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020-1433-06-000
06/10/2005 17:05 FAX 7153778271 RJ CARPENTRY IM002 2 a 0 1 P 16 0 794 G, 97 �l KATHLEEN H. VA"a 4 REGISTER OF DEEDS ST. CROIX Co., wI Document Number Docnnent TMe RECEIVED FOR RECORD St. Croix County 05/11/2095 01:4gplt AFFIDAVIT Occupancy Affidavit EXM t# RCC FEE: 11.00 --`-' iC. (`Runt) TRANS FEE: j� Mann i COPY FEB: 2, 0g CC FEE: Name — (Owner) Typed or printed PAGES: 1 being duly sworn , states, under oath, that I _ He/she is the owner/part owner of the following parcel of land located in St Croix County, Vl'iisconsin, recorded in Voiutnc Page Docunwnt Number St_ 00iX County Register of Dods Office: R Area A Parcel of lead located is the /JC % of the Al W%. Name and Return Address of section I j � � � �.0.t:1.r1 T N - R q 'Vr`, Town of Hi t as p n . St. Croix County, VPrswf being duly de ==bed as follows (i A nclude lot no. and rl {. Gn ie C> mbdivision/CSM or detailed legal d tio ; r J D Lo+ L, Cpl ou.r V) au &64f -S Dan - D Sort , LO 1 nn5i n Parcel lderttificatlan Number (PIN) As owner of the above described property, I adntowledge that the septic system serving this residence is sized for a 4 bedmom home, or a design now of� gpd. The design flow Is calculated by assuming 150 gpd for 2 individuals per bedroom. There are txtrterrtly _C occupants Iiving in this residence: - Z occupants are permitted based on the design flow. Therefore the septic system serving this residence is code compliant. However, 1 understand that C furore are intentions to exceed the number of perry Med occi 1pants. the system Will njo to be modified to accomodate any increased wastewater flows and/or contaminant loads. I also acknovA I will make this Information available to any future parties interested in purchasing this property. Dated fhls _ . 1 1 day of - * a rii, * f •• t � AUMENTICATION ACKNOwt.FOGMENT Slgnelurs(s) STATE OF MCONSIN ) }Ns. auttwNtcated fhls day of _ St Cratx Courtly. ) Personally came before me this day of m Q a4c Warned 1k .t & !✓ M ah n TME: MEWER STATE BAR OF WISCONSIN (If rot, to me knowft to be the patMX9) v*w executed the foregoing aulhodzed by § 706.06, Wis. slats.) Insimteht and ack owAe"s the same. 1"S *WMtA4eNr WAS DRAFTED BY Mart (S May be � « Notary Public, Slate d o VViscnsin aduwwledged. Both are not MY Cortttaissio is PIMWwnt If not. state eVkadon date- rosary -) Date: 31 r `THIS PAGE IS PART OF TMS LEGAL DOCUMENT -00 NOT REMOVE" Tytlt: & t M50M rrwsf be cmgpfeted AY m0n4ler. d2now Rome 6 Man and s+ (#rmgrir , Or/ter k& mmdw arch as fhe 904 ft douses, laaWdeacr ion, eta mq'bopkwedon dds"page dAte Qaewnwo ornmyboA%coQon addoonafps m offt dower+ k &ROM us* of Ods aowrpttpe adds -0 pme tb your dbaenenf and 52.00 to f m ntmafta &L Wboonsln Stedu m. M317. 06/10/2005 17:05 FAX 7153778271 RJ CARPENTRY Imool �� ' � ;rl n ice+ ..J •..'''.:, � ✓ �' -- 7 U LA L n.- l Q D u j ara 0 LI, `�. ST. CROIX COUNT` WISCONSIN PLANNING & ZONING OFFICE '•'• ��M�Mq�M11 rr��1l COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 FAX (715) 386 -4686 May 12, 2005 Ryan & Julie Mann 1072 Daniel Drive Hudson, WI 54016 RE: Non - compliant POWTS, Town of Hudson Lot 6 Mound View Estates Subdivision Parcel # 020 - 1433 -06 -000 (Computer #11.29.19.2694) Dear Mr. & Mrs. Mann: This is to notify you that the Private On -site Wastewater Treatment System ( POWTS) installed on 12/16/04 is now in violation of Comm 83.43(2), which requires the design flow to be based on 150% of the estimated daily wastewater flow generated by the household. The approved permit application included a specific condition that the house could not have 5 bedrooms since the owner at the time submitted house plans that had been modified to show 4 bedrooms (see enclosed copy of application). The POWTS is sized based on a daily wastewater flow (DWF) of 600 gallons /day with septic tank and dispersal area sized accordingly. The DWF is based on a 2- person/bedroom occupancy or a maximum of 8 persons in the household. According to the Town of Hudson building inspector, the completed house now has 5 finished bedrooms, which results in an under- sized POWTS. To remedy this violation, an affidavit of occupancy must be recorded against the deed on the property that discloses this situation to any future owners. As long as the number of occupants does not exceed 8 persons, the system should be able to adequately treat the wastewater flow from the house. Enclosed is an affidavit, partially completed, that needs to be submitted to the St. Croix County Register of Deeds office for recording. Please ask them to notify our office when the document has been recorded so that we can include a copy in the permit file. Until notification has been made, the