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HomeMy WebLinkAbout018-1083-25-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Wovda. Brian Hammond Township CST BM Elev: Insp. BM E ~~•~ (~~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic lJ Eel S ~2 2. S~ Dosing Aeration Holding TANK(SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ > 5 r 3 ~_ Dosing Aeration Holding PUM SIPHON INFORMATION Dia. SOIL ABSORPTION SYSTEM (~ DIMENSfONS ~l SETBACK SYSTEM TO INFORMATION Type Of System: V . DISTRIBUTION SYSTEM No. Of//Trenches (Z~ 3(v ~ IZc> -~ {v e•O•W. ELEVATION DATA County: $t. CrOIX Sanitary Permit No: 399572 0 State Plan ID No: Parcel Tax No: 018-'~ 083-25-000 ~~ s~~~~, STATION BS HI FS ELEV. Benchmark r Alt. ,4~ NS.`k~ D , o D~ 1 ~ Bldg. Sevyer ~ ""' ~- _ _ _ K, ~ q J al ~2 • /(,~' St/Ht Inlet Q 2.~y~ (Z.~S' SUHt Outlet 3.32 1~.. og ~ Dt Inlet Dt Bottom Header/Man. 4 1 r ~~ .p0 Dist. Pipe Bot. Sy tem „ ~ ~y~. .~,a. . 3 o `I S ff a ~ Final Grade r. ~ 9.8a St Cover 0 ~) ~lS,~d (.O )IMENSIONS No. Of Pits E/STREAM LEACHING CHAMBER OR UNIT I'YT ' 7r>?Ntcl4 Number: I~ ~~ Depth Header/Manifold tt Distribution x Hole Size x Hole Spacing Vent to Air Intake Length Dia Pipes Length Dia Spacin i ' ~f SOIL COVER x Pressure Svstems t]nly xx Mound Or At-Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedfrrench Center Bed french Edges Topscil Yes ~ No [] Yes ~ No CO ANTS: (Include code discrepencies, persons present, etc.) Inspection #1t~G'~/~/~5 Inspection #2: ~ / .17.59 Loc tion: 1721 100th Ave Unknown (NW 1/4 NW 1I/416 T29N R17W) Pheasant Hills Lot 25 1.) Alt BM Description = ~je ~ 5 ~~ ~~~ ~ ~~y,,,,~f ~' 2.) Bldg sewer length = l '; .p t - amount of cover = f Plan revision Required? ^ Yes No 8 I}I ~~ L ~~~"~\- ~~ U oth~er~s_ igd~e{for 'tion ~nfor~atio~ ~ ~~ S 67 0 ( 97) 6v~ e•~iT `' `~"~ to I natu Cert. No. 3') 1~~ ex 2~f ~aa,~lrw c~ •~ -- ou par' ~y~iw• ~~~ ~- ~ O ao b l.~o,__._ __ Safety and ~iuildir,~s L~~.,tian ~ Cry ~ { ~~~~ ~ /~ 20: VY. Wtabialtott Ar~o, , p.0. Sox 1162 ~ 'u Addree.c Madiroe-, R'I !3707 - y162 ~ ~ ~ De r ant ~f Co m ro• ~ ~ ~ """ prrmit hWrzber ~ P@1'~t A~p~Ca~Oll 3~g 5~-2 ttt teeord vrgb t'~oerae fS.il. Wit. ri~tt-. Cads. paeloatl f,~arudon you provi~s Q Cbtak tf' >itviafan v w ' . 1 ~.""".~ • ~t l~timtllion ;,~~-... t LD. Ntlmbal' ~. Apptiar-t~ bnibew~iw ~'e` ,~- ~`''''''"~'~ ~ ;~ ~ , ,"~.,, ~ REC~iv~ ~` ~ . '~ ~~~ ~'. ~,. s~~ a s` J ~ c l S- :0 8 ~ z -ct~ ,.w,..~ ~,d , ,~ . I~v~~ ~'x cep ~.~1a. , . -~ T =' ~ ...., ~ s zap' ~ i ~ dry, 9~to 7rp Cade ha N~:alber ',, a ~ 8foak Nuntoec ! ,` ~ ~ ~ 5.506 ~ ~``` ~ ~ .~ ' 7e ~.~~ .~ ~ ~~ ll s .~._.._, ~ ~ ~ ~ of fWl~dfay ~+cheek a,!! sfut apply) as p~'~ s ~~ ~ ~''.`y~- ~ S ~ ~ t~C>b'~.r. ` ' ...._. 1 or 1 - 3igaebti at fitdroazos ,_ ._...---- j7'1 ltp ..,.,..._,,,..., Q PabitolGDtt-nuralu - Drtor~e Vee i ~ c ,d ~ _,,,,.,+,.,_,.,,.,~ ^ !refs Ownett ~~ LL S rc 3 ~ -~-~-~-..~ + [.() l (8 • ~S" ~ x. 3 ~ ~ Nana ~ .Q..~ ~~--..