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HomeMy WebLinkAbout042-1080-20-000 ~C o 3 0 a ti O vq~ M O h O O N n N d r '4 I r O C z C o `0 LL c 3 a v > ~ Z H w E O ~ ~ C z am N I- Z c 0 O y E Z (D cn 16 d Z 3 c U) H rn (D Z E A o m E ~ o Q) C N o • N ~ = O 01 L) C U O 2 z o N Z' ~i E U N N lC a 12 R p - 0 ~ y 0 N t O C', c c a U N Z U) 0 O U) U) fn ~ n` 0. 0. .0Z ~ w U) a) Lf) LO U) O -0 rn rn y m-1 cU 0rnrn } N N 0 O OD a) E U) O O .r m Ln O d o y d ¢ vi m d o CD Z Al O O r Y~y! C E c co O N o a = I o o ff o f m W co C LO U 0 N N r- -0 O li N co N NF- C N O N N >m d° O N E U • O N> fn N O Z C U) CC r/~ d € 1 M CL V #t e. ` (L C, CL 0 E C= a OU) v r A 0 PROPERTY OWNER SE~1er~ SOIL DESCRIPTION REPORT Page of PARCEL I.D.# P f a T'6!,Q- 2Q1fQ -~II Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench -3 e-lo ;Q3 -3 L r►, r ~r- CS P? -P S~' o Ground v~ Do ,v);` c Z"p"e e ec%C_L ~ele~v~.~ /2Z' ft• Depth to limiting factor J'Y in. Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. ft. ' Depth to limiting factor 'n. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) s loge 3of 3 r, N - vo AN, 9 f~1= Teo d-F Coen(-,r- S-late- Sou44 L✓&s ~ eolner- ,e~L. I0/. 9V gM I r cdn+ou r Li.rne I 1 tuRQrD Wes+ ( t LA ~0- PaoPJ ~ e Lin ~ i . P S6v~e y0 5/o e B3 SfoPe X A BM Sou f h Proper+Y Z-,-n e ~~a,a,~►9 nor n oberf- Slever+ ~ra~,'~~ by To•nas 5~7 f'3'7 7J6 /0~-t4 S4. CST /~©YO10 Ro~er+S W r, S-y0-23 Sy 6 vCL//'l/ Y, e~✓ l i AIT, z? - g-e, MAW Day sago &0 1 z ~a8o .20 ~.~`7A FILE® Alf G 1 1994 s. 8 JAMES O'CONNELL Register of Deeds 9 CERTIFIED SURVEY MAP O THOMAS SEWELL Part of Government Lot 2 of Section 29, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, includin part of Lot 3, f that certified survey map Indicates 3/411 iron bar found. recorded in Vo 3, Page 899, of St. Croix *Indicates 11t iron pipe found. County, T-N 4 C OR. SEC. 29, 7 2 9 N, R /B W OIndicates 11, x 2411 iron pipe weighing to Certified 1.13 lbs./lin. ft. set. Survey Maps. N U_NPL_A_T_TED LANDS Indicates County Surveyor's Mon. --Indicates fencef 1/4 COR. SEC. 29, a E/W 114 LlN£ 729 N, R /BW V v N S 88' 43 ' 48 "W 5223.89 ' 0.68 N ,6' a 750. 89 ' 2616.54' !u 1856. 46' R 1 /854.53'1 N N W 114 COR. This instrument drafted by LOT / SEC. 29, T29N, Laurence W. Murphy o M N R /8 W N O O N8B•41'31"E 77.00'R1888.43'48"EJ 2 N/S 114 LINE - - - - W N h LOT 5 v Q,oh LOT2 7 17. 744 ACRES p h _ V 772, 929 SO.F7. to • N Q /7.212 ACRES EXC. ROAD EASEMENT p 749, 755 S0. FT, h C _ col W i o~ 13 ~I a L 07 '3 a~ QI 548.98' -t- 330. 4 N J 486. 95 ' R / 487. 06'1 N M~ ' 62.0 tul 3 r;N~BRIS88.43'48W1 ~ ~ 4„E 351. 57 00 - - - +I Q h, ROAD EASEMENT ,p to ~1I VOL.702,PAGE O W \ W ~I 21 O q 621, DOC.NO. h LOT 4 (~I J 2 ` 398715 N. W O APPR0ED o ROAD EASEMEN7 AS SHOWN ON W 7HA T C.S. M. RECORDED AW x'94_; 4r A 06 0 CO M ^ 2 3 IN VOL. 3, PAGE 899, Sr, CROIX 10 b O N Q COUNTY C. S.M.'S m ,%It/11111/~~I COUNTY umpreST. P ann i to ~ ``\SC O Zoning AM Fxks Committee " 4, _ `LAUR C M p cc Z If not rocorded " m O Q W 4, S 13 within 30 days of S LINE GOV. L07 2 ^ N RIV~zR LLS, approval date c :Ttered VV C. S 6" - - it~~fc~eHb 589.03'55"W 360.49' LAND 'Ej~~ u~bi ®9 N, R/8w R/S89•07'35"w1 LOT 2, -S. M., VYMt/~11u~, hy R /S 89. 