TANKS MANUFACTURER: NUMBER OF DOSES: L PER DAU TANK SIZE' Ado GALLOWS DOSE VOLUME ALARM MANUFACTURER' L LCUL-L AL" m INCLUDING, DACKFLOw:. 0 6.ALLDNs MOOCL WUMBCR: CAPACITIES: A=LtZuL_INCAES OR 300 GALLONS SWITCH TUPC: MIL Or-t4f? 5 =INCHES OR .3 6 ro ►LLONS PUMP MANUFACTURCIt. ?&9~1. L h:5,1_? C,- INCHES OR 121 OALLOIJS MODEL NUMBER: 96 0- Z 9 INCHES OR ~LLL GALLONZ SWITCH TYPE' / et col? y - NOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE- RATE. _GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE 6ETWCCN PUMP OFF ANO..OISTRIBUTIOW PIPE.. _1Q FEET + AIWIMUM NETWORK SUPPLY PKE~SLSURE . . . . . 2.5 FCET + ~,,~/1~-FEET OF FORCE MAIN X ,.Sy FYoFEFKICTION FACTOR._&2_Z_ FEET TOTAL 01JUAMIC. HEAD = 13' 3 FEET INTERWAI. DI ENSION1 Of TAWK: LEW(,TH A(A -;WIDTH 11./ ;LIQUID DEPTH OD SIGNED: LICEWSE WLIMBER: APAL'C/J 3- .5 1 DATE:IZZL Labor and Hur en Relations u~u r b V I L A N U 51 I t t V A L U A 1 1 U N Ht F u h 1 rage 1 01 3 Divisjgcs+f_9&-1aty a Buildings in accord with ILHR 83.05, Wis. Adm. Code ' COUNTY St. Croix Attach complete site plan on paper not less than 81/2 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. 030-2002-90 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Bruce Leonard GOVT. LOT SE 1/4 NW 1/4,S33 T30 N,R 19 )E (or) W PROPERTY OWNER':S MA!IING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 532 Cty. Rd. #E na na na CITY, STATE ZIP CODE PHONE NUMBER OCITY OVILLAGE gTOWN NEAREST ROAD Hudson, WI. 54016 (719 549-6385 St. Joseph Ct . #E [ J New Construction Use [ Residential / Number of bedrooms 3 [ J Addition to existing building [xJ Replacement [ J Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 7 bed, gpdfit2 .8 trench, gpdm2 Absorption area required 643 bed, }f2 563 trench, ft2 Maximum design loading rate • 7 bed, gpol(t2 .8 trench, gpdm2 Recommended infiltration surface elevation(s) 94.38 It (as refer, ed iu site Nlar, 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 fors stem I ®S o u ® S O U 01S [3 U 7 S O U ❑ S KIU ❑ S Kill SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence IBouxby Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rertcft 1 0-11 10yr3/3 none 1 2msbk mfr cs 2f .5 .6 1 `taml 2 11-32 10yr4/4 none sil lfsbk mfr gw if .2 .3 Ground 3 32-80 7.5yr4/6 none is Osg mvfr' na na .7 .8 elev. 97.38 ft. Depth to f f limiting factor +80 Remarks: Boring # : mac.; 1 0-9 10yr3/3 none 1 2msbk mfr cs 2tii .5 .6 2 2 9-30 10yr4/4 none sil 2msbk mfr gw lm .5 .6 '1_1.1 wo 3 30-40 7.5yr4/4 none is Osg mvfr gW if .7 .8 Ground elev. 4 40-84 10yr4/4 none co s Osg ml na na .7 .8 97.98 ft. Depth to limiting f 841, Remarks: CST Name:-Please Print Gary L. Ste Phone: 715-246-6280 Address: 1554 20OTh.ave., New Richmond, • 54017 Signature: Date: CST Number: 9-8-94 cstm 02298 PROPERTY OWNER Bruce Leonard SOIL DESCRIPTION REPORT Page 1 of 3 PARCEL I.D. x 030-2002-90 ( GPD%ft Boning # Horizon Depth Dominant Color Mottles I I Structure Consistence Bound3y Roots in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Bed ITrerx~ 3 1 0-10 10 r3/3 none 1 2cpl mfr cs 2m up j.2 „N.. 2 10-32 10yr4/4 none sil lfsbk mfr 9w if .2 1.3 Ground 3 32-39 7.5yr4/4 none is Osg mvfr gw na .7 ~.8 elev. 4 39-84 10yr4/4 none co s Osg ml na na .7 ).8 98.33 ft. Depth to limiting +84" Remarks: Boring # 6TId•A~i<ii Ground elev. ft. Depth to limiting factor Remarks: Boring # 0111 MOM I Ground elev. ft. Depth to limiting factor I Remarks: Boring # I Ground elev. j ft. I Depth to limiting factor Remarks: SBD-8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Bruce Leonard 1554 200th Ave. CSTM2298 SE4NW1j S33-T30N-R19W New Richmond, WI 54017 MPRSW 3254 town of St. Joseph (715) 246-6200 N 1"=40' BM.