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HomeMy WebLinkAbout020-1376-20-000~~ s~ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety a~d Buildingt~ivision 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 Stout, Richard Hudson Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATIO DATA TYPE MANUFACTURER CAPACITY Septic ,l L~7T L7 Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~ r ~ Ze6 ~ 2. a ~ ~- Dosing Aeration Holding PUMP/SIPHON INFORMATION SOIL BSORPTION SYSTEM p~ N Width I Lengt DIMENSI NS SETBACK SYSTEM TO INFORMATION Type Of System: C o -'~V . r11STRIR1ITl(~N SYSTEM Demand GPM Head > ~` ~ 33' I s zaa ~ county: St. Croix Sanitary Permit No: 395150 State Plan ID No: ~~ Parcel Tax No: 020-1376-20-000 STATION BS HI FS ELEV. Benchmark n c~'2 Alt. BM i{•,Sb /o/.kb ~ Bldg. Sewer E .}2 5. o /pO" /~'O• tbc~ SbHt Inlet ~ ~ ~Z f gg:~sr SUHt Outlet .2 9B.oSr Dt Inlet Dt Bottom Header/Man. ~ `~ ~ ~ ~•~ r Dist. Pipe ~.~ •( q~•rSr Bot. System ~p ~ ,„f r RSA Final Grade St Cover , 1 "[. Ol. ~Dl i ~ etJ, ~ D f~ = /D6•S -• pp. 0 Z ~~ F=1T DIMENSIONS No. Of Pits Inside Dia. LAKE/STREAM LEACHING Manufactpre~ r~ _ CHAMBER OR ~~•~r~' UNIT Model Number. Header/Manifold Y ~ ~~,D Distribution Pipe(s) x Hole Size x Hole Spacing ~i' Vent to Air Intake p Length Gam-- Dia ~ Leng is pacing L Still CnVFR .. o~e~~~.~e s..~•oma nni~ YY Mnunrl nr Ot~;rade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bedlrrench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: lb / O S / Df Inspection #2: `f----t'~ Location: 911 A & B Fraser Lane Hudson,//~~WI 54016 (NE 1/4 SW 1/4 14 T29N R19W) Sweet Grass F Parcel No: 14.29.19.2281 1.) Alt BM Description = ~~~ ~Orw.dL °"~~' 2.) Bldg sewer length = -amount of cover = ~~ ~'S ~oy~s.. hp bgr~n w-~'S• Plan revision Required? Y ^ No e o er sld~e~Qr ad ition ormatio b '"1Ii(y~l ~V~i~„ y~ L(. ,,Q Date ~~ In, sepctor'sSi~gnatureA~~ /~~ ~ -6710 (R.3/97)d^`' n ` """ p 'u11~a+W lo,,,._..l .r T'wr~5 S~Q~` .¢~`f"• ~~ r ~, 1 t .... ~ .~ '"""'"~ ...~. ~ Safety and 13usidin~s Lltiisica 201 W. Wephisttton Ave, . P.O.9ox 7162 ~~~~~ M>tditoa, ~'I X3709 .. ~ft62 pe r ant of C mm ra• 3a~ttary Permit App~i 12 I `~~ la teootd a+tth Ctfebt><1.11. Wit, Asst. Code. Pee s; Y Pn1° '~~~., r 1..~1t..drr fa1Ll...dfed .1NY!! ~!~ ~ Z ~,~ , rn ,jL~L 2 ~ 2001 i__'' «. '~ ST CAQ~ ~== ~ ~ QpPfiCE ~ f B ,e °~Y~ ~xs~ l~ Fi ~ I a ~ S c,.v Gv ~'~ .~~"' ~t'OC'~ 7/ -~'~ 4' ~ 73 ~ Sw e •~ f~~a s~ ~ l II, 'Pype ofP t (eh~k sl! t5hst epp~-) ~C~,~.,,,~.,_ ,~i ac Z >~ Dw~ - Nwlbbent of iwdrooms ...ter ~~.......,- j~1-Wtst _~ _...,.....,_. ~ ~ PubllclCorsmmrdbl - Daotlbe Uw _____.+ .r. ,- - -- I]7'ownthi .,...