~ T ype of lh~rolitr {t'~rldr oa~c olu has o>3 lltu A (otlmfser~ taf:eme for fntstnut ure). Compuw Jitiw it »ppliai~fe) A' _ ~faw 2 ^ ~ltoa~oe ffiywoa ~ ~ ~sgltewaeat of 6 ~ A4ditkcn :v , liar Cov3ttr tap Nwtsbef 3 ate i Wa Iuued 8. n Claalt (! fftllitwty Maads ptwviovtly fttua~l . pplY+ria= erheedoa 4 or iatarnel we) tba+tt t of ~ T pe l e (( y ~ ~~/~ ~ ~ ~ ,.....j~ J, K~.Ktllr rg liMt3lallm (•~© IIQOQAd 47 ^ Stnd Rita St! ~ Cotutntstat WaOatsd ~ 610 ttoldlttl Teak at Q ait~le ptN 22, C l~ tad~taond 31 ~ Dtlg Ltt~a ~3 ~~„ 46 ~ 'Itut3»aet L1 ' Rvcirouladn ~ 30 ~ Qtber f~rlow R+9u~ 66~ ~ t Atee o» 6~~ t~tttit3tla,lf3tYdsq,t~~.) parerjiatloa Rai pKia~l~uls) :. dyastsA Fdovttioa ~ Feu: grade ; Slavtuoa D6~ ~ ~~ (~ ~~~ ~ r'~~~ P ..............I TtiAft q+ ai Zberi titlloat Nutaber ~yisantter of Tura S is c;oaarttr Sits Cotuttnoad Stec! I~ihnr ; Pltxtic Otxsv ? sw i i d0 0e ~ ~~~ r tCS'L' 'l ~~ j 1 ~ pq~paml- eti ~ +twaae. t at fire r~,tw'r8 sboM-a as tht ott~d , >~umtetr'e 't /t„~- 1ius~aeta Pboae umbu ~A Q ~~ ttly eclair lele tirouadwwr ueuiu8 A~ot pnatun iNa Swmgrj ~ ~~) © thvnrr Glvea fraltid Advareo • Q~ 2 2~ ~ ~l~Z~o ~ ~~ ~ ~ ~tJ1Xr fJ`"~ 7T."^"- ~ tMOLl.w~n.x'1n 12 a -M.1. w~ {M,I,t~t~, SAS-~.~,,,. wr (( ,~9-y~~ ~ ~ ( vh-xr _ ,,,,i~~ CDT °'O ~. Low..w~ . g k a~2 ~2 r o~ t-~ w~ u '~'~~_ "~j "' ~~ s ~~sr ~ ~ ,~ H :~ ~~ ei~ O ~; .~ ~.,~ ~ 1 v ,, ~ Q ., Wisi~nsin Department of Commerce ~ SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings ~R'G'N~ord with Comm 83.05, Wis. Adm. Code Certified Soil Testing Attach complete site plan on,paper not less than 8'/~ x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference_point (BM), direction and Croix St t d l le di i h d l ti i t t a~ d . o neares roa . percent s ope, sca or mems ons, nort arrow, an oca on s ance t .~f Parcel LD.# APPLICANT INFORMATION - Pfease pant I ~nformati n p . / ~' Personal information you provide may be usep for "secondary purpSSSeg.(~ivaoy Law,`. 15.04 (1) (m)). viewed.B Date Y I ( ~ Property Owner - m.. =property Location Bonte, Ron ! _ !1 ^'? •r ;~ •1; ~, ~ - ovt. Lot NW 1/4 NW 1/4 S 16 T 29 N R 17 W Property Owner's Mailing Address ~ u P~.: ~„ ~ ~=: of # Block # Subd. Name or CSM# 1011 170th St. ~V,,,~.~, ~~ 25 Pheasant Hills City State ` Zi Code ~~~i~ ~.'~:, 4 71 ' ~ ^ City nVillage ®Town Nearest Road d 170Th St I~ Hammond WI 01.5. 5-796-.5~ unmon ~ Reside `o`f bedrooms 3 ^Addition to existing building New Construction Use: _ Replacement ^ Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate •3 bed, gpd/ftZ •4 trench, gpolftZ Absorption area required 1500 bed, ftZ 1125 trench, ftZ Maximum design loading rate •5 bed, gpd/ftZ •6 trench, gpd/ftZ Recommended infiltration surface elevation(s) 24" below contours ft (as referred to site plan benchmar install 2 - 5' x 112.5' shallow trenches on contours in lower half of surveyed area (upper half OK for mound Additional design 1 site considerations rPplacemenz)~o~ 3 lu Parent material till Flood lain elevation, if a licable NA ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ® ^ U ®S ^ U ®S ^ U ®S ^ U ^ S ®U ^ S ~ U ~7VIL L/G~7\+RIr11V1Y RGrVRI Boring# 46 Ground elev 98.8 ft Depth to limiting factor > 92" /~ T Ground elev 100.4 ft Depth to limiting factor > 60" Horizon Depth Dominant Color Mottles T t Structure Consistenc Bounda Roots GPD/ft in. Munsell Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. ry Bed ~ Trench 1 0-4 7.SYR 2.5/1 - sl 2 m gr ds cs lm .5 .6 2 4-24 7.SYR 2.5/1 - sl 2 m sbk mvfr gs if .5 .6 3 24-31 l OYR 4/3 - sl 2 m sbk mfr gs 1 f .5 .6 4 31-48 l OYR 4/4 - sl 2 m sbk mfr cs 1 m .5 .6 5 48-57 7.SYR 4/4 - sl 1 m sbk mfr cs lm .4 .5 6 57-92 7.SYR 4/4 o' sl 0 m mfr - - .3 .4 ~ -~f~6 z. ~ w ' ~ s ~ Remarks: nonzon a nas occasional 1 u r x Oro is mciustons 1 0-4 7.SYR 3/2 - sl 2 m gr mvfr cs if .5 .6 2 4-9 7.SYR 3/2 - sl 2 f sbk mvfr cs 1 f .5 .6 3 9-40 7.SYR 4/4 - sl 2 m sbk mvfr gw - .5 .6 4 4 60 7.SYR 4/4 - sl 0 m mfr - - .3 .4 r 9 e 2 `~ ~ Remarks: nonzon ~ nas occasional mansions o r x 4i4 sa ~u, m, mn~ neww su" CST Name (Please Print) Signature: Telephone No. Henry F. Grote ~ 715-665-2681 Address erti ie of esting D to CST Number Ref # P.O Box 57, Knapp, WI 54749 416/2000 222774 1067 a..,a ~+~ ~ I i ?,at70 Z PROPERTY OWNER: Bonte, Ron PARCEL I D # SOIL DESCRIPTION REPORT ~I Paoe 2 of 3 a ~$,. Certitied Joil "Cesting Horizon Depth in Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots ~ GPDIfitZ Bed Trench 3 1 0-3 7.SYR 3/2 - sl 2 m gr mvfr cs if .5 .6 2 3-11 7.SYR 3/2 - sl 2 fsbk mvfr cs if .5 .6 Ground elev 3 11-24 7.SYR 4/4 - sl 2 m sbk mvfr cs lm .5 .6 101.7 ft 4 24-48 7.SYR 4/4 - sl 1 m sbk dh cs - .4 .5 Depth to limiting 5 48-66 7.SYR 4/4 fad l OYR 6/2 sl 0 m dh - - .3 .4 factor 48" 4 Ground elev 98.8 ft Depth to limiting factor > 74" 5 Ground elev 101.2 ft Depth to limiting factor 30" Ground elev 1 0-5 7.SYR 3/2 - sl 2 m gr mvfr cs if .5 .6 2 5-18 SYR 4/4 - sl 2 m sbk mvfr cs if .5 .6 3 18-30 7.SYR 4/6 - is 0 sg ml cs - .7 .8 4 30-74 l OYR 4/4 - s 0 sg dl - - .7 .8 '1660 r~cniaina. - ------- - o -- --- ... ---------- -- 1 0-6 7.SYR 3/2 - sl 2 m gr mvfr cs if .5 .6 2 6-31 7.SYR 4/4 - sl 2 m sbk mvfr cs if .5 .6 3 31-60 7.SYR 4/4 7.SYR 5/3 sl 0 m mfr - - .3 .4 ~r~",,, fl~ ~ A.,.. - , - ------ - --- ------------ -------- .- - -_ ..., v _ ..... . .............. .....~ ...,,.,,,..,..~ ,.~ . ~. Y,., ,~ ~,,, ~s, Depth to limiting factor • a ,, . ~ '3 z ~y s "" o a~-. J ~' 3 ~ ~ d Q' ~a 9 ~' 2 ~ ~ ~ 3 J Z . K .a • ~ i `~ (~- M -0 o P ~ ~, ~ ~ t s{ S \ d M , 9 -~ ~- a ;' ; ~ • ~ ~ ~ ~ i ~ d ~iN ~ ~ ~ .~ ~ ~ ~ 1~~ ~ ~ ~ 3 ~ 9 ~ ~ ~~ Z s d o! .~f^ i 4 c~ t ~o 0 0 M N r 9 u .