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HomeMy WebLinkAbout042-1057-90-000 R, O ac a~ I o a L x c ~ I N N L N U y C N ~ c I (6 ? U C.a N h m N m O L Z p C CO y U. g I I co z oo w E i2 U) 0 T o z m a m (14 w p o I E C7 o v o z d c u o m Z ~ c o C 'Q N ~ th L 3 n~Nri C u c U C O O 2 d Z Z Q N z 00 E 00 O N N d - 41 4 co O. w Y C u7 p N_ O N p y N O o G C a u N z U) 0 0 0 a Z° • rv a a a U) 0 LO LO W 0) m J V } ~l 2 W O O O _ O a C,4 L V 00 O O N O O C O c E co co O N N © O N U O p 0 3 a~ c c ~ rn N F- _ c c co v N c u CD Lo _0 r- ID dT ~ N N (>p N U_ O, C m co • ~'V) O pN ? N O U) cO ~ q~ r w r L ..t a L a .2 (D 3 3 A U a 2 0 C U v STC - 104 AS BUILT SANITARY SYSTEM REPORT 4/1 OWNER .G r~ !l~~/~ Y ~C G1 I ADDRESS SUBDIVISION / CSM#_ LOT # SECTION__a,!) T2~N-R_4=W, Town o ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM N c a INDICATE NORTH A W Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. I I I BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: a~d Setback from: Well _5'p '.1- House,2 Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location I -:SOIL ABSORPTION SYSTEM Width: Length _5_7 Number of trenches Distance & Direction to nearest prop. line: IDI Setback from: well: ;7B House Other I ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: dZL~2a;~.s' _g INSPECTOR: 3/93:jt . Wiswr4in Department ojIntry, PRIVATE SEWAGE SYSTEM County: Labor and Human RelatiINSPECTION REPORT ST. CROIX -Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION PeMICKSCHL meGERALD City Village Q Town of: State PI CST BM Elev.: Insp. BM Elev.: 7 BM Description: X Parcel Tax No.: moe" 7 / 06 - I "5a"jT1,2 L!~, /f/~- A9500350 TANK INFORMATION EL VATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Q d Benchmark D/ QIU Dosing 13, Aeration Bldg. Sewer C~c~, V3 Holding St/Ht Inlet (P ~lZ 09j TANK SETBACK INFORMATION St/ Ht Outlet 7 a 9 ~3173 Vent TANK TO P/ L WELL BLDG. A irito ntake ROAD Dt Inlet Ar Septic rd, NA, Dt Bottom Dosing NA Header / Man. ~'9 3 . v g Aeration NA Dist. Pipe y~;sb 1, y s' .5• sr' Holding Bot. System `o`76~ gOi oo r 7 ' PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Lrict' System TDH Ft Forcemain Le 6th Dia. Fi Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Widt / Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Typeo , Mode Number: System: VJt¢rklw '!D 'cSU ~.`_'J OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing i 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 ~v u Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Warren.20.29.18W, SE, SE, Lot 4, 110th Street Plan revision required? ❑ Yes aNo Use other side for additional information. /ay Lt(,f•~r SBD-6710(R 05/91) Date Inspect's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH IF SANITARY PERMIT NUMBER: I i i I I I SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUN STATE SANIWPERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than p~""`L~~~J"'(_,r+ IrJ 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 r 4 '/a '/a, S 2O T,? , N, R /f^ E (or)do al, 61 --ye- h PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # t 4) CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER t rr~.' ,5Ya23 - - Cs II. TYPE OF BUILDING: (Check one) ❑ State Owned VI AGE NEAREST ROAD : 4) //e71"-4,5r Public ®1 or 2 Fam. Dwelling-# of bedrooms ~ PARCEL TAX NUMBER( S) III. BUILDING USE: (If building type is public, check all that apply) Y 2 /4~7 d 1 ❑ Apt/Condo 2 ❑ Assembly Hail 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. TYf(PPEI OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. Ill 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 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 19 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 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) /y ELEVATION 411, Sd mil/ a' 6- .5-7d r t 0' S Feet ° Feet VII. TANK CAPACITY Site in allons Total of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks Concrete structed glass App' Tanks Tanks Septic Tank or Holding Tank Q~ &19.5 7,~ H /W Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. 