permit will be flagged in the database as non - compliant. Code enforcement action will not be necessary if the affidavit is recorded within two weeks from receipt of this letter. The previous owner should have addressed this discrepancy earlier on and I regret that you have to deal with this situation as part of becoming a new homeowner. If the builder /owner did not supply copies of the permit and maintenance packet provided by the county at the time of permit issuance, feel free to stop in and request copies for your records. Should you have any questions, please contact me at this office. Sincerel , amela Quinn Zoning Specialist Cc: Brian Wert, Town of Hudson Building Inspector th and Beer, permitee /property owner il l Schumaker, POWTS Installer fi i Safety and Buildings Division County 201 W. Washington Ave., P.Q. Box 7162 �� e \* �i'ifli�.'li Madison, WI 53707 - 71 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608)2 - V ,lff 3 20 / Sanitary Permit Appli ti state Plan I.D. Number / f In accord with Comm 83.21, Wis. Adm. Code, personal irtf nnation you prou J may be used for secondary purposes Privacy Law, s 5.44(l )& 1 I �N�Y roject Address (if different than mailing address) I. Application Information - Please Print All Information 0 c O�F� -cam ,�- DN ltiL D rwj6- Property0wner's Na me 7- 1 Z �_, ,� rcel !/ Lot Block Property Owner's M ailing Address AO j Property Location City, State Zip Code Phone Number % - 4 /e 'k.Section r` - _ II, Type of Building (check all that apply) T (circle o ) N Rlt E o or 2 Family Dwelling - Number of Bedrooms y -r�iG1 i i Subdvison Natne � - Number ❑ Public /Commercial - Describe Use 3 ❑ State Owned - Describe Use _. ❑City_ ❑village jkownship of III. Type of Permit: (Check only one box on line A. Complete line B )f applicable) a. 020- 33 - 06- etsb , q - , KNew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of IJ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T of EW%%% S stem: (Check all that apply) Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil -U1 oWhd Z f suitable soil ID At -Grade ❑Single Pass Sand Filter ❑ Constructed Wetland ❑Pressurized In- Ground ❑ Hol Tank ❑ Peat ilter ❑ A pbic ant Unit [i Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter Ching Chain r J Drip Line El Gravel -less Pi V. Dis rsal/Treatment Area Informa (gpd) Design ❑ er (explain) Design Flow y � � gn Soil Application Rate(gpdsf) s rsal Area Required (sf) D' sal Area Proposed (sf) System El evat i on e VI. Tank Info Capacity in Total Number i ant.t;acturer Gallons Gallons of Units Prefab tSte Steel r fiber Plastic Concrete Constructed New Existing I Glass Tanks Tanks Septic or Holding Tank x dd t Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assum res onsi bilit f 1— Plumber's Na me Print _ P y or llatton of the PO shown on the attached plans. ( ) Plumber's Si gnatilre P PRS Number Business Phone Number Plumber's Addre ss (Street, Cily, State, Zip Code) d, _.5�11 �'XUiu�s�,t� VIII. Count /De artment Use On! Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Is i gent Signatur o Stamps) El Owner Given Reason for Denial Surcharge Feel Z � i f1 /�- IX- Conditions of Approval /Reasons for Disapproval SYSTEM OWNER: 3)6\ s 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained °t 0- S (Du~ tG_1 S `'bled as per management plan provided by plumber. ��� 2. All setback requirements must be maintained C2 . -(m,5 as per applicable code /ordinances. to, ,M&:� _ _� � S If5 �S � S � �AttjZ complete plans (to the unty only) for a system on paper oot q � ss�tan 81/2 x 11 inc s it —*e 01� C OO 114 3�A d r� C 2) C �D r1 o � rA ^ 0 d N O W (DD C N • a S' ° m H o " ° CO p C co CD c o c° w O 1 o�„ o ao 3 H m - �o I m (n A N d 'm w W 0. _ 0 3 �. CD o N rn -4 ti ooc nrrn cn CO I 3 � N 0 000 0 0: C co 0) 0) p O Or o 1U. -0 vv0 p' CD ;; 0 M , n N .. m a te° . cn I _z ° � m N D _ o y Z �3�Q I O �. y A a c = p N - c N W a 0 : ; - d a < 0) ! R 3 A S ° ' -1 N o m °' 0) ID a �o v a c•�y.0 fD G A'Z O CD N c t7i ,n CL CL N ° ACA W Z 0) 5: a O F ( CO C ? ;u cn al Z CD 3 m CD N! Z -` E i 3� 0 ( A0 . °mm o w nom m ancfl n >> ;-�aN33°' v ° °—' g3 m � a a �O °:� o ym 3 m F ° N 7 7 N O y N y f�D N N CL 5 7 N = w Z O C3 (D > cc �p nmm'�� a =r Di aA 3 m 0. m 3y°n�m0=' CD Ve Q vo CD am s 0 -:E ° CL - 2 m (<D O N N A A (n M in ft qb m S x CD CL N °• fD 7Z' n O ci 3 N . 9 c ° n <. 