26'03 WI e.3Land Surveyor PAGE 570 SCALE 1 2000 50' 100' 150'200' 300' 400' 500' 600' SHEET 1 OF 2 Owner's Address: 63E Kuiaha Road Dated: June 10, 1994 Haiku, Hawaii 96708 „ r Revised this 31st Day of July, 1994.11 11A VOLUME 10 PAGE 2796 !.NiscOnsinDepartment ofIndustry, PRIVATE SEWAGE SYSTEM County: Labor a-idHuman Relations INSPECTION REPORT ST. CROIX Safety"and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village a Town of: State Plan o.: SIEVERT, ROBERT G. X "arreri CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No_: .Grp /ali. ob TANK INFORMATION ELEVATION DATA e TYPE MANUFACTURER CAPACITY STATION BS HI ELEV. Septic Benchmark Dosing D ¢ 07~ CFA v Aerati Bldg. Sewer f4 1 Holding St/~K Inlet ~-~3Z ~97,~e TA11~K SETBACK INFORMATION St/ Outlet TANKTO P/L WELL BLDG. Aenttake ROAD Dt Inlet '0%r~ Septic ~ /4- NA Dt Bottom Dosing >"p >vd) NA Man. Aeration NA Dist. Pipe Holdin Bot. System 31FIl 103, 43 PUMP/ SNFORMATION Final Grade Manufacturer Demand \s1~ Model Number GPM 1v TDH Lift Friction System TDH Ft Loss Forcemain Length Dia. Fai Dist. To Well t~ SOIL ABSORPTION SYSTEM BED / Tf i Width Length ' / No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS T DIMEN I SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEAC Manufact SETBACK . INFORMATION Type O Pa.~ CHAMBER o e Number: System: nl_-f i16 ~ v OR UN .a a'#DISTRIBUTION SYSTEM N Header / Manifold Distribution Pipe(s) ii x Hole Size x Hole Spacing Vent To Air Intake Length 316 Dia 4) / Lengthy Dia. Spacing s ~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only U Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched j -Bed /d-cpach Center Bed /fit Edges Topsoil E] Yes C] No C] Yes ❑ No ' COMMENTS: (Include code discrepancle ersons pr ent, etc.) LOCATION: Warreh.29.29.18W, NW, SE, Lot 5, 107th Street r r - G'_,/~ ~G-r~':.~^°'°~.°F G:..~ ,~~7 ..7 r'. ~...•~l' y.P r CSC,-~ .,i . f?. g57) (t) I IM /GCJ Plan revision required? ❑ Yes P--d'o 9 ~y Use other side for additional information. Q j~ qSBD-671 0 (R 05/91) Date Inspector's Sign ture Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: p 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 81/2 x l l inches in size. ~f ' x • See reverse side for instructions for completing this application State Sanitary Permit Number a~ 705 The information you provide may be used by other governinent 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 F( oi E~yT G, ~IEv~r~T NW1/4 jE 1/4,S L9 TL9 ,N,R 18 E(or W Property Owner's Mailing Address Lot Numbers Block Number Ll05 5 I~IVIstot.3 ST City, State Zip Code Phone Number Subdivision Name or CSM Number ~$M v O L I O 21 9 (o :V0TSFRT5 wt 5402-3 1015- )7-41 Y,ncp II. TYPE F BUILDING: (check one) ❑ State Owned ❑ 7t~ Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms - O'Town OF VVAIZRf)J 0-7T" ST 14 Ill. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo l~ L 10 Bc, - Zo 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 S ❑ 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- ~g 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 1a Mound 30 ❑ Specify Type 410 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 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation 40 oc cso 03, -5 Feet 10 . 5, a Feet VII. TANK Capacity site in gallons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION Gallons Tanks Concrete glass App. New Existin strutted Tanks Tanks Septic Tank or Holding Tank I'),00 _ i LQn W £bKS Lot AGe_ErE ® ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber !000 i ~oew I l,,UE.Ea,_S (,DP At t Co ® ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) PI ber's Signature: (N Stamps) MP/MPRSW No.: Business Phone Number: *.3 tf L C,R t_32f`cK7 r/~ P ~toz_y 71 S 3 ..7©o 0 Plumber's Address (Street, City, State, Zip Code): two Lea l04 ll~t(000o A LAJ1 SLf S`(y IX. OUNTY / DEPARTMENT USE ONLY Disa roved Sa Itary Permit Fee (IndudesGroundwater ate slue Issuing A nt nature o Sta ps) ❑ pp Surcharge Fee) Approved ❑ Owner Given Initial Adverse