~ © SAM U'wnlnE ~ II Naeeat I Tyge of lyemitr (C'h+ida ~ one hox sue lloe A ~a!umherias tch+acs fos isieesAl :w)• CostpUts ~ B if >-gpliosblt~ A, 1 ~ Z ~] ~ 3 Q btePlecseaeat of h C Addidon sn ~ its Coustty un aQ -'' / 7b ~ o~ s ece , a 9 9', a~$._..~,..__._... a. D Chat u f(taitaey Iksviowly lttu~'t ~` l~ttrnbec 17ua Issuesi ~ W flat atpply~Wwdiarlnp tsbtm+ iR ittters:Pl We? Ar- taa -fi _.._~ ~ ~ '- # 44«Phtauist~ fs-th+Otted Z:© htomd 17 ~ 6tnd I~ilttc SSQ CoAttrn~ssed Watiarsd ~~~~I ai ^ E~aldiesf'ctnJt 4i ^ s~Jd wt Si C DsiP Lin. ~Qd 1~ ~'6 ~a ~'d Ttsaic Into 4' ~ • ~ ~ , ~. _. ~ tx newui iaoi i nl f - ,~ r~,Q ~~~~ u f ~ ~=~ mbae~~A~de~ t6te~ot~ ~ ~ P } ~sd~ ~ a ~i~t~....r,_..... 3 ~ endiot psccolttfan 3t3t,IDe~ytiPq•Pt.l \~ (M4t,lFaeh} ~,~/~ ~;/ Causy ST C®Y'r9i x btu Addra,~ Sutitsty Ptrmit i~ambar 3451Sa Cizrak if 8tvitian ~ I.D. Nu~b®r B3~v t Fr~1it Crrad,...,..4..._..-..' D' ~ 8levarion I Diw "vtmeJ >?ibar Pitstic !, lrosocsso ~ Costtttctscrotd •, Gtsss , ?~S =3~'6-3i~ f ~-i D ~ wt~ ' -- .--~--- -- Cl Ownr!e Gres 8tidal AQwee!r • . ~ ZZ~ ~ ) ZtA~ P~r~-- X. ~~A>~ ~ p~ ~~ ..~.t, .arn,a~.Q~ ~ 1-t~'a"~~orL.~, ~c`~~e- l~xuruo ~ ~,,-"" ~ .~ I I o•aa.eQl~ .AOteCQO~- s S ~ ~ ~ - f,~^~_ e~y~CG ~~-~' L" ~-f:' ~~ ~ 1-~' Gf t-C.6µ w~fi~. ~~S . k.~,~8»63~5 tR.~ Q~101y ,; '~sQ~„~ S7`a~ ,~7r•'~-~ ur d SGJ ~ ~ da/~~~x 1.._~~~ ~~' ., L ~ ~ ~ ~m ~ ~~,~ ~~y, g ~,~r~'.~1.,~'l/~ 9,5~~ ~ ~ / ~/ ~ ~~ `` ~Y ,[J n`~ iJ; ~'~• Z,rsb~~ ~ ~.p ~ ao6 ~ N `o G a u v V 1 ` //~~' {J^/ M H ~~~~.~~D~~i/ ~~ ~a7 ~~d ~/a.~/~~ 9 ^/~ ~ J ~'~~1~ l`r~//>~ 1~~~~~~~ ~~~ ~ ~ ,~ ~Ja~~~X- / Y ;~ ~ • ~~ ~~ ~ i fi~ Z,rsb~' ~ eo6 5 ~Prf~c ~;/, ~~ a V e5~ . iscon Department of commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Bureau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code Page ~ of Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ~.ounry include, but not limited to: vertical and horizontal reference point (BM), direction and S~ - C ~Q 1 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION -Please print a/ r~rafibr~. '` ~, evi ed by Date n ,. Personal information you provide may be used for secondary pu~osQs~,(Pnvacy La~F, s. 15.04 (1) (m)):~_ I ~ t Property Owner , Property' Ldcation ~~, ~~ ,~ ' Govt. Lot :~~_ 1/4SCti/1/4,S /~ T~ ,N,R JG~" E (or 1~ Property Owner's Mailing Address x- ~ )ccit`# BJ~ck# Subd. Name or CSM# 1353 /~ ~u~ee fir. ` ~..~: ~ ~ ~, ~' ~ C~ro~s City tt }} State Zip Code Phone Numbp~l ~;~ ~~ U ~l ,..^ ~~ ^ Village ®Town Nearest Road Ott t(~~!'~T1 I ~~ ~ I `l~lL~ ~ ~l) I ~~ ~ ~ )`319 -tc~3~ •` ~+ ~~ U ~ ~ C? 1(~G ~ f L,n New Construction Use: Residential /Number of beddrooms ! ~ •~ Addition to existing building ^ Replacement ^ Public or commercial -Describe: Code derived daily flow ~ gpd Recommended design loading rate ~ bed, gpd/f12 ~ trench, gpd/ft2 Absorption area required /Z FfG bed, ft2 l ~ ZS trench, ft2 Maximum design loading rate bed, gpolft2_~_trench, gpd/ft2 Recommended infiltration surface elevation(s) ~~' y ~ ft (as referred to site plan benchmark) Additional design/site considerations ~~ y - 9-S"~ u c..