3 A p b D Op b c O ~ CD C CD ST. CROIX COUNTY WISCONSIN PLANNING & ZONING OFFICE COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 FAX (715) 386 -4686 I May 12, 2005 Ryan & Julie Mann 1072 Daniel Drive Hudson, WI 54016 RE: Non - compliant POWTS, Town of Hudson Lot 6 Mound View Estates Subdivision Parcel # 020 - 1433 -06 -000 (Computer #11.29.19.2694) Dear Mr. & Mrs. Mann: This is to notify you that the Private On -site Wastewater Treatment System ( POWTS) installed on 12/16/04 is now in violation of Comm 83.43(2), which requires the design flow to be based on 150% of the estimated daily wastewater flow generated by the household. The approved permit application included a specific condition that the house could not have 5 bedrooms, since the owner at the time submitted house plans that had been modified to show 4 bedrooms (see enclosed copy of application). The POWTS is sized based on a daily wastewater flow (DWF) of 600 gallons /day with septic tank and dispersal area sized accordingly. The DWF is based on a 2- person/bedroom occupancy or a maximum of 8 persons in the household. According to the Town of Hudson building inspector, the completed house now has 5 finished bedrooms, which results in an under- sized POWTS. To remedy this violation, an affidavit of occupancy must be recorded against the deed on the property that discloses this situation to any future owners. As long as the number of occupants does not exceed 8 persons, the system should be able to adequately treat the wastewater flow from the house. Enclosed is an affidavit, partially completed, that needs to be submitted to the St. Croix County Register of Deeds office for recording. Please ask them to notify our office when the document has been recorded so that we can include a copy in the permit file. Until notification has been made, the permit will be flagged in the database as non - compliant. Code enforcement action will not be necessary if the affidavit is recorded within two weeks from receipt of this letter. The previous owner should have addressed this discrepancy earlier on and I regret that you have to deal with this situation as part of becoming a new homeowner. If the builder /owner did not supply copies of the permit and maintenance packet provided by the county at the time of permit issuance, feel free to stop n and request copies for our records. Should p q y S d you have any questions, please contact me at this office. Sincerel , amela Quinn Zoning Specialist Cc: Brian Wert, Town of Hudson Building Inspector R�d hard Beer, permitee /property owner ill Schumaker, POWTS Installer file 0'n0 awn d w O fD Cn Z O A(D S N e �1 • N C O ry1 y N O K) CD C3 CD 7 7 CD N N y CC) ~ 7 N O N f0 6 7 C.0 O N O_ N =r - N "! 7 N O 0 O o m c a m 3 o rr (r ° H H o m C/) z D a - D w a m 3 c CD CD c 3 N 0 O CL Off_ v CD U) C1 N O C 3�'� 000�' 0 C ST (a w� o O rt d = 3 N N c ((�� O N N A CD dl d lei N CD y z � m O z= z y O D O v 0 95 0 O v o °v �i p l�1 N p CD C + y N lD CD C x CD D CL D mg 3 0 M m ° m s to z 'y a� ° ° LS ? N 3 m �Ha o. p 3 CD CD C uZ C1 O C (D < CD S f1 N O W A CMD :E CO N D� z CL Oaf CD C A CA 0 3 " m c y Z < F A (p� A O `< �. N 7 `o y 7 N N a cc 3 • O y - N CD O ' % CO_ ' G '° y avCD� y 8 p 9 = CD °� Aa 3 a ° O N p. 7 ° d p ,y+ 7 0 'p 3 Cp 7 fD CD C O CD CD y' CD 'O N N= y O y a y N d d 7 N 0 7 y C1 N 41 d C'f y Q A N fD o°i y 0 ° D v3 y 9•�D 0 )0 ) CL . m a 3 y ° °_ " m O o m° U.. =� m y 7 CD y j O A M CD p. CD = O O O N co y CD f�/1 D L N m 3 y w °o 0 qb 5. to � » 0 b ° CD CD on e < �o o O o"o 0 ° o CL Wisconsin Department of Commerce Count PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division r INSPECTION REPORT Sanitary Permit No: 463209 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 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 Parcel Tax No: Beer, Richard I Hudson Township 020- 1433 -06 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: / C /OG �✓ ..cx �-i 6-,-N (�•�c , i �"�- 11.29.19.2694 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Z t=s ! Benchmark S C, 1 ��� 7 t i� sew. I Z --5 ( I BeslRg Alt. BM ` 1 J L1 I e- L, 4 . 4 Ad Aeration Bldg. Sewe , Holding St/Ht Inlet 7. c�, Sc�S TANK SETBACK INFORMATION St/Ht Outlet /�� j TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet � Septic �1 � � � I Z I I Z f � Dt Bottom Dosing Header /Man. Aeration Dist. Pipe � � 5 1�1, ' C-15 Holding Bot. System /4 r!J 61 Final Grade c PUMP /SIPHON INFORMATION Vl , O 1 Manufactur Demand St Cover GPM `f Model umber TDH Lift Friction Loss m Head -TD H Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width I Length, No. Of Trenches PIT DIII�ENSIONS No. Of Pits Inside DIMENSIONS ia. Liquid Depth \ �� SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: . INFORMATION CHAMBER OR Type Of System: / UNIT �- K J � Model Number. DISTRIBUTION SYSTEM 2 'j -4- zZ - - T r� Header /Manifold u Distribution x Hole Size x Hole Spacing Vent to Air 122 u f l Pipe(s) \ � ` Zre ` - Length Dia + Length Dia Spacing I e,. SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /So ed j xx Mulc d Bed/Trench Center , e�G Bed/Trench Ede Topsoil P / J P P Edge p `' s [ No ;:; Yes U No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 1072 Daniel Drive Hudson, WI 54016 (SW 1/4 N 1/4 11 T29N Mound View Estates Lot 6 Parcel No: 11.29.19.2694 1.) Alt BM Description = 4- �`� I IJ- 2.) Bldg sewer length = / 1oi^'i S /d 0.