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HomeMy WebLinkAbout032-1049-80-110 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER 6 i < ADDRESS ')oy SUBDIVISION / CSM#_ ~Z&--Ll LOT # SECTION___27_T Y2 N-RA W Town of ST. CROIX C UNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 0 = dwe i Go` 9 ell, a'y~'j~s~Cam- ..dr`c,,~ INDICATE NORTH ARROW f Providet"tbaq~. an- aleva n information on reverse of this form. Provicfsions enter of septic tank manhole cover. VL BENCHMARK'- r ALTERNATE BM:_ ~nr~rar ~or ~~~,Q SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer' Liquid Capacity: Setback from: Well House Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: 42 Length S~ Number of trenches Distance & Direction to nearest prop. line: Setback from: well:` House Other ELEVATIONS Building Sewer ST Inlet: ST outlet PC inlet PC bottom Pump Off Header/Manifold &_7:Z Bottom of-system 9/1-g/ Existing Grade Final grade PS 5 DATE OF INSTALLATION: - 7- PLUMBER ON JOB: 6/7 LICENSE NUMBERS ~i INSPECTOR:- 3/93 : jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX 'Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary POermit No.: Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State Pla SHILTS,RON & WILSON, PAULA X CST BM Elev.: Insp. BM Elev.: BM Description: Parcel TiRR04719 4 9- 2- Q- I _30 160.6e) 160. 6d 6ks TANK INFORMATION ELEVATION DATA N C3, TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. l,L] r i Septic ~Benchmark ~aJ A/) Dosi ng- 3, of 7 ilf Aeration Bldg. Sewer Hol St/ I$ Inlet TANK SETBACK INFORMATION St/ IV't Outlet 7.9 ~ 93 37 ' TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic 7 NA Dt Bottom Dosin NA Header. Q ~~r Ay, _~7 A Aeration Dist. Pipe Hold i Bot. System V0' PUMP / SIPHON INFORMATION Final Grade 5 7g' 9S, 5 Mapufarturer- Demand Model Number GPM TDH Lift F ' n Syste TDH Fti, Head Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH width Length, / , No. Of Trenches PIT N f Inside Dia. Liquid Depth DIMENSIONS `S~` DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHI cturer: SETBACK INFORMATION Type O nt,~> v; it Moe Number: System: _d OR UNIT DISTRIBUTION SYSTEM Header/manifold Distribution Pipe(s~ r~ x Hole Size x Hole Spacing ntake Length //W ' Dia. 7 Length .5/ Dia.' Spacing SOIL COVER x Pressure Systems Only xx Mou Or At-Grade S Only I!i Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Bed /Trench Center Bed /Trench Edges Tops E] Yes E] No ❑ Yes E] I _T o COMMENTS: (Include code discrepancies, persons present, etc.)~S LOCATION: SOMERSET 17.31.19.249A10,NE, E,LO 1,40~'H rf Z, S 2e"4_11 Plan revision required? ❑ Yes LJ'NO ~t n Use other side for additional information. ,Of 9 d 7 SBD-6710 (R 05/91) Date Inspector's Signat re Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ` i i I I SANITARY PERMIT APPLICATION couNTY In accord with ILHR 83.05, Wis. Adm. Code STATE _ITAFkY P RMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than a 1~3- 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. PROP TY OW E PROPERTY LOCATION ) . /-U. a t&f Y Y4, S 2 , N, R V(Oryl PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME O UMBER II. TYPE OF BUILDING: (Check one) F-1 State Owned VILLLLAGE NEAREST ROAD TOWN OF: ELTAX NUMBER( ) El Public