~.14-,~ Flood lain elevation, if a licable ~ ' / ft Parent material ~ 'f ~ P PP S Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank u = unsuitable for system ~'S ^ u ~ s ^ u Cis ^ u Cis ^ u ^ s . L~' u ^ s ,~ u 0111 r1GC(_RIDTI[1N RFPART C`: Horizon Depth Dominant Color Mottles Structure i d B R t GPD/f12 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. stence Cons oun ary oo s Bed ,Trench b-t j© Z.~ ----~ i I m b~- Ili C 5 ~ V ~ . 5 ~ . 3 -IUD ~ nS c.5 _ .`I ; . ~ 4s-~~ ~ o Remarks: ~ /o r. Z -- ~; I Zma ~. m s v - s ~ . 40 3 --i 0 y ~ Y~ cS -1 ~ . ~' ia~wi l ~ ~ f /2 ~~~~~ ~I~ZG/1 Z. ~_in. Remarks: JF°zJ~` p~ L~ /~,~/~'~s ~ l CST Name (Please Print) Signature Telephone No. ~~1a,~ Sc-h.~ t-,~c~ke,r /~ t s~ Z ~ ao Address Date CST Number 2l l3 ~U~ ~-. ~ome{Se-+ W l S`i `-1- - Z S a PROPERTY OWNER S T~ ~'~ SOIL DESCRIPTION REPORT PARCEL I.D.# Boring # ~~ Ground elev. ~~tt. Depth to limiting factor /~in. Boring # Ground elev. ~C~O.LU tt, Depth to limiting factor ~ ~~ in. Boring # 5 Ground elev. /b~-30 ft. Depth to limiting factor /min. Boring # Ground elev. ft. Page ~ of Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench o-~ ra z - s' m ~~.~ ;S~ .~ '2,$ X6.4 ; Remarks: I o-Iq ~~ ~ ---- ~ 1 2 b~ ~m-Fr ~ . s ~ . -l~, i ~ 1 ~ - s ~ ~s - -~ ~ . ~ Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench ~ ~~ ~~ Z `~`~~ S s 2 .b~ r C ~ ~~ _- , .8 ~. ~ ..! , Remarks: Depth to -- limiting factor 'n' Remarks: SBD-8330 (R.9/98) • ~'` PAGE~OF NAME cS ~'U~"" LOT# ZU LEGAL DESCRIPTIONSE '/aSw'/a,S t Y T29 ,N,R !~i E (or) sCALE: ~~~_ ~d~~ BM ELEVATION ~ ~I • w BM 1 DESCRIPTION+aP++~'-f "(1~cp~~ I•~'ktd(~l~ BM~ELEVATION ~C~ U • O ~ !~ BM 2 DESCRIPTION.t.Q,.~ t ~T~pp: pT ~a~h wf F~~ SYSTEM ELEVATION Cf S• I C~ ~ p - -~- - ALTERNATE ELEVATION~r ~' (~ I i~ X ~-y-~ 1k^Y I• N~i „fHji! i§ f k ~~ ~~ ~a ~~ ~~ ~~ ~~ { ~~ ~~ ~¢ ~~ QQ Yyyy i{ 4 a N R h N ~~ ii }t ~[ :K 7 h ~ ~.~ ~ p ' ~ ~ Q~ 9 . w w b t I , ~~ h Q r~ j I'~ r x ~ ~ ~ I .t~ I.I,i~ l V' 6 N -r; ~ ~ V1 X w -~ Q: ~.., aAr.r,ya~~r„ ,, \\ +'\ I 'r 1~\\ ' 1 ~lt., 111 ,,t~~ W ;~ A :~"+ ,;~ i~ ~ -~ I Q ~ 1 ('"._ vim,,.. ~c ~ ~ ~' R a ~ ~ ~ N~ ro~ h in N ~ w n i !~!~ ~i .... ~ ~=c~~~ ~ ~' ~ ~ ~ $. ~. ~ ~~~~~ . te TT t~ ~V ? A ,, W I~ a~ ~ r~ro~~ Q n ~ Q Qc cry ~ro o ~ ~ ~ ~ ~ ro ~~ ~ ~~g` a~ N " ~ 7 ~ Cf, ~~~a n ~~~ •~ ~ .