✓ /// ��^ ,[6, n�' ��t' ta� a ��C - amount of cover = ( Li t)� Sd " Ppe-k. �tt� .1 / v ` � �oc,a� 1D �r� Plan revision Required? Yes j� N 2 Use other side for additional information. 1� 6 � `� 7 _ J Date Inse ctor's gnature Cart. No. � SBD -6710 (R.3/97) .. _. S .. . y.. I i ., - . .�.. { .. n§ o ■ 2 0 c 0 r ._ » f(D m E ƒ B / [ k f _ § CD 0 R { ( 0 k to k§M \ k\ \ a = E E o 0 S E _ � § / © � } />f % \ e _ co . \ \ § 2 / 0) -4 , CD % 0 k k c § \ [ o 0 e k k k k � ::;4 n @ ca ■ e 0 c � 3 � ° D CD §f2 £ CL . – 2 \ \ 3 z / / > 0 Q / -500 / 0/ j . 7 f } 2 # § f / . A $ a0 C D E y «22§ 0� CL \ j � § « ƒ A z E \ sf a R2 ; § as \/ CD0 c . � ) � g l / 2 a o z $ 7 z . � m � nC7 =a 0) �Fc=ao> . o <=0) , �,=�m =& a�q; CL – @cD ma § 2gELE7 �(k \��CCD § =� /,E)?aF CL ƒ$E =� =\±3= ® E . E§2( \ems, %f, CD :3 a) D 0 �§g, �¥ CL:3— z§ . ƒ \ § §(7 E w ( a 3 m§ \2� § EsM CD – =r = % k\ ;[E 2)¢\ / :3 o #;& /+ f $ $§ «2 �[ ° � SCE C o 3 0 �\ \ 0 � \ f * t 8 � * r Safety and Buildings Division County j 201 W. Washington Ave., P.Q. Box 7162 ` 1?1� sconiijt Madison. WI 53707 - 71 Sanitary Permit Number (to be filled in by Co.) Department of Commerce ( 2 - -TAP 3 2 / 0? Sanitary Permit A p ti S tate Plan I.D. Number In accord with Comm 53.21, Wis. Adm. Code, personal i r tf ation you frolidk may be used for secondary purposes Privacy Law, s 5.04(1) roject Address (if different than mailing address) I I. Application Information - Please Print All Information Property Owner's Na me Z I D _ O rcel # Lot k Block Property Owner's M ailing Address Property I ocatian City, State Zi Code i Phone Number '' - .C, `• ,Section l` u S , I11. Type of Building (check all that apply) f'D� ��, T N; R_/ E (circle !V) 1t1 or 2 Family Dwelling - Number of Bedrooms y1 ,�� Subdivision Name CSM Number ❑ Public /Commercial - Describe Use 3 J - -�7 Gam J 12 ❑ State Owned - Describe Use g ❑City_❑Village Wownship of III. Type of Permit: (Chec only one box on line A. Com plete line B if applicable A. 020 -.(_ 3 3 - 06 - txs Y _New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only I [] Other Modification to Existing System B• ❑ Permit Renewal ❑ Permit Revision ❑ Change of i Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T e of POWTS System: (Check all that apply) Z Non - Pressurized In- Ground ❑ Mound ? 24 in. of suitable soil aMound`< 24 f suitable soil ❑ At -Grade ❑ Single Pass Sand Filter —� ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Hol �' i g Tank Peat riper ❑ Aernbic em Unit (-; Recirculating Sand Filter L J Recirculating Synthetic Media Filter aching C hain r J Dri Line ❑ G ravel -less Pipe ❑ er (e V. Dispersal/Treatment Dispersal/Treatment Area Informa x plain) I on; �� �- - Design Flow (gpd) Design Soil Application Rate(gpdsf) s .rsal Area Required (sf) D sal Area Proposed (sf) System Elevation 41111W r ell - _____.__._.�� f/ Steer Fiber VI. Tank Info Capacity in - T 'Total Number Gallo Manufacturer Prefab Site ns Gallons of Units i Plastic Concrete Constructed Glass i New Existing I Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit ( Dosing Chamber --F- -y VII. Res ponsibility Statement 1, the undersigned, ass ume responsi for ' llation o the POWTS shown on the attached plans. Plumber's Na me (Print) pjUmber's si gnature I P PRS Number Business Phone Number `1 Lia is, Plumber's Addre ss (Street, City, State,, Zip Code/) / p / �I� !t o aU �AGr Str,f/ VIII. Count /De artment Use On X Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater D ate Issued is in gent Signamr o Stamps) Surcharge Fee) ,..ryrye� / ps) i y ❑ Owner Giver. Reason for Denial IX. Conditions of Approval /Reasons for Disapproval ( - -- SYSTEM OWNER: 3 0,A` S 1 Septic tank, effluent filter and � ( n r dispersal cell must all be serviced / maintained � S i � tl+� se C64ce— as per management plan provided by plumber. cQis9tti �; 2. All setback requirements must be maintained as per applicable codetordinances. S A At ch complete plans (to the unty only) for a system oo payer oot A. 81/2 x li inc c e 7 \� 1 \v , •\ b D b v i 4 N i w XN 75 \ P v •' I j d � b b V t � \ d + v ` a NN 73 C I s L � a �v � Wisconsin Department of commerce SOIL EVALUATION REPORT Page I of _ Division of Safety and Bindings in accordance with Comm 85, Wis. Adm- Code County - Croix Attach compfef a sli a plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcal I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. infotT►tad by Date Please print all - Personal information