Determination 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 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be 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 applicat+on 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. SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations July 22, 1994 201 East Washington Avenue P. 0. Box 7969 Madison WI 53707 ULBRICHT & ASSOCIATES ROBERT ULBRICHT 655 O'NEILL ROAD HUDSON WI 54016 RE: PLAN S94-02636 FEE RECEIVED: 180.00 SIEVERT, ROBERT NW,SE,29,29,18W TOWN OF WARREN COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, nn th Stiemke Plan Reviewer Section of Private Sewage (608) 266-8230 7:00 to 3:45 Mon. thu Fri ORIGINAL SBD-0423 (H. 01/91) . ULBRICHT & ASSOCIATES CO. 655 O'Neil Road • Hudson, WI 54016 Reg. Designers of Engineering Systems 715-386-8185 Private Sewage Consultants PROJECT INDEX DILHR Plan I.D. # 1 !1~' 0L 6.36& Date TU4.y zZ pT Owner /c oae4% ~iCGr Yc'T Phone 71-J-- 7d/'1r'' 3 <v O to Address _5. Z>,0/:5 Legal Description LOT .S -Cs/y- Ml r of l- 77- L pr SE' % SEA T. .Z~ T 2 ~ rJ~ ~ S' cJ . Town of W At R R a Q County $ 7'. C Rot'& C.S.T. 1?,-U1bRie-k T- e- .2- Installer Local Authority/ Supervision 6T- CGPO C K C pvA.5 Y Z PROJECT DESCRIPTION d ~ f /o' `i.~~'~~~.~~"' r. f~.~. ~jP:~,L,! ~r°„~~'~.C.J ✓rt J „i'~~ tJ. y~y' y a,/~" .y P9.1 PLOT PLAN V I L.Vr S Pg.2 SYSTEM CRoss SECTIONS & SYSTEM PL/W VIEWS ~MMr~M~ P9.3 PIPE LATERAL LAYOUT C Pg.4 DOSING CHAMBER Cf OSS SECTION uUFAoHT xx P9.5 PUMP PERFORMANCE CE SPECS v ~WS. 1~,LJ O S94426 3 6 cvfl/ 13 M. = rop aF s~ vE yop ~s 51s, iRorv leo0 +r vE coAv&w w n y ~~o E1eV f pew = /00 0 "osr y~ 20, o % IYZ LP 6-- Sew~~ i~ i 130 CPO AlEw -00 pieEe4sr /oc 8 S Ti c T puA? ~~tyg4e i ~ W the ~~ea 5 tt, WOW the downslope edge of the Soil absorption S stem must femaia undisturbed, y 9~AvEC. oit°i vE' SONGS p+Ft1V A~ o ConditionsllY Am fo, D ~1. mvpv tag £j . 0 OOSS~~ Oft, Id►s10~ Of " _ cQaa po r~~E . ELEVATtoZS - d /CA. 2Z 13 Z. ?I?. p 2 ' X33-=" J 4 . S 2636 ,QEav~.KE,uD~t~ S/STEM E/~v.~Tio•v i' ' ` Sr4•vv FiY~ /0 3. Z S SC c,e s - ~tI t • t 516 - ~a T S I -7. 7 4 • ' /3/1 o%'~ioE ~~'Ts' l SECTIDN of MoUAjD w i r ti Beo CROSS (3@D OF ro y A jg JP 9'5ATE' *DiST Ri(3uT% ouj rs', "t"I~ickaess prP G- s ysreM OF TcIP SWL EIEVi4?'ioz Uu1FORM To E, ar N k, t03.Z✓~ I 19 . RhTrO El7 M. @ 0WED Topsot, i wi i FORM % SIOPE FORCE EIWATnoa UJv- CR MAW f3ED I OZ. . 2 $ 1.0 Fr. - EIrEVhr~orJ s - 1o3.'iS E, I•~ Fr. iNVERr of 1ATER/4(S F FT- 0 Top of Rock Ina. 97 G Fr • H /•5 FT TOP OF I / IATERAIS I0 3.?0 k1*4 ~t OF MOULD - wi rtt BE D CI OTRA L ~aaa gN~LaNG" FO R cEZ MAW N (v a Fr- do Stev, a INO aF pp~ B 01V1S~aN $ e 1-- I (3 y Fr SEE T K t 1 F T ~ 4 - ----•I ~ lob o.~ i _ FT- .__k~r o A / w 1 FT ` a _1 T F r a o W 3O Fr- Bev OF ~Z i PVC cAppEp To I E. VA M o A 991PEy hTE . pips PERMANENT MARICERS REcgvNeo 13ASAL, AReA = ~Ar~y wh5rE-F'low = (000 - 12-0 0 soft W-filrRATWE C A?Aci Ty 5 sq, FT', S-9.4-02636 PRoposeD BASA4 APeN (A + z $ ~ X (o 17 ~ l q3 Z. i C m ~ T J Ct~NTRAt.. Mq~,)i Fot_D DtSrPt'BUTIoN pipe ►yErwoa k 1 P CEI~TRRt- 9%STRI13UTI R PVC LATERAIS ~ i M A?.) % Fo L C> ENp CAP s x x I y z pvc. FORCE. MAW L AST' 1.401E s H A 11 Be Ne)tT TO END CAP 2.>f" FT. sysTt;~l~/o I D Vol uM t FOR +pit1VATE Sp,CiE ~ 3:a u ERr E ► Ev^rl oAa Conditionally O F FO RcE M X41 . ``h ' gA'`S. /a3.75 ' P 71,~NS A~ MAN REIA HU Of tNOUS Y+ tpBOR D g1ylLOjyGS iVIS10N OF SAF SPONDENGE 1~ D PIPE DET-A L. Holes IOCATFD Q. G wrram SlI All BE I` -I VAI AISLES y c a V hll~~ Sp/tceD Y DtSrawcE t P yp Fr Hole DiAKa T r- R IN. L ATEfkA L R 3' ° MANt FOLD ~N . X ~O 0 I~ucNES „ Z r-oect= MA k) IN, Y 30 iNc.