~, ~ ~ ~° y M ~ ~ ~„~ 4 1~ ~~ ~; ~~ ~~ `-' s C~ f o > y t ~~ ~ A t/~ / ~~ ! • tG C ~ 0 ~~ ~ ~ ~ u _ . ~ g~ ~ nn~ ,. P_ ,. M rv A~ ~ s9 d ~" d ~ t M ~~ ~ `' / :c~- r \~ "s n 0 ' on f l.b 0 N7~ i~ ~ d1 ~ f ~ ~ V ~ ' Private ~nsite 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 fife 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: System Desf n Specifications Sancta Permit Number ~ 9 S~'2 Number of Bedrooms Desi n Flow -Peak {gpd} (~ rno Estimated i=low - Avera e ( pd) ~ Septic Tank Capacity { al} l2~ Soil Absor tion Component Size ( ) t;~->t- s~ ~~ Type of Wastewater Domestic Table 2: Soli Absorption Component - Limlts of Reliable Operation Septic Tank Com onent Soil Absorption Component Design Flow -Peak( pd) S ~k Maximum Influent Particle Size (in} 1/8 Maximum BODS (m /l_ 220 Maximum TSS (mglL) 150 Tab le 3: Maintenance Schedule Septic Tank inspect andlor service once every 3 years Outlet Filter lnspect once a year and clean at least once every 3 years Soil Absorption Component lnspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stets. 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 utlet filte shelf be cleaned as necessary to ensue proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the f lter when removed from its enclosure. if the J ~a., Management Plan far a Septic Tank and Soi- Absorption Component filter` ie equipped with an alarm, the fitter shall be serviced if the ai+arm is activated rrontinuously. intermittent fitter alarms may indicate surge flows or an impending txantlnuous alarm. The septic tank shaft have its contents romeved when the volume of scum end sludge In the tank ®xceeds 1/3 the liquid volurns of the tank. If the contents of the tank are not romaved at the time of an assessment, maintenance peroonnel steal! advise the owner at when the next service n®eds to be performed to maintain less than maximum scum and sludge accumulation In the tank. Msnhale risers, access risero and covers should be inspected for watertightness and soundness. Access opanings used far servic:$ and assessment shall be sealed watertight upon the campistian of service. Any opening deemed unsound, defective, or subJact to failure must be replaced, ,Exposed access openings greater than 8-inches to diameter shalt be txecurad by an elf®ctive lacking devlca to prevent scddentai or unsuthorized entry into the tank. No one should enter it sap#Ic or other ~ w1~dtosHA f st,~ d~nrs ~r a»y reason without belnQ in full Qarrplta» etrteMn~ a confined ap#ce. The atmoaphen within the septic or other tresdne»t of ftoldMy tank t»ay contatn laths! rtes, and rsacuo of a par~ton flnam the IrrMrlor of the tartlt may be dlhlcult or Impossible. Tank abandonment shall be In accordance with Comm 83.33, Wis. Adm. Code when the tank !s no Longer used as a POYVT8 component, The soil absarptfan component serving this structure is designed to accept domestic wastewater from a resldsntlai faclltty. The limits of operation of thts component are shown lrt Table 2. The iang+svity of a sal! absorption component depends greatly on proper and timely maintenance, and system use within or below rho limits of roiiebie aperatlon~ Oood wet®r conservation practices by ail oocupartts and the lnstaliatian of water conservins plumbing fixtures are key factors in extending the usmful life of this component. The soil absorption component's aperatian must be assessed by inapectian at least once every three years, The