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HomeMy WebLinkAbout020-1376-21-000 Wisconsin 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)]. 'ermit Holder's Name: City Village X Township Stout, Richard Hudson Townshi :ST BM Elev: Insp. BM lev: BM Description: // • 1iU / l~ ~I ~ 5~'C IHIVn IIVrVK1YlAI1V1Y TYPE MANUFACTURER CAPACITY Septic f see- Lo Aeration ding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~~ ~ /O f L ~ l in Aeration Holding PUMPISIPHON INFORMATION ufacturer Demand Model Number TDH Lift riction Loss em Head TDH Ft Forc in Length Dia. Dist. to SOIL ABSORPTION SYSTEM BED/TRENCH Width ~ Length DIMENSIONS 3 I ~ ~ ~~ SETBACK SYSTEM TO f P/L INFORMATION Type Of System: -- ~ DISTRIBUTION SYSTEM Trenches 2, CLCVNI IVIY LJ/11/i County: St. Ct'OiX Sanitary Permit No: 395163 0 State Plan ID No: Parcel Tax No: 020-1376-21-000 rc~ STATION BS HI FS ELEV. Benchmark ~ ~~ /v ~ / l ~ p / Z / ~«,, S~W~~ ~ ~ ~ . ~s~ ~ ys~ 9 Bldg. Sewer #2 • S l d•~d' Ht Inlet ~, ~~ ~ / D lr St/ Outlet ~ZD ~ d Dt B Header/Man. 8Y0 9~.za Dist. Pipe ~ R ~ ~(o -3 ~b- zy Bot. System ~ ~ .S - 9Y- 4 Final Grade ~ yd 9 9,Z v St Cover y~ ~~~ ~~~~, ~~ y 3 da . z ~ Of Depth OR c Header/Manifold Distribution ~ x Hole Size x Hole Spacing Vent to Air Intake / Ir I~ Pipe(s) ,(~ ~ ~ s / ~ `r ~ ~~ Length ____ Dia Length _ Dia Spacing SOIL COVER x Preseure Svstems Only YY Mound Or At-Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/_~/~ Inspection #2: / / Location: 903 A 8 B Fraser Lane Hnudson,/WI 54016 (SE 1/4 SW 1/4141T29N _R(1,9W) Sweet Grass F Parcel,,N/o: 14.29.19.2282 1.) Alt BM Description =~~^"" ~} s (~!~ 3~pb~ ~~"~^' P,~~oL S ~'.,S~q,{`~ %h ~ (if^~ ~t?~ 2.) Bldg sewer length =~ 2 ~~ , ~ v°r-r~ y)Se= t~rAw~ ol.. ~IaC.~, - amount of cover =,~ / I~„ "`'9 ~~ # Z / '~ YL a ~/ ~ ~ ~~ ~i N1 b ~,(f~f L f/O ~~ 5 IW'~ 4 ~ a wv~ 21~° V a.+dg,. f Plan revision Required? ^ Yes ^ No Use other side for additional information. Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) ~.•l- 9~'iilc 5o i ~ ,~GS~F~ eL relit ~ ~t AiJ UGr a f:cA.~r~-- ~~*,~., li \o~ 30 ~~ c, ~, '' ...~ L ~' ~ -~ gib, ~~ ib , -;' i .~., r . i. Safery and ~lui;din~s liyvtsien , `°'~'`~ ~r`~v'd <` ~ 201 W . Rtashinaton Ave, , P.O. Bax 71 ~ , -~ ~~~ j~ Mtdi~ts~ 0+'I X3707 - X562 ; SiDAddreis ~~-~----t ~ •r ant of C nt+n rc• ~~~ ~wnbar Semlt~ary Permit App ~ ~ ~ ~,~51 ~3 ~ ~ Carta t1.2i. w~, ~. coa., per ~ ~to~dox ~~• ~1 C~ if nvloioa ~ ~; 8~ LD< Nyai~+r J radar -!~w trl~ All In~oonmait ~~Q~ ~ w r~ owaer'i ame .,. ,.~ ;,~~',~. F++01' ~ `-f • Z~I.1~ .2Z~s'j I 'co~~' F~c~ ~" Oao-- t 37 ~ -~- -moo !J~ ~z II. Typo ofC ~ (deralt ~!! tbat y+?~~ ~ °, 33a~ - NmadNr of 3tdrooma ~ ~ P ~ ~~~ Z F+~ll ~ 1 ._.. i .... QYi~lye y . or ... ~ CJ pUW3att~ttdwraisrl- Daeorfbs UM -sue , I ~„ ~ 3ate t~+vnad oo ,~.~ .