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HomeMy WebLinkAbout018-1028-20-000/* .~ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION tATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s~J5.04 (1)(m)l. Hanser%I~ri~Name: ^ City ^ ViUagten^011~ l Ownship tia In CST BMElev.:- q~- S 3 Insp. BM Elev.: 9~'s 3 BM Description: ~ < a d ~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ,~S o ~~ D Aerat~ Holding TANK SETBACK INFORMATION. TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic fi ~~ / ~ r ~ ~ NA NA Aeration NA Ho ding PUMP /SIPHON INFORMATION facturer Demand Model Number GPM TDH Lift Lriction 5 stem TDH F Forc ain Length Dia. Dist. EL~VATION DATA county~t. Croix Sanitary,l=kr~yi$.~lo.: State Plan II++Dn 7N77on ~.: Parcel T~~ ~01~028-20-000 STATION BS HI FS ELEV. Benchmark 3 3 jp . ~ ~ Bldg. Sewer ~' S ~_ ~/ Ht Inlet ~ q ~/ Ht Outlet ~ ~ Z y gs, 5 Z Header /Man. ~` 6 6 'S Dist. Pipe ~•6y 9Y• /Z Bot. System u') ~"~~ ~ " / -e ~z• Z Final Grade ~ q ~, '~~ t cover ,- ~ a Z . a~ ~~`. L s-F # b.3~ A ibz. s SOIL ABSORPTION SYSTEM // , / _ / „~ n„ _ / BED / T N Width ~ ~ Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth IM ~ ~-- DIMEN I N SYSTEM TO P / L BLD4`i WELL LAKE /STREAM LEACHING Manuf dur r. - SETBACK r o INFORMATION T pe O I r Z ~ ~ ER o e Number: System: Cant 0 (,~ (?Q _ DISTRIBUTION SYSTEM ~ Header / Mani old Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake r /r Length ~ Dia. ~ r Length ~~ Dia. Spacing _~ Nf Z w ~ 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 Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No I ~ COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1• ~ /Z~/d ~ Inspection #2• / / Location: 932 Highway 63, Hammond, WI 54015 i;NE 1/4 SE 1/4 13 T29N R17W) - 132917205B 1.) Alt BM Description = 2.) Bldg sewer length = 2 a ' -amount of cover = I d' - 2 2 " r~ I ~., 3 Ctl~cr ~voiN. C0.•Cl~ Cl/n.O/t // 6bSCCVC~..o~- ~.rpCS rn~'~d~~lPGt ien 7~~ Plan revision required? ^ Yes [~ No Use other side for additional information. ~( U d {~ SBD-6710 (R.3/97) Da a Inspector's S ature Cert. No. M Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21. V~ is. Adm. Code 201 W. Washington Ave. ` See reverse side for instructions for completing this application PO Box 7302 iseonsin personal information you provide may be used for secondan~ purposes Madison. WI 53707-730'' Department of Commerce [Privacy Law, s. 15.04(1)(m -_ (Submit completed form to County if r -~ state owner. Attach com lete tans (to the county co only) for the 'st r not tes hen 8-1/2 x 11 inches in size. Count ~ State Sanitag Permit Number ^ Ch Sion to previous appFi~t n `. ~~94~-- State Plan 1. D. Number J I - LQ 0 (~ ~ I - - I. A lication Information -Please Print all Information -~ `~' ~~ ~ '" Location: _ Property Owner Name i i rt ~.