~~ ~~ ~ ~ ~ ~~ c~ c~ :~ I ,~~ 2 ~ C7 ~. rn ~: m R ~- Invert 11"~--~ Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soll Absorption Component Pursuant to Comrn 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures forroval b I the deeartment, agent, the parameters of Comm 83 and 84, and the conditions of app Y p 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 • S stem Desi n S ecifications . y Sanitary Permit Number `~~~~ Number of Bedrooms Desi n Flow -Peak d) ~ Estimated Flow -Average { pd) .~ Septic Tank Capacity ( al) Soil Absorption Component Size (ftz Type of Wastewater qua - Dom stic ,~_~~_ •~. a..el eaQ.,...for.. r±~.,,1,~.,ont . t_irttlts of Reliable Operation 1 iallly L. vvn e+wvv~~.raw. . v.....1......_.._ -------- SepticTank Component Soil Absorption Component Desi n Flow -Peak ( pd) ~ °~ Maximum Influent Particle Size (in) 1~8 Maximum BODE (m /L 220 Maximum TSS (m !L) 150 T_M1.. Q. ~esl..fnnsnr_a SCF1Adllle 1 av SepticTank Outlet Filter la a. m~ .............__ -- ------- - ---- Inspect and/or service once every 3 years Inspect once a year and clean at {east once every 3 years Soil Absorption Component inspect once every 3 years Septl The septic tank steal! be maintained by an individual certi>•ied 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 nk and outlet filter shall be assessed at least once every 3 years by inspection. Th u et fi r shall be cleaned as necessary to ensure__ proper operation. The filter cartridge shoo d 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 V P.~~^ T ~~3,+213/20e~0 2416 17154?5b86G ~~iEl-~.t?tr ~u1~ !t5iirv~a ~,._ __ Mound Systtrn Managemont Plan page 2 of 7 Pursuant to Comm 83,64, Wts. Adm. Cade 7hs~nk ®hpll bs maintained by an individual csrtfisd to service eeptie tanks under s. 281,48,, Stars. 'f he contents ai ttls septlc tsnk shaft bs disposed of in sctoroance with NR 113, Wis. Adrt. Code. The operst~ng bondition of the NptIC tank and outlet tTlter ahsU bs asaesaed at leant once every 3 years by inspection. The roouvdig~ns a~ ma0~ t~oeratalnesolida in tas ttnk that ensure proper aperadio~• Tho filter cartrtdga should not be removed unlse~t p the ARer snail be saMcsd i4 may slough btf the fitter when removed from tta encivaure. If the Alter is equipped w~itlt sn ala~-, the alarm is s~ctiveted conltnuoueiy. intermitteent Slifer alarrni may indicate surge flows bran inlpendfrlg corttinunua alarm. The aeptle tsnk shall haw its contents nrmoved when the volume of sludge and scun+ in the tank exceeds 113 the Nq~u I shod acv°se the tank. !f the obntente of the tank are not removed at the time of s triennlai aaaeaa'r-ent, +hafntenance psrw the owner of when ~ next aeMce needs tD bo pertvrmsd t4 meir>:ain lase than n+exlmum worn end atudgs eccurtlWStbn in the tank. The addhlon of biolo4kptl or cherttlt:al adtiidvee to enhance ssp@c tank perfarrnarxe ~ Oqy riot required. However, ~ soon produce en used they:hsq be approved for septic tank use by the pepargllant of Commerce. $atety end