91211 Plumber's /Name (Print): Plumber's Signature: (No Stamps) P PRSW No.: Business Phone Number: e Ae p ~ If ;?,u Plumber's Address (Street, City, State, Zip Code): / IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sani ry Permit Fee (Includes Groundwater Date Issued g Agent sion re (No Stamps) Approved El Owner Given Initial Surcharge Fee) O' Adverse Determination ID U X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber r INSTRUCTIONS 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. Vlll. 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) S a 2 ~J - 19 ar-L -sk r 11 ry a~ Ems ~t~~a sW a:,vti d,v~ ye 2 . S x c/LJ~-. f ~ Id/ 9~ Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations Division of Safety a Buildings rn , Wis. Adm. Code Attach complete site plan on paper not less ssizePPd must include, but COUNTY no t limited to vertical and horizontal referenc ld % e, scale or PARCEL LD. dimensioned, north arrow, and location and D BY GATE APPLICANT INFORMATION-PLEASE TION= PROPERTY OWNER: t ,P PERTY LOCATION T)A R YL-. To N ES OVT. LOT ,S£ 1/4 .5;6: 1/4,S20 T 2 p N,R 18 E ! f vv PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER CITY []VILLAGE gFOWN NEAREST ROAD ROZEQT-S w t. Sy02.3 (715) 7yy- 35GZ , RfE-,v //0 577 [ New Construction Use [ yr Residential/ Number of bedrooms 3 10 Y_ (J Addition to existing buikfing j J Replacement [ J Public or commercial describe Code derived daily flow gpd Recommended design loading rate • 7 bed, gpd/ft2 trench, gpolt2 Absorption area required bed, 9 trench, ft2 Maximum design loading rate __-_j_bed, gpd/ft2-,3 trench, gpd1 t2 Recommended infiltration surface elevation(s) S-ee.- PC .3 It (as referred to site plan benchmark) Additional design / site considerations Z(S E Tf~ _ S ~flor~ ~g /aw Parent material SGS S y - 13V f k-4.4APr- C-MC4l•1 Flood plain elevation, if applicable A"A It O -7 S = Suitable for system CONVENTIONAL. MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for system ❑ S ❑ U ❑ S ❑ U ❑ S El U ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U SOIL DESCRIPTION REPORT e Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Lerch 2 /o-3G /aW /fSXe iti►75V Ground 34 y~ /o 7~e as •S elev. 9y•wo It t Id- ~E ft,~p JDepth to limiting facto I G I N A-E-1- I Remarks: Boring # O 2- YA/ 60C Ground 17f j-k C ell- elev. /d 2 ,A I Depth to limiting S 5" / /D S - C 5 0, S G~~Q i factor Remarks: CST Name:-Please 'Print R o Q R T 2t L (3 t C T` Phone: 7 5~ 3FG ddress:. SS C7' AJ E (l D . E} u p S oa t.J I . 5~i o f !o l g CST~'7 1• Signature: Date: CST Numbe,. N o -rte" j Thi&W 09 APPROVED for a conventional 9900 system. /rI0 y%z, Id- a /~o c w.`/ ~L17w ~3 • 13 C6, ro Z"~) f ,tom ~ PROPERTYOWNER y~ SOIL DESCRIPTION REPORT P Z I age _ of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bour>dary Roots GPD/ft in. Munsell Qu. Sz. Gent Color Gr. Sz. Sh. 3 Bed Trend ~ - l L 60 ~ Si/ f' - f j ' CS 2 f ~v Ground /,o ye /tm eley. It "~d ~d ~/2 y C S a. S Ot - 67 Depth to limiting factor y Remarks: Boring # 2-11 /0 441 AJA Ground -3 lo yie elev. y14--It. Depth to limiting factor Remarks: Boring # y Si/ 2- 44, s,e 4of~ S l~ S .G LEI V/? Ground If •`A A0 Yie y/Z/ d. GcGv y S elev. l y~ g• Depth to - y C' -s D, S limiting factor ? 40 Remarks: Boring # Ground elev. fL Depth to limiting factor Remarks: A107-E-3 /A ~`pZ0 s ~ U 6~ST~~ sys,-~~► ElElJi1- ti o,~ i,~ 1rpE~- 133 - fay - 13-S ~o • SO S'cAcE - 30 0 3So . /o 0 Lo i Q~ . N . 7a W 9o . Ar yo ` B1 e 7o aZ ya So - Go r L- . 47 O ~3tit - Tod o~ sv,~PvEyo~''s,.. 4F s. E /or- coRv~. ~iEV~}-Tro-v i o O - p FILED JAN 2 5 1995 ► - KATHLEEN H. WALSH ot Deeds A iQ 5525427 Stt. . Croix Co., R Croix Co., WI Z II CERTIFIED SURVEY MAP DARYL JONES,.:'etal. Part of the SE 114 of the SE 114 and the NE 114 of the SE 114 of Section 20, T 29 N, R 18 W, Town of Warren, St: Croix County, Wisconsin. a UNPLATTED LANDS O Indicates 1" x 24" iron pipe weighing N B9• 14' 46"E 389.00' ~ to 1.13 lbs./lin. ft. set. 1 .7 O 332.26 ' i O i 36 ~ O Q p ~ h ( ,N y Owner's Address: W N LOT 2 , o ~ yI W 2.232 ACRES o ° N 1126 80TH AVE. Roberts, WI 54023 RI C4 0 97, 242 $0, FT. I N J 2.019 ACRES EXC. ROAD JI R. 0. W. ti h 00 87,951 SO. FT. i 2 351. 