you provide may be used t secondary purposes (P►irzinY haw. s. _ .134 (1) (m)). /j/yj� 1�� 3 3 1 / 03 Property Owner Property Location �,� &'C" e(' �> Gott. Lot Sv�j 1/4(�1L 1l4 S T 29 N R 1`) E(o'y�'J Property Owner's Melling Address „ Lot # Block # Subd. Name or CSM# 1 50 C M U ur)d e tst�4�s City State Zip Code Phone f *Vw City ❑ Village (5jTown Nearest Road New Construction Use: IJ Residential I Number of bedrooms L Code derived design flow rate S� l GPD 0 Replacement Punic os menial - Describe: Parent material V W 4 S _ Flood Plain elevation I applicable General comments s5 /s. - a✓ ^. e i e t/ • l c� Sys 1-�►� >�' ° ` and Ur�s 3/ g E] Boring r- 1 1 Borin # ^ Pit Ground surface rev. �o J� ft. Depth to limiting factor _ (40 fn. Sol Appl i ca tion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munseti Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `E 6-1L (0 31z 5% Z C5 Z 11-41 l C r 3 'f$ -7( ID 5 C z 5 Yr yr 5 /ci 2-rnsbk n-TPr o Boring # [j Boring ® Pit Ground surface elev. ( P > _ ft. Depth to limiting factor / 2 g in. tim Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 - Eff#2 V f 5 8 Z 12 -3( iD. lµ 5i �l Zms l�k m�'r c 5 LI 3� 5z� IV 5/� C 2P7. 5 vc S i 2 m5k JPr• /2 �% ' Effluent #1 = BOD > 3D 220 mg/1- and TSS >30 150 mg/L ' Effluent #2 = BOD < 30 mg1L and TSS <_ 30 mglL CST Name (Please Print) Signahv, _ / CST Number X r Q Address lusted Telephone Number - G ' I _ -- Properly Owner _ l� Parcel ID # Page —2— of 3 a goring # ❑ Bormg 9 7. U ft. Depth to g factor in. Pit Ground surface elev. Sol Appfication Rate Texture Structure Con sistence Boundary Roots GPDIfF Horizon Depth pominaM Color Redox Description •Effrtkl 'Eff#2 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. t.0 r J Z 50 2., AJI, 5 � c St'tl ZmSbK m�,r � - . � 2 ip - �LL jt '� - 7 f, z $ -l4 i ❑ Boring # ❑Boring ❑ Pit Grounni,surface elev. 1t.. Depth to Nrr►i6ng factor in. Spy AD01108tion Rate Redox Texture Structure Consistence Boundary Roots GPDIfF Horizon Depth Dominant Color •EtT#1 *811#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. F - 1 Boring # [] Boring El Pit Ground surface elev. __ ft. Depth to ymitinng factor _ in. Soy Ap tion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Efr#1 'EtT#2 ` Etiluent #1 = BODS> 30 m91L and TSS >30:5150 mg/L • Effluent #2 = BOD < 30 mglL and TSS <_ 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If 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 -8777. SBD -8330 (R.O7/" PAGE � OF.3 NAME: /3t e, / LOT# LEGAL DESCRIPTION;;w 114 A/Fl /4,SffTX N,RjTE(ovg SCALE: 1 "= yQ ELEVATION: /pa BM 1 DESCRIPTION: BM 2 ELEVATION: 70 (� I BM 2 DESCRIPTION: SYSTEM ELEVATION: SYSTEM TYPE: 9 j, \`3y iy�y I SIGN TURE: ` — DATE: - zo t EW TAI E 'ES El/4 AND PARTOF THE -SE A OF TH " JDSON, STs. CROIX COUNTY, WISCON' ti Q _ X 921.1 4 ri ° 6 919.6 _. _.. _.._.._.._..�._..�' 927.5 of LOT s- 2.29 AC. (1.49 AC) X 9 822.7 X '- 6 d L 7 /1 4 e 2.22 4 (2.1s AC 922.2 922 ' K 0.4 LOT (214 AC) ,� 1• �. � \ X ,Q g 913.0 x� . 908.2 X « $� ; 0 . 918.1 915.9 • ` AC. 2.61 AC. H.W.B. - 00!1.0 (i 13.3 AC) 01 911. � 905.9 1 `�,— .���' 1 �. � /''..�1�C, �i i- �.' V. "J ` !.( N � L t r .. .~. J C J 1�. � � l �' • ^ � r r ` , . .. t N�' """"ar Cl VENT rIPL 12" MIN. ABOVE G;AAD£ S 4E 25' FRom DOOR, W -N:)OW 'OR rRESH ASR INTAKE :UNCTION BGX APPROVED W )i CONDUTA `ANHOLE CG',t£R FINISHEa GRADE W� PADLOCK 8 4" CI RISER �-- � WARNING LABEL j p w 1 4 rt M i. K it MAX, 1t .000� 1 WA':£R ':`iGiFI SEALS ` GAS* TIGHT `: APROVED .PPROVED SEAL t JOINTS WITH 'IPE 3 �A�.M , APPROVED PIPE 3Nt0 S.�i. I I I.T. �t ON ;OIL. C St?LIb, SDZL PUMP OFF LLE . F T . i �' F a � '..�+"� ""�"` Cfi l � RI SER Eli . T T D PEAMY T TED CNLY ' IF TANX MANUFACTURER 3" APPROVED B£Dn:NG UNDER TANK HAS APPROVAL %'#'ONoRETE PAD �PECIF «CATii'V'S SIPTIC % DOSE LANK MAI�'JFACTUR�R: �'�r ;Zr?;BEg %OSES PER JAY: " Y,. 5 .,,,. , SEPTIC ;t d GAL. DOSL" VC;at.IME SAC:.�tDrN(; DOSE -• ...... GAL, FLOWBACk: i✓)P GA A . L MANUrACTURER l-t 4 . MODEL r CAF�ACI:IES: A „ � � ` l� inilER s u N I" '-� I. cmrs GAL. SWITCH TYPE: .,,......,..._. g Imes = 4 �GA�. MANUFACTURER MODEL NUMBER. C INCHES = j GAL, swZTCH TYPE: D = ,.it., i:iCFi£5 a ��GAL, '£Q iRED DiSCHARG£ R-AT r y , �P:, P�'MP E ALARM WZRING AS : =ER ILHR 1b.23 '4A� ERT:CA1. D BE. NIMVM NETWORK SUPPLY OFD' AND %ISTP,7 BJ; I CN Fi PE *• T — 421. FEET' FORCF.MAIN PRESSURE . y FT'! s J 0 F.. f R: ?:ON FACTO FEET 74TAL DYNAMIC KEAD s rEw7 `�' ERNAL DYME.� r oNS OF PUMP '� ^� t , r Ear" GM. .Al n . .£!tGTH r1 rNED; r - 22z -f� AT£ : [ q GOULDS PUMPS Submersible Effluen t Pum �r 3 EP05 ;3 APPLICATIONS • Fully submerged in high ■ EPOS Impeller: Thermoplas• ■ Bearings: Upper and lower designed for the grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically 9 lubrication and efficient improved performance. construction. following uses: heat transfer. ■ Casing and Base; Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion • Farms manual operation. Auto- resistance. 