--- '/ " ~~~ ~ Property Location t _t ~ 1U~d I_. l~ ~k ~~/' s~ ~ ~/v' ~- ~1/4~ 1/4.S 3T~ ,N,I~tE o W Property Owner's Mailing Addr ss 1' ~l,z, ~` !~ ~~~~~ Lot Number Block Number 3 City, State Zip Cod e Ph Nuptber _ _~ _,, '~''> Subdivision Name or CSl\4 Number /j~ ,~ II Type of Building: (check one) City ^ I or 2 Family Dwelling - No. of Bedrooms: ~ ^ Vi age ^ Public/Commercial (describe use): own of , ^ State-owned III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest - d 3 l ~ t~ 0 A) I. ^ New System ~ 2. [B'Replacement 3. ^ Replacement of 4. ^ Addition to Parcel Tax Number(s) S stem Tank Only Existin S stem C!" / $ •-lOs- ~ ~©'"' ~' g) ^ A Sanit Permit was reviousl issued Permit Number Sato-lssned ~~ 17j. ~ IV. ~'ype of POWT System: (Check all that apply) on-pressurized In-ground ^ Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank O Single Pass ^ Drip Line ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other: V Dis ersaUTreatment Area Information: ~ ~-U ~' ,: ~/~ ~r~'-a~ ~- 00 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolate n Rate tnal Gra e ~~~ Required Proposed aJ 7 Rate (Gals./day/sq. ft.) (Min./inch) Elevation ~ ~a~ ~37 ~ - X37 ~ ~ 4~, VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks ~ f~ ~~ CC ^ ^ 1000 ~ e,,z . ^ ^ ^ ^ ^ VII Responsibility Statement I, tl:e undersi .ed, assume res onsibili fer installation of the POWTS shown on the attached lens. Plumber's Name (print) Plu r's Signature (no stamps): mbe PRS No ` Business Phone Number ~lL~~'~ ~~t~/~~~ ~ ~ / !V ~a.~~i,c~-~.t~it ~ `~ ~ 7 ~ ~ 7l ~ 7k4-3-3 ~~, , City, State, Zip Code) 's Address (Street Plumber // /~ c ~ ~TL tl ~ ~ ~ ~O.~J' ~J ~ C~~~~' ~-~'3 VIII County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) ~gpproved ^ Owner Given Initial Adverse Scharge Fee) ~ Z6 -2 ~ Determination o~,S. ~ .F or Disapproval: proval /Reason f IX. Conditions of A p s -- _ p- _ .-} ~ (Itt,.. .A..(C.tS`F~q Se~'tc-~ ad t_or~2. ~~~ ~ ~~ -- (n~ ~-~` ~ ~) Ud Csw,~~(.~tb~t~' 5~. ~c>,~,a+~• t ~ i wu9cQy~0.~.ev. S~CYt~ SC1~- ~- u~n- ~ ~ u ~- kl~tinrwt.0.le~ ~NJI CDG1~`t [ _~ ~PYK~CL.Q~t7~ 'i-1~ IA (Lt G.dn A. tMA.~.tii Qe,. JS.tAOrr ~'_C14vU.lMJLVY~CEI.~ SBD-6398 (R. 07/00) ~h~' ~aNs.~N p/,1 lie N ~'~~~, r 94 1~.~. ~` Y '`[~j~y . a 4 `~ ~ f~ - ~~,7~, ~.~ ~ ~ 5 ~®~ o i : ; ~--- s ~ ~~~' ~lC~-'~a~ v ~ ~ I ~~ ~N~~ ~V ~ ~ ~~ r~©~~n~-~,wx '~ _ ~sl~ r ~a. S ~~ i ~ ~ 1/~ ~© / ~~ ~~~ xis ~ ~ ~ ~' , ~ ~' 1F-- . ~ ~ ~ «~ _ __ ~, ~° ~, xS ,d~..~a~. _.. -,3 ~.:,l,~.s-.,. .~.C ~_._ _.._ ... r.. .F.- .,.. _4_ i s +~ ' `T t ~ ~ ~ •~ S ~.. _ _._.~._.. ......._ /~ 1 S' / ~ 1 7 ~,.~ f 1 7 ~ , 9 ~ ~~ ;~.. , t-~ -- ~ ~~.~ D ' ~o ~ L 07'~ b3 I ~~~y ~.~ t Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT Page ( of Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County s•7; Or include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. DY8' .