~•es - of I+°IES/ pipe DISTRi 5uTIc>N VISCHAR&E RATE PER LATERAt.. _ GA I TorAt_ 'DISGtiAR bE RATE / We--rWOR 1< 11(Z . 12_ 6rAL MI*N S94-02636 PUMP CHAMBER CROSS SECTION ARID SPLCIFICA_TIOMS fJf} g OF S VENT CAP IT WEATHER PROOF APPROVED LOCKING JUNCTION BOX MANHOLE COVER H~~~C.2IS. ~ VENT M PIPE DOOR, 12"MW. fii~fA1~,v(! /A~/ WINDOW OR FRESH AIR INTAKE I y~AD~ ~~E~~iT/ON GRADE ,0 COUDUIT y o N~\\\ flrsvV cti /00• PROVIDE - f'. INLET AIA~I~H~AG~ el. UE IVA I I 1 APPROVED JOINT A 1N5/ ~K I( APPROVED JOINTS W/C.I. PIPE / OIA I Conditionally I (i M//C.I. PIPE ZXTENDING 3' 0"1 ' ( ALARM EXTENOIUG 3' ONTO SOLID sCIL b ROVE ( ONTO F'.uD enl'- "I / ~t) OR 8 HUMAN DOT. OF INDUSTRY, LAB I S C NO BUtlO+ ON 7 DIVISION OF SAFETY I ELEV. F f I OFF D SEE 00RRE5P0 y 40 K o P JA-) a BLOCK ~teVA _ RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL 6 SEPTIC E S P E C. I F I'CAT I OM S DOSE ~lJE~~S GD.V(~,G f •C / TANKS MANUFACTURER: WMBER OF DOSES: PER DAU /5'0 TA►JK SIZE: D O O GALLOMS DOSE VOLUME f/ IS ALARM MANUFACTURER: 4i415Z /4"llfk/4y < ' INCLUDING BACKFLOW: ~ GALLONS MODEL NUMBER: IP -I/ CAPACITIES: A=?0 INCHES OR /L~~~ GALLONS SWITCH TJPE: AEReaR V, B=- Z INCHES OR / GALLONS PUMP MANUFACTURER: 2!0E1145 C=INCHES OR GALLONS MODEL NUMBER: j7g ~Z 0 P (S V D=ZO INCHES OR GALLONS SWITCH TYPE: Pi1S'/6At-'-k t- eP6Ul2i/ F/oAT NOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE ~GPM INSTALLED ON SEPARATE CIRCUITS ak VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. .3 FEET ~A -I- MINIMUM NETWORK SUPPLY PRESSURE . , , , , , , , . 2.5 FEET EA~~ I rVl + 2 5 FEET OF FORCE MAIN X 3"I FYoFTFKICTION FACTOR.. _?2' FEET ~~Urls Z.Q TOTAL DYNAMIC HEAD FEET Rv vAlD 51-0 INTERNAL DIMENSIONS OF TANK: LENGTH ;WIDTH ;LIQUID DEPTH A SJ-02636 (A HEAD CAPACITY CURVE 3 7/8 6 1/4 MODEL "98" 4 5/8 30 I _ . a-- 25- 3 5/8 6 20 } + I~ 0 15 4 3/16 , ~O 1 r 10 ` 1 1/2-11 1/2 NPT 'J 2 h U.S. GALLONS I 10 20 30 40 50 60 70 80 TITERS 80 160 240 0 FLOW PER MINUTE. TOTAL DYNAMIC HEAD/FLOW PER MINUTE ` EFFLUENT AND DEWATERING CAPACI [Y 12 HEAD UNITS/MIN 3 FEET METERS GALS LFRS _ 5 1.52 72 273 10 3.05 61 231 15 4.57 45 170 3 5/16 20 6.10 25 95 Lock Valve 23' It ly CONSULT FACTORY FOR SPECIAL APPLICATIONS Electrical alternators, for duplex systems, are available and Mercury float switches are available for controlling single and supplied with an alarm. three phase systems. p Mechanical alternators, for duplex systems, are available with or • Double piggyback mercury float switches are available for without. alarm switches. variable level long cycle controls. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. Standard all models - Weight 39 lbs. - '/2 H.P. 2. Single piggyback mercury float switch or double piggyback mercury, float 98 Sr=r!as Control Selection switch. Refer to FM0477. Model Volts-Ph Mode Amps Simplex Duplex 3. Mechanical alternator 10-0072 or 10-0075. r M98 115 1 Auto 9.0 1 or 1 & 7 4. See FM0712, for correct model of Electrical Alternator, "E-Pak". N98 115 1 Non 9.0 2 or 2 & 6 3 or 4 & 5 5. Mercury sensor float switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. fXJB 230 1 Auto 4.5 t or 1 & 7 - 6. Four (4) hole "J-Pak", junction box, for watertight connection or wired-in sim- ' ;y- 'E98 . 230 1 Non 4.5 2 or 2 & 6 3 or 4 & 5 plex or duplex operation, 10-0002. 