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HomeMy WebLinkAbout020-1452-11-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 463120 0 GENEkAL 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: LaCasse Development Hudson Townshi CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: 00.E 00, 0� �/� � CST law CS�( 13.29.19. TANK INFORMATION U ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Bearhmark / ev 077D Dosing Alt. BM. u+•Pr 5• Sift . (D� Aeration Bldg. Sewer 0 93• Holding St/Ht Inlet z g3•ZS' TANK TBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Z5 T5 Dt Bottom Dosing Header /Man. i Aeration st. Pipe Holding Bot. System) 1. Final Grade q� •r� PUMP /SIPHON INFORMATION Z) Z, ) 3 9D • q Manufacturer .- Demand St Cover GPM Model Numb S� 2 �02• r C. TDH Lift F ction Loss System Head TDH Ft A 1 _ 70. I 'll 1 Forcemain ength Dia. Dist. to II SOIL ABSORPTION SYSTEM Z� ENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENS 2 t j �q -) C2.) SETBACK SYSTEM TO P /L BLDG IWELL LAKE /STREAM LEACHING Manufa re INFORMATION CHAMBER OR `� pu Type Of System: / . �� UNIT Model t�uQ�ber DISTRIBUTION SYSTEM t Header /Manifold << Distribution of e x Hole Spacing Vent to Air Intake �i Pipe(s Length 1 Dia I Length is Spacing 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 Ed es To soil Yes 7�Z] g p 0 Yes [] No Yeo COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: V�A. D ( I S Inspection #2. Location: pending Dove Court Hudson, WI 54016 (SW 1/4 n NW 1/4 13 T2�9�N R1 9W) Bluebird Bluffs Lot 11 z ') PAI No: 13.29.19. 1.) Alt BM Description = t.•.)•+ S:S �Bt++ar �"•� �"�" �`�� 2.) Bldg sewer length = �0 - � oun of cover ° � T*l � • 3) A Plan revision Required? `Yes Effl No�� — - Use other side for additions in rmation. - - -- r „�„/ Date n J - J Actors Sjp ature saki 1 _ .�� • Cert. No. SBD -6710 (R.3/97) i � SY S � ,M,dtr� l� r/ S }Q.6X Safety and Buildings Division County Ivisconsin, 201 W. Washington Ave., P.O. Box 7162 Madis on, 6-315 - 7162 Sanitary Permit umber (to be�� n by Co.) Department of Commerce°' (608) 266 -3151 (/ Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.2 1, Wis. Adm. Code, personal info n 1`01% p ; may be used for secondary purposes Privacy Law, C Project Address (if d ifferent than mailing address) 1. Application Information - Please Print All Information C Property Owner's Name 1 2 2004 Parcel # Lot # Block 4 i; ' Property Owner's Mailing Address ZONING OFFICE Y Property Loca on 3 — -- Section City, State 7,ip Code I 'honc Number �C�cucic ) I1. "Type of Building (check all that apply) Subdivision Name I or 2 Family Dwelling - Number of Bedrooms J ❑ Public /Commercial - Describe Use d �� ❑ State Owned - Describe Use G(J _ _ -_ C..�if� ❑City_ ❑Villu , c ownship of _ 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) - A ' $ New System ❑ R System y p y ❑ TreatmenUHolding'I'ank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner �- IV. Type of POWTS System: Check all that apply) Non - Pressurized In Ground ❑ Mound > 24 in of suitable soil ❑ Mound <24 in. ofsuitable soil ❑ At Grade ❑ Single Pass Sand Filter J Constructed Wetland ❑ Pressurized In Ground ❑ Bolding Tank ❑ Peat Filler ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter Leaching Cham r ❑ Prip Line ❑ G vel -less pipe ❑ Other lain V. Dis ersaVrreatment Area I ormation: Design Flow (gpd) Design Soil Applicati te(gpdsf) Dispersal Area Req irtxl (sl) Dispersal Arca Pro osed (sl) System Elevation 7 3 ._A �� `� .._ _ _ .1. 9 -- - - VI. hank - fit fu Capacity in blul Number M uatlucWtC( Prcrab Sit( cr PI nli; Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit 0 Dosing Chamber VI 1. Resp nsibility Statement 1, the unders igned, assylt p responsibility for installa of the POWTS shown on the attached plans. Plum is 7amemt)k Plumber' Si�pd, MP /MFRS Number Business !Phone Number , / - l Plumber's ddress (Street, City, Stat Zip ode) U S / VI . Count /De artment t1se Onl Sanitary Permit Fee (in •ludes Ground Date Issued Issuing Ag t Si a r Stamps) 4W Approved 11 Disapproved Surcharge Fee) { �J ❑ Owner Given Reaso Ibr Denia -' IX. Conditions of ApprovaUlt,casons for Disapproval � S YSTEM OWNER: ~ 1 1, y tank titer and • �3' �Z' dispersal cell must all serviced / maintained IgO� as per management p u n provided b l ( / ,/6/ '7� l� se ac requlremen s must be maintained �� , ��, .