~ ~/QS B ~ O O'a percent slope, scale or dimensions, north arrow, and locatidn and distance to nearest road. , , Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ _~ Property Owner ~ {'~ ~~ ~ ~ ` / ~~~~ Property Locfa~tion t t G L ~~ 1/4 s~ 1/4 S ~ ~ g T Z ( l ov . o / N R E (or W Property Owner's Mailing Address ` 932 .~ , ~ 3 Lot # Block # Subd. Name or CSM# Gty . State Zip Code Phone Number ?/s' /3~1~1,~/~ ltd/ S'f oo ~~' ^ City ^ Village ~J Town Nearest Road . .j6~ ! ~ 3 S7' ~ . c ) /~ Nlo~ vt~ y [] New Construction Use: [~ Residential /Number of bedrooms ~_ Code derived design flow rate ~~~ GPD ,Replacement ^ Public or commercial -Describe: Parent material Flood Plain elevation if applicable ft. General comments ~~- ~~~ N~~7~(~j ~'y ~'% ~~~.~,~ dpi ~~~Ps and recommendations: / „ - Ste- ,vorE's ~ooT ~"xrsr~,vG-- Sl~-T /3rflC'~ U~o~-r: ~ s ~~-: ~xrs r•;v~-- sys T~~y . / ^ Boring Bonn # ~ Prt Ground surface elev. ` ft. Depth to limiting factor 7~ ~ O in. Soil Apolication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 •Eff#2 3 /!~ • Z7 ~a yid - L.. ~ fS,6k ,-~ fit' C,$ -- • ~{ . ~ Z7 ~ 37 /o s --- ~ z,~+ rtik ~ ~~' c S - . s . 9 5 37.7 /o S/ - ~' or S ,e c5 -- . ? (• Z a Boring# ^ Boring SZ.s6~$~,$'(o ~~. O ®- pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 • ~ io - SL /~S ~ S CS -- • ~ 7•s SL. ~~ ~ v c S .- . ~ /O ---- L / --- , C~ •6 'Effluent #1 =GODS > 30 < 220 mg/L and TSS >30 _< 150 mg/L * Effluent #2 =GODS < 30 mg/L and TSS _< 30 mg/L CST Name (Please Print) Signature CST Number Roi3~2~ 7-//~i~tcG~- zZ~3? S Address Date Evaluation Conducted Telephone Number ASS of~~.~L R~ . {~uDSoti s4~o~~ ~~3- ~ ?!S•33~~•8/~S S ~X~~sT%.vlr S'ysT'' ~ ~,ustA~l,GG~. ? 2®,v,;v~-- .D,~T. ,c~~¢ee. . - _~ hv~ c.~7' s>; ~-~s: ~~o~ G°~~`~'- ~ s Hwy ~3 • 3 Property Owner ~ ~~ ~ ~ ~~ Parcel ID # ~ ~~ • /D a" ~ ~ Pane ~ .,t ^ Boring ?.~ Boring # Q~,~~ [~„ Pit Ground surface elev. ` ft. Depth to limiting factor ~~~ in. Soil Application Rate Horizon, Depth Dominant Color Redox Description Texture Structure Consistency Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 • c S io 3l --- SQL 1 ~S ~ ~, CGS - • 2. • 3 •0 7•S s --1 S DDS - •~ l•Z ^ Boring # ^ Boring , ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure., Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 =GODS > 30 < 220 mg1L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer: Tf you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-$777. SB68330 (R.6/00) r V ~~ ~ ~ ~, c ~, ~~~ ~~ ~ -~ o ° ~~ ~ -~ o o ~ ~ • ---~ ~ o Cv~S% Lo% ~'~ ~ ~~ ~ ~ c~ ~ ~ '. ~~ ~ n N ~ a ~ ~ ~ ~~ ~ ~ ~ h Z i ~ 1 1 f _ .~ ~ -~ d w i~~ ~~ w 0 ~ 1 ~'...-w........ ._ . . ,-~ _~ W ~~ ~, ~ , ~ 1~1 4 G ~` • ~= P ~N =~'~C Q ~ ~ ~ ? Z~ ~ - m N Re m ~ap~ mo ~ o~ o'~ a ~ c a /~ _ / ~~ ~ ~ ~~ Q ~j ~~ ~~N~~ ~~~~vi ~~o,c~~ T~`9_33Z~- S G~ ~ , -<<o ~-~~ 4 ~'~ S 3 ~, q y• s ~ ~- `~....~ ~.~` - ~sb ~~~ ~~ ~~~l~l~ ~! 9'1./L~ j ~ 3 ~ ~ ~~~A-~ 8''. 94•?a ~, r Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: Svstem Design Specifications Sanitary Permit Number ~- Number of Bedrooms .~ Design Flow -Peak (gpd) ~O o~ Estimated Flow -Average (gpd) o~p Septic Tank Capacity (gal) ~~ Soil Absorption Component Size (ft2) ~ ~ ag Type of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow -Peak (gpd) ~ cro0 - 3 Maximum Influent Particle Size (in) 8 Maximum BODS (mg/L) 220 Maximum TSS (mg/L) 150 Tab le 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the ~~~ ~n ~ Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enfer a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding Tank may contain lefhal gases, and rescue of a person from the interior of the tank maybe difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 ~ ~ Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep-rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. ~~~ ~6 ~ ~ 3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSIi[P CERTIFICATION FORM Owner/I3uyer ~_ Mailing Address Property Address --,~~t ~~ ~ `~ ~sjl~~ 2 (Yuificatioa rcgcrirrd from Planning Dcpatt:acat for new construction) City/Statc ~ a %.,P ~ j" /1~' f~.,~ Pac~cci Identification Number l~ ~ ~ -1 C~ 2 ~'- ~d --vo IL.NGAL DESCRIPTXON Propafy Location ~ %,~~ ;, Ste, ~~ T~N-RJ~Town of n9 ~ eN'a~ Subdivision Lot # - Certified Stuvep Map # ~ /~ E Volume .Page # Warranty Deed # _ ~ ~ ~ y ~ Volume _~S1.S~ .Page # . ~ ~ ~ . Spot house ^ yes Lot Iincs ideulifiable 1~ yes ^. no ~YS'IF.M•~yl~!lII~l'~~IANG'~ Impcnpcrt~cand~y,~ooaldtrsaltmitspc~satat~.faTucetobandlev~rastGS.Properara~bcaaaae ooasists of pampiag oat ~e scptvc taalc ~Y tlmoe y~ or sooner, if aecdodbq ~ Iiecasodpampc~ ~ What ynn pcrt.imGo the systcar eaa s~oct~e.f~m~a of ~e scpti~c taalrss.a t~atmartstrg~e is II~e ~riastcdi_sposaiaYs~- T~ P!mP~Y ow~cr agrres to sabmit~to st Qrohc Zoning D ~ oaii~atioa foua. 6y _the ~o~enet and i5y: P7plaarlrc~~ctodplumbcraz=li~edpumpcrvrnfyingifiat(1) ~,,eoa~itciaastewaterfirsposalsyst,~ is is proper opaatiag oonditioa snd(or (Z) after inspoctioa and paatping C~'Y). ~ septic-tank~is icss ~raa If3 ~uIl of stodge. ~ ~ hatre~rcad ilre shove tngair~ ~ agioe to taaiatiia She pavatc sewage disposal system wi& tae staadaids . act fwrdr, .