R 1 or 2 Fam. Dwelling-# of bedrooms-~ PARC III. BUILDING USE: (If building type is public, check all that apply) S_-~) _ le-1- 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. X New 2. ❑ Replacement 3. ❑ Replacement of 4.0 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 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) ELEVATION Feet Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Se tic Tank or Holdin Tank ° R1 F-1 F1 I F] _r_1 Lift Pump Tank/Si hon Chamber VIII RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installati n of the cnsite swage system shown on the attached plans. Plumber' Na (PriAt • Plumbs Si a e• m MP/MPRSW No.: Business Phone Number: Plumbers Address-(Street City, State, Zip od IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater f( ate ing Agent Sig tur o Stamps) Approved ❑ Owner Given Initial U or Adverse Determination / n Surcharge Fee) X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) 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 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: I 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) "sx. IP- I~ I I ~ J ~tlfK J wr : i PAC., C or . 1 N0. All We Is Ault 0►61/»/Ij#4 Pip/ . Ate/ •.l A v.1 tq f' . Nw•w• la4a,o•oo ~.M. Not as* AI;••• III c041 4•• It IL.1'i/••• v«u rift ' tW M IN/ Ol h•1Iy1k Ct.aM~ ' ~ r t11• i•AIp•Itlt ~ .,r;, ,T. Ot•/ ►y• ' ~It1/11.11 • . ~4• TN t ' A• A111tHN ' ~•Mt11 IIIt • ?411044194 ►II* YH•v • ~c"1e1 Trn!•01141 AI Atlltw 01 8111'4• • Pru v) t iD 9 rh (1A . GOIL r1LL' MTKIBUTIOM PIrC • APPIlO`/l~6 S'PipiC71C COVC 2~OF~G~RCGA'(~ ~ AreRI^4 O0. l~ OF aTRA~• OR MARs1. t+,A,y ELEV. 0f :.?,;z FEC-j- sti"O~~t-L1~s AGGRCGI.TC ,yam OISTRIAUTIOw ►IPt,TU DC AT LICAi'f _~P> IWCHC3 BCLOW ORiVIIJA1. r,AOC IIUV AT. LChSTLO IWCHCL OUT 1.10 MOKC THAN 42, IuCI{Ci DELOW FINAL. C1l^OC IWLMUM DEPTH OF F.XCAVATIoli FKom oKitWA, L 64Av0 WILl. BE. IucHCs rVHIIIVM OEFT>; of EACAVATIc" r,OM, 0~14I14AL GRAPF- WIt.L eC INcHt:s i 11. I r,~..;; •1 SIGIJC~: r V. 10 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of Laboi and Human Relations Division of Safety & 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 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. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROP TY OWNER: PROPERTY LOCATION 5 GOVT. LOT 1/4 1/4,S/ 7 T N,R PRO,P.FRTY OWNER':S MAILING ADDRESS LOT # 1=# IS" *M&GlRc~Sm f° GS7`~1 vo .S~ ~G, ala CITY, STATE ZIP CODE PHONE NUMBER []CITY VILLAGE []TOWN NEA ST ROAD rs - ~9' I / "e kj New Construction Use p(] Residential / Number of bedrooms _ [ J Addition to existing building j J Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate 1~bed, gpd/ft21,._trench, gpd/ft2 Absorption area required bed, ft2 Sys' trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) It (as referred to site plan benchmark) Additional design / site considerations Parent material i Flood plain elevation, if applicable 'j2/6 It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable fors stem 91S ❑U WS ❑U ®S ❑U OS ❑U ❑S ®U ❑S RIU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tmnch -Z22 -7 Ground 3 elev. g~ ft. W,99 A, Depth to limiting factor Remarks: Boring # - Ground elev. / Ve ev ` - t. 414 Depth to limiting factor X99 Remarks: CST Name:-Please Print Phone: Address: - Signature: Date: CST Number PROPERTY OWNER} Z SOIL DESCRIPTION REPORT Page.) of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground elev. ft. at Depth to limiting factor > pq Remarks: Boring # e-,,222 Zz2e;~221 1,14 i 'vv . is ~ . Ground elev. . 