7. Two (2) hole "J-Pak", for watertight connection or splice. A~ CAUTION For information on additional Zoeller products refer to catalog on Combination Starter, FM0514; All installation of controls, protection devices and wiring should be done by a quali- Piggyback Mercury Switches, FMO477; Electrical Alternator, FM0486; Mechanical Alternator, fied licensed electrician. All electrical and aafaty codes should be followed inctud- FMO495; Alarm Package, FM0513; Sump/Sewage Basins, FM0487; and Simplex Control Box, my the most recent National Electric Code (NEC) and the Occupational Safety and FM0732. Health Act (OSHA). RESERVE POWERED DESIGN For'unusual conditions a reserve safety factor is frngineered into the design of every Zoeller pump. \ MAIL TO. P.O. BOX 16347 Manufacturers of . Loww!le, KY40256-0347 ZA91 /~L~~ SNIP , 0 32P0 f):? 16 Lane ~ ARY L. Lori; vide, KY 4: 16 ~r41/Tr UR/PS /NCF AR (502) 778-2731 • FAX (502) 774 3624, r<t _ S94-02636 (Opp E; ev/A ii,t- . f7~fj i /E'ZL /ri/ALv 1~'G 7O C? Wisconsin Department of Industry, SOIL AND SITE E V A L U A . Page of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05 1 dmmp. QNe Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. r must include, but P L I.D. # not limited to vertical and horizontal reference point (BM), direction and % of slope, ±a or J lqg dimensioned, north arrow, and location and distance to nearest road. F' ST ED BY DATE APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATIO cni,~rY PROPERTY OWNER: 13 vyitR LOCATION RDC3ER~T' DEB(il f= 5 ~LcvERT GO 61y(4 ' 1/4,S 29 T 2 9 N,R ie E (or) W PROPERTY OWNERS MAILING ADDRESS LOT # B `OCK,# 'SUBD. NAME OR CSM # O S. ~Di V fSt Oti 7 C51'9 /KENO/N!r- CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OWN NEAREST ppOAD ROBERTS WAS. S4vL3 (745) 7Yy-3Go6 4v,4RfEi1 /07 if- Sr. [ New Construction Use [ Residential / Number of bedrooms ' [ J Addition to existing building j J Replacement [ J Public or commercial describe r Code derived daily flow G 00 gpd Recommended design loading rate s bed, gpd/ft2 trench, gpd/112 Absorption area required SDO bed, ft2 500 trench, ft2 Maximum design loading rate ' S bed, gpd/ft2 ' G trench, gpd/ft2 Recommended infiltration surface elevation(s) 16.3. 25 ' It (as referred to site plan benchmark) Additional design / site considerations •Si %E 5c-,'7'fff/E o,r, c y Fo A r av,~D TyOE- SySTE~-t . Parent material 15CS 67 /UiG~~v 6 i TGCr a Flood plain elevation, if applicable N ft 5i zT :N 3 TRY ov S = Suitable for system VENTION& M~OUyD IN•GROULD 135MUIRE AT•GRADE^ / SYSTEM IN FlI,I~ S NG TANK U = Unsuitable for system ❑ S Lo f Ir~S ❑ U ❑ S u'0 ❑ S l~'U ❑ S [rte SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Ebndary Roots GPD/ft in. Munsell tau. Sz. Cont. Color Gr. Sz. Sh. Bed rends o- /0 yR 5111. 2- f SPA-, -F f2 c s s. 2 /0 /v y 511 2'f sbx 1, ft~ cs Z,~. • s .4 Ground 3 - ~y /a ye y S~ Z , A. , ,O~ -F0 CS f- . 5 c~ elev. q 2_X A NP Depth to • p0/p,E- ~=.vCO ~7'" E~ limiting factor S,¢ rF T EO T O - O 5s5 Remarks: ALm Os 1JASSi UE IN r &EF*S Boring # 3 S o-/~.- /o yea/ 5./ 2--f CS f Icy . L. 34-t dK 4m f/' cs /f s G Ground elev. S /O y c 2 s S l S 6K n+t vfi - N ~j4. f?Zft. Depth to limiting fact, SSS Remarks: CST Name:-Please Print R06 E.Rr 2o,6 k t'C k T- Phone: Address: (Q55' d' EI ~D U D S O LC7/S . sY0/ ~'v~E z 2 -9 CSTti! 2y<Z Signature: Date: CST Number: L ORIGINAL 9,6P 7' PROPERTY OWNER SOIL DESCRIPTION REPORT Pageof 3 # Lo r-- S PARCEL LM Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bardary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed with I o - q /o ,P 31/o ,rq 2 ^A S6 A-1 114k eS ~ . S G Ei Z lam- lD 316 2. s* ti►s v~,e CS 3 f . S . Ground 3 S- Z /p 5' s, % / f ' ~s~, f' ~-i 7~• ' Cf' / f . y . S q elev.ft y y 7.5A' 3 s/ ~fsd,~ ~,e a . S Depth to 5 (v ' y(v 7.5 YX Y l S 4 174 `!'P Bbl f i cC .c na 00 limiting factor „ -S /0 YR y/ s47-&,&rE-r 157c ,i,,, f i~' • - S 3& ~'20,✓ 4 .01'1V;Us' ti &-vo s aole5i:~E E~ S SSS 1410 Remarks: ~b A°i Zo ✓ S S GE•~rE.v T 7~if'~4 G-i pj~,~ . Boring # 4 Ground elev. fL Depth to limiting factor Remarks: Boring # `iYC1'35k:2~Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: con oonnio nc~nm JAWRO /3M. = Top of s~ ~Eyo~'s S/8 ` No . /oT L • 75,0 iRo,-, leov A'T NE Co~'N~`7p Z F'!El~~tT~C~~1 = /00. y1 3l 30' d~ ~ a W &7 IV M IV N V 9,640E4 O/l°i'UE 0 ELeVATtoz-S - 131 /G' 2. Z r t3 2, _ " X33 ~9. 