inspection shall include recording tho levels of pending, if any, fn the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping altos, areas at erasion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater ar sewage from the system is prohlbfted end considered a human health hazard Traiflc around or over the loll absorption component shpuid be evoidsd particularly during winter months, The compaction e 4 failure 6f uioualiyc temporary but ~ d~ifflcult ~y lead to hydraulic failure by freezing. This typ impossible to repair until weather condltians Improve. In flensral, soil compaction over this compar~ent will reduce diffusion of oxygen into the soil and dispersal c:eii, lvhich may lead tp more intense, and earlier, organic clflgging of the soil. 2 M+~napement Plfn fps a $fpllp Tfnk pnd $o!! Ab*or~uipn Companertt Pl~rttlrtpp of d~rpoted tra: and fhrubt directly aver of within an hft of the aarponrnt t~houta !~ ovpidrd pine root intrusion into the aampanent may p#Htruot waatawatfr t#aw. Corrtlnper~oy Pratt In the iwrrt at irystem hilur+~, • tew ryltem could Df ir~ptillfd in an ~iternalf irrf+~. With the ir'~ttaiiatlon of iit diviiu#ar naive, thf exininp syeti~m could u1o bf rwud ~ • period of three! to bur yfan. ~ lit ~ propfrty awnen rfsponaibNity to rnafntain thf altfrnatf area ~ from any pig 0# tree, phrs~r, sta. In cap opt tsilurs M trte ariQinal syflM~rr, this aiarnlitf aria will bit nlwdfd, K any treef; thnikii, eta tiitve been piar+tird On 1tN alt~ln~ ~1'a!, tl1y- will hive t0 b~ ~10v~d ~t property e'~wMre ~?if1N~ it ~ area la da~troyed, there an other aiternadiw •y that ar+ I» wed, in twhlCh, cooed raiiuit M added e~rb+fi to ms fx~frty owner. Any tank il~ndonment obeli be doM in fiooordanw with Wipe. Code i~I.33, Any Qwir#ipn~ np~ardinq thio oode,l a~ttaot your #oal-I Zaninp G11i0! or contact !hf hlatallir~ piutttbrr. ST CROiX COUNTY ~. SeI'T1C TANK MAINTENANCE AGRESMBN'f 3 ~ ~ ~ 3 1 a f ANU OWNERSHIP CBRTIF1CATi0N FORM OwuccBuyec ~r~ah ~ _ ~~~ ~b M~ Addt~aa „~ Propec~y Addraes f`'1r~ ~So 6~ (Voeif~atloc rags:tred thvQ 8uaa~ag Dept~p~t to aew C~Uy/Stete Paroet ~deatiS~cstloa Nusaba PCOpecty LiOf~$t0a ~~~ ~~. ~..:~ . t/y SOC. ~ T~~~I-R,r~,~ W~ TOWN Of .d,~,,::r,~,~,.,. ~ jjl~' ~~ ~ ~ ~ sa.~ ~ pis' SYL~•iiWY T.. . i' 6 - wrw...~^.~w.~.~~re.w~~+ri ~t ~ „r.~,• i Ckctft~ed 8at~rgy Msp # ,,,,,,_...,......-- • Votmae _ # 'Qiracrealy Deed # ~~3~a~ Volttma j.~=i~ . P~ # 8poe C3 y~ t3 m Lat ~;Qecr~bla O yep D s~o ~mpeop4earemd~olee~oeol~oate~toey~eatoootid~#,t~tb~tpa~r~~aclo~lerrueoe.Prapacm+~aae alb ~ ~ ~~~~ a ~` ~s••dedbr a~o~edp'apw WSat boa, Est lt~oo die ~y~oam ~tia~ic~.s ~plu ar w~alr~owlgq~0am. 3ria~poo~wegro~raec~awlQ wdr~t~to 8t Ca~c lce~e~ Dtt eettl8odtoalba~ dpred by ~s awme ~md~bs- a it ~a p~mpec vPatedai eaamtlaa mVar ~ eedpm~nn~,(~meoe~q-~t,~e~plte.~ ~. ft~e„ die ~bareeeeddr aborbra~eaq~tad~oeoto ms,~S~apctWle rwr~e die~+oat ~.~ iet Ems, t~eaets,weetby- me Dep~otaE~omecoe~add~Dep~eo~ta~!'t~ilmelk~aa~; aEW'i~ooeia.