1Z 99, ft. Depth to limiting factor y qq Remarks: Boring # '7 i Ground elev. "4/ Al 4 eft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) L - c; - x-I /7 4 r M 448313 s r• Unplatted Lands rt 661 I N02°30'43"W 361.50' 328.50' 33.00' - a o r U I 0 00 I H O o t1i m rt O 0 N o a w W a in N j H n v I = N r ou m o o ro LTl W° Z n (fit W lc w to o co r I= (n rn w p (D N{ o w X. W 0 -,j x r- 1 ti W M o a 0 r) =1 ,r 1a ~y is ° F' tXj L N o ~ CL x I 1 m y 3C 0 CL x. I o. O I tTJ r• r• I ' n T 7 -n = I r- rt io rt to W I O 'U w 10 Fj I .J t'1 I E E 1 rt rt o I lJ1 ro "C 0 0 0 Ln a0o O r lrt r ° 33' 33' n (D N w S02051134"E 328.50' En n E ~ r 40th STREET 116.661 N At' o I n .m S02°30' 43"E 361.50' S02 30 43 E O y y C) M m c East line of the SE} of Section 17 0 ~ m o -3 (D ;V Small Tract " o Unplatted Lands U) tij T M NOTE: Road right-of-way recorded as 3 rods in width; road width is O changed to 33 feet from centerline to westerly right-of-way. rn C/) U) c (D 7o n < rt M Z o" Bearings are referenced to the east 3 line of the SE} of Section 17, assumed 1-' 0 J y O to bear S0203014311E. c Lei Q7 Z FILED g c rye "t rt 0 rt O r MAY 311989 ~0 y a 'C' 1 'Uri O~ v o JAMES O'CONNELL O N Register of Deeds o o ' St Croix Co., WI rt 0. 0 O tri r• rt - c s ° O r• E o v 0 = H X `G m r• C O t) o N N rn Ln a ( rt r N ~n ':CSI .rte ~ VOLUME 8 PAGE 2107 Lo t z sold 8 3wnlOn i a-4pa ua6pg~N UaTTV •awes 6UTddew pup 6uTAaA.ZnS UT XTOJD •qS 3O AqunoD aqq 3o aoupuTp.zp uoTSTATpgnS pupa aqq pup S@4n4PqS UTSUOOSiM @qq 3o b£•9£Z .zagdegD 3o SUOTSTAoid quaiano aqq q-TM paTTdwoo ATTn3 GAPS I gpgq : pagizosap pup paA@A.zns Ajvpunoq JOTJGgXa aqq 30 aTPOs 04 UOTq -Pquasaidai gD@Jzoo P ST dPW AOAZnS paT3T4.ZaZ) sTqq 4Pgq AJT4J@D OSTp I • p.zooa.z 30 s4uawasPa Jaggo TTP pup dew siq-4 uo urnogs se speog uMoy jog /FPM -3o-gg6TJ oq goaCgns ST TaOJPd •6uTUUibaq 3o gUTod aqq oq qaa3 OS-T9£ 'aUTTJagU@O piPS 6uOTe 'S„£O,£ZOL8N aouaq-4 :pPOu uMOy P 3o GUTT.za-4uaO aq4 Oq gaa3 OS•T9£ 'M„£6,0£OZON Gouaq"4 :~aa3 OS'T9£ 'M„£0,£ZOL8S aouagq :4aG3 OS'T9£ 'aUTT gSpa pzPS 6UOTP 'S„£6,0£oZOS 6UTnuT•4UOO ODUagq :UOTqdTJOSap STgj 3o BUTUUZ6aq 30 gUTod @qq oq gaa3 99.9TT 'UOT40as pzPS 3O ~2S aqq 3O @UTT 4sea aqq 6UOTe '2„£b,0£oZOS aouaq-4 !LT uOTgDDS pzPS 3O JOUJOD NS aqq 4P 6uTOUawwoO :SMOTTo3 sp pagTaosap .zaggJn3 !UTSUOOSTti 'AqunoD xTOID •49 '4@SaGwOS 30 uMOJ, 'M6TH 'NT£N 'LT UOTqOaS 90 ° 2S aq4 3O 'ESN aq4 3o q.zpd UT pa4POOT puPT 3o Taojpd V :sMOTTo3 se pagT.zosap ST paddew PUP paAGATns Tao.zPd pueT @qq 3o Aiepunoq JOTJagxa @qq g2gq ! deW AanznS paT JTga@D sTqq Aq paquosa :da.z ST goTgM Tao.zed puPT aqq paddew pup pagTjosap 'paAaAins aAeq I 'AejjnW TTD@D 3o UOTgD@ztp aqq Aq gegq A3Tgjeo Aga_Taq op ' IOAGAJnS pUe'j UTSUODSTM paJGq-SZ6aJ ' ua6PqAN uaTTK 'I ~,LK~I3IJ,2i~~ s , 2io1CSn2ins STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER LA S 0. L4 ta, MAILING ADDRESS 06 / l S O S f Y L-~-~ -S YC 3 2S PROPERTY ADDRESS ~2 f LJ~ S Y o (location