41 Can" Sundards Assoaatwn • Heavy duty sump matic models include • Water transfer Mechanical Float Switch ■Motor Housing: Cast iron (CSA listed model numbers end efficient heat transfer, in "F" or "C " • Dewatering assembled and preset at the for J factory. strength, and durability. SPECIFICATIONS ■ Motor Cover. Thermoplastic Goulds Pumps is iso goat Registered. FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. 1 /4" maximum. ■ EPO4 Impeller: Thermoplas- a Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: 1'h" NPT. seal protection. • Mechanical seal: carbon - rotarylceramic- stationary, BUNA -N elastomers. • Temperature: 1041(40"C) continuous METERS FEET 140°F (60°C) intermittent. - .. .. _,... ... _ • Fasteners: 300 series 10 stainless steel. ' 9 30 • 1� S GPM ..._,_. • Capable of running 11 dry without damage to a - components. 25' Motor: x EPO4 Single phase: 0.4 HP, — 115 or 230 V, 60 Hz, 1550 5 - RPM, built in overload with automatic reset. • EPOS Single phase: 0.5 HP, c a g Epos ; 115 V, 60 Hz, 1550 RPM, 3 10 : _......._ built in overload with - EPO4 automatic reset. z • Power cord: 10 foot s standard length, 16/3 SJTOW with three prong grounding plug Optional 20 0 0 0 1,0 20 30 40 50 GPM foot length, 16/3 SJTW with three prong grounding plug `- -- —L - -- � ' ' 0 z 4 6 a 10 12 m (standard on EP05). CA PACITY Goulds Pumps ®2000 Goulds Pumps <& ITT Industries Effective February, 2040 63871 � Qt�ick�� STANDARD CHAMBER Quick Standard Chamber 48 -- -- - — (EFFECTIVE LENGTH) ...... .... .. ... .. I e 1 � 2 e �� I ,�, _ � � J � � 1 f I I � ( I I WIN 34"--- SIDE VIEW SECTION VIEW MultiPort End Cap 2 - 12 A I SIDE VIEW TOP VIEW FRONT VIEW _sPeCiGiG ..No Inav Si i Minn.' I S , " S pecifications ' _ 4x,. 12 IF 3 52"x Z x 0 S xL 34 x 16" x 12"_ Effective Length invert Height 8'ar 1.25' Invert Height 8" INFILTRATQR SYSTEMS INC- 5TANDARD LIMITED WABRANTY (a) The stn ciural 'fillkinty of each chamber, end pate, wedge and olner aoca,;sory nlamraclow tjy 01.11'Fivi, I 'Units I, w1w installed ante opwaled in a itiachiiiiii an orlsite septic sy�tenn in accomanct, with iniri insirml Is �jf anted to IX ('Hord6` deiw! niaterwls and ytorli 110 ono year k.m the date hat the Septic permit s issu,,d , ,chase, required b ir)l :nrl SLViir systole ('VIlaning Ina Units, Providei however, b lari the warranty wig upo[I trnijaletha of the septic sylen"conlin I in3lai Hoide, n applica wsit notitv in writing at as Cvirpoa lf(W, , rIers in Old SArbi CIMMlicutwithin fReen 115) as tratur Or "Fli led t ry g� di the ailettieddi in, will supply replacernent Units . , I Inhi lacirty specifically excludes the COS? Of or the U,,:, Fair- 1. be �od by this Limped Warranty ([)) Tj Wi LIMITED NARRANTY A PiEME IN SUBPARAGRAPH 1 i 10 THL' INi NO IM PLIED lilt AM I XCi I I 1i AkF NO 01 IEP WARRANTli WTH RESPECT MPLIEDV'JARRAN'ttFSOFMERC,h.�ANTABILlf,09F;TN -' IF' Llnow Willi sr.." 1.1 ,o'cl Italy Part it the 0&nbi kW&n if. ITIOnuf 1 i FC)k A lWiTrULAR PURi SYSTEMS INC 'I., Wtj�,f it,, —1i 0i L v " Oirv' Inw irlill'i T W3rranly oteq 6, �nIW or inairfti d-3 Fri Inii h,jjI ri�j tjo Bahl. fpnaj or jq.,j.ji EilitimnMental Oir;sfte Wastewater SdutjotWl " 'O"t""n All p rofits, Flbi and materl G. DIVIi ;;OStir,, or other losses or ext.'i incurred 0, the Ho'cle " any third pony. $p(x'.rr0arhy ftdiLli fri Lillitrad Wairr=c:eja or or t dam a ge t- Units due 10 ordlivy r Aj,d Iver aiton t;_, ai�tdti abm� Or neqF�. of � 'Ile i being � the 6wr which are not P. I ground covers set forth ii the insfai inallucht!'c'n'sw dwl-d by Itienstallation ustniclions; failure to - fe;niain the 6 Business Park Road • P.O. Box 7 168 r,8 Unit Or Iii septic system lug to impro fj�gdcw : the placennerit Of Toi Taterrals into the System wintering the Units; faw.urs of nut re ZP OxCe�sve we!P.r usagF,, jmf:wupef grease d any oli evert ')Or caused by onfilrator, "ahly disposal, or Irnproper ape aloe; of Warranty, T Let : all be ,, (w] it the "iOIJ- fDrlt 10 comply .th III of the Jet set lodt,, i this Ui Old Saybrook, CT 06475 fudhen in no Went shall Infiftralor�,:gre.si any Of d a arty Hurd 10 the H0,,.