~~,~, <-P~'1~_ w ~ Nwnsc ~ ~~ ~ ~~ ~ iarble} ~. ( ~' ow bolt as I!u A (n+umberla~ a~ fttt' i~talrtsatl tw?• CompUt~ ~ 8 Dpl A, f ~Atera Z ^ Ra-pl t~yateaa 3 ©~ttplaeatorat of ~ D Addition co For Cettitdy vu ~ . 8 ate Ftto!{t Ntltabet ~ iasuod - - 8. Cbtalt ft i~aury Pkreais prevlousty Jta~t z ( •U that tpply~G~mbtrlai arhaas+ ~ tar iateraaa we7 ~ i ~P'nawti~ad 2:D bi0aod 17 D Strd Ftltar 5g Q Conaavated Vilttlend i + Priffucleed Ia~tkottad 4i ^ ltolditt3 Tustt 4i 0 Slofla Pau 2Z ~' 51 C1 Drly Lisa ~~ . f•6 © Truso-ant tJait 49 ~ Rteitrut 4S ~ A } 30 © ~.2 3 ~ .5 ~~ Atat ~ ~ t e ~,, ev Dupocpl Area So Agi+llleldon Ru+K 1,/~NS .F't.) ~ ~ ~ lado 3!W ~ (1v(itt,l~SCls? ysuur. fil~v>,tiots ~ F1rsa? Crrada ~levarion 7 ~ t ~ l' ~ ~ t , G ~~ `' ~+`"`~ ~ ~~r /~ / ~~V !~ ~~ Q ~~ 7 ~ ~ 1 a VY. Tauak tY . ?oast Ntmtber at ?~olLa M::tyiscnctaa ~ t Prahb L"Orti~f/ S m su®! ; lriber Pltatic COABtUCttO ~ G1~1s - orb `e ' ..-.-~ ~ 8tst ~ - ~ r~ D a! the POW'!'S lbewat ws tlu a~tta~rd ~ _....._,..,.._-~ bor Iiuait>ofi Pitoaa Ntiuusar h a ,a ~ c~ o'~' ~ A' l ~ ~' ma ~ C~ ~5- - ~~"6-~107~/~ s G. 6 ~a ~rz J ~ ~ D Awnttr Gireo rtti~ Aacva:a+• ' ~>`~(o,~o~S t c~ /~ j~ r X. Coodl!lotoe at Apprerar~l~wo»• t'~or DiMpprovot ~'A~ai~.•~ ~~-f Ca w'.p~'~ w (To ~ ~ tlvatsry-L s ~ayw~ `y```r'Q,- I •~ (~c. ~(' i~ +'~'ta ~8>~-1b1,~- ~ '{~ uP ~ l ~t i bra wnu ~ ~ srp~ ~(.w.~ ~ Mewl ~. ~k~ P°~' ~ f K„ --~ ;~:~~~SBDi63~8 tR.~ Q~1Q1) ,; ' ,t~,'~ ~~; y~ ST`ou. ~~~ / o~l J'u/~i~/ Wt, ~ LN.O yr- 4-~. ca+~<~v~.c~o~.,e3~" ~ 4~,.~~.7 G ,r ct ~G'`Q1:'CT ~".Yt1 ~ obi j > ~,,~a~ 99, 4~ l.~1~1i~ MoD. b p~~~~ x .~R.h~ /I~~/cQv k..~k~w»:..6,,~ Boa 5 ~~~ R t De ~r _ ~\ ~l } • ~' 11o S (c~Y.2 e r • e, ~ ~~ ~-1 ~~ y VNf~e~n E'~partment of Commerce SOIL AND SITE EVALUATION 3 Divisic~ of3iafety and Buildings Page ~ of ' Bureau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must wunry 1 include, but not limited to: vertical and horizontal reference point (BM), direction and ~ ~ ~ L ~, percent slope, scale or dimensions, north arrow, and local' i to nearest road. parcel I.D. # APPLICANT INFORMATION -Please in~.~ll information: _, , R ~ e b Date Personal information you provide may be used for seco das)({,purposeil~~;l~~ s. 15.04" (1J )). J $-Zj Property Owner •,` Prope Location ~~~ ~ ~~' ~ ~~~ ') ~ ~ )~ Gorrt: of ~ ~ 1/4~~ 1/4,S~L~ T ~ c). ,N,R l ~ E (or 1 I Property Owner's Mailing Address t l . ; , Lot #, ~ Block# Subd. Name or CSM# ~ ~ 135.E , t~x~~.