= top of se corner of garage apron at el. 100' G 61f 5s~~ ~x - 60, C9 i f- ~ 2~o I X" c3-~ ~ 30 Zo , ~11 ~N Gary L. Steel 9-8-94 STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNEMUYER BP-UCG + C-1NO Y L E©t JAa0 MAIIING ADDRESS S 32_ C-r? keD PROPERTY ADDRESS SAM E (location of septic system) Please obtain from the Planning Dept. CITY/STATE 14u)Sk W ? S~ ©t,~ PROPERTY LOCATIONS L 1/4, 1~) LJ 1/4, Section 3 T 30 N-R_ W TOWN OF .JO ST. CROIX COUNTY, WI SUBDIVISION NIA LOT NUM13ER CERTIFIED SURVEY MAP , VOLUME, PAGE 6 3S , 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 (l) 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. 11We, 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. Cr" County Zoning Officer within 30 days of the three year expiration date SIGNED: DATE St. Croix County Zoning Office Government Center 1101 Cannichacl Road Hudson. WI 54016 ~ ~ ) 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 f3IZUC- t C 1 yU p Y UG-.p/UAW Location of property SL 1/4 JW 1/4, Section 3:3, ,T 30 N-R__j 9 W Township S'T JbC- Mailing address S'32 CTy' fZfl IAUDSOt~ LN 1 S 0 ((o Address of site SIA fYl E Subdivision name r,) /A Lot no. V other homes on property? Yes___,y_No Previous owner of property Total size of property 2 / cke' S Total size of parcel 2 A c 12E S Date parcel was created -1(8 Are all corners and lot lines identifiable? Yes -No Is this property being developed for (spec house) ? N/A Yes No Volume 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. 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. 3'r7G6~ Signature of Applicant Co- p i ant' Date of Signature Date of Signature ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the f j&Z~E L C-yA64 ~ residence located at: _1/4, Sec. 33 T_3e N, R~_W, Town of 1i ~TuS ~s~.~t Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced_ SEA Did flow back occur from absorption system? Yes No (if no, skip next line) Approximate volume or length of time: gallons minutes Capacity: /a0() Construction: Prefab Concrete- Steel Other Manufacurer (if known): Age f Tank (if known): 0A1A01A/ T T (Signature) (Name) Please Print (Title) ,/rPRSC~ 32 0 (License Number) a YS~ (Date) Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge wil] conform to the requirements of ILHR-83, Wis. Adm. Code (except foi inspection opening over outlet baffle) i Name_ O,UAUiA( CI/IYITT Signature C4~.- MP/~ 5/88 I f I J 'PT DElSD THIS 6PACZ nnaaRV[n FOR WCORDINO DATA :i cocuMSrrr No. wA]tRAA C • tTATE OF yy16 Ir a D t • FOAM a I 69.9 PACE I ► REGIVERS Off ICE 11 A. D, 19 84-, bet., D ~e L n ST. CROIX' CO., WIS. ft M, rk...LMAa • -pr ration duly organized and'ezisting under and by Roc d. for Rtsaord this 8th i virtue of the laws of the State of tnl at-q Ht4.. Oh._160.,__, day Of NOV. D. 19 84 ~1 XlilOs;1 Xft party of the fuse part, and B uC 8 LP 0=1111 _ pt 11.00 A l ll ~ panes of the second pert. - ~ 1M~Mar of Dow$ j witume* That the rid party of the first part, for and In consideratlonof the sum nfZen and of eA4ood ana vat.uabte $10.00----•--DOLLARS RETURN TO Bnflee eon to it paid by the said psrtA_ of the second pan, the receipt whereof Is hereby confessed and',' R. R.02, County Rd, i acknowledged, has given, granted, bargained, sold, remised, released, aliened, conveyed and co", E. Hud6on, WI 54016 firmed, and by these presents does give, grant, bargain, sell, remise, alien, convey, and confirm unto - - the said party-._-...- of the second part,....... _ heirs and assigns forever, the following described real estate, situated in the County of.. . --I.'1111xI X . State of Wisconsin, to-wit- Pant o6 SEJ o6 NW} 06 Section 33-30-19 duc abed a6 6oUocu6: Cornrenei.ng at NE co,neA o6 said SE,{ o6 NWj; thence W on N tine o6 eai•d SEj o6 NWj 923 beet to Ptace o6 Beginning; thence W on acid N tine 344 beet; thence S 489 beet to eentettine o6 County TAunk "E"; thence S 87°00'E on said cente)tti.ne 351 beet; thence N 0e441W 507.35 beet to Peace o6 Beginning, EXCEPT commencing on N tine o6 6ai•d SEJ o6 NWj 1095 beet W o6 NE connen theteo6; thence W on eai.d N tine 172 beet; thence S 489 beet to eenteAt ne o6 County TAunk "E"; thence S 87°00' E on .6aid eententine 175.5 beet; thence