72- ~QEGU M rl E.u Div 5 v S TE'M ~•d'~.. /d ' ` -5,4,vv F!/l 103.25- SCALE SC - Lo T S I -7. 7 c,e s - ALt • 1 -516 f3/~ ~ktia E /~~'Ts *J-5 is I CERTIFIED SURVEY MAP THOMAS SEWELL j Part of Government Lot 2 of Section 29, Townc;hip :.19 North, Rango 13 West, Town of I {-Warren, St. -Croix Country, Wlocon!;in, incl.udinr part of Lot 9, fpf that certified survey Inap 6Im.fi.cato. 01411 iron bar found. recorded in Vol. P,-12(-' 39i1, of St. Croix 4Inr-licaLcr, 111 .iron-pipe found. ine Count - OIndi.caL•cs 111 x 24" iron pipe weir, Y, N //4 con. .rec. 29, r2.vN. u/a IV 1ba./1 in. ft. set. Certified • I' Survey Map:. N UNPL A 7'T F. D L ANDS FS) Indic.:rl:ce: County Sur•t/eyar'u Mon. - - - - - - - --~-Indi.r..o!:r_s fencer. //4 Cot- sec. 29, E/rV 114 LINE T?.9 N, N /a IV b • ry „ U. G4' I S 1f.9. 4J' 49 "IV 3i.'ZJ. 139' ryl Qj".. 2a/E.54' 'A- _~I W ItJJG. 4!' N I /a 14. 53,j IV// 4 cor. This instrument draf ,rd by o r, LO T ~ I se c. 29, r29N, Laurence W. Murphy N N /8 IV f U 1•' ~ Nt1U•4/'.r/"e %%.00'17/N8n•4J-'4J"EJ NIS 114 LINE h - 17. 744 ArHrN e 772 , 9Z 9 so. F r. 17.'1/2 ACRES EXC. 1IOAL+E.1:'C,af.Vr p 74?, 7 11 SO, FT. t . W I ~I ~I Y q o I L 0T J Q; M 4a t;. 9J 1e r •I87, 06; 162.0 J' -`i 3 JO. G:1 ~z~: Q U S ad-4_f 4"IV1199.6C' N IS BU••1J'•iu "u'/ w N IV V& 4 ' 1.4 „E JS/. 57' ( Q - ROAD CASCAIENT ~lI p VOL.702,PAOC - 1 ( 0 T 'r ~n V} 4 G 1~ G? 1 , DOE. ND. N - NL M J90717 r• - - - - In Vj 110,l? EASCAICN7 AS SHOWN ON rNA r c.s. At. ecconpro u + K IN VOL. J. PAGE 1199, Sr.C?01.1' t0 N u, th •u, C O U N r r C. S. At. 1.5. III 1•: S/~ O 4j N Y, n2• M 10 ' LAURF C1 41 v~ 1 m W FJI, t o '11 r J 1,3 L/NL• GOV. LUr 2 RIV1 11, AL' S ~A / S' s114 CON. -c s s9•ox'3 J "IV 360.49' LA sec. : 9, r ?9N, )`t0 t i''. /;/s 09 •07135 ",v/ L 0 T 21 C. S. Gl.. VOL. 2, Ln urenrt,lt+/](Murphy N /aw q sv9• r6'I~J"u'► - - - r.ji ~tered Laic; Surveyor PAGE 570 ' sea L C zoo' i11+ O Jo' /00' 1s01200' .roo' 400' Don' r;-o~o' 51IEE_ T 1 01" 12 Owner's Address: G39 East.Kuihma Road Do:tcd: June 10, 1004 Haiku, FJalvii 06703 FILED ~'0 1 1994 e.. 8 a31966~, Z JAMES O'CONNELL 9 Register of Deeds CERTIFIED SURVEY MAP O THOMAS SEWELL~ Part of Government Lot 2 of Section 29, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, includin % part of Lot 3, f that certified survey map Indicates 3/4„ iron bar found. recorded in Vo 3, Page 899 of St. Croix Indicates 1 iron pipe found. ' ' o Indicates 1" x 24" iron pipe weighing County, N I/4 COR. SEC. 29, T29N, R/8 W 1.13 lbs./lin. ft. set. Certified Survey Maps. m UNPL A T T ED LANDS S Indicates County Surveyor's Mon. - - - - - - --.)4-Indicates fence/i4 COR. SEC. 29, T 29 N, R /8 W V E/W 1/4 LINE b h O. 68' N S BB• 43' 48 "W 5223.89' N ~l 1 y. 750-89' lu 1856. 46' R 1 /854.53'1 2616.54' 4j N N h This instrument drafted by o v r. LO _T / W /i 4 co R. Laurence W. Murphy o M SEC. 29, T29N, • O Rl8 W N8B•41'31"E 77.0O'R1N88.43'48"E) NIS 114 LINE 4i ~ qoh LOT 5 " a °ON LOT2 y 17. 744 ACRES O h N b 772, 929 SO.FT. N N ~I 17.212 ACRES EXC. ROAD EASEMENT O (h 749, 735 SO.fT.548.98' -1- 350_64 ' f--- A-62V C4-- ' -r JI S 486. 95 ' R / 487. 