= w.;: :Tr~ ~kA;e ee r45 City State Zip Code hone Number ~ ~ ; City ^ vi llage ~ Town Nearest Road l Sa tit 'S~-(o-t~ rile., ~ ~ ~~ i uc~ a ~~r~ ~~ ~ n . [New Construction Use: [~tesidential /Number of bedrooms ~ Addition to existing building ^ Replacement ^ Public or commercial -Describe: Code derived daily flow ~/QU gpd Recommended design loading rate ~ bed, gpolfti ~ trench, gpd/ft2 Absorption area required l Z bed, ft2 Z S trench, ft2 Maximum design loading rate ~ ? bed, gpd/ft2. ~ ~ trench, gpd/fi2 Recommended infiltration surface elevation(s) ~`S' Z ~ ft (as referred to site plan benchmark) Additional design/site considerations ~` ~ 9 S~• Parent material C~ ~ -~c~crrc ~ " l Flood plain elevation, if applicable A/ ~1 ft S - Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system [~ S ^ U ~ S ^ U S ^ U ~] S ^ U ^ S ~ U ^ S ~' U Boring # `: Ground elev. C.L'20ft. Depth to limiting fa~o,+ I n. Boring # 2 Ground elev. ~. ZD ft. Depth to limiting f ctor ~21 in. Remarks: CST Name (Please Print) Signature , ~ Telephone No. ~dlarri Sch Cols) z~~-~toa Address Date CST Number Z 113 ~b ~- .~~ • 5 d mer :~ e-~- , W ~ 5`~lo ZS `~ ~-~f -~0 2s33o 9 CAII IIFC~_RIPTI[1N RFPART Horizon Depth Dominant Color Mottles Structure i B d R t GPD/ft2 in. Munseli Qu. Sz. Cont. Color Texture Gr. Sz. Sh. stence Cons oun ary oo s Bed ,Trench o-t Z l v 3 z~ ------- ~., `Z rna.b~, ~ -fir L~ I v~ ~ ~ Z iZ~t I r I Sit 2 ~bl~ vt~-~';" ~ ' ~ ~ ~ ~ ~P ~s os ~s -~; -8 , Remarks: 6--13 3(Z .--- ~ ~ v-~ • 5 ' ~ ~ , PROPaRnr owNER ~ ~~ ~ SOIL DESCRIPTION REPORT PARCEL I.D.# Boring # Ground lev. ~~n. Depth to limiting factor ~_in. Boring # `i Ground elev. ~• ZO ft. Depth to limiting factor I Z~ in. Boring # J Ground elev. ItJ ft. Depth to limiting factor 1L`~.in. Boring # Ground elev. tt. Depth to limiting factor in ~~ w ~. Page ~-~ of- 3- Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench ~ ~ Z ~1 ~ ~n(~cb~ ~ CS f 1 •~ , .Z 3-y ) t 1 2~~. ~ c 5 - - 5 `t~° ~ SL ~ Remarks: I Z ~ Id ro-~ -ICJ /~ 3 2--Y ld ~ / -- ~" ' I s` I s Zlr~bl~ s n~-~- uv~ ,m I ~ c5 ~s I v~ - -- ~ ~ ; ~ ~ .S- ; , Remarks: Horizon Depth i Dominant Color Mottles Texture Structure Consistence Boundary Roots PD/ft2 n. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench 1 o-r~ !0 Z 5~ rn~'r r--S ~' ~~ ~ ~ - 3 ~z~ 1 ~! - ~,.~ v s rr, ~ s Remarks: Remarks: SBD-8330 (R.9/98) s PAGE ,3 OF~ NAME ~" LOT# ~ L -- scALE: I"= l6 U BM 1 ELEVATION -1 q• -1 BM I DESCRIPTION•fvPo~ f s~~~~p,'O~G~'hw/f~ BM 2 ELEVATION ~OU • O BM 2 DESCRIPTION.T (}~~T,•p~ (ter ,,,~lNa~ SYSTEM ELEVATION ~1 ~ • Z G ALTERNATE ELEVATION R S• Z U CONTOUR ELEVATION /r/ f~ T 2q N.R lu E ~y i _.t'_ ! ~ ~4--,,1 t l~enu~ --~ w1 3 1 ;-' a~ ~ ((t ~ ti t ~`~ ~~,. 1~. }~`~~ +Va1~y~Y1<avol~ ._..._ ~ ~. e-- f7 X ~ ~j "` fd N x~U>~''7 T 111 JJ ~,- X~ ~i X ~~I ~ o~ ~_ ~ •~ (f') N m © ~ ~ U~ • ~ ~y T • MI C C N f/_ ~ A V a n t 3 s ro °~ ~~ U~ ~~ ~u .. ~~ x q m V ~. ~• ~~ n. ~~ -m v V N ,1 QQQQ~ ~y '~d ~a 7~ 6~ ~~ ~.~ ~~ ~~ a~ ~~ P~ 3; ~~ ~~ .a ~~ ~'i JI ~; §i x; .: t~ ~~ ~~ ,~ i D L~ r~~ iVl~ v O .~ c~ G. CO ~ ^ W MM \L ` ~ m ~. v --c~>c ea : ~ o ... -- •.. US ~ 'r U ~; .". ~ ~ ~ ~ ~ C >`•~y~ ~ U ~ 3 «~ ~ ,~ ~ ~~ ~~ v .~ ~t,'~~ o k No ~, o_ co u, ~~,E~~ 0 o ~ -~ - .