~ sd bq tine D of p~ayace and the Dcputmeat of Dual R~csoarocs; State of Wisooasia.. Certification ~g that Y'~ septic system ~ born maiataincd mast be oompldcd sad rc6amed to fibe St: t~oix.Cormty Zoning Office within 30 days-of $~ue~t~rx ~, / ~ ~ /oZ (/ cs0 SI TURE R APPI.IC1lNT DATE OWNER. CERI~CA.Z'XON_ ~ I (we)~oc~ify that all statancats on ties form ar+c true to the b«t of my (our) hwwlcdgc, I (wc) am (arc) the own«(s) of of a warranty dood rooordcd in register of Dads Office, SI 'ftJRB APPI,LCANT ~a~ ~ ao DATE s«~««~ ~ information that is mis-rcpr~catod may rcallt is the sanitary pumit bring revoked by the Zoaiag impartment. s•••~ ` •' Yndudc ~r[th this appticatioa: a stunpod warranty dood tr+om the Register of Dcods office a Dopy of the certified s~uvcy map if rcfcrcnoc is made in the warranty dcod ~D STATE BAR OF WISCONSIN FORM 2.1998 WARRANTY DEED Uucumcnt Number ~~~.1515 PAGE ~65 This Deed, made between Heidi Zevertbergen and Mark Eliason, both single persons Grantor, and Erik E. Hansen and Tara L. Hansen, husband and wife as survivorship marital property Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: The North 100 feet of the South 457 feet of the East 120 feat of the NE 1/d of the SE 1/4 of Section 13, Township 29 North, Range 17 Weat, Town of Hammond 624045 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO,, WI RECEIVED FDR RECORD 06-01-20D0 2:50 PM YARRRIiTY DEED EXEMPT N CERT COPY FEE: COPY FEE: TRRiISFER FEE: 328.50 RECORDIH6 FEE: 10.00 PAGES: 1 Area Name and Return Address RETURN TO: T I'T' ~ ~'~`~ 706 19TH STREW `V ~ i-I HUDSON, WI 6~.. ~ o s-2o-o0 W p y~,~l ~ ` 1 ~ L ` Exceptions to warranties: esaementa, roadways and restrictions of record Qated this (~ day of 1 . ~~ AUTHENTICATION Signature(s) authenticated this day of TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stets.) TfIIS 1NS'IRUMENT WAS DRAFTED BY Itiichael H. Forecki Attorney Eau Claire, Wisconsin (Signatures may be authenticated or acknowledged. Both are not necessary.) Parcel Identification Number (PIN) This is homestead property. (is) (is not) l * eidi Zevenbe/!/ n *Mark Eliason ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. St. Croix County Personally came before me this day of r(~Qu..:._t the above named Heidi Zevenberc®n and Mark Eliason to me known to be the person who executed the foregoing instrument and acknowledged the same. ~~~~~~ *Tracy L. rner Notary Public, State of Wisconsin My Commission is pe anent. I not, state expiration date: Tracy L• Tu er Notary Public 'Names of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN WARRANT)' DEED FORM No. Z-1998 ProA,ced wiU ZpFarm ^' by V*NSaa Inc. 18035 Faleen Mih RDW, Gintan Townshp, Mirhipsn 49035, (800) 383-8905 Century 21 Premix Gwp 70h 191h St. HWsm WI 3/0162161 Phone, (71St 7B6-6207 Fsa'. (715) 386fi651 ffJ 0,~~ r Za . `~ ~oS~ `~ M SEE PAdE SO E E O Sm Trs a N6r5 • NSr6 NSPS • NSrb ~ eth • NSPS lam¢ • -~, ya a 4 N s, .x 42 221 152 • 1~'S Larne wenara Reuben a~, Thor & Karen • ~ ~ ~R u;d' ~ Err01 Q"ar" 38 5 ' 365 a,~ I . t • William & Constanm Quam ~ ROB Jacobson Trust o A Co • Atme ~ ~ ~ 3es ~m & HIlda . a 301 158.5 n.a- • ~ u j u, q¢ '~ Q' 1,1rjJe y Geor us gi Michael&Dawn Marshall 77.5 Dert;ck 7a 78.5 , U ,!, ,7! Q 158.5 ;: 0 °r ~~ ~~ Mortow eta Goodin $ • a y M ; a - ~ 2 ~ ~ Z ~ Post ~ ,~ s ~ d 6 0 Ken ~ B Ro er u 2 • s~i'N`e m.5 Jean ~' ,'~o_, T 80 Sammy M • ~ 90 Sam & Clara a Randall ine da L e > ~ Gar ~ ~ ne & J Robert 176.9 J acobson '" t rn ~ & Sandra 160 w ~` + 415.9. Nelson Fam Tr i A P hlc Lind tlist Stafsholt • 40 ~ gym Bounm " ry k>r°°a ~ " 1 0 1 86.1 ~ ,~~ 160 . . Bushnell ~~ Robert & Nancy ~ ~• ~ ~ g t.~~ yr bF :' , m ,~ g. .. • • Lake • 77.7 lnhnso : ~,~;~ ..sw s I - ~ ~ 8 trick 80 40 John °~^^& • 40 • • i m Ronald & Geraldine ag Harvey - -James Thoa,aa llawkir~s 315.5 S ~ 12o Maroney etal Ande • sir "°''^ n ax~m^ 70.1 • •3 Frank 120 ~ 1 & suzanr,a 150 & tort' rra,;t 160 Donald & Nancy ~ •„tea, '° cnades xo~a & • Robert & 40 „f ielkema Hawkins etal eo • Elhom • sr Rebecca ceram;r,e m are Nina Cripe V i Stanley 64.7 K l & so •w x,18 Fran k ~ er & • 1 Ro r eze F 1 63 & Susan Vernon 64.1 s ar P&M R°n"en g arms Gausman ~ ' Nelson L°"i~ x" ` ° Kenneth Katherina Roxanne 80 • toner ~ T M &~ Barbara Inc ., MrNellis : o ~' Roberts • IJlferts Chevalier • • RkD zo1 % Frederick In ~' Donald Thompson 175 100 r„ ~ 59.5 E . E -,r 78.1 „~ Trustee xaor • • Fantily Glenn & & Helen Kuebker Ott 266 7 217.1 Sandfort I 222.4 _. • Richard E k Tr $t Dorothy Sather ,~ 185 • ~ . ~ • • war & Lestrud • p0 P roo s 180.65 u ~ • RI DD 1a 5 3.2 ~ 1 1 11.4 ' o u Dwayne ~ 5.-.. n,,.. _ e 5 band 14,r 14 2 E 74.4 • 77.8 23 • E I _ '_ Nelson . ]ohn& Carolyn Dalton 309.6 William Hawkins $~ Bonte _ 4 laeobson 39.1 39.8 • pauJ Tamm r s`Ve3J7%'°' t1v z1 68.4 70.6 155.5 E°`r 10 2 r$ Qrd ' 120 • s Ronaid & Veroni a Kusilek '"' 8 Mary 73 80 les ., & & Patricia 69.4 • ule & Parma 1 ~ ' e 105 ,ir ( z Dine Bonte 131.8 . 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N; ardner MOhn Ronningen a0 99.4 IC e & Jennifer J Lory & ~rl~ ene i., • Eu Lloyd 118.79 Kautz T Bruce Here+0 Rna„a Fbu ABrM Family ~ a Lewis & June 1 ersten • Hawkins lr Mueller g Neuendorf 40 • & na J Gregor} Loock FTrusi Tiust - Geurkink 155 Rhc 1 10 a~ Faml a r ' . 1 o "eM'^ • s1e,Kne Renee 159.2 - Ken-Rich F I 114.8 100.2 Trust 155 Wayne ~ne~ 74.5 80 352 insst 160 36 + E x ~~ 40 63 ~ 412 Heinbucn • arms nc R. Looek • oo • • • ` LL • 78 F?i• ~ Urc = RA9 1 500 1600 1700 1800 $EE P AQE I8 .1900 2000 2100 ' ANDERSON EXCAVATING, INC. 52 YEARS OF SERVICE FREE ESTIMATES WE WILL MOVE THE EARTH FOR YOU! OFFICE: 715-684-2124 Joe: 715-684-2949 120 Hwy 12 E. Cotton: 715-684-2510 P 0. Box 104 FAX: 715-684-2848 Baltlwin, WI 54002 l ~ & Apple Farm Highway 63 & I-94 Baldwin, Wisconsin (715) 684-2856 • APPLES FROM YOUR HOMETOWN ORCHARD • LAWN & GARDEN CENTER • GIFT SHOP & MUSEUM WE ARE OPEN FROM MARCH-DECEMBER