41' I I SI k a 2 N 89 • 14' 46 "E 3189.00'1 O O h I ~ L/ 6( N 89• l4' 46 "E 389. O b b O h y 91 j 351.19' i TB ` I ~ Z P1W I M ° U AA m z Q 3 I 4, J LOT 3 I Q0 . I h I k d A I 4, o N O I S85•06•/6.. O 2.873 ACRES I Oµ q 4tI to E /54. 4)' ry 125, 247 SO. FT. I M Co 2 p 2.592 ACRES EXC. ROAD p C ~ N Q R.O.W. i O CI v //2, 900 SO. FT. i 2 I 4 I O 4a QI o h O Q 2 LOT S ~ N89 • 14'46"E 389.00' I ~ QI M v ~ 350. /O' W 5.334 ACRES Om ~33' 33 p Q 0 233, 2/2 SO. FT. ° 14j 6 6'~ 41I ° 5. 236 ACRES EXC. TOWN ROAD 00 LOT 4 I Q J O R.O.W. AND ✓O/NT DRIVEWAY N O M) N ai n M 2.244 ACRES EASEMENT I j ~I 97, 735 SO. F r. h O 228, 083 SO. FT. h h Q N 2.017 ACRES EXC. ROAD R,O.W.N N JI 87, 872 S0. FT, i 4 3 8 9. 0 0' Icr- o jJ ~9.7 443.00' 349.25' i S 89 14 ' 4 6 " W 832. 00' er a UNPLA TTED LANDS h b ti iu ~ 2 O c N o SE COR. SEC. 20, T29N, R18 W, y b , W /COUNTY SURVEYOR'S MON.) 14&11011q, , 1"t," :t y o This instrument drafted by ye 11 0 0 o Laurence W. Murphy ~NS~ ~ 2 SCALE I" r 150' O 0 50' /00' 150' 300' 450' • •LA RE y -m W Y: 2 W y 713 a°. y ER FALLS,; J~ a Q i~ ~9•'••. WISC.•~,•••• W o Dated: April 28, 1994 _ F JQ m tu z "Revised this 24th day of January, 95." ~aNO Q Q LaurencV81A.2 Murphy Vol. 10 Page 2872 egistered Land Surveyor Certified Survey Maps, St. Croix County, Wisconsin. SHEET 1 OF 2 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER e V_a. OC rG~ c L MAILING ADDRESS ll~C -d PROPERTY ADDRESS O / 9- / /j T~ td (location of septic system) Please obtain from the Planning Dept. CITY/STATE ~t, bVY'TS r;J 6-Y'vZY PROPERTY LOCATION S° 1/4, _V Af 1/4, Section a T_g ~ _N-RAW TOWN OF er N p~ ST. CROIX COUNTY, WI SUBDIVISION 7 l2% LOT NUMBER CERTIFIED SURVEY MAP ga~y~ VOLUME /m PAGE af'72 LOT NUMBER 1V 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. o SIGNED: DATE: 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 a-e Ad m, ?4j <A:z Location of property 5°,c-' 1/4 SF 1/4, Section jZ,4 _,T gq N-R__IF- Township Mailing address / l2C~fU Address of site /O ?-1L a Subdivision name G/n :5-a SX/V a Lot no. Other homes on property? Yes No Previous owner of property rYo f lc/ ~o,,l~eS' Total size of property . ? y der Qs Total size of parcel Date parcel was created ekgWjo~tl ;2-5- 9 S Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes <No Volume I/Yy and Page Number S-71 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. 53,S'0'77 , 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. 1 Signa ure of Applicant -Applicant ~ /6 4 y k s Date offSS'ignature Date of ignature State Bar of Wisconsin Form 2 - 1982 53 115 0.97 -WARRANTY DEED DOCUMENT NO. VOL 1.144PAGz 571 REGISTER'S OFFICE ST. CROIX CO., WI Reed for Record Holly A Jones, a married person, OCT 1 8 1995 rit 1:30 P.M conveys and warrants to Gerald L. Mickschl and Jean A. Ojj.N, Petersen Mickschl, husband and wife, `PRealstarofDeeds THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS ~QnO THE FIRST NATIONAL BANK OF HUDSON the following described real estate in St Croix P O BOX 187 County, State of Wisconsin: HUDSON WI 54016-0187 (Parcel Identification Number) Part of the SE1/4 of the SE1/4 of Section 20, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, described as follows: Lot 4 of the Certified Survey Map filed January 25, 1995, in Volume 10 of Certified Survey Maps, Page 2872, as Doc. No. 525427. This is not homestead property. }j (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this I I day of October I9_25. (SEAL) (SEAL) * Holly A. es (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN SS. St. Croix County. authenticated this day of 19 Personally came before me this day of _ notOber 19__q5_ the above named Holly A. Jones, a married person, TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY BarrO Diane M. Public Kri4tlna ngland wl-tar,I ~Ltaryy At orney at Taw Public County, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state pexpiration da e: necessary.) 19.) 'Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. FORM No. 2 - 1982 Milwaukee. Wis.