~ ~ C -~ Q~ CL t'3 ~ ~~~Nro ~ u~ ~ z - = v ~ ~' a .... t .~C U vas c ~ O :. ~ v ~ ~ ~, U Q RS ~Ir I I u i o ~, ~ ~ ~~ r ~ ~ ~ ~ `-~! --- 4~y-ed ~ ~ ,... ~ ~~ ~ :. I i ~~~f Private Oinsite Wastemvater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adrn. Code each Private Onsite Wastewater Treatment System (POWYS) shah include information and procedures forrovall b I the department, agent, the parameters of Comm 83 and 84, and the conditions of app Y or governmental unit. The approved plans and permits #or 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- T~hln 4 • Cvctnm I~e~cinrl St~BCiiflCatiOnS . NM.V . • ~lr - .--- Sanitary Permit Number ~-_ - q ~ Number of Bedrooms Design Flow -Peak d} D~ Estimated Fiaw -Average (gpd) Septic Tank Capacity { al} 2-~ Soil Absorption Com onent Size (ftz) S . -- Type of Wastewater Domes is ~r_~.~.. ~. Q..il AhQn..,flnn Rnr~nnn~nt . t_imitS of Reliable Operation ~ avw i. vv.~ r....~...p..r. ...._...r-•----- - Septic Tank Component - Soil Absorption Component Desi n Flow -Peak ( pd) "~ ~~ Maximum Influent Particle Size (in) ''° 1/8 Maximum GODS {m !L 220 Maximum TSS (mg/L) 150 Table 8: Maintenance Schedule Se tic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 :nrrstinn Comeonent inspect once every 3 years Septic_,_ Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease -~ Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Pryvies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shat! be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. !f the ~P/ 1~f~2iJl ~VVV Mound Systarn Managtmont Plan page 2 of ~ Pursuant to Comm 83,34, Wts. Adm. Code 'Th~~pH~~nk ahaN ba ma-ntained rsy an indivldua! cvrt~fled to sacvlca sapttc tanks under s. 28t .48, Sta:s. The rortents of tt`8 aspdc tank shalt be diapveed of in accordance with NR 113, Wis. Adm. Cade. The operating condition of the aaptic bnk and outlet deter shall be assessed at least once every 3 years by inspection. The outlet fuser shah be deaned as rteceaaary to enaarq proper operet-on. Tho fiitar cartttdQe ariould not be removed ur,lasa provisions are made to retain solids In the tank that may abugh oaf the flker when rernovvd from its enclosure. I{the filter is a4ulpped with an aierm, th• taller ar-ait be aeMcad Ii the alarm is adiveted conlynuauarY. intermittent tilbr aiarrna may inCicete euroe flown ar an impending rAnthuwua alarm. The aapdc tsnk shall haw lta conterda removed when trio volume or sludge and scum In the tank exceeds 113 the li~I ahou adv~se the bnk. !f trio conteMa of the tank an not removed at tlw f,IrM of a trienniei aasaaan-ent, maintenance peso Erip purser of wrier aril next oeMa nestle to ae performed to mair-tatin lead then mexiMUm ~m and sludge arpuniuietion !n the bnk. The addltlan of bloioglt~t o+ C,tterrliCa! addtl3Vee t0 enhance eaptlc tank peAormsnce la generaay not n4aired. i~owewr, ~ sudh prod~cte are used they shag be approved for septic tank use by the peparq~t+en! of Commerce. 