N 0°44' W to Peace o6 Beginning. THE WARRANTIES OF THE GRANTOR HEREIN ARE LIMITED TO THE LAWFUL CLAIMS OF ALL THOSE OWNING, HOLDING, OR CLAIMING By, THROUGH OR UNDER THE GRA_NTOR. TRANSPBR ur NECESSARY, CONTINUA DESCRIPTION ON RElrER9Z SIDE) FEE Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; and all the estate, tight, title, interest, claim or demand whatsoever, of the said party of the first part, either in law or equity, either in possession or expectancy of, in and to the above bargained premises, and their hereditaments and appurtenances. To have and to hold the said premises as above described with the hereditaments and appurtenances, unto the said part /j.. of the second part, and heirs and assigns FOREVER. __L(kLa, Emp ogee Tnan.6Aen ConP. And the said 2 abbe Re,Qoeaticn-Manag_tmenx.Ccnpon~ party of the first part, for itself and its successors, does covenant, grant, bargain and agree to and with the said part-_tl - of the second part, heirs and assigns, that at the time of the ensealing and delivery of these presents it is well seized of the premises above described, as of a good, sure, perfect, absolute and indefeasible estate of inheritance in the law, in fee simple, and that the same are free and clear from all encumbran es whatever,_except; eovenanth rMeondi .ion,6 Ae•btAictiionb, and ea6 eme►at6 o~ r~eeo.red~_e~ any and taxe6_not yet due _ancl _a~ab2e. _ and that the above bargained premises in the quiet and peaceable pc ssessioa of the said part ...Y.» of the second part, heirs, and assigns, against all and every person or persons lawfully claiming the whole or any art 'hereof, it will forever WARRANT and DEFEND. Equitabte Reeoeati.on Management For paO a on, 61k1a, Empeoyee In Witness Whereof, the said . ConpoA4t sonRa,•_An•_1?X.ino •_CQ?~pq. ct#~t9n_.__ VIE and W. Vandencccc par e fit, has caused these preset tp ~ gne&~b~•.,p_ _..f _ its President, and countersigned by..... P't~ K' _-"_eh its Secretary, ~ x , ~ltilWWSt(IK and its corporate seal to be hereunto affixed, this at Middt bun Hqc O~q--•_••---•••-•-•.•-•----_. day of - A a b A. D., 19.... 4 • c C e `Fjqu, gb e Reeocatio[n n /+re gnu CoR~a,~cation, SIGNED AND BE4L D IN PRESENCE CF 6 ~.Q".p...1..Ill~ 1- af•••'•"~•--- Co1 ~ I tnn/ wl 70VondeAaU' ~ut.t.cNn Corp rata,Nama .-arl ce President R • -......:t - W C C111 YTF.P.SIG. ED: Lt~~l!1........... r ..,t...---.. A W.ttne,6.b: Susan E. Tobia6 He-id(. R. ButeeA, A5,6i,6tant sec ry STATE OF NAX-A& OHIO ss. -•-.Cuyahoga County. Personally came before me, this 234d........---........------ day of..................... VaabA......................................... A. D., 19_d4- ..Rargnd..Ul. VOndQfLCZU,...AmLYt.,.._V~~Z---------., President and_........Heed<..R..--Bu,#,eft.,...A...~iJ # r>t ..................Secretary of the above named Corporation, to me kn-.vn to be the persons who executed the foregoing instrument, and to me known to be such President and Secretary of said Corporation, and acknowledeedtthaj they e:ce ed tb7 foregoing iawt[um`as such officers as the deed of ;aid Corporation, by its authority. / ~yy _ y. A_Jone,6 JULIE A. JONES Ohio ~}~~tg J QpQMEfITQAS GRAFTEQgBY c-d- a a lic, State of Ohio t y _..._..q#ecorded I. Cuyahogs_CQt~/ y lI{`f s. octU.Con m-t. CWQY.,N(1t.1RY^- -_N-ottry Public, OS . -I . S-Ba .g SEAL :~ty commission c>:ires is My Corm . Expir . as By: Suzanne M. Cha.e ....•..-.I................ (Section 59.51 (1) of the Wiscnnsin St.Wes provides that all i,,struments to be recorded <hall have plainly printed or typewr.tlen thereon the names of the ¢rintors, grantees, witnesses and notary. Section 59.si i similarly re•.7uires that the name of the Person who, or govern- .-.enral agency which, drafted such instrument, shall be printed, "pewtten, stamped or written thereon in a legible manner.) STATR OF WISCONSIN Wincornin I..cnl Blank Co. Inc. WARRANTY DEED-By Corporation FORM No. E M.lwn1,%,c. BSc.. .raaaauataaial~