%,_ ei run installation 0, SNP- 860-577-7000 IF FAX 860-577-7001 ni n1, 0, bw any product jai or Hurd For this Limped Z must bansi a_oo,,ja_e - and local codes; aM Other apuIc�@Ulte ji and jirarnr lfiltl, installation instructlo w t al see c0 required �y nos L'ip authority to change a JxtUl ;l this Lnnpw Warranty. No wa, .nrlly applies In i Its 800-221-4436 Itwn l ;d) N. epr."'i""Filiva of b.hi the ,uigi "'I H.1di The -i w"ellent. #I'. s1d9d 1 11 1 1t.wo wri.i film ,)ien!s. AyprhaG&FYi y p a boul. prior 10 Si PUrCi to oblain a copy (A the applicable warranty, and should carefully read 1h.w onor to the purchase or Units, U.S. Patents 4, 5,017.041; 5, 5,336,017: 5,401,1 5,401 459; 5,511.903; 5,716,183; 5.5 Canadian Patents: 1,329.959; 2,004,564 Other patents pending, 138,778; 5,839,844 Infipralor, Equalizer and SideWinder ate registered trademarks of Iffitrator Systems Inc. Inf IS a registered trademark in France. Infiltrator Systems Inc. is a registered Trademark IT Mexico. Coni Contour Syrattel Connet;',jon, MicroLeati PolyTuff, appipespa cer , Sna Look, Ch , P ic CU Ouic Is and Ouiri are trademarks of tn Systems Inc. 4D 2003 Infiltrator SystiSystems Inc. ""rented in U S.A. I P osLock. Ou I I t y POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION s Y S TEM S P ECIFICATIONS Owner Septic Tank Capacity ,�^ �J a l 0 NA Permit 4163 z p Septic Tank Manufacturer � e , O NA DEMON PARAMETERS Effluent Filter Manufacturer ,e 0 NA Number of Bedrooms y 0 NA Effluent Filter Model 0© 0 NA Number of Public Facility units 16A Pump Tank Capacity ,�f e ga l O NA Estimated flow (average) al/da Pump Tank Manufacturer r 0 NA Design flow (peak), (Estimated x 1.5) del O goi/day Pump Manufacturer �� 0 NA Sol! Application Rate gal/de / Pump Model ❑ NA Standard influent/Effluent Quality Monthly average• Pretreatment Unit 0 NA Fate, Oil & Greass (FOG) 530 mgiL 0 Sand/Gravel Filter 0 Peat Filter Biochemical Oxygen Demand 1800 @220 mglL O NA 0 Mechanical Aeration 0 Wetland Total Suspended Solids (TSS) 5150 mg/l. ❑ Disinfection o Other: Pretreated Effluent Quality Monthly average Dispersal Collis) 0 NA Biochemical Oxygen Demand (BOD 530 mg /L ❑ In- Ground (gravity) 0 In- Ground (pressurized) Total Suspended Solids (TSS) S30 mg /L 0 NA 0 At -Grade ❑ Mound Fecal Coliform {geometric mean) 510° cfu /100rni 0 Drfp -Line ❑ Other: Maximum Effluent Particle Size Y in dia, 0 NA Other: 0 NA Other- 0 NA other' ❑ NA "Vskm typal for domestic wastewater and septic tank effluent. Other: O NA MAI#TNNWE SCHEDULE Seryice Evetrt Service Frequency Inspect condition of tank(*) At least once every: 3 e a e (MaAmm 3 yeas) 0 NA Pump out contents of tank(@) When combined sludge and scum equals one -third %) of tank volume ❑ NA Inspect dispersal celi(s) At least once every: - 7 h xfm (a) (Maum 3 years) ❑ NA Clean effluent filter At least once every: j nu:w )n onth (s) E3 NA l (s) inspect pump, pump controls & alarm At least once every: 4 month(s) [3 NA O earls) Fkush INW8118 and pressure test At least once every: month(s) 0 0 NA Other: sl At least once every: m )Le a r (s) l E3 NA Other: Q earls) 0 NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individua carrying one of the following licenses or certifications, Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer Septage Servicing Operator TanM inspections must Include a visual inspection of the tank(*) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume Of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface, The dispersal cell(s) *hall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding Of effluent on the ground surface The ponding of effluent on the ground surface may Indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined socumulation of sludge and scum in any tank equals one-third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113 Wisconsin Administrative Co". Alf other services, including but not limited to the servicing Of effluent filters, mechanical or pressurized gomponents, pretreatment units, and any servicing at intervals of 512 months, $half be performed by a certified PoV4TS Maintalner. A service report shalt be provided to the local regulatory authority within 10 days of complst6 of any service event. -epos 9A11ei1slulutpV ulsuo0slM 1 (£) IV (Z) '9OtTe$ Put 4) wwo:) ie3dE 4vM e3400woa•ul p940JP SI WSIA 10WON1 L0 4wL U9N uo4d OUO4d - eN Amuciminv aoxvinequ wow (1I3dW(W) 01753d0 DNIOIAWS 30V.Ld3s eu04d I FI T a - L 9uo4d Owef4 » •'lJ,' eweN N3mvlN1VW 91MOd V371V1SN1 91MOd S.LN3WWOO WNOUXIOV 'M918SOdW1 HO 1=11d10 39 AVW NWI V:10 VOINSIN1 3H1 WOW NOSH V d0 iinmw 'ilfts3t! 