5atety and Bui{dlrtge Division. Pump dcerng) tank ahau be rnePebed at boat once every 3 years, Ali ewkohee, atanrte, ana pumps shall b. seated to verify proper opentlon. ff at1 effludnt flker i, installed within the tank it eriell be impacted and seNlced ea necessary. ~ygq,~ry~>Q,patrtj?utio valam i~p~p ~~~-the~e- or rubs should be planted on the mound. Ptantinga may Ce madt arout3tl the mound's perSmeter, and the mound ahW be feeded and mulched as ntoessary to prevent eroabn end to provide same protection tram frost penetration. Traffic (Other than for vapatative meirttenanoe) on the mound 61 not recommended sirt~ soil compaction may hinder aeration of the Inataflattons tt~ctaba~++~ebruary) dktate that the~rrwu~nd~b• heavYy matched for roe! protoa~ont. ~ ~thsr lrtifkient quality IAto the mound sygto+t+ may not exceed ^~ZO mglL Bt705, ! 30 mgA. TSB, and 30 mg/L FOG. Influent flaw may rwt exee~d maximum design flew epectfled in the permit for th(a inetaliatlon, `t7fe pteesuta diatrtbuttpn system is provided wkh a flushing point at the and of each taternil, ana k is recommended that each faterol be t}uehed Of t10GUmulated adlda at least once every 18 months, 'Nh~ a P~+ hu oeairered~and litor~flcedclearai~ is cotrpared b the init<el test wh>an the system was k+stalled to determine N odtltx ctoQanO required t0 mair>min egwl drstrrbutfeon witlrirt d+e dieperiel call. Ct~eerratbn ~ ~vvs 4 incheat nod as anbmp ndinp hydrnu5c laUu~lretiviringn td~di anal, amore frequ~ a rtoNtotlnQwner, phis tyatem shall be op®ratad in accordance with Qornrn a2-&4 W1s. Adm. Cede, and shat! malntelned !n accordance with its' campanant rrtanuat (t360~1057~-P {R. 81D®jj and focal or salt rules partaininq to ~ fstem maintenance and maintenance rePo+tr+Ki• IVo one ahculd ever enwr a teptic or pump tank since dengeroua gases may be proaent drat oouid cause death. t3epde and pump. ~ mponetlts. t shay be in acoo+denca with Comm 83.33, Wta. Adm. Code when the tanks are no longer aced as 3epUc or pump tank rnanhola risers, acoaaa resent and oovere should be Inapseted far water dgtttneaa and soundnaaa, Access openinya used for aatrvla- end aeseeetnent shag be sacred wetertrght upon the oomRlsdon of NN+Ca. Any oPenln0 deemed unsound, detecthre, or subject to failure mwt be replaced. ~oaed access openirrpa greater than 8wnohea In diameter shall be eea,red aY an etfectlve locking device to prevent eCCldental or unautharized entry into a tank or oampanant. Iii ae~ptlc~n~it~o~r any at lb corrrponamts beoorne defective the tank or component shalt be repaired or rapiaaeC to keep the eyehrn it proper cperatinp cor+ditNbn. ti