~ Oaf duty ~ baeaaa~~dmmtbe aepl~eoedwdrevmed to die 8t a~nix.aomeq- Zeal Offiee~n 3G ~ot tbca racr rdsae. ~~ ~ "~ o,~Ts ~L~ 1(~ne~ is aB on mit ~ ue aaa m e~ teat vf,~y- (a~ lmnorvsed~e, ~ (wey uu (~) ~ ®~t=) ~c br v of • - deed saoo~ded io of T~eede omoe. ,~(,~ 0 ~Lt~fA OF . p,~~ s...ss ~, ~ ~ a~reedmiy e~ ie tl-e taib~y p0amit betni t+dvoked by the Zoning Dsparmmant •••••• •• Iaddd~ ~- tip sppttattaa: s stseaped rw~rceaty deed from ~e Aa~ec aCDoad~ vlEa i copy of tea cestt!-od pirvey mep if e+cfottarc U mule in tha wuitaty daed d+ /O STATE BAR OF WISCONSIN FORM 1 - 1998 W1ARRANTY DEED Document Number `rid!. ~~~lOPAGE 5~~ This Deed, made between Ronald C and Dine M. Bonte husband and wife Grantor, and Br Woy a an Pame a J. Wo , us an an wide Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St . CrolX County, State of Wisconsin (the "Property"): Lot 25 f Pheasant Hills Subdivision Document #622544, Volume 7, Page 86 (Township of Hammond) 018-1034-60-000 Parcel Identification Number (PIN) This 1S riOt homestead property. (is) {ts not} Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except highways, easements, and restrictions of record. Dated this 1 5th day of May 2 0 0 0 '^ ~-'(} ~, a ~~I / iF-~ ' ~FN' ~Y (SEAL) ~ ~L~~ (SEAL) *By: Ronald C. Bonte =By: Dine M. Bonte AUTHENTICATION Signature(s) authentrcated this day of TITLE: MEMBER STATE BAR OF WISCONSIN (SEAL) 623020 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 05-16-2000 9:40 AM HARRANTY DEED EXEMPT N CERT COY FEE: COPY FEE: TRANSFER FEE: 122.70 RECORDING FEE: 10.00 PAGES: 1 Recording Area Name and Return Addres~ Brian K. Woyda 16080 Excel Way Rosemount, MN 55068 ACKNOWLEDGMENT (SEAL) State of Wisconsin, ss. St. Croix County. Personally came before me this 1 5th day of Mav 2 0 0 0 ,the above named [o ~ ~ ~ ~ o ~ ~ ~ ~ ~ i ~ i ~ ----- _~ j' -- _ _ o i ~~ ,Ib'911 ° o ~ i '~ ~ ' - i ' 7d i ~ - __ __ _--- ~ Z~ ~ . - ~ ,001 i ~ - i . '' ~ ~~ ~ ~~, I - Z Qo Z o a o `O 0 N y O ~ rn N ~ ~ Z ' o ~ rn~ _ ~ ~ rn ~ '!' n ~ ~ m ------- --- cnnnj -_-- om~ ~ _ ~' : ~ w ~ ~ ~, . W N to : ~. y rn O co ~~ ~' r to ~ w' cfl ' i i, ®~ F£ I ~~ ~~ •,p '' ~~ ,~ I ,££ 2 I ~ m o I~ m I= I ~ .~ n ~~ m ~ ~ R'1 ~ C7 C~ ~ y ~ ~ -~ z g y e LOCATED 1 N THE S W 1 i4 OF Tf SECT 1ON 16, T. ~4 `~' W - _ - - - - - - - - - - - - w ~ DEDICATED TO 7HE P U - - - -~ ,~---------~ ------------ ° 584. 95'---~--=---------------- ' ~ ' " ---- -- ~ o 849. 39 16 E N89° 55 ~ I _ rn ~ ~~ ~O , o o ~ ~ 'O i i 41 m ................ ~.................. ,.3 ............~.... ` ~ ~- LOT 25 , 4.64 ACRES w \ `, ~ 202, !41 SO. FT. ~ ~ ~4 ; -tS t ~ ~ ~ ` \ \~ ~•. ~ 1 ' ~ ~ . 1 t .~ , a , \~ ~ ` , \ ~ ~ ` ` N89° 36' 01 " W ; 465. 60' g3 ~ •_.~ ............................ ....... ......... ...... ............. \ ' • ....: 3 ~ 3 ~ \ ~ .~ ........... \ c~ ••> ...._... ........ L.... ....... ........._............ ...._ ~ C• \ ~ ~ ,` ~~ U \ \ ~ ~' ~'~•~ ` I LOT 26 ~ ' S ` • . \ \ ` ` ®~ N ~`" LOT 40 `, ~~ ~ ~ ~ 2. 45 ACRES $ • _:. ... \ ~, ~ 106, 868 S0. FT. ~ - ~~ a.. ` ..