Bugdings Division. • pump (dfleingM tank shag bs inapeoted at least once every 3 years. Ali ewttohes, aianne, area pumps :Hall be tested to verify proper operetton. Hen effluent Aker ie Installed within the tank it shell be trtapeeted sad serviced as nsceaeary. NO trwa or a rubs ehou~ld~be~pla~nte on the mound. Piantings maybe made srountl the mound's parkr+eter, and the nxsurtd obeli be seeded and mulched as neCeuary to prevent eroebn and w provide son+v protacdon from trost penetration. 7rafBc (other than for vegebtivs meirttenanoa) on the mound 6s not reCor:-mended ettxal soli COrnpeCtlon may hinder aeration of the InA(trattve eurfsce within the mound and snow n in die winter will promote frost penetration. Coil wstther lnstalhtbns (Ocmberpebruary) dkdate that ~e mound be he:v-y mule:hed ter frost Qrotactlon. Influent quality If-b the mound system may not exceod Z20 rngl~ 91706,130 mgl~ T$$, and 30 ntpiL FOG. Influent flaw may apt exee~d maxirnurr, design flow specified in the pertnit for this instaNaiton, The pt~ssute diefribudon system is provided with a ttuehing point at the end of each lateral, and k is reobmmended that each lateral be Auehed of acaumuteted edicts et Isaat once ovary 18 months. When a Preaaur h~uta~P~rfadsamnd ti orifice cleaning is cottlparsd m the initial :e:: when the system was inststled to determine M orifltx clagpin0 regettred b rnairttain equal dist+tbldbn wlwin the dispenaNi cep. an4 d t~ny~ele ~v Ra eidaro0 as snimpendl ~ hydroukc tallu~iditigWrln~g addttio at, amore frequ~tt monitoringwner, i• system shell ba operated in accordance with Gomm 82-b4 vela. Adm. Cods, end shad rneinteined In aacardanbe with ka' component manual (89a.1051~.p- (R. t3J98)J and Iocsl or eats rotes pertaining b system mafntenana and maintensnoa nP~-g• Na qne sfiauld ever Inter s1 septic or pump tank since dangerouti passe maybe prosent that could Gauss death. Septic and ppump__tank abandonment ahel be in ecagrdencs with Comm 83.33, Wla. Adm. Code when the tanks ere nb IanQer used ae POWTt3 oorrtpoMnts, ffieptic or pump tank manhole nears, acoeas rtssrs and oovere should be Inspseted for waror Aghtness sad aoundnses. Access apentnOs used for aan,ioe and esassettwnt shalt be eeeted wetertpht upon the complstbn of eetvioe. Any Opening deemed unwund, detective, or eubiect to failure must be n:placed. t.xpoaed access openings greeter than B-inches In diameter ehsU be secured laY an efrectlw Iooldng davits to prevent accidentet br unautharszsd entry into a tank or romponent. lthe s~sptl~ar~ arty o! its eompanente became detriCtive rho tAnk or eompenent abet! de rrepairod or rspiau-C to keep the systsn+ to proper operating conditk>e-. tf tits dosing tank, pump, pur-tp Cortttola, alarm or related wiring ta~rrtas