of septic system) Please obtain from the Planning Dept. CITY/STATE .S c9 -e CST yya PROPERTY LOCATION N 1/4, ~S 1/4, Section T-.3-t N-R_L2_W TOWN OF _s 'f ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP-4/z/ 9313 , VOLUME__ZPAGE / O 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 and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration d e. SIGNED: DATE: /F/-? AP 'C/ 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 PRO Location of propertyiN j6~- 1/4 1/4, Section T 31 N-R__L_q_W Township _S©•~ Pr -5 e f Mailing address o2 0 -f 5-6 , -5 o S -e -j-" - -S ~ 0'A5 Address of site ay g o Subdivision name Lot no. Z Other homes on property? Yes No Previous owner of property sc QH^ e (Q cJC~ S-k" Total size of property 3. © o Gti C Y e s Total size of parcel 3. O cy C?~ c r S Date parcel was created 2 Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes No Volume and Page Number R /O 7 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 the office of the County Register of Deeds as Document No. &8 3( 3 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-Applicant _ 9 513 13 Z Date of ignature Date of Signature DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RESERVED FOR RECORDING OATA WARRANTY DEED GHiCdE SCOTT A. 40H- and ST. CROIX CO., WI This Deed, made between - - Reed for Record - - - - - - - - PAMELA K. JOH14STON, husband and wife . - - - AIL 18 1994 } grantor, a - - - - - - and--.RONALD C. SHILTS and PAULA S. WILSON, unmarr_ 1~10.25 ; - -as_loint._tenants - - _ _ Re&wofDee t Grantee, Witnesseth, That the sai-4 grantor, for a valuable consideration- . RETURN TO conveys to Grantee the following described real estate in "Y County, State of Wisconsin: Tax Parcel No----------------------------- Pj Part of the NE-1/4 of SE-1/4 of Section 17, Township 31 North, Range 19 West, St. Croix County, Wisconsin described as follows: p Lot 1 of Certified Survey Map filed May 31, 1989 in Volume "8", yF' Page 2107, Document Number 448313. TOCRTHER WITH and SUBJECT TO reservations, restrictions, easements and rights-of-way of record, if any. This is_ not_........ homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And - - K. Johnston ` o and Pamela- warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except and will warrant and defend the same. Dated this -1S.th---------- day of - July 19..94-. -------(SEAL) (SEAL) i ?o-ttoo top - - -(SEAL)1.._ SEAL) Pamela K. Johnston y _ - ' AUTHENTICATION ACKNOWLEDGMENT Signature(s) Scott A. Johnston and STATE OF WISCONSIN , ss. Pamela-K.--Johnston County. Personally came before me this ................day of suth Gated this - 15taay July 19-94 G• > 19 the above named a Barry - C------ Lundeen.------ TITLE: MEMBER STATE BAR OF WISCONSIN (If not- - authorized by § 706.06, Wis. StatsJ to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Attorney Barry C. Lundeen 110 S pnYtfitre. t, Hods - , . t 11-- Second Street, Hudson, WI 54016 Nota-y Public - _ - County, Wis. (Signatures may be authenticated or acknowledged. Both My- Comn,' lion is permanent. (Tf not, state expiration are not necessary.) date- 19---.---.) -Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN R'i,,on=in Leeal Blank Co. Inc. - FORM No. 1- 1982 ylil,~aukee. Wis.