� ✓'/� n ��, as per applicable code /ordinances __ t ech complete plans (to the County only) for the syslt ptye��a •r t l/ s'' ,r < vV 3 � u�o`cr✓e� �x�a.�,e✓ 01 �2�P.�dh SBD•6398 (R. 01/03) � �� / Ix s i R - - �� a �I i n , w a4 QD Q • Si- G. �SN w `l 0 1491 Wisconsin bepartment of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel's Soil Service, Inc. Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. Pending Please print all inf o r matiop , [�W ie w ecl g Date Personal information you provid8 maybe used for secondary'p6rpvsps (Privacy law, s.15.04 (1) (m)). 1 Property Owner Property Location Govt. Lot na SW 1/4 NW 1/4 S 13 T 29 NR 19 W LaCasse Development, In(:'. Property Owner's Mailing Addre s Lot # Block # Subd. Name or CSM# — 573 Cty Rd " A" 11 1 na City Of1on , !jyr ber J City J Village 0 Town Nearest Road Hudson WI 1 54016 1 715 - 381 - 5405 Hudson 6 (' VI New Construction Use: 01 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement J Public or commercial - Describe: Parent material Stream terraces and pitted outwash plains Flood plain elevation, if applicable na General comments and recommendations: Conventional system, system elevation 95.30ft. Trenches spaced and depth to code 5.00ft below grade, M V1 Boring # I Boring Pit Ground Surface elev. 100.30 ft. Depth to limiting factor 120 in. Soil Application 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 1 0 -14 10yr3/1 none sil 2msbk mfr cs 1f .6 .8 2 14 -28 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3/28-120 7.5yr4/4 none ms osg ml na na .7 1.6 t Boring # I Boring v i Pit Ground Surface elev. 100.30 ft. Depth to limiting factor 120 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 1 0 -16 10yr3 /1 none sil 2msbk mfr cs 1f .6 .8 2 16 -26 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 6 -120 7.5yr4/4 none ms osg ml na na .7 1.6 S W tdal Effluent t #1 = BOD? 30 < 220 mg /L and TSS >30 < 150 mg/L * Effluent #2 = BOD < mg /L and TSS < 30 mg/L CST Name (Please Print) Signature:,- CST Number David J. Steel 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St., Baldwin, WI 54002 8/20/2004 715- 684 -5680 • Property Owner LdCasse Development, Inc. Parcel ID # Pending Page 2 of 3 3] Boring # Boring IM Pit Ground Surface elev. 98.40 ft. Depth to limiting factor 120 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -32 10yr3/1 none sil 2msbk mfr cs 1f .6 .8 2 3248 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 48 -120 7.5yr4/4 none sl 2msbk mfr na na .6 1.0 F-1 Boring # I 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 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # I Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg /L * Effluent #2 = BOD S_30 mg/L and TSS <30 mg /L 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. Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 994 200 St. CST- POWTSM LaCasse Development, Inc. Baldwin, Wl 54002 Lie. #248956 SW1 /4,NWl /4,S13,T29N,R19W Bus.(715) 684 -5680 Town of Hudson, St. Croix Co. Fax.(715) 684 -3449 Bluebird Meadow, Lot 11 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permMoO/Vpvc not li hed at the time the soil test was conducted. .� n 0' =Benchmark Ele. 100.00Ft pvc pipe hmark Ele. 100.00Ft pvc pipe ❑ = Borings Boring Elevations �7 B 1 = 100.3017t L �r� B2 = 100.30Ft B3 = 98.4017t B4 = OO.00Ft (oZ o z7 a aa' a2 /a /Z g 30 �6y� /'' x - -� I I / N io co AM � 8 • � OD l I SM A6 w N N1 u X o� P o w T co QD ts b .. ...... .F. . fA loo -- � t a �0 OD _•,ate •� � ..... ...... . � Alb � r a ° x ( oo W 0) r rN% C co X ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWMIRSllll' CERTIFICATION FORM Owlicamlycr L Mailing Address Property Address �6V12 .rn,�.4�' ( ✓� m��, ,) (Vcrificatiom tcquitecl lion► Planning Dcpa(mcnt for new crntsln(clion) Ctl /Stale LXA ' Y �.Cr� U.! -�• _, Pa rcel Idcnlilicaliitn Nnn LR,GAL DESCRIPTION � 6Z0 /l7/ 3U -�3 Properly Location 4k) y,, & ' /,, .,cc. , T Z9 N -R Iq W, 'fawn of Subdivision 6 r v.