def~ttva rite defective component `hall bs imtrtedtatsly repaired or replaced with a component of tfre semi or e9uel perfomtsnce. if the mound oompea,ent fails th accept waatawafar or begins to discharge wsatawater to the ground surface, tt will be repaired or sepisoad in its' pntiwrtt bcaotton by inoreasir,q pltssl orr>x if toe IsakaQe atxurs or Oy rernovtnp biolopicagy c~o9Wd ~~" end d1t1p~ media, and nlatsd piping, and replaothg said contponente N dserned neCesaery to bring ttte rly:tem into proper ai»htirt~t cot-ditbn. Questions on the operation ar maitztettance of~ th3e eysteQrel~aouChm e . .. ice at `tis-3gb_ ~ ....~_., directed to Lbe Countq Zoning off l~80, licensed plumber who 3nstaZl.td Lhrz system, Management Pian for a Septic Tank and Sol! Absorption Component Piantin~s a# deep-rooted trees and shrubs directly over of within t®n feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow, Continflancy Plan In the avant of system failure, a new system could bs installed in an alternate area, With the instaltaticn of a divsrter valve, the exiatin8 system could alto bs reused sfter a period of three to tour yearn. It is the property owners responsibility to maintain the alternate area arse from any plsntir~ of Vsea, shrubs, etc, In teas of failure of the original system, the altamate area wil( be needed. if any trees, shrubs, etc, Nava been planted an the alternate area, they will have to be removed at p+roPe~1' owners expense. if aitsmate area is destroyed, there are other aitemativs systems that can be used, in which, could result in added expense to the property owner, Any tank abandonment shall be dons in accordance with Wisc. Code 83,33. Any questions repardinQ this Dods, p(eaae contact your loom Zoning Offioe or contact the installing plumber. ZoN~NC~ '~~s tce.. "t tS }38 to "' y b$ O Jc.~,,,,tir, olt~e..t~, ~~, u~, nr, b ~ rv~ (? 1$~ 3 `b b ~ 3 (~ L FROM ScFuirna ker P 1 ~_~mb i nq F:~~?t PJO. 7153863121 Sip. 18 2OO© N7: 2BAM F1 ~T Cr~Cd~~e ~o~~~' S~PTiC 'MANIC NI~INT~iN~IG~ ~.~RBBMBHT A3+~ t?4V,~I3ItSIiCF CF.~'TtPIt',~,."~'It}N FC?1tNt M~sg, Addtas 3 CJ ~c a ~ W ~ P.~ol A.dc~a'~ss ..,~ (Yc~il~tiaa ~ Y~ra, ant tos ~wv C'~!~/~t~ ~~~~~ .,. ~~c` ., , Pool ~~~ ~wal~c ~p~3'' ~ ,.,,~,,, ~~ ~~ SOC. f ~/„~ °~~ac~'C~~,L,~"V~, Tcw~ e~f 1 -'~/ . ~I,~,.i~y,,~~{~~[y~ s ~ _e ll7Yi~W ors •w ..r ~ Q..~S -- u~r~rw~w~r.r.~+ rrs.~~ r...rn aria "^'~ ~ ~ w'arr~~q- bad ,1~~~~~~~'.~.._~._~~.M..s'~oY~, ~ ~'±~ ~I spar L3 y~ JC~n~o xat lip idutbte C~ ~ oectl~- t~tt ~fl ~ an ioorm ue ~ 4a bay of ~y (~? 8c1ed~. I (rw~~ sai (aea4 t~s ~~r-saQx} of too deradba~ sbar~, by ~Za od a. clad reoo~ad 3a der of ~. Sti'~,R-'~t~8 Og ~CA~' t ~, _ ~,1~ ~"~"*$ffi ~y ~ ~ ~e >e~n+tAd~nyr reams is xcaio~ryr.Famn~t aox~d bI- tba zoz3nlj t~tr~usasa~t'"*°~+•, •• l(aalseie +~rStlc ~~Flte~,t~ea: s ~ load ~aa llfa ~~C,t~x ot'!