the dosing tank, pump, pump controls, alarm ar related wising txaccmes defsotrve the defective cumpaneM shall ba irnrrtadrartely repaired or replaced with a component of the carne or equal Performance. it ~ mound oompanent tails t0 accent t-'aatawatar or begins to dracharge v,-eatsrrater to the Around aarface, ft writ be repaired ar repiecad In ka' present bciatlon by inar8aslr,a geael area If tot leska9a scats or by removing biolograiUy stopped adacrptlon end dhperasl medte, and stated Piping, and replacNg veld components as dterned necessary to bring the system hto propo+ til~e+ettng CpnditlpR. ~ .. direct:..... .... P ntenance of._._.. ..........._.. . QuasCiona or. the a station ar tna~. ~ this system should be ed to t.kte County Zoning office at `t!5-3Stb- ~JbB 0, ot: to the licensed plumber who inatal],ed the system, Management Plan for a Septic Tank and Soil Absorption Component Pientinas of deep-rooted trees end shrubs directly over of within ten teat o! the component should be availed since root intrusion into the component may obstruct wastewater Now. Contingency Plan In the event of system to€iure, a new system could be installed in an alternate area. With the irtstetPtat#ort of a diverter vtiva, the existing system could alto be reuud sfter s period of three to four years. ff is the property owners responsibility to maintain the altsmate area free from any planting of Vasa, shrubs, etc, Incase of failure of the orig€nal system, the altamate area will be needed. !t any trees, thnibs, etc. have bean planted on the alternate area, they will have to be removed at property owners expense. !f aitsmate aroa is destroyed, there are other alternative systems that can bs used, in which, could result in added expense to the property owner, Any tank abandonment shall be done In accordance with Wisc. Coda 83.33, Ar-y quest€ons regarding this cods, plea:s contact your local Zonlnp Office or contar~ the €nstaNir~ plumber. 2nN~N~ t~~~~c.•~.. (-~~s)38t~-y bSo ~c~v~.rA o.~a..~, ~l u4,nr,1a ~ e.f~ t ~ 15~ 3 $ to ~ 3 i ~ ~ FROM Schumctker P1~_arnbinq FH}< PdO. 71~3~1E3121 Sep. 18 2~~it~ 07:25iiM F'1 5T ClYOlk COIlN7'Y S~C'TIC WANK 1~IAINT~NAJdG~ A~,RBBMBNT t}4VN8RSHCP ~BI~Ti~iC.ATiC7N FQR~S t~wn~rl~uyoc ,' ~ Saw ~, Add ., / 5,~ ~ ~ ~ ~~ .` .,~ Pro+' Ad~~nss ~C' .:3 ,~,f3 ~ . ~~ (~+erii~atioa requ#~ed tip Plxaat~ aat for ow~w +~ast~u~iao~ &i0 WN/Fi ~rrwer~tiy.~~..~r.~ ~~~~~' ~~ rrwweseaeVnri rieeiwr .s~n.euri~sri iis`i A.IYiY~ ~P' ,~,4,,,,,.~~ W'ant~~- ~1ad .4~r' ~' ~.1 ~ ~~~...r.~..~.~«es ~0"i~tl~ l ~k~.~~.,,,r ~~ ~ ~_ ~Q~"r ~ ~ ,~ ~ ~0 ~.Qt ~~li4~ ~ ~ eat ~eo~dre't1~r po~~,a ~ ~~ ~. ~t ~t jet f~bo ~ sy~et "~ p,~,a~-, arraar ~~a ~ '~ 8'~. K~ix s ~ ~. ~ +~a t~rmne and ~y ~ ~o~orty~aube~,a,,~t~6cro~tii~oa~ed~pot.~edffi~te(Yjffie,t;~ee.~o~rettC syt~ct `t~d'~°hQ-'~ Y (vna~ t ~ as ~s ~xm tze !