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T_jD?._N -R — W, Town of Subdivision 1����,� °�'�� Lot # Certified Survey Map # . Volume c . Page # ti Warranty Deed. # ZED s; . Volume 6 Page # a 2 Spec house JM yes O no Lot lines identifiable tr yes O no SYSTEM MADMEN ANCE 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 a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeymanplumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Vwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNATURE OF APPLICANT DATE OlVdMR CE$'FI AC TION I (we) cerdlY that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE ** ** ** be' revoked b the Zoni D * * * * ** Any information that is role - represented may result is the sanitary pe rmit being y g P •• Include with this application: a stamped warranty deed from the Register of Deeds offuec a copy of the certified survey map if reference is made in the warranty deed U. 275` F 178 7°gl is State Bar of Wisconsin Form 2 -2003 KATHLEEN H. REGISTER OF DEEDS DEEDS WARRANTY DEED ST. CROIX CO., WI Document Number Document Name RECEIVED FOR RECORD 02/23/2005 01:00P11 WARRANTY DEED THIS DEED, made between Richard L. Beer and Philippine U. Beer, husband and EXEMPT # wife ( "Grantor," whether one or more), REC FEE: 11.00 and Ryan T. Mann and Julie A. Mann, husband and wife TRANS FEE: 210.00 - COPY FEE: ( "Grantee," whether one or more). CC FEE: PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Recording Area interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is needed, please attach addendum): Name and Return Address Lot 6, Plat of Mound View Estates in the Town of Hudson, St. Croix County, Wisconsin. 020- 1433 -06 -000 Parcel Identification Number (PM) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated February 22, 2005 (SEAL) / (SEAL) * *Rtc and L. Beer (SEAL) 2 z2,._e_A (SEAL) * *Philippine U. Beer AUTHENTICATION ACKNOWLEDGMENT Signature(s) Richard L. Beer and Philippine U. Beer, husband and wife STATE OF ) authenticated on ) ss. St. Croix COUNTY ) *Kristina O land .• `l r Xabove-named sonally came before me on February 22� 2005 TITLE: MEMBER STATE BAR OF IN ''•�: Richard L. Beer & Philippine . U.Beer (If not, l; , . ��. :. A ? `f to lie known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06)) �irLst�trment and acknowledged the ame. THIS INSTRUMENT DRAFTED BIG; Q� O„ C � • •aauaa* a � � Attorney Kristina O land �.� �otary Public, State of Wisconsin Hudson, WI 54016 ees,;�.`., +' K` My Commission (is permanent) (expires: 9 -10 -06 1 (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 0 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 * Type name below signatures. INFO -PROTM Legal Forms 800. 855 -2021 www.infoprofbrms.com DOCUMENT NO. /� l •ARRAITT IERR V //�� Q F STATE OF WISCON8IN —FORM 9 It l! O 1 TMi SPAQ Rim FOR NIMIDON DATA THIS INDRNTURY, Made by Leonard J Beer, also Ftt_GISTERS OFFICE known as L onard Beer, a si - le man ST. CROIX CO., WIS. Recd for Record this_6th __ grants of - St Croix County, Wisconsin here con day of_ Apr$ Y by conv eys and w arrants to _Richard T Rear ^n Ph, l i nn; no ti n husban et_- _$;XQ _____A� (yl, and wifa as mint, tn n a nt s RN{i4fer t i grantee - RITRR■ TO Of St. Croix County, Wisconsin, for the sum of One Dollar anri Athar valuable Cnn_sideration the following tact of land in S t. r r c) i x _ County, State of Wisconsin; The Northwest Quarter of Section Two (2), excepting therefrom: Commencing at the Northwest corner thereof: thence South 159.6 feet: thence Easterly 40 chains to a point on the East line of said Northwest Quarter (NW4) which is 121.3 feet South of the Northeast corner thereof: thence North to said Northeast corner; thence West on the North line of said Northwest Quarter (NWz) to the point of beginning: also The Southwest Quarter of the Northeast Quarter (SPJ� of NE4); the Southeast Quarter of the Northwest Quarter (SE-', of NW1), except a parcel of land described as follows: Commencing at the Northwest corner of said Southeast Quarter of the Northwest Quarter (SEJ of NW4): thence East on the North line thereof 815 feet to the place of beginning: thence South 33 feet: thence East 100 feet: thence North 33 feet: thence West on the North line thereof for 100 feet to the place of beo-inning; also an easemen for roadway purposes 20 feet wide on the 6 %`est side of said excepted parcel: also a right of way easement over the roadway as now traveled i.n a Northerly- Southerly direction over the Northeast Quarter of the Northwest Quarter (NET' of NW-,',), all in Section Eleven (11); all of the above located in Township Twenty -nine (29) North, of Range Nineteen (19) West. also The Southeast 1 1 Quarter of the SouthwestQuarter (SEA of SW4) of Section Thirty -five (35) Township Thirty (30) North, of Range Nineteen (19) West. Subject to easements and highways of record, and containing 275 acres, more or less. Grantor reserves the right to live in dwelling house on premises for his natural life. Subject to mortgage to Federal Land Bank in the sum of $11,450.00, which tC8 � 0 - 00 w Q h ODW� co Rt ° th 06 — �I � o bo 0 (r3 ocj Cr Co co tz 0 Uj c3 S U c aN - CV T w� 0 CO - g � N � 2 I _ N N . / O O I c LU O - O X I w G • w ] LL w w �I z� �w) SZ gC�Q/ - z o of w� z o CD Of w �I c 0 1 rLrLfl �J �