06 r - - 3 8 S88.43I4"W899.IS 88.43'48"W) N N88.411~' t'4 35ROAD EASEMENT % lu VOL.702, PAGE a % 621, DOC.NO. n LOT 4 3987/5 N Qun APPRO ED ROAD EASEMENT AS SHOWN ON THA T C.S. M. RECORDED W R~ ~IN VOL. 3, PACE 899, ST.CRO/X i, 7 M % ,y COUNTY C.S.M.'Sb N v . ST. CROIX COUNTY b\5C Comprehensive Rlarmir Zoning and Pa-ks Committee fA =a i' M M P If not recorded m m ? - S 13 Y (A '•Tej_!tered RIVR LLSwithinOdaysof S LINE co v. Lorz v W C. aWovat date . •.....tppr89.03'35 " w 360.45.' M R I S 89 •07'35 - - - - L{„Wl LOT 2I C. S. M.J V OL . 2l Alawllllurphy R/8W M RIS~9.26'05"W) PAGE 570 Land Surveyor SCALE 1 200' O 50' /00' 150'200' 300' 400' 5001 600' SHEET 1 OF 2 Owner's Address: 62S f<uiaha-Road Dated: June 10, 1994 Haiku, Hawaii 96708 "Revised this 31st Day of July, 1994." VOLUME 10 PAGE 2796 CERTIFIED SURVEY MAP THOMAS SEW01 Part of Government Lot 2 of Section 29, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, including part of Lot 3 of that certified survey map recorded in Vol. 3, Page 899, of St. Croix County Certified Survey Maps. Description: That certain parcel of land located in Government Lot 2 of Section 29, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, including,part~of°Ldtr6s of that certified survey map recorded in Vol. 31 Page 899, of St. Croix County Certified Survey Maps, more fully 0 described as follows; Commencing at the East 114 corner of said Section 29, thence S 88 4314811W (recorded bearing on the East/West 114 line of said Section 29) a distance of 1856.461 (recorded as 1854.531), to the POINT OF BEGINNING, of the parcel to be herein odescribed; thence S 0103010911E 234.321 (recorded as S 01 2715211E); thence N 88 4113111E 77.001 (recorded as N 88043168"E); thence S 0103010911E 205.001 (recorded as S 0102715211E); thence S 220191021}E 79.211; thence S 1505815211E 135.521; thence S 8804311411W 548.981.(recorded as S 8804314811W); thence S 010271061TE 697.011 (recorded as S 0102715211E 696.911); thence S 8900315511W 360.491 (recorded ass S 8900713511W and S 8902610511W) on the South line of said Government Lot 2; thence N 00 3812611W 1339.331 on the North/South 114 line of said Section 29; thence N 8804314811E 750.891 on the East/West 114 line of said Section 29, to the POINT OF BEGINNING, cdhtaining 17.744 acres, being subject to that 661 wide private road easement as described in Vol. 702, Page 621 of St. Croix County Records and including that 661 private roadway easement as shown on that certified survey map recorded in Vol. 3, Page 899 of St. Croix County Certified Survey Maps. This instrument drafted by Laurence W. Murphy Dated: June 10, 1994 "Revised this 31st Day of July, 1994.11 NOTE: The parcel shown on this map is subject to State; County and Township rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office and the'appropriate Town &6ard for advice. State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owner, Thomas Sewell, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of the Wisconsin Statutes and the Ordinances of St. Croix County and that this map and description are a true and correct representation thereof. ,,tttt~~ ~ f ~~p~11 C O /VS/ ~•LAURE E m< W M HY 3 a°. . RIVER ALLS, 4 WISc. ° 4 C A N SJ♦`♦♦ Laurence W. Murphy--Registered Land Surveyor VOLUME 10 PAGE 2796 SHEET 2 OF 2 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County ~ ~c Ll f~i~c~r~ OWNER/BUYER ~I h MAILING ADDRESS O r U `5 f o r`l C t~F' 1`S ICU l S D~ 3 PROPERTY ADDRESS `7 3 ~0 10 7 _ _~nbe Ff S 1 A7 i S YO (location of septic system) Please obtain from the Planning Dept. CITY/STATE C ~2P~S ScofQ 511 ,7 P,.L. c-CCot/ g. (-n oZ PROPERTY LOCATION A2 