~-eodt gt~lw # ~ or cba iaa ~~ >map if rare is merle In tie w~naaty does i Cep ' ~o~ 1539 PAGE 81 I STATE BAR OF WISCONSIN FORM 2.1999 Document Number WARRANTY DEED This Deed, made between Donalda Speer, a/Wa Donalda J. Speers, a/Wa Donald J. Speer and Kernon Bast, wife and husband, a k a Donalda J Speer-Bast Grantor, and Richard O. Stout and Janet P. Stout, husband and wife, Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of W isconsin (if more space is needed, please attach addendum): All of the Plat of Sweet Grass FatTrt in the Town of Hudson, EXCEPT Lot 1 of said Plat. This Deed is given to correct the ommission of additional lots in the Plat of Sweet Grass Farm between the above Grantor and Grantee hereto in that certain Deed recorded in Volume ! 3 ~, Page 5~0 , as Doc. No. Recording Area 629124 Y.ATHLEEH H. WALSH kEGISTEk OF DEEDS ST. CkOIX CO., WI RECEIVED fOR RECORD 08-31-i'000 1:30 PM YAkRRNTY DEED EXEMPT R 3 CERF COPY FEE: COPY FEF: TRANSFER FEE: kECORDING FEE: 10.00 PAGES: 1 Name and Retum Address Rrci~t4ca o ~ SST . /3S3 Au~~x-~ 7teA~1-- pwpSo~' wt. S'~otl,~ Parcel Identification Number (PIN) This __ is not _ homestead property. OE) (is not) ozalozl-6o, 0>9-lozl-so, oio-lozl-9o, o2alozz-oo & ozato6z-ao Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this ~ ~ day of August 2000 AUTHENTICATION Signature(s) Donalda Speer, a/k/a Donalda J. Speers, alWa Donald J. Speer and !{ernon Bast, wife and husband, authenticated this ~y of August___, 2tw0 + Kristina Ogland ' TITLE: MEMBER STATE BAR OF W 1SCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland __ Hudson, I54011i (Signatures may be authenticated or acknowledged. Both are not necessary.) ~ ~~,~~~- + Seer, a/Wa D`~J. Sp rs, a/k/a Donald J. Speer + ernon Bast ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. J County ) Personally came before me this ~_ _ day of the above named to me known to be the person(s) wha executed the toregotng instrument and acknowledged the same. + Notary Public, State of Wisconsin My Commission is permanent. (If not, state expiration date: 'Names of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF W ISCONSIN WARRANTY DEED FORMNo.2-1999 YAOrmation Proreaaionala Company, Fond du lay. wl aooosssozt LOT 64 ~ ~ ~ ~ I .~ ~• ~ i I 2.32 %1CRE8 7 OOe31 $C FT 6 5 4 . • •' ~~ ~ .T~' ~8 . i / .s c~ a '8'sa . • ~~ . / coo ~ j~ 1 ~ 9T / / 9661$6 /~ S~~ ~ `\ •t ` • .~ 4.6 MIN OIJILDIN01 ELEV. s 026.6 LOT 23 s.oo ACRES ,3o6so so Fr LOT 22 s.oo AcREs ,eoeso so Rr LOT 19 2.va ACRES 130241 SC RT LOT 21 3.01 ACRE8 157 266 SO FT LOT 20 5.00 ACRES p 130660 SQ FT ~~~ , / 1~p~ / ~ `& ~ / ~Z~ ,~~ ~ ~ `off Z~~ ~~ ~~~p0, / ~ ~~ ~ ~~g ~~~ ~~~~/ /~,o °,-' O~ ~pC~