~ ca ego bast o~f ~- ( lc~arKrl~a. I {wry sm Cam? me ~svv~odx} et' ~'+ s~~ ~+Y ' vt ~ ' d+aod reoo~d~id iii, ptee of T9~M~t . ~. ~ '~ SIt~MA'~i,~8 t3~ iil'F~~ riAet'~ ~ e~s+~~sat ~ ~ ~Pi ~~Y iit ~~' ~ tbo Z0~ (~~plr~~YL s~ a r a• • ~ ~!S{~3ti~ RM(.~ #t~'I,~u e~~06: d ~PC03 ~Y2 ~"'i""" O~ XI~00 cx~y of t}~n ~esllt~ed 4vweY ~ if tefe~nce 1~ ~e iri thb av~mtttq- doed . r YOC 1539PAGE ~~, STATE BAR OF WISCONSIN FORM 2 - 1999 Document Number WARRANTY DEED This Deed, made between Donalda Speer, a!k!a Donalda J. Speers, a/k/a 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, Stale of Wisconsin (if more space is needed, please attach addendum): All of the Plat of Sweet Grass Farm 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 ~~~ , as Doc. No. t~aq c 5 & . Recording Area 629124 F:ATHLEEN H. WRLSH kEGISTEk OF DEED5 ST. CROIX CO., WI RECEIVED FOR RECORD 48-31-2000 1:30 PM YARRAHTY DEED EXEMPT It 3 CERT COPY FEE: COPY FEE: TRANSFER FEE: kECORDIHG FEE: 10.00 PAGES: 1 Name and Return Address ~Qtcilti,fa D's~T. ~pSo~J, (~Ut ~~ t lv Parcel Identification Number (PIN) This is not homestead properly. 020.102(•60,019-1021-80,020-1021-90,020-1022-00 & 020-1062-20 UY/ l~s uu,t Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this ~' (day of August 2000 + ~S eer, elk/a Donalda J. Sp rs, a/Wa Donald J. Speer + ernon Bast AUTHENTICATION ACKNOWLEDGMENT Signature(s) Donalda Speer, a/Wa Donalda J. Speers, alWa STATE OF WISCONS[N ) Do al J. S eer and Kernon Bast, wife and husband, ) sS. , County ) authenticated this' ~y of August ___ zooo Personally came before me this __ day of Jthe above named « Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN tome known to be the person(s) who executed the foregoing (If not, ~_ instrument and acknowledged the same. authorized by § 706.06, Wis. Slats.) PHIS INSTRUMENT WAS DRAFTED BY + Attorney Kristina Ogland ___ Notary Public, Stare of Wisconsin Hudson, WI 54016 _ My Commission is permanent. (If not, state expiration date: (Signawres may be authenticated or acknowledged. Both are not necessary.) -. ) • Names of ersons si nin in an ca acit must be ed or tinted below their si nature. imamatl«, v,a~9~ei. c«np.nr. roiw au tao. wn P g B Y P Y tYP P B eoobss-zozi STATE BAR OF W ISCONSIN WARRANTY DEED FORM No. 2.1999 ~~o~, l~OT 64 ~~ I~ ~ 9.SZ ACRES ~ I 100991 SQ FT . ~ ' •~/ .• .•'~ ~~ '~. / ' ;,~ q1 ~ 96696 615 ' ~/ i / / :, 9 ~ ~ LOT 19 I Z.99 ACRES 130?+41 SO ~ T'- ~ ~ ~ . coo ~~~ - /~ i ~ / A7 b4 / . ~ ` • GAS ~ ' (~ ~ ~ ~ . t ' ~~ , LOT 20 ~ LOT 21 , $.~,~~ ~.o, ACRES ~ aoeeo sc Fr 1 S7 296 8Q F7 S 0~ ~- O Oj R a.a LOT 22 ~ ~ ~ s.oo AcRes ~ , aoe9o so Fr MIN su1LDIN4 a ELEV. =926.6 ~ LOT 23 8.00 ACRES A A 190990 SQ FT ,,,~ ~` , / ,"~ a,~' / ~ ~ / / ~z'' / ~ Z~~ a , ~a0p0 / ~° o~~~g ,~~-~ j ,, / o ~~,,, ~pC~p % /