U) 1/4, _ 51/4, Section J T~_N-R_L_W TOWN OF WR R Q:ef U ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER' CERTIFIED SURVEY MAP SI 9(e /C ( , VOLUME /b , PAGE a - I-7 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 an r turned to the St. Croix County Zoning Officer within 30 days of the three ye xpir tion date. SIGNED: DATE: l //Sj 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 1~06C-Pt G, CLKCL Dc.b'c- G-- 'S~eoerl Location of propertyl/4 SE 1/4, Section '0,7 .,T 2cl N-R___Ie_W Township W oL rcc, ~ Mailing address : 3 (c /D7~k 5-F0-ee_t Address of site 736 /V 7rh Strc-el subdivision name CS a!~ - a 796 Lot no. Other homes on property? Yes ~C No Previous owner of property 'TkomaS SeL1)c-nl Total size of property 1'7 3 c7- s Total size of parcel y I ? YV Qc V ~S Date parcel was created TU.~rz 10 1 t q,( Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes No Volume j~ and Page Number X79 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 th 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. Signature of Applicant Co-Applican Date of Signature Date o Signature ♦ 1! DOCUMENT NO. WARRANTY DEED T,US SPA:-E RESrn VED FOR REr ORDINO DATA ` STATE BAR OF WISCONSIN FORM 2-1982 520648 Qt~7ra,E~jQQ REGISTER'S OFFICE ST. CROIX CO., W1 Thomas F. Sewell,•- a single person, .by Kristina hec'd 1br P--=d Ogland,_A!s ...owe... f- Attorney.,-. AUG 2 5 1994 1 145 P. ^ll at 1, conveys and warrants to _....RO.bezt ..G,.. $leyert_and..Debra,.L.......... Sievert~,..husband.and.wife. Feg:~;sro!~,~~~ i _ RETURN TO . . _ , - . i . ng described . . follow . the . . real estate in .....5 . t.e . . ._CXO.1 X- ........................County. State of Wisconsin: Tax Parcel No: 1 ~ Part of Government Lot "2" of Section 29, Township 29 North, Range 18 West, St. Croix j County, Wisconsin, described as follows: Lot 5 of Certified Survey Map filed August 1, 1994, in Vol. "10", Page 2796, Doc. No. 519661 EXCEPT that part of said Lot 5 lying Nly i of the existing fence line (located along the North line) and Sly of the North line of said Lot 5 and EXCEPT that part of said Lot 5 lying Sly of the existing fence line (located I~ along the South line) and Nly of the South line of said Lot 5. ;I I I it I TOGETHER WITH AND SUBJECT TO a 66 foot private road easement as shown on said Certified Survey Map and Certified Survey Map in Vol. "3", Page 899, Doc. No. 361791. h ,I RAI FER ~f II 7. o t FL-'A I This is not homestead property. j (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. 'I Dated this day of August......-. _ 19. 94. .......(SEAL) _ (SEAL) 'Thomas F. Sewell, by Kristina 0gland, ~ . as Power of Attomey . . -------------------(SEAL) (SEAL) II . I AUTHENTICATION ACKNOWLEDGMENT I Signature(s) STATE OF WISCONSIN St. Croix CDunty. authenticated this day of 19.._._. Personally came before me this day of August.............., 19.44_.. the above named , -_-Thomas-.F..-.Setwell.,..by._.Kxxsti na..9gland.._ as TITLE: MEMBER STATE BAR OF WISCONSIN I If not . authorized by $ 708.06, Wis. Stata.) to me known.ty theyper~gn'' who executed the fo inftdwnen end . J I e the same. THIS INSTRUMENT WAS DRAFTED BY C 11 - 1 Kris tina 0 land I-- . ` J Attorney at Law S S~f . ot. Public'•..:L ,.ti f...._ .Cd(............ County, Wis. (Signatures may be authenticated or acknowledged. Both Commission' ig iiermatleh . (If not, state expirati9a are not necessary.) 19. - J~ date: ' 9 s Kamm of persona signing in any capacity should be typed or printed below their signatures. WARRANTT DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co.. Inc. FORM No. 2 - 1982 Milwaukee. Wisconsin I