� j�G,� ��� S f 410 Lot It _. Certified Survey lYlap �l `�!l— _, Volume Page /1 Wnr i mt y Deed It _ - 7 3 16� Volunic 7 ( . Page 11 3 G l 1 Spec house ❑ yes `nu Lett lilies idcmlifiable 1 yes ❑ no SYSTL+'M MAINTENANCE lmproperuse and nmaimlcmauceof yo n septic syslcnl could (emit in its ptcncnlcue failtrte l01(auclie wastes. I'ropertnainlenance consists of purnplug out the septic lank evccy duce years or sooner, if needed by a licensed pumper. What you put into lite sysletn call affect (he function of the scplic tack as a (teaiutcul stage in file waste disposal syslent. The property owner agrees to subunit to S(. Croix Zoniug Depat(ntcnl a ceilificafiou form, signed by file owner and by a rttnsterpjutrtber,)ourteyruau plumber, tcsldelcd phunl,cr or a licensed puncper vet ifylug (Ila(( I) the on -silo wnslewalerdisposel syslent is ill proper operating condition and /or (2) alto inspccliun and pumping (if uccessaty), file septic lank is less than 1/3 full of sludge. 1 /we, Ilia undersigned have read the above tcquiicnicnts and agree to ulaim(aln the private sewage disposal sysletn with ilia standards set forth, hereht, as set by .lite Depatlnncut of (,onuttclec and file Depallnten(of Natural Resources, Slate of Wisconsin. Cetfificatiou slalin Iltat our septic s stem has beau ilia Y l Y cd nucst be concplcfcd and rclntucd to Ilcc Sl. Croix Courtly Zoning Office within 30 d of the lltr a year expiratlon date. IGNA'IU Or APPLICANT DATu _OWNI!.R C1CR'I'II?ICA'I'1O1� I (we) certify (lint all statements on Ibis fiune ace (tile to (lie Imst of illy (om) knowledge. 1 (we) ant (are) the owner(s) of the property de cribed above, by vittuc of a wartan(y dce(I tccotdccl i Itegisler of Dccds Office. SIGNATU F APPLICANT DATE Ally information that is rctis lepresculed may tesuh ill (Ice sani(acy peimil being levoked.by ilia Zoning Department. Include with tills applicrctlort: a slanticcci v,aclanl) (Iced !10111 tile- I;cgister of Daeds ofjce _ e coj> talc c:c.iiticc4 stlrrc ° 111nt i:` 1 1�1c1kc rtittaiify�etd POWTS OWNER'S MANUAL & MANAGEMENT PLAN_ page J of,2 FILE INEORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity - al O NA Permit # 3 Septic Tank. Manufacturer W a }''" O NA - DESIGN PARAMETERS Effluent Filter Manufacturer O NA Number of Bedrooms O NA Effluent Filter Model Cl NA Number of Public Facility Units ANA Pump Tank Capacity gal �WNA Estimated flow (average) al /da Pump Tank Manufacturer A* Design flow (peak), (Estimated x 1:5) g al /day Pump Manufacturer ` "�" - NA Soil Application Rate Z al /da /ft2 Pump Model ;d NA Standard Influent /Effluent Quality — Monthly average" Pretreatment Unit NA I �- Fats, Oil & Grease (FOG) 530 mg /L O Sand /Gravel Filter O Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L O NA O Mechanical Aeration O Wetland Total Suspended Solids (TSS) 5150 mg /L O Disinfection O Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) O NA Biochemical Oxygen Demand (BOD 530 mg /L , Idin- Ground (ara Ay O In- Ground (preswrized) Total Suspended Solids (TSS) 530 mg /L NA O At -Grade O Mound Fecal Coliform (geometric mean) 51 Oml O Drip -Line O Other: Maximum Effluent Particle Size Y in die, O NA Other: O NA Other, 0 NA Other: O NA "Values typical for domestic wastewater and septic tank effluent, Other: O NA MAINTENANCE SCHEDULE Service Event Service Frequency months Inspect condition of tank(s) At least once every: ears (Maxlfnum 3 years) O NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume O NA Inspect dispersal call(s) At least once every: O month(s) ` (Maximum 3 years) O NA. .3 19 year(s) Clean effluent filter least once every: O month(s) , O NA t� ,ff earls) Inspect pump, pump controls & alarm At least once every: O month(s) js'NA P P P O year(s) Flush laterals and p ressure test At least once every: O m year(s) ) .t;x ANA p O earls) Other: At least once every: 0 month O NA Other: O NA MAINTENANCE INSTRUCTIONS r "'"' Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) 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) shall be visually inspected to check the effluent levels in the observation pipes and to check for any pondinu 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 accumulation of sludge and scum in any tank equals one -third IY or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator anq disposed of In accoroilince with chapter NR 113, Wisconsin Administrative Code,' ' 1 All other services, including but not limited to the servicing of Affluent filters, mechanical or pressurized components, pretreatment units, and aoy servicing at intervals of 512 months, shall be pertormed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. QMW 114/01) Page C.2 of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemical: that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will bu discharged to the dispersal cells) In one large dose, overloading the cell and may result In�the backup or surface discharge of effluent, To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually 'operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; . foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicide*; ; ,meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed., • The contents of all tanks and pits shall be removed and properly disposed of by a Septage .Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled With soil, gravel or another inert solid material, CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken,..to provide a code compliant replacement system: 1. 1 , y A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be Infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. 17 A suitable replacement area Is not available due to setback and /or soil limitations, Barring advances in POWTS t ch elegy a holding tank may be installed as a last resort t lace the failed POWTS. ,­­ a bee evaluated t de iL suitab replace nt area. Upo re of the PO S soil and site ale at be ormed to ocate a ble pl acement ar a. If nor acem t area Is ailable a tank ay e i stalled a la reso to replace t d POWTS. Mound and at -grade soi absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < < WARNING > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN, DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUII OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name - Name Phone SEPTAGE SERVICING OPERATOR (PUMPER) L OCAL REGULATO Y AU TH RI Name Name Phone Phone This document was drafted in compliance with chapter Comm 83,22(2)(b)(1)(d) &(f) and 83.5411), (2) & (3) Wisconsin Administrative Code t J. 2641 399 772236 STATE BAR OF WISCONSIN FORM 1 - 2000 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., WI This Deed, made between Ronald G. Raymond Loretta B. RECEIVED FOR RECORD Raymond, husband and wife - 8A/28/2004 11:550 Grantor, WARRANTY DEED and LaCasse Development, Inc , a Wisconsin EXEMPT# corporation REC FEE: 11.09 TRANS FEE: 2250.90 Grantee. COPY FEE: Grantor, for a valuable consideration, conveys to Grantee the following CC FEE: described real estate in St. Croix County, State of PAGES: 1 Wisconsin (the "Property") (if more space is needed, please attach addendum): Southwest 1/4 of Northwest: 1/4 of Section 13, Township 29 North, Range 19 West, St. Croix County, WI Recording Area Name and Retu Tess 3 C ty Ro Hu o 54016 020 - 1017 -30 -000 Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests. This not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except encumbrances of record Dated this X4 da of Augu of , 2004 . Zf 4 *Ronald G. Ra *Loretta B. Ra and s AUTHENTICATION ACKNOWLEDGMENT Signature(s) Tracy Turner STA F WISCONSIN ) c. ) s Mary v" county - --� authenticated this � �b'=�- day of 0��� I Personally came before me th is day of Agqu at f 2oo4 the above named Ronald G. Raymond and TITLE: MEMBER STATE BAR OF WISCONSIN husband a a . R aymond- d (If not, to wn to pe n who executed authorized by §706.06, Wis. Stats.) th o wledged the same. THIS INSTRUMENT WAS DRAFTED BY Redmon Law Chartered (Richard Lau) Notary Public, State of Wisconsin 2217 Vine St., Suite 204, Hudson, WI My Commission is ermanent. (If not, state expiration date: ( Signat u res ma b e au or acknowled e d. Both are not ne •Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-2000 Redmon Law 2217 Vine St Ste 204, Hudson WI 54016 -5864 Phone: (715) 386 -0100 Fax: (715) 386 -0700 Redmon Law Chartered T4926305.ZFX Produced with ZipForm m by RE FormsNet, LLC 18025 Fifteen Mile Road, Clinton Township, Michigan 48035, (800) 383 -9805 wwwzlpbM.com 6 r o n N 11 O $ � X U � X !� Alf 1� t 1101 CA 9D C4 co ta to I I o co 1 � i I f j i I 1 co X r m x x x x-- m z v xco - � c o ?'�� m tv § g ■ ( J e ; T ! k % k ® s m e t ° A E ± w / 3 m k A ƒ % , \ CD a' ° \ 2 � \ 2 ) % ; ` = () ° CD / § \ ¢ (D CD } 0 § OD CL 2 \ /0 ° G i < 2 \ r 0 § fu z 0 0 0 CO) I — J § § E 2 w co CO) { o v § CD . z Z 3 & k . CL i » § . z / J § \ 0 -0 0 a T ! / ��3AS- {� - _ ��., ; @ F7[ƒ �§ S \E E §m u m2 °a «C ® 00 % z 7 g ' z § c0,_ D) 2z & « r 2 a a & . 7 % / E [ # z o \ :3. 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